Original for Recipient

Duplicate for Transporter

Triplicate for Supplier

Customer Invoice TAX INVOICE

SREE JYOTHI LAKSHMI CARS PVT LTD
PAN : AAXCS1302H; GSTIN: 29AAXCS1302H1Z4; CIN:
Add: PLOT NO, 1800 WADI-E-HUDA, SHIVAMOGGA-BHADRAVATHI BYE PASS ROAD URGADUR POST, Shivamogga, Karnataka, India - 577203

Next Service Due Date: 11-01-2024

BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Lessor/Bill to Smt. NAGAMANI Lessee/Ship to Smt. NAGAMANI Veh. Reg. No. KA16N6617 Invoice No. SR30223-1666
Phone +918050968485 Model AMAZE Diesel Invoice Date 15-07-2023 03:26 PM
Chassis No. MAKDF656FJ4001170 RO No. SER-RO-DD302-2324-1588
Address W/O VEERABADRAPPA AMMA Ship to Engine No. N15A11805785 RO Type PM
NILAYA, THURUVANURU ROAD, Wrnty Start 01-09-2018 Visit Date 15-07-2023 01:21 PM
3RD CROSS, V R S LAYOUT,
Place of Supply Karnataka State Mileage 77884
State Code 29 State Code
PAN PAN

P/L Labor Code / HSN / SAC Description Issue Qty UoM Job Value / RTLP Disc Dis Taxable Amount CGST SGST / UTGST Amount(`)

Part# Type / Item % % Amt % Amt

80K KM PAID SER BS6 3D-DF65 - (Periodic Maintenance)

80K KM PAID SER BS6 3D-

L 80KPS3DBSVI 998714 Paid 1 2280.00 0 0 2280.00 9 205.20 9 205.20 2690.40
DF65 -

CHECK FRONT BRAKE PADS

FOR THICKNESS & REAR

L CHKBRKPDS 998714 BRAKE ADJUSTER & Paid 1 0 0 0 0 0 0.00 0 0.00 0.00

-
LUBRICATE PINS (SILICON

GREASE)

INSPECT DRIVE BELT &

L INSDRBTTN 998714 Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
TENSION -

INSPECT VALVE CLEARANCE

L INSVLCLRN 998714 Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
AND ADJUST (IF REQUIRED) -

L ROTATTYRS 998714 ROTATE TYRES Paid 1 0 0 0 0 0 0.00 0 0.00 0.00

-

Supply Type : B2C

Invoice No.: SR30223-1666
 Original for Recipient
Duplicate for Transporter
Triplicate for Supplier

L RPLACPOFL 998714 REPLACE A/C POLLEN FILTER Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
-

REPLACE AIR FILTER

L RPLARFLEL 998714 Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
ELEMENT -

L RPLENGOIL 998714 REPLACE ENGINE OIL Paid 1 0 0 0 0 0 0.00 0 0.00 0.00

-

L RPLEOFLTR 998714 REPLACE ENGINE OIL FILTER Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
-

L RPLFULFLT 998714 REPLACE FUEL FILTER Paid 1 0 0 0 0 0 0.00 0 0.00 0.00

-

REPLACE WASHER DRAIN

L RPLWDPG 998714 Paid 1 0 0 0 0 0 0.00 0 0.00 0.00
PLUG -

P 0823D3D23DA ENGINE OIL - DIESEL (100ml) Paid 44 NOS 49.41 0 0 2174.04 9 195.66 9 195.66 2565.37

P 15400RZ0G01 84212300 OIL FILTER CARTRI Paid 1 NOS 334.74 0 0 334.74 9 30.13 9 30.13 394.99

P 11207RE2E00 76161000 WASHER.PLUG DRAIN.14MM Paid 1 NOS 30.50 0 0 30.50 9 2.74 9 2.74 35.99

P 172206G4E01 84213100 ELEMENT ASSY. AIR CLEANER Paid 1 NOS 330.51 0 0 330.51 9 29.75 9 29.75 390.00

P 08R79PP5700 84219900 ADVANCED PM2.5 FILTER Paid 1 NOS 745.00 0 0 745.00 9 67.05 9 67.05 879.10

P 16902RZ0G01 84212300 ELEMENT ASSY.FUEL Paid 1 NOS 1077.67 0 0 1077.67 9 96.99 9 96.99 1271.65

AC CLEANER & DISINFECT-DF65-PM - (Value Added Services)

AC CLEANER AND
L VASACD 998714 Paid 1 825.00 0 0 825.00 9 74.25 9 74.25 973.50
DISINFECTANT -

FILL WIPER TANK LIQUID - (General Repair)

