ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-16 Invoice No. : 13/BR/20001126 Date : 26/11/2020 16:34:24 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20002102 Job Card Date: 23/11/2020 NEW DELHI Reg.No. : UK18E3145 Mileage: 47119 Pin:110015 SA Name : JAYANT CHAUHAN SA(M) : 8630727447 State & Code : 07-DELHI Mobile Model : MARUTI BALENO DELTA P EW Type : NA Loyalty Card : 77000090093 Fuel Trim : Chassis No.: 226319 Last Service : 27687 (28-11-18) Cust GSTIN/UIN : 07AABCB5730G1ZZ Next Service Due : PMS 30 Service type: BODY REPAIR Place of Supply: DELHI Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 01550M0616A BOLT AB 7318 18% 9.000 2.54 22.86 0.00 2 03141M05165 .SCREW AB 7318 18% 15.000 2.54 38.10 0.00 3 09409M07L01 CLIP AB 8708 28% 15.000 3.12 46.80 0.00 4 57711M68P00 PANEL,FRONT FENDER,L AB 8708 28% 1.000 937.50 937.50 0.00 5 71711M68P01-5PK BUMPER, FR (BLACK) AB 8708 28% 1.000 1929.68 1929.68 0.00 6 71731M69R00 HOLDER,FR BUMPER SIDE,R AB 8708 28% 1.000 45.31 45.31 0.00 7 71732M68P00 HOLDER,FR BUMPER SIDE,L AC 8708 28% 1.000 60.15 60.15 0.00 8 99000M24121-059 MASKING TAPE AC 4823 18% 1.000 46.61 46.61 0.00 9 99000M24121-110 INTERIOR PROTECTION COVERS - AC 3920 18% 1.000 17.79 17.79 0.00 ARENA 10 99000M24121-136 PAPER FLOOR MAT (20X15) AB 4820 18% 7.000 0.84 5.88 0.00 11 990J0M999H2-970 WAX TOP KIT 100ML AA 3405 18% 1.000 295.76 295.76 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 ZF27P0 FRONT BUMPER PAINTING 998729 3,923.00 3 NH02R01 FRONT FENDER EMBLEM (ONE SIDE) 998729 136.50 WITH OPPOSITE SIDE 4 NA08R0 FRONT BUMPER HOLDER (ONE SIDE) 998729 273.00 5 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 2,672.00 Recommendations : Sub Total Amount : 3,446.44 0.00 7,179.50 BAJAJ NON MI (MANOHAR JI ) IGST @ 28% 845.44 IGST @ 18% 76.86 1,292.31 Tax Collection at Source @ 0.075% 3.27 For NAINITAL MOTORS PVT LTD Sub Total Amount 4,372.01 0.00 8,471.81 : Net Bill Amount (Rounded) 12,844.00 Authorised Signatory Rupees Twelve Thousand Eight Hundred And Forty Four Only Dealer GSTIN : 05AACCN8913C1ZR * 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. : GP20002077 Date : 26-NOV-20 16:34:43 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : MARUTI BALENO PETROL JC20002102 BR/20001126 26-NOV-20 12,844.00 Tech. Name :SUNDER PAL Reg.No.: UK18E3145 Customer Signature Accountant Signature JC20002102 ---PAGE END---