RE POOJA MOTORS MARUTI suZuKi MARUTI AUTHORISED SERVICE STATION. A CATEGORY ORIGINALFOR RECI Job Card Retail - Tax Invoice Customer Name & Address : ID: 02-36 Invoice No. : 1/BI/20000017 Date : 09/03/2021 11:31:56 Bajaj Allianz General Insurance Co. Ltd, MZ, 30-37, UPPER GROUND F, MEGH MAYUR PLAZA,NR HDFC, Job Card No.: JC20000256 Job Card Date: 09/03/2021 ATHWALINES, PARLE POINT, Reg.No. : GJ19AA6369 Mileage : 193756 SURAT SA Name : RAAG RAJENDRAN THIYA SA(M) : 8141527774 Pin:395007 Model : MARUTI SWIFT VDI EW Type :NA State&Code:24-GUJARAT Chassis No.: 246905 Last Service : 159843 (20-07-17) Mobile : Fuel Trim : Service type: BODY REPAIR Next Service Due : PMS160 LoyaltyCard_.: NA Cust GSTIN/UIN. :. 24AABCB5730G1Z3 Place of Supply: GUJARAT 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 68001M74L21 PANEL ASSYFR DOORR AA 8708 28% 1.000 3085.93 3085.93 0.00 2 68003M74L20 PANEL ASSY,RR DOOR,R AC 8708 28% 1.000 6757.81 6757.81 0.00 3 82812M75J00-5PK HANDLE COMP FRONT DOOR AC 8708 28% 2.000 140.62 281.24 0.00 4 82813M75J00-5PK CAP,FRONT DOOR OUT AB 8708 28% 1.000 20.31 20.31 0.00 5 82833M75J00-5PK CAP,REAR DOOR OUT AC 8708..: 28% 1.000 32.81 32.81 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 PC01RO FRONT DOOR PANEL ASSY (WITHOUT 998729 600.00 DOOR GLASS, ONE SIDE) 2 PC07R0 REAR DOOR PANEL ASSY (ONE SIDE) 998729 600.00 3 ZF9993 PAINTING CHARGES 998729 8,500.00 4 ZF38D0 PANEL, QUARTER OUTER RH DENTING 998729 400.00 5 ZF37D0 PANEL, CENTRE PILLAR DENTING 998729 650.00 Sub Total Amount 10,178.10 0.00 10,750.00 BAJAJ ALLIANZ INSURANCE CGST @ 14% : 1,424.92 POLICY NO-OG-21-9910-1801-0013669 SGST @ 14% : 1,424.92 CLAIM N0-0C-21-2203-1801-0000 CGST @ 9% : 967.50 SURVEYOR-KISHAN BHARTHK SGST @ 9% : 967.50 e PAMETORS Tax Collection at Source @ 0.075% 9.77 Q t Sub Total Amount 13,037.71 0.00 12,685.00 Dealer GSTIN :24ACDPT9041R Net Bill Amount (Rounded) 25,723.00 Rupees Twenty Five Thousand Seven Hundred And Twenty Three 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 inform me with any other information in relation to my vehicle. Mobile No.: Gate Pass GP No. : GP20000258 Date. : 09-MAR-21 11:35:14 Job Card No. Cust. Name: Bajaj Alfianz General Insurance Co.L Model : SWIFT NEW/ DZIRE NEW DIESEL Bill.No. Bill Date Amount JC20000256 BI/20000017 09-MAR-21 25,723.00 Tech.Name :IRMAN Reg.No.: GJ19AA6369 Customer Signature Accountant Signature JC20000256 Created By: MANAGER Near G.I.D.C. Surat Road, BARDOLI-394601 Dist. Surat. (Guj.) ---PAGE END---