ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice IRN : 394bd222d0c15a45ed454ad9c0680183e9ac884e23f4bdf1cf32efb0b2fe3e0f Customer Name & Address : ID :2040867732 Invoice No. : 5/BR/20006540 Date : 30/03/2021 12:31:55 BAJAJ ALLIANZ INSURANCE CO SNEHLATA BHARSAKALE Shriram Tower,6th Floor, B Wing, Block No-603, Sadar,NEAR NIT Job Card No.: JC20006163 Job Card Date: 27/03/2021 BUILDING Reg.No. : 97298 Mileage : 47151 NAGPUR Pin:440001 SA Name : RIZWAN NAWAB MOHD SA(M) : 7507215745 State & Code :27-MAHARASHTRA Model : MARUTI ALTO 800 VXI EW Type : II Mobile : 9405418967 Chassis No.: A97298 Last Service : 38908 (26-09-20) Loyalty Card : 33035900282 Fuel Trim : Next Service Due : PMS 40 Service type: BODY REPAIR Cust GSTIN/UIN : 27AABCB5730G1ZX PAN : AABCB5730G Place of Supply: MAHARASHTRA Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 09409M07L01 CLIP AB 87082900 28% 12.000 3.12 37.44 0.00 2 09409M08006 CLIP AB 87089900 28% 8.000 3.12 24.96 0.00 3 35121M53MA0 UNIT HEAD LAMP, RH AC 85122010 18% 1.000 1733.05 1733.05 0.00 4 57611M53M02 PANELFR FENDERR AC 87089900 28% 1.000 789.06 789.06 0.00 5 71711M53MA0-5PK BUMPER, FRONT AC 87089900 28% 1.000 1039.06 1039.06 0.00 6 71731M53M00 HOLDER,FR BUMPER SIDE,R AC 87089900 28% 1.000 47.65 47.65 0.00 7 72321M53M00 LINING,FRONT FENDER,R AC 87081090 28% 1.000 195.31 195.31 0.00 8 72322M53M00 LINING,FRONT FENDER,L AC 87081090 28% 1.000 195.31 195.31 0.00 9 77811M54GC0-0PG EMBLEM,MARK(S)(CHROME) AB 87082900 28% 1.000 96.09 96.09 0.00 10 990J0M999H2-880 MICROFIBER CLOTH AA 63071090 5% 1.000 84.76 84.76 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 NA01RO FRONT BUMPER 998729 222.50 2 ZF27P0 FRONT BUMPER PAINTING 998729 2,438.00 ---PAGE END--- ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID :2040867732 Invoice No. : 5/BR/20006540 Date : 30/03/2021 12:31:55 BAJAJ ALLIANZ INSURANCE CO SNEHLATA BHARSAKALE Shriram Tower,6th Floor, B Wing, Block No-603, Sadar,NEAR NIT Job Card No.: JC20006163 Job Card Date: 27/03/2021 BUILDING Reg.No. : 97298 Mileage : 47151 NAGPUR Pin:440001 SA Name : RIZWAN NAWAB MOHD SA(M) : 7507215745 State & Code :27-MAHARASHTRA Model : MARUTI ALTO 800 VXI EW Type : II Mobile : 9405418967 Chassis No.: A97298 Last Service : 38908 (26-09-20) Fuel Trim : Next Service Due : PMS 40 Loyalty Card : 33035900282 Service type: BODY REPAIR Cust GSTIN/UIN : 27AABCB5730G1ZX PAN : AABCB5730G Place of Supply: MAHARASHTRA Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Labour Demanded Repairs-Others/Suggested Jobs 4 ZF16P0 PANEL FRONT FENDER RH PAINTING 998729 2,024.00 5 NC01R0 FRONT FENDER PANEL (ONE SIDE) 998729 311.50 Recommendations : Sub Total Amount 4,242.69 0.00 5,296.00 survey done by mr, anand sir bajaj office policy CGST @ 14% 339.47 (cash) SGST @ 14% 339.47 CGST @ 9% 155.97 476.65 SGST @ 9% : 155.97 476.65 For ASPA BANDSONS AUTO PVT. LTD. CGST @ 2.5% 2.12 SGST @ 2.5% 2.12 Authorised Signatory Tax Collection at Source @ 1% 52.38 Dealer GSTIN :27AADCA2786K1ZD Sub Total Amount : 5,290.19 0.00 6,249.30 Net Bill Amount (Rounded) 11,539.00 Rupees Eleven Thousand Five Hundred And Thirty Nine Only * Unapproved fitments may affect your and vehicle safety. Kindly do not fit any unapproved fitments in your vehicle. 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. : GP20006310 Date : 30-MAR-21 12:32:15 Job Card No. Bill.No. Bill Date Amount Cust. Name: THE BAJAJ ALLIANZ INSURANCE C Model : ALT0 800 JC20006163 BR/20006540 30-MAR-21 11,539.00 Tech. Name : ANIKET DAINESHWAR WADE Reg.No.: 97298 Customer Signature Accountant Signature JC20006163 ---PAGE END---