image_pdf

Claim Details for: UC00078

Policy For : KA53MF5738

Valid Till:
13/05/2026
Customer Name:
Customer Name:
MR SHIVASHANKAR S
Phone:
9845532895
Email:
SHIVASHANKAR123@GMAIL.COM
Address:
“# 55 NEAR KALIKAMBA TEMPLE, SOMPURA HOSAKOTE TALUK, KUMBALAHALLI BANGALORE RURAL BENGALURU”
City:
BANGALORE
State:
Karnataka
Pin:
562114
GST Applicable:
No
Current Kms:
80619
Part NoDescriptionBatchHSN/SACTax %QuantityRateTaxable AmountTax Paid AmountTax Paid AmountTotal
41068M55R55 STRUT SETFRONT SPNSNLAC87088000181.0003670.763670.76660.74660.744331.50
Total Cost:
4331.50
Total Cost:
4331.50
Invoice Number:
BR/25006825
Amount Paid:
4,332.00
Status:
Approved