ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

                                                                                      Job Card Retail - Tax Invoice
Customer Name & Address :                ID :02-26                                       Invoice No. : 001/BI/20000028
                                                                                                                                                                                  Date : 21/08/2020 16:43:42
Bajaj Allianz General Insurance Co. Ltd,
15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL                               Job Card No.: JC20000511
                                                                                                                                                                       Job Card Date: 21/08/2020
LINES,
                                                                                                                   Reg.No. : UP37F9554                            Mileage: 32388
KANPUR
                                                                                                                 SA Name : SAHIB SINGH                             SA(M) : 9897606696
Pin:226001
State & Code :09-UTTAR PRADESH                                                                   ModeI : MARUTI SWIFT VXI BS IV     EW Type : NA
Mobile                                                                                                    Chassis No.: D48543                            Last Service : 34138 (06-08-20)
Loyalty Card : NA                                Fuel Trim :                                                                                             Next Service Due : PMS 30
                                                                                                               Service type: BODY REPAIR
Cust GSTIN/UIN : 09AABCB5730G1ZV                                                     Place of Supply: UTTAR PRADESH
Ins.Comp. : BAJAJ
                                                                                                         Surveyor Name :
Srl. Part Number        Description                             Batch HSN/SAC Tax     Qty.                Rate         Taxable       Tax Paid            Labour
                                                                                                                                                                         Amount         Amount         Charges
Parts
Demanded Repairs-Others/Suggested Jobs
1      09409M07L01             CLIP                                            AB   3926             28%   10.000                 3.12               31.20               0.00
2     35321M74L01             UNIT, HEADLAMP LH                         AC   8512             18%    1.000            2080.50             2080.50               0.00
3     71711M83P00-5PK      BUMPER, FRONT (BLACK)                   AC   8708             28%     1.000            1437.50             1437.50               0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1     ZF9993                     PAINTING CHARGES                                  998729                                                                                                              5,000.00










                                                                                 Sub Total Amount                                                           3,549.20                  0.00             5,000.00
                                                                                 CGST @ 14%                                                                     205.62
                                                                                 SGST @ 14%                                                                     205.62
                                                                                 CGST @ 9%                                                                       187.25                                         450.00
                                                                                 SGST @ 9%                                                                       187.25                                        450.00
                        For GURUNANAK AUTOMOBILES
                                                                                 Sub Total Amount                                                            4,334.94                   0.00             5,900.00
                                        Authorised Signatory        Net Bill Amount (Rounded)                                                                                         10,235.00
 Dealer GSTIN : 09AAUFG3984H1ZN                                  Rupees Ten Thousand Two Hundred And Thirty Five 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 to             Customer Signature            Mobile No.:
 inform me with any other information in relation to my vehicle.
                                                                                                          Gate Pass
GP No.         : GP20000500                                 Date : 21-AUG-20 16:43:51                         Job Card No.     Bill.No.           Bill Date                Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model  : SWIFT NEW / DZIRE NEW PETROL      JC20000511          BI/20000028      21-AUG-20                 10,235.00
Tech. Name :ARSH MALIK                                 Reg.No.: UP37F9554

 Customer Signature                                                                                                         Accountant Signature

                                                                                                                                                                                                  JC20000511

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