ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-26 Invoice No. : 8/BI/20000872 Date : 07/10/2020 Bajaj Allianz General Insurance Co. Ltd, 15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL Job Card No.: JC20001625 Job Card Date : 14/09/2020 LINES, Reg.No. : UP50AY0344 Mileage :43204 KANPUR Pin:226001 SA Name : ABHISHEK KUMAR SRIVASTAV Model : MARUTI CELERIO VXI A EW Contract No. : 176502170 State & Code : 09-UTTAR PRADESH Chassis No.: 404766 Mobile Fuel Trim : Service type : BODY REPAIR Loyalty Card : NA BAJAJ Place of Supply : UTTAR PRADESH Ins.Comp. Cust GSTIN/UIN : 09AABCB5730G1ZV Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 68003M76M00 PANEL ASSY,REAR DOOR,R AC 8708 28% 1.000 6132.81 6132.81 2 69410M68L00 HINGE, REAR DOOR UPPER RH AB 8708 28% 1.000 136.71 136.71 3 71732M76M00 HOLDER,FR BUMPER SIDE,L AA 8708 28% 1.000 46.87 46.87 4 71811M76MA0-5PK REAR BUMPER AB 8708 28% 1.000 1949.21 1949.21 5 71821M76M00 HOLDER,RR BUMPER SIDE,R AB 8708 28% 1.000 53.90 53.90 6 71822M76M00 HOLDER,RR BUMPER SIDE,L AA 8708 28% 1.000 50.00 50.00 7 82301M76M12 LATCH ASSY REAR DOOR RH AC 8301 18% 1.000 682.20 682.20 8 83730M76M10-A0F TRIM, RR DOOR RH AB 8708 28% 1.000 988.28 988.28 9 83831M76M00 WEATHERSTRIP,REAR DOOR OUT,R AB 8708 28% 1.000 140.62 140.62 10 84541M76M00 GLASS,REAR DOOR WINDOW,R AA 7007 18% 1.000 638.98 638.98 11 84701M76M10-5PK MIRROR ASSY,OUT REAR VIEW,RH AC 7009 18% 1.000 1576.27 1576.27 12 99000M24121-110 INTERIOR PROTECTION COVERS - AC 3920 18% 1.000 17.79 17.79 ARENA Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 ZF03L0 DOOR GLASS/ ADJUST/ LUBRICATE 998729 175.00 3 ZF28P0 REAR BUMPER PAINTING 998729 3,258.00 4 NA02R0 REAR BUMPER 998729 178.00 5 ZA25L0 BODY RUBBING & POLISHING 998729 1,500.00 6 PC07R0 REAR DOOR PANEL ASSY (ONE SIDE) 998729 623.00 7 ZF38P0 PANEL, QUARTER OUTER RH 998729 1,946.00 PAINTING 8 ZF38D0 PANEL, QUARTER OUTER RH DENTING 998729 400.00 9 QJ07R0 REAR VIEW MIRROR COVER (ONE 998729 89.00 SIDE) Contd.. 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 and I confirm that my vehicle is in good condition. I further authorize this workshop to contact me by call or SMS (Customer Signature) Mobile No.: to inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20001877 Date : 07-0CT-20 16:35:06 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance C Model : CELERIO JC20001625 BI/20000872 07-OCT-20 29,311.00 Tech. Name :DINESH YADAV Reg No.: UP50AY0344 Customer Signature Accountant Signature ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-26 Date : Invoice No. : 8/BI/20000872 07/10/2020 Bajaj Allianz General Insurance Co. Ltd, 15/54-B,2ND FLOOR, VIRENDRA SMRATI COMPLEX, CIVIL Job Card No.: JC20001625 Job Card Date : 14/09/2020 LINES, Reg.No. : UP50AY0344 Mileage : 43204 KANPUR SA Name : ABHISHEK KUMAR SRIVASTAV Pin:226001 ModeI : MARUTI CELERIO VXI A EW Contract No. : 176502170 State & Code : 09-UTTAR PRADESH Chassis No.: 404766 Mobile: Fuel Trim : Service type : BODY REPAIR Loyalty Card : NA Place of Supply : UTTAR PRADESH Ins.Comp.BAJAJ Cust GSTIN/UIN : 09AABCB5730G1ZV Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 10 ZF32P0 PANEL, REAR DOOR RH PAINTING 998729 3,267.00 Sub Total Amount 12,413.64 11,611.00 HAFIZREYAZ AHMAD (RCP20001698 // RCP20001903) CGST @ 14% 1,329.78 SGST @ 14% 1,329.78 CGST @ 9% 262.37 1,044.99 SGST @ 9% 262.37 1,044.99 For DEEP MOTORS Tax Collection at Source @ 0.075% 11.70 Sub Total Amount 15,609.64 13,700.98 Authorised Signatory Net Bill Amount (Rounded) 29,311.00 ---PAGE END---