Scan QR Code for "Customer Awareness Videos" Original For Recipient Second for transporter Tax Invoice Third for supplier Dealer Code: MP020005 Ref No: SERINV-MP020005- Invoice Date/Time: 26/09/2020 12:18:35 PM 2021-002694 CRN: Invoice No.: MP02000520002694 Billed To: Ship To: Dealer Name: SMS AUTOWHEELS PRIVATE LIMITED Name: BAJAJ ALLIANZ Name: SMS AUTOWHEELS PRIVATE GENERAL INSURANCE CO. LIMITED Address: 24,DILIP SINGH COLONY, MARIMATA LTD. Address: 24, DILIP SINGH COLONY, SQUARE, INDORE INDORE Customer Id : MARIMATA SQUARE, INDORE MP India 1-14QCN1LK Address: PH: 6232443444 Pincode: 452005 Email: INDORE MP India Tele: FAX No: Account: PH Email: MANGALAMHMSI@GMAIL.COM Name: BAJAJ ALLIANZ Email: MANGALAMHMSI@GMAIL.COM GSTIN : 23ABACS5461P1Z0 GSTIN Date: GENERAL INSURANCE CO. GSTIN: 23ABACS5461P1Z0 PAN: ABACS5461P LTD. PAN: ABACS5461P Account Id : 1-14QC6WO1 Address: 4TH FLOOR, COMMERCE HOUSE, 7 RACE COURSE ROAD INDORE INDORE,MP, CIN : CIN: India 452001 PH: 9479970278 GSTIN: 23AABCB5730G1Z5 PAN: CIN: State : MP Customer Care No: State Code:23 State: State Code: State: MP State Code: 23 7395888042 Vehicle Details: Job Card Detail : Place of Supply : Frame No.: Jobcard No : JC-MP020005-02- Name: SMS AUTOWHEELS PRIVATE Model Name: X BLADE ME4KC351EJ8017275 2021-002084 LIMITED Engine No.: KC35E80017302 Model Code: X BLADE Jobcard Closed Date/Time: Address: 24, DILIP SINGH COLONY, STD STRIPE 26/09/2020 12:18:25 PM MARIMATA SQUARE, INDORE INDORE MPIndia Color: MATTE FROZEN Reg. No.: MP09VJ9450 Service Type: ACCIDENT GSTIN: 23ABACS5461P1Z0 SILVER Pick & Drop Availed: Sale Date: 18/06/2018 Selling Dealer: SHYAM Service KM : 20366 State: MP State Code: 23 Loyalty ID: SANGAM AGENCIES Unit Taxable Sr Part No/ HSN/SAC Sublet Billing Total Discount Discount Description Price Qty UoM Amount No Jobcode Code Job Type Amount % (Rs) (Rs) (Rs) 1 18291- GASKETE 84841090 Paid 16.95 1 No's 16.95 16.95 KSP-901 X PIPE 2 35010- KEY SET 83017000 Paid 1,101.68 1 No's 1,101.68 1,101.68 K43-D00 3 53175- LEVERR 87141090 Paid 79.68 1 No's 79.68 79.68 KSP-B51 STRG HNDL 4 96211- BALLSTEE 84829119 Paid 1.68 38 No's 63.84 63.84 ---PAGE END--- : 1 28 : 0 a : a 25 = 0 6 8 V 9 S EE E E E2 E3 E EE E EE: E EE E :E E : 2 yr 0 E 0E 8 =E ME1S E3EEE M3 E :E3 3 E 3E : EMS EE 1 11 * 1 0 * H [1] E R R R 2 F 1 3 : E E E : 0 0 0 0 : : 0 1 : : : 0 E 1 2 1 1 2 2 1 I I 1 I 1 2 1 1 0 E 0 0 0 6 1 0 1 0 1 0 0 0 = 1 3 : M : 3 3 E E 1 : 1 3 : 1 1 : S O 2 1 3 86 2 8 8 U 8 E 5 2 - - - - - - - - - - - - 2 - 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 E E 3 M E E E 3 1 * : 2 : 1 3 5 9 2 1 2 : 4 9 : 3 2 * 9 8 8 5 5 N 7 E 3 E 833 E E 3 3 : M : 6 1 a 2 1 B 2 : 5 : S 2 5 ---PAGE END--- KTE-601 ASSYL RR 21 90116- CLIPBPR 87149990 