UC00029 – UltraCover

Claim Details for: UC00029

Valid Till:
11/02/2027

Customer Name:

ANSAR PASHA

Phone:
9738575071

Email:
ANSARPASHA@GMAIL.COM

Address:
“KOLAR, KOLAR KOLAR

City:
KOLAR

State:
Karnataka

Pin:
563101

GST Applicable:
No

Current Kms:
78072

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
41601M78L10	STRUT ASSY,FR SUSPENSION,R	AF	87088000	28	1	1746.09	1746.09	488.91	488.91	2235.00
41602M78L10	STRUT ASSY,FR SUSPENSION,L	AF	87088000	28	1	1746.09	1746.09	488.91	488.91	2235.00
45201M83B00	ARM ASSY FR SUSPENSION R	AH	87089900	28	1	449.21	449.21	125.78	125.78	574.99
45202M83B00	ARM ASSY FR SUSPENSION L	AH	87089900	28	1	449.21	449.21	125.78	125.78	574.99
99000M24120-763	STRUT KIT(EECO)	AH	87089900	28	2	285.15	570.30	159.68	159.68	729.98

Total Cost:
6349.95

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

Total Cost:
6349.95

Invoice Number:
21/BR/25001857

Amount Paid:
6350

Status:
Approved