ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01115(Credit) Reg. No. UP70BR7200 Details of Receiver(Billed To) : AIC Invoice Date and Time 31/12/2020 18:58 Sunny Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 339765 kms 31/12/2020 SUNNY TOYOTA Mileage out / Invoice Date 339768 kms 15/54-B,2nd Floor, Virendra Smrati CompIex KANPUR KANPUR NAGAR 31/12/2020 NH2,Rooma Industrial Area, SA Code + Name 1606282 ROHIT KUMAR UTTAR PRADESH 208001 Rooma,Kanpur, UP-208007 Customer ID 111130308 GSTIN 09AABCB5730G1ZV Job Type Customer/Insurance State Code 09 Reg. Office: Sahu Theatre Policy No : Repair Type Superlight Repair Building,Hazratganj. Delivery Date/Sale Dealer 19/12/2011/AL01A Details of Consignee(Shipped To) : Mr. SHIVAKANT PANDEY . Mobile 9450184349 Reference Document BPJ20-02804 Lucknow,UP-226001 Service 31/12/2020 18:59 Appointment: 18001234404 A- 159 MEHDAURI COLONY UTTAR PRADESH 2568434 Telephone Series ETIOS LIVA ALLAHABAD ALLAHABAD TRIVENI MARG 211002 Fax 2568434 Full Model Code CIN No.: U50401UP1999PTC1 NUK10R-AHMNXX GSTIN External Color SYMPHONY SILVER Phone No : 0512-3017600 GSTIN shivkant054@rediffmail.com State Code VIN No. MBJK49BT000007466 09AAECS9247G1ZZ Policy No : Engine No. 1ND-1217614 State Code :09 Place of Supply UTTAR PRADESH Contact Name: mr. shiva kant Contact Phone: 9936521452 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name Estimate No. BPE20-02998 BUILT TOYOTA SERVICE TRUST QDR Quality Revolution Labour Charges 1 52119PNP Front Bumper 998729 3,486.00 3,486.00 9 9| 0 313.74 313.74 0.00 4,113.48 Cover - Paint 2 52119PRT Front Bumper 998729 465.00 465.00 9 9 0 41.85 41.85 0.00 548.70 Cover - Replacement 3 56111GRT Windshield Glass - 998729 1,453.00 1,453.00 9 9 0 130.77 130.77 0.00 1,714.54 Replacement 4 BNPREP99 OTHERS - BODY & 998729 2,100.00 2,100.00 9 9 0 189.00 189.00 0.00 2,478.00 PAINT REPAIRS 5 - 02 pcs. selant 0 0.00 0.00 0.00 glue@2100/- Part Charges 6 A-52119-0U90 COVER,FR 870810 1 N 2,286.00 2,286.00 14 14 0 320.04 320.04 0.00 2,926.08 2 BUMPER L-C 90 7 A-52127-0D91 COVER, FR 870810 1 N 162.00 162.00 14 14 0 22.68 22.68 0.00 207.36 4 BUMPER HOL 90 8 A-52161-0K04 PIECE,RR 870810 6 N 83.00 498.00 1414 0 69.72 69.72 0.00 637.44 0 BUMPER 90 Terms & Conditions: 1. Customer has understood the price, fees, ll applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 1/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01115(Credit) Reg. No. UP70BR7200 Details of Receiver(Billed To) : AIC Invoice Date and Time 31/12/2020 18:58 Sunny Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 339765 kms 31/12/2020 SUNNY TOYOTA Mileage out I Invoice Date 339768 kms 15/54-B,2nd Floor, Virendra Smrati CompIex KANPUR KANPUR NAGAR 31/12/2020 NH2,Rooma Industrial Area, SA Code + Name 1606282 ROHIT KUMAR UTTAR PRADESH 208001 Rooma,Kanpur, UP-208007 Customer ID 111130308 GSTIN 09AABCB5730G1ZV Job Type Customer/Insurance State Code 09 Reg. Office: Sahu Theatre Policy No : Repair Type Superlight Repair Building,Hazratganj. Delivery Date/Sale Dealer 19/12/2011/AL01A Details of Consignee(Shipped To) : Mr. SHIVAKANT PANDEY . Mobile 9450184349 Reference Document BPJ20-02804 Lucknow,UP-226001 Service 31/12/2020 18:59 Appointment: 18001234404 A- 159 MEHDAURI COLONY UTTAR PRADESH 2568434 Telephone Series ETIOS LIVA ALLAHABAD ALLAHABAD TRIVENI MARG 211002 Fax 2568434 Full Model Code CIN No.: U50401UP1999PTC1 NUK10R-AHMNXX GSTIN External Color SYMPHONY SILVER Phone No : 0512-3017600 GSTIN shivkant054@rediffmail.com State Code VIN No. MBJK49BT000007466 09AAECS9247G1ZZ Policy No : Engine No. 1ND-1217614 State Code :09 Place of Supply UTTAR PRADESH Contact Name: mr. shiva kant Contact Phone: 9936521452 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Description/Part HSN Unit Price Value with Tax Part No. % Amount CGSTSGST IGST CGST SGST IGST Name PartCharges 9 A-56101-0D21 GLASS SUB-ASSY, 700711 N 3,492.00 3,492.00 9 9C oyo 314.28 314.28 0.00 