image_pdf

Claim Details for: UC00022

Policy For : KA04MW4666

Valid Till:
13/05/2026
Customer Name:
Customer Name:
EDUPUGANTI MOTHI MAHESH
Phone:
8971992757
Email:
silju4u@gmail.com
Address:
“#17/16/2 G-3,BSR SOLITAIRE, APT; KEMPAPURA, NEAR, KEMPAPURA GOVT SCHOOL BANGALORE
City:
BANGALORE
State:
Karnataka
Pin:
560072″
GST Applicable:
No
Current Kms:
100433
Part NoDescriptionBatchHSN/SACTax %QuantityRateTaxable AmountTax Paid AmountTax Paid AmountTotal
41601M68P30STRUT ASSY, FRONT SPNSN RHAH870880002811757.811757.81492.19492.192250.00
0.000.000.000.00
Total Cost:
2250.00
Labour CodeDescriptionHSN/SACTax %Labour ChargeTax Paid AmountTotal
ZA07L1FREE CHECK UP998729180.000.00
Total Cost:
2250.00
Invoice Number:
BR/25000747
Amount Paid:
2250
Status:
Approved