Ga03ah2217 Supplementary

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Reg. No.

GA03AH2217
Estimate No. BPE22-02135
Sharayu Automobiles
SHARAYU TOYOTA PLOT NO. S - 12, ,COLVALE COLVALE,BARDEZ,NORTH Contact Name : PACIFICA HOTELS A P
GOA,403513
Phone No : 0832-2913340,41,42,43. Contact No .
GSTIN NO : 30AAACM7515P1ZE
Customer Details Vehicle Information Service Information
Customer ID : C21000497 Series : INNOVA Job Type : Customer
Contact No : 9689809099 Full model code : GUN142R-MXMHXX Odometer reading : 39634 kms
Contact Method : VIN No.
:
MBJAB8EMX04428345 App Date & Time :
: : Arrival Date & Time :
Telephone Engine No. 2GD-A542053 29/09/2022 10:00
Fax : Colour Code : SILVER METALLIC / 1D6 :
Estimate Dly Date & Time
: :
Name & Address M/S PACIFICA HOTELS A P Document Date & Time 05/11/2022 11:18
H. NO. 1706/11 DMELLO WADDO
: :
Colour Type Metallic Payment mode
ANJUNA BARDEZ NORTH GOA GOA-403509 : : Cash
Vehicle sale date : 31/08/2021 Return old part : NO
Selling Dealer : GO01B Washing : NO
Insurance Comp : Interior Color BLACK Delivery :
Policy Number : Repair Type : Light Repair
GSTIN : 30AAACN9967E1ZG
Last Service Date RO No. Mileage In QC Remarks of Previous Service
ALL INJECTOR REPLACED UNDER WARRANTY.
19/08/2022 GSJ2205247 32501

null

Code / Part No Description SAC/HSN QTY Labour/Part


Price

Labour Charges

16400MRT Radiator Assy-Replacement 998729 960.00

[ ] Warranty booklet [ ] Steering wheel


88460MRT Cooler Condenser Assy-Replacement 998729 1,396.00
[ ] Tool kit cover
[ ] Jack & Handle [ ] Lock remote
[ ] Spare Wheel [ ] Idol
Part Charges [ ] Wheel Cap _________ [ ] Perfume bottle
[ ] CD _________ [ ] Lighter
[ ] Mat _________
[ ] Others _________
A-08823-80015 BRAKE FLUID 38190010 20 584.00
Document Submitted Insurance
Id Card Driving License
A-08889-80074 SUPER LL COOLANT 38200000 70 1,890.00 Claim Documents Others
I agree to
1,537.00
Terms & Condition
A-16268-0E060 PIPE, WATER BY-PASS 84099941 1
Explanation of estimate
Date : Customer Signature
A-16278-0E030 PIPE WATER BY-PASS 2 87081090 1 4,440.00 I Certify That :
Work has been done to my satisfaction

225.00
Job details & charges explained
A-16281-0E010 HOSE WATER BY-PASS-4 87089900 1
Vehicle in good condition Customer Signature

2205429 Rama Keshav Gaonkar

Contact No. 8956189830 Service Advisor Signature


To experience new level of convenience at your finger tips, download brand new Toyota i-Connect App
All text message :

