ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
                                                                                                                                  Job Card Retail - Tax Invoice
           Customer Name & Address :                                                    ID : 02-39                                                                 Invoice No. : 2/BI/20000725                                          Date :            08/12/2020
           Bajaj Allianz General Insurance Co. Ltd,
           4TH FLOOR, HALWASIYA COMM, HOUSE, HABIBULLAH                                                                                                          Job Card No.: JC20005043                                               Job Card Date : 30/11/2020
           ESTATE, 11 MG MARG, HAZRATGANJ,
           LUCKNOW                                                                                                                                                        Reg.No. : UP93BN1709                                          Mileage                   : 1298
                                                                                                                                                                        SA Name : MUKUL CHAUDHARY
           Pin:226001
                                                                                                                                                                              ModeI : MARUTI EECO 7 STR S                                          EW Contract No. : 2010335529
          State & Code : 09-UTTAR PRADESH
          Mobile                                                                                                                                                    Chassis No. : 816374
                                                                                                   Fuel Trim :                                                     Service type : BODY REPAIR
          Loyalty Card : NA
           Ins.Comp.BAJAJ                                                                                                                                    Place of Supply : UTTAR PRADESH
           Cust GSTIN/UIN : 09AABCB5730G1ZV
           Srl. Part Number                                      Description                                                         Batch HSN/SAC Tax                                     Qty.                             Rate                       Taxable                  Tax Paid                              Labour
                                                                                                                                                                                                                                                       Amount                     Amount                           Charges
           Parts
           Demanded Repairs-Others/Suggested Jobs
                        35320M78L01                              UNIT, HEADLAMP LH                                                         AC                  8512            18%            1.000                         1987.28                         1987.28
           2            58611M83B00                              PANEL FRONT FENDER, LH                                                    AC                  8708            28%            1.000                          812.50                           812.50
           3            58700M83B10                              PANEL ASSY,FRONT                                                          AB                  8708            28%            1.000                        2062.50                          2062.50
           4            71711M78L01-5PK                          BAR, FRONT BUMPER (BLACK)                                                 AB                  8708            28%            1.000                           929.68                          929.68
           5            72371M76AA0                              LINING FRONT FENDER,LH                                                    AA                  8708            28%            1.000                           282.42                          282.42
           Labour
           Demanded Repairs-Others/Suggested Jobs
           1            ZF17P0                                   PANEL FRONT FENDER LH PAINTING                                                            998729                                                                                                                                                         2,312.00
           2            ZF31P0                                   PANEL, FRONT DOOR LH PAINTING                                                             998729                                                                                                                                                         2,014.00
           3            ZA64L0                                   OUT SIDE LABOUR                                                                           998729                                                                                                                                                         1,500.00
           4            ZF9993                                   PAINTING CHARGES                                                                          998729                                                                                                                                                         1,000.00
           5            ZF01D0                                   PANEL, FRONT HOOD DENTING                                                                 998729                                                                                                                                                            400.00
            6           ZF01P0                                   PANEL, FRONT HOOD PAINTING                                                                998729                                                                                                                                                         2,312.00
           7            ZF31D0                                   PANEL, FRONT DOOR LH DENTING                                                              998729                                                                                                                                                            400.00
                                                                                                                             Sub Total Amount                                                                                                         6,074.38                                                           9,938.00
           INS COMPANY BAJAJ MR MOHIT SAHU CUST
                                                                                                                              CGST @ 14%                                                                                                                  572.20
                                                                                                                              SGST @ 14%                                                                                                                  572.20
           1302-1825-00000992                                                                                                 CGST @ 9%                                                                                                                    178.86
                                                                                                                                                                                                                                         :                                                                                  894.42
                                                                                                                             SGST @ 9%                                                                                                   :                178.86                                                            894.42
                For VELOCITY CARS (A UNIT OF BASERA                                                                                                                                                                                     :
                                         VELOCITY AUTOHUB PVT. LTD)                                                           Sub Total Amount                                                                                          :              7,576.50                                                        11,726.84
                                                                                                                              Net Bill Amount (Rounded)                                                                                                                                                            19,303.00
                                                                  Authorised Signatory
                                                                                                                                   Rupees Nineteen Thousand Three Hundred And Three Only
            Dealer GSTIN : 09AAHCB7790E1ZD
            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                                                                                   (Customer Signature)                                            Mobile No.:
           to inform me with any other information in relation to my vehicle.
                                                                                                                                                              Gate Pass
           GP No.                   :GP20005131                                                         Date : 08-DEC-20 13:21:25                                                               Job Card No.                           Bill.No.                              Bill Date                                 Amount
           Cust. Name : Bajaj Allianz General Insurance (                                               Model : MARUTI EECO PETROL                                                              JC20005043                         BR/20000839                           08-DEC-20                                               0.00
           Tech. Name :RAVINDRA AHIRWAR                                                                 Reg No. :UP93BN1709                                                                     JC20005043                         BI/20000725                           08-DEC-20                                       19,303.00
           Customer Signature                                                                                                                                                                            Accountant Signature