ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-24 Invoice No. : 9/BI/20000814 Date : 02/11/2020 11:36:11 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20002143 Job Card Date: 26/10/2020 JAIPUR Reg.No. : RJ14NC7631 Mileage : 37767 Pin:302001 SA Name : HIMMAT SINGH SA(M) : 8104911865 State & Code :08-RAJASTHAN Mobile : Model : MARUTI SWIFT DZIRE VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 932291 Last Service : 29806 (16-08-19) Cust GSTIN/UIN. :..08AABCB5730G1ZX Next Service Due : PMS 30 Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: RAJASTHAN 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 57300M74L00 PANEL, FRONT HOOD AC 8708 28% 1.000 3117.18 3117.18 0.00 2 57410M74L00 HINGE, FRONT HOOD RH AC 8708 28% 1.000 160.15 160.15 0.00 3 57420M74L00 HINGE, FRONT HOOD LH AC 8708 28% 1.000 148.43 148.43 0.00 4 58230M74L00 MEMBER, HOOD LOCK AC 8708 28% 1.000 644.53 644.53 0.00 5 71711M84P00-5PK BUMPER, FRONT (BLACK) AC 8708 28% 1.000 1437.50 1437.50 0.00 6 71712M74L00 CAP,FRONT BUMPER AB 8708 28% 1.000 5.46 5.46 0.00 7 71731M74L00 HOLDER, FR BUMPER SIDE RH AC 8708 28% 1.000 75.78 75.78 0.00 8 71732M74L00 HOLDER, FR BUMPER SIDE LH AC 8708 28% 1.000 75.78 75.78 0.00 9 82110M74L01 LATCH COMP,HOOD AC 8301 18% 1.000 169.49 169.49 0.00 10 82160M74L00 CABLE, HOOD LATCH RELEASE AC 8708 28% 1.000 105.46 105.46 0.00 11 84510M74L00 GLASS WINDSHIELD AD 7007 18% 1.000 2788.13 2788.13 0.00 12 99000M24120-290 SEALENT SET AC 3214 18% 1.000 605.93 605.93 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 NA01R0 FRONT BUMPER 998729 364.00 3 ZF9992 DENTING CHARGES 998729 300.00 4 PB09R0 WINDSHIELD GLASS (ADHERED TYPE) 998729 1,137.50 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-24 Invoice No. : 9/BI/20000814 Date : 02/11/2020 11:36:11 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20002143 Job Card Date: 26/10/2020 JAIPUR Reg.No. : RJ14NC7631 Mileage: 37767 Pin:302001 SA Name : HIMMAT SINGH SA(M) : 8104911865 State & Code : 08-RAJASTHAN Mobile : Model : MARUTI SWIFT DZIRE VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 932291 Last Service : 29806 (16-08-19) Cust GSTIN/UIN : 08AABCB5730G1ZX Next Service Due : PMS 30 Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: RAJASTHAN 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 6 NB01R0 FRONT HOOD PANEL ASSY 998729 182.00 Sub Total Amount 9,333.82 0.00 11,488.50 bajaj ins ashish ji CGST @ 14% 807.83 SGST @ 14% 807.83 CGST @ 9% 320.71 1,033.97 SGST @ 9% 320.71 1,033.97 For RELAN MOTORS PVT. LTD. Tax Collection at Source @ 0.075% : 8.69 Authorised Signatory Sub Total Amount 11,599.59 0.00 13,556.44 Dealer GSTIN :08AABCR1668P1ZT Net Bill Amount (Rounded) 25,156.00 Rupees Twenty Five Thousand One Hundred And Fifty Six 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. : GP20002120 Date : 02-NOV-20 11:37:01 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : SWIFT NEW/ DZIRE NEW DIESEL JC20002143 BR/20002189 02-NOV-20 0.00 Tech. Name : ASIF MOHD Reg.No.: RJ14NC7631 JC20002143 BI/20000814 02-NOV-20 25,156.00 Customer Signature Accountant Signature JC20002143 ---PAGE END---