ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID : 02-16 Invoice No. : 36/BR/20000045 Date : 16/10/2020 18:16:45 Bajaj Allianz General Insurance Co. Ltd, Block No. 04, 7th Floor, DLF Tower 15, Shivaji Marg Job Card No.: JC20002551 Job Card Date: 10/10/2020 NEW DELHI Reg.No. : TEMTP2698 Mileage: 11319 Pin:110015 SA Name : PRINCE VERMA SA(M) : 9812000403 State & Code : 07-DELHI Mobile : Model : MARUTI BALENO DELTA P EW Type : NA Loyalty Card : NA Fuel Trim : Chassis No.: 259142 Last Service : 8512 (17-10-19) Cust GSTIN/UIN : 07AABCB5730G1ZZ Next Service Due : PMS 30 Service type: BODY REPAIR Place of Supply: DELHI Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 35121M68P00 UNIT, HEADLAMP RH AC 8512 18% 1.000 2783.89 2783.89 0.00 2 57300M68P00 PANEL, FRONT HOOD AB 8708 28% 1.000 2539.06 2539.06 0.00 3 71711M68P01-5PK BUMPER, FR (BLACK) AB 8708 28% 1.000 1929.68 1929.68 0.00 4 72460M68P10 ABSORBER COMP,FR BUMPER AB 8708 28% 1.000 527.34 527.34 0.00 LOWER 5 99000M24120-290 SEALENT SET AC 3214 18% 1.000 605.93 605.93 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZF9992 DENTING CHARGES 998729 1,350.00 2 ZF9993 PAINTING CHARGES 998729 13,830.00 Recommendations : Sub Total Amount 8,385.90 0.00 15,180.00 POLICY NO. : 0G-20-1102-1801-00008088; IGST @ 28% 1,398.91 SURVEYOR: MR. VIRENDER; VEHICLE NO. IGST @ 18% : 610.17 2,732.40 :HR15C7937 Sub Total Amount : 10,394.98 0.00 17,912.40 For JAGMOHAN MOTORS PVT LTD Net Bill Amount (Rounded) 28,307.00 Rupees Twenty Eight Thousand Three Hundred And Seven Only Authorised Signatory * Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle. Dealer GSTIN : 06AAACJ7090E1ZP 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. : GP20002567 Date : 16-0CT-20 18:18:24 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : MARUTI BALENO PETROL JC20002551 BR/20000045 16-0CT-20 28,307.00 Tech. Name : HARISH SAINI Reg.No.: TEMTP2698 Customer Signature Accountant Signature JC20002551 ---PAGE END---