GANPATIAUTOTECH PVT LTD F-671, KHAJURI KHAS, MAIN WAZIRABAD ROAD. NEAR BANK OF BARODA,DELHI, DELHI Pin:110094 Job Card Retail-Tax Invoice Customer Name & Address : ID:02-16 Invoice No. : 002/Bl/20000052 Date : 27/07/2020 15:29:53 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor,DLF Tower 15, Shivaji Marg 1Job Card No.: JC20000997 Job Card Date: 27/07/2020 NEW DELHI Reg.No. : DL5SCJ7762 Mileage: 3942 Pin:110015 SA Name : SHIVAM GINOTRA SA(M) : 8800833827 State & Code: 07-DELHI Model : BURGMAN STREET - UBE EW Type : NA Mobile Chassis No.: MB8EA11AKK8233757 Last Service : 650 (06-01-20) Loyalty Card NA Next Service Due:2nd Free Service Cust GSTIN/UIN 07AABCB5730G1ZZ Service type:ACCIDENTAL REPAIR Ins.Comp. : BAJAJ Place of Supply: DELHI Surveyor Name : Srl.Part Number Description HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 14791-44K00-000 COVER, MUFFLER TAIL 87140000 28% 1.000 239.06 239.06 0.00 2 48132-44K00-YKV SHIELD, LEG RR SIDE RH (BLACK) 87141090 28% 1.000 521.87 521.87 0.00 3 48211-44K00-YKV SHIELD, LEG FRONT, RH (BLACK) 87141090 28% 1.000 625.78 625.78 0.00 4 48221-44K00-YKV SHIELD, LEG FRONT, LH (BLACK) 87141090 28% 1.000 625.78 625.78 0.00 5 56600-34J41-000 MIRROR ASSY,REAR VIEW LH 70090000 18% 1.000 128.81 128.81 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZOS017 Accidental Repair 350.00 Sub Total Amount 2,141.30 0.00 350.00 CGST @ 14% 281.75 SGST @ 14% 281.75 CGST @ 9% 11.59 31.50 SGST @ 9% 11.59 31.50 For GANPATIAUTOTECH PVT LTD Sub Total Amount 2,727.98 0.00 413.00 Authorised Signatory Net Bill Amount (Rounded) 3,141.00 Dea|er GSTIN :07AAFCG6857R1ZP Rupees Three Thousand One Hundred And Forty One 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 vehicie 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. GP20000997 Date: 27-JUL-20 15:30:14 Job Card No.EBill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model :New Ser Variant - UB125 JC20000997 BI/20000052 27-JUL-20 3,141.00 Tech Name:SONU KUMAR Reg.No.:DL5SCJ7762 Customer Signature Accountant Signature JC20000997 ---PAGE END---