4,120.56 WIND 00 TOYOTA SERVICE 0 JTRUST QDI Quality Revolution 10 A-56117-5013 DAM, WINDOW 870810 1 N 800.00 800.00 14 14 0 112.00 112.00 0.00 1,024.00 0 GLASS 90 11 A-90159-6060 SCREW, 731811 4 N 33.00 132.00 9 9 0 11.88 11.88 0.00 155.76 3 W/WASHER 10 12 A-90467-0513 CLIP 392350 2 N 117.00 234.00 14 14 0 32.76 32.76 0.00 299.52 8 90 13 A-90467-1018 CLIP 392350 2 N 45.00 90.00 14 14 0 12.60 12.60 0.00 115.20 3 90 14 Z-PNT01-MET Paint 3208 79 21.88 1,728.52 9 9 0 155.57 155.57 0.00 2,039.65 01 Material-Metallic(10 gms) Central GST for Labour @ 9% : 675.36 State GST for Labour @ 9% : 675.36 Central GST for LUB Parts @ 9% : 481.73 Central GST for Parts @ 14% : 569.80 State $GST for LUB Pafts @ 9% : 481.73 State $GST for Parts @14% : 569.80 IRN NO: This Body & Paint Job Warranty Valid Up To 1p,000 Km & 6Month Which Ever Is Come First., chandan bajaj Terms & Conditions: 1. Customer has understood the price, fees, ll applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has ffered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all the belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 2/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END--- ORIGINAL FOR RECIPIENT 0 DUPLICATE FOR TRANSPORTER TRIPLICATE FOR SUPPLIER TOYOTA Tax Invoice No. INX20-01115(Credit) Reg. No. UP70BR7200 Details of Receiver(Billed To) : A/C Invoice Date and Time 31/12/2020 18:58 Sunny Motors Pvt Ltd Bajaj Allianz General Insurance Co. Ltd. Mileage In I Ref. Doc. Date 339765 kms 31/12/2020 SUNNY TOYOTA Mileage out / Invoice Date 339768 kms 15/54-B,2nd Floor, Virendra Smrati Complex KANPUR KANPUR NAGAR 31/12/2020 NH2,Rooma Industrial Area, SA Code + Name 1606282 ROHIT KUMAR UTTAR PRADESH 208001 Rooma,Kanpur, UP-208007 Customer ID 111130308 GSTIN 09AABCB5730G1ZV Job Type Customer/Insurance State Code 09 Reg. Office: Sahu Theatre Policy No : Repair Type Superlight Repair Building, Hazratganj. Delivery Date/Sale Dealer 19/12/2011/AL01A Details of Consignee(Shipped To) : Mr. SHIVAKANT PANDEY . Mobile 9450184349 Reference Document BPJ20-02804 Lucknow,UP-226001 Service 31/12/2020 18:59 Appointment: 18001234404 A- 159 MEHDAURI COLONY UTTAR PRADESH 2568434 Telephone Series ETIOS LIVA ALLAHABAD ALLAHABAD TRIVENI MARG 211002 Fax 2568434 Full Model Code CIN No.: U50401UP1999PTC1 NUK10R-AHMNXX GSTIN External Color SYMPHONY SILVER Phone No : 0512-3017600 GSTIN 09AAECS9247G1ZZ shivkant054@rediffmail.com State Code VIN No. MBJK49BT000007466 Policy No : Engine No. 1ND-1217614 State Code :09 Place of Supply UTTAR PRADESH Contact Name: mr. shiva kant Contact Phone: 9936521452 SI.No Job SACI Qty. Labour I Discount Taxable Tax Rate (%) Tax Amount Amount Job Code I UOM Part No. Description/Part HSN Unit Price Value with Tax Name % Amount CGSTSGST IGST CGST SGST IGST SAFE|TY NOTE-:- Please use originally equipped 'single floor mat on driver side with its retention clip installed for safe driving...! Please take appointment for prioritized service @ 1800.1234 404 JTRUST Pls Give your valuablp feedback to us @]9918101598 ROHITKUMAR Charges Labour 7,504.00 7,504.00 675.36 675.36 8,854.72 Parts 9,422.52 9,422.52 1,051.53 1,051.53 11,525.57 Total 16,926.52 16,926.52 1,726.89 1,726.89 20,380.29 ) ( ) ( Rounding -0.29 Authorised by Customer Cashier G. Total 20,380.00 Twenty thousand three hundred eighty rupees Only Terms & Conditions: 1. Customer has understood the price, fees, all applicable taxes and charging method of the above items and has made the payment thereafter. 2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer. 3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer. 4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs I servicing, and all he belongings of the customer have been found intact. 5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates. 6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer. Page 3/3 7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice. ---PAGE END---