Goods & Services Tax Invoice Insurance Invoice ( Labour) HYUNDAI NAGSHANTI CARS PVT.LTD. KHANAPUR ROAD, UDYAMBAG, PLOT NO.16, S.Y.NO.669, BELGAUM Ph :0831-24433699880158069 GST No :29AACCN4105G2ZO Bajaj Allianz General Insurance Company Limited No 1/2, GOLDEN HEIGHTS, RAJAJI NAGAR 6TH Reg No: KA22P8281 Invoice No : S8210G202020927 BLOCK VIN MALAM51CLCM261595 Date 2020/11/27 : : BANGALORE Mileage : 44485 R/O No: R202010693 Karnataka Place of Supply : Karnataka Payment : Credit GST No: 29AABCB5730G1ZT S.No.OP Code Labour Description SAC Tax % Qty Rate/Unit Ins Share Amount Labour And Services 1 A10AABODENLNA Denting/Repairing Charges 998729 18% 1.00 800.00 100.00% 800.00 2 A10AARNR20LNA Removal & refitment charges (bodyshop) 998729 18% 1.00 500.00 100.00% 500.00 3 A10AARRBPR08R COVER RR BMPR R&R 998729 18% 1.00 340.00 100.00% 340.00 4 A10AAGM02WSCL Only washing and cleaning 998729 18% 1.00 465.00 100.00% 465.00 5 A10AABOPNILNA Body Paint Charges (Insurance) 998729 18% 1.00 5,995.00 100.00% 5,995.00 Special Comment:-The below mentioned Non-Genuine Fitments may Hamper your Safety and/or Result in Poor Performance of your vehicle. HMIL is not Responsible for any untoward incident due to the same. Kindly return the vehicle to its Original Condition as per HMIL specifications. Observation: No Accessory Fitment Additional Information: Pending Jobs Sub Total 8,100.00 Coupon Discount 0.00 Discount 0.00 AMC Discount 0.00 CGST @ 9% on Labor value of 8100 729.00 SGST @ 9% on Labor value of 8100 729.00 Total 9,558.00 Grand Total (Rounded) 9558 Rupees Nine Thousand Five Hundred Fifty Eight Rupees Only For NAGSHANTI CARS PVT.LTD. (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---