ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : 641131aab18ada6f111659437f1a0ab0fbfe92e9f151a8518d7fdad4b597d613 Customer Name & Address : ID : 05-19 Invoice No. : 3/BI/23000251 Date : 13/06/2023 12:43:46 IFFCO Tokio General Insurance Co. Ltd. KSCMF Building, 3rd Floor, 3rd Block, No. 8, Cunningham Road Job Card No. : JC23001816 Job Card Date: 05/06/2023 BANGALORE Reg.No. : KA13P9240 Mileage : 60940 Pin:560052 SA Name : NUMAN SHARIF SA(M) :9964389543 State & Code : 29-KARNATAKA Mobile Model : MARUTI BALENO ZETA PE EW Type : III Loyalty Card : NA Fuel Trim : Chassis No. : 437609 Last Service : 48594 (06-09-22) Cust GSTIN/UIN :29AAACI7573H1Z8 PAN : AAACI7573H Next Service Due : PMS 50 Service type: BODY REPAIR Ins.Comp. : ITGI Place of Supply: KARNATAKA 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 09409M07L01 CLIP AA 87082900 28% 30.000 2.34 70.20 0.00 2 35121M50S00 UNIT, HEADLAMP RH AE 85122010 18% 1.000 12923.72 12923.72 0.00 3 38450M68P10 .TANK AD 87081090 28% 1.000 210.93 210.93 0.00 4 57611M68P00 PANEL,FRONT FENDER,R AE 87089900 28% 1.000 1394.53 1394.53 0.00 5 71711M50S00-5PK BUMPER,FRONT AE 87089900 28% 1.000 2027.34 2027.34 0.00 6 71712M50S00 CAP, FRONT BUMPER AC 87089900 28% 1.000 17.96 17.96 0.00 7 72460M68P00 COVER,FR BUMPER LOWER AE 87089900 28% 1.000 230.46 230.46 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 1,700.00 2 ZA64L0 OUT SIDE LABOUR 998729 205.00 3 ZF9993 PAINTING CHARGES 998729 7,111.00 Sub Total Amount 16,875.14 0.00 9,016.00 CGST @ 14% 553.19 SGST @ 14% 553.19 CGST @ 9% 1,163.13 811.44 SGST @ 9% 1,163.13 811.44 For VENKAT MOTORS Tax Collection at Source 20.30 Authorised Signatory Sub Total Amount 20,328.08 0.00 10,638.88 Dealer GSTIN : 29AAFFV6103L1ZV Net Bill Amount (Rounded) : 30,967.00 Rupees Thirty Thousand Nine Hundred And Sixty Seven 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. ---PAGE END---