ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : fdc1018a2430db8d5bee9af4de1570f267ff2afbe29632a5a192b237593394ce Customer Name & Address : ID :02-31 Invoice No. : 10/BI/20001226 Date : 21/11/2020 13:02:46 Bajaj Allianz General Insurance Co. Ltd, 4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20010510 Job Card Date: 12/11/2020 Showroom, Reg.No. : TEMP676702 Mileage: 1811 HYDERABAD SA Name : PULA RANGA SWAMY SA(M) : 8886570808 Pin:500082 State & Code :36-TELANGANA Model : MARUTI VITARA BREZZA V EW Type : III Mobile : Chassis No.: 676702 Last Service : 1039 (07-11-20) Loyalty Card : NA Fuel Trim : Next Service Due : 2ND FREE SERVICE Service type: BODY REPAIR Cust GSTIN/UIN : 36AABCB5730G1ZY PAN : AABCB5730G Place of Supply: TELANGANA 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 17100M85S01 FAN ASSY COOLING AA 8708 28% 1.000 3089.84 3089.84 0.00 2 35500M85S00 LAMP ASSY,FOG AA 8512 18% 1.000 1483.05 1483.05 0.00 3 58270M85S00 MEMBER COMP,FRONT BUMPER AA 8708 28% 1.000 1003.90 1003.90 0.00 4 95310M85S00 CONDENSER ASSY AA 8415 28% 1.000 3683.59 3683.59 0.00 5 99000M24120-883 AIR DRYING SEALER ( PU 92) AB 3506 18% 0.200 661.01 132.20 0.00 6 990J0M999H4-030 AC CAN GAS (340 -FLORON) AB 2903 18% 1.000 283.89 283.89 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZA64L0 OUT SIDE LABOUR 998729 825.00 2 ZA15L01 BODY WASHING 998729 350.00 3 ZF09L0 MEMBER FRONT LOWER DENTING 998729 400.00 4 ZA28L0 AC GAS TOP-UP 998729 850.00 Sub Total Amount 9,676.47 0.00 2,425.00 CGST @ 14% 1,088.83 SGST @ 14% 1,088.83 CGST @ 9% 170.92 218.25 SGST @ 9% 170.92 218.25 For VARUN MOTORS PVT LTD Tax Collection at Source @ 0.075% : 9.15 Authorised Signatory Sub Total Amount 12,205.12 0.00 2,861.50 Dealer GSTIN : 36AABCV2471Q1ZT Net Bill Amount (Rounded) 15,067.00 Rupees Fifteen Thousand Sixty Seven 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. : GP20010699 Date : 21-NOV-20 13:03:31 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : VITARA BREZZA K15B BS-VI JC20010510 BR/20010933 21-NOV-20 0.00 Tech. Name :RAJESH (A) (B.SHOP MEC ) Reg.No.: TEMP676702 JC20010510 BI/20001226 21-NOV-20 15,067.00 Customer Signature Accountant Signature JC20010510 ---PAGE END---