ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 2351380860 Invoice No. : 1/BR/23003111 Date : 01/03/2024 10:09:01
ANKESH TIWARI
Village- Rangila Nagar, lmp Job Card No. : JC23007762 Job Card Date: 27/02/2024
LAKHIMPUR
Reg.No. : UP31CA6678 Mileage : 22301
Pin:262701
State & Code : 09-UTTAR PRADESH SA Name : PRASHANK AWASTHI SA(M) : 7705097257
Mobile : 8896175069 Model : MARUTI DZIRE VXI 1.2L 5M EW Type : NA
Loyalty Card : NA Fuel Trim : Chassis No. : 441112 Last Service : 10695 (11-10-23)
Next Service Due : PMS 30
Cust GSTIN/UIN : GSTUNREGISTERED PAN : FORM60 Service type: Peroidic Maintenance Service
Place of Supply: UTTAR PRADESH

Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Parts
Demanded Repairs-Others/Suggested Jobs
1 16510M68K10 FILTER ASSY, OIL AE 84212300 18% 1.000 80.50 80.50 0.00
2 43223M79G10 WEIGHT,WHEEL BALANCE(15GRAM) AF 87087000 28% 4.000 20.31 81.24 0.00
3 99000M24120-580 BRAKE FLUID GC 1500AA (250 ML AE 38190010 18% 2.000 161.01 322.02 0.00
PACK)
4 99000M24120-966 COOLANT PREMIX GOLDEN YELLOW AE 38200000 18% 1.000 449.15 449.15 0.00
5 990J0M999H2-260 SCREEN WASH 50 AB 34022010 18% 4.000 14.40 57.60 0.00
6 9999EM00W16-SHL ECSTAR PETROL 0W16 - SHELL AB 27101980 18% 3.200 406.77 1301.66 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZA11L0 WHEEL ALIGNMENT 998729 375.00
2 ZA04L0 WHEEL BALANCING - 4 WHEEL 998729 320.00
3 ZE61L0P PMS - 1P 20K 998729 1,440.00
4 ZF03L0 DOOR GLASS/ ADJUST/ LUBRICATE 998729 350.00
5 ZE35L0 VALENTINE SPECIAL SERVICE CAMP 998729 0.00
6 MA01RZ CALIPER PIN GREASING 1 998729 174.23

Recommendations : Sub Total Amount : 2,292.17 0.00 2,659.23

Less Discount : 0.00 0.00 43.08
amount 5000.00 by card swipe QR-
CGST @ 14% : 11.37
406054743696+amount 800.00 by cash ,,sadab
SGST @ 14% : 11.37
, pramod 01,,fog lamp is not ok refuse by CGST @ 9% : 198.98 235.45
customer SGST @ 9% : 198.98 235.45
For SUMITRA DS MOTORS PVT. LTD.
Sub Total Amount : 2,712.87 0.00 3,087.05
Authorised Signatory Net Bill Amount (Rounded) : 5,800.00
Dealer GSTIN : 09AAICS2580E1Z9 Rupees Five Thousand Eight Hundred 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 inform me with any other information in relation to my
vehicle. Customer Signature Mobile No.:

Gate Pass
GP No. : GP23007656 Date : 01-MAR-24 10:10:50 Job Card No. Bill.No. Bill Date Amount
Cust. Name : MR ANKESH TIWARI Model : New Dzire Petrol JC23007762 BR/23003111 01-MAR-24 5,800.00
Tech. Name : NAVNEET VERMA Reg.No. : UP31CA6678

Customer Signature Accountant Signature

Created By: VIMAL YADAV