MOT14965914
MOT14965914
MOT14965914
Ship To
OM Sai Motors ICICI LOMBARD GENERAL INSURANCE CO LTD
ICICI LOMBARD GIC SECOND FLOOR UMA, COMPLEX FRAZER ROAD
Near Punjab National Bank, Main Roa
PATNA
Lakhaura - 845302 ,EAST CHAMPARAN
Ph: Mob: 6203196064
GST IN No.:10ENAPK0973D1ZL GST IN No.: 10AAACI7904G1Z2
Bill To
ICICI LOMBARD GENERAL INSURANCE CO LTD
ICICI LOMBARD GIC SECOND FLOOR UMA, COMPLEX FRAZER ROAD
PATNA
-
Ph : GST IN No. : 10AAACI7904G1Z2
BillType :Cash
JC No. :1486 JobType :Accident Repair NxtDue :PAID SERVICE
KMs :4580 FrameNo. :MD621BP21P3G02323 NxtDueDt :27/08/2024
RegnNo. :BR05BA8916 Model :TVS XL 100 HD ITS WINNER EDITION Mechanic :RAJDEV KUMAR
Item No Particulars Qty Rate Disc Taxable HSN SGST Rate CGST Rate MRP
TURN SIGNAL
B1160190 LAMP ASSY FR 1.00 165.25 0.00 165.25 85122010 9.00 14.87 9.00 14.87 195.00
RH XLS HD UPG
CONTROL LEVER
P6150260 1.00 779.69 0.00 779.69 87141090 14.00 109.16 14.00 109.16 998.00
ASSY L
DAY TIME
P6220690 1.00 1400.00 0.00 1400.00 85122020 9.00 126.00 9.00 126.00 1652.00
RUNNING LAMP
FORK ASSY FR
P7100020 21300 67800 1.00 3296.88 0.00 3296.88 87141090 14.00 461.56 14.00 461.56 4220.00
14000 5500
HANDLE BAR
P7150140 1.00 592.97 0.00 592.97 87141090 14.00 83.02 14.00 83.02 759.00
TUBE
CONTROL LEVER
P7150280 1.00 632.03 0.00 632.03 87141090 14.00 88.48 14.00 88.48 809.00
ASSY R ES
HEADLAMP ASSY
P7220200 1.00 457.63 0.00 457.63 85122010 9.00 41.19 9.00 41.19 540.00
ES
ACCIDENT JOB -
AT01 3.00 300.00 0.00 900.00 9987 9.00 81.00 9.00 81.00 354.00
MOPED
Authorised Signatory
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