ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-09 Invoice No. : 1/BI/20001248 Date : 03/12/2020 15:56:26 Bajaj Allianz General Insurance Co. Ltd, 952/954,APPASAHEB MARATHE MARG, NEAR CHAITNYA Job Card No.: JC20008768 Job Card Date: 01/12/2020 TOWER, PRABHADEVI, Reg.No. : MH05EJ2760 Mileage: 405 MUMBAI Pin:400099 SA Name : SANDEEP JADHAV SA(M) : 8169598472 State & Code :27-MAHARASHTRA Model : MARUTI S-PRESSO VXI+ A EW Type : NA Mobile Chassis No.: 156267 Next Service Due : Loyalty Card : NA Fuel Trim : Service type: BODY REPAIR Cust GSTIN/UIN : 27AABCB5730G1ZX Place of Supply: MAHARASHTRA Ins.Comp. : BAJAJ 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 39101M72SA1-0CE TUNER ASSY AA 8527 18% 1.000 23402.54 23402.54 0.00 2 39270M62S00 FEEDER,I/P AA 8544 18% 1.000 309.32 309.32 0.00 3 39321M56R00 BRACKET, TUNER, R AB 8708 28% 1.000 41.40 41.40 0.00 4 39322M56R00 BRACKET, TUNER, L AB 8708 28% 1.000 41.40 41.40 0.00 5 73821M62S00-5PK GARNISH,I/P CTR AA 8708 28% 1.000 183.59 183.59 0.00 6 83665M62S00 RUN,FRONT DOOR GLASS,L AA 8708 28% 1.000 359.37 359.37 0.00 7 84502M62S00 GLASS COMP,FRONT DOOR AA 7007 18% 1.000 1076.27 1076.27 0.00 WINDOW,L Labour Demanded Repairs-Others/Suggested Jobs 1 ZA32L0 STEREO FITMENT 998729 800.00 Sub Total Amount 25,413.89 0.00 800.00 BAJAJ CLAIM NO- 0C-21-1901-1825- CGST @ 14% : 87.61 00001143 (MM) SGST @ 14% : 87.61 CGST @ 9% 2,230.93 72.00 SGST @ 9% 2,230.93 72.00 For AHER AUTOPRIME LLP Tax Collection at Source @ 0.075% : 22.53 Authorised Signatory Sub Total Amount 30,073.50 0.00 944.00 Dealer GSTIN : 27ABGFA9148J1Z2 Deductibles(As per policy T & C) : 1,000.00 Net Bill Amount (Rounded) 30,018.00 Rupees Thirty Thousand Eighteen 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. : GP20008543 Date : 03-DEC-20 15:56:36 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : S-PRESSO JC20008768 BI/20001248 03-DEC-20 30,018.00 Tech. Name :ABDUL MOID Reg.No.: MH05EJ2760 JC20008768 BC/20008602 03-DEC-20 1,482.00 Customer Signature Accountant Signature JC20008768 ---PAGE END---