ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :1623986833 Invoice No. : 2/BR/20000777 Date : 25/11/2020 KUNAL GAUR C/O SHYAM LAL, 56, SCHOOL PURA, PREMNAGAR, JHANSI, Job Card No.: JC20004578 Job Card Date : 19/11/2020 SIPRI BAZAR Reg.No. : UP93AY3076 Mileage : 40176 JHANSI SA Name : MUKUL CHAUDHARY Pin:284001 Model : MARUTI BALENO DELT EW Contract No. : 176558905 State & Code : 09-UTTAR PRADESH Chassis No.: 324621 Mobile : 8090599223 Fuel Trim : Service type : BODY REPAIR Loyalty Card : 77000233529 Place of Supply : UTTAR PRADESH Cust GSTIN/UIN : GSTUNREGISTERED Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 35321M68P00 UNIT, HEADLAMP LH AC 8512 18% 1.000 2783.89 2783.89 2 57711M68P00 PANEL,FRONT FENDER,L AB 8708 28% 1.000 937.50 937.50 3 71711M68P01-5PK BUMPER, FR (BLACK) AB 8708 28% 1.000 1929.68 1929.68 4 71712M68P00 CAP,FR BUMPER AB 8708 28% 1.000 12.50 12.50 5 71731M68P00 HOLDER,FR BUMPER SIDE,R AC 8708 28% 1.000 60.15 60.15 6 71732M68P00 HOLDER,FR BUMPER SIDE,L AC 8708 28% 1.000 60.15 60.15 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF17P0 PANEL FRONT FENDER LH PAINTING 998729 2,346.00 2 ZF01P0 PANEL, FRONT HOOD PAINTING 998729 3,625.00 3 ZF27P0 FRONT BUMPER PAINTING 998729 3,446.00 4 ZA64L0 OUT SIDE LABOUR 998729 700.00 5 ZF01D0 PANEL, FRONT HOOD DENTING 998729 450.00 Recommendations : Sub Total Amount 5,783.87 10,567.00 INS COMPANY BAJAJ MR MOHIT SAHU CUST CGST @ 14% 420.00 NAME KUNAL GAUR SGST @ 14% 420.00 CGST @ 9% 250.55 951.03 SGST @ 9% 250.55 951.03 For VELOCITY CARS (A UNIT OF BASERA : VELOCITY AUTOHUB PVT. LTD) Sub Total Amount : 7,124.97 12,469.06 Authorised Signatory Net Bill Amount (Rounded) 19,594.00 Rupees Nineteen Thousand Five Hundred And Ninety Four Only Dealer GSTIN : 09AAHCB7790E1ZD * Unapproved fitments affects the performance & safety. Suggested to keep the vehicle in original specifications. 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 (Customer Signature) Mobile No.: to inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20004615 Date : 25-NOV-20 13:50:17 Job Card No. Bill.No. Bill Date Amount Cust. Name : MR KUNAL GAUR ModeI : MARUTI BALENO PETROL JC20004578 BR/20000777 25-NOV-20 19,594.00 Tech.Name :RAVINDRA AHIRWAR Reg No.: UP93AY3076 Customer Signature Accountant Signature ---PAGE END---