ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
                                                                                                                                   Job Card Retail - Tax Invoice
           Customer Name & Address :                                                   ID :       02-26                                                              Invoice No. : 008/BI/20000602                                      Date :            31/08/2020
           Bajaj Allianz General Insurance Co. Ltd,
           15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL                                                                                                     Job Card No.: JC20001108                                             Job Card Date : 11/08/2020
          LINES,                                                                                                                                                                                                                        Mileage
                                                                                                                                                                           Reg.No. : UP60M6256                                                                         60506
           KANPUR                                                                                                                                                       SA Name : ABHISHEK KUMAR SRIVASTAV
           Pin:226001
                                                                                                                                                                              ModeI : WAGON R LXI DUO BS                                           EW Contract No. : 101437225
          State & Code : 09-UTTAR PRADESH
                                                                                                                                                                     Chassis No.: 910993
           Mobile                                                                                                                                                  Service type : BODY REPAIR
          Loyalty Card : NA                                                                         Fuel Trim :
           Ins.Comp.                 BAJAJ                                                                                                                    Place of Supply : UTTAR PRADESH
           Cust GSTIN/UIN : 09AABCB5730G1ZV
          Srl. Part Number                                       Description                                                          Batch HSN/SAC Tax                                      Qty.                            Rate                       Taxable                   Tax Paid                             Labour
                                                                                                                                                                                                                                                        Amount                     Amount                            Charges
           Parts
           Demanded Repairs-Others/Suggested Jobs
           1            35121M67K00                              UNIT HEADLAMP RH,WAG R MINOR                                              AC                  8512             18%          1.000                         2694.91                          2694.91
           2            71711M67K00-5PK                          BUMPER FRONT                                                              AC                  8708            28%           1.000                          1437.50                         1437.50
           3            71751M67K00                              GRILLE RADIATOR LOWE                                                      AD                  8708             28%          1.000                           218.75                           218.75
           4            84511M79F00                              GLASS , FR WINDSHIELD                                                     AC                  7007            18%           1.000                          3055.08                         3055.08
           5            99000M24120-460                          DG SEALANT SET WITHOUT PRIMER                                             AB                  3506             18%          1.000                            572.88                          572.88
           6            99000M24121-136                          PAPER FLO0R MAT (20X15)                                                   AB                  4820            18%           4.000                                0.84                            3.36
           Labour
           Demanded Repairs-Others/Suggested Jobs
           1            ZZ07H                                    HYGIENE CHARGE                                                                            998729                                                                                                                                                            175.00
           2            ZF03L0                                   DOOR GLASS/ ADJUST/ LUBRICATE                                                             998729                                                                                                                                                            180.00
           3            ZF27P0                                   FRONT BUMPER PAINTING                                                                     998729                                                                                                                                                         2,457.00
           4           NA01R0                                    FRONT BUMPER                                                                              998729                                                                                                                                                            259.00
           5            ZF08D0                                   PANEL, FENDER APRON LH DENTING                                                            998729                                                                                                                                                            800.00
           6            ZF01P0                                   PANEL, FRONT HOOD PAINTING                                                                998729                                                                                                                                                         2,412.00
           7            ZF01D0                                   PANEL, FRONT HOOD DENTING                                                                 998729                                                                                                                                                            600.00
           8            ZF07D0                                   PANEL, FENDER APRON RH DENTING                                                            998729                                                                                                                                                            800.00
           9            PB09R0                                   WINDSHIELD GLASS (ADHERED TYPE)                                                           998729                                                                                                                                                            925.00
                                                                                                                             Sub Total Amount                                                                                                          7,982.48                                                          8,608.00
           RCP20001549 // RCP20001396
                                                                                                                             CGST @ 14%                                                                                                                   231.88
                                                                                                                             SGST @ 14%                                                                                                                   231.88
                                                                                                                              CGST @ 9%                                                                                                                   569.36                                                           774.72
                                                                                                                             SGST @ 9%                                                                                                                    569.36                                                           774.72
                                                                            For DEEP MOTORS                                                                                                                                             :
                                                                                                                              Sub Total Amount                                                                                          :              9,584.96                                                        10,157.44
                                                                                                                              Net Bill Amount (Rounded)                                                                                                                                                            19,742.00
                                                                  Authorised Signatory
                                                                                                                                  Rupees Nineteen Thousand Seven Hundred And Forty Two Only
            Dealer GSTIN : 09AAFFD9431M1Z0
            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.                   : GP20001353                                                        Date : 31-AUG-20 15:04:12                                                               Job Card No.                           Bill.No.                              Bill Date                                  Amount
          Cust. Name : Bajaj Allianz General Insurance C                                                Model : WAGON R                                                                         JC20001108                         BI/20000602                           31-AUG-20                                       19,742.00
           Tech.Name :DINESH YADAV                                                                      Reg No.: UP60M6256
           Customer Signature                                                                                                                                                                            Accountant Signature
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