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Siddharth Motor Vehicle LLP
2 4 AUTHORISED DEALER FOR BAJAJ AUTO LTD.
tA -” > Shop. No. B-58 To 69 Sangini Trade Center,
s: \ B/s Raghuvir Platinum, Kumbharia, Surat - 395 010
Mo. 98256 00264
TAX INVOICE
(Original /Duplicate /Triplicate)
INVOICE NO : MA25-R0005341 DATE : 17/02/2026
CUSTOMER NAME - ; JAGDISH RAMKISHAN BAGHEL MODEL : BAJAJ RE CNG 4S
ADDRESS : SY.NO-22C/76, PAIKY, TPS-8-MANAV SEVA r CHASSIS NO : MD2B47BXXTWK34111
NAGAR,KHADI MOHALLA, UMARWADA, PO. 3 5
BOMBAY MARKET,SURAT,Gujarat. ea ee: : Seapine
PINCODE : 395010 BATTERY NO :
STATE CODE 524
STATE : Gujarat
DELIVERY ADD : SURAT
GSTIN :
Sr. Description of Goods HSN QTY Basic Discount Taxable Value CGST UT/SGST IGST CESS
No
1 BAJAJRECNG 4S THREE 87032120 1.00 188,680.00 188,680.00 16,981.00 16,981.00 : Z
WHEELER @9.00% @9.00% 5 4
FAME AMOUNT (000) A
HPA / Hypo > SAMBHAVNATH FINANCE
WHETHER TAX PAYABLE ON REVERSE CHARGE : NO
GSTIN : 24AFCFS0828P1ZP
NOTE : 1. Goods once sold will not be taken back.
[=] naa [=] : 2.Subject to SURAT Jurisdiction. :
} A fi fe : 3. Vehicle is delivered with Accessories and Fitting at Showroom.
ae : 4, Warranty as per manufacturers manual.
; seer : : 5. Our responsibility ceases on delivery of Goods.
grel 4 IRN NO :
[Jicstemare = ACK NO:
E&OE. . For, SIDDHARTH MGEDRYW/ JN p
Vil
x ——— i
Customer Signature Gthoxized Sif ator
a me 3 d
