Jubilant Sports Cars Private Limited C Audi Mumbai South, Das Compound, 34 IUBIANT Nesbit Road, Next to Mazgaon Court, SPORTSCARS MazgaonMumbai, 400010 E-Mail customer.first@audimumbaisouth. State Code MAHARASHTRAI MH/ 27 co.in Phone No. 022 66128000 GST Regst. No. 27AADCJ6047L1Z8 Fax No. C.i.N. No. U50102KA2015PTC121594 Tax Invoice Customer Name: Mr.VIJAY LAKOTIA Repair Order No.: SOB2000124 Customer Address: S.NO. 28/10.VANDRE POST,PADGHA,TAL.BHIWANDI Repair Order Date: 20 - Jun - 20 DIST.THANE Invoice Number: PIB2000388 Bhiwandi, In-421302 Invoice Date: 13 - Jul - 20 India Model: Audi A3 35 TDI Limousine E % J Customer State: MAHARASHTRA/ MH/ 27 Kms In: 68229 GST Regst. No.: E Kms Out: 68236 Cust PAN/ TIN No.: Service Advisor: Kunal Khanna VIN: WAUZFF8V3FY701972 3 S.A. Mob. No.: 7506356479 LARR Regn. No.: MH04HF9959 Next Service Due Date: GST Customer Type Unregistered Demanded Repair (Customer Voice) 1 ACCIDENT REPAIR AS PER ESTIMATE 2 INSURANCE COMPANY :- BAJAJ ALLIANZ 3 SURVEYOR NAME :- NAUSHAD ALI 4 POLICY NO. :- OG201901180100016317 5 REPLACE & PAINT FRONT BUMPER 6 REPLACE BOTH HEADLIGHT 7 REPLACE FENDER & PAINT 8 REPLACE FRONT LHS DOOR & PAINT 9 REPLACE CONDENSOR, CARRIER Labor Details s. Category Qty. Customer GST Base Total Amount Description Labor Code SAC tnci. Tax No. Share % Amount GST 1 Package (Interior & Exterior Potish) 00000001 Paid 00998729 1.00] 100.00 10,620.00 1,911.60[ 12,531.60 CGST - 9.00% - 955.8, SGST - 9.00% - 955.8 2 Gff/Guided Functions 01500002 Paid 00998729 1.00 100.00[ 1,250.00 225.00] 1,475.00 CGST - 9.00% - 112.5, SGST - 9.00% - 112.5 3 Roadside assistance . 01960000 Paid 00998729 1.00 100.00[ 2,415.25| 434.74[| 2,849.99 CGST - 9.00% - 217.37, SGST - 9.00% - 217.37 4 Lock carrier replace 50385550 Paid. 00998729 1.00] 100.00] 8,085.01_1,455.30 9,540.31 CGST - 9.00% - 727.65, SGST - 9.00% - 727.65 5 Mudwing front replace 50555550 Paid 00998729 1.00 100.00] 2,655.00] 477.90[ 3,132.90 CGST - 9.00% - 238.95, SGST - 9.00% - 238.95 6 Mudwing front paint. 50557903 Paid 00998729 1.00] 100.00[ 7,755.00] 1,395.90 9,150.90 CGST - 9.00% - 697.95, SGST - 9.00% - 697.95 7 Lh Front Door Paint 55221194 Paid 00998729 1.00 100.00[ 10,974.00 1,975.32 12,949.32 CGST - 9.00% - 987.66, SGST - 9.00% - 987.66 8 Front left door replace 58295550 Paid.. 00998729 1.0011 100.00 6,372.00] 1,146.96 7,518.96 CGST - 9.00% - 573.48, SGST - 9.00% - 573.48 9 Front bumper replace 63105550 Paid 00998729 1.00[ 100.00 3,717.00] 669.06| 4,386.06 CGST - 9.00% - 334.53, SGST - 9.00% - 334.53 10 Painting Front Bumper 63296199 Paid 00998729 1.00 100.00[ 9,027.00 1,624.86 10,651.86 CGST - 9.00% - 812.43, SGST - 9.00% - 812.43 11[Refrigerant Drained+Filled 87031700 Paid 00998729 1.00 100.00[ 1,485.00[ 267.30[ 1,752.30] ---PAGE END--- Jubilant Sports Cars Private Limited C Audi Mumbai South, Das Compound, 34 JUBIANT Nesbit Road, Next to Mazgaon Court, SPORTSCARS MazgaonMumbai, 400010 E-Mait customer.first@audimumbaisouth. State Code MAHARASHTRA/ MH/ 27 co.in Phone No. 022 66128000 GST Regst. No. 27AADCJ6047L1Z8 Fax