ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 2245384383 Invoice No. : 1/BR/23003116 Date : 01/03/2024 16:33:41
HAKEEK
ADLISHPUR, KHERI, KHERI Job Card No. : JC23007838 Job Card Date: 01/03/2024
Kheri (NP)
Reg.No. : UP31BV5358 Mileage : 50017
Pin:262702
State & Code : 09-UTTAR PRADESH SA Name : PRASHANK AWASTHI SA(M) : 7705097257
Mobile : 7392975615 Model : MARUTI DZIRE VXI 1.2L ISS EW Type : III
Loyalty Card : NA Fuel Trim : Chassis No. : 233510 Last Service : 43733 (04-12-23)
Next Service Due : PMS 40
Cust GSTIN/UIN : GSTUNREGISTERED PAN : Service type: SERVICE CAMP
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 55810M50S00 PAD SET AE 87083000 28% 1.000 1753.90 1753.90 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 MK05R0 FRONT DISC BRAKE PAD (BOTH SIDES) 998729 348.45

Recommendations : Sub Total Amount : 1,753.90 0.00 348.45

Less Discount : 0.00 0.00 47.42
amount 2000.00 by cash +amount 600.00 by
CGST @ 14% : 245.55
card swipe QR-406162424906,,,kuldeep ,
SGST @ 14% : 245.55
amanat 04 CGST @ 9% : 27.09
SGST @ 9% : 27.09
For SUMITRA DS MOTORS PVT. LTD.
Sub Total Amount : 2,245.00 0.00 355.21
Authorised Signatory Net Bill Amount (Rounded) : 2,600.00
Dealer GSTIN : 09AAICS2580E1Z9 Rupees Two Thousand Six 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. : GP23007665 Date : 01-MAR-24 16:35:34 Job Card No. Bill.No. Bill Date Amount
Cust. Name : MR HAKEEK Model : New Dzire Petrol JC23007838 BR/23003116 01-MAR-24 2,600.00
Tech. Name : NAVNEET VERMA Reg.No. : UP31BV5358

Customer Signature Accountant Signature

Created By: VIMAL YADAV