ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

                                                                                       Job Card Retail - Tax Invoice
Customer Name & Address :                ID :02-04
                                                                                                                Invoice No. : 1/BI/20000188                            Date : 06/01/2021 18:58:59
Bajaj Allianz General Insurance Co. Ltd,
4th floor, Commerce House, 7 Race Course Road
                                                                                                              Job Card No.: JC20002446                    Job Card Date: 05/01/2021
INDORE
                                                                                                                     Reg.No. : MH31DK3307                         Mileage: 163089
Pin:452001
                                                                                                                   SA Name : SHADAB KHAN                           SA(M) : 7898822400
State & Code : 23-MADHYA PRADESH
Mobile :                                                                                                       Model : MARUTI SWIFT DZIRE VDI    EW Type : NA
Loyalty Card : NA                                 Fuel Trim :                                    Chassis No.: 320345                             Last Service : 146213 (24-08-20)
Cust GSTIN/UIN. :..23AABCB5730G1Z5                                                                                                                    Next Service Due : PMS150
                                                                                                                Service type: BODY REPAIR
Ins.Comp. : BAJAJ                                                                               Place of Supply: MADHYA 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      35671M74K00            LAMP UNIT, RR COMBINATION LH         AC   8512              18%     1.000            1330.50             1330.50                0.00
2     71811M74K00            BUMPER, REAR (BLACK)                     AC   8708              28%     1.000             2625.00             2625.00                0.00
3     71822M74K00            HOLDER, RR BUMPER SIDE LH              AD   8708              28%     1.000              152.34              152.34                0.00
4     71831M74K00            HOLDER, RR LAMP                            AC   8708              28%     1.000               57.81                57.81                0.00
5     82650M75J00            STRIKER COMP,BACK DOOR                 AB   8302             18%    1.000               51.69                51.69               0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1      ZF9993                     PAINTING CHARGES                                  998729                                                                                                                6,754.00
2     ZA64L0                     OUT SIDE LABOUR                                     998729                                                                                                                  700.00
3     ZF9992                     DENTING CHARGES                                   998729                                                                                                                 650.00








                                                                                  Sub Total Amount                                                            4,217.34                   0.00             8,104.00
                                                                                  CGST @ 14%                                                                      396.92
                                                                                  SGST @ 14%                                                                      396.92
                                                                                  CGST @ 9%                                                                        124.40                                         729.36
                                                                                  SGST @ 9%                                                                        124.40                                         729.36
                                              For AZAD MOTORS
                                                                                  Sub Total Amount                                                             5,259.98                   0.00             9,562.72
                                        Authorised Signatory        Net Bill Amount (Rounded)                                                                                          14,823.00
 Dealer GSTIN :23AMBPP3327N1ZZ                                   Rupees Fourteen Thousand Eight Hundred And Twenty Three 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.

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