ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
                                                                                                                                   Job Card Retail - Tax Invoice
           Customer Name & Address :                                                   ID : 02-26                                                                    Invoice No. : 8/BI/20000979                                        Date :             19/10/2020
           Bajaj Allianz General Insurance Co. Ltd,
           15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL                                                                                                     Job Card No.: JC20002130                                             Job Card Date : 19/10/2020
          LINES,                                                                                                                                                                                                                        Mileage
           KANPUR                                                                                                                                                          Reg.No. : UP60AE8571                                                                 : 42272
           Pin:226001                                                                                                                                                    SA Name : ABHISHEK KUMAR SRIVASTAV
           State & Code : 09-UTTAR PRADESH                                                                                                                                    Model : MARUTI DZIRE ZDI+
           Mobile                                                                                                                                                    Chassis No.: 134866
          Loyalty Card : NA                                                                         Fuel Trim :                                                    Service type : BODY REPAIR
           Ins.Comp.BAJAJ                                                                                                                                     Place of Supply : UTTAR PRADESH
            Cust GSTIN/UIN : 09AABCB5730G1ZV
           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                  8708            28%          15.000                               3.12                           46.80
           2            71711M56R00-5PK                          BUMPER,FRONT (BLACK)                                                      AC                  8708             28%          1.000                          1398.43                         1398.43
           3            71782M56R10-0PG                          GARNISH, FR BUMPER LOWER, L                                               AA                  8708             28%          1.000                            304.68                          304.68
           4            72480M55R00                              LINING COMP, FRONT FENDER, L                                              AD                  8708            28%           1.000                            437.50                          437.50
            5           99000M24121-109                          INTERIOR PROTECTION COVERS-                                               AC                  3920             18%          1.000                              17.79                            17.79
                                                                 NEXA
           Labour
           Demanded Repairs-Others/Suggested Jobs
           1            NA01R0                                   FRONT BUMPER                                                                              998729                                                                                                                                                            591.50
           2            ZF27P0                                   FRONT BUMPER PAINTING                                                                     998729                                                                                                                                                          4,840.00
                                                                                                                              Sub Total Amount                                                                                                         2,205.20                                                          5,431.50
           AC TRANSFER HDFC MEERA DEVI
                                                                                                                             CGST @ 14%                                                                                                                   306.24
                                                                                                                             SGST @ 14%                                                                                                                   306.24
                                                                                                                              CGST @ 9%                                                                                                                        1.60                                                         488.84
                                                                                                                              SGST @ 9%                                                                                                                        1.60                                                        488.84
                                                                            For DEEP MOTORS                                                                                                                                              :
                                                                                                                              Sub Total Amount                                                                                           :             2,820.88                                                          6,409.18
                                                                  Authorised Signatory                                         Net Bill Amount (Rounded)                                                                                                                                                              9,230.00
                                                                                                                                  Rupees Nine Thousand Two Hundred And Thirty Only
            Dealer GSTIN : 09AAFFD9431M1Z0
            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.: