ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

IRN : c0081744f2fa14f1d77dd74c5dc5d842aa822f5bafa4ff1eca4547330a0237f5

Customer Name & Address : ID : 04-131 Invoice No. : 22/BI/22001895 Date : 16/01/2023 11:35:09
The New India Assurance Co Ltd
MALAPPURAM DO, 1ST FL., MALIYEKKAL BUILD, MANJERI Job Card No. : JC22010941 Job Card Date: 27/12/2022
ROAD,
Reg.No. : KL50K4510 Mileage : 4058
MALAPPURAM
Pin:676505 SA Name : NIPIN K SA(M) : 9562021866
State & Code : 32-KERALA Model : MARUTI WAGON R ZXI 1.2 EW Type : III
Mobile : Chassis No. :732075 Last Service : 1209 (12-09-22)
Next Service Due : 2ND FREE SERVICE
Loyalty Card : NA Fuel Trim : Service type: BODY REPAIR
Cust GSTIN/UIN : 32AAACN4165C4ZX PAN : AAACN4165C Place of Supply: KERALA
Ins.Comp. : NIA
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 35121M69R00 UNIT HEAD LAMP RH AE 85122010 18% 1.000 2084.74 2084.74 0.00
2 41601M69R50 STRUT ASSY,FRONT SPNSN,R AE 87088000 28% 1.000 1316.40 1316.40 0.00
3 43210M76M01-09L WHEEL COMP(14X5J) AA 87087000 28% 1.000 1164.06 1164.06 0.00
4 43250M69R10-27N WHEEL COVER 35.36 CM (14) AA 87089900 28% 1.000 347.65 347.65 0.00
WAGONR
5 45201M69R01 ARM ASSY,FRONT SUSPENSION,R AC 87089900 28% 1.000 937.50 937.50 0.00
6 45810M69R00 FRAME COMP,FRONT SUSPENSION AE 87089900 28% 1.000 4699.21 4699.21 0.00
7 48500M69R00 BOX ASSY,STRG GEAR AE 87089400 28% 1.000 6601.56 6601.56 0.00
8 57611M69R00 PANEL,FRONT FENDER,R AF 87089900 28% 1.000 1152.34 1152.34 0.00
9 71711M69R00-5PK BUMPER,FRONT AF 87081090 28% 1.000 1476.56 1476.56 0.00
10 71731M69R00 HOLDER,FR BUMPER SIDE,R AD 87089900 28% 1.000 47.65 47.65 0.00
11 84701M69RB2-5PK MIRROR ASSY OUT REAR VIEW RH AA 70091090 18% 1.000 3644.06 3644.06 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF9992 DENTING CHARGES 998729 2,055.00
2 ZF9993 PAINTING CHARGES 998729 13,403.00
 ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 04-131 Invoice No. : 22/BI/22001895 Date : 16/01/2023 11:35:09
The New India Assurance Co Ltd
MALAPPURAM DO, 1ST FL., MALIYEKKAL BUILD, MANJERI Job Card No. : JC22010941 Job Card Date: 27/12/2022
ROAD,
Reg.No. : KL50K4510 Mileage : 4058
MALAPPURAM
Pin:676505 SA Name : NIPIN K SA(M) : 9562021866
State & Code : 32-KERALA Model : MARUTI WAGON R ZXI 1.2 EW Type : III
Mobile : Chassis No. : 732075 Last Service : 1209 (12-09-22)
Next Service Due : 2ND FREE SERVICE
Loyalty Card : NA Fuel Trim : Service type: BODY REPAIR
Cust GSTIN/UIN : 32AAACN4165C4ZX PAN : AAACN4165C Place of Supply: KERALA
Ins.Comp. : NIA
Surveyor Name :

Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Labour
Demanded Repairs-Others/Suggested Jobs
3 ZA38L0 TOWING CHARGES 998729 1,270.00

Sub Total Amount : 23,471.73 0.00 16,728.00

98000031220911880391, 91310594, VIJU
CGST @ 14% : 2,484.02
MARNIA
SGST @ 14% : 2,484.02
CGST @ 9% : 515.60 1,505.52
SGST @ 9% : 515.60 1,505.52
For KVR AUTOCARS PVT LTD Tax Collection at Source : 29.47

Authorised Signatory Sub Total Amount : 29,500.44 0.00 19,739.04

Dealer GSTIN : 32AACCK9035G1ZQ Deductibles(As per policy T & C) : 1,000.00
Net Bill Amount (Rounded) : 48,239.00
Rupees Forty Eight Thousand Two Hundred And Thirty Nine Only
** This is a system generated soft copy of invoice for insurance company records.

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
inform me with any other information in relation to my vehicle.
Mobile No.:

Gate Pass
GP No. : GP22011028 Date : 16-JAN-23 11:35:49 Job Card No. Bill.No. Bill Date Amount
Cust. Name : The New India Assurance Co Ltd Model : NEW WAGON R 1.2L PETROL JC22010941 BR/22008908 16-JAN-23 1,370.00
Tech. Name : SREEDHARAN P Reg.No.: KL50K4510 JC22010941 BI/22001895 16-JAN-23 48,239.00

Customer Signature
Accountant Signature

Created By: FAJIRA K