ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-09 Invoice No. : 1/BI/20000042 Date : 02/12/2020 17:50:27 Bajaj Allianz General Insurance Co. Ltd, 952/954,APPASAHEB MARATHE MARG, NEAR CHAITNYA Job Card No.: JC20000498 Job Card Date: 23/11/2020 TOWER, PRABHADEVI, Reg.No. : MH06BM2510 Mileage: 39629 MUMBAI SA Name : PRATHAMESH VANAGE SA(M) : 8007157776 Pin:400099 State & Code :27-MAHARASHTRA Model : MARUTI SWIFT VXI BSIV EW Type : NA Mobile : Chassis No.: A11813 Last Service : 35116 (17-02-20) Fuel Trim : Next Service Due : PMS 40 Loyalty Card : 33022553961 Service type: BODY REPAIR Cust GSTIN/UIN : 27AABCB5730G1ZX Place of Supply: MAHARASHTRA Ins.Comp. : BAJAJ Surveyor Name : Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 1,500.00 2 ZA64L0 OUT SIDE LABOUR 998729 240.00 3 ZF9993 PAINTING CHARGES 998729 6,000.00 Sub Total Amount 7,740.00 Less Discount 0.00 BAJAJ ALIANZ INSU. CL.NO. OC-21-1901- CGST @ 9% 696.60 1801-00008217 SURVEY BY MR. OMKAR SGST @ 9% 696.60 KAMATEKAR Sub Total Amount 0.00 9,133.20 For NAVNATH AUTO Net Bill Amount (Rounded) 9,133.00 Rupees Nine Thousand One Hundred And Thirty Three Only Authorised Signatory * Dealer GSTIN : 27ANHPK1362M2ZQ 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. : GP20000516 Date : 02-DEC-20 17:55:33 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : SWIFT NEW / DZIRE NEW PETROL JC20000498 BC/20000517 02-DEC-20 0.00 Tech. Name :SATYANANDA NITYANANDA CH Reg.No.: MH06BM2510 JC20000498 BI/20000042 02-DEC-20 9,133.00 Customer Signature Accountant Signature JC20000498 ---PAGE END---