Invoice Invoice Summary L R AUTOMOBILES N2215 HYUNDAI NH-65, L R HYUNDAI KAITHAL Tel: 01746-226592 Fax: 01746-226592 GST No: 06AADFL1628A1ZY Bajaj Allianz General Insurance Company Limited Customer ID: C2018120306 Reg. No HR08Z0057 Invoice No B202007761 VIN MALC181RLJM497066 Date 19.12.2020 M/s GAURAV MALIK Mileage 32695 R/O no R202007297 kaithal Place of Supply Haryana Payment Credit State Haryana Pin 136027 Mobile No 9541061005 Email Id kinggauravmalik@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 92401A0500 LAMP ASSY-REAR 8512202 18% 1.001,785.60 1,785.59 0.00 0.00 0.00 0.00 1,785.59 COMBINATION.LH 0 2 87741A0000 GARNISH ASSY-QTR 8708990 28% 1.004460.16 460.15 0.00 0.00 0.00 0.00 460.15 SIDE.LH 0 3 86681A0500 MOULDING ASSY-RR 8708990 28% 1.004449.22 449.21 0.00 0.00 0.00 0.00 449.21 BUMPER SIDE.L 0 4 924852H000 MOUNTING CLIP-REAR 7318299 18% 1.00 52.54 52.54 0.00 0.00 0.00 0.00 52.54 COMBI 0 5 86612A0500 COVER-RR BUMPER LWR 88708990 28% 1.00 1,087.50 1,087.50 0.00 0.00 0.00 0.00 1,087.50 0 Labour and Services Labour Invoice 1 A10AAACREPLNA Accidental Repair Charges 998729 18% 1.00 7,000.00 7,000.00 0.00 0.00 0.00 7,000.00 (Insurance) 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 3,834.99 7,000.00 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 7000 0.00 630.00 Observation : SGST @ 9% on Labor value of 7000 0.00 630.00 No Accessory Fitment CGST@9% ON Part Value of 1838.13 165.43 0.00 SGST@9% ON Part Value of 1838.13 165.43 0.00 Pending Jobs : CGST@14% ON Part Value of 1996.86 279.56 0.00 SGST@14% ON Part Value of 1996.86 279.56 0.00 For L R AUTOMOBILES Total 4,724.97 8,260.00 (Authorized Signatory ) Grand Total (Rounded) 12985 Rupees Twelve Thousand Nine Hundred Eighty Five Rupees Only L R AUTOMOBILES Gate Pass Customer M/s GAURAV MALIK Reg. No HR08Z0057 Date 19.12.2020 G P No G202007687 VIN MALC181RLJM497066 Model GS**B CRETA (D) R/O no R202007297 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 Thank you for making Hyundai a Leader in Customer Service for three years in a row. ---PAGE END---