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Delivery Challan Format

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Delivery Challan Format

Pick Up Address Ship To Address

Name :- PATEL MOTORS INDORE PVT LTD (RATLAM) Name: Maruti Suzuki India Limited.
Address :- 76 C, D, E, INDUSTRIAL AREA JAORA ROAD RATLAM Address
Warranty Warehouse
RATLAM (457001) Near Vehicle Dispatch Gate Behind CSTSC Building
Palam -Gurgaon Road-120015

GSTIN :- 23AABCPI892R1ZX GSTIN:06AAACM0829Q1Z8


Contact :- 99269 32221, Contact:
Delivery Challan No 223731816

Delivery Challan Date 15/05/2023


No Claim number Part Number Description Qty Unit Value(INR) Location Docket No
1 W2300001 41069M53M60 STRUT SET,FR 1 200 ALOT
SUSP RH
MOTOR ASSY
2 W2300001 74150M68P31 W/FAN 1 200 JHABUA
3 G2300001 22100M83B20,22400M83B20 COVER ASSY, CLUTCH,DISC CLUTCH 1 200 BADNAWAR
4 W2300001 46860M68K01 BEARING,REAR WHEEL 1 100 BADNAWAR
STEERING
5 S2300001 48211M55R11 COLUMN UPP W/O 1 1500 RATLAM
MOTOR
CONTROLLER
6 W2300001 3F900M81R10 1 230 RATLAM
ASSY,A/B
175/65R15 ECOPIA
7 G2300001 43110M66R00 EP150 (BS) 1 650 RATLAM
8 R2300001 48820M78T00-RX0 END STEERING TIE ROD KIT - EECO 1 200 RATLAM
9 R2300002 48820M78T00-RX0 END STEERING TIE ROD KIT - EECO 1 200 RATLAM
10 S2300002 48211M65M44 STEERING COLUMN UPP W/O MOTOR 1 1400 RATLAM
11 S2300003 48211M68P12 STEERING COLUMN UPP W/O MOTOR 1 1200 RATLAM
12 E2300002 41601M53M00 FRONT STRUT (ONE SIDE) 1 500 RATLAM
13 G2300002 43110M82P00 215/60 R16 95H ALNAC 4GS TL (APOLLO 1 400 RATLAM
14 E2300003 41602M69R00 STRUT ASSY,FRONT SPNSN,L 1 500 RATLAM
15 R2300004 18130-68M03-RX0 PUMP ASSY,VACUUM 1 500 RATLAM
16 R2300005 18130-68M03-RX0 PUMP ASSY,VACUUM 1 500 RATLAM
17 R2300001 18130-68M03-RX0 PUMP ASSY,VACUUM 1 500 JAORA
18 S2300004 48211M68P42 STEERING COLUMN UPP W/O MOTOR 1 2000 RATLAM
19 G2300001 43110M81R50 175/60R15 BLUE EARTH YAKOHAMA 1 400 PETLAWAD
20 W2300002 95626M79M00 POWER TRANSISTOR ASSY , BLO 1 150 BADNAWAR
20 11530

Declaration
To Whomsoever It May Concern
#The Part(s) which is/are returned as above is/are defective only.
#The replacement received through the document indicated above was against our warranty claim & RMA no indicated above.
#This return of defective is agianst free replacement obligation against a good part(s) delivered to us vide consignees branches DC number referred as above.
e/consignees branches raise a Tax Invoice with applicable taxes and discharges the iability by himself in order to avoid any problem in enroute even though the transaction does not warrant levying taxes and
#The value declared for defectiove part(s) is/are just for transit insurance cover & not of commercial nature.**No consideration is payable.

# PLEASE NOTE THAT THIS IS NOT A SUPPLY FOR GST PURPOSES

Name:
Signature:

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