Tax Invoice (Repair Order - Customer) Ford NAIK MOTORS Plot No. L97/99, Phase II E, Verna Ind. Estate, Verna, Salcete. SALCETTE VERNA. PIN - 403722. GOA. Ph - 8956772578,.. Fax: .. E-mail: nmservice@nmgoa.in. CST No: .. LST No: .. PAN No:AADFN9616N. GSTIN:30AADFN9616N1Z2 1 of 3 Bill No. : RRIAK00455VN Bill Dt. : 24-10-2020 BilI Type : CREDIT MEMO RO No. : ROABK00414VN RO Dt. : 07-10-2020 Customer Details : Dealer Address : SANTOSH SHREEKANT BETGERI NAIK MOTORS H NO 64 1/B BEHIND ENGLISH HIG, H SCHOOL NEW GOA VADDEM VASCO VASCO DA GAMA S O SOUTH State: GOA. State Code: 30 GOA,MORMUGAO-403802 GSTIN/UID: 30AADFN9616N1Z2 Contact: 9422739907 (M) Email: drsantosh7@yahoo.com State: GOA. State Code: 30 Place of Supply : GOA (30) GSTIN/UID: Party Code: CU023096 Vehicle Details : VIN : MAJGXXMTKGKK70456 Color : Paprica Red KMS : 14809 Reg. No. : GA06E9597 Catcode : 1QGV94V Make : New Figo Engine No. : Category : Body & Paint Ins. Policy No. : Chassis No.: MAJGXXMTKGKK70456 Sales Date : 09-APR-19 Ins. Valid From : To : SI. Goods I Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Rate Amt. Rate Rate Amt. Description Amt. Amt. (%) (%) (%) (%) Labour Billable 1 99P Full vehicle inspect 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 2 GBATT Battery condition (G 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 3 GBP-001 Cut & replace - Body 00998729 1.00 3500.00 3500.00 .00 .00 3500.00 .00 .00 9.00 315.00 9.00 315.00 4 GBP-003 Painting- Body Panel 00998729 1.00 5379.00 5379.00 .00 .00 5379.00 .00 .00 9.00 484.11 9.00 484.11 5 GBUMP Dent/Scratch in Bump 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 6 GDOOR Dent/Scratch in Door 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 7 GE-005 General Service Bull 00998729 1.00 250.00 250.00 .00 .00 250.00 .00 .00 9.00 22.50 9.00 22.50 8 GE-008 Vehicle Washing 00998729 1.00 350.00 350.00 .00 .00 350.00 .00 .00 9.00 31.50 9.00 31.50 9 GFENDER Dent/Scratch in Fend 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 10 GHOOD Dent/Scratch in Bonn 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 11 GQTRPANEL Dent/Scratch in 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 Quar 12 GTYRE Tyre related issues 00998729 1.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 13 WASCAMP Wheel Alignment 00998729 1.00 1199.00 1199.00 .00 .00 1199.00 .00 .00 9.00 107.91 9.00 107.91 spec Parts Billable 1 8V5Z8A194A SUPPORT 87089900 1.00 644.52 644.52 .00 .00 644.52 .00 .00 14.00 90.23 14.00 90.23 RADIATR 2 AE818005AB RADIATOR 87089100 1.00 1853.13 1853.13 .00 .00 1853.13 .00 .00 14.00 259.44 14.00 259.44 3 AVC3D1L15L LL COOLANT 38200000 1.00 1352.54 1352.54 .00 .00 1352.54 .00 .00 9.00 121.73 9.00 121.73 ORG(45%) 4 BE8Z7059A RING RETAINING 87087000 1.00 317.81 317.81 .00 .00 317.81 .00 .00 14.00 44.49 14.00 44.49 5 C1BZ8C607WL FAN MOTOR 84145990 1.00 3378.91 