No. C.I.N. No. U50102KA2015PTC121594 Labor Details s. Qty. Customer GST Base Total Amount Description Labor Code Category SAC No. Share % Amount. GST Inci. Tax. CGST - 9.00% - 133.65, SGST - 9.00% - 133.65 12 Condenser remove+reinstall 87501950 Paid 00998729 1.00 100.00] 3,000.00] 540.00 3,540.00 CGST - 9.00% - 270, SGST - 9.00% - 270 13 WWS reservoir remove+reinstall 92601950 Paid 00998729 1.00 100.00[ 2,832.00 509.76| 3,341.76[ CGST - 9.00% - 254.88, SGST - 9.00% - 254.88 14 [Headlight replace 94155551 Paid 00998729 1.00[ 100.00] 973.00[ 175.14| 1,148.14 CGST - 9.00% - 87.57, SGST - 9.00% - 87.57 15 [Headlight replace 94155552 Paid 00998729 1.00] 100.00] 973.00 175.14[ 1,148.14 CGST - 9.00% - 87.57. SGST - 9.00% - 87.57 16 Ozone Fumigation (BP) LP10015 Paid 00998729 1.00[ 100.00[ 2,552.00 459.36] 3,011.36 CGST - 9.00% - 229.68, SGST - 9.00% - 229.68 Total Labor 88,128.60 Parts Details s. Qty. Unit Customer GST Base Totaf Amount Description Part No. Category HSN No. Price Share % Amount. GST Incl. Tax 1 CONNECTOR 000979940 Paid 87089900 6.00 207.81 100.00 1,246.88} 349.12 1,596.00] CGST - 14.00% - 174.56, SGST - 14.00% - 174.56 2 CONNECTOR 000979940 Paid 87089900 3.00 207.81] 100.00] 623.44[ 174.56] 798.00 CGST - 14.00% - 87.28, SGST - 14.00% - 87.28 3 CABLE 000979981B Paid 85443000 0.10] 1,173.73 100.00 117.37 21.12| 138.49 CGST - 9.00% - 10.56, SGST - 9.00% - 10.56 4 COVER 1K0955455 Paid 87089900 1.00| 371.88| 100.00[ 371.88[ 104.12 476.00 CGST - 14.00% - 52.06, SGST - 14.00% - 52.06 5 WASHER 3D0260749C Paid 73182200 1.00[ 58.47] 100.00 58.47] 10.52 68.99 CGST - 9.00% - 5.26, SGST - 9.00% - 5.26 6 UNDERRUN 3Q0825902B Paid 87089900 1.0031,281.25] 100.00 31,281.25] 8,758.76 40,040.01 CGST - 14.00% - 4,379.38. SGST - 14.00% - 4,379.38 7 PLUG 4B0837491B Paid. 39269099 1.00] 104.24{ 100.00 104.24[ 18.76 123.00 CGST - 9.00% - 9.38, SGST - 9.00% - 9.38 8 WASHER 4D0260749B Paid 73182200 1.00] 72.03] 100.00 72.03| 12.96| 84.99 CGST - 9.00% - 6.48, SGST - 9.00% 6.48 9 CONDENSER 5Q0816411BF Paid 84159000 1.00[20,130.47] 100.00| 20,130.47 5,636.54[ 25,767.01[ CGST - 14.00% - 2,818.27, SGST - 14.00% - 2,818.27 5Q0919275C 10 Sensor Paid 90328990 1.00 5,788.98 100.00 5,788.98| 1,042.02] 6,831.00 GRU CGST - 9.00% - 521.01, SGST - 9.00% - 521.01 11 WATER RES. 5Q0955453R Paid 87089900 1.00 3,496.09 100.00] 3,496.09] 978.90] 4,474.99] CGST - 14.00% - 489.45. SGST - 14.00% - 489.45 12|sTiCKER 8K0010520A Paid 39199090 1.00 392.37[ 100.00] 392.37[ 70.62[ 462.99[ CGST - 9.00% - 35.31, SGST - 9.00% - 35.31 13 |nAMe Plate 8N0853601A Paid 39269099 1.00 2,987.29] 100.00] 2,987.29| 537.72] 3,525.01 CGST - 9.00% - 268.86, SGST - 9.00% - 268.86 14 [sTICKER 8V0010515A Paid. 39199090 1.00[ 204.24] 100.00[ 204.24| 36.76[ 241.00 CGST - 9.00% - 18.38, SGST - 9.00% - 18.38 15 |Att.SEt 8V0098619B Paid. 87089900 1.00[ 6,556.25 100.00 6,556.25| 1,835.76| 8,392.01 CGST - 14.00% - 917.88, SGST - 14.00% - 917.88 ---PAGE END--- Jubilant Sports Cars Private Limited C Audi Mumbai South, Das Compound, 34 [UBIANT Nesbit Road, Next to Mazgaon Court, SPORTSCARS MazgaonMumbai, 400010 E-Mail customer.first@audimumbaisouth. State Code MAHARASHTRA/ MH/ 27 co.in Phone No. 022 66128000 GST Regst. No. 27AADCJ6047L1Z8 Fax No. C.I.N. No. U50102KA2015PTC121594 Parts Details s. Unit Customer GST Base Total Amount Description Part No. Category HSN Qty. No. Price Share % Amount GST Inct. Tax 16 PARTS KIT 8V0098623A Paid 87089900 1.00 5,089.06| 100.00 5,089.06] 1,424.94 6,514.00] CGST - 14.00% - 712.47, SGST - 14.00% - 712.47 17 MOUNT KIT 8V0098625A Paid 87089900 1.00] 1,953.13] 100.00 1,953.13[ 546.88 2,500.01 CGST - 14.00% - 273.44 SGST - 14.00% - 273.44 18 AIR DUCT 8V0121283 Paid 87089900 1.00| 913.28 100.00] 913.28 255.72] 1,169.00 CGST - 14.00% - 127.86, SGST - 14.00% - 127.86 19 AIR DUCT 8V0121284 Paid 87089900 1.00 913.28] 100.00 913.28 255.72| 1,169.00[ CGST - 14.00% - 127.86, SGST - 14.00% - 127.86 20 AIR DUCT 8V0121285 Paid 87089900 1.00 470.31] 100.00] 470.31] 131.68 601.99] CGST - 14.00% - 65.84, SGST - 14.00% - 65.84 21 CARRIER 8V0805588 Paid 87089900 1.00[20,492.97 100.00 20,492.97 5,738.04 26,231.01 CGST - 14.00% - 2,869.02, SGST - 14.00% - 2,869.02 22 BEAM 8V08071098 Paid 87089900 1.0019,220.31 100.00[ 19,220.31 5,381.68 24,601.99 CGST - 14.00% - 2,690.84. SGST - 14.00% - 2,690.84 23 SUPPORT 8V0821135A Paid 87089900 1.00 2,500.00] 100.00 2,500.00 700.00] 3,200.00 CGST - 14.00% - 350, SGST - 14.00% - 350 24|HOOK 8V0823485 Paid 87089900 1.00[ 1,567.19 100.00 1,567.19[ 438.82[ 2,006.01 CGST - 14.00% - 219.41, SGST - 14.00% - 219.41 25HEADLAMP 8V0941043D Paid 85122020 1.00445,182.21 100.00 45,182.21 8, 132.80 53,315.01] CGST - 9.00% - 4,066.4, SGST - 9.00% - 4.066.4 26 HEADLAMP 8V0941044D Paid 85122020 1.00|45,182.21 100.00 45,182.21 8,132.80| 53,315.01 CGST - 9.00% - 4,066.4, SGST - 9.00% - 4,066.4 27 FOG LAMP 8V0941699D Paid 85122020 1.00 6,294.07 100.00 6,294.07 1,132.94] 7,427.01 CGST - 9.00% - 566.47, SGST - 9.00% - 566.47 28 [HORN 8V0951209A Paid 85123010 1.00[ 4,391.53 100.00 4,391.53 790.48[ 5,182.01] CGST - 9.00% - 395.24, SGST - 9.00% - 395.24 29 |CYLINDER 8V0955101 Paid 87089900 1.00 5,767.97] 100.00 5,767.97] 1,615.04 7,383.01[ CGST - 14.00% - 807.52 SGST - 14.00% - 807.52 30[FOAM INSER 8V3807550B Paid 87089900 1.00 3,499.22] 100.00] 3,499.22 979.78| 4,479.00] CGST - 14.00% - 489.89, SGST - 14.00% - 489.89 8V3807681G 31GRILL Paid 87089900 1.00[12,114.06] 100.00 12,114.06 3,391.94[ 15,506.00 989 CGST - 14.00% - 1,695.97, SGST - 14.00% - 1,695.97 8V5807065J 32|COVER Paid 87089900 1.00[58,542.97 100.00| 58;542.97 16,392.04 74,935.01 GRU CGST - 14.00% - 8,196.02 SGST - 14.00% - 8,196.02 33 GUIDE 8V5807183 Paid 87089900 1.00[ 969.53[ 100.00 969.53| 271.46| 1,240.99 CGST - 14.00% - 135.73, SGST - 14.00% - 135.73 34 PLATE 8V5807233A Paid 87089900 1.00 4,370.31[ 100.00 4,370.31 1,223.68 5,593.99[ CGST - 14.00% - 611.84, SGST - 14.00% - 611.84 8V5807647 35 [GRILLE Paid 87089900 1.00 4,089.06 100.00 4,089.06 1,144.94 5,234.00 9B9 CGST - 14.00% - 572.47. SGST - 14.00% - 572.47 36 |FENDER 8V5821105A Paid 87089900 1.00[21,156.25 100.00 21,156.25| 5,923.76 27,080.01 