ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-24 Invoice No. : 12/BI/20001674 Date : 14/10/2020 Bajaj Allianz General Insurance Co. Ltd, O-12 A, 2nd floor Ashok Marg, C-Scheme Job Card No.: JC20012399 Job Card Date : 14/10/2020 JAIPUR Mileage Pin:302001 Reg.No. : RJ27CG7370 : 27940 08-RAJASTHAN SA Name : NAVIN KUMAR LOHAR State & Code : ) Model : MARUTI ALTO 800 LXI EW Contract No. : 188143203 Mobile Loyalty Card : 33052650257 Fuel Trim : Chassis No.: D04105 MCP No. : AMC1800410229 Service type : BODY REPAIR MCP Exp Date : 15/08/2020 Ins.Comp. BAJAJ Cust GSTIN/UIN : 08AABCB5730G1ZX Place of Supply : RAJASTHAN Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 35121M53MA0 UNIT HEAD LAMP, RH AB 8512 18% 1.000 1703.38 1703.38 2 71711M53MA0-5PK BUMPER, FRONT AB 8708 28% 1.000 1015.62 1015.62 3 71731M53M00 HOLDER,FR BUMPER SIDE,R AB 8708 28% 1.000 46.09 46.09 4 71741M53MA0-5PK NET, FRONT BUMPER AB 8708 28% 1.000 783.59 783.59 5 77811M63J00-0PG EMBLEM,MARK(S) AB 8708 28% 1.000 62.50 62.50 6 90900M10156 PAINT MATERIAL 8708 18% 0.195 4237.28 826.27 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 350.00 2 ZA50L0 ALL ELECTRICALS CHECK-UP 998729 100.00 3 ZF9993 PAINTING CHARGES 998729 2,486.00 Sub Total Amount 4,437.45 2,936.00 bajaj*****dipendra ji CGST @ 14% 267.09 SGST @ 14% 267.09 CGST @ 9% 227.66 264.24 SGST @ 9% 227.66 264.24 For TECHNOY MOTORS INDIA PVT. LTD. Tax Collection at Source @ 0.075% 4.07 Sub Total Amount : 5,431.02 3,464.48 Authorised Signatory Net Bill Amount (Rounded) 8,896.00 Dealer GSTIN : 08AAECT4742P1ZR Rupees Eight Thousand Eight Hundred And Ninety Six 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 (Customer Signature) Mobile No.: to inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20011656 Date : 14-0CT-20 18:49:07 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance C Model : ALT0 800 JC20012456 BR/20005704 14-OCT-20 3,885.00 Tech.Name :DEVENDAR MEENA Reg No.: RJ27CG7370 JC20012399 BI/20001674 14-0CT-20 8,896.00 JC20012399 BR/20005703 14-N^T-2n nn7 Customer Signature Accountant Signature