ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-02 Invoice No. : 012/BI/20000330 Date : 30/09/2020 19:52:24 Bajaj Allianz General Insurance Co. Ltd, 1ST FLOOR, MUNICIPAL NO.2-1-1, CHILIMBI, BOLOR B Job Card No.: JC20008420 Job Card Date: 21/09/2020 VILLAGE, Opp More Super Market, Reg.No. : KA20P8246 Mileage : 57976 MANGALORE SA Name : KIRTHAN SHETTY SA(M) : 8971302277 Pin:575006 State & Code :29-KARNATAKA Model : MARUTI RITZ LXI BS IV EW Type : NA Mobile : Chassis No.: 317343 Last Service : 56303 (01-08-20) Loyalty Card : NA Fuel Trim : Next Service Due : PMS90 Service type: RUNNING REPAIR Cust GSTIN/UIN : 29AABCB5730G1ZT PAN : AABCB5730G Place of Supply: KARNATAKA 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 09409M06322 CLIP(RADIATOR UPPER/RR MUD FLAP) AA 8708 28% 4.000 1.56 6.24 0.00 2 09409M07308-5EE CLIP(GRAY) AA 8708 28% 4.000 2.34 9.36 0.00 3 16510M68K00 FILTER ASSY,OIL AA 8421 18% 1.000 69.49 69.49 0.00 4 28313M86J00 BUSH, SELECT CABLE AB 4016 28% 1.000 16.40 16.40 0.00 5 38720M83K22 CONTROLLER ASSY,EPS AA 8708 28% 1.000 5191.40 5191.40 0.00 6 99000M24120-978 MGP RUST SMASH AB 2710 18% 1.000 77.96 77.96 0.00 7 99000M24121-110 INTERIOR PROTECTION COVERS - AA 3920 18% 1.000 16.10 16.10 0.00 ARENA 8 99999M05W30-IOC MGO(5W30)-IOCL AB 2710 18% 3.100 278.81 864.31 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZA38L0 TOWING CHARGES 998729 500.00 2 ZF9992 DENTING CHARGES 998729 3,266.00 3 BB01R0 OIL FILTER ASSY 998729 246.00 4 ZZ07H HYGIENE CHARGE 998729 175.00 Sub Total Amount 6,251.26 0.00 4,187.00 CGST @ 14% 731.28 SGST @ 14% 731.28 CGST @ 9% 92.51 376.83 SGST @ 9% 92.51 376.83 For ABHARAN MOTORS PVT LTD Sub Total Amount 7,898.84 0.00 4,940.66 Authorised Signatory Net Bill Amount (Rounded) 12,840.00 Dealer GSTIN : 29AAECA9856F1ZA Rupees Twelve Thousand Eight Hundred And Forty 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. : GP20008734 Date : 30-SEP-20 19:53:53 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : RITZ JC20008420 BI/20000330 30-SEP-20 12,840.00 Tech. Name :RAJESH RAO Reg.No.: KA20P8246 JC20008420 BC/20008262 30-SEP-20 0.00 Customer Signature Accountant Signature JC20008420 ---PAGE END---