ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
IRN : 394bd222d0c15a45ed454ad9c0680183e9ac884e23f4bdf1cf32efb0b2fe3e0f
Customer Name & Address : ID :2040867732 Invoice No. : 5/BR/20006540
Date : 30/03/2021 12:31:55
BAJAJ ALLIANZ INSURANCE CO SNEHLATA BHARSAKALE
Shriram Tower,6th Floor, B Wing, Block No-603, Sadar,NEAR NIT Job Card No.: JC20006163
Job Card Date: 27/03/2021
BUILDING
Reg.No. : 97298 Mileage : 47151
NAGPUR
Pin:440001 SA Name : RIZWAN NAWAB MOHD SA(M) : 7507215745
State & Code :27-MAHARASHTRA Model : MARUTI ALTO 800 VXI EW Type : II
Mobile : 9405418967 Chassis No.: A97298 Last Service : 38908 (26-09-20)
Loyalty Card : 33035900282 Fuel Trim : Next Service Due : PMS 40
Service type: BODY REPAIR
Cust GSTIN/UIN : 27AABCB5730G1ZX PAN : AABCB5730G Place of Supply: MAHARASHTRA
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 87082900 28% 12.000 3.12 37.44 0.00
2 09409M08006 CLIP AB 87089900 28% 8.000 3.12 24.96 0.00
3 35121M53MA0 UNIT HEAD LAMP, RH AC 85122010 18% 1.000 1733.05 1733.05 0.00
4 57611M53M02 PANELFR FENDERR AC 87089900 28% 1.000 789.06 789.06 0.00
5 71711M53MA0-5PK BUMPER, FRONT AC 87089900 28% 1.000 1039.06 1039.06 0.00
6 71731M53M00 HOLDER,FR BUMPER SIDE,R AC 87089900 28% 1.000 47.65 47.65 0.00
7 72321M53M00 LINING,FRONT FENDER,R AC 87081090 28% 1.000 195.31 195.31 0.00
8 72322M53M00 LINING,FRONT FENDER,L AC 87081090 28% 1.000 195.31 195.31 0.00
9 77811M54GC0-0PG EMBLEM,MARK(S)(CHROME) AB 87082900 28% 1.000 96.09 96.09 0.00
10 990J0M999H2-880 MICROFIBER CLOTH AA 63071090 5% 1.000 84.76 84.76 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 NA01RO FRONT BUMPER 998729 222.50
2 ZF27P0 FRONT BUMPER PAINTING 998729 2,438.00
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ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
Customer Name & Address : ID :2040867732 Invoice No. : 5/BR/20006540
Date : 30/03/2021 12:31:55
BAJAJ ALLIANZ INSURANCE CO SNEHLATA BHARSAKALE
Shriram Tower,6th Floor, B Wing, Block No-603, Sadar,NEAR NIT Job Card No.: JC20006163
Job Card Date: 27/03/2021
BUILDING
Reg.No. : 97298 Mileage : 47151
NAGPUR
Pin:440001 SA Name : RIZWAN NAWAB MOHD SA(M) : 7507215745
State & Code :27-MAHARASHTRA Model : MARUTI ALTO 800 VXI EW Type : II
Mobile : 9405418967 Chassis No.: A97298 Last Service : 38908 (26-09-20)
Fuel Trim : Next Service Due : PMS 40
Loyalty Card : 33035900282 Service type: BODY REPAIR
Cust GSTIN/UIN : 27AABCB5730G1ZX PAN : AABCB5730G Place of Supply: MAHARASHTRA
Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Labour
Demanded Repairs-Others/Suggested Jobs
4 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 2,024.00
5 NC01R0 FRONT FENDER PANEL (ONE SIDE) 998729 311.50
Recommendations : Sub Total Amount 4,242.69 0.00 5,296.00
survey done by mr, anand sir bajaj office policy
CGST @ 14% 339.47
(cash)
SGST @ 14% 339.47
CGST @ 9% 155.97 476.65
SGST @ 9% : 155.97 476.65
For ASPA BANDSONS AUTO PVT. LTD. CGST @ 2.5% 2.12
SGST @ 2.5% 2.12
Authorised Signatory Tax Collection at Source @ 1% 52.38
Dealer GSTIN :27AADCA2786K1ZD
Sub Total Amount : 5,290.19 0.00 6,249.30
Net Bill Amount (Rounded) 11,539.00
Rupees Eleven Thousand Five Hundred And Thirty Nine Only
* Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle.
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. : GP20006310 Date : 30-MAR-21 12:32:15 Job Card No. Bill.No. Bill Date Amount
Cust. Name: THE BAJAJ ALLIANZ INSURANCE C Model : ALT0 800 JC20006163 BR/20006540 30-MAR-21 11,539.00
Tech. Name : ANIKET DAINESHWAR WADE Reg.No.: 97298
Customer Signature Accountant Signature
JC20006163
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