Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP160001-02-2021-002735 Invoice Number :- MP16000120001977 Invoice Date :- 22/10/2020 05:55:22 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, ... BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, Dealer Name: CHOUDHARY AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, ... BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, Address : MHOW NEEMUCH ROAD, OPPOSITE STATE BANK OF INDIA Address: 4th floor Commerce House, 7 Race Course Road INDOOR , India City: MANDSAUR PIN Code : 458001 Account/Customer Id: 1-U1XQB4X 1-U00FG5Z State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 7422223355 Phone(O): State: MP State Code: 23 GSTIN No : 23AIIPC7999Q1ZD CIN No : Phone(M) : 903919106690391910 Phone(0) : 66 PAN No: AIIPC7999Q Email : choudharyautomobiles GSTIN No : 23AABCB5730G1Z5 UIN: @rediffmail.com Customer Care No: 7000309993 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, ... BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, Dealer Name: CHOUDHARY AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, ... BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, Address : MHOW NEEMUCH ROAD, OPPOSITE STATE BANK OF INDIA Address: 4th floor Commerce House, 7 Race Course Road INDOOR India City: MANDSAUR PIN Code : 458001 Account/Customer Id: 1-U1XQB4X 1-U00FG5Z State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 7422223355 Phone(O): State: MP State Code: GSTIN No : 23AIIPC7999Q1ZD CIN No : Phone(M) : 903919106690391910 Phone(0) : 66 PAN No: AIIPC7999Q Email : choudharyautomobiles@r GSTIN No : 23AABCB5730G1Z5 UIN: ediffmail.com Customer Care No: 7000309993 Pan No: Email: Loyalty ID : 2552030000015608 Frame No.: ME4JC65CHKD045662 Model Name: CB SHINE Jobcard Closed Date/Time: 22/10/2020 05:55:00 PM Engine No.: JC65ED0153494 ModeI Code: CB SHINE DISK CBS Service Type: ACCIDENT Reg. No.: MP43EE7626 Color: GREY Service KM : 15220 Pick & Drop Availed: Sale Date: 27/10/2019 Selling Dealer: ANKLESARIA AUTOMOBILES Billing Unit Taxable Sr Part No/ HSN/SAC Sublet Qty Total Discoun Discount Description Price UoM t % (Rs) Amount No Jobcode Code Job Type Amount (Rs) (Rs) 1 53219-KTE- STEM SUB 87141090 Paid 1,123.42 1 No's 1,123.42 1,123.42 650 ASSYSTRG 2 53100-KTE- PIPE 87141090 Paid 321.87 1 No's 321.87 321.87 A01 STEERING HANDLE 3 50610-KTE- BAR 87141090 Paid 200.78 1 No's 200.78 200.78 650 COMPSTEP 4 77260-KTE- SET ILLUSTR 87141090 Paid 560.93 1 No's 560.93 560.93 NOOZE REAR COWL *TYPE2* 5 77270-KTE- SET ILLUSTL 87141090 Paid 560.93 1 No's 560.93 560.93 NOOZE REAR COWL *TYPE2* 6 77280-KTE- SET 87141090 Paid 226.55 1 No's 226.55 226.55 NOOZE ILLUSTCENT ER REAR COWL *TY 7 35200-KTE- sw 85369030 Paid 461.86 1 No's 461.86 461.86 741 ASSYWINKE R ---PAGE END--- A0o COMPR HANDLE 9 24701-KTE- PEDALGEAR 87141090 Paid 131.25 1 No's 131.25 131.25 910 CHANGE 10 50530-KTE- BARCOMP. 87141090 Paid 89.84 1 No's 89.84 89.84 910 SIDESTAND 11 17500-KTE- TANK 87141090 Paid 5,967.18 1 No's 5,967.18 5,967.18 D80ZF ASSYFUEL *TYPE2* 12 83610-KTE- SET ILLUSTL 87141090 Paid 417.18 1 No's 417.18 417.18 D80ZF SIDE COVER *TYPE2* 13 51103-KTE- GUARD 87141090 Paid 254.68 1 No's 254.68 254.68 D80 ASARI 14 51104-K14- GUARD 87141090 Paid 17.96 1 No's 17.96 17.96 900 BSARI 15 45251-K21- DISKFR. 