ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
IRN : fdc1018a2430db8d5bee9af4de1570f267ff2afbe29632a5a192b237593394ce
Customer Name & Address : ID :02-31 Invoice No. : 10/BI/20001226
Date : 21/11/2020 13:02:46
Bajaj Allianz General Insurance Co. Ltd,
4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20010510
Job Card Date: 12/11/2020
Showroom,
Reg.No. : TEMP676702 Mileage: 1811
HYDERABAD
SA Name : PULA RANGA SWAMY SA(M) : 8886570808
Pin:500082
State & Code :36-TELANGANA Model : MARUTI VITARA BREZZA V EW Type : III
Mobile : Chassis No.: 676702 Last Service : 1039 (07-11-20)
Loyalty Card : NA Fuel Trim : Next Service Due : 2ND FREE SERVICE
Service type: BODY REPAIR
Cust GSTIN/UIN : 36AABCB5730G1ZY PAN : AABCB5730G Place of Supply: TELANGANA
Ins.Comp. : BAJAJ
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 17100M85S01 FAN ASSY COOLING AA 8708 28% 1.000 3089.84 3089.84 0.00
2 35500M85S00 LAMP ASSY,FOG AA 8512 18% 1.000 1483.05 1483.05 0.00
3 58270M85S00 MEMBER COMP,FRONT BUMPER AA 8708 28% 1.000 1003.90 1003.90 0.00
4 95310M85S00 CONDENSER ASSY AA 8415 28% 1.000 3683.59 3683.59 0.00
5 99000M24120-883 AIR DRYING SEALER ( PU 92) AB 3506 18% 0.200 661.01 132.20 0.00
6 990J0M999H4-030 AC CAN GAS (340 -FLORON) AB 2903 18% 1.000 283.89 283.89 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZA64L0 OUT SIDE LABOUR 998729 825.00
2 ZA15L01 BODY WASHING 998729 350.00
3 ZF09L0 MEMBER FRONT LOWER DENTING 998729 400.00
4 ZA28L0 AC GAS TOP-UP 998729 850.00
Sub Total Amount 9,676.47 0.00 2,425.00
CGST @ 14% 1,088.83
SGST @ 14% 1,088.83
CGST @ 9% 170.92 218.25
SGST @ 9% 170.92 218.25
For VARUN MOTORS PVT LTD Tax Collection at Source @ 0.075% : 9.15
Authorised Signatory Sub Total Amount 12,205.12 0.00 2,861.50
Dealer GSTIN : 36AABCV2471Q1ZT Net Bill Amount (Rounded) 15,067.00
Rupees Fifteen Thousand Sixty Seven 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. : GP20010699 Date : 21-NOV-20 13:03:31 Job Card No. Bill.No. Bill Date Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model : VITARA BREZZA K15B BS-VI JC20010510 BR/20010933 21-NOV-20 0.00
Tech. Name :RAJESH (A) (B.SHOP MEC ) Reg.No.: TEMP676702 JC20010510 BI/20001226 21-NOV-20 15,067.00
Customer Signature
Accountant Signature
JC20010510
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