Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Customer Invoice TAX INVOICE JIVAN JYOT MOTORS PVT. LTD. PAN : AABCJ7735K; GSTIN: 24AABCJ7735K1ZD; CIN: Add: JIVAN JYOT THEATER COMPLEX, UDHNA MAIN ROAD, Surat, Gujarat, India - 394210 Fax: +912614060402 , Phone: +912614060400 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Lessor/Bill to VINODKUMAR MODH Lessee/Ship to VINODKUMAR MODH Veh. Reg. No. GJ05RA6915 Invoice No. SR06220-6882 Phone +918866885711 Model JAZZ PE Invoice Date 20-01-2021 04:29 PM Chassis No. MAKGK77BFF4000163 Ro No. SER-RO-DD062-2021-6097 Address 57-58-SAI KUTIR SOC NR. Ship to Engine No. L12B41002771 RO Type BP SO0MESHWAR CIRCLE Wrnty Start 10-07-2015 Visit Date 19-01-2021 05:12 PM Place of Supply Gujarat State Invoice Type Mileage 41268 State Code 24 State Code PAN P/L Labor Code / HSN / Description Issue Qty UoM Job Value / Disc Dis Insurer Insured Taxable CGST SGST / UTGST Amount(?) Part# SAC Type RTLP / Item % % Amt % Amt Amount % Amt % Amt BNP AS PER WORK BAJAJ INS CO - (- (Body & Paint Work) L RPRRHFNDR 998714 REPAIR RHS FENDER Paid 1 300.00 0 0 0.00 0.00 100.00 300.00 300.00 9 27.00 9 27.00 354.00 REPAIR FRONT RH L RPRFRDOR 998714 Paid 1 850.00 0 0 0.00 0.00 100.00 850.00 850.00 9 76.50 9 76.50 1003.00 DOOR L RPRBOOTLID 998714 REPAIR BOOT LID Paid 1 800.00 0 0 0.00 0.00 100.00 800.00 800.00 9 72.00 9 72.00 944.00 8708990 178.36 P 75722T5LT01 EMBLEM.RR CAR NAM Paid 1 NOS 139.34 0 0 0.00 0.00 100.00 139.34 139.34 14 19.51 14 19.51 0 8708990 NOS 123.65 P 75725T5LT00 EMBLEM. RR I-VTEC Paid 1 123.65 0 0 0.00 0.00 100.00 123.65 14 17.31 14 17.31 158.27 0 8708990 P 75711SEMK01 EMBLEM RR HONDA Paid 1 NOS 595.05 0 0 0.00 0.00 100.00 595.05 595.05 14 83.31 14 83.31 761.66 0 8708990 P 75723T5SK30 EMBLEM.RR GRADE V Paid 1 NOS 125.13 0 0 0.00 0.00 100.00 125.13 125.13 14 17.52 14 17.52 160.17 0 PAINT JOB - (Body & Paint Work) PNTTAILGATM PAINT CHGS TAIL GATE Paid 6000.00 0.00 0.00 5664.00 L 998714 1 0 20 100.00 4800.00 4800.00 9 432.00 9 432.00 - METALLIC PAINT CHGS FRONT PNTFRDRPNL L 998714 DOOR PANEL LH/RH - Paid 1 6150.00 0 20 0.00 0.00 100.00 4920.00 4920.00 9 442.80 9 442.80 5805.60 M METALLIC PAINT CHGS FRONT PNTFRTFNDR L 998714 FENDER LH/RH - Paid 1 4110.00 0 20 0.00 0.00 100.00 3288.00 3288.00 9 295.92 9 295.92 3879.84 M METALLIC Recommendations: Supply Type : B2C ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier 0 LBR AND SPR CONF WITH KETAN SIR BAJAJ INS CO 0 P= OG-212203180100002915 C= OG212203180100003734 Supply Type : B2C ---PAGE END--- Original for Recipient HONDA Duplicate for Transporter Triplicate for Supplier Customer Invoice TAX INVOICE JIVAN JYOT MOTORS PVT. LTD. PAN : AABCJ7735K; GSTIN: 24AABCJ7735K1ZD; CIN: Add: JIVAN JYOT THEATER COMPLEX, UDHNA MAIN ROAD, Surat, Gujarat, India - 394210 Fax: +912614060402 , Phone: +912614060400 BILL TO SHIP TO VEHICLE INFO INVOICE INFO Name VINODKUMAR MODH Name VINODKUMAR MODH Veh. Reg. No. GJ05RA6915 Invoice No. SR06220-6882 Phone +918866885711 Model JAZZ PE Invoice Date 20-01-2021 04:29 PM Chassis No. MAKGK77BFF4000163 RO No. SER-RO-DD062-2021-6097 Address 57-58-SAI KUTIR SOC NR Ship to Engine No. L12B41002771 RO Type BP SOOMESHWAR CIRCLE Wrnty Start 10-07-2015 Visit Date 19-01-2021 05:12 PM Place of Supply Gujarat State Invoice Type Mileage 41268 State Code 24 State Code PAN SUMMARY Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount() Labor Details Amount() "JIVAN JYOT MOTORS PVT. LTD." Taxable Amt 983.17 Taxable Amt 14958.00 o For any compliment or complaint, PLease call: CGST @ 14% 137.64 CGST @ 9% 1346.22 Customer Relations Manager : 9662526227 SGST @ 14% 137.64 SGST @ 9% 1346.22 Service Manager: 9662526249 Total Parts Amt 17650.44 1258.46 Total Labor Amt Or Email : servicecrm.dreamhonda@gmail.com TCS Tax @ % 0.00 Total Amount 18908.90 Net Amount 18908.90 Grand Total (Rounded - Off) Z 18909.00 (+0.10) Amount in Words: Rupees Eighteen Thousand Nine Hundred Nine Only Amount of Tax Subject to Reverse Charges 0 I certify that I have taken delivery of my Vehicle & work has been done to my entire For JIVAN JY satisfaction A C T (Customer's Signature and Date) Service Advisor : SURESH SOLANKI C A N "CUSTOMER ADVISORY: Honda recommends its customers against use of non-genuine/second hand spares during any repairs especially safety critical items like airbag system, brakes, electrical etc." Supply Type : B2C ---PAGE END---