ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1518026706 Invoice No. : 3/BC/20005796 Date : 25/02/2021 19:20:02 BHAVESH P MEHTA 703,B-1 SUKH SAGAR APARTMENT, 7TH FLR,45 DR Job Card No.: JC20005542 Job Card Date: 22/02/2021 D.B.MARG,MUMBAI, CENTRAL,MUMBAI Reg.No. : MH01CD6897 Mileage : 19488 MUMBAI SA Name : FARZIN FAZAL SAKHARKAR SA(M) : 9594974671 Pin:400008 State & Code :27-MAHARASHTRA Model : MARUTI CIAZ AUTOMATIC EW Type : NA Mobile : 9320014113 Chassis No.: 197649 MCP No. : AMC1600157134 (27/02/2020) Fuel Trim : Last Service : 14882 (12-12-19) Loyalty Card : 77000180368 Service type: BODY REPAIR CuSt GSTIN/UIN : GSTUNREGISTERED PAN : AGBPM2307B Next Service Due : PMS 40 Place of Supply: MAHARASHTRA Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 35950M55K01 REFLECTOR ASSY,REAR,R AB 8512 18% 1.000 66.10 66.10 0.00 2 71811M79M10-5PK BUMPER,REAR AA 8708 28% 1.000 4648.43 4648.43 0.00 3 71831M79M00-5PK BEZEL,RR REFLECTOR,R AB 8708 28% 1.000 64.84 64.84 0.00 4 99000M99280 SUPER CLEANER(480 AB 3402 18% 1.000 322.03 322.03 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 320.00 2 ZF9993 PAINTING CHARGES 998729 7,590.00 Recommendations : Sub Total Amount 5,101.40 0.00 7,910.00 ACCIDENTAL JOB DONE IN BAJAJ ALLIANZ CGST @ 14% 659.86 POLICY NO : OG-20-1901-1801-00016234 SGST @ 14% 659.86 CLAIM NO : 0C-21-1901-1801-00013293 CGST @ 9% 34.93 711.90 SURVEYOR NAME : NAUSHAD ALI SGST @ 9% 34.93 711.90 For FORT POINT AUTOMOTIVE (CARS) PVT. Sub Total Amount 6,490.98 0.00 9,333.80 Authorised Signatory Net Bill Amount (Rounded) 15,825.00 Dealer GSTIN : 27AACCP5360R1ZT Rupees Fifteen Thousand Eight Hundred And Twenty Five Only * Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle. 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. : GP20005632 Date : 25-FEB-21 19:21:09 Job Card No. Bill.No. Bill Date Amount Cust. Name: MR BHAVESH P MEHTA Model : CIAZ PETROL JC20005542 BC/20005796 25-FEB-21 15,825.00 Tech.Name :MOHDNAAZ MOHDAZIM SHAIK Reg.No.: MH01CD6897 Customer Signature Accountant Signature JC20005542 ---PAGE END---