ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
                                                                                        Job Card Retail-Tax Invoice
          Customer Name& Address                            ID02-13                                           Invoice No.:1/BI/21000017                                      Date :07/04/2021 18:21:31
          Bajaj Allianz General Insurance Co. Ltd,                                                                                                                  Job Card Date:07/04/2021
          6th Floor,Mani Square,No 164,, Manicktala Main Rd,Mani Square,                                     Job Card No.:JC21000098
          Premises No 41,Canal Circle Rd                                                                           Reg.No.:WB40AB2194                                      Mileage :73472
          KOLKATA                                                                                                 SA Name: RAFIK SK                                          SA(M:8101765126
          Pin:700156                                                                                                  Model :MARUTI SWIFT DZIRE VXI EWType:NA        Last Service : 73233 (04-04-21)
          State&Code19-WEST BENGAL                                                                              Chassis No.: 651316
          Mobile                                                 Fuel Trim                                      Service type: BODY REPAIR                            Next Service Due :PMS70
          Loyalty CardNA                                                                                    Place of Supply:WEST BENGAL
          Cust GSTIN/UIN19AABCB5730G1ZU
           Ins.Comp.BAJAJ                                                                                  Surveyor Name :
                                                                                                                              Qty.                   Rate            Taxable            Tax Paid                Labour
          Srl.Part Number                     Description                                 Batch HSN/SAC Tax                                                          Amount               Amount               Charges
           Parts
           Demanded Repairs-Others/Suggested Jobs                                                                      18%       1.000               779.66                779.66                 0.00
                  35651M75L00                 LAMP UNIT,RR COMB RH                            AC    85122010                                        1628.90               1628.90                 0.00
           2      71811M75L00                 REAR BUMPER                                    AC     87081090           28%        1.000
                                              HOLDER, RR BUMPER SIDE RH                      AC     87089900           28%       1.000                 82.03                82.03                 0.00
           3      71821M75L00
           Labour
            Demanded Repairs-Others/Suggested Jobs                                                   998729                                                                                                          600.00
            1      ZA7OLO                      BOLT REMOVING CUTTING                                                                                                                                               6,970.00
            2      ZF9993                      PAINTING CHARGES                                      998729                                                                                                         1,000.00
            3      ZF9992                      DENTING CHARGES                                       998729
                                                                                                                                                                    2,490.59                     0.00              8,570.00
                                                                                      Sub Total Amount
                                                                                      CGST @ 14%                                                                       239.53
                                                                                      SGST @14%                                                                        239.53
                                                                                      CGST @9%                                                                           70.17                                        771.30
                                                                                      SGST @9%                                                                           70.17                                        771.30
                                                    For THEQUICKEST                                                                                                  3,109.99                     0.00             10,112.60
                                                                                       Sub Total Amount                                                                                                         13,223.00
                                                 Authorised.Signatory                  Net Bill Amount (Rounded)
              Dealer GSTIN19AEUPB0339R1ZU                                                  Rupees Thirteen Thousand Two Hundred And Twenty 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                 Customer Signature                       Mobile No.:
             I confirm that my vehicle is in good condition. I further authorize this workshop tocontact me by call or sms to
             inform me with any other information in relation to my vehicle.
                                                                                                              Gate Pass
                                                                              Date:07-APR-21 18:21:40                                      Job Card No.            Bill.No.             Bill Date                  Amount
             GP No.           GP21000109                                                                                                   JC21000095              BC/21000097           07-APR-21                        0.00
             Cust.NameBajaj Allianz General Insurance Co.I Model :SWIFT NEW/DZIRE NEW PETROLReg.No.:WB40AB2194                             JC21000098              BI/21000017           07-APR-21                   13,223.00
             Tech.Name:EKLAKH SEKH                                                                                                         JC21000098              BR/21000020          07-APR-21                          0.00
               Customer Signature
                                                                                                                                             Accountant Signature
                                                                                                                                                                                                JC21000098
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