ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1726618830 Invoice No. : 10/BC/20005074 Date : 08/01/2021 17:24:00 AKHILESH GAUTAM T-4/10 52 IRRIGATION COLONY, CANTT KANPUR,7860466626 Job Card No.: JC20007663 Job Card Date: 05/01/2021 KANPUR Reg.No. : UP78FA1079 Mileage: 44426 Pin:208001 SA Name : SHIVAM GUPTA SA(M) : 9076800514 State & Code : 09-UTTAR PRADESH Mobile: 9415262569 Model : MARUTI S-CROSS SMART EW Type : II Loyalty Card : 77000384026 Fuel Trim : Chassis No.: 171160 Last Service : 38572 (20-03-20) Cust GSTIN/UIN : GSTUNREGISTERED PAN : NA Next Service Due : PMS 40 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH 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 AB 7318 18% 10.000 2.54 25.40 0.00 2 09409M07L01 CLIP AB 8708 28% 10.000 3.12 31.20 0.00 3 09409M08006 CLIP AB 8708 28% 5.000 3.12 15.60 0.00 4 71711M64MA0-5PK BUMPER,FRONT UPPER AC 8708 28% 1.000 640.62 640.62 0.00 5 71712M64MA0-5PK CAP,FRONT BUMPER AB 8708 28% 1.000 19.53 19.53 0.00 6 71713M64R00-5PK COVER,FRONT BUMPER CAP AA 8708 28% 1.000 30.46 30.46 0.00 7 71721M64MA0-5PK BUMPER,FRONT LOWER AC 8708 28% 1.000 1386.71 1386.71 0.00 8 71771M64RA0-PER GARNISH, FR BUMPER LOWER AC 8708 28% 1.000 609.37 609.37 0.00 9 77862M86G00-0PG EMBLEM(DDIS) AC 8708 28% 1.000 39.84 39.84 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF27P0 FRONT BUMPER PAINTING 998729 4,216.00 2 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 1,497.00 3 ZF17D0 PANEL FRONT FENDER LH DENTING 998729 300.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1726618830 Invoice No. : 10/BC/20005074 Date : 08/01/2021 17:24:00 AKHILESH GAUTAM T-4/10 52 IRRIGATION COLONY, CANTT KANPUR,7860466626 Job Card No.: JC20007663 Job Card Date: 05/01/2021 KANPUR Reg.No. : UP78FA1079 Mileage : 44426 Pin:208001 SA Name : SHIVAM GUPTA SA(M) : 9076800514 State & Code :09-UTTAR PRADESH Mobile 9415262569 Model : MARUTI S-CROSS SMART EW Type : II Fuel Trim : Chassis No.: 171160 Last Service : 38572 (20-03-20) Loyalty Card : 77000384026 Cust GSTIN/UIN : GSTUNREGISTERED PAN : NA Next Service Due : PMS 40 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 5 ZA64L0 OUT SIDE LABOUR 998729 750.00 6 ZF33D0 PANEL, REAR DOOR LH DENTING 998729 350.00 7 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 3,256.00 8 ZF39D0 PANEL, QUARTER OUTER LH DENTING 998729 300.00 9 ZF39P0 PANEL, QUARTER OUTER LH PAINTING 998729 1,497.00 10 ZF31P0 PANEL, FRONT DOOR LH PAINTING 998729 3,256.00 Recommendations : Sub Total Amount 2,798.73 0.00 15,772.00 BAJAJ NON MI MR. RAM TEERTH / SATYAM CGST @ 14% 388.26 SGST @ 14% 388.26 CGST @ 9% 2.29 1,419.48 SGST @ 9% : 2.29 1,419.48 For CONCEPT CARS LIMITED Tax Collection at Source @ 0.075% : 2.68 Authorised Signatory Sub Total Amount : 3,582.51 0.00 18,610.96 Dealer GSTIN : 09AAECC0119M1ZP Net Bill Amount (Rounded) 22,193.00 Rupees Twenty Two Thousand One Hundred And Ninety Three 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. : GP20007498 Date : 08-JAN-21 17:24:26 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR AKHILESH GAUTAM Model : S-CROSS (D13) JC20007663 BC/20005074 08-JAN-21 22,193.00 Tech.Name :NEYAJ AHMAD Reg.No.: UP78FA1079 Customer Signature Accountant Signature JC20007663 ---PAGE END---