ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-16 Invoice No. : 001/BI/20000354 Date : 25/07/2020 13:04:43 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20001412 Job Card Date: 25/06/2020 NEW DELHI Reg.No. : DL9CAQ6596 Mileage: 44757 Pin:110015 SA Name : MOHD YASIR SA(M) : 8171568522 State & Code : 07-DELHI Mobile : Model : MARUTI EECO 7 SEATER W EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 636437 Last Service : 11182 (03-02-19) Cust GSTIN/UIN : 07AABCB5730G1ZZ Next Service Due : PMS 20 Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: DELHI 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 09119-10041 BOLT AC 8708 28% 2.000 179.68 359.36 0.00 2 14182M79F11 GASKET EXHAUST PIPE(NON- AA 4823 18% 1.000 11.01 11.01 0.00 ASBESTOS) 3 14183M78L00 RING,SEAL EXH PIPE AA 8708 28% 1.000 328.12 328.12 0.00 4 14190M78L10 PIPE COMP,EXH AC 8708 28% 1.000 27734.37 27734.37 0.00 5 14492M72F00 SPRING PIPE EXHAUST AA 7320 28% 2.000 28.51 57.02 0.00 6 18213M78L10 SENSOR,OXYGEN RR AA 9031 28% 1.000 2167.18 2167.18 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 600.00 2 ZZ07H HYGIENE CHARGE 998729 175.00 Sub Total Amount 30,657.06 0.00 775.00 sa israr baja kisan pol no og-20-9910-1870- CGST @ 14% 4,290.45 00010175 SGST @ 14% 4,290.45 CGST @ 9% 0.99 69.75 SGST @ 9% : 0.99 69.75 For AAA VEHICLEADES PVT LTD Sub Total Amount 39,239.94 0.00 914.50 Authorised Signatory Net Bill Amount (Rounded) 40,154.00 Dealer GSTIN : 07AAGCA7420B1Z6 Rupees Forty Thousand One Hundred And Fifty Four 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. : GP20002581 Date : 25-JUL-20 13:05:40 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : MARUTI EECO PETROL JC20001412 BI/20000354 25-JUL-20 40,154.00 Tech. Name :AAKASH KUMAR Reg.No.: DL9CAQ6596 Customer Signature Accountant Signature JC20001412 ---PAGE END---