Original For Recipient Second for transporter Third for

Tax Invoice
supplier

Dealer Code: MP070001 Ref No: SERINV-MP070001-1819- Invoice Date/Time: 16/11/2018 05:36:49 PM
020294 CRN:
Invoice No.: MP07000118020294
Billed To: Ship To:
Dealer Name: AKSHIT AUTO AGENCIES Name: IFFCO TOKIO GEN Name: AKSHIT AUTO AGENCIES
INSURANCE COMPANY LTD
Tele: 7162222888 FAX No: PH: 7162242088 PH 7162222888
Email: akshithonda@gmail.com Email: Email: akshithonda@gmail.com
GSTIN : 23AAQFA1879B1ZL GSTIN Date: GSTIN: 23AAACI7573H1ZK GSTIN: 23AAQFA1879B1ZL
PAN: JVPA02932G PAN: PAN: JVPA02932G
CIN : CIN: CIN:
State : MP
State Code:23 State: State Code: State: MP State Code: 23
Customer Care No: 9039298535
Vehicle Details: Job Card Detail : Place of Supply :
Jobcard No : JC-MP070001-02-
Frame No.: ME4JF50AFJ7120749 Model Name: ACTIVA 5G Name: AKSHIT AUTO AGENCIES
1819-020056
Engine No.: JF50E77120768 Model Code: ACTIVA 5G STD Jobcard Closed Date/Time: Address: 1&2 PATNI COMPLEX PARASIA ROAD
16/11/2018 05:36:43 PM CHHINDWARA Chhindwara MPIndia
Color: PEARL AMAZING
Reg. No.: MP28SE5197 Service Type: ACCIDENT GSTIN: 23AAQFA1879B1ZL
WHITE
Pick & Drop Availed: Sale Date: 30/06/2018
Selling Dealer: AKSHIT AUTO Service KM : 5931 State: MP State Code: 23
Loyalty ID:
AGENCIES

Sr Part No/ Description HSN/SAC Sublet Job Billing Unit Price Qty UoM Total Disco Discount Taxable Amount
No Jobcode Code Type (Rs) Amount unt (Rs) (Rs)
%
1 64305-KWP- COVER 87141090 Paid 725.94 1 No's 725.94 725.94
F00ZZ COMPL FR

2 81131-KWP- COVERIN 87141090 Paid 427.93 1 No's 427.93 427.93

H00ZA NER*NH1*

3 SJ203700 COVER 998729 700 Paid 0.00 1 Hrs 700.00 700.00

COMP., L.
FR.(DENTI
NG
/PAINTING
)

4 SJ202000 FENDER, 998729 400 Paid 0.00 1 Hrs 400.00 400.00

FR.(DENTI
NG
/PAINTING
)

5 SJ203204 OPENING 998729 400 Paid 0.00 1 Hrs 400.00 400.00

& FITTING

Total 2653.87

Sr HSN/SAC Taxable Amount SGST/UTGST CGST IGST

Total Amount
No Code Rate Amount Rate Amount Rate Amount
1 87141090 1153.87 14 161.54 14 161.54 1,476.95

2 998729 1,500.00 9 135.00 9 135.00 1,770.00

Invoice Amount 3246.95
Total Invoice Value (in figures) : 3247 Total Labour/Service Amount 1770.00
Total Invoice Value ( in words): Rupees Three Thousand Two Hundred Fourty Seven Only Total Parts Amount 1476.95
Payment Mode: Cash Total Tax Amount 593.08
If reverse charge applicable, then specify amount of tax: Total Invoice Amount 3246.95

Terms and Conditions: For AKSHIT AUTO AGENCIES

1. All disputes are subject to CHINDWARA Jurisdiction.
2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any
damage
3. Goods once sold will not be taken back. Name of Signatory
4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation
5. All replacements will be subject to our inspection & approval. E. & O. E.
Acknowledgement from customer: Invoice Generated by: RAJA
Customer's Signature Advisor Name:

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 AKSHIT AUTO AGENCIES
GATEPASS
Customer Name: IFFCO TOKIO GEN INSURANCE COMPANY LTD Ref No: SERINV-MP070001-1819-020294
Invoice No.: MP07000118020294
dated 16/11/2018

Registration No.: MP28SE5197 Invoice Amount: 3247 Customer's Signature

Frame No.: ME4JF50AFJ7120749 Jobcard/Order Ref.: JC-MP070001-02-1819-
020056
dated 16/11/2018
Model Name: ACTIVA 5G Gatepass No.& Date: Security In-Charge
Vehicle/ Goods received in good condition and to our satisfaction

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service quality. Thanking you Once Again.

Customer Name: IFFCO TOKIO GEN INSURANCE COMPANY LTD Date : 16/11/2018
Customer Address:
Frame No.: ME4JF50AFJ7120749 Model Name: ACTIVA 5G
Jobcard No: JC-MP070001-02-1819-020056 Reg. No.: MP28SE5197

SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR

NO.
1 Overall Job card opening process [ ] [ ] [ ] [ ] [ ]

2 Overall Service advisor performance [ ] [ ] [ ] [ ] [ ]

3 Overall Workshop facilities [ ] [ ] [ ] [ ] [ ]

4 Overall Quality of service/repair [ ] [ ] [ ] [ ] [ ]

5 Overall Service Delivery [ ] [ ] [ ] [ ] [ ]

ANY OTHER SUGGESTIONS/ COMMENTS:

________________
Customer Signature

INSTANT REDRESSAL OF CONCERN

CRM Remark

CRM Signature Customer Signature

WE APPRECIATE YOUR VALUABLE TIME WHICH YOU HAVE INVESTED IN OUR SERVICE TRACKER. YOUR VALUABLE OPINION AND
CONTINOUS SUPPORT IS OUR INSPIRATION TO SERVE YOU BETTER.