ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1311698186 Invoice No. : 6/BC/20002890 Date : 15/02/2021 18:05:28 KARNA BHUSHAN NATH S/O-LT.SURJYA KANTA NATH, VILL.&.P.O.-LALBARI, DIST- Job Card No.: JC20002969 Job Card Date: 15/02/2021 GOALPARA Reg.No. : AS18D0958 Mileage: 64600 GOALPARA SA Name : AMBIKA RABHA SA(M) : 9706421570 Pin:783101 State & Code : 18-ASSAM Model : ALTO K10 LXI EW Type : NA Mobile : 9864215955 Chassis No.: 446493 Last Service : 30000 (08-11-16) Loyalty Card : NA Fuel Trim : Next Service Due : PMS 60 Service type: BODY REPAIR CuSt GSTIN/UIN : GSTUNREGISTERED PAN : 9864215955 Place of Supply: ASSAM Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 09471M12211 .BULB (12V,35W H8) AC 8539 18% 1.000 326.27 326.27 0.00 2 35500M67LA0 LAMP ASSY,FOG AC 8512 18% 1.000 766.94 766.94 0.00 3 71711M66L00-5PK ALTO K10 FRONT BPR AC 8708 28% 1.000 1351.56 1351.56 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 550.00 2 ZF9993 PAINTING CHARGES 998729 4,175.00 Recommendations : Sub Total Amount 2,444.77 0.00 4,725.00 CGST @ 14% 189.22 SGST @ 14% 189.22 CGST @ 9% 98.38 425.25 SGST @ 9% 98.38 425.25 For BHARATI MOTORS PVT. LTD. Sub Total Amount 3,019.97 0.00 5,575.50 Authorised Signatory Net Bill Amount (Rounded) 8,595.00 Dealer GSTIN : 18AADCB1421A1ZI Rupees Eight Thousand Five Hundred And Ninety Five Only * Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle. 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. : GP20002851 Date : 15-FEB-21 18:06:49 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR KARNA BHUSHAN NATH Model : ALT0 K10 JC20002969 BC/20002890 15-FEB-21 8,595.00 Tech. Name :ABDUL MAJID Reg.No.: AS18D0958 Customer Signature Accountant Signature JC20002969 ---PAGE END---