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[SSTIN: OGAHMPIRDDIKIZQ PAN NO: AHMPI8291Q. TaXE ORIGINAL FOR RECIEVER Place of Supply RAND TOTAL (IN WORDS) lRupees One lakh Thirty Four Thousand Seven Hu [Twenty Eight Only PROFOUND TRADERS Taridabad coneeamexinae 5 JOKMIRUA SCOOTERS: -MAIL: ckinawa.fod@gmail.com aL TO: ee fea ERO MOTOCORFLNITED —|NVOIGENUMHSER TEAS: 25> pons — [ROT NO. SAL TRACO ROL RE KOOKS FRASE-2,T=1TG INPUT oe PAIASTHAN somns/—_ faa comrncrno. saan iF peaaDaaR AACR aware FATTATOSST Srna XACT ao = aap maT Re DISCRIPTTON OF GOODS TSN [TOTAL [ASSESSABLE coor —joty RATE [AMOUNT Oy pce STIs ame tea ey faswencrmariiie eee a oso | 1 anatase] saasiase ee mnaseet koe ° = : i 7 7 a ; a = ; oa c ; 75 c 7 co a co t vos om y a om a a pa re De RT — RCT COONS —— [seen | "a ndred T3473] ee ndatSton ares ok $e Tuer Yara HERO MOTOCORPLTD. es Se eee ee eric | om | om | Jnanewrsoas) 2010 ‘enon ee Seale eriod OF surance: From: 0601/2020 18:38:05 fod OF nsurance: From: 08/0/2020 16:39:08 “Tor 081012021 23:5859 “Tor 090172025 23:59:59 Coverage ‘Own Damage Premiums) lant THIS Party Prem Sheen TT Eatin ee eae fotal OO Premio ‘avi — Tota UBB Premium aoe Rito Gaver sod OFTRaancs Fron GHC T2020 TESTS ‘to: ospanee! ma089 a ee | Tin ory iia fed Baea Naser aR Tar ore er Coverage Wario Page 1 of 4 Signature Not Vey i TOR LAM CALL 1019 Earl not AESI8 0 SHELA SE Backed or fazosa a a a arava Ta a ietogSE RARE aa arora Gos & og a rE SST a Ff an Ren) ROPES a rm ‘GSTDETALS SE ast reer co RS Prana ereston iy Scion —| 00 Seton ae as ‘ross Premio "jal GST as Css) [Toa ice Aout hae Ta ws eee 1 see y Fenian ae a a TSN TE TSE = Sea Senseo | usr ott Tote Werdiag for Toe Wier ea tiee Signature Not Vegi eas rare ara Doty sare by SUBRAT ‘Bate 20809 o7 182058 eT. eouz: Vale Pot Coy. ESSSN PEGS tes Cheralmeance Company Li, na

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