P 08Z02WASH01 34029099 Windscreen Fluid Paid 1 NOS 46.57 0 0 46.57 9 4.19 9 4.19 54.95

PROVIDE SPLASH GUARD CLIPS - (General Repair)

P 91505TM8003 87089900 CLIP.BUMPER Paid 4 NOS 101.63 0 0 406.52 14 56.91 14 56.91 520.35

REPLACE 4NOS YOKOHAMA TYRES EARTH 1 - (General Repair)

L WHALG 998714 WHEEL ALIGNMENT FOC 1 710.00 0 0 0.00 9 0.00 9 0.00 0.00
-

WHEEL BALANCING (PER

L WHBLCQTY04 998714 WHEEL) BALANCING WT. FOC 1 680.00 0 0 0.00 9 0.00 9 0.00 0.00
-
EXTRA-04 QTY

L TYRERPLQTY04 998714 TYRE REPLACEMENT-04 QTY FOC 1 800.00 0 0 0.00 9 0.00 9 0.00 0.00
-

OTLO17565R15Y Yokohama Tyre - 175/65R15 -

P 40111010 Paid 4 NOS 4781.25 280 0 18005.00 14 2520.70 14 2520.70 23046.40
OE1 Earth 1

TUBELESS TYRE VALVE -

P OTLOTYTV0001 84818090 Paid 4 NOS 33.90 0 0 135.60 14 18.98 14 18.98 173.57
RUBBER

Supply Type : B2C

Invoice No.: SR30223-1666
 Original for Recipient
Duplicate for Transporter
Triplicate for Supplier

Recommendations:

Supply Type : B2C

Invoice No.: SR30223-1666
 Original for Recipient
Duplicate for Transporter
Triplicate for Supplier

Customer Invoice TAX INVOICE

SREE JYOTHI LAKSHMI CARS PVT LTD
PAN : AAXCS1302H; GSTIN: 29AAXCS1302H1Z4; CIN:
Add: PLOT NO, 1800 WADI-E-HUDA, SHIVAMOGGA-BHADRAVATHI BYE PASS ROAD URGADUR POST, Shivamogga, Karnataka, India - 577203

Next Service Due Date: 11-01-2024

BILL TO SHIP TO VEHICLE INFO INVOICE INFO
Name Smt. NAGAMANI Name Smt. NAGAMANI Veh. Reg. No. KA16N6617 Invoice No. SR30223-1666
Phone +918050968485 Model AMAZE Diesel Invoice Date 15-07-2023 03:26 PM
Chassis No. MAKDF656FJ4001170 RO No. SER-RO-DD302-2324-1588
Address W/O VEERABADRAPPA AMMA Ship to Engine No. N15A11805785 RO Type PM
NILAYA, THURUVANURU ROAD, Wrnty Start 01-09-2018 Visit Date 15-07-2023 01:21 PM
3RD CROSS, V R S LAYOUT,
Place of Supply Karnataka State Mileage 77884
State Code 29 State Code
PAN PAN

SUMMARY
Delivery against Cash/D.D ONLY may kindly be drawn in favor of Parts Details Amount(`) Labor Details Amount(`)
"SREE JYOTHI LAKSHMI CARS PVT LTD" Taxable Amt 23286.15 Taxable Amt 3105.00
CGST @ 9% 426.51 CGST @ 9% 279.45
SGST @ 9% 426.51 SGST @ 9% 279.45
CGST @ 14% 2596.60 Total Labor Amt 3663.90
SGST @ 14% 2596.60
Total Parts Amt 29332.37
TCS Tax @ % 0.00
Total Amount 32996.27
Net Amount 32996.27
Grand Total (Rounded - Off) ` 32996.00 (-0.27)
Amount in Words: Rupees Thirty Two Thousand Nine Hundred Ninety Six Only
Amount of Tax Subject to Reverse Charges 0

I certify that I have taken delivery of my Vehicle & work has been done to my entire For SREE JYOTHI LAKSHMI CARS PVT LTD
satisfaction

(Customer's Signature and Date) Service Advisor : (Authorized Signatory)

"CUSTOMER ADVISORY: Honda recommends its customers against use of non-genuine/second hand spares during any repairs especially safety critical items like airbag system, brakes, electrical etc."

Supply Type : B2C

Inv No.: SR30223-1666
 Original for Recipient
Duplicate for Transporter
Triplicate for Supplier

Supply Type : B2C

Inv No.: SR30223-1666