ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
IRN : d2a30702abb317c938124574aea5a85526e001f70e78ebb51c39f0ec3681c555 OER
Customer Name & Address : ID :02-16 Invoice No. : 14/BI/20002494
Date : 24/01/2021 13:49:29
Bajaj Allianz General Insurance Co. Ltd,
Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg
Job Card No.: JC20013767 Job Card Date: 16/01/2021
NEW DELHI
Reg.No. : DL6CS0279 Mileage : 16841
Pin:110015
SA Name : Pappu KUMAR SA(M) : 9650395172
State & Code : 07-DELHI
Mobile Model : MARUTI EECO CNG 5 SEA EW Type : NA
Loyalty Card : 33053232618 Fuel Trim : Chassis No.: 694806 Last Service : 11149 (22-06-20)
Cust GSTIN/UIN : 07AABCB5730G1ZZ PAN : AABCB5730G Next Service Due : PMS 20
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 09119-10041 BOLT AC 8708 28% 2.000 179.68 359.36 0.00
2 14183M78L00 RING,SEAL EXH PIPE AD 8708 28% 1.000 347.65 347.65 0.00
3 14190M78L10 PIPE COMP,EXH AC 8708 28% 1.000 27734.37 27734.37 0.00
4 14281M78L00 MOUNTING ,MUFFLER AB 4016 18% 1.000 69.49 69.49 0.00
5 14492M72F00 SPRING PIPE EXHAUST AA 7320 18% 2.000 28.81 57.62 0.00
6 18213M78L50 SENSOR, OXYGEN REAR AB 9031 28% 1.000 1414.84 1414.84 0.00
7 99000M24121-052 PREMIUM FOAM WASH-LIQUID AC 3402 18% 0.100 279.66 27.97 0.00
8 99000M24121-136 PAPER FLO0R MAT (20X15) AB 4820 18% 6.000 0.84 5.04 0.00
9 99000M24121-161 INTERIOR PROTECTION COVERS- AA 3920 18% 1.000 25.42 25.42 0.00
NEXA
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF9992 DENTING CHARGES 998729 1,000.00
Sub Total Amount 30,041.76 0.00 1,000.00
surveyor ds gaba sa lokesh
CGST @ 14% 4,179.87
SGST @ 14% 4,179.87
CGST @ 9% 16.70 90.00
SGST @ 9% 16.70 90.00
For MAGIC AUTO PVT LTD Tax Collection at Source @ 0.075% : 28.80
Authorised Signatory Sub Total Amount 38,463.70 0.00 1,180.00
Dealer GSTIN : 07AAACM4873C2ZM Net Bill Amount (Rounded) 39,644.00
Rupees Thirty Nine Thousand Six Hundred And Forty Four 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. : GP20013987 Date : 24-JAN-21 13:49:37 Job Card No. Bill.No. Bill Date Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model : MARUTI EECO CNG JC20013767 BI/20002494 24-JAN-21 39,644.00
Tech. Name :RAJ KUMAR Reg.No.: DL6CS0279
Customer Signature Accountant Signature
JC20013767
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