Labour 2,356.00 PSFU Preference


(Labour & part charges exclusive of taxes) Parts 56,097.00 [ ] Call [ ] SMS [ ] Email
Total 58,453.00 Time :
Terms & Conditions:
1. Customer hereby authorizes the dealer to execute necessary servicing / repairs at customer’s risk and cost, by using all necessary parts and consumable required for the same as per the assessment of the dealer. Pick up and drop off facility, if
available with the dealer, are at the sole risk of the customer. 2. Remarks of service advisor relating to dents and scratches at the time of accepting the vehicle will be final. Dealer shall not be responsible for minor scratches and dents which are not
visible before washing of the vehicle. 3. Dealer will take reasonable care of the vehicle while it is in its custody. However, dealer shall not be held responsible for any loss, damage, theft, accident occurred beyond its reasonable control. Customer
agrees not to hold the dealer responsible for any seizure of the vehicle by any finance company or other authorities done in the presence of police while it is in custody of the dealer. 4. Customer authorizes the dealer to operate/drive the vehicle for
testing in connection with its repair / servicing. 5. Delivery time mentioned in the RO is only indicative. Delivery to be taken within 24 hours after vehicle ready intimation, else customer agrees to pay storage charges @ Rs.200 per day and will be made
only to the authorized person/s on production of RO. 6. If the vehicle after inspection by dealer is not entrusted to service, customer agrees to pay Rs.1000 or 1% of total estimation charges whichever is maximum but not more than Rs.5000. 7. All
charges shall be paid by customer before taking delivery of repaired/serviced after adjusting advance amount, else customer agrees to pay interest on delayed payment and authorizes dealer to exercise lien over vehicle till all dues are cleared. 8. All
disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates 1
Reg. No. GA03AH2217
Estimate No. BPE22-02135
Sharayu Automobiles
SHARAYU TOYOTA PLOT NO. S - 12, ,COLVALE COLVALE,BARDEZ,NORTH Contact Name : PACIFICA HOTELS A P
GOA,403513
Phone No : 0832-2913340,41,42,43. Contact No .
GSTIN NO : 30AAACM7515P1ZE
Customer Details Vehicle Information Service Information
Customer ID : C21000497 Series : INNOVA Job Type : Customer
Contact No : 9689809099 Full model code : GUN142R-MXMHXX Odometer reading : 39634 kms
Contact Method : VIN No.
:
MBJAB8EMX04428345 App Date & Time :
: : Arrival Date & Time :
Telephone Engine No. 2GD-A542053 29/09/2022 10:00
Fax : Colour Code : SILVER METALLIC / 1D6 :
Estimate Dly Date & Time
: :
Name & Address M/S PACIFICA HOTELS A P Document Date & Time 05/11/2022 11:18
H. NO. 1706/11 DMELLO WADDO
: :
Colour Type Metallic Payment mode
ANJUNA BARDEZ NORTH GOA GOA-403509 : : Cash
Vehicle sale date : 31/08/2021 Return old part : NO
Selling Dealer : GO01B Washing : NO
Insurance Comp : Interior Color BLACK Delivery :
Policy Number : Repair Type : Light Repair
GSTIN : 30AAACN9967E1ZG
Last Service Date RO No. Mileage In QC Remarks of Previous Service
ALL INJECTOR REPLACED UNDER WARRANTY.
19/08/2022 GSJ2205247 32501

null

Code / Part No Description SAC/HSN QTY Labour/Part


Price

A-16282-0E010 HOSE WATER BY-PASS-5 87089900 1 225.00

A-16299-0E010 HOSE WATER BYPASS-13 40092100 1 225.00

A-1629B-0E010 HOSE WATER BYPASS 15 87089900 1 225.00 [ ] Warranty booklet [ ] Steering wheel
[ ] Tool kit cover
[ ] Jack & Handle [ ] Lock remote
A-16400-0L521 RADIATOR ASSY 87089100 1 9,548.00 [ ] Spare Wheel [ ] Idol
[ ] Wheel Cap _________ [ ] Perfume bottle
[ ] CD _________ [ ] Lighter
719.00
[ ] Mat _________
A-16711-0L160 SHROUD FAN 87089100 1
[ ] Others _________

Document Submitted Insurance


A-17361-0E010 TUBE, AIR, NO.1 87081090 1 2,818.00
Id Card Driving License
Claim Documents Others

A-52126-YP140 BRACKET, FOG LAMP MOUNTING, 87089900 1 1,524.00 I agree to


LH Terms & Condition
Explanation of estimate
A-52128-YP150 COVER, FR BUMPER HOLE, LH 87081090 1 1,505.00 Date : Customer Signature

I Certify That :

2,488.00
Work has been done to my satisfaction
A-52601-0K020 ABSORBER FR BUMPER 87081090 1
Job details & charges explained
Vehicle in good condition Customer Signature

2205429 Rama Keshav Gaonkar

Contact No. 8956189830 Service Advisor Signature


To experience new level of convenience at your finger tips, download brand new Toyota i-Connect App
All text message :

