ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :22039479017 Invoice No. : 1/BR/20003412 Date : 31/01/2021 16:07:55 DHARMENDRA KUMAR PANDEY VILL-BASANTPUR POST-, BANSGAON PS-TIKAIT, NAGAR Job Card No.: JC20006455 Job Card Date: 22/12/2020 BARABANKI Reg.No. : UP41Q3400 Mileage: 80891 Pin:225001 SA Name : WARIS CHISHTY SA(M) : 9628374837 State & Code : 09-UTTAR PRADESH Mobile 9838283110 Model : MARUTI SWIFT VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 128646 Last Service : 39260 (03-03-14) Cust GSTIN/UIN : GSTUNREGISTERED PAN : N/A Next Service Due : PMS 50 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 01550M0616A BOLT AB 7318 18% 10.000 2.54 25.40 0.00 2 03141M05165 .SCREW AB 7318 18% 10.000 2.54 25.40 0.00 3 09148M06022 NUT AB 8708 28% 4.000 5.46 21.84 0.00 4 09409M06314 CLIP,FRONT DOOR TRIM AB 8708 28% 10.000 4.68 46.80 0.00 5 09471-12028 .BULB(12V,3.4W) AC 8708 28% 2.000 39.84 79.68 0.00 6 09471M12090 BULB 12V(SX4 MINOR 2009) AC 8539 18% 2.000 76.27 152.54 0.00 7 09471M12211 .BULB (12V,35W H8) AC 8539 18% 2.000 326.27 652.54 0.00 8 09471M12245 BULB AB 8539 18% 1.000 53.38 53.38 0.00 9 17920M55R50 CAP DEGASSING TANK AB 8708 28% 1.000 375.00 375.00 0.00 10 35121M74L01 UNIT, HEADLAMP RH AC 8512 1.000 2080.50 0.00 0.00 INSURANCE 100% 11 38500M55R00 HORN ASSY, LOW PITCHED AC 8512 1.000 275.42 0.00 0.00 INSURANCE 100% 12 38500M55R10 HORN ASSY, HIGH PITCHED AC 8512 18% 1.000 275.42 275.42 0.00 13 41601M74L51 STRUT ASSY,FRONT SPNSN,R AC 8708 1.000 1453.12 0.00 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :22039479017 Invoice No. : 1/BR/20003412 Date : 31/01/2021 16:07:55 DHARMENDRA KUMAR PANDEY VILL-BASANTPUR POST-, BANSGAON PS-TIKAIT, NAGAR Job Card No.: JC20006455 Job Card Date: 22/12/2020 BARABANKI Reg.No. : UP41Q3400 Mileage: 80891 Pin:225001 SA Name : WARIS CHISHTY SA(M) : 9628374837 State & Code : 09-UTTAR PRADESH Mobile : 9838283110 Model : MARUTI SWIFT VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 128646 Last Service : 39260 (03-03-14) CuSt GSTIN/UIN : GSTUNREGISTERED PAN : N/A Next Service Due : PMS 50 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 14 41710M74L00 SUPPORT, FRONT STRUT AC 8708 1.000 312.50 0.00 0.00 INSURANCE 100% 15 42420M55K02 JOINT COMP,FR STABILIZER BAR AC 8708 1.000 378.90 0.00 0.00 INSURANCE 100% 16 42431M74L01 MOUNT, FRONT STABILIZER BAR AC 8708 28% 2.000 27.34 54.68 0.00 17 43110M75J80 165/80R14 DURAPLUS (GY) 4011 1.000 2805.46 0.00 0.00 INSURANCE 100% 18 43210M74L02-09L WHEEL COMP(14X5J) AD 8708 1.000 796.87 0.00 0.00 INSURANCE 100% 19 44101M74L82 SHAFT ASSY,FRONT DRIVE,R AC 8708 1.000 4890.62 0.00 0.00 INSURANCE 100% 20 45201M74L20 ARM ASSY,FRONT SUSPENSION,R AC 8708 1.000 1789.06 0.00 0.00 INSURANCE 100% 21 45810M60M00 FRAME, FRONT SUSPENSION AC 8708 1.000 5953.12 0.00 0.00 INSURANCE 100% 22 48500M74L04 BOX ASSY, STEERING GEAR AB 8708 1.000 6898.43 0.00 0.00 INSURANCE 100% ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :22039479017 Invoice No. : 1/BR/20003412 Date : 31/01/2021 16:07:55 DHARMENDRA KUMAR PANDEY VILL-BASANTPUR POST-, BANSGAON PS-TIKAIT, NAGAR Job Card No.: JC20006455 Job Card Date: 22/12/2020 BARABANKI Reg.No. : UP41Q3400 Mileage: 80891 Pin:225001 SA Name : WARIS CHISHTY SA(M) : 9628374837 State & Code :09-UTTAR PRADESH Mobile: 9838283110 Model : MARUTI SWIFT VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 128646 Last Service : 39260 (03-03-14) CuSt GSTIN/UIN : GSTUNREGISTERED PAN : N/A Next Service Due : PMS 50 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs INSURANCE 100% 24 68001M74L20 PANEL ASSY,FR DOOR,R AC 8708 1.000 3085.93 0.00 0.00 INSURANCE 100% 