Original For Recipient Second for transporter

Tax Invoice Third for supplier

Dealer Code: AP02BA04 Ref No: SERINV-AP02BA04- Invoice Date/Time: 28/02/2020 02:56:12 PM
1920-004525 CRN:
Invoice No.: AP02BA0419004525
Billed To: Ship To:
Dealer Name: KRISHNA AGRO VET SER. PVT.LTD Name: P RAMAKRISHNA Name: KRISHNA AGRO VET SER. PVT.
Customer Id : LTD
Address: BAPULAPADU VIJAYAWADA 1-13TU5XM8 Address: BAPULAPADU
AP India
Address:
PH: 9999999999
Email:
Account:
Pincode: 520010 Name: VIJAYAWADA AP India
Tele: FAX No: Account Id : PH
Email: hanumanjunctionhonda@gmail.com Address: ,, Email: hanumanjunctionhonda@gmail.com
GSTIN : 37AAACK9358C1ZG GSTIN Date: GSTIN: 37AAACK9358C1ZG
PAN: AAACK9358C PH: PAN: AAACK9358C
GSTIN:
PAN:
CIN : CIN:
CIN:

State : AP
Customer Care No:
8096968835
Vehicle Details:
Frame No.:
ME4JF50AFJT221550
Engine No.: JF50ET7221562
Reg. No.: AP16FE1949
Pick & Drop Availed:
Selling Dealer: KRISHNA
AGRO VET SERVICES PVT
LTD
State Code:37 State: State Code: State: AP State Code: 37
Job Card Detail : Place of Supply :
Model Name: ACTIVA Jobcard No : JC-AP02BA04-02- Name: KRISHNA AGRO VET SER. PVT.
5G 1920-004563 LTD
Model Code: ACTIVA Jobcard Closed Date/Time: Address: BAPULAPADU VIJAYAWADA
5G STD 28/02/2020 02:55:47 PM APIndia
Color: MAJESTIC
Service Type: ACCIDENT GSTIN: 37AAACK9358C1ZG
BROWN METAL
Sale Date: 23/06/2018
Service KM : 17834 State: AP State Code: 37
Loyalty ID:

Unit Taxable
Sr Part No/ HSN/SAC Sublet Billing Total Discount Discount
Description Price Qty UoM Amount
No Jobcode Code Job Type Amount % (Rs)
(Rs) (Rs)
1 94109- WASHER1 87141090 Paid 2.20 1 No's 2.20 2.20
12000 2MM
DRAIN

2 11100- CRANK 84099191 Paid 1,860.79 1 No's 1,860.79 1,860.79

KWP-D01 CASE
COMP
RIGHT

3 08234- ENGINEOI 27101980 Paid 240.50 1 No's 240.50 240.50

M99- L TWO
K1BG3 800ML10W
30MB

4 40545- CAPCHAI 87141090 Paid 2.33 1 No's 2.33 2.33

001-000 N CASE
PEEP
HOLE

5 33700- LIGHT 85122010 Paid 1,029.08 1 No's 1,029.08 1,029.08

KWP-F01 ASSYRR
COMB
6 83751- COVERRR 87141090 Paid 202.98 1 No's 202.98 202.98
KWP- CENTER
F00ZJ LOWER*N
HB60M*

7 90344- NUTSUS 73182910 Paid 3.87 4 No's 15.48 15.48

KRP-900 5MM

8 88120- MIRROR 70091090 Paid 147.69 1 No's 147.69 147.69

KWP-F01 ASSY L
BACK

9 53209- CLIPHEAD 87141090 Paid 5.42 2 No's 10.84 10.84

GAH-000 LIGHT

10 18300- MUFFLER 87141090 Paid 3,193.19 1 No's 3,193.19 3,193.19

KWP-G30 COMPEXH

11 SJ210500 ACCIDENT 998729 3200 Paid 0.00 1 Hrs 3,200.00 3200.00

AL
REPAIRS

12 SJ203225 FORK OUT 998729 300 Paid 0.00 1 Hrs 300.00 300.00
REPAIR

13 JB00056 LABOUR 998729 3500 Paid 0.00 1 Hrs 3,500.00 3500.00

CHARGE

14 SJ203233 DENTING 998729 450 Paid 0.00 1 Hrs 450.00 450.00

15 SJ203232 PAINTING 998729 3600 Paid 0.00 1 Hrs 3,600.00 3600.00

17755.0
Total 8

Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount

No Code Amount Rate Amount Rate Amount Rate Amount Rate Amount

1 87141090 3411.54 14 477.62 14 477.62 4,366.77

2 84099191 1860.79 14 260.51 14 260.51 2,381.81

3 27101980 240.50 9 21.64 9 21.64 283.79

4 85122010 1029.08 9 92.62 9 92.62 1,214.31

5 73182910 15.48 9 1.39 9 1.39 18.27

6 70091090 147.69 9 13.29 9 13.29 174.27

7 998729 11,050.00 9 994.50 9 994.50 0.00 13,039.00

Invoice Amount 21478.23

Total Invoice Value (in figures) : 21478 Total Labour/Service Amount 13039.00
Total Invoice Value ( in words): Rupees Twenty One Thousand Four Hundred Seventy Eight 8439.23
Total Parts Amount
Only
Payment Mode: Cash Total Tax Amount
If reverse charge applicable, then specify amount of tax: Total Invoice Amount 21478.23

For KRISHNA AGRO VET SER. PVT.

Terms and Conditions:
LTD
1. All disputes are subject to VIJAYAWADA 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: SHIVA KRISHNA
Customer's Signature Advisor Name:

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 KRISHNA AGRO VET SER. PVT.LTD
GATEPASS
Customer Name: P RAMAKRISHNA Ref No: SERINV-AP02BA04-1920-004525
Invoice No.: AP02BA0419004525
dated 28/02/2020

Registration No.: AP16FE1949 Invoice Amount: 21478 Customer's

Signature
Frame No.: ME4JF50AFJT221550 Jobcard/Order Ref.: JC-AP02BA04-02-
1920-004563
dated 28/02/2020
Model Name: ACTIVA 5G Gatepass No.& Date: Security In-Charge
Vehicle/ Goods received in good condition and to our satisfaction

Customer Feedback Form

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Dear Sir/Ma'am

We are thankful to you for spending little time for us while filling this feedback form. Your valuable inputs will enable us for
continuous improvement of our service quality. Thanking you Once Again.

Customer Name: P RAMAKRISHNA Date : 28/02/2020

Customer Address:
Frame No.: ME4JF50AFJT221550 Model Name: ACTIVA 5G
Jobcard No: JC-AP02BA04-02-1920-004563 Reg. No.: AP16FE1949

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.