Labour 2,356.00 PSFU Preference


(Labour & part charges exclusive of taxes) Parts 56,097.00 [ ] Call [ ] SMS [ ] Email
Total 58,453.00 Time :
Terms & Conditions:
1. Customer hereby authorizes the dealer to execute necessary servicing / repairs at customer’s risk and cost, by using all necessary parts and consumable required for the same as per the assessment of the dealer. Pick up and drop off facility, if
available with the dealer, are at the sole risk of the customer. 2. Remarks of service advisor relating to dents and scratches at the time of accepting the vehicle will be final. Dealer shall not be responsible for minor scratches and dents which are not
visible before washing of the vehicle. 3. Dealer will take reasonable care of the vehicle while it is in its custody. However, dealer shall not be held responsible for any loss, damage, theft, accident occurred beyond its reasonable control. Customer
agrees not to hold the dealer responsible for any seizure of the vehicle by any finance company or other authorities done in the presence of police while it is in custody of the dealer. 4. Customer authorizes the dealer to operate/drive the vehicle for
testing in connection with its repair / servicing. 5. Delivery time mentioned in the RO is only indicative. Delivery to be taken within 24 hours after vehicle ready intimation, else customer agrees to pay storage charges @ Rs.200 per day and will be made
only to the authorized person/s on production of RO. 6. If the vehicle after inspection by dealer is not entrusted to service, customer agrees to pay Rs.1000 or 1% of total estimation charges whichever is maximum but not more than Rs.5000. 7. All
charges shall be paid by customer before taking delivery of repaired/serviced after adjusting advance amount, else customer agrees to pay interest on delayed payment and authorizes dealer to exercise lien over vehicle till all dues are cleared. 8. All
disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates 2
Reg. No. GA03AH2217
Estimate No. BPE22-02135
Sharayu Automobiles
SHARAYU TOYOTA PLOT NO. S - 12, ,COLVALE COLVALE,BARDEZ,NORTH Contact Name : PACIFICA HOTELS A P
GOA,403513
Phone No : 0832-2913340,41,42,43. Contact No .
GSTIN NO : 30AAACM7515P1ZE
Customer Details Vehicle Information Service Information
Customer ID : C21000497 Series : INNOVA Job Type : Customer
Contact No : 9689809099 Full model code : GUN142R-MXMHXX Odometer reading : 39634 kms
Contact Method : VIN No.
:
MBJAB8EMX04428345 App Date & Time :
: : Arrival Date & Time :
Telephone Engine No. 2GD-A542053 29/09/2022 10:00
Fax : Colour Code : SILVER METALLIC / 1D6 :
Estimate Dly Date & Time
: :
Name & Address M/S PACIFICA HOTELS A P Document Date & Time 05/11/2022 11:18
H. NO. 1706/11 DMELLO WADDO
: :
Colour Type Metallic Payment mode
ANJUNA BARDEZ NORTH GOA GOA-403509 : : Cash
Vehicle sale date : 31/08/2021 Return old part : NO
Selling Dealer : GO01B Washing : NO
Insurance Comp : Interior Color BLACK Delivery :
Policy Number : Repair Type : Light Repair
GSTIN : 30AAACN9967E1ZG
Last Service Date RO No. Mileage In QC Remarks of Previous Service
ALL INJECTOR REPLACED UNDER WARRANTY.
19/08/2022 GSJ2205247 32501

null

Code / Part No Description SAC/HSN QTY Labour/Part


Price

A-88460-0K381 CONDENSER ASSLY 84159000 1 18,751.00

A-88710-0KB30 TUBE&ACCESSORY ASSY 84159000 1 8,384.00

A-88716-0KR00 TUBE LIQUID NO.1 84159000 1 1,009.00 [ ] Warranty booklet [ ] Steering wheel
[ ] Tool kit cover
[ ] Jack & Handle [ ] Lock remote
[ ] Spare Wheel [ ] Idol
[ ] Wheel Cap _________ [ ] Perfume bottle
[ ] CD _________ [ ] Lighter
[ ] Mat _________
[ ] Others _________

Document Submitted Insurance


Id Card Driving License
Claim Documents Others
I agree to
Terms & Condition
Explanation of estimate
Date : Customer Signature

I Certify That :
Work has been done to my satisfaction

Job details & charges explained


Vehicle in good condition Customer Signature

2205429 Rama Keshav Gaonkar

Contact No. 8956189830 Service Advisor Signature


To experience new level of convenience at your finger tips, download brand new Toyota i-Connect App
All text message :

Labour 2,356.00 PSFU Preference


(Labour & part charges exclusive of taxes) Parts 56,097.00 [ ] Call [ ] SMS [ ] Email
Total 58,453.00 Time :
Terms & Conditions:
1. Customer hereby authorizes the dealer to execute necessary servicing / repairs at customer’s risk and cost, by using all necessary parts and consumable required for the same as per the assessment of the dealer. Pick up and drop off facility, if
available with the dealer, are at the sole risk of the customer. 2. Remarks of service advisor relating to dents and scratches at the time of accepting the vehicle will be final. Dealer shall not be responsible for minor scratches and dents which are not
visible before washing of the vehicle. 3. Dealer will take reasonable care of the vehicle while it is in its custody. However, dealer shall not be held responsible for any loss, damage, theft, accident occurred beyond its reasonable control. Customer
agrees not to hold the dealer responsible for any seizure of the vehicle by any finance company or other authorities done in the presence of police while it is in custody of the dealer. 4. Customer authorizes the dealer to operate/drive the vehicle for
testing in connection with its repair / servicing. 5. Delivery time mentioned in the RO is only indicative. Delivery to be taken within 24 hours after vehicle ready intimation, else customer agrees to pay storage charges @ Rs.200 per day and will be made
only to the authorized person/s on production of RO. 6. If the vehicle after inspection by dealer is not entrusted to service, customer agrees to pay Rs.1000 or 1% of total estimation charges whichever is maximum but not more than Rs.5000. 7. All
charges shall be paid by customer before taking delivery of repaired/serviced after adjusting advance amount, else customer agrees to pay interest on delayed payment and authorizes dealer to exercise lien over vehicle till all dues are cleared. 8. All
disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates 3

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