Invoice Invoice Summary KAUSHALYA MOTORS N2217 HYUNDAI ROAD, KURUSHETRA DEVELOPMENT BOARD KURUKSHETRA Tel:(01744)-292393 Fax: (01744)-292393 GST No: 06AAJFK2339K1Z6 Bajaj Allianz General Insurance Company Limited Customer ID: C2020090182 Reg. No HR10AJ0018 Invoice No B202004586 VIN MALC381ULFM027892 Date 26.09.2020 M/s ROHIT Mileage 97095 R/O no R202004566 VPO-SANKHOL TEH BAHADURGARH Place of Supply Haryana Payment Credit State HARYANA Pin 136118 Mobile No 9050006584 Email Id JASWINDER645@GMAIL.COM 04AABCB5730G2Z4 S.No Part/OP code Part Labor Description HSN/SAC Tax% Qty Rate/Unit Cust.Amt Ins.Amtt HMI.Amt MOBIS.A Disc Amt Amount Part Invoice N2217G202008750 N2217G202008748 N2217 1 8581837000 CLIP-TRIM MTG 3926909 18% 3.00 37.28 111.85 0.00 0.00 0.00 0.00 111.85 9 2 97762A0500 HOSE-DISCHARGE 8415900 28% 1.00746.10 746.09 0.00 0.00 0.00 0.00 746.09 0 3 86511A0000 COVER-FR BUMPER UPR 8708990 28% 1.001,271.88 1,271.88 0.00 0.00 0.00 0.00 1,271.88 0 4 86512A0000 COVER-FR BUMPER,LWR 8708990 28% 1.001,197.66 1,197.66 0.00 0.00 0.00 0.00 1,197.66 0 5 97606A0500 CONDENSER 8415209 28% 1.003,515.62 3,515.62 0.00 0.00 0.00 0.00 3,515.62 ASSY-COOLER 0 6 86551BV000 BRACKET-FR BUMPER 8708990 28% 1.00 100.78 100.77 0.00 0.00 0.00 0.00 100.77 SIDE.LH 0 7 66400A0000 PANEL ASSY-HOOD 8708990 28% 1.00 5,465.62 5,465.62 0.00 0.00 0.00 0.00 5,465.62 0 8 92102A0100 LAMP ASSY-HEAD,RH 8512202 18% 1.0014,869.50 14,869.490.00 0.00 0.00 0.00 14,869.49 0 9 64101A0000 CARRIER ASSY-FRONT 8708990 28% 1.006,210.16 6,210.15 0.00 0.00 0.00 0.00 6,210.15 END MODULE 0 10 8659028000 RETAINER ASSY-BUMPER 8708990 28% 30.0 4.68 140.48 0.00 0.00 0.00 0.00 140.48 COVER MTG 0 0 11 86350A0010 GRILLE ASSY-RADIATOR 8708990 28% 1.00 3,671.10 3,671.10 0.00 0.00 0.00 0.00 3,671.10 0 Labour and Services Labour Invoice N2217G202008749 N2217G202008747 N2217 1 A10AAACREPLNA Accidental Repair Charges 998729 18% 1.00 15,500.00 15,500.00 0.00 0.00 0.00 15,500.00 (Insurance) Special Comment: The below mentioned Non-genuine Fitment may hamper your safety and /or Result in Poor Performance of your vehicle . HMIL is not Responsible for any untoward incident due to the same . Kindly return the vehicle to its Original Condition as per HMIL specification Part Amount Labor Amount Sub Total 37,300.71 15,500.00 Coupon Discount 0.00 0.00 Discount 0.00 0.00 AMC Discount 0.00 0.00 CGST @ 9% on Labor value of 15500 0.00 1,395.00 Observation : SGST @ 9% on Labor value of 15500 0.00 1,395.00 No Accessory Fitment CGST@9% ON Part Value of 14981.34 1,348.32 0.00 SGST@9% ON Part Value of 14981.34 1,348.32 0.00 Pending Jobs : CGST@14% ON Part Value of 22319.37 3,124.71 0.00 SGST@14% ON Part Value of 22319.37 3,124.71 0.00 For KAUSHALYA MOTORS Total 46,246.77 18,290.00 (Authorized Signatory ) Grand Total (Rounded) 64537 ---PAGE END--- KAUSHALYA MOTORS Gate Pass Customer M/s ROHIT Reg.No HR10AJ0018 Date 26.09.2020 G P No G202004585 VINI MALC381ULFM027892 Model GS**B CRETA (D) R/O no R202004566 Vehicle has been received from workshop and work done as per my satisfaction Payment Received from customer vehicle permitted to leave workshop Customer Signature Accountant Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---