S.R AUTOMOBILES B-110, SECTOR - 2, NOIDA, GAUTAM BUDH NAGAR Pin:201301 Job Card Retail - Tax Invoice Customer Name & Address : ID:1726323874 Invoice No. : 1/BR/20002771 Date : 11/03/202 12:55:47 Bajaj Allianz General Insurance Company Limited 1Job Card No. : JC20002824 Job Card Date: I 1/03/2021 C-3 I, Sector-2, 2 nd floor, Near Nirulas, Noida Reg.No. : UP16BR1455 Mileage : 10866 Pin:201301 SA Name : VIVEK YADAV SA(M) : 7065563007 State & Code 09-UTTARPRADESH Model : ACCESS SPL DISC - UZEZ EW Type : NA Loyalty Card NA Chassis No.: MB8DPIIAJH8548601 Last Service : 4735 (04-03-18) Cust GSTIN/UIN : Next Service Due : 4th Free Service 09AABCB5730G|ZV Service type: ACCIDENTAL REPAIR Place of Supply: UTTARPRADESH Srl. Part Number Description HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs : 34 I00-02L00-000 SPEEDOMETER ASSY 90292090 18% 1.000 2409.32 2409.32 0.00 2 35 |00-08K00-000 HEADLAMP ASSY 85122010 18% 1.000 822.88 822.88 0.00 3 563|I-08K00-YPA COVER, HANDLE FRONT (WHITE) 87/4/090 28% 1.000 386.71 386.71 0.00 4 563 I2-08K00-000 COVER, HANDLE FRONT UPPER 87089900 28% 1.000 234.37 234.37 0.00 Labour Demanded Repairs-Others/Suggested Jobs RA9999 OTHER 998729 350.00 Recommendations : Sub Total Amount 3,853.28 0.00 350.00 CGST @ 14% 86.95 SGST @ 14% 86.95 CGST @ 9% 290.90 31.50 SGST @ 9% 290.90 31.50 Sub Total Amount 4,608.98 0.00 413.00 Authorised Signatory Net Bill Amount (Rounded) 5,022.00 Dea|er GSTIN : 09ABDPN7442HIZH Rupees Five Thousand Twenty Two Only * Unapproved fitments affects the performance & safety. Suggested to keep the vehicle in original specifications. I acknowledge that the jobs/repairs/service carried out in my vehicle and the respective cost estimates were explained to me. I have received my vehicle after completion of all repairs being carried out to my satisfaction andI confirm that my vehicle is in good condition. I further authorize this workshop to contact me by call or sms to Customer Signature Mobile No.: inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20002757 Date : 11-MAR-21 12:56:00 Job Card No. Bill.No. Bill Date Amount Cust. Name: MRS SANGITA Model : ACCESS-125(EH) JC20002824 BR/20002771 TT-MAR-21 5.022.00 Tech. Name: ARVIND KUMAR Reg.No.: UPI6BRI455 Customer Signature Accountant Signature JC20002824 ---PAGE END--- Accountant Signature Created By: ---PAGE END---