C Tax Invoice Invoice Number :- AP20000120016761 Invoice Date :- 27/02/2021 12:53:19 PM Document Type :- Invoice Supplier Details (Ship From) : Supply Type : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO LTD . BAJAJ SRI DEVI MOTORS ALLIANZ GENERAL INSURANCE CO LTD Dealer Name: Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD . #7-7-2/1. NEAR TOWN RAILWAY STATION, DCMS GODOWNS. ALLIANZ GENERAL INSURANCE CO LTD BAJAJ Address : Address: RAMARAO PETA India #10-1-44/9 3RD FLLOR PEEJAY PLAZA VIP ROAD,CBM City KAKINANDA PIN Code : 533001 COMPOUN, India AP State Account/Customer Id: 1-16F2NU97 1-SR0AXFV State: 37 City: Code: VISHAKHAPATNAM PIN Code : 530003 Phone(M) : 8842369102 Phone(O): 37ABQFS4891Q1ZV State: AP State Code: 37 GSTIN No : CIN No : Phone(M): 991234252870933206 Phone(0) : PAN No: ABQFS4891Q 81 Email : sridevi.honda@gmail. GSTIN No : 37AABCB5730G1ZW UIN: Customer Care No: com 8143312349 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO LTD . BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Dealer Name: SRI DEVI MOTORS Name: BAJAJ ALLIANZ GENERAL INSURANCE CO LTD .BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Address : #7-7-2/1, NEAR TOWN RAILWAY STATION, DCMS GODOWNS, Address: #10-1-44/9 3RD FLLOR PEEJAY PLAZA VIP ROAD.CBM RAMARAO PETA India COMPOUNIndia City: KAKINANDA PIN Code : 533001 Account/Customer Id: 1-16F2NU97 1-SR0AXFV State: AP State 37 City: VISHAKHAPATNAM PIN Code : 530003 Code: Phone(M) : 8842369102 Phone(O): State: AP State Code: GSTIN No : 37ABQFS4891Q1ZV CIN No : Phone(M) : 991234252870933206 Phone(0) : 81 Pan No: ABQFS4891Q Email : sridevi.honda@gmail.com GSTIN No : 37AABCB5730G1ZW UIN: Customer Care No: 8143312349 PAn No: Email: Loyalty ID : Frame No.: ME4JC856MLD090054 Model Name: SHINE Jobcard Closed Date/Time: 27/02/2021 12:51:23 PM Engine No.: JC85ED0259404 ModeI Code: SHINE DRUM-BSVI Service Type: ACCIDENT Reg. No.: AP05TR7855 Color: BLACK Service KM : 39 Pick & Drop Availed: Sale Date: 02/01/2021 Selling Dealer: SRI DEVI MOTOTS Unit Taxable Sr Part No/ HSN/SAC Sublet Billing Price Qty UoM Total Discoun Discount Amount Description Code Job Type Amount t % (Rs) No Jobcode (Rs) (Rs) 61200-K0V- SET ILLUSFR 87141090 Paid 646.43 1 No's 646.43 646.43 1 A00ZG COWL*TYPE 1* GARNISHSC 87141090 Paid 412.49 1 No's 412.49 412.49 2 67111-KOV- A00 REEN SET 87141090 Paid 263.96 1 No's 263.96 263.96 3 61220-K0V- A0OZA ILLUSWIND SCREEN*TYP E1 Paid 5.08 3 No's 15.24 15.24 4 90320-GC3- NUTSPRING5 73181900 000 MM Paid 7.03 1 No's 7.03 7.03 5 53209- CLIPHEAD 87141090 GAH-000 LIGHT Paid 3.12 1 No's 3.12 3.12 6 90307- WASHERLOC 87141090 GW3-980 K 6MM No's 20.32 20.32 7 SCREWPAN5 73181900 Paid 5.08 4 91509-GE2- 760 . X11.5 317.96 8 53100-K0V- PIPESTRG 87149290 Paid 317.96 1 No's 317.96 ---PAGE END--- a 2 2 3 2 2 6 a 1 a T 2 6 Z U : 2 ? = : : : :E : :1 :E :1 : : : : : E1 : :E : :E 0: 3 2 : T 0 E1E :E EE E 213 :E 3:3 E E 13 E E : : 1: S 3 :1 4 2 2 =7 1 E R 3 : 1 :H 9 0 1 5 : 1 i 1 : 1 1 E 1 : 1 1 M 1 2 2 2 1 3 2 2 1 2 1 M 3 1 1 t a 6 6 0 a 2 a 0 a a a 0 a a a a 3 1 E 2 E 1 al s 3 a E 3 :3 1 : 2 1 8 0 3 3 8 6 N 3 2 1 E 3 0 3 7 5 - - - - - - - - - - - - - - - - - - 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 S5 5 S 5 S S5 5 5 S S5 5 S5 5 S5 3 a 2 0 2 6 a 2 1 a 3 a 2 13 1 3 2 1 R 3 a 8 0 R 6 1 &6 2 86 6 2 2 a 1 1 37 3 : 7 0 C 1 6 a 2 1 3 a E 2 :3 3 1 3 0 : E2 3 E : : 3 1 : 2 1 1 Z : 1 E 1 ---PAGE END--- 87141090 Paid 557.03 1 No's 557.03 27 64200-K0P. COVER*Typ0 557.03 DOOZE 5 UNITRR 85122010 Paid 1,040.67 1 No's 33710-KOP. COMB 1.040.67 28 1,040.67 D01 34904-KTE- BULBWINKE 85392120 Paid 45.76 29 2 No's 91.52 910 R LIGHT 91.52 (AMBER) 30 SJ210500 ACCIDENTAL 998729 1000 Paid 0.00 1 Hrs REPAIRS 1,000.00 1000.00 31 SJ203233 DENTING 998729 1200 Paid 0.00 1 Hrs 1.200.00 1200.00 32 SJ203239 FUEL TANK 998729 800 Paid 0.00 1 Hrs 800.00 PAINTING 800.00 Total 8146.25 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 2103.31 14 294.46 14 294.46 2,692.24 2 73181900 36.40 9 3.28 9 3.28 42.95 3 87149290 317.96 14 44.51 14 44.51 406.99 4 70091090 184.74 9 16.63 9 16.63 217.99 5 87149100 819.14 14 114.68 14 114.68 1,048.50 6 85122010 1388.11 9 124.93 9 124.93 1,637.97 7 39269099 55.08 9 4.96 9 4.96 64.99 8 40169330 43.22 9 3.89 9 3.89 51.00 9 85369030 106.77 9 9.61 9 9.61 125.99 10 85392120 91.52 9 8.24 9 8.24 107.99 11 998729 3.000.00 9 270.00 9 270.00 18 0.00 0.00 3,540.00 Invoice Amount 9936.62 Total Invoicc Valuc (in figures) : 9937 Total Labour/Scrvicc Amount 3540.00 Total Invoice Valuc ( in words): Rupces Ninc Thousand Ninc Hundred Thirty Seven Only Total Parts Amount 6396.62 Total Tax Amount 1.790.37 Payment Mode: Cash Total Invoicc Amount 9936.62 If reverse charge applicable, then specify amount of tax: Terms and Conditions: For SRI DEVI MOTORS I. All disputes are subject to KAKINADA Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage Namc of Signatory 3. Goods onee sold will not be taken back. 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O. E. Invoicc Gcncrated by: RAJKUMAR Acknowledgement from customer: Advisor Namc: withdrawoicormeled by givmg noticn Customer Signature Fres Service Schedule Kms* Days: 1st Free Service 750-1000 15-30 Kms or Days, whichever comes earlier 2nd Free Service 5500-6000 165~180 3rd Free service 11500-12000 350~365 Paid Service Frequency Every 6000 Kms or Within 6 months Please Note : Above Service condItlons are applicable for domestic BSVI vehicles only HONOA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END---