Invoice Invoice Summary Jammu Automart pvt. Itd. N5203 HYUNDAI CHANNA RAMA NH-1, BYE PASS ROAD, JAMMU Tel: 7006611873 Fax: 7006611873 GST No: 01AADCK3448A1Z9 Bajaj Allianz General Insurance Company Limited Customer ID: C2018070836 Reg. No JK22A2405 Invoice No B202101119 VIN MALA851CLGM450063 Date 21.01.2021 M/s SHAHZAD AHMAD MIR Mileage 34517 R/O no R202100995 shopia srinagar Place of Supply Jammu & Kashmir Payment Credit State Jammu & KashmiPin180015 Mobile No 9596577618 Email Id SHAHZAD@GMAIL.COM 01AABCB5730G1ZB S.No Part/OP code Part Labor Description HSN/SAC Tax% Qty Rate/Unit Cust.Amt Ins.AmttHMI.Amt MOBIS.A Disc Amt Amount Part Invoice 1 86650B4000 COVER-RR BUMPER 8708990 28% 1.001,717.96 1,717.95 0.00 0.00 0.00 0.00 1,717.95 0. 2 8659028000 RETAINER ASSY-BUMPER 8708990 28% 10.0 4.68 46.82 0.00 0.00 0.00 0.00 46.82 COVER MTG 0 0 3 92401B4000 LAMP ASSY-REAR 8512202 18% 1.00 877.12 877.12 0.00 0.00 0.00 0.00 877.12 COMBINATION,LH 0 Labour and Services Labour Invoice 1 A10AABODENLNA Denting/Repairing Charges 998729 18% 1.00 810.00 810.00 0.00 0.00 0.00 810.00 2 A10AAWBBPF13F FR Bumper (Water Borne 998729 18% 1.00 4,865.00 4,865.00 0.00 0.00 0.00 4,865.00 Paint) 3 A10AAWBROL05F Body Panel LH Rr Outer 998729 18% 1.00 4,000.00 4,000.00 0.00 0.00 0.00 4,000.00 (Water Borne Paint) 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 2,641.89 9,675.00 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 9675 0.00 870.75 Observation : SGST @ 9% on Labor value of 9675 0.00 870.75 No Accessory Fitment CGST@9% ON Part Value of 877.12 78.94 0.00 SGST@9% ON Part Value of 877.12 78.94 0.00 Pending Jobs : CGST@14% ON Part Value of 1764.77 247.06 0.00 SGST@14% ON Part Value of 1764.77 247.06 0.00 For Jammu Automart pvt. Itd. Total 3,293.89 11,416.50 Grand Total (Rounded) 14710 (Authorized Signatory ) ---PAGE END--- Jammu Automart pvt. Itd. Gate Pass Customer M/s SHAHZAD AHMAD MIR Reg.No JK22A2405 Date 21.01.2021 G P No G202101119 VIN MALA851CLGM450063 Model BA**A GRAND i10 (P) R/O no R202100995 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---