Invoice
                                                                                       Invoice Summary
                                                                                                    Gupta Automobiles                   W5820
                           HYUNDAI                Near CHAPHA COAL MINES NH -43, Umaria
                                                                                                    Tel: 9009122223                             Fax:9009122223
                                                                                                    GST No:    23AAEFG7207P1Z8
  Bajaj Allianz General Insurance Company Limited
  Customer ID: C2021010114                               Reg. No                        MP54CA1359                 Invoice No                       B202100143
                                                                      VIN                             MALBH512LMM035890Date                               22.03.2021
  M/s NEELESH KUMAR SHUKLA
                                                                      Mileage                        1774                            R/O no                           R202100149
  WARD NO.-11 NEW JWALAMUKHI COLONY
                                                                      Place of Supply               Madhya Pradesh              Payment                         Cash
  UMARIA,
  State MADHYA PRADEBH 484661                      Mobile No 9131308657              Email Id NEELESH@GMAIL.COM

S.No Part/OP code               Part Labor Description       HSN/SAC Tax%  Qty    Rate/Unit Cust.Amt Ins.Amt HMI.Amt MOBIS.A Disc Amt Amount
                                                      Part Invoice
  Labour and Services            Labour Invoice
1     A10AABODENLNA Denting/Repairing Charges   998729   18%      1.00  500.00      500.00    0.00       0.00                     0.00       500.00
2     A10AABOREILNA    Body & Paint Repair Charges 998729    18%      1.00 5,495.00    5,495.00  0.00       0.00                     0.00       5,495.00
                                      (Insurance)
3     A10AARNR20LNA   Removal & refitment charges 998729   18%      1.00 500.00      500.00    0.00       0.00                     0.00       500.00
                                      (bodvshop)
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                                             0.00                             6,495.00
                                                                                    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 6495                0.00                             584.55
   Observation :
                                                                                    SGST @ 9% on Labor value of 6495                0.00                             584.55
   No Accessory Fitment
   Pending Jobs :



   For Gupta Automobiles
                                                                                                      Total                                   0.00                                 7,664.10
                    (Authorized Signatory )                                                Grand Total                            (Rounded)                                7664
                                                                                                                                      Rupees Seven Thousand Six Hundred Sixty Four Rupees Only



                                                                                           Gupta Automobiles
                                                                                                  Gate Pass
Customer             M/s NEELESH KUMAR SHUKLA                     Reg.No MP54CA1359                     Date                        22.03.2021
G P No                G202100143                                                      VINI MALBH512LMM035890       Model                     BI3*B New i20 (1.2 P)
                                                                                                                                                   R/O no                     R202100149
   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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