CROWN BIKES PVT.LTD.
                                                                                            SHOP NO. 12-19,FIRST FLO0R,14-19,,
                                                                                     SANKET HEIGTHS,OLD PADRA TO SUN PHARMA ROAD,
                                                                                                               O.P.ROAD,
                                                                                                                VADODARA
                                                                                                               Pin:390015
                                                                                        Job Card Retail - Tax Invoice
Customer Name & Address :                ID:02-23                                        Invoice No. : 1/BI/20000016
                                                                                                                                                                                     Date : 23/12/2020 16:59:39
Bajaj Allianz General Insurance Co. Ltd,
401, Atlantis Heritage, Opp : Swagat Petrol Pump, Sarabhai Main                     1Job Card No.: JC20006913
                                                                                                                                                                          Job Card Date: 23/12/2020
Rd,
                                                                                                                     Reg.No. : GJ06DP3884                          Mileage : 27507
VADODARA
Pin:390007                                                                                                   SA Name : JAY NITESH UPADHYAY               SA(M) : 9979973575
State & Code               24-GUJARAT                                                                    Model : GS-150R                           EW Type : NA
Mobile                                                                                                      Chassis No.: MB8NG49ACA8131289
Loyalty Card                NA                                                                          Service type: ACCIDENTAL REPAIR
Cust GSTIN/UIN :         24AABCB5730G1Z3                                               Place of Supply: GUJARAT
Ins.Comp. : BAJAJ
                                                                                                           Surveyor Name :
Srl. Part Number         Description                                    HSN/SAC      Tax    Qty.                Rate         Taxable       Tax Paid           Labour
                                                                                                                                                                            Amount         Amount         Charges
Parts
Demanded Repairs-Others/Suggested Jobs
1      35100-30H21-000        HEADLAMP ASSY                                85122010             18%   1.000              1249.15             1249.15                0.00
2     35601-30H01-000         LAMP ASSY, FRONT TURNSIGNAL RH        85122010             18%   1.000               259.32              259.32                0.00
3     56111-30H10-000        HANDLEBAR                                      87141090             28%   1.000               195.31              195.31                0.00
4     57421-30H10-000        .LEVER, BRAKE                                    87149400             28%   1.000               139.06              139.06                0.00
5     94411F30H00CYME      COWLING,BODY WITH STKR                    87141090             28%   1.000              1349.21             1349.21                0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1      RC9999                     OTHER                                             998729                                                                                                                       900.00












                                                                                   Sub Total Amount                                                            3,192.05                   0.00                900.00
na
                                                                                  CGST @ 14%                                                                      235.70
                                                                                  SGST @ 14%                                                                       235.70
                                                                                  CGST @ 9%                                                                        135.76                                           81.00
                                                                                  SGST @ 9%                                                                         135.76                                           81.00
                                For CROWN BIKES PVT.LTD.
                                                                                   Sub Total Amount                                                             3,934.97                   0.00             1,062.00
                                         Authorised Signatory        Net Bill Amount (Rounded)                                                                                            4,997.00
 Dealer GSTIN : 24AAFCC3902M1ZR
                                                                                        Rupees Four Thousand Nine Hundred And Ninety Seven Only
                                                                                  *

 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 to             Customer Signature            Mobile No.:
 inform me with any other information in relation to my vehicle.
                                                                                                            Gate Pass
GP No.         : GP20007014                                 Date : 23-DEC-20 17:00:43                          Job Card No.     Bill.No.           Bill Date                Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model : GS150R                                          JC20006913          BI/20000016      23-DEC-20                   4,997.00
Tech. Name : NIKUNJ SOLANKI                           Reg.No.: GJ06DP3884

  Customer Signature                                                                                                           Accountant Signature

                                                                                                                                                                                                      JC20006913

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