ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID:02-24 Invoice No. : 012/BI/20000360 Date : 22/06/2020 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20002522 Job Card Date : 19/06/2020 JAIPUR Reg.No. : RJ27CG9269 Mileage : 48008 Pin:302001 SA Name : NAVIN KUMAR LOHAR State & Code : )08-RAJASTHAN Model : MARUTI CIAZ SMART H EW Contract No. : 188267439 Mobile Chassis No.: 367483 Loyalty Card : 77000632375 Fuel Trim : Service type : BODY REPAIR Ins.Comp. BAJAJ Place of Supply : RAJASTHAN Cust GSTIN/UIN : 08AABCB5730G1ZX Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 71711M82R02-5PK BUMPER,FRONT AA 8708 28% 1.000 2105.46 2105.46 2 71712M82R00-5PK CAP, FRONT BUMPER AA 8708 28% 1.000 61.71 61.71 3 71721M82R00-5PK GRILLE, RADIATOR LOWER (BLACK) AA 8708 28% 1.000 535.15 535.15 4 90900M10156 PAINT MATERIAL 8708 18% 0.228 4237.28 966.10 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9993 PAINTING CHARGES 998729 2,902.00 2 ZF9992 DENTING CHARGES 998729 400.00 3 ZA50L0 ALL ELECTRICALS CHECK-UP 998729 75.00 Sub Total Amount 3,668.42 3,377.00 bajaj******dipendra ji CGST @ 14% 378.32 SGST @ 14% 378.32 CGST @ 9% 86.95 303.93 SGST @ 9% : 86.95 303.93 For TECHNOY MOTORS INDIA PVT. LTD. : Sub Total Amount : 4,598.96 3,984.86 Authorised Signatory Net Bill Amount (Rounded) 8,584.00 Rupees Eight Thousand Five Hundred And Eighty Four Only Dealer GSTIN : 08AAECT4742P1ZR 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 (Customer Signature) Mobile No.: to inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20002558 Date : 22-JUN-20 14:48:13 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance C Model : CIAZ DIESEL JC20002522 BI/20000360 22-JUN-20 8,584.00 Tech. Name :YUNUS MOHAMMAD Reg No.: RJ27CG9269 JC20002522 BR/20001236 22-JUN-20 0.00 Customer Signature Accountant Signature ---PAGE END---