ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1727561665 Invoice No. : 1/BR/20000176 Date : 23/02/2021 14:01:43 PREMNJBHAI BHAIJIBHAI MAKWANA A-04,MADHURAM PARK, AT-MANJIPURA, TA-NADIAD,DIST- Job Card No.: JC20000210 Job Card Date: 19/02/2021 KHEDA. Reg.No. : GJ07DB2231 Mileage: 40985 KHEDA SA Name : HARSHID ARJUNBHAI RABARI SA(M) : 9574134568 Pin:387130 State & Code :24-GUJARAT Model : MARUTI SWIFT VDI EW Type : III Mobile 9879924425 Chassis No.: 116918 Last Service : 31715 (27-09-20) Fuel Trim : Next Service Due : PMS 40 Loyalty Card : 33040407174 Service type: BODY REPAIR CuSt GSTIN/UIN : GSTUNREGISTERED Place of Supply: GUJARAT Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 71711M55R00-5PK BUMPER ,FRONT AC 8708 28% 1.000 1671.87 1671.87 0.00 2 71732M55R00 HOLDER, FR BUMPER SIDE, L AC 8708 28% 1.000 47.65 47.65 0.00 3 71740M55R00-C48 GRILLE COMP,RADIATOR UPPER AC 8708 28% 1.000 789.06 789.06 0.00 4 77862M86G00-0PG EMBLEM(DDIS) AC 8708 28% 1.000 39.84 39.84 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF01L0 BUMPER CHECK/ FIX UP/ ADJUST 998729 150.00 2 ZF9993 PAINTING CHARGES 998729 4,400.00 3 ZF17D0 PANEL FRONT FENDER LH DENTING 998729 450.00 Recommendations : Sub Total Amount 2,548.42 0.00 5,000.00 BAJAJ .... HARSHAL CGST @ 14% : 356.78 SGST @ 14% 356.78 CGST @ 9% 450.00 SGST @ 9% 450.00 For SHIVAM MOTORS Sub Total Amount : 3,261.98 0.00 5,900.00 Authorised Signatory Net Bill Amount (Rounded) 9,162.00 Dealer GSTIN :24AEIPP4175M3ZZ Rupees Nine Thousand One Hundred And Sixty Two 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. ---PAGE END---