ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1725893251 Invoice No. : 012/BC/20000983 Date : 17/07/2020 10:59:55 SHIRISH BALAKRISHNA GOGTE PLOT NO 50/51,EXTENSION, C SCHEME RANA PRATAP ROAD, Job Card No.: JC20000917 Job Card Date: 09/07/2020 3RD GATE, ANGOL TILAKWADI Reg.No. : KA22MA6507 Mileage: 27604 BELGAUM SA Name : ASIF M SHAIKH SA(M) : 8147680300 Pin:590006 State & Code :29-KARNATAKA Model : MARUTI DZIRE ZDI EW Type : II Mobile 9448129587 Chassis No.: 146621 Last Service : 27488 (23-06-20) Loyalty Card : NA Fuel Trim : Next Service Due : PMS 30 Service type: BODY REPAIR CuSt GSTIN/UIN : GSTUNREGISTERED Place of Supply: KARNATAKA Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 68004M56R00 PANEL ASSY, REAR DOOR, L AB 8708 28% 1.000 6765.62 6765.62 0.00 2 83932M56R00-0CB TAPE, REAR DOOR OUTER FR, L AC 3919 18% 1.000 177.96 177.96 0.00 3 990J0M99921-010 BATTERY CR 1620 - 0E REMOTE AB 8506 18% 1.000 79.66 79.66 0.00 4 99000M24120-882 OVER PROTECTIVE SHEET ( 4M*150M) AB 3921 0.100 3368.64 0.00 0.00 DLR 5 99000M24121-109 INTERIOR PROTECTION COVERS- AB 3920 1.000 16.94 0.00 0.00 DLR NEXA 6 99000M24121-127 POLYSTER PUTTY-AP AA 3214 0.200 974.57 0.00 0.00 DLR Labour Demanded Repairs-Others/Suggested Jobs 1 PC07R0 REAR DOOR PANEL ASSY (ONE SIDE) 998729 740.00 2 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 3,770.00 3 ZA15L01 BODY WASHING 998729 250.00 4 ZF43P0 RUNNING BOARD PAINTING 998729 2,000.00 5 ZF43D0 RUNNING BOARD DENTING 998729 700.00 Recommendations : Sub Total Amount 7,023.24 0.00 7,460.00 Bajaj Non-Mi Policy: 0G-20-1713-1801- CGST @ 14% 947.19 00001497 Surv: Somanath SGST @ 14% 947.19 CGST @ 9% 23.19 671.40 SGST @ 9% : 23.19 671.40 For SHANTESHA MOTORS PVT. LTD. Sub Total Amount 8,964.00 0.00 8,802.80 Authorised Signatory Net Bill Amount (Rounded) 17,767.00 Dealer GSTIN :29AAHCS4690J1ZQ Rupees Seventeen Thousand Seven Hundred And Sixty Seven Only * Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle. 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. : GP20000969 Date : 17-JUL-20 11:00:10 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR SHIRISH BALAKRISHNA GOGT Model : New Dzire Diesel JC20000917 BC/20000983 17-JUL-20 17,767.00 Tech. Name :X OTHERS M Reg.No.: KA22MA6507 Customer Signature Accountant Signature JC20000917 ---PAGE END---