Invoice Invoice Summary Gupta Automobiles W5820 HYUNDAI Near CHAPHA COAL MINES NH -43, Umaria Tel: Fax: 9009122223 GST No: 23AAEFG7207P1Z8 Bajaj Allianz General Insurance Company Limited Customer ID: C2020090025 Reg. No Invoice No B202100042 VIN MALB341CLLM029760 Date 29.01.2021 M/s HUSSAIN KHAN Mileage 16988 R/O no R202100045 UMARIA Place of Supply Madhya Pradesh Payment Cash State MADHYA PRADE8H 484661 Mobile No 7879347757 Email Id HIFAZATKHAN@GMAIL.COM S.No Part/OP code Part Labor Description HSN/SAC Tax% Qty Rate/Unit Cust.Amt Ins.AmtHMI.Amt MOBIS.A Disc Amt Amount Part Invoice 1 .86610K6400 COVER-RR BUMPER,UPR 8708990 28% 1.00 1,717.96 1,717.95 0.00 0.00 0.00 0.00 1,717.95 0 2 92402K6400 LAMP ASSY-REAR COMB 8512202 18% 1.00 4,151.70 4,151.69 0.00 0.00 0.00 0.00 4,151.69 OUTSIDE,RH 0 Labour and Services Labour Invoice 1 A10AABOREILNA Body & Paint Repair Charges 998729 18% 8,06 1.00 8,060.00 0.00 0.00 0.00 8,060.00 (Insurance) 0.00 2 A10AARNR20LNA Removal & refitment charges 998729 18% 500. 1.00 500.00 0.00 0.00 0.00 500.00 (bodvshop) 00 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 5,869.64 8,560.00 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 8560 0.00 770.40 Observation : SGST @ 9% on Labor value of 8560 0.00 770.40 No Accessory Fitment CGST@9% ON Part Value of 4151.69 373.65 0.00 SGST@9% ON Part Value of 4151.69 373.65 0.00 Pending Jobs : CGST@14% ON Part Value of 1717.95 240.51 0.00 SGST@14% ON Part Value of 1717.95 240.51 0.00 For Gupta Automobiles Total 7,097.96 10,100.80 (Authorized Signatory ) Grand Total (Rounded) 17199 Rupees Seventeen Thousand One Hundred Ninety Nine Rupees Only Gupta Automobiles Gate Pass Customer M/s HUSSAIN KHAN Reg. No Date 29.01.2021 G P No G202100042 VIN MALB341CLLM029760 Model AI3*C Grand i10 NIOS (1.2 P) R/O no R202100045 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---