ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

                                                                                       Job Card Retail - Tax Invoice
Customer Name & Address :                ID :02-39                                        Invoice No. : 2/BI/20001021
                                                                                                                                                                                    Date : 23/10/2020 12:49:47
Bajaj Allianz General Insurance Co. Ltd,
4TH FLOOR, HALWASIYA COMM, HOUSE, HABIBULLAH
                                                                                                               Job Card No.: JC20005783                    Job Card Date: 11/10/2020
ESTATE, 11 MG MARG, HAZRATGANJ,
                                                                                                                     Reg.No. : UP53CB5233                          Mileage: 56494
LUCKNOW
                                                                                                                   SA Name : AMAN SRIVASTAVA                     SA(M) : 8429526312
Pin:226001
State & Code :09-UTTAR PRADESH                                                                    ModeI : MARUTI SWIFT VXI BSIV      EW Type : NA
Mobile                                                                                                     Chassis No.: A85458                             MCP No. : AMC1600103161 (04/05/2018)
Loyalty Card : NA                                 Fuel Trim :                                                                                               Last Service : 50505 (04-07-20)
                                                                                                                 Service type: BODY REPAIR
Cust GSTIN/UIN : 09AABCB5730G1ZV                                                                                                                    Next Service Due : PMS 50
                                                                                                            Place of Supply: UTTAR PRADESH
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      35321M74L01             UNIT, HEADLAMP LH                         AC   8512              18%     1.000            2080.50             2080.50                0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1     ZF9992                     DENTING CHARGES                                   998729                                                                                                                  400.00
2     ZA50L0                     ALL ELECTRICALS CHECK-UP                       998729                                                                                                                    75.00
3     ZF9993                     PAINTING CHARGES                                  998729                                                                                                                2,900.00











                                                                                  Sub Total Amount                                                            2,080.50                   0.00             3,375.00
NON MI BAJAJ PARITOSH JI
                                                                                  CGST @ 9%                                                                        187.25                                         303.75
                                                                                  SGST @ 9%                                                                        187.25                                         303.75
                                                                                  Tax Collection at Source @ 0.075%                                            1.84
                     For ARBIT AUTOMOBILES PVT LTD    Sub Total Amount                                                             2,456.84                   0.00             3,982.50
                                                                                                                                                               :
                                                                                   Net Bill Amount (Rounded)                                                                                            6,439.00
                                        Authorised Signatory            Rupees Six Thousand Four Hundred And Thirty Nine Only
 Dealer GSTIN : 09AARCA6907C1ZJ                              *

 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.         : GP20006058                                 Date : 23-0CT-20 12:50:53                         Job Card No.     Bill.No.            Bill Date                 Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model  : SWIFT NEW / DZIRE NEW PETROL      JC20005783          BR/20002818     23-OCT-20                  15,140.00
Tech.Name :VIVEK SHARMA                             Reg.No.: UP53CB5233                                   JC20005783          BI/20001021       23-OCT-20                   6,439.00

 Customer Signature
                                                                                                                                             Accountant Signature
                                                                                                                                                                                                     JC20005783

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