87141090 Paid 964.06 1 No's 964.06 964.06 901 BRAKE (YUTAKA) 16 11200-KTE- CRANK CASE 84099191 Paid 2,141.41 1 No's 2,141.41 2,141.41 DOO COMPLEFT 17 11341-KTE- COVERLEFT 87141090 Paid 687.49 1 No's 687.49 687.49 DOO CRANK CASE 18 SJ203253 FORK 998729 450 Paid 0.00 1 Hrs 450.00 450.00 REPAIR 19 SJ203232 PAINTING 998729 400 Paid 0.00 1 Hrs 400.00 400.00 20 SJ203209 CHASSIS 998729 1700 Paid 0.00 1 Hrs 1,700.00 1700.00 REPAIR 21 SJ210500 ACCIDENTAL 998729 1500 Paid 0.00 1 Hrs 1,500.00 1500.00 REPAIRS Total 18257.85 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 11604.58 14 1,624.64 14 1,624.64 14,853.86 2 85369030 461.86 9 41.57 9 41.57 544.99 3 84099191 2141.41 14 299.80 14 299.80 2,741.00 4 998729 4,050.00 9 364.50 9 364.50 18 0.00 0.00 4,779.00 Invoice Amount 22918.86 Total Invoice Value (in figures) :22919 Total Labour/Service Amount 4779.00 Total Invoice Value ( in words): Rupees Twenty Two Thousand Nine Hundred Nineteen Only Total Parts Amount 18139.86 Payment Mode: Cash Total Tax Amount 4,661.01 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 22918.86 Terms and Conditions: For CHOUDHARY AUTOMOBILES 1. All disputes are subject to MANDSAUR Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage 3. Goods once sold will not be taken back. Name of Signatory ---PAGE END--- 5. All replacements will be subject to our inspection & approval. E. & O. E. Acknowledgement from customer: Invoice Generated by: AJAY Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END--- CHOUDHARY AUTOMOBILES GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP160001-2021-001977 CO,LTD, ... Invoice No.: MP16000120001977 dated 22/10/2020 Registration No.: MP43EE7626 Invoice Amount: 22919 Customer's Signature Frame No.: ME4JC65CHKD045662 Jobcard/Order Ref.: JC-MP160001-02- 2021-002735 dated 22/10/2020 Model Name: CB SHINE Gatepass No.& Date: Security In-Charge Vehicle/ Goods received in good condition and to our satisfaction Customer Feedback Form Instant Feedback Instant Redressal Dear Sir/Ma'am We are thankful to you for spending little time for us while filling this feedback form. Your valuable inputs will enable us for continuous improvement of our service quality. Thanking you Once Again. Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE CO,LTD, .. Date : 22/10/2020 Customer Address: Frame No.: ME4JC65CHKD045662 Model Name: CB SHINE Jobcard No: JC-MP160001-02-2021-002735 Reg. No.: MP43EE7626 SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR NO. 1 Overall Job card opening process [ 1 [1 [ 1 [1 [1 2 Overall Service advisor performance [1 [] [1 [1 [] 3 Overall Workshop facilities [ 1 [] [1 [] [] 4 Overall Quality of service/repair [ ] [ 1 [] [ ] [ ] 5 Overall Service Delivery [ ] [ ] [ ] [ ] [ ] ANY OTHER SUGGESTIONS/ COMMENTS: Customer Signature INSTANT REDRESSAL OF CONCERN CRM Remark CRM Signature Customer Signature WE APPRECIATE YOUR VALUABLE TIME WHICH YOU HAVE INVESTED IN OUR SERVICE TRACKER. YOUR ---PAGE END---