ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID:002-24 Invoice No. : 025/BI/20000019 Date : 27/06/2020 14:53:32 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20000109 Job Card Date: 04/06/2020 JAIPUR Reg.No. : RJ14ZC6855 Mileage: 23815 Pin:302001 SA Name : KARAN GIRI GOSWAMI SA(M) : 9571271999 State & Code :08-RAJASTHAN Mobile : Model : MARUTI VITARA BREZZA V EEW Type : II Loyalty Card : 33041805814 Fuel Trim : Chassis No.: 360256 Last Service : 21837 (05-01-20) Cust GSTIN/UIN : 08AABCB5730G1ZX Next Service Due : PMS 20 Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: RAJASTHAN 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 03141M05165 .SCREW AA 7318 18% 15.000 1.69 25.35 0.00 2 09409M07L01 CLIP AA 3926 28% 15.000 2.34 35.10 0.00 3 09471M12122 BULB H1 AB 8512 18% 1.000 148.30 148.30 0.00 4 35121M82P00 UNIT HEADLAMP RH AB 8512 18% 1.000 3351.69 3351.69 0.00 5 36410M67K00 LAMP ASSY, SIDE TURN AB 8512 18% 1.000 101.69 101.69 0.00 6 38450M82P00 .TANK WASHER AB 8708 28% 1.000 152.34 152.34 0.00 7 38496M66010 CONNECTOR AA 8708 28% 2.000 3.12 6.24 0.00 8 41601M82P50 STRUT ASSY,FRONT SPNSN,R AB 8708 28% 1.000 1898.43 1898.43 0.00 9 57611M82P00 PANEL, FRONT FENDER, RH AA 8708 28% 1.000 1425.78 1425.78 0.00 10 71711M82P00-5PK BUMPER,FRONT UPPER AB 8708 28% 1.000 2187.50 2187.50 0.00 11 71721M82P00-5PK GRILLE,RADIATOR LOWER AB 8708 28% 1.000 557.81 557.81 0.00 12 71731M82P00 HOLDER,FR BUMPER SIDE,R AB 8708 28% 1.000 74.21 74.21 0.00 13 71733M82P00 HOLDER,FR BUMPER FRONT,R AB 8708 28% 1.000 60.15 60.15 0.00 14 71793M82P00-5PK GARNISH,FR BUMPER SIDE,R AB 8708 28% 1.000 59.37 59.37 0.00 15 71794M82P00-5PK GARNISH,FR BUMPER SIDE,L AB 8708 28% 1.000 59.37 59.37 0.00 16 72321M82P00 LINING,FRONT FENDER,R AC 8708 28% 1.000 686.71 686.71 0.00 17 77210M82P00-5PK GUARD ASSY,FR FENDER SPLASH,R AC 8708 28% 1.000 414.06 414.06 0.00 18 82160M82P00 CABLE COMP,HOOD LATCH RELEASE AB 8708 28% 1.000 144.53 144.53 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID:02-24 Invoice No. : 025/BI/20000019 Date : 27/06/2020 14:53:32 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20000109 Job Card Date: 04/06/2020 JAIPUR Reg.No. : RJ14ZC6855 Mileage: 23815 Pin:302001 State & Code : 08-RAJASTHAN SA Name : KARAN GIRI GOSWAMI SA(M) : 9571271999 Mobile : Model : MARUTI VITARA BREZZA V EEW Type : II Loyalty Card : 33041805814 Fuel Trim : Chassis No.: 360256 Last Service : 21837 (05-01-20) Cust GSTIN/UIN : 08AABCB5730G1ZX Next Service Due : PMS 20 Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: RAJASTHAN 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 20 99000M99178 SUPER LUBRICANT AB 3403 18% 0.100 199.15 19.92 0.00 21 99000M99280 SUPER CLEANER(480 AB 3402 18% 0.100 322.03 32.20 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF63D0 Bumper repairing (FR) 998729 975.00 2 ZZ07H HYGIENE CHARGE 998729 175.00 3 ZF9993 PAINTING CHARGES 998729 5,685.00 4 ZF9992 DENTING CHARGES 998729 500.00 Sub Total Amount 11,450.11 0.00 7,335.00 Sur, Ajay Shukla Bajaj Non M I CGST @ 14% 1,087.92 SGST @ 14% 1,087.92 CGST @ 9% 331.12 660.15 SGST @ 9% : 331.12 660.15 For BHATIA & COMPANY (A UNIT OF BHATIA Sub Total Amount 14,288.19 0.00 8,655.30 Authorised Signatory Net Bill Amount (Rounded) 22,943.00 Dealer GSTIN :08AACCB8402C2Z4 Rupees Twenty Two Thousand Nine Hundred And Forty Three 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. : GP20000293 Date : 27-JUN-20 14:53:51 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : VITARA BREZZA 1.3D JC20000109 BR/20000297 27-JUN-20 0.00 Tech. Name :ASHARAF KHAN Reg.No.: RJ14ZC6855 JC20000109 BI/20000019 27-JUN-20 22,943.00 Customer Signature Accountant Signature JC20000109 ---PAGE END---