I B MOTORS (GUJARAT) PVT. LTD BESIDES PATEL SATYA VIJAY DHARAMSHALA, BHAKINAGAR STATION ROAD , NR. GONDAL ROAD, RAJKOT-360002, RAJKOT Pin:360002 Job Card Retail - Tax Invoice Customer Name & Address : ID:02-15 Invoice No. : 004/BC/20001159 Date : 25/06/2020 18:30:31 Bajaj Allianz General Insurance Co. Ltd, 402-408, 4th Floor,, Turquoise Bldg.., Near Panchvati Circle,CG 1Job Card No.: JC20001162 Job Card Date: 25/06/2020 Road Reg.No. : GJ3HB4 Mileage: 35911 AHMEDABAD SA Name : BHARAT DHIRUBHAI CHAVADA SA(M) : 9724322281 Pin:380006 State & Code 24-GUJARAT Model : ACCESS-125-ACL4 EW Type : NA Mobile Chassis No.: MB8CF4CAFE8398373 Loyalty Card NA Service type: ACCIDENTAL REPAIR Cust GSTIN/UIN : 24AABCB5730G1Z3 Place of Supply: GUJARAT Srl. Part Number Description HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 01550-0616A-000 BOLT 73181500 18% 10.000 2.96 29.60 0.00 2 03541-0516B-000 SCREW 73181500 18% 10.000 3.38 33.80 0.00 3 08113-63017-000 BEARING,FRONT HUB,R 87141090 28% 1.000 88.28 88.28 0.00 4 08143-62017-000 BEARING, FRONT HUB, L 87149390 28% 1.000 63.28 63.28 0.00 5 14310-33GN0-000 BODY, MUFFLER 87141090 28% 1.000 4726.56 4726.56 0.00 6 14780-33G50-000 COVER, MUFFLER 87141090 28% 1.000 345.31 345.31 0.00 7 14790-33G90-000 GUARD, HEAT 87141090 28% 1.000 86.71 86.71 0.00 8 34910-33G72-000 CABLE ASSY, SPEEDOMETER 84831099 28% 1.000 120.31 120.31 0.00 9 35100-33GB0-000 HEADLAMP ASSY 85122010 18% 1.000 818.64 818.64 0.00 10 46211-25J00-13L HANDLE PILLION RIDER 87141090 28% 1.000 766.40 766.40 0.00 11 47111-33G70-YVB COVER, FRAME RH (BLACK) 87141090 28% 1.000 721.87 721.87 0.00 12 47121-33G60-291 COVER, FRAME FRONT (BLK) 87140000 28% 1.000 256.25 256.25 0.00 13 47211-33G70-YVB COVER, FRAME LH (BLACK) 87141090 28% 1.000 865.62 865.62 0.00 14 47311-33G60-YVB COVER, FRAME CENTER (BLACK) 87141090 28% 1.000 308.59 308.59 0.00 15 47411-33G60-YVB COVER, FRAME LOWER (BLACK) 87141090 28% 1.000 269.53 269.53 0.00 16 48111-33GF1-YVB SHIELD, LEG FRONT (BLACK) 87141090 28% 1.000 1463.28 1463.28 0.00 17 48121-33G60-291 SHIELD LEG REAR (BLACK) 87141090 28% 1.000 305.46 305.46 0.00 18 48171-33G80-YVB SHIELD, LEG SIDE RH (BLACK) 87141090 28% 1.000 348.43 348.43 0.00 19 48181-33G80-YVB SHIELD, LEG SIDE LH (BLACK) 87141090 28% 1.000 348.43 348.43 0.00 20 53110-33GA1-YVB FRONT,FENDER (BLACK) 87141090 28% 1.000 1092.96 1092.96 0.00 21 53130-33GA0-000 BRACKET COMP, FRONT FENDER, RH 94019000 18% 1.000 51.69 51.69 0.00 22 53140-33GA0-000 BRACKET COMP, FRONT FENDER, LH 94019000 18% 1.000 51.69 51.69 0.00 ---PAGE END--- I B MOTORS (GUJARAT) PVT. LTD. BESIDES PATEL SATYA VIJAY DHARAMSHALA, BHAKINAGAR STATION ROAD , NR. GONDAL ROAD, RAJKOT-360002, RAJKOT Pin:360002 Job Card Retail - Tax Invoice Customer Name & Address : ID :02-15 Invoice No. : 004/BC/20001159 Date : 25/06/2020 18:30:31 Bajaj Allianz General Insurance Co. Ltd, 402-408, 4th Floor, Turquoise Bldg., Near Panchvati Circle,CG 1Job Card No.: JC20001162 Job Card Date: 25/06/2020 Road Reg.No.: GJ3HB4 Mileage: 35911 AHMEDABAD Pin:380006 SA Name : BHARAT DHIRUBHAI CHAVADA SA(M) : 9724322281 State & Code 24-GUJARAT Model : ACCESS-125-ACL4 EW Type : NA Mobile Chassis No.: MB8CF4CAFE8398373 Loyalty Card NA Service type: ACCIDENTAL REPAIR Cust GSTIN/UIN : 24AABCB5730G1Z3 Place of Supply: GUJARAT Srl. Part Number Description HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 24 56311-33G60-YVB COVER, HANDLE FRONT (BLK) 87141090 28% 1.000 486.71 486.71 0.00 25 56321-33G70-291 COVER,HANDLE REAR 87080000 28% 1.000 202.34 202.34 0.00 26 68131-33GU0-000 EMBLEM,ACCESS 39199010 18% 2.000 245.76 491.52 0.00 27 68641-33GC0-000 EMBLEM, (S) 87141090 28% 1.000 70.31 70.31 0.00 28 68645-33GG0-A12 EMBLEM, ACCESS125 39199010 18% 1.000 44.91 44.91 0.00 29 92111-33G50-291 COVER, LEG SHIELD (BLACK) 87141090 28% 1.000 310.15 310.15 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZOS010 Other Outside Charges 998729 450.00 2 ZOS017 Accidental Repair 998729 1,200.00 Recommendations : Sub Total Amount 14,821.75 0.00 1,650.00 CGST @ 14% 1,861.98 SGST @ 14% 1,861.98 CGST @ 9% 136.96 148.50 SGST @ 9% : 136.96 148.50 Sub Total Amount 18,819.63 0.00 1,947.00 Authorised Signatory Net Bill Amount (Rounded) 20,767.00 Dealer GSTIN : 24AABCI9676G1ZB Rupees Twenty Thousand Seven Hundred And Sixty Seven Only * Unapproved fitments affects the performance & safety. Suggested to keep the vehicle in original specifications. 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. : GP20001175 Date : 25-JUN-20 18:32:43 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : Access/AccessZ(UZ125) JC20001162 BC/20001159 25-JUN-20 20,767.00 Tech.Name :VIJAY BHADANIYA Reg.No.: GJ3HB4 Customer Signature Accountant Signature JC20001162 ---PAGE END---