UC00041 – UltraCover

Claim Details for: UC00041

Valid Till:
13/05/2026

Customer Name:

MOHAMMED ASIF G A

Phone:
9164454540

Email:
asif.mohammed1622@gmail.com

Address:
“NO 56 1ST FLOOR 8TH A MAIN BTM, LAYOUT 1ST STAGE NIMHANS, LAYOUT NEW GURAPPANA PALYA BENGALURU

City:
BENGALURU

State:
Karnataka

Pin:
560029″

GST Applicable:
No

Current Kms:
119548

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
41601M68P20	STRUT ASSY, FRONT SPNSN RH	AG	87088000	28	1.000	1476.56	1476.56	413.44	413.44	1890.00
41602M68P20	STRUT ASSY, FRONT SPNSN LH	AG	8708800	28	1.000	1476.56	1476.56	413.44	413.44	1890.00

Total Cost:
3779.99

Labour Code	Description	HSN/SAC	Tax %	Labour Charge	Tax Paid Amount	Total
ZA07L1	FREE CHECK UP	998729	18		0.00	0.00

Total Cost:
3779.99

Invoice Number:
BR/25002719

Amount Paid:
3,780.00

Status:
Approved