Reg. No.

PB08CH0527

Tax Invoice No./Sales Invoice No. TAX15-00358(Credit)

Bajaj Allianz General Insurance Co. Ltd.

A.N.R Motors Pvt Ltd

A/C

CASTLE TOYOTA
NEAR JALANDHAR KUNJ, KAPURTHALA ROAD
JALANDHAR, PUNJAB,144002

S/O SH KULWAN RAI JAIN H NO.-27 MASTAER TARA SINGH

NAGAR
JALANDHAR CITY JALANDHAR JALANDHAR PUNJABparveen.jain@yahoo.com

CIN No.:
Service Tax No. AACCA9957FSD004
Fax : 0181-2650441

Tax ID : 03071086269
03071086269
:

Series

LST:

MR PARVEEN JAIN

Contact Name:

03071086269

ETIOS LIVA

Full Model Code :

NUK10R-AHMNXX

Job Type

: I12164490
: Customer/Insurance

External Color

WHITE

Repair Type
Delivery Date/Sale Dealer
Reference Document

VIN No.

Engine No.

MBJK4ZBT100035468
1ND-1299312

Job Code / Part

No.

Job Description/Part Name

94171880

Invoice Date and Time

: 14/01/2015 18:19

: Light Repair
: 28/12/2012/JA01A

Mileage In / Ref. Doc. Date

: 30477 kms 05/01/2015

Mileage out / Invoice Date

: 30478 kms 14/01/2015

: BPJ15-00030
14/01/2015 18:20

SA Code + Name

: 1404987 GURPREET RAM

Labour /
Unit Price

Qty.

Fax

Contact Phone:

Customer ID

Telephone

6566565

Policy No :

Phone No : 0181-3011577
CST:

9417188000

Mobile

Mr. PARVEEN JAIN

Discount
%

Amount

Amount
after Discount

Tax Amount
Ser. Tax

VAT

Amount
with Tax

Estimate No. BPE15-00021

Labour Charges
52119PNP

Front Bumper Cover - Paint

3,491.00

52119PRT

Front Bumper Cover - Replacement

390.00

53111PNP

Radiator Grille - Paint

866.00

53111PRT

Radiator Grille - Replacement

53301EBR

6.00

3,281.54

405.60

0.00

3,687.13

390.00

48.20

0.00

438.20

814.04

100.62

0.00

914.65

146.00

146.00

18.05

0.00

164.05

Hood SubAssy - BR

683.00

683.00

84.42

0.00

767.42

53301EPR

Hood SubAssy - PR

4,434.00

4,167.96

515.16

0.00

4,683.12

BNPREP99

OTHERS - BODY & PAINT

REPAIRS

1,950.00

1,950.00

241.02

0.00

2,191.02

50

21.70

1,085.00

0.00

155.16

1,240.16

6.00

6.00

209.46

51.96

266.04

Part Charges
C-08889-80074

SUPER LL COOLANT

A-16400-0N040

RADIATOR ASSY

3,144.00

3,144.00

0.00

449.59

3,593.59

A-52119-0U902

COVER, FR BUMPER L-C

2,119.00

2,119.00

0.00

303.02

2,422.02

A-52536-0D050

RETAINER, FR BUMPER

469.00

469.00

0.00

67.07

536.07

A-53111-0D904

GRILLE,RADIATOR L/CO

535.00

535.00

0.00

76.51

611.51

A-53208-0D070

SUPPORT SUB-ASSY, HO

1,246.00

1,246.00

0.00

178.18

1,424.18

Charges

GURPREETRAM

Labour
Parts
Total
Rounding

)
Authorised by

)
Customer

)
Cashier

G. Total

Terms & Conditions:

1. Customer has understood the price, fees, taxes and charging method of the above items and has made the payment thereafter.
2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer.
3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer.
4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs / servicing, and all the belongings of the customer have been found intact.
5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates.
6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer.
7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice.

