I B MOTORS (GUJARAT) PVT. LTD. BESIDES PATEL SATYA VIJAY DHARAMSHALA, BHAKINAGAR STATION ROAD , NR. GONDAL ROAD.,. RAJKOT-360002, RAJKOT Pin:360002 Job Card Retail - Tax Invoice Customer Name & Address : ID :02-15 Invoice No. : 004/BR/20000018 Date : 12/06/2020 10:39:18 Bajaj Allianz General Insurance Co. Ltd, 402-408, 4th Floor,, Turquoise Bldg... Near Panchvati Circle,CG 1Job Card No.: JC20000690 Job Card Date: 12/06/2020 Road Reg.No. : GJ3JE5572 Mileage: 16114 AHMEDABAD Pin:380006 SA Name : BHARAT DHIRUBHAI CHAVADA SA(M) : 9724322281 State & Code 24-GUJARAT Model : ACCESS-125-ACL6 EW Type : NA Mobile Chassis No.: MB8CF4CABG8746594 Loyalty Card NA Service type: ACCIDENTAL REPAIR Cust GSTIN/UIN : 24AABCB5730G1Z3 Place of Supply: GUJARAT Srl. Part Number Description HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 06111-06004-000 BALL,STEERING STEEL UPPER 87141090 28% 50.000 0.39 19.50 0.00 2 16510-33G10-000 FILTER, ENG OIL 84210000 18% 1.000 29.66 29.66 0.00 3 48111-33GF1-PGZ SHIELD, LEG FRONT (GRAY) 87141090 28% 1.000 1685.15 1685.15 0.00 4 53110-33GA1-PGZ FRONT,FENDER (GRAY) 87141090 28% 1.000 1092.96 1092.96 0.00 5 54410-33G20-000 BRAKE SHOE 87149400 28% 2.000 134.37 268.74 0.00 6 54424-28G00-000 SPRING,BRAKE SHOE 87149400 28% 2.000 7.81 15.62 0.00 7 58562-33G50-000 SPRING 73201011 18% 1.000 5.93 5.93 0.00 8 68641-33GC0-000 EMBLEM, (S) 87141090 28% 1.000 70.31 70.31 0.00 9 99000-22930-046 GEAR OIL 27101959 18% 0.013 4213.55 54.78 0.00 10 990P0-21030-001 ECSTAR ENGINE OIL 10W-30MA R5000 27101980 18% 1.000 262.71 262.71 0.00 1L Labour Demanded Repairs-Others/Suggested Jobs 1 ZOS017 Accidental Repair 998729 460.00 Recommendations : Sub Total Amount 3,505.36 0.00 460.00 RANJIT RAMBHAI CHAVDA CGST @ 14% 441.31 SGST @ 14% 441.31 CGST @ 9% 31.77 41.40 SGST @ 9% : 31.77 41.40 Sub Total Amount 4,451.52 0.00 542.80 Authorised Signatory Net Bill Amount (Rounded) 4,994.00 Dealer GSTIN : 24AABCI9676G1ZB Rupees Four Thousand Nine Hundred And Ninety Four 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 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. : GP20000681 Date : 12-JUN-20 10:39:36 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : Access/AccessZ(UZ125) JC20000690 BR/20000018 12-JUN-20 4,994.00 Tech.Name :VIJAY BHADANIYA Reg.No.: GJ3JE5572 Customer Signature Accountant Signature JC20000690 ---PAGE END---