Paid 4.68 5 No's 23.40 23.40 SP0-003 SEAL 22 33740- REFLEX 85122010 Paid 27.96 1 No's 27.96 27.96 KZK-951 REFLECTO R FR SIDE 23 61310- COVERME 87141090 Paid 71.09 1 No's 71.09 71.09 K0E-D00 TER 24 94050- NUTFLAN 73181900 Paid 2.54 1 No's 2.54 2.54 10000 GE10MM 25 61306- SET 87141090 Paid 211.71 1 No's 211.71 211.71 KOE- ILLUSTR DOOZD FR GARNISH* TYPE2* 26 90111- NUT 40169990 Paid 8.47 4 No's 33.88 33.88 MM9-000 COWL SETTING 5MM 27 SJ210500 ACCIDENT 998729 700 Paid 0.00 1 Hrs 700.00 700.00 AL REPAIRS 28 SJ102600 COVER 998729 150 Paid 0.00 1 Hrs 150.00 150.00 SET, R. SIDE DENTING /PAINTING 29 SJ102600 COVER 998729 250 Paid 0.00 1 Hrs 250.00 250.00 SET, R. SIDE DENTING /PAINTING 30 SJ103200 FENDER 998729 400 Paid 0.00 1 Hrs 400.00 400.00 SET, FR. DENTING /PAINTING 31 SJ203232 PAINTING 998729 450 Paid 0.00 1 Hrs 450.00 450.00 32 SJ203253 FORK 998729 350 Paid 0.00 1 Hrs 350.00 350.00 REPAIR 33 SJ203214 WELDING 998729 70 Paid 0.00 1 Hrs 70.00 70.00 CHARGES 10143.9 Total 2 Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount No Code Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 84841090 16.95 9 1.53 9 1.53 20.00 2 83017000 1101.68 9 99.15 9 99.15 1,299.98 ---PAGE END--- 4 84829119 63.84 9 5.75 9 5.75 75.33 5 73181900 9.30 9 0.84 9 0.84 10.97 6 40169390 54.23 9 4.88 9 4.88 63.99 7 85122010 2645.74 9 238.12 9 238.12 3,121.97 : 87149990 23.40 14 3.28 14 3.28 29.95 9 40169990 33.88 9 3.05 9 3.05 39.98 10 998729 2,370.00 9 213.30 9 213.30 18 0.00 0.00 2,796.60 Invoice Amount 12354.66 Total Invoice Value (in figures) :12355 Total Labour/Service Amount 2796.60 Total Invoice Value ( in words): Rupees Twelve Thousand Three Hundred Fifty Five Only Total Parts Amount 9558.06 Payment Mode: Cash Total Tax Amount 2,210.74 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 12354.66 For SMS AUTOWHEELS PRIVATE Terms and Conditions: LIMITED 1. All disputes are subject to INDORE 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: NEETU SINGH Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy With Honda Joy Club joyclub ---PAGE END--- SMS AUTOWHEELS PRIVATE LIMITED GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP020005-2021-002694 CO.LTD. Invoice No.: MP02000520002694 dated 26/09/2020 Registration No.: MP09VJ9450 Invoice Amount: 12355 Customer's Signature Frame No.: ME4KC351EJ8017275 Jobcard/Order Ref.: JC-MP020005-02- 2021-002084 dated 26/09/2020 Model Name: X BLADE 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 : 26/09/2020 Customer Address: Frame No.: ME4KC351EJ8017275 Model Name: X BLADE Jobcard No: JC-MP020005-02-2021-002084 Reg. No.: MP09VJ9450 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 [] [] 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---