Invoice Invoice Summary Platinum Automobiles Pvt Ltd N5211 HYUNDAI Jammu Paloura, Akhnoor Road Jammu Tel: 9484177777 Fax: 9484177777 GST No: 01AAFCP7111B1Z8 Bajaj Allianz General Insurance Company Limited Customer ID: C2019120263 Reg. No JK02CC2288 Invoice No B202102002 VIN MALA851CLJM855544 Date 29.03.2021 M/s SURJEET SINGH Mileage 36329 R/O no R202101981 gajay singh pura sangrampur near girls high school Place of Supply Jammu & Kashmir Payment Credit jammu State JAMMU & KASHMHR 180002 Mobile No 9419264785 Email Id surjeetsingh@gmail.com 01AABCB5730G1ZB 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 1 86812B4500 GUARD ASSY-FRONT 8708990 28% 1.00 490.62 490.61 0.00 0.00 0.00 0.00 490.61 WHEEL.RH 0 2 86511B4500 COVER-FR BUMPER 8708990 28% 1.001,125.78 1,125.77 0.00 0.00 0.00 0.00 1,125.77 0. 3 29110B4500 PANEL-UNDER COVER 8708990 28% 1.00 391.40 391.39 0.00 0.00 0.00 0.00 391.39 FRONT 0 4 64101B4901 CARRIER ASSY-FRONT 8708990 28% 1.0044,907.82 4,907.82 0.00 0.00 0.00 0.00 4,907.82 END MODULE 0 5 8659028000 RETAINER ASSY-BUMPER 8708990 28% 20.0 4.68 93.65 0.00 0.00 0.00 0.00 93.65 COVER MTG 0 0 6 66311B4010 PANEL-FENDER,LH 8708990 28% 1.00 834.38 834.38 0.00 0.00 0.00 0.00 834.38 0 7 86513B4500 BRACKET-FR BUMPER 8708990 28% 1.00 49.22 49.22 0.00 0.00 0.00 0.00 49.22 SIDE,LH 0 Labour and Services Labour Invoice 1 A10AABODENLNA Denting/Repairing Charges 998729 18% 1.00 2,495.00 2,495.00 0.00 0.00 0.00 2,495.00 2 A10AAWBBPF13F FR Bumper (Water Borne 998729 18% 1.00 5,110.00 5,110.00 0.00 0.00 0.00 5,110.00 Paint) 3 A10AAWBFEL02F LH Fendor - Each (Water 998729 18% 1.00 4,095.00 4,095.00 0.00 0.00 0.00 4,095.00 Borne Paint) 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 7,892.84 11,700.00 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 11700 0.00 1,053.00 Observation : SGST @ 9% on Labor value of 11700 0.00 1,053.00 No Accessory Fitment CGST@14% ON Part Value of 7892.84 1,104.99 0.00 SGST@14% ON Part Value of 7892.84 1,104.99 0.00 Pending Jobs : General Chekup,GENERAL CHECK UP For Platinum Automobiles Pvt Ltd Total 10,102.82 13,806.00 Grand Total (Rounded) 23909 (Authorized Signatory ) ---PAGE END--- Platinum Automobiles Pvt Ltd Gate Pass Customer M/s SURJEET SINGH Reg.No JK02CC2288 Date 29.03.2021 G P No G202102002 VIN MALA851CLJM855544 Model BA**A GRAND i10 (P) R/O no R202101981 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 Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---