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: C2020120025                                Reg. No                        MP54CA1227                 Invoice No                       B202000508
  M/s PRAMOD KUMAR GUPTA                          VIN                             MALB351CLLM095301    Date                               15.12.2020
                                                                      Mileage                        1477                            R/O no                           R202000500
 UMARIA
                                                                       Place of Supply                Madhya Pradesh              Payment                         Cash
  State MADHYA PRADEBH 484661                      Mobile No 7000083249             Email Id swapnilsg.idcs10@ 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     .NPN-SELENT          BLACK SELENT                             18%      1.00 1,059.32    1,059.31  0.00       0.00       0.00       0.00       1,059.31
2     .87110K6010             GLASS ASSY-TAIL GATE   7007110  18%      1.00 1,694.06    1,694.05  0.00       0.00       0.00       0.00       1,694.05
                                                                            0
  Labour and Services            Labour Invoice
1     A10AARRWSR09R GLASS T/GATE R&R         998729   18%      1.00 1,375.00    1,375.000.00       0.00                     0.00       1,375.00
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                                             2,753.36                         1,375.00
                                                                                    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 1375                0.00                             123.75
   Observation :
                                                                                    SGST @ 9% on Labor value of 1375                0.00                             123.75
   No Accessory Fitment                                                    CGST@9% ON Part Value of 2753.36              247.80                          0.00
                                                                                    SGST@9% ON Part Value of 2753.36              247.80                          0.00
   Pending Jobs :

   For Gupta Automobiles
                                                                                                       Total                                 3,248.96                               1,622.50
                    (Authorized Signatory )                                                Grand Total                            (Rounded)                                4871
                                                                                                                                   Rupees Four Thousand Eight Hundred Seventy One Rupees Only





                                                                                           Gupta Automobiles
                                                                                                   Gate Pass
Customer             M/s PRAMOD KUMAR GUPTA                        Reg.No MP54CA1227                      Date                        15.12.2020
G P No                G202000504                                                       VIN I MALB351CLLM095301         Model                      AI3*C Grand i10 NIOS (1.2 P)
                                                                                                                                                   R/O no                     R202000500
   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





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