ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :I092662647 Invoice No. : 001/BR/20000110 Date : 30/06/2020 18:33:04 SAPAN KUMAR SRIVASTAVA A/34, JAGAT VAISHNAVI APTT, ASHIYANA NAGAR, PATNA-25 Job Card No.: JC20000372 Job Card Date: 30/06/2020 PATNA Reg.No. : BR01AR6838 Mileage: 35583 State & Code : 10-BIHAR SA Name : AMRESH KUMAR DWIVEDI SA(M) : 9334656236 Mobile 9430243092 Loyalty Card : NA Fuel Trim : ModeI : WAGON R LXI BS III (WITH EW Type : NA CuSt GSTIN/UIN : GSTUNREGISTERED Chassis No.: 862696 Last Service : 7356 (07-10-12) Next Service Due : PMS 30 Service type: BODY REPAIR Place of Supply: BIHAR Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 35121M67K00 UNIT HEADLAMP RH,WAG R MINOR AB 8512 18% 1.000 2648.30 1324.15 0.00 INSURANCE 50 2 71711M67K00-5PK BUMPER FRONT AB 8708 28% 1.000 1406.25 703.13 0.00 INSURANCE 50 3 71741M67K00 GRILLE FR BUMPER UPP AB 8708 28% 1.000 382.81 191.41 0.00 INSURANCE 50 4 71751M67K00 GRILLE RADIATOR LOWE AC 8708 28% 1.000 214.84 107.42 0.00 INSURANCE 50 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF16D0 PANEL FRONT FENDER RH DENTING 998729 0.00 2 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 324.00 3 ZF01D0 PANEL, FRONT HOOD DENTING 998729 0.00 4 ZA64L0 OUT SIDE LABOUR 998729 0.00 5 ZF27P0 FRONT BUMPER PAINTING 998729 405.00 6 ZF02D0 MEMBER FRONT UPPER DENTING 998729 0.00 7 ZF01P0 PANEL, FRONT HOOD PAINTING 998729 416.75 Recommendations : Sub Total Amount 2,326.11 0.00 1,145.75 CGST @ 14% 140.28 SGST @ 14% 140.28 CGST @ 9% 119.17 103.12 SGST @ 9% : 119.17 103.12 For TIRUPATI AUTO Sub Total Amount 2,845.01 0.00 1,351.99 Authorised Signatory Deductibles(As per policy T & C): 1,000.00 Dealer GSTIN : 10AACFT2338Q1Z4 Net Bill Amount (Rounded) 5,197.00 Rupees Five Thousand One Hundred And Ninety Seven 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. Gate Pass GP No. : GP20000365 Date : 30-JUN-20 18:33:17 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR SAPAN KUMAR SRIVASTAVA Model : WAGON R JC20000372 BR/20000110 30-JUN-20 5,197.00 Tech. Name :IRSHAD ALAM Reg.No.: BR01AR6838 JC20000372 BI/20000107 30-JUN-20 13,905.00 Customer Signature Accountant Signature JC20000372 ---PAGE END---