ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-14 Invoice No. : 001/BI/20000356 Date : 11/09/2020 12:41:39 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept., Employees Co-operative, Society,Chitragupt Job Card No.: JC20002284 Job Card Date: 31/08/2020 Nagar Reg.No. : BR01EA3480 Mileage : 2086 PATNA SA Name : ABHISHEK KUMAR SA(M) :7545830005 Pin:800020 State & Code : 10-BIHAR Model : MARUTI SWIFT VXI EW Type : NA Mobile Chassis No. : 250893 Last Service : 1437 (06-03-20) Loyalty Card : NA Fuel Trim : Next Service Due : PMS 20 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR 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 57711M55R00 PANEL,FRONT FENDER,L AA 8708 28% 1.000 976.56 976.56 0.00 2 72480M55R00 LINING COMP, FRONT FENDER, L AA 8708 28% 1.000 246.09 246.09 0.00 3 90900M10153 DOUBLE SIDE TAPE 8708 28% 0.400 351.56 140.62 0.00 4 90900M10164 DISTILLED WATER 8708 18% 0.400 12.71 5.08 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 ZA64L0 OUT SIDE LABOUR 998729 1,000.00 3 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 3,195.00 4 ZF31D0 PANEL, FRONT DOOR LH DENTING 998729 400.00 5 ZF39P0 PANEL, QUARTER OUTER LH PAINTING 998729 2,556.00 6 ZF33D0 PANEL, REAR DOOR LH DENTING 998729 600.00 7 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 3,500.00 8 ZF39D0 PANEL, QUARTER OUTER LH DENTING 998729 800.00 9 ZF31P0 PANEL, FRONT DOOR LH PAINTING 998729 2,187.00 Sub Total Amount 1,368.35 0.00 14,413.00 CGST @ 14% 190.86 SGST @ 14% 190.86 CGST @ 9% 0.46 1,297.17 SGST @ 9% 0.46 1,297.17 For SEEMANCHAL MOTORS PVT. LTD. Sub Total Amount 1,750.99 0.00 17,007.34 Authorised Signatory Net Bill Amount (Rounded) 18,758.00 : Dealer GSTIN : 10AARCS3641P1ZY Rupees Eighteen Thousand Seven Hundred And Fifty Eight 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. :GP20002556 Date : 11-SEP-20 12:42:04 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. Model : NEW SWIFT PETROL JC20002284 BI/20000356 11-SEP-20 18,758.00 Tech. Name :BIPIN KUMAR BHARTI Reg.No.: BR01EA3480 Customer Signature Accountant Signature JC20002284 ---PAGE END---