ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : b47319d72fadb79dd8503b93cb8969137b085b0c69cbca5240316ed28537bab4 Customer Name & Address : ID:002-31 Invoice No. : 49/BI/20001961 Date : 25/03/2021 18:10:26 Bajaj Allianz General Insurance Co. Ltd, 4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20017940 Job Card Date: 19/03/2021 Showroom, Reg.No. : TEMP771248 Mileage: 93 HYDERABAD SA Name : ASIF MOHAMMED SA(M) : 8096061356 Pin:500082 State & Code :36-TELANGANA Model : MARUTI DZIRE VXI 1.2L ISS EW Type : NA Mobile : Chassis No.: 763277 Next Service Due : Loyalty Card : NA Fuel Trim : Service type: BEFORE DELEIVERY WORK Cust GSTIN/UIN : 36AABCB5730G1ZY PAN : AABCB5730G Place of Supply: TELANGANA 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 17100M68P00 FAN ASSY, ENG CLG AB 8501 28% 1.000 2929.68 2929.68 0.00 2 17700M68P00 RADIATOR ASSY AC 8708 28% 1.000 2054.68 2054.68 0.00 3 35300M55R10 HEADLAMP ASSY,LH AB 8512 18% 1.000 2245.76 2245.76 0.00 4 57711M56R10 PANEL,FRONT FENDER,L (ED AC 8708 28% 1.000 914.06 914.06 0.00 COATED) 5 58270M56R00 MEMBER COMP, FRONT BUMPER AC 8708 28% 1.000 632.81 632.81 0.00 6 71711M54T00-5PK BUMPER,FRONT AA 8708 28% 1.000 1562.50 1562.50 0.00 7 71712M54T00 CAP,FRONT BUMPER AA 8708 28% 1.000 19.53 19.53 0.00 8 71731M55R00 HOLDER, FR BUMPER SIDE, R AC 8708 28% 1.000 47.65 47.65 0.00 9 71732M55R00 HOLDER, FR BUMPER SIDE, L AC 8708 28% 1.000 47.65 47.65 0.00 10 71740M54T10-C48 GRILLE COMP,RADIATOR AA 8708 28% 1.000 2710.93 2710.93 0.00 11 72432M56R00 COVER, FRONT END UPPER, L AC 8708 28% 1.000 175.78 175.78 0.00 12 72433M56R00 COVER, FRONT END LOWER AD 8708 28% 1.000 250.00 250.00 0.00 13 95310M55R00 CONDENSER ASSY AC 8415 28% 1.000 3222.65 3222.65 0.00 14 990J0M999H4-030 AC CAN GAS (340 -FLORON) AB 2903 18% 1.000 283.89 283.89 0.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-31 Invoice No. : 49/BI/20001961 Date : 25/03/2021 18:10:26 Bajaj Allianz General Insurance Co. Ltd, 4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20017940 Job Card Date: 19/03/2021 Showroom, Reg.No. : TEMP771248 Mileage: 55 HYDERABAD SA Name : ASIF MOHAMMED SA(M) : 8096061356 Pin:500082 State & Code :36-TELANGANA Model : MARUTI DZIRE VXI 1.2L ISS EW Type :NA Mobile : Chassis No.: 763277 Next Service Due : Loyalty Card : NA Fuel Trim : Service type: BEFORE DELEIVERY WORK Cust GSTIN/UIN. : 36AABCB5730G1ZY PAN : AABCB5730G Place of Supply: TELANGANA Ins.Comp. : BAJAJ Surveyor Name : Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 1 ZA64L0 OUT SIDE LABOUR 998729 650.00 2 ZF61D0 Head lamp repairing 998729 100.00 3 NB01R0 FRONT HOOD PANEL ASSY 998729 264.00 4 ZF01D0 PANEL, FRONT HOOD DENTING 998729 500.00 5 ZA28L0 AC GAS TOP-UP 998729 650.00 6 ZF63D0 Bumper repairing (FR) 998729 275.00 7 ZF27P0 FRONT BUMPER PAINTING 998729 4,252.00 8 NH02R01 FRONT FENDER EMBLEM (ONE SIDE) 998729 198.00 WITH OPPOSITE SIDE 9 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 2,952.00 10 ZF01P0 PANEL, FRONT HOOD PAINTING 998729 4,168.00 Sub Total Amount 17,097.57 0.00 14,009.00 show room vehicel CGST @ 14% 2,039.51 SGST @ 14% 2,039.51 CGST @ 9% : 227.67 1,260.81 SGST @ 9% 227.67 1,260.81 For VARUN MOTORS PVT LTD Tax Collection at Source @ 0.075% 16.23 Authorised Signatory Sub Total Amount : 21,648.16 0.00 16,530.62 Dealer GSTIN : 36AABCV2471Q1ZT Net Bill Amount (Rounded) 38,179.00 Rupees Thirty Eight Thousand One Hundred And Seventy Nine 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. : GP20017666 Date : 25/03/2021 18:10:26 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : New Dzire Petrol JC20017940 BR/20018084 23-MAR-21 0.00 Tech. Name :RAJENDER K Reg.No.: TEMP771248 JC20017940 BI/20001961 23-MAR-21 38,179.00 Customer Signature Accountant Signature JC20017940 ---PAGE END---