EVM Passenger Cars (i) Pvt Ltd.

NH Byepass Venpalavattom
Anayara P.O. Thiruvananthapuram,
AnayaraThiruvananthapuram, 695029
E-Mail info@vw-evmcars.co.in State Code KERALA/ KL/ 32
Phone No. 4713050507 GST Regst. No. 32AACCE1683Q1ZD
Fax No. C.I.N. No. U50100KL2009PT024052

Tax Invoice
Customer Name: UNITED INDIA INSURANCE COMPANY Repair Order No.: SOB2210392*
Customer Address: DO1 TRIVANDRUM Repair Order Date: 19 - Nov - 22
CWC BUILDING TRIVANDRUM Invoice Number: PIB2208456
PALAYAM, 695033 Invoice Date: 25 - Nov - 22
India Model: Polo GT TSI
Customer State: KERALA/ KL/ 32 Kms In: 4586
GST Regst. No.: 32AAACU5552C1ZS Kms Out: 4588
Cust PAN/ TIN No.: AAACU5552C Service Advisor: Abhilash M J
VIN: MEXA22606NT023653 S.A. Mob. No.: 9633211116
Regn. No.: KL01CU3344 Next Service Due Date:
GST Customer Type Registered Customer Category
Order Customer: Dr NANDINI N.J SV SADAN VAMAVAPURAM P.O
THIRUVANANTHAPURAM Nellanad, 695606 Mobile No.
: 8289872247

e-Invoice Details
IRN No.: c8bf2eac31bd1a433917414de0c07d71dfaab6ddea2ac46b2e8684ca668db27b
Ack. No.: 152213325888358
Ack. Date: 25-Nov-2022

Demanded Repair (Customer Voice)

1 DO REPAIR ON UNITED
2 FR BUMPER LP
3 LH FENDER LP
4 LH FR DOOR LP
5 LH FR ALLOY LP

Package No : D940A Description :GFF & Consumables

Labor Details
S.
Labor Custome GST Base Discount Amount Incl.
No Description Category SAC Qty. Unit Price Total GST
Code r Share % Amount % Tax
.
1 GFF & 99216014 Paid 00998729 1 100 1 0.18 0.00 1.18
Consumables *
CGST - 9.00% - 0.09, SGST - 9.00% - 0.09

Total Labor 1.18

Requested Jobs
Labor Details
S. Customer GST Base Total Amount
Description Labor Code Category SAC Qty.
No. Share % Amount GST Incl. Tax
1 Washing & Cleaning 01039999 Paid 00998729 1.00 100.00 500.00 90.00 590.00
CGST - 9.00% - 45, SGST - 9.00% - 45
2 Mudwing front replace 50555500 Paid 00998729 1.00 100.00 514.00 92.52 606.52
CGST - 9.00% - 46.26, SGST - 9.00% - 46.26
3 Front door remove+reinstall 57511900 Paid 00998729 1.00 100.00 608.00 109.44 717.44
CGST - 9.00% - 54.72, SGST - 9.00% - 54.72
4 Front bumper cover remove+reinstall 63291900 Paid 00998729 1.00 100.00 608.00 109.44 717.44
CGST - 9.00% - 54.72, SGST - 9.00% - 54.72

Page 1 of 3 Printed On : 25-Nov-2022 11:54

 EVM Passenger Cars (i) Pvt Ltd.
NH Byepass Venpalavattom
Anayara P.O. Thiruvananthapuram,
AnayaraThiruvananthapuram, 695029
E-Mail info@vw-evmcars.co.in State Code KERALA/ KL/ 32
Phone No. 4713050507 GST Regst. No. 32AACCE1683Q1ZD
Fax No. C.I.N. No. U50100KL2009PT024052

