ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : 94b6362dc2db5bbbfecf9eeb095adc18a3503184d4e6c2104cee7e887e6f2596 Customer Name & Address : ID:02-04 Invoice No. : 18/BR/20004374 Date : 12/03/2021 18:54:02 Bajaj Allianz General Insurance Co. Ltd, 4th floor, Commerce House, 7 Race Course Road Job Card No.: JC20004713 Job Card Date: 10/03/2021 INDORE Reg.No. : MP09WB9769 Mileage: 82675 Pin:452001 SA Name : JITENDRA LODWAL SA(M) : 7869806353 State & Code :23-MADHYA PRADESH Mobile Model : MARUTI DZIRE VDI EW Type : III : Loyalty Card : NA Fuel Trim : Chassis No.: 502934 Last Service : 5266 (31-07-19) Cust GSTIN/UIN : 23AABCB5730G1Z5 PAN : AABCB5730G Next Service Due : 3RD FREE SERVICE Service type: BODY REPAIR Place of Supply: MADHYA 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 01550M0616A BOLT AB 7318 18% 10.000 2.54 25.40 0.00 2 03241M0516A SCREW AB 7318 18% 10.000 1.69 16.90 0.00 3 09409M07L01 CLIP AB 8708 28% 20.000 3.12 62.40 0.00 4 09409M08006 CLIP AB 8708 28% 10.000 3.12 31.20 0.00 5 35300M55R10 HEADLAMP ASSY,LH AB 8512 18% 1.000 2245.76 2245.76 0.00 6 35500M75J11 FRONT FOG LAMP,YN4 AC 8512 18% 1.000 940.67 940.67 0.00 7 57611M56R10 PANEL,FRONT FENDER,R (ED AC 8708 28% 1.000 914.06 914.06 0.00 COATED) 8 71711M56R00-5PK BUMPER,FRONT (BLACK) AC 8708 28% 1.000 1398.43 1398.43 0.00 9 71721M56R00-5PK GRILLE, RADIATOR LOWER AD 8708 28% 1.000 183.59 183.59 0.00 10 71731M55R00 HOLDER, FR BUMPER SIDE, R AC 8708 28% 1.000 47.65 47.65 0.00 11 71732M55R00 HOLDER, FR BUMPER SIDE, L AC 8708 28% 1.000 47.65 47.65 0.00 12 71734M55R00 HOLDER, FR BUMPER FRONT, L AC 8708 28% 1.000 67.96 67.96 0.00 13 71761M56R10-5PK BEZEL, FRONT FOG LAMP, L AD 8708 28% 1.000 117.18 117.18 0.00 14 71781M56R10-0PG GARNISH, FR BUMPER LOWER, R AC 8708 28% 1.000 339.84 339.84 0.00 15 71782M56R10-0PG GARNISH, FR BUMPER LOWER, L AC 8708 28% 1.000 339.84 339.84 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-04 Invoice No. : 18/BR/20004374 Date : 12/03/2021 18:54:02 Bajaj Allianz General Insurance Co. Ltd, 4th floor, Commerce House, 7 Race Course Road Job Card No.: JC20004713 Job Card Date: 10/03/2021 INDORE Reg.No. : MP09WB9769 Mileage: 82675 Pin:452001 SA Name : JITENDRA LODWAL SA(M) : 7869806353 State & Code :23-MADHYA PRADESH Mobile Model : MARUTI DZIRE VDI EW Type : III Loyalty Card : NA Fuel Trim : Chassis No.: 502934 Last Service : 5266 (31-07-19) Cust GSTIN/UIN : 23AABCB5730G1Z5 Next Service Due : 3RD FREE SERVICE PAN : AABCB5730G Service type: BODY REPAIR Place of Supply: MADHYA PRADESH Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 16 72351M56R00 COVER, FRONT FENDER, R AB 8708 28% 1.000 67.96 67.96 0.00 17 72352M56R00 COVER, FRONT FENDER, L AB 8708 28% 1.000 67.96 67.96 0.00 18 72371M56R00-5PK GARNISH, COWL TOP SIDE, R AB 8708 28% 1.000 32.03 32.03 0.00 19 72372M56R00-5PK GARNISH, COWL TOP SIDE, L AB 8708 28% 1.000 32.03 32.03 0.00 20 72480M55R00 LINING COMP, FRONT FENDER, L AD 8708 28% 1.000 437.50 437.50 0.00 21 77862M86G00-0PG EMBLEM(DDIS) AC 8708 28% 1.000 39.84 39.84 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF27P0 FRONT BUMPER PAINTING 998729 4,472.00 2 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 3,104.00 3 ZF30P0 PANEL, FRONT DOOR RH PAINTING 998729 4,236.00 4 ZF9996 BODY ALIGNMENT 998729 1,000.00 5 ZF9992 DENTING CHARGES 998729 600.00 6 ZA64L0 OUT SIDE LABOUR 998729 1,000.00 7 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 2,050.00 Recommendations : Sub Total Amount 7,455.85 0.00 16,462.00 NON MI (SACHIN JI) (BAJAJ ) CM-00000587 CGST @ 14% 591.79 NJP IMRAN, MR.MONIKA YADAV SGST @ 14% 591.79 CGST @ 9% 290.59 1,481.58 SGST @ 9% : 290.59 1,481.58 For PATEL MOTORS (INDORE) PVT LTD Sub Total Amount : 9,220.61 0.00 19,425.16 Authorised Signatory Net Bill Amount (Rounded) 28,646.00 Dealer GSTIN :23AABCP1892R1ZX Rupees Twenty Eight Thousand Six Hundred And Forty Six 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. : GP20006181 Date : 12-MAR-21 18:54:31 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : New Dzire Diesel JC20004713 BR/20004374 12-MAR-21 28,646.00 Tech. Name :KISHORE PRAJAPATI Reg.No.: MP09WB9769 Customer Signature Accountant Signature JC20004713 ---PAGE END---