ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
IRN : 84fbb90e60d889cce40adbde2cadb10a40ea43c50efd56ce356a048414067b9a
Customer Name & Address : ID :02-17 Invoice No. : 10/BI/20000485
Date : 29/12/2020 15:12:21
Bajaj Allianz General Insurance Co. Ltd,
Golden Heights, 4th Floor, No.1 / 2, 59th C Cross Road, 4TH M Job Card No.: JC20004704
Job Card Date: 19/12/2020
BLOCK,59A
Reg.No. : KA41MA0706 Mileage : 116906
BANGALORE
SA Name : DAMODHAR P SA(M) : 6366938826
Pin:560010
State & Code :29-KARNATAKA Model : ALTO - 0thers EW Type : NA
Mobile : Chassis No.: 706584 Last Service : 125350 (18-08-18)
Loyalty Card : NA Fuel Trim : Next Service Due : PMS120
Service type: BODY REPAIR
Cust GSTIN/UIN. : 29AABCB5730G1ZT PAN : AABCB5730G Place of Supply: KARNATAKA
Ins.Comp. : BAJAJ
Surveyor Name :
Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Parts
Demanded Repairs-Others/Suggested Jobs
1 82802M77A01-5PK HANDLE ASSY,FRONT DOOR OUT,LH AB 8708 28% 1.000 105.46 105.46 0.00
2 90900M11889 Cons (PET) 8708 28% 1.000 285.00 285.00 0.00
3 99000M24120-879 MASKING TAPE (24 MM*30 MTRS) AC 3919 18% 1.000 46.61 46.61 0.00
4 99000M24120-881 MASKING PAPER (L 200M* W90 CM) AC 4804 12% 0.100 2000.00 200.00 0.00
5 99000M24121-136 PAPER FLOOR MAT (20X15) AB 4820 18% 4.000 0.84 3.36 0.00
6 99000M24121-163 INTERIOR PROTECTION COVERS- AA 3920 18% 2.000 25.42 50.84 0.00
ARENA
7 990J0M999H2-070 BODY UNIVERSAL GLAZE NAX PRO AA 3405 18% 0.040 1767.79 70.71 0.00
8 990J0M999H2-080 BODY WAX TOP NAX PRO AB 3405 18% 0.025 739.83 18.50 0.00
9 990J0M999H2-130 BDY G.MOP MICROFBR FINSH CLTH 4 AA 6307 5% 0.025 487.61 12.19 0.00
PCK
10 990J0M999H2-150 BDY WTRPROF SHEET - P1000 PCK AA 6805 18% 0.020 3094.06 61.88 0.00
OF 50
11 990J0M999H2-160 BDY WTRPROF SHEET - P1200 PCK AA 6805 18% 0.020 3110.16 62.20 0.00
OF 50
12 990J0M999H2-170 BDY WTRPROF SHEET- P1500 PCK OF AA 6805 18% 0.040 3091.52 123.66 0.00
50P
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ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
Customer Name & Address : ID :02-17 Invoice No. : 10/BI/20000485
Date : 29/12/2020 15:12:21
Bajaj Allianz General Insurance Co. Ltd,
Golden Heights, 4th Floor, No.1 / 2, 59th C Cross Road, 4TH M Job Card No.: JC20004704
Job Card Date: 19/12/2020
BLOCK,59A
Reg.No. : KA41MA0706 Mileage : 116906
BANGALORE
SA Name : DAMODHAR P SA(M) : 6366938826
Pin:560010
State & Code :29-KARNATAKA Model : ALTO - Others EW Type : NA
Mobile Chassis No.: 706584 Last Service : 125350 (18-08-18)
Fuel Trim : Next Service Due : PMS120
Loyalty Card : NA Service type: BODY REPAIR
Cust GSTIN/UIN : 29AABCB5730G1ZT PAN : AABCB5730G Place of Supply: KARNATAKA
Ins.Comp. : BAJAJ
Surveyor Name :
Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Parts
Demanded Repairs-Others/Suggested Jobs
OF 50
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF31D0 PANEL, FRONT DOOR LH DENTING 998729 500.00
2 ZF33D0 PANEL, REAR DOOR LH DENTING 998729 700.00
3 ZF31P0 PANEL, FRONT DOOR LH PAINTING 998729 2,800.00
4 ZZ07H HYGIENE CHARGE 998729 175.00
5 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 2,800.00
Sub Total Amount 1,163.83 0.00 6,975.00
BAJAJ
CGST @ 14% 54.66
SGST @ 14% 54.66
CGST @ 9% 50.51 627.75
SGST @ 9% : 50.51 627.75
For RNS MOTORS LTD CGST @ 6% 12.00
SGST @ 6% 12.00
Authorised Signatory CGST @ 2.5% 0.30
SGST @ 2.5% : 0.30
Dealer GSTIN :29AADCR5057Q2ZL
Sub Total Amount 1,398.77 0.00 8,230.50
Net Bill Amount (Rounded) 9,629.00
Rupees Nine Thousand Six Hundred And Twenty Nine 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. : GP20004537 Date : 29-DEC-20 15:15:02 Job Card No. Bill.No. Bill Date Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model : ALTO JC20004704 BR/20004851 29-DEC-20 0.00
Tech. Name :TANVEER SYED Reg.No.: KA41MA0706 JC20004704 BI/20000485 29-DEC-20 9,629.00
Customer Signature
Accountant Signature
JC20004704
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