ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
                                                                                                                                   Job Card Retail - Tax Invoice
                            IRN :              6b90ee1e0284da2c36db679aeb7aa8275304e6f40f3cd5f78e74891b473acaac
           Customer Name & Address :                                                   ID :       02-16                                                              Invoice No. : 14/BI/20002766                                                                 Date : 20/02/2021 12:29:00
           Bajaj Allianz General Insurance Co. Ltd,
           Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg                                                                                                     Job Card No.: JC20015138
                                                                                                                                                                                                                                                   Job Card Date: 09/02/2021
           NEW DELHI                                                                                                                                                       Reg.No. : DL6CS4901                                                              Mileage: 1752
          Pin:110015
           State & Code : 07-DELHI                                                                                                                                       SA Name : SUKHDEV VERMA                                                                  SA(M) : 8287923512
           Mobile                                                                                                                                                             Model : MARUTI ERTIGA SMART H                                          EW Type : III
           Loyalty Card : 33061877271                                                             Fuel Trim :                                                        Chassis No.: 228686                                                             Last Service : 903 (01-09-20)
           Cust GSTIN/UIN : 07AABCB5730G1ZZ                                                        PAN : AABCB5730G                                                  Service type: BODY REPAIR                                                        Next Service Due : 3RD FREE SERVICE
           Ins.Comp. : BAJAJ
                                                                                                                                                               Place of Supply: DELHI
                                                                                                                                                             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           39101M72R02-ZCA                           TUNER ASSY                                                             AA         8527                        18%            1.000                      12711.86                        12711.86                               0.00
           2          39106M72R00                                CABLE,USB & AUX                                                        AC         8544                         18%           1.000                          762.71                          762.71                             0.00
           3           73822M73R00-5PK                           BASE,I/P CTR GARNISH                                                   AB         8708                         28%           1.000                            57.81                           57.81                            0.00
           4           73861M72R10-QLJ                           ORNAMENT,I/P CTR                                                       AB         8708                         28%           1.000                        3072.65                         3072.65                              0.00
           5          83665M72R00                                RUN,FRONT DOOR GLASS,L                                                 AC         8708                         28%            1.000                         425.78                          425.78                             0.00
           6          83924M72R00-0CB                            TAPE,FRONT DOOR OUTER RR,L                                             AC         3919                         18%           1.000                          110.16                          110.16                             0.00
           7          84502M72R00                                GLASS COMP,FRONT DR WINDOW,L                                           AC         7007                         18%           1.000                          851.69                          851.69                             0.00
           8           99000M24121-052                           PREMIUM FOAM WASH-LIQUID                                               AC         3402                         18%            0.100                         279.66                            27.97                            0.00
           9          99000M24121-137                            PAPER FLOOR MAT (23X18)                                                AB         4820                        18%             6.000                             1.27                            7.62                           0.00
           10          99000M24121-163                           INTERIOR PROTECTION COVERS-                                            AA         3920                        18%            1.000                            25.42                           25.42                            0.00
                                                                 ARENA
           Labour
           Demanded Repairs-Others/Suggested Jobs
           1          ZF9992                                     DENTING CHARGES                                                                   998729                                                                                                                                                                    350.00
           2          ZF31P0                                     PANEL, FRONT DOOR LH PAINTING                                                     998729                                                                                                                                                                 2,000.00
           3          ZF9993                                     PAINTING CHARGES                                                                  998729                                                                                                                                                                 2,912.00
                                                                                                                           Sub Total Amount                                                                                                     18,053.67                                    0.00                        5,262.00
           surveyor sujeet sa sukhdev
                                                                                                                           CGST @ 14%                                                                                                                497.87
                                                                                                                           SGST @ 14%                                                                                                                497.87
                                                                                                                           CGST @ 9%                                                                                                              1,304.77                                                                  473.58
                                                                                                                           SGST @ 9%                                                                                                              1,304.77                                                                  473.58
                                                          For MAGIC AUTO PVT LTD                                           Tax Collection at Source @ 0.075%                                                                        :                  16.24
                                                                  Authorised Signatory                                     Sub Total Amount                                                                                                     21,675.19                                    0.00                        6,209.16
            Dealer GSTIN :07AAACM4873C2ZM                                                                                   Net Bill Amount (Rounded)                                                                                                                                                              27,884.00
                                                                                                                                   Rupees Twenty Seven Thousand Eight Hundred And Eighty Four 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.                    : GP20015402                                                              Date : 20-FEB-21 12:29:13                                                                   Job Card No.                        Bill.No.                        Bill Date                                 Amount
           Cust. Name : Bajaj Allianz General Insurance Co. L Model  : NEW ERTIGA PETROL                                                                                                                  JC20015138                          BI/20002766                     20-FEB-21                                  27,884.00
           Tech. Name :RAJ KUMAR                                                                              Reg.No.: DL6CS4901
             Customer Signature                                                                                                                                                                             Accountant Signature
                                                                                                                                                                                                                                                                                         JC20015138