Invoice WHYUNDAI Invoice Summary M/s Sarweshwari Enterprises Tel: 999999999 GST No : 23ACLFS2632R1ZM Bajaj Allianz General Insurance Company Limited Reg No UP64AK0918 Invoice No B202100086 Customer ID: C2019120014 VIN MALA851CLKM023555 Date 11.01.2021 Mileage 9,234 R/O No R202100021 Mr Sumit Kumar Place of Supply Madhya Pradesh Payment Cash Bhagat Singh Colony , Singrauli Mobile No State Madhya Pradesh 23AABCB5730G1Z5 S. N Part/OP Code Part/Labour Description HSN/SAC Tax % Qty Rate/Unit Cust Amt Ins. Amt HMI AmtMOBIS.A Disc Amt Amount Part Invoice W5515G202100098 W5515G202100096 W5515 1 25310B2400 RADIATOR ASSY 87089900 28% 1 3112.91 0.00 3112.91 0.00 0.00 0.00 3112.91 2 25414B4100 HOSE ASSY-RADIATOR,UPR 87089900 28% 1 196.34 0.00 196.34 0.00 0.00 0.00 196.34 3 29110B4000 PANEL ASSY-UNDER 87089900 28% 1 431.57 0.00 431.57 0.00 0.00 0.00 431.57 COVER,FRT 4 64101B4951 CARRIER ASSY-FRONT END 87089900 28% 1 4907.28 0.00 4907.28 0.00 0.00 0.00 4907.28 MODULE 5 97775B4000 TUBE ASSY-SUCTION & 87089900 28% 1 4682.47 0.00 4682.47 0.00 0.00 0.00 4682.47 LIQUID Labour Invoice W5515G202100097 W5515G202100095 W5515 1 A10AARFBPF13R FRONT BUMPER R & R 998729 18% 1 430.00 0.00 430.00 0.00 0.00 0.00 430.00 2 A10AARFRSF13R CARRIER REPLACEMENT 998729 18% 1 1200.00 0.00 1200.00 0.00 0.00 0.00 1200.00 CHARGE 3 A10AARFACG13R A C SYSTEM 998729 18% 1 1500.00 0.00 1500.00 0.00 0.00 0.00 1500.00 Part Amount Labour Amount Sub Total 13330.57 3130.00 Coupon Discount 0 Discount 0.00 CGST @14% ON Part Value of 13370.57 1871.88 SGST @14% ON Part Value of 13370.57 1871.88 CGST @9% ON Part Value of 0.00 0.00 SGST @9% ON Part Value of 0.00 0.00 Observation : CGST @9% ON Labour Value of 3130.00 281.7 SGST @9% ON Labour Value of 3130.00 281.7 No Acessory Fitment Pending Jobs: For Sarweshwari Enterprises Total 17074.33 3693.40 Grand total (Rounded) 20767.00 (Authorized Signatory) Rupees Twenty Thousand Seven Hundred Sixty Seven Only M/s Sarweshwari Enterprises Gate Pass Customer: Mr Sumit Kumar Reg No: UP64AK0918 Date 11.01.2021 G.P No: G202100089 VIN MALA851CLKM023555 Model Grand i10 Sportz 1.2 R/O No R202100021 Vehicle has been received from workshop and work done as per my satisfaction Payment received from Customer Vehicle permitted to leave workshop ---PAGE END---