Requested Jobs
Labor Details
S. Customer GST Base Total Amount
Description Labor Code Category SAC Qty.
No. Share % Amount GST Incl. Tax
Exterior mechanical mirror housing
5 66791900 Paid 00998729 1.00 100.00 400.00 72.00 472.00
remove+reinstal
CGST - 9.00% - 36, SGST - 9.00% - 36
6 DENTING REPAIR 99999914 Paid 00998729 1.00 100.00 800.00 144.00 944.00
CGST - 9.00% - 72, SGST - 9.00% - 72
7 Painting labour Charge (Insurance) 99999915 Paid 00998729 1.00 100.00 14,076.00 2,533.68 16,609.68
CGST - 9.00% - 1,266.84, SGST - 9.00% - 1,266.84
Total Labor 20,657.08

Requested Jobs
Parts Details
S. Unit Customer GST Base Total Amount
Description Part No. Category HSN Qty.
No. Price Share % Amount GST Incl. Tax
1 RIVET 5Z0853695 Paid 73182300 3.00 21.19 100.00 63.56 11.44 75.00
CGST - 9.00% - 5.72, SGST - 9.00% - 5.72
5Z1857537A
2 Cap Paid 70091010 1.00 285.59 100.00 285.59 51.40 336.99
GRU
CGST - 9.00% - 25.7, SGST - 9.00% - 25.7
6R0853273A
3 TRIM Paid 87089900 1.00 554.69 100.00 554.69 155.32 710.01
9B9
CGST - 14.00% - 77.66, SGST - 14.00% - 77.66
6RF857507R
4 HOUSING Paid 70091010 1.00 2,698.31 100.00 2,698.31 485.70 3,184.01
9B9
CGST - 9.00% - 242.85, SGST - 9.00% - 242.85
5 FENDER 6RG821105H Paid 87089900 1.00 1,950.00 100.00 1,950.00 546.00 2,496.00
CGST - 14.00% - 273, SGST - 14.00% - 273
6 MIRROR 6RG857521 Paid 70091010 1.00 404.24 100.00 404.24 72.76 477.00
CGST - 9.00% - 36.38, SGST - 9.00% - 36.38
Total Parts 7,279.01
Total Parts And Labor : 27,936.09
Labor Parts Rounded off Amount : -0.27
CGST 9.00 % 1575.63 310.65
SGST 9.00 % 1575.63 310.65
CGST 14.00 % 0.00 350.66
SGST 14.00 % 0.00 350.66
3,151.26 1,322.62
Final Amount : 27,937.00

Rupees : TWENTY SEVEN THOUSAND NINE HUNDRED THIRTY SEVEN RUPEES AND ZERO PAISA ONLY

Whether tax is payable in reverse charge? Yes / No

Summary Details
Labor Tax
Details Labor Amount Parts Amount Parts Tax Amount Total
Amount
GFF & Consumables 1 0.18 0 0 1.18
Requested Jobs 17506 3151.08 5,956.39 1322.62 27,936.09

Page 2 of 3 Printed On : 25-Nov-2022 11:54

 EVM Passenger Cars (i) Pvt Ltd.
NH Byepass Venpalavattom
Anayara P.O. Thiruvananthapuram,
AnayaraThiruvananthapuram, 695029
E-Mail info@vw-evmcars.co.in State Code KERALA/ KL/ 32
Phone No. 4713050507 GST Regst. No. 32AACCE1683Q1ZD
Fax No. C.I.N. No. U50100KL2009PT024052

Remarks Area (Safety related)/ Advice for Future Repair

DECLERATION: I / We do hereby declare that the particulars given above are true and correct. The amount indicated
represents the price actually charged and there is no additional consideration flowing directly or indirectly from the buyer.
Customer Signature Dealer Authorized Signature

HSN/SAC Code wise GST Summary

HSN/SAC Code Base Amount IGST % IGST Amount CGST % CGST Amount SGST % SGST Amount Total
00998729 17,507.00 9.00 1,575.63 9.00 1,575.63 20,658.26
70091010 3,388.14 9.00 304.93 9.00 304.93 3,998.00
73182300 63.56 9.00 5.72 9.00 5.72 75.00
87089900 2,504.69 14.00 350.66 14.00 350.66 3,206.01
Total 23,463.39 2,236.94 2,236.94 27,937.27

Page 3 of 3 Printed On : 25-Nov-2022 11:54