RETAIL INVOICE(Cash ) 5 3 (CUSTOMER COPY) Dealer Code : INS4KAC157 Print Date : 21/01/2021 Dealer Name : COSMIC INC Print Time : 05:35 PM Showroom Address : 149,SHIVA PRASAD,R C HOUSiNG SOCIE BELGAUM (T) 9916242555 (F) Workshop Address : GST No.:29AALFC5296M1ZM Name and Address : SHASHIKALA MALLIKARJUN HOSMATH Invoice Number : SI2000003055 W/O MALLIKARJUN 792/13 3RD RAILWAY GATE T!LAKWADI BELGAUM Invoice Date : 15/01/2021 Chassis Number : MET0001DAZC004395 GST No.: Phone : 9108917513 Registration Number : KA22HG1310 Email Id : shashikalamh@gmail.com Vehicle info : SR ABS 160 BSVI Job Card Number : 202000003027 Job Card Date : 12/01/2021 Mode of Payment : Cash Type of Service : Accident Repairs KM : 1120 Sr. PartCodel PartName/Lab SAC/HSN Qty Unit Price Total Disc Amount GST GST Net Amount Remarks No. Lab Open Description Code IHrs (%)/Disc Rate% Amount Code amt Labour Charges 1|004001 Chassis - 998729 3:50 958.33 958.33 0.00 % 958.33 18.00 172.50 1,130.83 REPAIRE Replacement D 2004019 Handlebar rear 998729 0:12 47.92 -47.92 0.00 % 47.92 18.00 8.63 56.55 REPLACE section - D Replacement 33004178 Footboard - 998729 0:35 143.75 143.75 0.00 % 143.75 18.00 25.88 169.63 REPLACE Replacement D 4BD0191 REPLACEM. 998729 1:0 250.00 250.00 0.00 % 250.00 18.00 45.00 295.00 REPLACE FRONT FORK - D STEM BASE 5BD16A1 REPLACEM. 998729 1:0 250.00 250.00 0.00 % 250.00 18.00 45.00 295.00 REPLACE FORK ROD D SHAFT RIGHT 6BD16B1 REPLACEM. 998729 1:0 250.00 250.00 0.00 % 250.00 18.00 45.00 295.00 REPLACE FORK ROD D SHAFT LEFT 7DB0291 REPLACEM. 998729 0:25 104.17 104.17 0.00 % 104.17 18.00 18.75 122.92 REPLACE FRONT SHIELD D 8DB0591 REPLACEM. 998729 0:25 104.17 104.17 0.00 % 104.17 18.00 18.75 122.92 REPLACE INTERNAL D SHIELD 9DB0991 REPLACEM. 998729 1:30 375.00 375.00 0.00 % 375.00 18.00 67.50 442.50 REPLACE UNDERPANEL D 10DB1091 REPLACEM. 998729 0:16 66.67 66.67 0.00 % 66.67 18.00 12.00 78.67 REPLACE FRONT D FAIRING 11DB12A1 REPLACEM. 998729 0:30 125.00 125.00 0.00 % 125.00 18.00 22.50 147.50 REPLACE REAR FAIRING D RIGHT 12DB12B1 REPLACEM. 998729 0:30 125.00 125.00 0.00 % 125.00 18.00 22.50 REPLACE 147.50 REAR FAIRING D LEFT 13DB3291 REPLACEM. 998729 0:45 187.50 187.50 0.00 % 187.50 18.00 33.75 221.25 REPLACE SPLASH D GUARD 14[MISC01 See remarks for 998729 0:0 0.04 0.04 0.00 % 0.04 18.00 0.01 0.05 DONE Job Details Total: 3525.31 Part Charges 1145298 PLASTIC 87149990 12 2.34 36.00 0.00 % 28.13 28.00 7.87 36.00 CLAMP 21A015909 THERMAL 87149990 1 206.25 264.00 0.00 % 206.25 28.00 57.75 264.00 PROTECTION 31B002953 FUEL PUMP 40169320 1 59.32 70.00 0.00 % 59.32 18.00 70.00 10.68 GASKET 41B003142 FOOTREST 87149990 1 282.81 362.00 0.00 % 282.81 28.00 79.19 362.00 5 1B0061874 REAR 87149990 1 160.16 205.00 0.00 % 160.16 28.00 44.84 205.00 HANDLEBAR ---PAGE END--- 61B006718 FRONT LOWER87149990 1 314.06 402.00 0.00 % 314.06 28.00 87.94 402.00 1 PROTECTION 7 1B007341 SPOILER 87149990 1 294.53 377.00 0.00 % 294.53 28.00 82.47 377.00 81C002568 COMPLETE 87149990 1 1588.28 2033.00 0.00 % 1588.28 28.00 444.72 2,033.00 UNDER BRACKET 9T1C004620 RIGHT LEG 87149990 1 1725.78 2209.00 0.00 % 1725.78 28.00 483.22 2,209.00 ASSEMBLY 101C004623 LEFT