HONDA                                                                                                                                                                                                                                   Original for Recipient
                                                                                                                                         TAX INVOICE                                                                                                   Duplicate for Transporter
Insurance Invoice                                                                                                                                                                                                                                            Triplicate for Supplier
                                                                                                                                     ICON CARS PVT. LTD.
                                                                                                                           PAN : AAECI0428H; GSTIN: 09AAECI0428H1ZQ; CIN:
                                                                                               Add: 56, BITHAULI KHURD, SITAPUR ROAD, Lucknow, Uttar Pradesh, India - 226021
                                                                                                                                              , Phone: +919918026026
                                BILL TO                                                                     SHIP TO                                                          VEHICLE INFO                                              INVOICE INFO
Name                     Bajaj Allianz General Insurance Co.         Name                      SANJAY SINGH                                  Veh. Reg. No.       UP32HU0164                              Invoice No.      SR29720-1849
                              Ltd.                                                  Phone                     +917860179986                                   Model                 AMAZE Diesel                             Invoice Date    31-07-2020 10:21 AM
GSTIN                    09AABCB5730G1ZV                            GSTIN                                                                              Chassis No.         MAKDF25CAHN201570                 RO No.            SER-RO-DD297-2021-1454
Address                  4th Floor,Halwasiya Commerce House     Ship to                    602/1666 HARDOI ROAD DUBAGG         Engine No.          N15A14009536                            RO Type          BP
                              Habibullah Estate 11                                                           BEGARIA ANSHIK KAKORI                   Wrnty Start         28-03-2017                                  Visit Date        23-07-2020 06:30 PM
                              M.G.Marg,Hazratganj Lucknow Uttar                                      LUCKNOW Lucknow 227107 Uttar
                              Pradesh 226001 India                                                         Pradesh India
Place of Supply       Uttar Pradesh                                     State                      Uttar Pradesh                                                                                                                  Mileage           32751
State Code             09                                                    State Code              09

P/L    Labor Code /      HSN I            Description              Issue        Qty    UoM     Job Value       Disc      Dis            Insurer                   Insured             Insurer        Taxable            CGST            SGST / UTGST        Amount(?)
              Part#           SAC                                         Type                               /RTLP        / Item      %         %         Amt         %         Amt       Disc Amt      Amount       %        Amt       %        Amt
DENTING AND OPENING FITTING
 L     ACDNTRPR       998714    ACCIDENTAL REPAIR     Paid              1                     4000.00            0     0      100.00      4000.00   0.00            0.00       0.00            4000.00   9          360.00   9          360.00          4720.00
PAINTING
                                                                             Paid                                                                                           18860.0
         PNTGCHGS       998714    PAINTING CHARGES                                                 18860.00            0     0      100.00                    0.00             0.00       0.00           18860.00   9         1697.40   9         1697.40        22254.80
                                                                                                                                                                                      0

Recommendations:


                                                                                                                                                    SUMMARY
Delivery against Cash/D.D ONLY may kindly be drawn in favor of                                         Parts Details                                              Amount()         Labor Details                                              Amount()
"ICON CARS PVT. LTD."                                                                                                    Taxable Amt                                                         0.00        Taxable Amt                                                22860.00
o FOR ANY FEEDBACK OR SUGGESTION, FEEL FREE TO CONTACT US AT-                 Total Parts Amt                                                    0.00        CGST @ 9%                                                  2057.40
7233006022 OR                                                                                                                                                                                                                SGST @ 9%                                                  2057.40
CRM 7233006021
                                                                                                                                                                                                                                         Total Labor Amt                                          26974.80
SM 7233006043
                                                                                                                                          Total Amount                                                                                                                                               26974.80
YOU MAIL WRITE US AT-
                                                                                                                                          Net Amount                                                                                                                                                  26974.80
gmservice@standardhonda.com
                                                                                                                                          Grand Total (Rounded - Off)                                                                                                           26975.00 (+0.20)
FOR SERVICE APPOINTMENT CALL US AT- 9918026026, 9918029029,                          Amount in Words: Rupees Twenty Six Thousand Nine Hundred Seventy Five Only
7233006046,7233006047,7233006045                                                                               Amount of Tax Subject to Reverse Charges                                                                                                            0


I certify that I have taken delivery of my Vehicle & work has been done to my entire                                                                                                                             For ICON CARS PVT. LTD.
                                                                 satisfaction


(Customer's Signature and Date)                                                                               Service Advisor : NEERAJ ARYA                                                                                                         (Authorized Signatory)

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