Branch Address: BANSARI AUTO THEWORLD'S 12,13,14,Ground floor,Muktanand FAVOURITE Complex,Manasa-382845 MANSA 12,13,14, Ground floor,Muktanand ComplexManasa INDIAN 382845 MANSA BAZAR 382845 BAJAJ Mobile :9904991010 Phone :9724552339 ,8487931453 Email : a66617@baldealer.com Gujarat [State Code:24] BANSARI AUTO 12,13,14, Ground floor, Muktanand Complex, Manasa- 382845 MANSA 12,13,14,Ground floor,Muktanand Complex,Manasa-382845 MANSA BAZAR 382845Mobile :9904991010 Phone 9724552339 8487931453 Email :a66617@baldealer.com Gujarat rState Cnde241 GSTIN: 24AQYPP5912A1ZQ Invoice Type Cash Invoice No. INS666172000013 Payment Type Invoice Date 27-01-2021 Reference No Billed To :BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED Jobcard No. RJC66617202001154 Customer Name BIPINBHAI CHHAGANBHAI PARMAR Insurance GSTIN No 24AABCB5730G1Z3 Jobcard Date 26-01-2021 Mobile No. 9624996169 Whether Tax Delivery Address: 12,13,14, Ground floor, Muktanand Complex,Manasa-382845 MANSA Payable on reverse 12,13,14,Ground floor, Muktanand ComplexManasa-382845 MANSA Charges BAZAR 382845Mobile :9904991010 Phone :97245523398487931453 Repair Type Accidental Repair Email :a66617@baldealer.com Gujarat [State Code :24] KM Reading 6191 Insurance Address: :4TH FLOOR TURQUOISE NR PANCHVATI CIRCLE C.G.ROAD ELLISBRIGE Registration No. GJ18DJ1131 AHMEDABAD Chassis No. MD2A76AX7LPM34341 Engine No. :PFXPLM38892 Model Name PLATINA 100ES Policy No. LABOUR TAXABLE SGST/ SGST/UT S.No. LABOUR NAME/ SAC CODE RATE UNITS RATIO DISC CGST CGST% AMOUNT CODE AMOUNT UTGST GST (%) Insurance Labour Charges / Replaced Parts:52PF2346,YJK17001,J BALINS001 62.50 5 0 312.50 28.12 9 28.12 368.74 K181272,JZ231600,PF16101 5,PF113064,PF231413,PF11 3032,JK231208 / 8714 Front fork bend removal/ 2 BMSL0050 62.50 6 o 375.00 33.75 9 33.75 1 442.50 /998729 Accident Repair-Total 3 BMSL0066 Labor Lump sum/ 10.00 54 0 540.00 48.6 9 48.6 9 637.20 998729 TOTAL 1,227.50 110.47 110.47 1,448.44 AMOUNT IN WORDS Tax amount payable on reverse charges In Rs.:NIL Customer Advice Terms and Conditions Get your vehicle serviced at regular intervels. 0 Sign of Customer Or His Agent Next due date for service is Vivo V11Pro ---PAGE END--- Branch Address: THEWORLD'S BANSARI AUTO FAVOURITE 12,13,14, Ground floor, Muktanand Complex INDIAN Manasa-382845 MANSA 12,13,14,Ground floor BAJA Muktanand ComplexManasa-382845 MANSA BANSARI AUTO BAZAR 382845Mobile : 9904991010 Phone : 9724552339 ,8487931453 Email 12,13,14, Ground floor, Muktanand Complex, Manasa- a66617@baldealer.com Gujarat [State Code : 24] 382845 MANSA 12,13,14,Ground floor,Muktanand Complex,Manasa-382845 MANSA BAZAR 382845Mobile : 9904991010 Phone :9724552339 ,8487931453 Email : a66617@baldealer.com Gujarat [State Code :24] Tax Invoice Insurance Copy - Spares GSTIN: Jobcard No. RJC66617202001154 Invoice No. INS666172000013 Jobcard Date 26-01-2021 Invoice Date 27-01-2021 Whether Tax PayableNo Billed To : BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED on reverse Charges Customer Name BIPINBHAI CHHAGANBHAI PARMAR Insurance GSTIN No 24AABCB5730G1Z3 Invoice Type :Cash Mobile No. : 9624996169 Payment Type : Delivery Address 12,13,14,Ground floor,Muktanand Complex,Manasa- Reference No 382845 MANSA 12,13,14,Ground floor, Muktanand Repair Type Accidental Repair Complex, Manasa- 382845 MANSA BAZAR 382845 KM Reading 6191 Mobile : 9904991010 Phone :9724552339,8487931453 Email : a66617@baldealer.com Gujarat [State Code : 24] Registration No. GJ18DJ1131 Chassis No. MD2A76AX7LPM34341 Engine No. PFXPLM38892 Insurance AddresS: 4TH FLOOR TURQUOISE NR PANCHVATI CIRCLE C.G.ROAD Model Name PLATINA 100 ES ELLISBRIGE AHMEDABAD Policy No. PART NAME/HSN UOM TD TD AMOUNT SGST/ SGST/UTGS CGST %) S.NO PART CODE QTY RATE RATIO CGST AMOUNT CODE RATE UTGST T(%) HANDLEBAR/8714109 1 DU181114 EACH 1.00 353.12 o 0.00 49.44[ 14 49.44 14 452.00 0 H/L WO BULB 2 YJK17001 EACH 1.00 1973.73 of 0.00 177.64 9 177.64 9] 2,329.01 LUMAX/85122010 WINDSHIELD/8714109EACH 3 JK181272 1.00 129.69 o1 0.00 18.16 14 18.16 14 166.01 0 LEVER 4 PF161015 EACH 1.00 88.98 0 0.00 8.01 9 8.01 9 105.00 CLUTCH/85365090 FOOTREST PILLION 5 PF113032 EACH 1.00 105.08 o 0.00 9.46| 9/ 9.46 9 LH/40169390 124.00 COWLING WITH EB BLK DCAL 6 52PF2346 EACH 1.00 358.59 0 0.00 50.2 14 50.2 14 PLATINA100ES 458.99 UG/87141090 JZ231600 MIRROR ASSLY 7 EACH 1.00 134.75 0.00 LH/70072190 0 12.13 9 12.13 9 159.01 JK231208 GUARD LEG 8 EACH 1.00 142.97 0.00 20.02 LH/87141090 0 14 20.02 14 183.01 9 PF231413 GRAB/87141090 EACH 1.00 470.31 0 0.00 65.84 14 65.84 14 601.99 ASSEMBLY STEP 10 PF113064 EACH 1.00 189.84 RIDER RH/87141090 0 0.00 26.58 14 26.58 14 243.00 TOTAL 0.00 437.48 437.48 4,822.02 AMOUNT IN WORDS Tax amount payable on reverse charges (in Rs.): NIL Customer Advice Terms And Conditions : Get your vehicle serviced at regular intervals Next due date for service is Sign of Customer Or His Agent K5 Vivo V11Pro ---PAGE END---