ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-26 Invoice No. : 8/BI/20000979 Date : 19/10/2020 Bajaj Allianz General Insurance Co. Ltd, 15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL Job Card No.: JC20002130 Job Card Date : 19/10/2020 LINES, Mileage KANPUR Reg.No. : UP60AE8571 : 42272 Pin:226001 SA Name : ABHISHEK KUMAR SRIVASTAV State & Code : 09-UTTAR PRADESH Model : MARUTI DZIRE ZDI+ Mobile Chassis No.: 134866 Loyalty Card : NA Fuel Trim : Service type : BODY REPAIR Ins.Comp.BAJAJ Place of Supply : UTTAR PRADESH Cust GSTIN/UIN : 09AABCB5730G1ZV Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 09409M07L01 CLIP AB 8708 28% 15.000 3.12 46.80 2 71711M56R00-5PK BUMPER,FRONT (BLACK) AC 8708 28% 1.000 1398.43 1398.43 3 71782M56R10-0PG GARNISH, FR BUMPER LOWER, L AA 8708 28% 1.000 304.68 304.68 4 72480M55R00 LINING COMP, FRONT FENDER, L AD 8708 28% 1.000 437.50 437.50 5 99000M24121-109 INTERIOR PROTECTION COVERS- AC 3920 18% 1.000 17.79 17.79 NEXA Labour Demanded Repairs-Others/Suggested Jobs 1 NA01R0 FRONT BUMPER 998729 591.50 2 ZF27P0 FRONT BUMPER PAINTING 998729 4,840.00 Sub Total Amount 2,205.20 5,431.50 AC TRANSFER HDFC MEERA DEVI CGST @ 14% 306.24 SGST @ 14% 306.24 CGST @ 9% 1.60 488.84 SGST @ 9% 1.60 488.84 For DEEP MOTORS : Sub Total Amount : 2,820.88 6,409.18 Authorised Signatory Net Bill Amount (Rounded) 9,230.00 Rupees Nine Thousand Two Hundred And Thirty Only Dealer GSTIN : 09AAFFD9431M1Z0 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.: --------------PAGE END-----------------------