Page 1/2

Reg. No. PB08CH0527

Tax Invoice No./Sales Invoice No. TAX15-00358(Credit)

Bajaj Allianz General Insurance Co. Ltd.

A.N.R Motors Pvt Ltd

A/C

CASTLE TOYOTA
NEAR JALANDHAR KUNJ, KAPURTHALA ROAD
JALANDHAR, PUNJAB,144002

S/O SH KULWAN RAI JAIN H NO.-27 MASTAER TARA SINGH

NAGAR
JALANDHAR CITY JALANDHAR JALANDHAR PUNJABparveen.jain@yahoo.com

CIN No.:
Service Tax No. AACCA9957FSD004
Fax : 0181-2650441

Tax ID : 03071086269
03071086269
:

Series

LST:

MR PARVEEN JAIN

Contact Name:

03071086269

ETIOS LIVA

Full Model Code :

NUK10R-AHMNXX

Job Type

: I12164490
: Customer/Insurance

External Color

WHITE

Repair Type
Delivery Date/Sale Dealer
Reference Document

VIN No.

Engine No.

MBJK4ZBT100035468
1ND-1299312

Job Code / Part

No.

Job Description/Part Name

94171880

Invoice Date and Time

: 14/01/2015 18:19

: Light Repair
: 28/12/2012/JA01A

Mileage In / Ref. Doc. Date

: 30477 kms 05/01/2015

Mileage out / Invoice Date

: 30478 kms 14/01/2015

: BPJ15-00030
14/01/2015 18:20

SA Code + Name

: 1404987 GURPREET RAM

Labour /
Unit Price

Qty.

Fax

Contact Phone:

Customer ID

Telephone

6566565

Policy No :

Phone No : 0181-3011577
CST:

9417188000

Mobile

Mr. PARVEEN JAIN

Discount
%

Amount

Amount
after Discount

Tax Amount
Ser. Tax

VAT

Amount
with Tax

Part Charges
A-81130-0D421

UNIT HEAD LAMP RH

2,672.00

2,672.00

0.00

382.10

3,054.10

A-81170-0D421

UNIT HEAD LAMP LH

2,672.00

2,672.00

0.00

382.10

3,054.10

A-88460-0D170

CONDENSER ASSY

10,867.00

10,867.00

0.00

1,553.98

12,420.98

A-90159-60488

SCREW, W/WASHER

34.00

68.00

0.00

9.72

77.72

A-90189-T0014

GROMMET, SCREW

33.00

198.00

0.00

28.31

226.31

11,432.54
25,075.00
36,507.54

1,413.05
0.00
1,413.05

0.00
3,585.74
3,585.74

12,845.59
28,660.74
41,506.33
-0.33

Service Tax @ 12%

: 1,371.90
Educ. Cess on Serv. Tax - 3% : 41.15
Value Added Tax @ 14.30 %, : 3,585.74

Charges

GURPREETRAM

Labour
Parts
Total
Rounding

)
Authorised by

)
Customer

11,960.00
25,075.00
37,035.00

527.46
527.46

)
Cashier

G. Total
Forty-one thousand five hundred six rupees Only

41,506.00

Terms & Conditions:

1. Customer has understood the price, fees, taxes and charging method of the above items and has made the payment thereafter.
2. Customer declares that the repairs/servicing have been rendered by the dealer as per prior indication and to the satisfaction of the customer.
3. Dealer has offered salvage and replaced parts to customer. Unclaimed salvage will be disposed of without any liability and without any further information to the customer.
4. Customer declares that the vehicle is delivered to him by the dealer in the same condition as received from him, along with authorized repairs / servicing, and all the belongings of the customer have been found intact.
5. All disputes shall be subject to exclusive jurisdiction of the courts in the city where this dealer operates.
6. Warranty of the goods is offered to the extent covered under the warranty policy of the manufacturer.
7. Details of invoice should be quoted on all correspondences, advises, challans etc. relating to the invoice.

Page 2/2