RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate . CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To Bajaj Allianz Gen Ins Model KWID RO# ROINLA21008320 Co. Ltd Reg MP09CT5869 RO Date 10/03/2021 18:15:49 No Bajaj Allianz Gen Ins VIN MEEBBA003G4355739 Invoice # INSUINLA21000525 KMS 27398 Invoice Date 11/03/2021 16:42:22 Co. Ltd Bajaj Allianz Engine E050719 SA Name GANESH DODE Gen Ins # Co. Ltd 4th Floor SA Num# 9630091498 Commerce, House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date :08/02/2021 State Code 23 Payment Mode Credit Ph. No : IRN Email GSTIN 23AABCB5730G1Z5 Net SGST Insuranc / SGST/U HS Qty MR Taxa CGST CGST IGST TCS Total SR Parts UOM e UTGS TGST IGST% N P ble % Amt Amt Amt Amount Share(%) T Amt Amt % Insuran ce 1) 6202295 870 EA 1 150 1172 100.00 14 164.1 14 164.17 28 0.00 0.00 1501.0 94R- 8 1.0 .66 7 0 FASCIA- 0 FR BMPR- 2) 8201701 870 EA 1 75. 58.5 100.00 14 8.20 14 8.20 28 0.00 0.00 75.00 134-KIT 8 00 9 - BRKT FR B- 3) 6202669 870 EA 1 104 817. 100.00 14 114.4 14 114.41 28 0.00 0.00 1046.0 03R- 8 6.0 19 1 0 FASCIA- 0 FR BMPR,- 4) 6381300 870 EA 1 535 417. 100.00 14 58.52 14 58.52 28 0.00 0.00 535.00 56R- 8 .00 97 EXT-WH FR LH- 5) 6231837 870 EA 10 11. 85.9 100.00 14 12.03 14 12.03 28 0.00 0.00 110.00 30R- 899 00 4 RIVET- 00 6) 6381274 870 EA 1 535 417. 100.00 14 58.52 14 58.52 28 0.00 0.00 535.00 34R- 8 .00 97 EXT-WH FR RH- 7) 6251042 870 EA 1 442 345. 100.00 14 48.34 14 48.34 28 0.00 0.00 442.00 81R- 8 .00 31 CROSS MBR ---PAGE END--- RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate 0 CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To Bajaj Allianz Gen Ins Model : KWID RO# ROINLA21008320 Co. Ltd Reg MP09CT5869 RO Date 10/03/2021 18:15:49 No Bajaj Allianz Gen Ins VIN MEEBBA003G4355739 Invoice # INSUINLA21000525 KMS 27398 Invoice Date 11/03/2021 16:42:22 Co. Ltd Bajaj Allianz Engine E050719 SA Name GANESH DODE Gen Ins # Co. Ltd 4th Floor SA Num# : 9630091498 Commerce, House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date 08/02/2021 State Code 23 Payment Mode Credit Ph. No : IRN : Email : GSTIN : 23AABCB5730G1Z5 ASSY.- 8) 6253072 870 EA 1 737 575. 100.00 14 80.61 14 80.61 28 0.00 0.00 737.00 56R- 8 .00 78 MBR ASSY- CROSS, 9) 2147695 870 EA 1 244 190. 100.00 14 26.69 14 26.69 28 0.00 0.00 244.00 02R- 8 .00 62 CONVE RGENT- UPR- 10) 6265385 870 EA 1 278 217. 100.00 14 30.41 14 30.41 28 0.00 0.00 278.00 94R- 8 .00 19 GUIDE AIR, LWR- 11) LPCS00 350 EA 1 20. 16.9 100.00 9 1.53 9 1.53 18 0.00 0.00 20.00 01-FEVI 610 00 5 QUICK 00 0.5 GRM- Insuran Net CGS CGS SGST/ Total Job ce SGST/ IGS IGST SR Labor HSN Qty Value Taxable T T UTGST T % Amo Share UTGST % Amt Amt % Amt Amt unt (%) Insurance 1) LZ012-OUTSIDE JOB - 998729 1 50.00 50.00 100.00 9 4.50 9 4.50 18 0.00 59.0 OTHERS- 0.00 0 2) LBP39-ACCIDENTAL 998729 1 800.00 800.00 100.00 9 72.0 9 72.00 18 0.00 944. LABOUR- 0 0.00 00 3) LBP40-PAINTING 998729 1 8820.0 8820.00 100.00 9 793. 9 793.80 18 0.00 1040 CHARGES- 0 80 0.00 7.60 ---PAGE END--- RENAULT Tax Invoice Passion for life ASSURE GALAXY INDORE PRIVATE LIMITED Address of Delivery /Place of Supply: Lasudiya Moori, Survey No. 101-5, Dewas Naka ,Indore ,Madhya Original 0 pradesh ,India- 452010, State Code: 23 Phone: 8376954892 , Email: Duplicate 0 CIN: , GSTIN :23AASCA6431G1ZP, PAN: AASCA6431G HSN #: 998729 Maintenance & Repair Services of Other Goods N.E.C Customer Details Vehicle Details Invoice Details Bill To :Bajaj Allianz Gen Ins Model KWID RO# ROINLA21008320 Co. Ltd Reg MP09CT5869 RO Date : 10/03/2021 18:15:49 No Bajaj Allianz Gen Ins VIN MEEBBA003G4355739 Invoice # INSUINLA21000525 KMS 27398 Invoice Date 11/03/2021 16:42:22 Co. Ltd Bajaj Allianz Engine E050719 SA Name GANESH DODE Gen Ins # Co. Ltd 4th Floor SA Num# : 9630091498 Commerce, House ,7 th Race course Road Indore (M.P.) Madhya Pradesh State Madhya Pradesh Next Serv.Date :08/02/2021 State Code 23 Payment Mode : Credit Ph. No : IRN : Email : GSTIN 23AABCB5730G1Z5 4) LBP41-DENT REMOVAL- 998729 1 850.00 850.00 100.00 9 76.5 9 76.50 18 0.00 1003 0 0.00 .00 RO RECOMMENDATIONS : Delivery against Cash/ Credit Card/ Demand Drafts only cheques are Summary subject to realisation. Vehicles are delivered only after realisation. Labor Taxable Amount : 10520.00 Parts Taxable Amount : 4316.17 Labor CGST Amount 946.80 Labor SGST Amount 946.80 Parts CGST Amount 603.42 Parts SGST Amount : 603.42 Parts Total : 5523.00 Labor Total : 12413.60 TCS Amount : 0.00 Round Off 0.00 Grand Total : 17937 Whether tax is Payable on reverse charges -- N RUPEES (Amount in words) : Seventeen Thousand Nine Hundred Thirty Six and paise Sixty Only I Certify that I have taken delivery of my vehicle & work has been done to my entire satisfaction (Authorised Signatory) ---PAGE END--- RENAULT Tax Invoice Passion for life TERMS AND CONDITIONS 1. 1) Terms and conditions: 1. Terms of payments are by cash or credit card on or before delivery of the vehicle. 2. Bank drafts shall not be accepted subject to verification from the concerned bank. 3. Customers must bring this receipt for the delivery of the vehicle. 4. Our company assumes no responsibility for loss or damage due to theft, fire, flood, accidents or other acts of God which shall be covered against the car owner's policy: 5. For understanding / diagnosing some problem or confirming satisfactory repairs, your vehicle may have to be test driven on the road, your vehicle will be driven only by specially authorized, experienced and trained staff. Even after taking all precautions, if the vehicle gets damaged accidentally, our liability is to repair the damages under your vehicle's insurance policy. 6. We assume no responsibility towards delays on account of accident surveys, parts unavailability, strike force majeure or acts beyond our control. 7. Cars are repaired at owner's risk and any eventual liability on account of workmanship reported within 30 days of delivery shall be limited to rework without cost to owner. 8. The estimate given at time of receipt of the vehicle is indicative and in no way creates an obligation on the workshop to carry out the jobs within the estimated cost & which could vary depending upon actual repair carried out. Estimate process may also require dismantling of certain aggregates of the vehicle. Additional Parts used for repair/ servicing, over & above the estimated, shall be accounted for in the final invoicing. In case the estimate varies by more than 10% you shall be informed before repairs. 9. All prices are subject to change without notice, and prices prevailing on the date of delivery shall apply. 10. The workshop is liable to levy charges, taxes & duties such as handling charges, taxes, Spares, sale tax, work contract tax, service tax as applicable from time to time. 11. Practically, it is not possible to notice and record all dents, scratches and damages at the time of accepting the vehicle and if some dents and scratches that go unnoticed and not recorded may not get repaired and in this regard the decision of the workshop in-charge will be final and legally binding on the customer. 12. Customers are requested to ensure that all loose items are carried back by them or deposited at security gate. The same must be collected while taking delivery of the vehicles after completion of service / repair. 13. Please do not leave any kind of valuable or invaluable things in your vehicle. We are not responsible for any kind of loss or misplace. 14. Delivery of vehicle must be taken within the specified/informed delivery date / time. Otherwise an extra amount or Rs.250/- per day shall be charged as parking charges. 15. All disputes and difference arising from this repair order shall be settled by mutual discussion and in case mutually acceptable settlement is not arrived any such dispute shall be subject to exclusive jurisdiction of Courts in Dealer City court only. 16. In case of accident repair vehicles the Customer undertakes to pay the entire repair cost prior to taking delivery of the vehicle, subsequent reimbursement if any from the insurance company would be made directly to the customer. ---PAGE END---