Tax Invoice (Repair Order - Insurance) Ford PRINCE FORD Opp. Utsav Hotel, Rajendra Nagar, A.B. Road - Indore. INDORE. PIN - 452012. MADYA PRADESH. Ph - 9993095511,-. Fax: .. E-mail: gmservice@princeford.net. CST No: .. LST No: .. PAN No:AAHCV2779B. GSTIN:23AAHCV2779B1ZE 1 of 1 Bill No. : 5293120202000037 Bill Dt. : 09-10-2020 RO No. : ROABK00349RN RO Dt. : 03-10-2020 Insurance Details : Customer Details : Dealer Address : Bajai Allianz General Insurance Co. Ltd ASHISH KUMAR ROHIT PRINCE FORD 4th Floor Commerce House BASANT VIHAR HOUSE NO, 31 KISHANGANJ Indore 7 Race Course Road R.S.Bhandari Marg INDORE MHOW,INDORE-452001 State: MADHYA PRADESH. State Code: 23 452001 State: MADHYA PRADESH, State Code: 23 GSTIN/UID: GSTIN/UID: 23AAHCV2779B1ZE INDORE-452001 Contact: 7440401204 (M) Party Code:AKR01 Email : jaypal.bagiyar@bajajallianz.co.in Place of Supply : MADHYA PRADESH (23) State: MADHYA PRADESH. State Code: 23 GSTIN/UID: 23AABCB5730G1Z5 Party Code: BAJAJ Vehicle Details : VIN : MAJAXXMRKAJU40754 Color : SILVER KMS : 49285 Reg. No. : MP09CZ4973 Catcode : 8JAF9M46 Make : EcoSport-MCA Engine No. : JU40754 Category : Body & Paint Ins. Policy No. : OG20230218700000148 Chassis No. : MAJAXXMRKAJU40754 Sales Date : 30-OCT-18 Ins. Valid From : 11-11-2019 To : 10-11-2020 SI. Goods I Services HSN/SAC Qty. Rate Total| Discount Taxable IGST CGST SGST & (Per Item) Value Description Rate Rate Amt. Rate Amt. Rate Amt. Amt. (%) (%) (%) (%) Labour Billable 1 GBP-001 Cut & replace - Body 00998729 1.00 250.00 250.00 .00 .00 250.00 .00 .00 9.00 22.50 9.00 22.50 2 GBP-002 Denting - Body Panel 00998729 1.00 600.00 600.00 .00 .00 600.00 .00 .00 9.00 54.00 9.00 54.00 3 GBP-003 Painting- Body Panel 00998729 1.00 7043.00 7043.00 .00 .00 7043.00 .00 .00 9.00 633.87 9.00 633.87 Parts Billable 1 GN1Z13008BB HEADLAMP 85122010 1.00 7698.31 7698.31 .00 .00 7698.31 .00 .00 9.00 692.85 9.00 692.85 RH Tax Summary Total Amount 15591.31 Total Taxable Value Tax Amount Discount Amount .00 CGST@9% (Labor) 7893.00 710.37 Total Taxable Amount 15591.31 SGST@9% (Labor) 7893.00 710.37 Total Tax Amount 2806.44 CGST@9% (Parts) 7698.31 692.85 SGST@9% (Parts) 7698.31 692.85 Total Payable 18397.75 Round Off .00 Net Payable (In Figure) 18397.75 Net Payable (In Words):- Please Pay Eighteen Thousand Three Hundred And Ninety Seven & Seventy Four Paise Only I agree that you (Ford and or Dealer) may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. For PRINCE FORD ---PAGE END---