ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-14 Invoice No. : 2/BI/20000895 Date : 25/12/2020 11:19:33 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept.., Employees Co-operative, Society,Chitragupt Job Card No.: JC20003633 Job Card Date: 03/10/2020 Nagar Reg.No. : BR01EJ9542 Mileage: 54861 PATNA Pin:800020 SA Name : SURAJ PRAKASH SA(M) : 7004643689 State & Code : 10-BIHAR Model : MARUTI CELERIO X ZXI EW Type : III Mobile : Chassis No.: 652670 Last Service : 50000 (01-09-20) Loyalty Card : 33052852705 Fuel Trim : Next Service Due : PMS 50 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR Ins.Comp. : BAJAJ 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 01550M0616A BOLT AB 7318 18% 20.000 2.54 50.80 0.00 2 03541M0516A SCREW AA 7318 28% 20.000 0.78 15.60 0.00 3 08316M1010A NUT AA 7318 18% 4.000 5.08 20.32 0.00 4 09148M06022 NUT AB 8708 28% 2.000 5.46 10.92 0.00 5 09409M07L01 CLIP AB 8708 28% 30.000 3.12 93.60 0.00 6 09409M08006 CLIP AB 8708 28% 15.000 3.12 46.80 0.00 7 09471M12076 BULB AC 8512 18% 1.000 32.20 32.20 0.00 8 09471M12090 BULB 12V(SX4 MINOR 2009) AB 8539 18% 1.000 74.57 74.57 0.00 9 11141-51K01 GASKET CYLINDER HEAD AB 4016 18% 1.000 1669.49 1669.49 0.00 10 11342M68K00 SEAL,CRANKSHAFT REAR OIL AC 4016 18% 1.000 169.49 169.49 0.00 11 12111M76M00 PISTON AD 8409 28% 3.000 347.65 1042.95 0.00 12 12140M68K60 RING SET,PISTON AC 8708 28% 1.000 199.21 199.21 0.00 13 12140M83KA0 RING SET, PISTON AC 8409 28% 2.000 199.21 398.42 0.00 14 12151M68K60 PISTON PIN AB 8708 28% 3.000 50.00 150.00 0.00 15 12160M68K10 CONNROD ASSY AD 8409 28% 3.000 503.90 1511.70 0.00 16 12181M68K00-0A0 BEARING,CONNROD(GREEN) AB 8708 28% 10.000 19.53 195.30 0.00 17 12221M71M00 CRANKSHAFT AA 8483 18% 1.000 4148.30 4148.30 0.00 18 12300-60840 BEARING SET,CRANKTHRUST AC 8708 28% 1.000 390.62 390.62 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-14 Invoice No. : 2/BI/20000895 Date : 25/12/2020 11:19:33 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept.., Employees Co-operative, Society,Chitragupt Job Card No.: JC20003633 Job Card Date: 03/10/2020 Nagar Reg.No. : BR01EJ9542 Mileage: 54861 PATNA SA Name : SURAJ PRAKASH SA(M) : 7004643689 Pin:800020 State & Code : 10-BIHAR Model : MARUTI CELERIO X ZXI EW Type : III Mobile : Chassis No.: 652670 Last Service : 50000 (01-09-20) Loyalty Card : 33052852705 Fuel Trim : Next Service Due : PMS 50 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR Ins.Comp. : BAJAJ 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 20 12345M74L00-0A0 BEARING, CRANKSHAFT LWR (PINK) AA 8708 28% 5.000 21.09 105.45 0.00 21 12761M68K00 CHAIN,TIMING AC 8409 28% 1.000 460.93 460.93 0.00 22 12831M68K00 ADJUSTER ASSY, TENSIONER AC 8708 28% 1.000 1074.21 1074.21 0.00 23 13780M76M00 ELEMENT,AIR CLEANER AC 8421 18% 1.000 156.77 156.77 0.00 24 16100M76M00 PUMP ASSY,OIL AC 8413 28% 1.000 2398.43 2398.43 0.00 25 16510M68K10 FILTER ASSY, OIL AC 8421 18% 1.000 77.96 77.96 0.00 26 17700M76M00 .RADIATOR ASSY AC 8708 28% 1.000 1988.28 1988.28 0.00 27 35121M76M00 .HEAD LAMP UNIT RH AC 8512 18% 1.000 1813.55 1813.55 0.00 28 35321M76M00 .HEAD LAMP UNIT LH AC 8512 18% 1.000 1813.55 1813.55 0.00 29 35500M67LA0 LAMP ASSY,FOG AC 8512 18% 2.000 766.94 1533.88 0.00 30 38500M67L00 HORN ASSY,LOW PITCHED AC 8512 18% 1.000 233.05 233.05 0.00 31 51220M55R00 CAP, RESERVOIR AA 8708 28% 1.000 45.31 45.31 0.00 32 58270M76M01 MEMBER COMP,FR BUMPER UPPER AC 8708 28% 1.000 1011.71 1011.71 0.00 33 71110M76M00 CROSSMEMBER COMP,FRONT AC 8708 28% 1.000 929.68 929.68 0.00 LOWER 34 71411M76M00 COVER,FR BUMPER LWR AC 8708 28% 1.000 171.87 171.87 0.00 35 71711M76MB0-5PK FRONT BUMPER AC 8708 28% 1.000 1476.56 1476.56 0.00 36 71730M76MB0-5PK EXTENSION ASSY,FR BPR LWR,R AB 8708 28% 1.000 195.31 195.31 0.00 