25 71711M83P00-5PK BUMPER, FRONT (BLACK) AC 8708 1.000 1437.50 0.00 0.00 INSURANCE 100% 26 71721M83P00-5PK GRILLE, RADIATOR LOWER (BLACK) AC 8708 1.000 226.56 0.00 0.00 INSURANCE 100% 27 71731M74L00 HOLDER, FR BUMPER SIDE RH AC 8708 28% 1.000 75.78 75.78 0.00 28 71732M74L00 HOLDER, FR BUMPER SIDE LH AC 8708 28% 1.000 75.78 75.78 0.00 29 71741M83P00-5PK GRILLE, RADIATOR UPPER (BLACK) AC 8708 1.000 250.00 0.00 0.00 INSURANCE 100% 30 72321M74L10 LINING, FRONT FENDER RH AC 8708 1.000 386.71 0.00 0.00 INSURANCE 100% 31 72371M74L00-5PK GARNISH, COWL TOP SIDE RH AB 8708 28% 1.000 24.21 24.21 0.00 32 72372M74L00-5PK GARNISH, COWL TOP SIDE LH AC 8708 28% 1.000 25.00 25.00 0.00 33 72460M74L00 COVER COMP,FR BUMPER LOWER AC 8708 1.000 167.96 0.00 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :22039479017 Invoice No. : 1/BR/20003412 Date : 31/01/2021 16:07:55 DHARMENDRA KUMAR PANDEY VILL-BASANTPUR POST-, BANSGAON PS-TIKAIT, NAGAR Job Card No.: JC20006455 Job Card Date: 22/12/2020 BARABANKI Reg.No. : UP41Q3400 Mileage: 80891 Pin:225001 SA Name : WARIS CHISHTY SA(M) : 9628374837 State & Code : 09-UTTAR PRADESH Mobile : 9838283110 Model : MARUTI SWIFT VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 128646 Last Service : 39260 (03-03-14) Cust GSTIN/UIN : GSTUNREGISTERED PAN : N/A Next Service Due : PMS 50 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 34 77161M68L00 MOLDING, FRONT PILLAR LOWER RH AC 8708 28% 1.000 55.46 55.46 0.00 35 77171M68L00 MOLDING, FRONT PILLAR LOWER LH AC 8708 28% 1.000 55.46 55.46 0.00 36 77811M54GC0-0PG EMBLEM,MARK(S)(CHROME) AC 8708 28% 1.000 97.65 97.65 0.00 37 77862M86G00-0PG EMBLEM(DDIS) AC 8708 28% 2.000 39.84 79.68 0.00 38 83921M74L00-0CB TAPE, FRONT DOOR OUTER FR RH AB 3919 1.000 171.87 0.00 0.00 INSURANCE 100% 39 83923M74L00-0CB TAPE, FRONT DOOR OUTER RR RH AA 3919 1.000 140.62 0.00 0.00 INSURANCE 100% 40 84730M74LC0 .GLASS, OUT REAR VIEW RH AC 7009 1.000 207.03 0.00 0.00 INSURANCE 100% 41 84740M74LC0 .GLASS, OUT REAR VIEW LH AC 7009 28% 1.000 207.03 207.03 0.00 42 89910M74L00 JACK ASSY AB 8708 1.000 460.93 0.00 0.00 INSURANCE 100% Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID:22039479017 Invoice No. : 1/BR/20003412 Date : 31/01/2021 16:07:55 DHARMENDRA KUMAR PANDEY VILL-BASANTPUR POST-, BANSGAON PS-TIKAIT, NAGAR Job Card No.: JC20006455 Job Card Date: 22/12/2020 BARABANKI Reg.No. : UP41Q3400 Mileage: 80891 Pin:225001 State & Code :09-UTTAR PRADESH SA Name : WARIS CHISHTY SA(M) : 9628374837 Mobile : 9838283110 Model : MARUTI SWIFT VDI EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 128646 Last Service : 39260 (03-03-14) Cust GSTIN/UIN : GSTUNREGISTERED PAN : N/A Next Service Due : PMS 50 Service type: BODY REPAIR Place of Supply: UTTAR PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 2 ZF9993 PAINTING CHARGES 0.00 Recommendations : Sub Total Amount 2,458.73 0.00 0.00 NONMI/BAJAJ ALLIANZ SURV R.S PANDEY CGST @ 14% 178.37 SGST @ 14% 178.37 CGST @ 9% 106.63 SGST @ 9% : 106.63 For BRIGHT 4 WHEEL SALES PVT. LTD. Sub Total Amount : 3,028.73 0.00 0.00 Authorised Signatory Deductibles(As per policy T & C) : 1,000.00 Dealer GSTIN : 09AACCB8810E1ZV Net Bill Amount (Rounded) 4,029.00 Rupees Four Thousand Twenty 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. : GP20007352 Date : 31-JAN-21 16:09:18 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR DHARMENDRA KUMAR PANDE ModeI : SWIFT NEW/ DZIRE NEW DIESEL JC20006455 BR/20003412 31-JAN-21 4,029.00 Tech. Name :ASIFUDDAULA ASIFUDDAULA Reg.No.: UP41Q3400 JC20006455 BI/20001397 31-JAN-21 65,873.00 Customer Signature Accountant Signature JC20006455 ---PAGE END---