Goods & Services Tax Invoice Insurance Invoice ( Part ) HYUNDAI Gallops Automotive Pvt Ltd. NR RAF CAMP, NR RAMOL TOLL TAX NA Vastral, Ahmedabad Ph:9909991976 Bajaj Allianz General Insurance Company Limited GST No: 24AAGCG3256M1ZF 4th Floor, 402-408, Turquoise, CG Road, Panchwati RegNo : GJ27EC0240 Invoice No : W3245G202404207 circle. Ahmedabad. Gujarat, VIN : MALB251CLPM405886 Date : 21.02.2024 AHMEDABAD LOCAL Mileage : 16069 R/ONo : R202401443 Gujarat Place of Supply : Gujarat Payment : Credit GST No: 24AABCB5730G1Z3 S.No. Part No. Part Description HSN Tax % Qty Rate/Unit Ins Share Amount 1 86542K6500 AIR DUCT-FR BUMPER,RH 87089900 28% 1.00 82.82 100.00% 82.82 2 86552K6000 BRACKET-FR BUMPER SIDE,RH 87089900 28% 1.00 104.68 100.00% 104.68 3 86511K6500 COVER-FR BUMPER 87089900 28% 1.00 1,639.84 100.00% 1,639.84 4 NPNFEVI FEVI QUICK 35061000 18% 1.00 5.08 100.00% 5.08 5 86351K6510 GRILLE-RADIATOR 87089900 28% 1.00 3,749.22 100.00% 3,749.22 6 86812K6000 GUARD ASSY-FRONT WHEEL,RH 87089900 28% 1.00 317.18 100.00% 317.18 7 92208K6600 LAMP ASSY-DAY RUNNING 85122020 18% 1.00 7,880.50 100.00% 7,880.50 8 963012H000 PLUG-EXPANSION 39269099 18% 4.00 53.38 100.00% 213.51 9 8659028000 RETAINER ASSY-BUMPER COVER87089900 28% 10.00 6.24 100.00% 62.44 MTG 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 14,055.27 Coupon Discount 0.00 TCS Tax 0.00 Discount 0.00 AMC Discount 0.00 CGST@9% ON Part Value of 8099.09 728.93 SGST@9% ON Part Value of 8099.09 728.93 CGST@14% ON Part Value of 5956.18 833.87 SGST@14% ON Part Value of 5956.18 833.87 Total 17,180.87 Grand Total (Rounded) 17181 Rupees Seventeen Thousand One Hundred Eighty One Rupees Only For Gallops Automotive Pvt Ltd. O COPE W3245 (Authorized Signatory) Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---