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: C2018020371 Reg. No HR08W0971 Invoice No B202003276 VIN MALA851ELHM587725 Date 26.06.2020 M/s Sudarshan malik Mileage 58643 R/O no R202003101 kaithalkaithal Place of Supply Haryana Payment Credit State Haryana Pin 136027 Mobile No 8288967628 Email Id SUDARSHAN@gmail.com 06AABCB5730G1Z1 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 N2215G202006037 N2215G202006035 N2215 1 1416004163 REVET-BLIND 7318230 18% 5.00 11.86 0.00 59.27 0.00 0.00 0.00 59.27 0 2 282712A040 INTERCOOLER 8708990 28% 1.00 12,591.40 0.00 12,591.39 0.00 0.00 0.00 12,591.39 0 3 86811B4500 GUARD ASSY-FRONT 8708990 28% 1.00490.62 0.00 490.61 0.00 0.00 0.00 490.61 WHEEL.LH 0 4 29130B4000 PANEL-SIDE COVER,LH 8708990 28% 1.00 145.32 0.00 145.31 0.00 0.00 0.00 145.31 0 5 86527B4510 COVER-FR FOG LAMP 8708990 28% 1.00 547.66 0.00 547.66 0.00 0.00 0.00 547.66 LWR.LH 0 6 86511B4500 COVER-FR BUMPER 8708990 28% 1.001,125.78 0.00 1,125.77 0.00 0.00 0.00 1,125.77 0 7 29110B4500 PANEL-UNDER COVER 8708990 28% 1.00 391.40 0.00 391.39 0.00 0.00 0.00 391.39 FRONT 0 8 64101B4951 CARRIER ASSY-FRONT 8708990 28% 1.00 44,907.82 0.00 4,907.82 0.00 0.00 0.00 4,907.82 END MODULE 0 9 8659028000 RETAINER ASSY-BUMPER 8708990 28% 15.0 4.68 0.00 70.23 0.00 0.00 0.00 70.23 COVER MTG 0 0 10 1864727009K BULB-HALOGEN 8539299 18% 1.00 654.24 0.00 654.24 0.00 0.00 0.00 654.24 0 Labour and Services Labour Invoice N2215G202006036 N2215G202006034 N2215 1 A10AAACREPLNA Accidental Repair Charges 998729 18% 1.00 6,260.00 0.00 6,260.00 0.00 0.00 6,260.00 (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 20,983.69 6,260.00 Coupon Discount 0.00 0.00 Discount 0.00 0.00 AMC Discount 0.00 0.00 CGST @ 9% on Labor value of 6260 0.00 563.40 Observation : SGST @ 9% on Labor value of 6260 0.00 563.40 No Accessory Fitment CGST@9% ON Part Value of 713.51 64.21 0.00 SGST@9% ON Part Value of 713.51 64.21 0.00 Pending Jobs : CGST@14% ON Part Value of 20270.18 2,837.81 0.00 SGST@14% ON Part Value of 20270.18 2,837.81 0.00 For IL R AUTOMOBILES Total 26,787.73 7,386.80 (Authorized Signatory ) Grand Total (Rounded) 34175 ---PAGE END--- L R AUTOMOBILES Gate Pass Customer M/s Sudarshan malik Reg.No HR08W0971 Date 26.06.2020 G P No G202003273 VINI MALA851ELHM587725 Model BA**B GRAND i10 (D) R/O no R202003101 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---