UC00001 – UltraCover

Claim Details for: UC00001

Valid Till:
08/07/2026

Customer Name:

Mr. Mohan V

Phone:
9845083406

Address:
#87, Indira street subbanapalya MS nagar bangalore 560033

GST No:
NA

Current Kms:
75964

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
11610M72R00	MOUNTING COMP,ENG RH	AF	87089900	28	1	1390.62	1390.62	389.37	389.37	1779.99
							0.00	0.00	0.00	0.00

Total Cost:
1779.99

Labour Code	Description	HSN/SAC	Tax %	Labour Charge	Tax Paid Amount	Total
AJ13R0	ENGINE MOUNTING (RH)	998729	18	0	0.00	0.00

Total Cost:
1779.99

Invoice Number:
7/BR/24005151

Amount Paid:
1780

Status:
Approved