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
Reg.No. : RJ27CG7370 Mileage : 27940
Pin:302001
SA Name : NAVIN KUMAR LOHAR
State & Code : )08-RAJASTHAN
Model : MARUTI ALTO 800 LXI EW Contract No. : 188143203
Mobile
Chassis No.: D04105 MCP No. : AMC1800410229
Loyalty Card : 33052650257 Fuel Trim :
Service type : BODY REPAIR MCP Exp Date : 15/08/2020
Ins.Comp. BAJAJ
Place of Supply : RAJASTHAN
Cust GSTIN/UIN : 08AABCB5730G1ZX
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
---PAGE END---