ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1516578579 Invoice No. : 024/BR/20000137 Date : 26/06/2020 KETAN GANDALAL SHETH A-11/6103,CLOVER REGENCY, 10TH FLR,NR RANJI ASHAR Job Card No.: JC20000115 Job Card Date : 23/06/2020 SCHOOL, RANJI A LANE,M G RD Reg.No. : MH03BW7497 Mileage :124920 MUMBAI Pin:400077 SA Name : LALAHAMED SHAIKH ModeI : MARUTI CIAZ SHVS ZD State & Code :27-MAHARASHTRA Chassis No.: 172583 Mobile: 9920314777 Service type : BODY REPAIR Loyalty Card : 77000162340 Fuel Trim : Place of Supply : MAHARASHTRA Cust GSTIN/UIN : GSTUNREGISTERED Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 28113M79M41-C48 KNOB SUB-ASSY, SHIFT LEVER AA 8708 28% 1.000 281.25 281.25 2 77855M64M00 DECAL (NEXA) AA 3919 18% 1.000 13.55 13.55 3 84570M79M00 GLASS, BACK WINDOW AB 7007 18% 1.000 3299.15 3299.15 4 99000M24120-460 DG SEALANT SET WITHOUT PRIMER AB 3506 18% 1.000 572.88 572.88 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 200.00 2 ZA26L0 UPHOLSTERY CLEANING 998729 1,250.00 3 ZF9992 DENTING CHARGES 998729 1,500.00 Recommendations : Sub Total Amount 4,166.83 2,950.00 INSU COM - BAJAJ SURVE NAME - SACHIN CGST @ 14% 39.38 ACHARI POLICY NO - OG-20-1934-1801- SGST @ 14% 39.38 00005495 CLAIM NO - 0C-21-1901-1801- CGST @ 9% 349.70 265.50 00001020 NON CASHLESS SGST @ 9% : 349.70 265.50 For AUTOMOTIVE MANUFACTURERS PVT. : LTD. Sub Total Amount : 4,944.99 3,481.00 Authorised Signatory Net Bill Amount (Rounded) 8,426.00 Rupees Eight Thousand Four Hundred And Twenty Six Only Dealer GSTIN : 27AAACA3428K1ZR * Unapproved fitments affects the performance & safety. Suggested to keep the vehicle in original specifications. 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. : GP20000137 Date : 26-JUN-20 15:58:57 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR KETAN GANDALAL SHETH Model : CIAZ DIESEL JC20000115 BR/20000137 26-JUN-20 8,426.00 Tech. Name :STEPHEN M Reg No.: MH03BW7497 Customer Signature Accountant Signature ---PAGE END---