UC00005 – UltraCover

Claim Details for: UC00005

Valid Till:
08/02/2026

Customer Name:

Mr Ajay Pandharinath Nerkar

Phone:
9916330444

Address:
C-1102, Sethna Power Tower, 7th Cross, Nanjappa Garden, Babusapalya Bangalore 560043

GST No:
NA

Current Kms:
44743

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
41800M79M02	ABSORBER ASSY,REAR SHOCK	AA	87088000	28	2	2066.40	4132.80	1157.18	1157.18	5289.98

Total Cost:
5289.98

Labour Code	Description	HSN/SAC	Tax %	Labour Charge	Tax Paid Amount	Total
ZA07L1	FREE CHECK UP	998729		0	0.00	0.00

Total Cost:
5289.98

Invoice Number:
BR/24006474

Amount Paid:
5289.98

Status:
Approved