G
         2                      Vardhaman Autowheels Private LimitedBehind Ford Showroom
                                                       NH-06, G.E. RoadKumhari,Durg, 490042

                                   E-Mail                service@vw-vapl.co.in              State Code
                                                                                                                             CHATTISGARH/ CG/ 22
                                   Phone No.           6262065999                          GST Regst. No.
                                                                                                                             22AAGCV9761J1ZW
                                   Fax No.                                                        C.I.N. No.
                                                                                                                             U50400CT2019PTC009338.

                                                                        Tax Invoice
    Customer Name:        Bajaj Allianz General Insurance Co Ltd                         Repair Order No.:    SOA2000250
    Customer Address:     Shiv Mohan Bhavan Vidhanshabha Road                      Repair Order Date:   26 - Jun - 20
                                  Pandri Raipur                                                      Invoice Number:      PIA2000275
                                  Raipur, 492001                                                     Invoice Date:
                                                                                                                                    29 - Jun - 20
                                  India
                                                                                                         Model:                  Polo Highline Petrol
    Customer State:        CHATTISGARH/ CG/ 22
                                                                                                         Kms In:                 14340
    GST Regst. No.:         22AABCB5730G1Z7                                               Kms Out:               14341
    Cust PAN/ TIN No.:     AABCB5730G                                                     Service Advisor:
                                                                                                                                    SUNNY KESHRWANI
    VIN:                       MEXJ16605HT067576
                                                                                                         S.A. Mob. No.:         626200022
   Regn. No.:               WB08C3013
   Next Service Due
   Date:
   Order Customer:        SAUMYA RANJAN BISWAL BISWAL MOWA SADDU CPITAL HOME HOUSE-NO131PHASE-01 Raipur, 492001 Mobile No.
                                 : 9981148274
   Demanded Repair (Customer Voice)
     1   FRONT SIDE DAMAGE
     2   LHS DAMAGE
                                                                                  Labor Details
   s.                                                                  Category     SAC       Qty.   Customer  GST Base    Total                 Amount
                         Description                Labor Code
   No.                                                                                                          Share %    Amount     GST                 Incl. Tax
    1   Denting Charges                          66666620       Paid    00998729       1.00    100.00    1,201.20]   216.22               1,417.42
         CGST - 9.00% - 108.11,     SGST - 9.00% - 108.11
    2  Front Bumper Painting                   99999901       Paid     00998729       1.00[     100.00    4,427.90[   797.02               5,224.92
        CGST - 9.00% - 398.51,     SGST - 9.00% - 398.51
   3  Rear Bumper Painting                    99999902       Paid     00998729       1.00[    100.00]    2,581.80    464.72               3,046.52
        CGST - 9.00% - 232.36,     SGST - 9.00% - 232.36
    4  LH Rear Door Painting                   99999908       Paid     00998729       1.00]     100.00    4,427.90    797.02[               5,224.92
        CGST - 9.00% - 398.51,     SGST - 9.00% - 398.51
    5  LH Quarter Panel Painting               99999910       Paid    00998729       1.00]    100.00]    3,647.80]    656.60[               4,304.40
        CGST - 9.00% - 328.3,     SGST - 9.00% - 328.3
        Front Bumper Remove Refit            99999921       Paid     00998729       1.00]     100.00[      500.24|     90.04 [                  590.28
   6
        CGST - 9.00% - 45.02,     SGST - 9.00% - 45.02
                                                                                                                                Total Labor                            19,808.46
                                                      Labor                     Parts                               Rounded off Amount :                   -0.46[
    CGST 9.00 %                                1510.81                      0.00
    SGST 9.00 %                               1510.81                     0.00
                                                     3,021.62
                                                                                                                              Final Amount :                     19,808.00
 Rupees :          NINETEEN THOUSAND EIGHT HUNDRED EIGHT RUPEES AND ZERO PAISA ONLY

 Whether tax is payable in reverse charge?    Yes I No                                                                                     2
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