ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1516891759 Invoice No. : 11/BC/20001941 Date : 21/12/2020 12:03:25 RAJEEV KUMAR VILL BABURAWAL POST DALELNAGAR, sandila, sandila Job Card No.: JC20002133 Job Card Date: 05/12/2020 SANDILA Reg.No. : AF935866 Pin:241204 Mileage: 24869 State & Code : 09-UTTAR PRADESH SA Name : DHARYA VARDHAN SINGH SA(M) : 8601091234 Mobile : 9695188608 Model : MARUTI WAGON R STINGR EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 935866 Last Service : 38523 (09-12-19) CuSt GSTIN/UIN : GSTUNREGISTERED Service type: BODY REPAIR Next Service Due : PMS 40 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 71711M67LD0-5PK BUMPER,FRONT AC 8708 28% 1.000 1351.56 1351.56 0.00 2 71811M67LD0-5PK BUMPER,REAR AC 8708 28% 1.000 1628.90 1628.90 0.00 3 99000M24120-879 MASKING TAPE (24 MM*30 MTRS) AC 3919 18% 1.000 46.61 46.61 0.00 4 99000M24120-958 BODY FILLER (3KG LIGHTWEIGHT) AC 3214 18% 0.300 1097.45 329.24 0.00 5 990J0M999H2-140 BDY FST TRCK SPUR BRUSH NAX PRO AA 3902 18% 2.920 1110.16 3241.67 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 ZA64L0 OUT SIDE LABOUR 998729 600.00 3 ZF28P0 REAR BUMPER PAINTING 998729 2,805.00 4 ZF27P0 FRONT BUMPER PAINTING 998729 2,895.00 Recommendations : Sub Total Amount 6,597.98 0.00 6,475.00 BAJAJ/NON-MI CGST @ 14% 417.27 SGST @ 14% 417.27 CGST @ 9% 325.57 582.75 SGST @ 9% : 325.57 582.75 For CONCEPT CARS LIMITED Sub Total Amount 8,083.66 0.00 7,640.50 Authorised Signatory Net Bill Amount (Rounded) 15,724.00 Dealer GSTIN : 09AAECC0119M1ZP Rupees Fifteen Thousand Seven Hundred And Twenty Four 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. : GP20002188 Date : 21-DEC-20 12:03:33 Job Card No. Bill.No. Bill Date Amount Cust. Name :MR RAJEEV KUMAR ModeI : WAGON-R NEW JC20002216 BC/20001841 12-DEC-20 4,300.00 Tech. Name :INTEZAR SIDDIQUI Reg.No.: AF935866 JC20002133 BC/20001941 21-DEC-20 15,724.00 Customer Signature Accountant Signature JC20002133 --------------PAGE END-----------------------