ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-31 Invoice No. : 3/BI/20000635 Date : 12/01/2021 16:51:49 Bajaj Allianz General Insurance Co. Ltd, 4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20006647 Job Card Date: 23/12/2020 Showroom, Reg.No. : AP10VBTR7638 Mileage: 39693 HYDERABAD SA Name : ANIL MUDAMALA SA(M) : 8978820535 Pin:500082 State & Code :36-TELANGANA Model : MARUTI RITZ VXI EW Type : NA Mobile Chassis No.: 473559 Last Service : 33261 (08-09-19) Loyalty Card : NA Fuel Trim : Next Service Due : PMS 60 Service type: BODY REPAIR Cust GSTIN/UIN : 36AABCB5730G1ZY 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 71811M74L00 YP8 SWIFT-REAR BUMPER AC 8708 28% 1.000 1820.31 1820.31 0.00 2 71821M83K00 HOLDER, RR BUMPER SIDE RH AB 8708 28% 1.000 60.15 60.15 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 NA02R0 REAR BUMPER 998729 185.00 2 ZF28P0 REAR BUMPER PAINTING 998729 3,060.00 3 ZF33P0 PANEL, REAR DOOR LH PAINTING 998729 3,060.00 4 ZF39P0 PANEL, QUARTER OUTER LH PAINTING 998729 2,160.00 5 ZF33D0 PANEL, REAR DOOR LH DENTING 998729 1,000.00 6 ZF39D0 PANEL, QUARTER OUTER LH DENTING 998729 1,200.00 Sub Total Amount 1,880.46 0.00 10,665.00 0 IGST @ 28% 526.53 IGST @ 18% 1,919.70 Tax Collection at Source @ 0.075% 1.81 For MSA MOTORS Sub Total Amount 2,408.80 0.00 12,584.70 Net Bill Amount (Rounded) 14,994.00 Authorised Signatory Rupees Fourteen Thousand Nine Hundred And Ninety Four Only Dealer GSTIN : 37AAGFM7621M1ZV * 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. : GP20007223 Date : 12-JAN-21 16:53:07 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : RITZ JC20006647 BI/20000635 12-JAN-21 14,994.00 Tech. Name : ARIF BASHA . Reg.No.: AP10VBTR7638 JC20006647 BC/20007372 12-JAN-21 0.00 Customer Signature Accountant Signature JC20006647 ---PAGE END---