ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-02 Invoice No. : 018/BI/20000391 Date : 04/08/2020 12:04:57 Bajaj Allianz General Insurance Co. Ltd, 1ST FLOOR, MUNICIPAL NO.2-1-1, CHILIMBI, BOLOR B Job Card No.: JC20001057 Job Card Date: 31/07/2020 VILLAGE, Opp More Super Market, Reg.No. : KA66M2511 Mileage : 13345 MANGALORE SA Name : KARTHIK H S SA(M) :9513729872 Pin:575006 State & Code : 29-KARNATAKA Model : MARUTI BALENO ZETA PE EW Type : NA Mobile Chassis No. : 316895 Last Service : 8720 (17-03-20) Loyalty Card : 77000865282 Fuel Trim : Next Service Due : PMS 20 Service type: BODY REPAIR Cust GSTIN/UIN : 29AABCB5730G1ZT Place of Supply: KARNATAKA 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 71711M50S00-5PK BUMPER,FRONT AC 8708 28% 1.000 1984.37 1984.37 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 175.00 2 ZF32P0 PANEL, REAR DOOR RH PAINTING 998729 2,139.00 3 ZF38P0 PANEL, QUARTER OUTER RH PAINTING 998729 2,000.00 4 NA01R0 FRONT BUMPER 998729 296.00 5 NG06R0 RADIATOR UPPER GRILLE 998729 185.00 6 ZF16D0 PANEL FRONT FENDER RH DENTING 998729 300.00 7 ZF30D0 PANEL, FRONT DOOR RH DENTING 998729 450.00 8 ZF32D0 PANEL, REAR DOOR RH DENTING 998729 450.00 9 ZF38D0 PANEL, QUARTER OUTER RH DENTING 998729 650.00 10 ZF07D0 PANEL, FENDER APRON RH DENTING 998729 750.00 11 ZF08D0 PANEL, FENDER APRON LH DENTING 998729 750.00 12 ZF27P0 FRONT BUMPER PAINTING 998729 4,055.00 13 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 1,656.00 14 ZF30P0 PANEL, FRONT DOOR RH PAINTING 998729 2,295.00 15 ZA56L0 PROTECTIVE UNDERBODY COATING 998729 2,500.00 Sub Total Amount 1,984.37 0.00 18,651.00 cr7 CGST @ 14% 277.81 SGST @ 14% 277.81 CGST @ 9% 1,678.59 SGST @ 9% 1,678.59 For SHRUTI MOTORS Sub Total Amount 2,539.99 0.00 22,008.18 Authorised Signatory Net Bill Amount (Rounded) : 24,548.00 Dealer GSTIN : 29ACOPP0450F1ZI Rupees Twenty Four Thousand Five Hundred And Forty Eight 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. :GP20001111 Date : 04-AUG-20 12:05:22 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. Model : MARUTI BALENO PETROL JC20001057 BR/20001112 04-AUG-20 0.00 Tech. Name :BHOJARAJ K M Reg.No.: KA66M2511 JC20001057 BI/20000391 04-AUG-20 24,548.00 Customer Signature Accountant Signature JC20001057 ---PAGE END---