ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : C105985716 Invoice No. : 019/BR/20003167 Date : 23/09/2020 10:20;35 BAJAJ ALLIANZ 3rd floor, PEEJAY PLAZA, VIP ROAD, CBM COMPOUND Job Card No.: JC20003469 Job Card Date: 18/09/2020 VISHAKHAPATNAM Reg.No. : AP31DY8810 Mileage : 114914 State & Code : 37-ANDHRA PRADESH SA Name : SRINIVAS D SA(M) : 8886332205 Mobile : 9949185577 Loyalty Card : 33032024037 Fuel Trim : Model : MARUTI VITARA BREZZA Z EW Type : NA Cust GSTIN/UIN : 37AABCB5730G1ZW Chassis No.: 265567 Last Service : 104999 (03-06-20) Next Service Due : PMS110 Service type: BODY REPAIR Place of Supply: ANDHRA 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 AA 7318 18% 10.000 1.69 16.90 0.00 2 09148M06022 NUT AA 8708 28% 2.000 4.68 9.36 0.00 3 09409M07L01 CLIP AA 8708 28% 14.000 2.34 32.76 0.00 4 09409M08006 CLIP AA 8708 28% 10.000 2.34 23.40 0.00 5 35121M82P12 UNIT HEADLAMP RH AC 8512 18% 1.000 5822.03 5822.03 0.00 6 71711M82P00-5PK BUMPER,FRONT UPPER AB 8708 28% 1.000 2187.50 2187.50 0.00 7 71721M82P00-5PK GRILLE,RADIATOR LOWER AA 8708 28% 1.000 550.78 550.78 0.00 8 71731M82P01 HOLDERFR BUMPER SIDER AA 8708 28% 1.000 70.31 70.31 0.00 9 71751M82P10-5PK BEZEL,FRONT FOG LAMP,R AA 8708 28% 1.000 74.21 74.21 0.00 10 71791M82P00-5PK BUMPER,FRONT LOWER,R AA 8708 28% 1.000 132.81 132.81 0.00 11 71793M82P00-5PK GARNISH,FR BUMPER SIDE,R AA 8708 28% 1.000 55.46 55.46 0.00 12 99000M24120-978 MGP RUST SMASH AA 2710 18% 1.000 73.72 73.72 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF27P0 FRONT BUMPER PAINTING 998729 3,200.00 2 NA01R0 FRONT BUMPER 998729 676.00 Recommendations : Sub Total Amount 9,049.24 0.00 3,876.00 BANDARU PEDDI NAIDU CGST @ 14% 439.12 SGST @ 14% 439.12 CGST @ 9% 532.13 348.84 SGST @ 9% : 532.13 348.84 For JAYABHERI AUTOMOTIVES PVT. LTD. Sub Total Amount 10,991.74 0.00 4,573.68 Authorised Signatory Net Bill Amount (Rounded) 15,565.00 Dealer GSTIN : 37AACCJ5167E1ZK Rupees Fifteen Thousand Five Hundred And Sixty Five 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. : GP20003442 Date: 23/09/202010:20;35 Job Card No. Bill.No. Bill Date Amount Cust. Name : M/S BAJAJ ALLIANZ Model : VITARA BREZZA 1.3D JC20003469 BR/20003167 22-SEP-20 15,565.00 Tech. Name :HANIF MD Reg.No.: AP31DY8810 Customer Signature Accountant Signature JC20003469 ---PAGE END---