Invoice
                                                                                        Invoice Summary
                                                                                                      Gupta Automobiles                    W5820
                           HYUNDAI                Near CHAPHA COAL MINES NH -43, Umaria
                                                                                                     Tel:                                                 Fax:   9009122223
                                                                                                      GST No:     23AAEFG7207P1Z8
  Bajaj Allianz General Insurance Company Limited
  Customer ID: C2020110012                                Reg. No                         MP54CA1144                 Invoice No                       B202100070
                                                                        VIN                             MALB241CLLM023022   Date                               16.02.2021
  M/s VARUN VERMA
                                                                       Mileage                        21344                           R/O no                            R202100073
 UMARIA
                                                                       Place of Supply               Madhya Pradesh              Payment                          Cash
 State MADHYA PRADE8H 484661                      Mobile No 7987748023             Email Id mastram@gmail.com

S.No Part/OP code               Part Labor Description       HSN/SAC Tax%  Qty     Rate/Unit  Cust.Amt Ins.AmtHMI.Amt MOBIS.A Disc Amt Amount
                                                       Part Invoice
1     86511K6400             COVER-FR BUMPER         8708990 28%      1.001,125.78    1,125.77  0.00       0.00       0.00       0.00       1,125.77
                                                                             0
2     8659028000              RETAINER ASSY-BUMPER 8708990  28%      10.0 4.68         46.82     0.00       0.00       0.00       0.00       46.82
                                       COVER MTG                   0.                        0
3     66400K6000             PANEL ASSY-HOOD          8708990 28%      1.00  2,163.28    2,163.28  0.00       0.00       0.00       0.00       2,163.28
                                                                             0
  Labour and Services            Labour Invoice
1     A10AABOREILNA    Body & Paint Repair Charges 998729    18%      7,62 1.00         7,625.00  0.00       0.00                     0.00       7,625.00
                                       (Insurance)                                                 5.00
2     A10AARNR20LNA   Removal & refitment charges 998729   18%      700. 1.00          700.00    0.00       0.00                     0.00       700.00
                                       (bodvshop)                                                 00
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                                              3,335.87                         8,325.00
                                                                                     Coupon Discount                                     0.00                             0.00
                                                                                     TCS Tax                                              0.00
                                                                                     Discount                                              0.00                             0.00
                                                                                     AMC Discount                                       0.00                             0.00
                                                                                     CGST @ 9% on Labor value of 8325                0.00                             749.25
   Observation :
                                                                                     SGST @ 9% on Labor value of 8325                0.00                              749.25
   No Accessory Fitment                                                     CGST@14% ON Part Value of 3335.87             467.02                           0.00
                                                                                     SGST@14% ON Part Value of 3335.87             467.02                           0.00
   Pending Jobs :




   For Gupta Automobiles
                                                                                                        Total                                 4,269.91                               9,823.50
                                                                                                    Grand Total                            (Rounded)                                14093
                     (Authorized Signatory )
                                                                                                                                                    Rupees Fourteen Thousand Ninety Four Rupees Only

                                                                                            Gupta Automobiles
                                                                                                    Gate Pass
Customer              M/s VARUN VERMA                                      Reg.No MP54CA1144                      Date                        16.02.2021
G P No                G202100070                                                       VIN MALB241CLLM023022        Model                      AI3*C Grand i10 NIOS (1.2 P)
                                                                                                                                                     R/O no                     R202100073
   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






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