LEG 87149900 1 1752.34 2243.00 0.00 % 1752.34 28.00 490.66 2,243.00 ASSEMBLY 11259933 ELASTIC 87149990 2 5.47 14.00 0.00 % 10.94 28.00 3.06 14.00 SPRING 12274489 HAND GRIP 87149990 1 52.34 67.00 0.00 % 52.34 28.00 14.66 67.00 (L.H.) TYPHOON 50 132H0018070 SHIELD SR 87149990 1 129.69 166.00 0.00 % 129.69 28.00 36.31 166.00 00A1 DECAL 14|2H0022900 RIGHT LOWER 87149990 1 70.31 90.00 0.00 % 70.31 28.00 19.69 90.00 00A1 SHIELD STICKER 152H0022910 LEFT LOWER 87149990 1 70.31 90.00 0.00 % 70.31 28.00 19.69 90.00 00A1 SHIELD STICKER 162H0026600 HANDLEBAR 39199010 1 87.29 103.00 0.00% 87.29 18.00 15.71 103.00 00A1 STICKERS GROUP 172H0039480 RIGHT LAT. 160 39199010 1 100.00 118.00 0.00 % 100.00 18.00 18.00 118.00 00A1 SHIELD STICKER 18|2H0039490 LEFT LAT. 160 39199010 1 100.00 118.00 0.00 % 100.00 18.00 18.00 118.00 00A1 SHIELD STICKER 19|2H0039500 160 3V-tech 39199010 1 113.56 134.00 0.00 % 113.56 18.00 20.44 134.00 00A1 RIGHT COVER STICKER 202H0039510 160 3V-tech 39199010 1 113.56 134.00 0.00 % 113.56 18.00 20.44 134.00 00A1 LEFT COVER STICKER 21709519 CABLE CLAMP 87149990 10 2.34 30.00 0.00 % 23.44 28.00 6.56 30.00 22CM281204 RIGHT REAR 87149990 1 199.22 255.00 0.00 % 199.22 28.00 55.78 255.00 VIEW MIRROR 23SB0031400 FRONT SHIELD 87149990 1 2787.50 3568.00 0.00 % 2787.50 28.00 780.50 3,568.00 24SB0031470 Right Lateral 87149990 1 1488.28 1905.00 0.00 % 1488.28 28.00 416.72 1,905.00 00BR cover 25SB0031480 Left Lateral cover 87149990 1 1488.28 1905.00 0.00 % 1488.28 28.00 416.72 1,905.00 26SH0018056 KIT R&L 87149990 1 123.44 158.00 0.00 % 123.44 28.00 34.56 158.00 000A1 FRONT SHIELD DECAL WHITE 27SH0018089 KIT APRILIA R & 87149990 1 51.56 66.00 0.00 % 51.56 28.00 14.44 66.00 000A1 L SHIELD DECAL WHITE 28SH0018141 KIT R&L 87149990 1 211.72 271.00 0.00 % 211.72 28.00 59.28 271.00 5000A1 SPOILER DECALS GROUP WHITE 29SKIT94000 IT-STRG CONE 87149990 1 784.38 1004.00 0.00 % 784.38 28.00 219.63 1,004.00 2R KIT SR150 30SKIT94006 KIT - COUNTER 87149990 1 404.69 518.00 0.00 % 404.69 28.00 113.31 518.00 0 SHIELD, PLUG AND COVER BSVI 31SP1B00698 SPD SR FRONT 87149990 1 571.09 731.00 0.00 % 571.09 28.00 159.91 731.00 6000BR HANDLEBAR COVER Total: 19646.00 Additional Charges 1Outside Outside labour 998729 1 2760.00 2760.00 0.00 2760.00 18.00 496.80 3256.80CHASIIS Tabour repair repair charges BEND,PAI charges NTING AND STICKER FITTING ---PAGE END--- Tax On Labour / Parts/AdditionalTax Value % Tax Amount CGST-14 14 2074.73 SGST-14 14 2074.73 CGST-9 9 568.92 SGST-9 9 568.92 Total: 5287.30 Labour Charges Total: 3525.31 Parts Charges Total: 19646.00 Additional ChargesTotat: 3256.80 Total(Labour Charges+Parts Charges+Additional Charges): 26428.11 Round Off: 0.11 Grand Total: 26428.00 Received the vehicle in good working condition. Service / repair has been carried out to my full satisfaction. Customer Signature For COSMIC INC Prepared By Cashier For all purpose. Sale proceeding are concluded at Terms & condition of business :- 1. Goods once sold will not be taken back. 2. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. 3. The rate of taxes, duties, levies, octroi etc are as applicable on the date of invoice. ---PAGE END---