CLAIM REPORT

21-09-2015
SR No.
Claim No.
Claim Date

:
:
:

200790937
300138764
21-09-2015

CUSTOMER INFO
Customer Name
Customer Address
Email Id

:
:
:

The Laxmi Co-operative Bank

Phone No.
Sakhar Peth Solapur 9860020408 Solapur Solapur MAHARASHTRA 413304
abc@abc.in
Customer Id

9860020408

1277248
Commercial
19-09-2015
Industrial & Automotive Diesels HotgiRoad

CLAIM DETAIL
Claim Status
SR Open Date
Service Engineer Name

:
:
:

Approved
19-09-2015
SANJAY RATHOD

SR Type
Task End Date
Group Name

:
:
:

AP Invoice No.
Engine Application Code
Instance Id

:
:
:

03.2145...
4255026

AP Invoice Date
Engine Serial No.
Engine Model

:
:
:

1420650
HA394

Amount in Rs.
Labor
/Parts

Item

Item Description

Labor
Parts

99.LAB.01.0.00
03.035.02.0.00

Labor

99.EXP.01.0.00

WARRANTY LABOUR CHARGES

2
STARTER RING 121 TEETH, 3.175 1
MODULE
SERVICE
ENGINEER
ACTUAL 60
TRAVELING/CONVEYANCE
(TWO
WHEELER)- TWO WAY

Total :

Page 1 of 1

Qty

UOM

Unit Price

Basic Labor
Value/Parts
Value

Service Tax
Amt

Net Amount

Man Days
NUMBER

525.00
1007.33

1050.00
1007.33

147.00
0.00

1197.00
1007.33

KM.

2.50

150.00

21.00

171.00

2375.33