ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : 523ac29a54fb92612fabbd34f0ec217ccf0e93d824632df02281de94d8788859 Customer Name & Address : ID : 08-17 Invoice No. : 21/BI/22000377 Date : 03/06/2022 10:29:23 TATA AIG General Insurance Co. Ltd. 2ND FLOOR, SCO 35,, Sector 14 Job Card No.: JC22002852 Job Card Date: 27/05/2022 GURUGRAM Reg.No. : HR38AA6228 Mileage : 134675 Pin:122002 SA Name : SABIR ALI SA(M) :9582797708 State & Code : 06-HARYANA Mobile Model : MARUTI TOUR S CNG EW Type : NA Loyalty Card : 33061894193 Fuel Trim : Chassis No. : C49479 Last Service : 63253 (20-07-21) Cust GSTIN/UIN : 06AABCT3518Q1Z0 PAN : Next Service Due : PMS110 Service type: BODY REPAIR Ins.Comp. : TATAAIG Place of Supply: HARYANA 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 09148M06022 NUT AC 87089900 28% 2.000 6.25 12.50 0.00 2 09409M07L01 CLIP AC 87082900 28% 10.000 3.90 39.00 0.00 3 35671M75L00 LAMP UNIT, RR COMB LH AE 85122010 18% 1.000 826.27 826.27 0.00 4 71811M84P20-5PK BUMPER,REAR AD 87081090 28% 1.000 3566.40 3566.40 0.00 5 71821M75L00 HOLDER, RR BUMPER SIDE RH AE 87081090 28% 1.000 85.93 85.93 0.00 6 71822M75L00 HOLDER, RR BUMPER SIDE LH AE 87081090 28% 1.000 85.93 85.93 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9993 PAINTING CHARGES 998729 6,300.00 Sub Total Amount 4,616.03 0.00 6,300.00 TATA(CLAIM NO-900089368) CGST @ 14% 530.57 SGST @ 14% 530.57 CGST @ 9% 74.36 567.00 SGST @ 9% 74.36 567.00 For COMPETENT AUTOMOBILES CO. LTD. Tax Collection at Source 58.26 Authorised Signatory Sub Total Amount 5,884.15 0.00 7,434.00 Dealer GSTIN : 06AAACC4842R1ZB Net Bill Amount (Rounded) 13,318.00 Rupees Thirteen Thousand Three Hundred And Eighteen 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. :GP22003077 Date : 03-JUN-22 10:29:31 Job Card No. Bill.No. Bill Date Amount Cust. Name : TATA AIG General Insurance Co. Lt: Model : TOUR S (CNG) JC22002852 BI/22000377 03-JUN-22 13,318.00 Tech. Name :SHOKEEN DENTING PAINTING Reg.No.: HR38AA6228 Customer Signature Accountant Signature JC22002852 ---PAGE END---