ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

IRN : e0d8bd5d5f517dfa3a9832004302f3c15ec6c92ce61b9c53e43031b410fc5c92

Customer Name & Address :
The New India Assurance Co Ltd
CHENNAI REGIONAL OFFICE, "Spencer Towers, 3rd floo"
CHENNAI
Pin:600002
State & Code : 33-TAMIL NADU
Mobile :
Loyalty Card : 33011122822
Cust GSTIN/UIN : 33AAACN4165C4ZV
Ins.Comp. : NIA
ID : 04-241 Invoice No. : 8/BI/23000540 Date : 14/10/2023 19:02:18
Job Card No. : JC23003424 Job Card Date: 06/10/2023
Reg.No. : TN07CA0497 Mileage : 8536
SA Name : SATHISHKUMAR S SA(M) : 8667442246
Model : MARUTI SWIFT VDI BS IV EW Type : NA
Fuel Trim : Chassis No. : 635379 Last Service : 51905 (29-04-19)
Next Service Due : PMS80
PAN : AAACN4165C Service type: BODY REPAIR
Place of Supply: TAMIL NADU
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 71811M74L00 REAR BUMPER AF 87081090 28% 1.000 2070.31 1035.16 0.00
CUSTOMER 50 INSURANCE 50
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF9993 PAINTING CHARGES 998729 4,808.13
2 ZF9992 DENTING CHARGES 998729 287.00

Sub Total Amount : 1,035.16 0.00 5,095.13

front bump new , NIA pl.no.
CGST @ 14% : 144.92
98000031220112338573\
SGST @ 14% : 144.92
CGST @ 9% : 458.56
SGST @ 9% : 458.56
For CARS INDIA PVT. LTD. Tax Collection at Source : 1.33

Authorised Signatory Sub Total Amount : 1,326.33 0.00 6,012.25

Dealer GSTIN : 33AAACC3674P1ZE Deductibles(As per policy T & C) : 1,000.00
Net Bill Amount (Rounded) : 6,339.00
Rupees Six Thousand Three 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 inform me with any other information in relation to my
vehicle. Customer Signature Mobile No.:

Gate Pass
GP No. : GP23003507 Date : 14-OCT-23 19:02:38 Job Card No. Bill.No. Bill Date Amount
Cust. Name : The New India Assurance Co Ltd Model : SWIFT NEW/ DZIRE NEW DIESEL JC23003424 BI/23000540 14-OCT-23 6,339.00
Tech. Name : NARAYANAN . Reg.No. : TN07CA0497 JC23003424 BR/23003593 14-OCT-23 3,307.00

Customer Signature
Accountant Signature
ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Created By: ILIYAS HUSSAIN N