UC00061 – UltraCover

Claim Details for: UC00061

Valid Till:
13/05/2026

Customer Name:

H B CHANNAKESHAVA

Phone:
8884459845

Email:
Channakeshava@gmail.com

Address:
“# 65 HASIGALA HOSAKOTE, HOSAKOTE BENGALURU

City:
BANGALORE

State:
Karnataka

Pin:
562114″

GST Applicable:
No

Current Kms:
110400

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
45201M68P01	ARM ASSY,FR SPNSN,R	AF	87089900	18	1.000	1238.13	1238.13	222.86	222.86	1460.99
45202M68P01	ARM ASSY,FR SPNSN,L	AF	87089900	18	1.000	1238.13	1238.13	222.86	222.86	1460.99

Total Cost:
2921.99

Total Cost:
2921.99

Invoice Number:
BR/25004976

Amount Paid:
2,922.00

Status:
Approved