ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :02-30 Invoice No. : 002/BI/20000132 Date : 18/08/2020 12:25:39 Bajaj Allianz General Insurance Co. Ltd, 3rd Floor, Peejay Plaza, 3rd Floor, VIP Road, CBM Compound Job Card No.: JC20001869 Job Card Date: 11/08/2020 VISHAKHAPATNAM Reg.No. : AP39CG1112 Mileage : 6507 Pin:530003 State & Code :37-ANDHRA PRADESH SA Name : KONAPALA MANOHARDURGAPRRSA(M) : 9705196669 Mobile : Model : MARUTI ERTIGA ZDI EW Type : II Loyalty Card : NA Fuel Trim : Chassis No.: 181748 Last Service : 4950 (30-07-20) Cust GSTIN/UIN : 37AABCB5730G1ZW Next Service Due : 3RD FREE SERVICE Service type: BODY REPAIR Ins.Comp. : BAJAJ Place of Supply: ANDHRA PRADESH 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 71711M72R00-5PK BUMPER,FRONT AA 8708 28% 1.000 1843.75 1843.75 0.00 2 71721M73R00-5PK GRILLE,RADIATOR LOWER AA 8708 28% 1.000 175.78 175.78 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 NA01RO FRONT BUMPER 998729 407.00 2 ZF01P0 PANEL, FRONT HOOD PAINTING 998729 3,672.00 3 ZF01D0 PANEL, FRONT HOOD DENTING 998729 500.00 4 ZF27P0 FRONT BUMPER PAINTING 998729 4,790.00 Sub Total Amount 2,019.53 0.00 9,369.00 CGST @ 14% 282.74 SGST @ 14% 282.74 CGST @ 9% 843.21 SGST @ 9% : 843.21 For REDDY & REDDY MOTORS Sub Total Amount 2,585.01 0.00 11,055.42 Authorised Signatory Deductibles(As per policy T & C) : 1,000.00 Dealer GSTIN : 37AALFR7806C1Z3 Net Bill Amount (Rounded) 12,640.00 Rupees Twelve Thousand Six Hundred And Forty 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 to Customer Signature Mobile No.: inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20001925 Date : 18-AUG-20 12:25:54 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : ERTIGA DIESEL 1.5L JC20001869 BR/20000839 18-AUG-20 3,037.00 Tech. Name :DURGA RAO K.V Reg.No.: AP39CG1112 JC20001869 BI/20000132 18-AUG-20 12,640.00 Customer Signature Accountant Signature JC20001869 ---PAGE END---