Original For Recipient Second for transporter Third for Tax Invoice supplier Dealer Code: GJ230001 Ref No: SERINV-GJ230001-2021- Invoice Date/Time: 24/06/2020 001000 CRN: CR02-17-121010326361 Invoice No.: GJ23000120001000 Billed To: Ship To: Dealer Name: VINAYAK AUTO Name: BAJAJ ALLIANZ Name: DEVANGRANPARA GENERAL INSURANCE CO LTD Address: BESIDE PG CLOCK, SHANALA MAIN ROAD, MORBI - Address: 402-408, 4th Floor, Address: BLOCK NO 17,MANEK SOCIETY-2, 363641, GUJARAT MORBI Turquoise,4th Floor, C.G.Road, RAVAPAR ROAD,MORBI MORBI,Gujarat, Gujarat India Panchwati Circle,Ahmedabad Gujarat Pincode: 363641 India 363641 Tele: FAX No: PH: PH 9662107777 Email: vinayakhonda13@ gmail.com, partsmanagervinayakauto@gmail. Email: Email: com, GSTIN : 24AINPB6356P1ZS GSTIN Date: GSTIN: 24AABCB5730G1Z3 GSTIN: PAN: AINPB6356P PAN: PAN: CIN : CIN: CIN: State : Gujarat State Code:24 State: Gujarat State Code: 24 State: Gujarat State Code: Vehicle Details: Job Card Detail : Place of Supply : Jobcard No : JC-GJ230001-02 Frame No.: ME4JF507FHU288236 Model Name: ACTIVA 4G Name: VINAYAK AUTO 2021-001412 Engine No.: JF50EU5288297 Model Code: ACTIVA 4G SELF Jobcard Closed Date/Time: Address: BESIDE PG CLOCK, SHANALA MAIN 06/24/2020 12:38:11 ROAD, MORBI - 363641, GUJARAT MORBI GujaratIndia Reg. No.: GJ36H0037 Color: M A GRAY M Service Type: ACCIDENT GSTIN: 24AINPB6356P1ZS Sale Date: 15/06/2017 Selling Dealer: VINAYAK AUTO Service KM : 24519 State: Gujarat State Code: 24 Loyalty ID: Sr Part No/ Description HSN/SAC Sublet Job Billing Unit Price Qty UoM Total Disco Discount Taxable Amount No Jobcode Code Type (Rs) Amount unt (Rs) (Rs) % 1 83600-KWP- COVER 87141090 Paid 1,274.20 1 No's 1,274.20 1274.20 F00ZZ COMPL BODY 2 33720-KWP- LENSE 85122010 Paid 237.28 1 No's 237.28 237.28 F01 COMP TAIL 3 53178-KWP- LEVERL 87141090 Paid 83.59 1 No's 83.59 83.59 D00 STRG HANDLE 4 81131-KWP- COVER 87141090 Paid 437.50 1 No's 437.50 437.50 900ZA INNER*NH 1* 5 05321-KEM- KITRACE 87141090 Paid 302.34 1 No's 302.34 302.34 P00 STEERING 6 86834-KWP- MARK4G* 39199010 Paid 1.68 2 No's 3.36 3.36 G30ZA TYPE1* 7 86833-K43- MARK 39199010 Paid 5.08 1 No's 5.08 5.08 900ZA HET BS 4*TYPE1* 8 90102-KPL- SCREWFO 73181900 Paid 3.38 1 No's 3.38 3.38 900 RK COVER 9 87505-KWP- LABEL 39199010 Paid 14.40 1 No's 14.40 14.40 ---PAGE END--- 10 87515-KWP- EMBLEM 87141090 Paid 107.81 2 No's 215.62 215.62 F00 RBODY COVER 11 SJ110060 WASHING 998729 Paid 100.00 1 Hrs 100.00 100.00 CHARGES 12 JB00056 LABOUR 998729 Paid 500.00 1 Hrs 500.00 500.00 CHARGE 13 SJ203233 DENTING 998729 Paid 250.00 1 Hrs 250.00 250.00 14 SJ203232 PAINTING 998729 Paid 2800.00 1 Hrs 2800.00 2800.00 Total 6226.75 Sr HSN/SAC Taxable Amount SGST/UTGST CGST IGST Total Amount No Code Rate Amount Rate Amount Rate Amount 1 87141090 2313.25 14 323.86 14 323.86 2,960.96 2 85122010 237.28 9 21.36 9 21.36 279.99 3 39199010 22.84 9 2.06 9 2.06 26.95 4 73181900 3.38 9 0.30 9 0.30 3.99 5 998729 3,650.00 9 328.50 9 328.50 4,307.00 Invoice Amount 7578.89 Total Invoice Value (in figures) :7579 Total Labour/Service Amount 3,650.00 Total Invoice Value ( in words): Rupees Seven Thousand Five Hundred Seventy Nine Only Total Parts Amount 2,576.75 Payment Mode: Cash Total Tax Amount 1,352.14 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 7578.89 Terms and Conditions: For VINAYAK AUTO 1. All disputes are subject to Morbi 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 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O. E. Acknowledgement from customer: Invoice Generated by: MAYUR ---PAGE END--- VINAYAK AUTO GATEPASS Customer Name: DEVANG RANPARA Ref No: SERINV-GJ230001-2021-001000 Invoice No.: GJ23000120001000 dated 24/06/2020 Registration No.: GJ36H0037 Invoice Amount: 7579 Customer's Signature Frame No.: ME4JF507FHU288236 Jobcard/Order Ref.: JC-GJ230001-02-2021- 001412 dated 24/06/2020 Model Name: ACTIVA 4G 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: DEVANG RANPARA Date : 24/06/2020 Customer Address: BLOCK NO 17,MANEK SOCIETY-2, RAVAPAR ROAD,MORBI, MORBI,Gujarat, India Zipcode: 363641 TEL. No. /MOBILE: 9662107777 Frame No.: ME4JF507FHU288236 Model Name: ACTIVA 4G Jobcard No: JC-GJ230001-02-2021-001412 Reg. No.: GJ36H0037 SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR NO. 1 Overall Job card opening process [ ] [ ] [] [ ] [ ] 2 Overall Service advisor performance [ 1 [1 [1 [] [ ] 3 Overall Workshop facilities [ ] [] [ 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 VALUABLE OPINION AND ---PAGE END---