Invoice

Invoice Summary

PATRICIA HOLDINGS PVT LTDN3249

Haridwar Bye Pass Road DDPM tower Dehradun

The New India Assurance Company Limited Tel: 9634001821 Fax: 9634001821

Customer ID: C2018139272 GST No: 05AACCP0423B1ZA

Reg. No UP15CD0003 Invoice No B202104231
M/s ROHIT TYAGI
VIN MALA851DLGM562935 Date 16.06.2021
231, KAKKPUR BHOOMI,. MEERUT
Mileage 98339 R/O no R202103769
State Uttarakhand Pin 248001 Place of Supply Uttarakhand Payment Credit
05AAACN4165C4ZU Mobile No 7895454333 Email Id DPMHYUNDAI.BODYSHOP@GMAIL.COM
S.No Part/OP code Part Labor Description HSN/SAC Tax% Qty Rate/Unit Cust.Amt Ins.Amt HMI.Amt MOBIS.Amt
Disc Amt Amount
Part Invoice N3249G202107809 N3249G202107807 N3249
1 29120B4000 PANEL-SIDE COVER,RH 8708990 28% 1.00 145.32 0.00 145.31 0.00 0.00 0.00 145.31
0
2 86812B4000 GUARD ASSY-FRONT 8708990 28% 1.00 450.78 0.00 450.77 0.00 0.00 0.00 450.77
WHEEL,RH 0
3 54500B4000 ARM COMPLETE-FR 8708990 28% 1.00 1,345.32 0.00 1,345.32 0.00 0.00 0.00 1,345.32
LWR,LH 0
4 64101B4901 CARRIER ASSY-FRONT 8708990 28% 1.00 4,907.82 0.00 4,907.82 0.00 0.00 0.00 4,907.82
END MODULE 0
5 8659028000 RETAINER ASSY-BUMPER 8708990 28% 15.0 4.68 70.24 0.00 0.00 0.00 0.00 70.24
COVER MTG 0 0
6 8777002000 CLIP-W/LINE MOULDING 3926909 18% 6.00 38.98 233.89 0.00 0.00 0.00 0.00 233.89
MTG 9
7 29130B4000 PANEL-SIDE COVER,LH 8708990 28% 1.00 145.32 0.00 145.31 0.00 0.00 0.00 145.31
0
8 66321B4000 PANEL-FENDER,RH 8708990 28% 1.00 834.38 0.00 834.38 0.00 0.00 0.00 834.38
0
9 29110B4500 PANEL-UNDER COVER 8708990 28% 1.00 391.40 0.00 391.39 0.00 0.00 0.00 391.39
FRONT 0
10 86511B4000 COVER-FR BUMPER 8708990 28% 1.00 1,125.78 0.00 1,125.77 0.00 0.00 0.00 1,125.77
0
11 86811B4000 GUARD ASSY-FRONT 8708990 28% 1.00 450.78 0.00 450.77 0.00 0.00 0.00 450.77
WHEEL,LH 0
Labour and Services Labour Invoice N3249G202107808 N3249G202107806 N3249
1 A10AAACREPLNA Accidental Repair Charges 998729 18% 1.00 13,000.00 847.46 12,152.54 0.00 0.00 13,000.00
(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 10,100.97 13,000.00
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 13000 0.00 1,170.00
Observation :
SGST @ 9% on Labor value of 13000 0.00 1,170.00
No Accessory Fitment CGST@9% ON Part Value of 233.89 21.05 0.00
SGST@9% ON Part Value of 233.89 21.05 0.00
Pending Jobs : CGST@14% ON Part Value of 9867.08 1,381.37 0.00
SGST@14% ON Part Value of 9867.08 1,381.37 0.00
NOT OK,AC CONTROL PENAL SWITCH NOT
WORKING SOME TIME,BATTERY REQ.
CHANGE,Radiator support damage

For PATRICIA HOLDINGS PVT LTD

Total 12,905.81 15,340.00
(Authorized Signatory ) Grand Total (Rounded) 28246
Rupees Twenty Eight Thousand Two Hundred Forty Six Rupees Only
 PATRICIA HOLDINGS PVT LTD
Gate Pass
Customer M/s ROHIT TYAGI Reg. No UP15CD0003 Date 16.06.2021
G P No G202104221 VIN MALA851DLGM562935 Model BA**B GRAND i10 (D)
R/O no R202103769
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

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