CELICA AUTOMOBILES PRIVATE LIMITED Original for Recipent GSTIN 19AABCN7686HIZX.CIN No Duplicate for Transpoter MOPAR. Triplicate for Suppli wservide [Statc Codc 19],India-700105 Email ID.crm.servic@celica-fca.com TAX INVOICE Name BILL TO INFO Bajaj Allianz General Insurance Company Limited. Mani Square, 6th Floor, _164, Manicktala Main Road. Premises # 41. Canal Circle road.GSTIN No 19AABCBS730GIZU Address Mani Square Premises, Kolkata -700054, Contact no.: 033- 3021-2900 PAN: AABCB5730G SHIPTOINFO EVEHICLE INFO INVOICE INFO Customer Basundhara Gupta Veh. Reg. No. WB083257 Invoice No. RI00000092200106 GSTIN Model PUNTO MULTIJET Invoice Date 19-09-2020 04:14 PM ACTIVE Address 1 P-293, CIT, CHME-VIM Chassis No. MCA118A4E07044693KLZ KANKURGACHI Kolkata- RO No. SER-RO-0000009-2S-2021-0067 700054 West Bengal [State Code: Engine No. 312885 RO Type BP 19] Address 2 P-293, CIT, CHME-VIM Wrnty Start 31-03-2014 25-08-2020 12:20 PM Visit Date KANKURGACHI Kolkata- 700054 West Bengal [State Code: 19] Email Wrnty End 30-03-2017 Mileage 72451 Phone No. +919874990956 Veh. Color TUSCAN WINE Ser Adv Name DAS JAYANTA Ext Wrnty Start 31-03-2017 Ext Wrnty End 30-03-2019 Ser Adv Phone +919073983589 P/L Labor Description HSN/SAC Codc Issue Type Qty Job Value/ CGST SGST IGST Cess Amount() Code/Part# List Price % % % % Accidental Repair 998714 Paid 23500.00 9.00 9.00 0.00 0.00 27730.00 L 9910327 DENT REPAIR LEFT FRONT Paid 350.00 9.00 9.00 0.00 0.00 413.00 L 5540B07 HEADLAMP - 998714 R.R. 2472.00 8708.99.00 Paid 1931.25. 14.00 14.00 0.00 0.00 P 59089738 REAR BUMPER Paid 4032.03 14.00 14.00 0.00 0.00 5161.00 P 59089727 HOOD BONNET 8708.99.00 FR.MUDGUARD/ Paid 1607.81 14.00 14.00 0.00 0.00 2058.00 P 59089722 8708.99.00 FENDER 2259.00 Paid 1914.41 9.00 9.00 0.00 0.00 P 59089728 HEADLAMP 8512.20.10 Paid 1596.09 14.00 14.00 0.00 0.00 2043.00 P 59089737 FRONT BUMPER 8708.99.00 364.84 14.00 14.00 .0.00 0.00 467.00 59089844 PROTECTION 8708.99.00 Paid P Consumables 295.76 9.00 9.00 0.00 0.00 349.00 CONSUMABLES 34039900 Paid P 0036 392.19 14.00 14.00 0.00 0.00 502.00 LOCK 8708.99.00 Paid 296.00 P 59116292 231.25 14.00 14.00 0.00 0.00 COVERING 8708.29.00. Paid P 59116008 41.53 9.00 9.00 0.00 0.00 98.00 8512.20.10 Paid 2 P 59117489 BULB 9.00 9.00 0.00 0.00 102.00 Paid 86.44 BULB 8512.20.10 0.00 2238.00 P 59063723 2 874.22 14.00 14.00 0.00 GLOW PLUG 8511.90.00 Paid 2259.00 P 59064615 1914.41 9.00 9.00 0.00 0.00 HEADLAMP 8512.20.10 Paid P 59089729 9.00 9.00 0.00 0.00 2124.00 EXTERIOR POLISH Paid 1800.00 LABOR 998714 0510C50 SANITIZE VEHICLE 500.00 9.00 9.00 0.00 0.00 590.00 LABOR 998714 Paid L 0510C50 Recommendations: o LH ORVM,BOTH RR WINDOW REGULATOR.HANDLE, COVERING, RH RR F/LAMP,W.W RESORVER,SHOCKER,LINK ROD, ELASTIC PAD, BREAK SHOE, PAD,WIPER BLADE,FENDER, & QTR LINER, INDICATOR SWITCH & CEILING LAMP NEED REPL Celica # ? 5 Dage 1of3 Inv No.: RI00000092200106 ---PAGE END--- MOPAR. Add:56,EAST TOPSIA ROAD,ARUPOTA,OPPOSITE SCIENCE CITYNEAR PRAGATI MAIDAN PS,KolkataWcs Bengal.Sate CodeCELICA AUTOMOBILESPRIVATE LIMITED At yancervice GSTIN: 19AABCN7686HIZX.CIN No.: FCA-Fiat Cust. Assist. No: 18002095556, Road Slde Assist. No:18002093428,FCA Cust. Assist. Emall: scrvicc.india@fcagroup.comEmuil ID:crm.servicc@cclica-fca.com19],India-700105 TAX INVOICE Name Bajaj Allianz General Insurance Company Limited. BILL TO INFO Address Mani Squarc, 6th Floor, 164, Manicktala Main Road, Premises # 41. Canal Circle road.Mani Square Premiscs, Kolkata 700054, Contact no.: 033- 3021-2900 GSTIN No 19AABCB5730GIZU PAN: AABCB5730G Ship To Info. Customer Basundhara Gupta VEHICLE INFO INVOICE INFO GSTIN Veh. Reg. No. WB083257 Invoice No. RI00000092200106 Address 1 Model PUNTO MULTIJET ACTIVE P-293, CIT, CHME-VIM Invoice Date 19-09-2020 04:14 PM KANKURGACHl Kolkata- Chassis No. MCA118A4E07044693KLZ RO No. SER-RO-0000009-2S-2021-0067 700054 West Bengal [State Engine No. 312885 RO Type BP Code: 19] Address 2 P-293, CIT, CHME-VIM Wrnty Start 31-03-2014 Visit Date 25-08-2020 12:20 PM KANKURGACHI Kolkata- 700054 West Bengal [Statc Code: 19] Email Wrnty End 30-03-2017 Mileage 72451 Phone No. +919874990956 Veh. Color TUSCAN WINE Ser Adv Name DAS JAYANTA Ext Wrnty Start 31-03-2017 Ext Wrnty End 30-03-2019 Ser Adv Phone +919073983589 SUMMARY Particulars Amount() 20304.00 Total Parts Amount 16197.97 Delivery against Cash/Credit Card/D.D ONLY may kindly be drawn in favor of Net Parts Amount 0.00 "CELICA AUTOMOBILES PRIVATE LIMITED" Total Parts Cess Amount 2053.01 Total Parts CGST Amount 0.00 Total Parts IGST Amount 2053.0 Total Parts SGST Amount 30857.00 Total Labor Amount 26150.00 Net Labor Amount 0.00 Total Labor Cess Amount 2353.50 Total Labor CGST Amount 0.00 Total Labor IGST Amount 2353.50 Total Labor SGSTAmount 51161.00 Total Amount 51161.00(+0.00 Grand Total (Rounded Off) Amount in Words: Rupees Fifty One Thousand One Hundred Sixty One Only AS PER THE INVOICE, WORK PERFORMED ON VEHICLE HAS BEEN UP TO MY SATISFACTION AND DULY EXPLAINED TO ME. -105 Henbrized Signatoty) (Customer's Signature and Date) Page2of Inv No.: RI00000092200106 ---PAGE END---