ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-16 Invoice No. : 001/BI/20000005 Date : 05/06/2020 17:43:55 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20000048 Job Card Date: 05/06/2020 NEW DELHI Reg.No. : TEMP0259833 Mileage: 6948 Pin:110015 SA Name : SAHIB SINGH SA(M) : 9897606696 State & Code : 07-DELHI Mobile : Model : MARUTI WAGON R VXI 1L EW Type : III Loyalty Card : 33061810751 Fuel Trim : Chassis No.: 259833 Last Service : 6109 (14-05-20) Cust GSTIN/UIN : 07AABCB5730G1ZZ Next Service Due : 3RD FREE SERVICE Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: DELHI 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 09409M07L01 CLIP AA 3926 28% 20.000 2.34 46.80 0.00 2 35121M69R00 UNIT HEAD LAMP RH AB 8512 18% 1.000 1983.89 1983.89 0.00 3 38402M69R00 INLET SET,WASHER WITH CAP AB 8708 28% 1.000 47.65 47.65 0.00 4 38410M56R30 MOTOR ASSY AB 8708 28% 1.000 265.62 265.62 0.00 5 38450M69R00 TANK ASSY, WASHER AC 8708 28% 1.000 164.06 164.06 0.00 6 57300M69R00 PANEL,FRONT HOOD AC 8708 28% 1.000 2745.31 2745.31 0.00 7 57410M69R00 HINGE COMP,FRONT HOOD,R AA 8708 28% 1.000 230.46 230.46 0.00 8 57420M69R00 HINGE COMP,FRONT HOOD,L AA 8708 28% 1.000 230.46 230.46 0.00 9 57611M69R00 PANEL,FRONT FENDER,R AC 8708 28% 1.000 1087.50 1087.50 0.00 10 58270M69R00 MEMBER COMP,FR BUMPER AC 8708 28% 1.000 121.09 121.09 0.00 11 71711M69R00-5PK BUMPER,FRONT AC 8708 28% 1.000 1406.25 1406.25 0.00 12 71721M69R00-5PK GRILLE,RADIATOR LOWER AC 8708 28% 1.000 371.09 371.09 0.00 13 71731M69R00 HOLDER,FR BUMPER SIDE,R AB 8708 28% 1.000 45.31 45.31 0.00 14 71732M69R00 HOLDER,FR BUMPER SIDE,L AB 8708 28% 1.000 45.31 45.31 0.00 15 71740M69R00-C48 GRILLE COMP,RADIATOR UPPER AB 8708 28% 1.000 860.93 860.93 0.00 16 71771M69R00-5PK GUIDE,GRILLE AIR AC 8708 28% 1.000 546.87 546.87 0.00 17 72321M69R00 LINING,FRONT FENDER,R AC 8708 28% 1.000 214.84 214.84 0.00 18 72341M69R00-5PK GARNISH,COWL TOP SIDE,R AB 8708 28% 1.000 21.87 21.87 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-16 Invoice No. : 001/BI/20000005 Date : 05/06/2020 17:43:55 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20000048 Job Card Date: 05/06/2020 NEW DELHI Reg.No. : TEMP0259833 Mileage: 6948 Pin:110015 SA Name : SAHIB SINGH SA(M) : 9897606696 State & Code : 07-DELHI Mobile : ModeI : MARUTI WAGON R VXI 1L EW Type : III Loyalty Card : 33061810751 Fuel Trim : Chassis No.: 259833 Last Service : 6109 (14-05-20) Cust GSTIN/UIN. :..07AABCB5730G1ZZ Next Service Due : 3RD FREE SERVICE Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: DELHI Surveyor Name : Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 1,000.00 2 ZF9993 PAINTING CHARGES 998729 7,000.00 Sub Total Amount 10,435.31 0.00 8,000.00 IGST @ 28% 2,366.41 IGST @ 18% : 357.10 1,440.00 Sub Total Amount : 13,158.82 0.00 9,440.00 For GURUNANAK AUTOMOBILES Net Bill Amount (Rounded) 22,599.00 Authorised Signatory Rupees Twenty Two Thousand Five Hundred And Ninety Nine Only Dealer GSTIN :09AAUFG3984H1ZN 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. : GP20000054 Date : 05-JUN-20 17:43:59 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : NEW WAGON R 1L PETROL JC20000048 BI/20000005 05-JUN-20 22,599.00 Tech. Name :ARSH MALIK Reg.No.: TEMP0259833 Customer Signature Accountant Signature JC20000048 ---PAGE END---