ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-14 Invoice No. : 2/BI/20001807 Date : 04/02/2021 17:59:39 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept., Employees Co-operative, Society,Chitragupt Job Card No.: JC20010125 Job Card Date: 08/01/2021 Nagar Reg.No. : BR01DA8842 Mileage: 52669 PATNA SA Name : RAMESH SINGH SA(M) : 9204756206 Pin:800020 State & Code : 10-BIHAR Model : MARUTI WAGON R STINGR EW Type : NA Mobile Chassis No.: B39871 Last Service : 48173 (03-10-20) Loyalty Card : NA Fuel Trim : Next Service Due : PMS 50 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR Ins.Comp. : BAJAJ 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 09409M07L01 CLIP AB 8708 28% 35.000 3.12 109.20 0.00 2 09409M10321 CLIP, SPLASH GUARD AA 8708 28% 10.000 2.34 23.40 0.00 3 09471M12076 BULB AC 8512 18% 2.000 32.20 64.40 0.00 4 36410M67K00 LAMP ASSY, SIDE TURN AC 8512 18% 2.000 105.93 211.86 0.00 5 72321M67LD0 LINING, FRONT FENDER RH AD 8708 28% 1.000 253.90 253.90 0.00 6 72322M67L00 LINING, FRONT FENDER LH AC 8708 28% 1.000 250.00 250.00 0.00 7 77240M67LD0-5PK GUARD ASSY, SPLASH LH AB 8708 28% 1.000 285.15 285.15 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF30D0 PANEL, FRONT DOOR RH DENTING 998729 650.00 2 ZF30P0 PANEL, FRONT DOOR RH PAINTING 998729 2,452.00 3 ZF32D0 PANEL, REAR DOOR RH DENTING 998729 650.00 4 ZF32P0 PANEL, REAR DOOR RH PAINTING 998729 2,452.00 5 ZF33D0 PANEL, REAR DOOR LH DENTING 998729 650.00 6 PC05R0 FRONT DOOR TRIM (ONE SIDE) 998729 89.00 7 ZF43D0 RUNNING BOARD DENTING 998729 750.00 : ZF43P0 RUNNING BOARD PAINTING 998729 4,000.00 9 PC07R0 REAR DOOR PANEL ASSY (ONE SIDE) 998729 623.00 10 NC06R0 FRONT FENDER LINING (ONE SIDE) 998729 178.00 11 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 2,452.00 Sub Total Amount 1,197.91 0.00 14,946.00 CGST @ 14% 129.04 SGST @ 14% 129.04 CGST @ 9% 24.87 1,345.14 SGST @ 9% 24.87 1,345.14 For GS MOTORS PVT LTD Tax Collection at Source @ 0.075% : 1.12 Authorised Signatory Sub Total Amount : 1,506.85 0.00 17,636.28 Dealer GSTIN :10AACCG9372N1ZD Net Bill Amount (Rounded) : 19,143.00 Rupees Nineteen Thousand One 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. :GP20010818 Date: 04-FEB-21 17:59:53 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : WAGON-R NEW JC20010125 BI/20001807 04-FEB-21 19,143.00 Tech.Name :TANVEER ALAM Reg.No.: BR01DA8842 Customer Signature Accountant Signature JC20010125 ---PAGE END---