37 71731M76M00 HOLDER,FR BUMPER SIDE,R AC 8708 28% 1.000 52.34 52.34 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-14 Invoice No. : 2/BI/20000895 Date : 25/12/2020 11:19:33 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept., Employees Co-operative, Society,Chitragupt Job Card No.: JC20003633 Job Card Date: 03/10/2020 Nagar Reg.No. : BR01EJ9542 Mileage: 54861 PATNA SA Name : SURAJ PRAKASH SA(M) : 7004643689 Pin:800020 State & Code : 10-BIHAR Model : MARUTI CELERIO X ZXI EW Type : III Mobile : Chassis No.: 652670 Last Service : 50000 (01-09-20) Loyalty Card : 33052852705 Fuel Trim : Next Service Due : PMS 50 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR Ins.Comp. : BAJAJ 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 39 71740M76MA0-DB8 NET, FRONT BUMPER AC 8708 28% 1.000 1062.50 1062.50 0.00 40 71751M76MA0-5PK BEZEL,FRONT FOG LAMP,R AA 8708 28% 1.000 628.90 628.90 0.00 41 71761M76MA0-5PK BEZEL,FRONT FOG LAMP,L AA 8708 28% 1.000 628.90 628.90 0.00 42 71770M76MB0-5PK EXTENSION ASSY,FR BPR SIDE,R AB 8708 28% 1.000 82.03 82.03 0.00 43 71780M76MB0-5PK EXTENSION ASSY,FR BPR SIDE,L AB 8708 28% 1.000 82.03 82.03 0.00 44 71790M76MB0-5PK EXTENSION ASSY,FR BPR LWR,L AB 8708 28% 1.000 195.31 195.31 0.00 45 72321M76M01 LINING,FRONT FENDER,R AC 8708 28% 1.000 210.93 210.93 0.00 46 72322M76M01 LINING,FRONT FENDER,L AC 8708 28% 1.000 210.93 210.93 0.00 47 72333M76M00-5PK GARNISH,COWL TOP SIDE,R AB 8708 28% 1.000 29.68 29.68 0.00 48 72334M76M00-5PK GARNISH,COWL TOP SIDE,L AB 8708 28% 1.000 29.68 29.68 0.00 49 82841M55K20 FRAME, DOOR OUT LH AC 8708 28% 1.000 144.53 144.53 0.00 50 90900M10164 DISTILLED WATER 8708 28% 3.000 17.18 51.54 0.00 51 95310M76M00 CONDENSER ASSY AC 8415 28% 1.000 3062.50 3062.50 0.00 52 99000M24120-331 LIQUID GASKET(THREE BOND-1215) AD 3506 18% 1.000 258.47 258.47 0.00 100 53 99000M24120-639 COOLANT (GOLDEN YELLOW) AB 3820 18% 1.000 228.81 228.81 0.00 54 990J0M999H4-050 AC CAN GAS (450GM) SRF AB 2903 18% 1.000 394.06 394.06 0.00 55 99999M75W90-TTL MGGO(75W90)-TOTAL AB 2710 18% 2.500 338.13 845.33 0.00 56 9999EM00W20-TTL ECSTAR PETROL 0W20 - TOTAL AA 2710 18% 3.000 339.83 1019.49 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-14 Invoice No. : 2/BI/20000895 Date : 25/12/2020 11:19:33 Bajaj Allianz General Insurance Co. Ltd, N-A/7,Irrigation Dept.., Employees Co-operative, Society,Chitragupt Job Card No.: JC20003633 Job Card Date: 03/10/2020 Nagar Reg.No. : BR01EJ9542 Mileage: 54861 PATNA SA Name : SURAJ PRAKASH SA(M) : 7004643689 Pin:800020 State & Code : 10-BIHAR Model : MARUTI CELERIO X ZXI EW Type : III Mobile : Chassis No.: 652670 Last Service : 50000 (01-09-20) Loyalty Card : 33052852705 Fuel Trim : Next Service Due : PMS 50 Service type: BODY REPAIR Cust GSTIN/UIN : 10AABCB5730G1ZC Place of Supply: BIHAR Ins.Comp. : BAJAJ 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 1 NA01R0 FRONT BUMPER 998729 262.50 2 ZF27P0 FRONT BUMPER PAINTING 998729 3,600.00 3 SA02R0 HEADLAMP UNIT OR HEADLAMP ASSY 998729 367.50 (ONE SIDE) 4 ZA28L0 AC GAS TOP-UP 998729 1,450.00 5 ZA64L0 OUT SIDE LABOUR 998729 10,000.00 Sub Total Amount 35,086.44 0.00 15,680.00 CGST @ 14% 2,876.49 SGST @ 14% 2,876.49 CGST @ 9% 1,308.60 1,411.21 SGST @ 9% 1,308.60 1,411.21 For KARLO AUTOMOBILES PVT. LTD. Sub Total Amount 43,456.62 0.00 18,502.42 Authorised Signatory Net Bill Amount (Rounded) 61,959.00 Dealer GSTIN : 10AAACK9904A1Z8 Rupees Sixty One Thousand Nine Hundred And Fifty Nine 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. : GP20005474 Date : 25-DEC-20 11:19:50 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : CELERIO JC20003633 BI/20000895 25-DEC-20 61,959.00 Tech. Name :AJAY JHA Reg.No.: BR01EJ9542 Customer Signature Accountant Signature JC20003633 ---PAGE END---