Service Estimate

No. : ES23001137 Date : 11/10/2023 Reg No. AP07DR1510 Engine No. 4334556
Service Type BODY REPAIR Mileage 55475
Customer ID : 2353425468 Model MARUTI BALENO PETROL Sold by G5NA
Name : KOMMINENI UMADEVI Chassis No. 377223 Sale Date 27/12/2017
Address : d no 102a srinagar colony, bapatla, andra pradesh FIR No.
GUNTUR
FIR Date
Policy No.
Expiry Date
PhoneNo. : 9032043118 (M) (R) (O) Ins.Co.Name

Srl Part Number Description Tax Qty. Rate Taxable Tax Paid Labor
Amount Amount Amount

Parts
1 35750M68P01 LAMP UNIT, RR COMB LH 1.000 2,450.00 2,450.00 0.00
2 37735M68P01-5PK SENSOR ASSY, PARK (BLACK) 2.000 1,055.00 2,110.00 0.00
3 71811M68P00-5PK BUMPER, RR (BLACK) 1.000 4,420.00 4,420.00 0.00

Labour
1 ZF29D0 PANEL, BACKDOOR DENTING 1,600.00
2 ZF39D0 PANEL, QUARTER OUTER LH DENTING 0.00
3 ZF9993 PAINTING CHARGES 20,600.00
4 NA02R0 REAR BUMPER 800.00
5 SB02R0 REAR COMBINATION LAMP ASSY (ONE 400.00
SIDE)

Total : 8,980.00 0.00 23,400.00

Estimated Days: Time : .8
CGST @ 9% : 2,106.00
SGST @ 9% : 2,106.00
Sub Total : 27,612.00
For M/S JAYALAKSHMI AUTOMOTIVE Net Estimate Amounts : 36,592.00
Rupees Thirty Six Thousand Five Hundred And Ninety Two Only

Authorised Signatory
Estimation No : ES23001137 Date : 11/10/2023
Terms & Conditions :

Approval of Surveyor (Insurance Jobs). Approval of Customer (Non-Insurance

Estimate as marked above is approved. Jobs). Estimate as marked above is
You may proceed for repairs. approved. You may proceed for repairs.

Signature: Signature:

Name: Name:

Additional approval of Customer :

_
|_| Please carry out jobs strictly as approved by the Insurance Co. Surveyor
_
|_| Please carry out jobs in addition to Insurance Co. Surveyor's approval
** Part Amount is Inclusive of Taxes.

Signature :

Name :