Goods & Services Tax Invoice
                                                                               Insurance Invoice ( Part )
                    HYUNDAI                                                                     Libra Hyundai
                                                                                                                                       NH 34,Govindpur Bypass Road, Dhanbad, 826001
                                                                                                                                       DHANBAD
                                                                                                                                       Ph:     0326 2301134
                                                                                                                                       GST No:            20AGKPS6156M2ZY
  Bajaj Allianz General Insurance Company Limited
  MANI SQURE,6TH FLOOR,164 MANIKTALA           Reg No :       JH10AE9280                                  Invoice No :      E6413G202005057
  MAIN ROAD. KOL-54                                          VIN                  MALCU41ULCM074597                   Date                25.08.2020
                                                                                        :                                                                         :
   KOLKATA
                                                                           Mileage :       94483                                           R/ONo :       R202002491
   West Bengal
                                                                         Place of Supply :Jharkhand                                      Payment :      Cash
   GST No:       19AABCB5730G1ZU
S.No.         Part No.                              Part Description                              HSN            Tax %       Qty       Rate/Unit  Ins Share Amount
1              8659028000                          RETAINER ASSY-BUMPER COVER   87089900      28%           10.00     4.68          0.00%      0.00
2              865111V000                         COVER-FR BUMPER                       87089900      28%          1.00      1,717.96     50.00%    858.98

  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                                                                                               858.98
 MAIN OIL SEAL                                                                         Coupon Discount                                                                                        0.00
                                                                                                 Discount                                                                                                  0.00
                                                                                                 AMC Discount                                                                                          0.00
                                                                                                 CGST@14% ON Part Value of 858.98                                                          120.26
                                                                                                 SGST@14% ON Part Value of 858.98                                                          120.26
                                                                                                 Total                                                                                              1,099.50
                                                                                                  Grand Total                             (Rounded)                                             1100
                                                                                                                                                     Rupees One Thousand Ninety Nine Rupees Only


                                                                                                                                                                      For Libra Hyundai




                                                                                                                                                                           (Authorized Signatory)
                                            Thank you for making Hyundai a Leader in Customer Service for three years in a row.

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