ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

                                                                                        Job Card Retail - Tax Invoice
Customer Name & Address :                 ID:02-04                                        Invoice No. : 1/BI/20000004
                                                                                                                                                                   Date :    20/02/2021
Bajaj Allianz General Insurance Co. Ltd,
4th floor, Commerce House, 7 Race Course Road                                             Job Card No.: JC20000468
                                                                                                                                                                   Job Card Date : 11/02/2021
INDORE
                                                                                                                      Reg.No. : RJ27CH3227           Mileage       :551367
Pin:452001
                                                                                                                    SA Name : YASHIKA SINGH RATHORE
State & Code : 23-MADHYA PRADESH
                                                                                                                        Model : MARUTI VITARA BREZZ
Mobile
                                                                                                                 Chassis No.: 512156
Loyalty Card : NA                                        Fuel Trim :
                                                                                                                Service type : RUNNING REPAIR
Ins.Comp.    BAJAJ
                                                                                                            Place of Supply : MADHYA PRADESH
Cust GSTIN/UIN : 23AABCB5730G1Z5

Srl. Part Number        Description                                Batch HSN/SAC Tax   Qty.                Rate           Taxable     Tax Paid            Labour
                                                                                                                                                                               Amount      Amount          Charges
Parts
Demanded Repairs-Others/Suggested Jobs
1       71811M82P00-5PK      BUMPER,REAR UPPER                          AA          8708     28%    1.000              1273.43              1273.43
2       71821M82P00-5PK      BUMPER,REAR LOWER                          AA          8708     28%    1.000                648.43               648.43
3      71832M82P00           HOLDER,RR BUMPER SIDE,L                   AA          8708     28%    1.000                 69.53                69.53
Labour
Demanded Repairs-Others/Suggested Jobs
1       ZF9992                    DENTING CHARGES                                         998729                                                                                                             800.00
2      ZF38P0                    PANEL, QUARTER OUTER RH                              998729                                                                                                           2,806.00
                                        PAINTING
3      ZF28P0                    REAR BUMPER PAINTING                                  998729                                                                                                           3,091.20
4      ZA64L0                    OUT SIDE LABOUR                                           998729                                                                                                             600.00












                                                                                    Sub Total Amount                                                                1,991.39                                    7,297.20
ok
                                                                                    CGST @ 14%                                                                         278.79
                                                                                    SGST @ 14%                                                                          278.79
                                                                                    CGST @ 9%                                                                              0.00                                      656.75
                                                                                    SGST @ 9%                                                                              0.00                                      656.75
                                                  For DEV MOTORS     Tax Collection at Source @ 0.075%                                               1.91
                                                                                    Sub Total Amount                                                      :         2,550.88                                    8,610.70
                                         Authorised Signatory
                                                                                     Net Bill Amount (Rounded)                                                                                         11,162.00
Dealer GSTIN : 23ACIPV6677L1ZS                                     Rupees Eleven Thousand One Hundred And Sixty Two 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        (Customer Signature)                 Mobile No.:
to inform me with any other information in relation to my vehicle.
                                                                                                            Gate Pass
GP No.        : GP20000460                             Date : 20-FEB-21 13:41:28                        Job Card No.       Bill.No.                Bill Date                  Amount
Cust. Name : Bajaj Allianz General Insurance CIModel : VITARA BREZZA 1.3D                      JC20000468         BI/20000004           20-FEB-21                      11,162.00
Tech.Name :SHAHAJAD KHA                        Reg No.: RJ27CH3227

Customer Signature                                                                                                           Accountant Signature

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