ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : d2a30702abb317c938124574aea5a85526e001f70e78ebb51c39f0ec3681c555 OER Customer Name & Address : ID : 02-16 Invoice No. : 14/BI/20002494 Date : 24/01/2021 13:49:29 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20013767 Job Card Date: 16/01/2021 NEW DELHI Reg.No. : DL6CS0279 Mileage : 16841 Pin:110015 State & Code : 07-DELHI SA Name : Pappu KUMAR SA(M) : 9650395172 Mobile Model : MARUTI EECO CNG 5 SEA EW Type : NA Loyalty Card : 33053232618 Fuel Trim : Chassis No.: 694806 Last Service : 11149 (22-06-20) Cust GSTIN/UIN : 07AABCB5730G1ZZ PAN : AABCB5730G Service type: BODY REPAIR Next Service Due : PMS 20 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 14183M78L00 RING,SEAL EXH PIPE AD 8708 28% 1.000 347.65 347.65 0.00 3 14190M78L10 PIPE COMP,EXH AC 8708 28% 1.000 27734.37 27734.37 0.00 4 14281M78L00 MOUNTING ,MUFFLER AB 4016 18% 1.000 69.49 69.49 0.00 5 14492M72F00 SPRING PIPE EXHAUST AA 7320 18% 2.000 28.81 57.62 0.00 6 18213M78L50 SENSOR, OXYGEN REAR AB 9031 28% 1.000 1414.84 1414.84 0.00 7 99000M24121-052 PREMIUM FOAM WASH-LIQUID AC 3402 18% 0.100 279.66 27.97 0.00 8 99000M24121-136 PAPER FLO0R MAT (20X15) AB 4820 18% 6.000 0.84 5.04 0.00 9 99000M24121-161 INTERIOR PROTECTION COVERS- AA 3920 18% 1.000 25.42 25.42 0.00 NEXA Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 1,000.00 Sub Total Amount 30,041.76 0.00 1,000.00 surveyor ds gaba sa lokesh CGST @ 14% 4,179.87 SGST @ 14% 4,179.87 CGST @ 9% 16.70 90.00 SGST @ 9% 16.70 90.00 For MAGIC AUTO PVT LTD Tax Collection at Source @ 0.075% : 28.80 Authorised Signatory Sub Total Amount 38,463.70 0.00 1,180.00 Dealer GSTIN : 07AAACM4873C2ZM Net Bill Amount (Rounded) 39,644.00 Rupees Thirty Nine Thousand Six Hundred And Forty 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. : GP20013987 Date : 24-JAN-21 13:49:37 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : MARUTI EECO CNG JC20013767 BI/20002494 24-JAN-21 39,644.00 Tech. Name :RAJ KUMAR Reg.No.: DL6CS0279 Customer Signature Accountant Signature JC20013767 --------------PAGE END-----------------------