ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

                                                                                       Job Card Retail - Tax Invoice
Customer Name & Address :                ID : 02-16                                        Invoice No. : 023/BI/19003122
                                                                                                                                                                                     Date : 16/12/2019 15:49:20
Bajaj Allianz General Insurance Co. Ltd,
Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg                                          Job Card No.: JC19016984
                                                                                                                                                                         Job Card Date: 10/12/2019
NEW DELHI
                                                                                                                     Reg.No. : HR30U6007                            Mileage: 15249
Pin:110015
                                                                                                                   SA Name : SURAJ SINGH                             SA(M) : 9999122946
State & Code : 07-DELHI
Mobile :                                                                                                        Model : MARUTI BALENO ZETA        EW Type : NA
Loyalty Card : 77000843445                   Fuel Trim :                                    Chassis No.: 288253                             Last Service : 10691 (02-11-19)
Cust GSTIN/UIN : 07AABCB5730G1ZZ                                                                                                                     Next Service Due : PMS 20
                                                                                                                 Service type: BODY REPAIR
Ins.Comp. : BAJAJ
                                                                                                            Place of Supply: DELHI
                                                                                                           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      72372M68P00-5PK       GARNISH,COWL TOP SIDE,L(BLACK        AA   8708              28%    1.000               17.18                17.18               0.00
2     77171M68P00             MOLDING, FR PILLAR LOWER LH           AA   8708              28%     1.000               35.15               35.15               0.00
3     77190M68P00-5PK       GARNISH,FR PILLAR OUTER,L(BLA         AA   8708              28%     1.000               22.65                22.65               0.00
4     84702M68PC1-5PK       MIRROR ASSY,OUT REAR VIEW,LH         AB   7009              18%     1.000            3894.06             3894.06                0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1     ZF9993                     PAINTING CHARGES                                  998729                                                                                                               13,004.00











                                                                                  Sub Total Amount                                                            3,969.04                   0.00            13,004.00
Claim No-0C-20-1103-1825-00006402
                                                                                  IGST @ 28%                                                                         20.99
                                                                                  IGST @ 18%                                                           :           700.93                                       2,340.72
                                                                                  Sub Total Amount                                                   :        4,690.96                   0.00            15,344.72
                                  For PASCO AUTOMOBILES    Net Bill Amount (Rounded)                                                                                          20,036.00
                                        Authorised Signatory            Rupees Twenty Thousand Thirty Six Only
 Dealer GSTIN : 06AAGPP7032H1ZQ
 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.        : GP19017135                                 Date : 16-DEC-19 15:49:30                          Job Card No.     Bill.No.           Bill Date                 Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model  : MARUTI BALENO DIESEL                   JC19016984          BI/19003122      16-DEC-19                  20,036.00
Tech. Name : ALI ENTERPRISES                           Reg.No.: HR30U6007

  Customer Signature                                                                                                           Accountant Signature

                                                                                                                                                                                                     JC19016984

---PAGE END---