ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : 8f6de229d2a44cd157ba5f2104133973a1a5542f359f304f0f2c4c6aaa0dd08c Customer Name & Address : ID:02-16 Invoice No. : 10/BI/20000349 Date : 15/01/2021 17:26:05 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20002501 Job Card Date: 15/01/2021 NEW DELHI Reg.No. : UK04X8221 Mileage: 38606 Pin:110015 SA Name : LALIT MAKHAN SINGH SA(M) : 7457004430 State & Code : 07-DELHI Mobile ModeI : MARUTI SWIFT VXI BS IV EW Type : II Loyalty Card : NA Fuel Trim : Chassis No.: C82035 Last Service : 15797 (23-12-18) Cust GSTIN/UIN : 07AABCB5730G1ZZ PAN : AABCB5730G 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 84701M74LG0-5PK MIRROR ASSY,OUT REAR VIEW,R AB 7009 18% 1.000 5118.64 5118.64 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF16D0 PANEL FRONT FENDER RH DENTING 998729 250.00 2 ZF30D0 PANEL, FRONT DOOR RH DENTING 998729 350.00 3 NC06R0 FRONT FENDER LINING (ONE SIDE) 998729 227.50 4 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 2,688.00 5 ZF57P0 OUTER REAR VIEW MIRROR PAINTING 998729 350.00 6 ZF30P0 PANEL, FRONT DOOR RH PAINTING 998729 3,220.00 Sub Total Amount 5,118.64 0.00 7,085.50 Bajaj (M.S Adhikari) IGST @ 18% 921.36 1,275.39 Tax Collection at Source @ 0.075% 4.53 Sub Total Amount 6,044.53 0.00 8,360.89 For NAINITAL MOTORS PVT LTD Net Bill Amount (Rounded) 14,405.00 Rupees Fourteen Thousand Four Hundred And Five Only Authorised Signatory * Dealer GSTIN : 05AACCN8913C1ZR 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. : GP20002415 Date : 15-JAN-21 17:26:22 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : SWIFT NEW / DZIRE NEW PETROL JC20002501 BI/20000349 15-JAN-21 14,405.00 Tech. Name :UMAIR AHMAD Reg.No.: UK04X8221 JC20002501 BR/20001631 15-JAN-21 0.00 Customer Signature Accountant Signature JC20002501 ---PAGE END---