ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER
Job Card Retail - Tax Invoice
Customer Name & Address : ID : 02-26 Invoice No. : 002/BI/20000251
Date : 17/08/2020 19:55:27
Bajaj Allianz General Insurance Co. Ltd,
15/54-B,2ND FLOOR,, VIRENDRA SMRATI COMPLEX,, CIVIL Job Card No.: JC20001442
Job Card Date: 20/07/2020
LINES,
Reg.No. : UP78CF5499 Mileage: 26675
KANPUR
Pin:226001 SA Name : LOKESH TIWARI SA(M) : 7408431377
State & Code :09-UTTAR PRADESH Model : MARUTI WAGON R VXI BS EW Type : NA
Mobile Chassis No.: 225990 Last Service : 23302 (30-11-19)
Loyalty Card : NA Fuel Trim : Next Service Due : PMS90
Service type: BODY REPAIR
Cust GSTIN/UIN : 09AABCB5730G1ZV Place of Supply: UTTAR PRADESH
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 84511M67L00 GLASS,WINDSHIELD AC 7007 18% 1.000 2457.62 2457.62 0.00
2 84570M67L10 GLASS,BACK DOOR WINDOW AD 7007 18% 1.000 1588.98 1588.98 0.00
3 84611M67L00 MOLDING,WINDSHIELD AB 8708 28% 1.000 261.71 261.71 0.00
4 99000M24120-290 SEALENT SET AC 3214 18% 3.000 605.93 1817.79 0.00
5 99000M24121-059 MASKING TAPE AB 4823 18% 2.000 44.91 89.82 0.00
6 990J0M999H2-170 BDY WTRPROF SHEET- P1500 PCK OF AA 6805 18% 0.050 3091.52 154.58 0.00
50P
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF9992 DENTING CHARGES 998729 2,250.00
2 ZA15L01 BODY WASHING 998729 275.00
3 ZF9993 PAINTING CHARGES 998729 3,788.00
Sub Total Amount 6,370.50 0.00 6,313.00
bajaj rajesh verma policy no 0G-20-1302-
CGST @ 14% 36.64
1801-00004105 rajesh verma guddu moshin
SGST @ 14% 36.64
CGST @ 9% 549.79 568.17
SGST @ 9% : 549.79 568.17
For S B CARS PVT. LTD.
Sub Total Amount 7,543.36 0.00 7,449.34
Authorised Signatory Deductibles(As per policy T & C): 1,000.00
Dealer GSTIN : 09AAKCS5715M1ZR Net Bill Amount (Rounded) 13,993.00
Rupees Thirteen Thousand Nine Hundred And Ninety Three 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. : GP20002121 Date : 17-AUG-20 19:55:41 Job Card No. Bill.No. Bill Date Amount
Cust. Name : Bajaj Allianz General Insurance Co. L Model : WAGON-R NEW JC20001887 BR/20000711 13-AUG-20 6,425.00
Tech. Name :DILSHAD KHAN Reg.No.: UP78CF5499 JC20001442 BI/20000251 17-AUG-20 13,993.00
Customer Signature
Accountant Signature
JC20001442
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