3378.91 .00 .00 3378.91 .00 .00 9.00 304.10 9.00 304.10 ASSY 6 CN1Z5K484C LNK ASY-FRT 87088000 1.00 1178.90 1178.90 .00 .00 1178.90 .00 .00 14.00 165.05 14.00 165.05 STAB BA 7 CV6Z15200B FR FOG LAMP 85122020 1.00 914.40 914.40 .00 .00 914.40 .00 .00 9.00 82.30 9.00 82.30 8 E4BZ17626B PANEL FRT 87082900 1.00 1087.50 1087.50 .00 .00 1087.50 .00 .00 14.00 152.25 14.00 152.25 VALANCE 9 E4BZ3079A ARM FRT SUSP 87089900 1.00 1102.34 1102.34 .00 .00 1102.34 .00 .00 14.00 154.33 14.00 154.33 LWR LH 10 GN1Z3K745A CLAMP 73269099 1.00 31.25 31.25 .00 .00 31.25 .00 .00 9.00 2.81 9.00 2.81 11 J7BZ16138E REINF ASY FRT 87082900 1.00 2596.87 2596.87 .00 .00 2596.87 .00 .00 14.00 363.56 14.00 363.56 END 12 J7BZ17757AA BUMPER BAR 87081090 1.00 1447.65 1447.65 .00 .00 1447.65 .00 .00 14.00 202.67 14.00 202.67 FRONT 13 J7BZ17859A REINF FRONT 87082900 1.00 5673.44 5673.44 .00 .00 5673.44 .00 .00 14.00 794.28 14.00 794.28 BUMPER For NAIK MOTORS ---PAGE END--- Tax Invoice (Repair Order - Customer) Ford NAIK MOTORS Plot No. L97/99, Phase II E, Verna Ind. Estate, Verna, Salcete. SALCETTE VERNA. PIN - 403722. GOA. Ph - 8956772578,.. Fax: .. E-mail: nmservice@nmgoa.in. CST No: .. LST No: .. PAN No:AADFN9616N. GSTIN:30AADFN9616N1Z2 2 of 3 Bill No. : RRIAK00455VN Bill Dt. : 24-10-2020 Bill Type : CREDIT MEMO RO No. : ROABK00414VN RO Dt. : 07-10-2020 Customer Details : Dealer Address : SANTOSH SHREEKANT BETGERI NAIK MOTORS H NO 64 1/B BEHIND ENGLISH HIG, H SCHOOL NEW GOA VADDEM VASCO VASCO DA GAMA S O SOUTH State: GOA. State Code: 30 GOA,MORMUGAO-403802 GSTIN/UID: 30AADFN9616N1Z2 Contact: 9422739907 (M) Email: drsantosh7@yahoo.com State: GOA. State Code: 30 Place of Supply : GOA (30) GSTIN/UID: Party Code: CU023096 Vehicle Details : VIN : MAJGXXMTKGKK70456 Color : Paprica Red KMS : 14809 Reg. No. : GA06E9597 Catcode : 1QGV94V Make : New Figo Engine No. : Category: Body & Paint Ins. Policy No.: Chassis No.: MAJGXXMTKGKK70456 Sales Date : 09-APR-19 Ins. Valid From : To : SI. Goods I Services HSN/SAC Qty. Rate Total Discount Taxable IGST CGST SGST & (Per Item) Value Rate Rate Rate Amt. Rate Description Amt. Amt. Amt. (%) (%) (%) (%) 14 J7BZ17C897C BRACKET RR 87089900 1.00 2559.38 2559.38 .00 .00 2559.38 .00 .00 14.00 358.31 14.00 358.31 BUMPER 15 J7BZ17C972B BRACKET INN 887089900 1.00 2571.10 2571.10 .00 .00 2571.10 .00 .00 14.00 359.95 14.00 359.95 FRT BUMP 16 J7BZ17D957A COVER FRONT 87081090 1.00 1582.82 1582.82 .00 .00 1582.82 .00 .00 14.00 221.59 14.00 221.59 BUMPER 17 J7BZ17K945D GRILLE 87081090 1.00 694.53 694.53 .00 .00 694.53 .00 .00 14.00 97.23 14.00 97.23 BUMPER 18 J7BZ19712B CONDENSER 84159000 1.00 3851.56 3851.56 .00 .00 3851.56 .00 .00 14.00 539.22 14.00 539.22 AIR COND 19 J7BZ8310F DEFLECTOR RAD 87082900 1.00 2169.53 2169.53 .00 .00 2169.53 .00 .00 14.00 303.73 14.00 303.73 RH 20 J7BZ8B433B REINF RAD GRL 887082900 1.00 821.87 