CGST - 14.00% - 2,961.88, SGST - 14.00% - 2,961.88 37. WHEEL HOUS 8V5821171G Paid 87089900 1.00 4,329.69 100.00 4,329.69 1,212.32[ 5,542.01 CGST - 14.00% - 606.16. SGST - 14.00% - 606.16 ---PAGE END--- Jubilant Sports Cars Private Limited C0 Audi Mumbai South, Das Compound, 34 IUBIANT Nesbit Road, Next to Mazgaon Court, SPORTSCARS MazgaonMumbai, 400010 E-Mail customer.first@audimumbaisouth.State Code MAHARASHTRA/ MH/ 27 co.in Phone No. 022 66128000 GST Regst. No. 27AADCJ6047L.1Z8 Fax No. C.I.N. No. U50102KA2015PTC121594 Parts Details s. Unit Customer GST Base Total Amount Description Part No. Category HSN Qty. No. Price Share % Amount GST Incl. Tax 38 BRACKET 8V5821471A Paid 87089900 1.00 678.13] 100.00 678.13 189.88] 868.01 CGST - 14.00% - 94.94, SGST - 14.00% - 94.94 39 DOOR 8V5831051D Paid. 87082900 1.00|59,653.91 100.00 59,653.91[16,703.10] 76,357.01 CGST - 14.00% - 8,351.55, SGST - 14.00% - 8,351.55 40 CHECK ROD 8V5837249 Paid 87089900 1.00[ 2,607.81 100.00 2,607.81 730.18| 3,337.99 CGST - 14.00% - 365.09 SGST - 14.00% - 365.09 41 SEAL 8V5837911C Paid 40169390 1.00[ 4,090.68 100.00] 4,090.68 736.32 4,827.00 CGST - 9.00% - 368.16, SGST - 9.00% - 368.16 8V5853651 42 GRILLE Paid 87089900 1.00[31,792.19] 100.00 31,792.19] 8,901.82 40,694.01 T94 CGST - 14.00% - 4,450.91. SGST - 14.00% - 4,450.91 8V5955275A 43 CAP Paid 87089900 1.00 2,082.81 100.00 2,082.81 583.18| 2,665.99] GRU CGST - 14.00% - 291.59, SGST - 14.00% - 291.59 44 BONDAGENT D 355205A2 Paid 34029099 1.00] 2,026.27 100.00 2,026.27] 364.72 2,390.99 CGST - 9.00% - 182.36, SGST - 9.00% - 182.36 45 OIL REFRIG G 052300A2 Paid. 34039900 0.10 6,067.80 100.00] 606.78 109.22 716.00] CGST - 9.00% - 54.61, SGST - 9.00% - 54.61 46 A/C GAS L130112 Paid 34013090 1.00] 972.88 100.00] 972.88 175.12] 1.148.00 CGST - 9.00% - 87.56, SGST - 9.00% - 87.56 47 TIE WRAP N 0209022 Paid 39269099 7.00] 20.34[ 100.00 142.37] 25.62[ 167.99] CGST - 9.00% - 12.81, SGST - 9.00% - 12.81 5,60,418.5 Total Parts 5 Total Parts And Labor : 6,48,547.15 Labor Parts Rounded off Amount : -0.15 CGST 9.00 % 6721.67 10675.25 SGST 9.00 % 6721.67 10675.25 CGST 14.00 % 0.00 45987.18 SGST 14.00 % 0.00 45987.18 13,443.34 1,13,324.86 Final Amount : 6,48,547.00 Rupees : SIX LAKH FORTY EIGHT THOUSAND FIVE HUNDRED FORTY SEVEN RUPEES AND ZERO PAISA ONLY Whether tax is payable in reverse charge? Yes I No ---PAGE END--- Jubilant Sports Cars Private Limited C Audi Mumbai South, Das Compound, 34 IUBIANT Nesbit Road, Next to Mazgaon Court, SPORTSCARS MazgaonMumbai, 400010 E-Mail customer.first@audimumbaisouth. State Code MAHARASHTRA/ MH/ 27 co.in Phone No. 022 66128000 GST Regst. No. 27AADCJ6047L1Z8 Fax No. C.i.N. No. U50102KA2015PTC121594 Remarks Area (Safety related)/ Advice for Future Repair FRONT BUMPER, BOTH HEADLIGHT,CONDENSOR, CARRIER, LHS DOOR, LHS FENDER HAS BEEN REPLACED. I Agree to pay the above amount. Certify that I have taken trial and delivery of the vehicle and I am satisfied of the work done. Received all old parts Customer Signature Dealer Authorized Signature WENAN 2 CRRS ---PAGE END---