NATIONAL MOTOR AGENCY (MARUTI AUTHORISED SERVICE STATION) GSTIN :09AAFFN8199J1ZH Y Caring For Customers Noida Road-Dadri, Distt. G.B. Nagar (U.P.) MASS CODE:5143 Phone 0120-2664033,9873944033,9818486888 E-mail : nationalvikas@yahoo.co.in ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail -Tax Invoice ID02-26 Invoice No.:1/BI/21000012 Date : 12/06/2021 11:31:05 Customer Name&Address Bajaj Allianz General Insurance Co. Ltd, 15/54-B.2ND FLOOR,VIRENDRA SMRATI COMPLEX,CIVIL Job Card No.: JC21000203 Job Card Date: 12/06/2021 LINES, Reg.No.:UP14CN7151 Mileage : 63473 KANPUR SA Name : PARAMVEER NAGAR SA(M):9999638939 Pin:226001 Model : ALTO K10 LXI CNG EW Type : NA State&Code:09-UTTAR PRADESH Chassis No.: 131596 Last Service : 62618 (30-01-21) Mobile Next Service Due :PMS 60 Loyalty CardNA Fuel Trim : Service type: BODY REPAIR Cust GSTIN/UIN09AABCB5730G1ZV Place of Supply: UTTAR PRADESH Ins.Comp.BAJAJ Surveyor Name : Batch HSN/SAC TaxQty. Rate Taxable Tax Paid Labour Srl. Part Number Description Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 28% 1.000 3785.15 3785.15 0.00 1 69100M67P00 PANEL ASSY BACK DOOR AC 87089900 0.00 2 71811M67P02-5PK BUMPER,REAR AC 87081090 28% 1.000 2148.43 2148.43 3 71821M53M00 HOLDER,RR BUMPER SIDE,R AC 87081090 28% 1.000 52.34 52.34 0.00 4 71822M53M00 HOLDER,RR BUMPER SIDE,L AC 87081090 28% 1.000 52.34 52.34 0.00 5 77811M58J10-OPG EMBLEM,REAR AC 87089900 28% 1.000 55.46 55.46 0.00 6 77821M75J00-0PG EMBLEM (MARUTI SUZUKI) AC 87089900 28% 1.000 93.75 93.75 0.00 7 77832M67P00-0PG EMBLEM,REAR(ALTO K10) AD 87089900 28% 1.000 101.56 101.56 0.00 8 77841M75J00-0PG EMBLEM,LXI(CHROME) AB 87089900 28% 1.000 28.12 28.12 0.00 9 84570M67P00 GLASS,BACK DOOR WINDOW AC 70071100 18% 1.000 1351.69 1351.69 0.00 10 99000M24120-460 DG SEALANT SET WITHOUT PRIMER AC 35069999 18% 1.000 584.74 584.74 0.00 Labour Demanded Repairs-Others/Suggested Jobs ZF9993 PAINTING CHARGES 998729 5,500.00 Sub Total Amount 8,253.58 0.00 5,500.00 CGST @ 14% 884.41 SGST @ 14% 884.41 CGST @ 9% 174.28 495.00 SGST @ 9% 174.28 495.00 For NATIONAL MOTOR AGENCY Sub Total Amount 10,370.96 0.00 6,490.00 Authorised Signatory Net Bill Amount (Rounded) Dealer GSTIN:09AAFFN8199J1ZH 16,861.00 Rupees Sixteen Thousand Eight Hundred And Sixty One Only * This is a system generated soft copy of invoice for insurance company records. I acknowledge that the jobs/repairs/service carried out in my vehicle and the respective cost estimates were explained tome.I have received my vehicle after completion ofall repairs being carried out tomy satisfaction and I confirm that my vehicle is in good condition. I further authorize this workshop to contact me by call or sms to inform me with any other information in relation to my vehicle. Customer Signature Mobile No.: --------------PAGE END-----------------------