821.87 .00 .00 821.87 .00 .00 14.00 115.06 14.00 115.06 OPG R 21 MAGSOL MAGASOL WELD 38119000 1.00 292.97 292.97 .00 .00 292.97 .00 .00 9.00 26.37 9.00 26.37 THRO PR 22 6802339 snap ring 73269099 2.00 48.91 97.82 .00 .00 97.82 .00 .00 9.00 8.80 9.00 8.80 23 BE8Z8124A INSULATOR RAD 40169990 2.00 361.02 722.04 .00 .00 722.04 .00 .00 9.00 64.98 9.00 64.98 SUPPT* 24 BE8Z8125A INSULATOR RAD 40169990 2.00 339.83 679.66 .00 .00 679.66 .00 .00 9.00 61.17 9.00 61.17 SUPPT* 25 E4B55823032AA BUMP STOP 40169990 2.00 16.10 32.20 .00 .00 32.20 .00 .00 9.00 2.90 9.00 2.90 26 W714083S300 HARDWARE 40169990 3.00 27.68 83.04 .00 .00 83.04 .00 .00 9.00 7.47 9.00 7.47 PART* * 27 W716455S300 HARDWARE 39269099 4.00 16.07 64.28 .00 .00 64.28 .00 .00 9.00 5.79 9.00 5.79 PART* 28 W702852S300 RIVET 76169990 10.00 17.80 178.00 .00 .00 178.00 .00 .00 9.00 16.02 9.00 16.02 29 ACGAS AC GAS 29033919 650.00 2.38 1547.00 .00 .00 1547.00 .00 .00 9.00 139.23 9.00 139.23 For NAIK MOTORS ---PAGE END--- Tax Invoice (Repair Order - Customer) NAIK MOTORS Plot No. L97/99, Phase II E, Verna Ind. Estate, Verna, Salcete. SALCETTE VERNA. PIN - 403722. GOA. Ph - 8956772578,.. Fax: .. E-mail: nmservice@nmgoa.in. CST No: .. LST No: .. PAN No:AADFN9616N. GSTIN:30AADFN9616N1Z2 3 of 3 Bill No. : RRIAK00455VN Bill Dt. : 24-10-2020 Bill Type : CREDIT MEMO RO No. : ROABK00414VN RO Dt. : 07-10-2020 Customer Details : Dealer Address : SANTOSH SHREEKANT BETGERI NAIK MOTORS H NO 64 1/B BEHIND ENGLISH HIG, H SCHOOL NEW GOA VADDEM VASCO VASCO DA GAMA S O SOUTH State: GOA. State Code: 30 GOA,MORMUGAO-403802 GSTIN/UID: 30AADFN9616N1Z2 Contact: 9422739907 (M) Email: drsantosh7@yahoo.com State: GOA. State Code: 30 Place of Supply : GOA (30) GSTIN/UID: Party Code: CU023096 Vehicle Details : VIN : MAJGXXMTKGKK70456 Color : Paprica Red KMS : 14809 Reg. No. : GA06E9597 Catcode : 1QGV94V Make : New Figo Engine No. Category:Body & Paint Ins. Policy No. : Chassis No.: MAJGXXMTKGKK70456 Sales Date : 09-APR-19 Ins. Valid From : To : Tax Summary Total Amount 50205.06 Taxable Value Tax Amount Discount Amount .00 CGST@9% (Labor) 10678.00 961.02 50205.06 Total Taxable Amount SGST@9% (Labor) 10678.00 961.02 Total Tax Amount 12052.16 CGST@14% (Parts) 30152.95 4221.39 CGST@9% (Parts) 9374.11 843.67 Total Payable 62257.22 SGST@14% (Parts) 30152.95| 4221.39 Round Off .27 SGST@9% (Parts) 9374.11 843.67 Net Payable (In Figure) 62257.00 Net Payable (In Words):- Please Pay Sixty Two Thousand Two Hundred And Fifty Seven Only I agree that you (Ford and or Dealer) may collect, store, handle and use data (personal, financial, others etc.) shared by me during the transactions for providing me all services related to Ford products. I also allow you to transfer the data to your authorized associates located within or outside India. Total savings for this service : 501.16 For NAIK MOTORS ---PAGE END---