ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 2143888052 Invoice No. : 5/BC/23000121 Date : 09/04/2023 12:27:17
SURENDRA SINGH
KOMAL NAGAR, NAYA GAON, RATLAM Job Card No. : JC23000206 Job Card Date: 07/04/2023
RATLAM
Reg.No. : MP13CD1406 Mileage : 39354
Pin:457001
State & Code : 23-MADHYA PRADESH SA Name : GOURAV RATHOD SA(M) : 9826254449
Mobile : 9893844484 Model : MARUTI VITARA BREZZA L EW Type : NA
Loyalty Card : NA Fuel Trim : Chassis No. : 658809 TV Certificate No. : C21002601672
Last Service : 34999 (27-12-22)
Cust GSTIN/UIN : GSTUNREGISTERED PAN : Service type: Peroidic Maintenance Service
Next Service Due : PMS 50
Place of Supply: MADHYA PRADESH

Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Parts
Schedule Service
1 13780M72R00 .ELEMENT AE 84212300 18% 1.000 254.23 254.23 0.00
2 16510M68K00 FILTER ASSY,OIL AD 84212300 18% 1.000 75.42 75.42 0.00
3 99000M24120-579 BRAKE FLUID GC1500AA (500 ML AE 38190010 18% 1.000 313.55 313.55 0.00
PACK)
Demanded Repairs-Others/Suggested Jobs
1 09409M07L01 CLIP AC 87082900 5% 9.000 4.76 42.84 0.00
2 09482M00636 SPARK PLUG AD 85111000 28% 4.000 160.15 640.60 0.00
3 15410M65MC0 FILTER COMP,FUEL AC 84212300 28% 1.000 445.31 445.31 0.00
4 55810M65M00 PAD SET,DISC BRAKE AE 87083000 28% 1.000 2226.56 2226.56 0.00
5 90900M10164 DISTILLED WATER 87089900 28% 1.000 15.62 15.62 0.00
6 95850M79M00 CABIN AIR FILTER - CIAZ & NEW AB 84213990 18% 1.000 320.33 320.33 0.00
SWIFT
7 99000M24120-551 COOLANT (SG) NON AMINE AD 38200000 18% 1.000 237.28 237.28 0.00
8 99000M24121-137 PAPER FLOOR MAT (23X18) AD 48209090 18% 4.000 2.11 8.44 0.00
9 99000M24121-163 INTERIOR PROTECTION COVERS- AC 39209999 18% 1.000 27.11 27.11 0.00
ARENA
10 99000M25020 GREASE, CALIPER ASSY AE 34031900 18% 2.000 29.66 59.32 0.00
 ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 2143888052 Invoice No. : 5/BC/23000121 Date : 09/04/2023 12:27:17
SURENDRA SINGH
KOMAL NAGAR, NAYA GAON, RATLAM Job Card No. : JC23000206 Job Card Date: 07/04/2023
RATLAM
Reg.No. : MP13CD1406 Mileage : 39354
Pin:457001
State & Code : 23-MADHYA PRADESH SA Name : GOURAV RATHOD SA(M) : 9826254449
Mobile : 9893844484 Model : MARUTI VITARA BREZZA L EW Type : NA
Loyalty Card : NA Fuel Trim : Chassis No. : 658809 TV Certificate No. : C21002601672
Last Service : 34999 (27-12-22)
Cust GSTIN/UIN : GSTUNREGISTERED PAN : Service type: Peroidic Maintenance Service
Next Service Due : PMS 50
Place of Supply: MADHYA PRADESH

Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour
Amount Amount Charges
Parts
Demanded Repairs-Others/Suggested Jobs
11 99000M99178 SUPER LUBRICANT AB 34031900 18% 1.000 199.15 199.15 0.00
12 990J0M999H2-260 SCREEN WASH 50 AB 34022010 18% 4.000 14.40 57.60 0.00
13 9999EM00W20-IOC ECSTAR PETROL 0W20 - IOCL AC 27101980 18% 3.000 390.67 1172.01 0.00
Labour
Schedule Service
1 ZE22L0P PMS - 2P 20K/40K/60K/80K 998729 1,630.00
Demanded Repairs-Others/Suggested Jobs
1 ZA26L0 UPHOLSTERY CLEANING 998729 750.00
2 ZA11L01 WHEEL ALIGNMENT (4 HEAD) 998729 0.00

Recommendations : Sub Total Amount : 6,095.37 0.00 2,380.00

Less Discount : 0.00 0.00 489.00
30 % DISCOUNT ON PMS & WHEEL
CGST @ 14% : 465.93
ALINGMENT FOC REMARK > LOCAL CNG
SGST @ 14% : 465.93
FITTED LOCAL MAITING FITTED CGST @ 9% : 245.20 170.19
SGST @ 9% : 245.20 170.19
For PATEL MOTORS (INDORE) PVT LTD CGST @ 2.5% : 1.07
SGST @ 2.5% : 1.07
Authorised Signatory
Dealer GSTIN : 23AABCP1892R1ZX Sub Total Amount : 7,519.77 0.00 2,231.38
Net Bill Amount (Rounded) : 9,751.00
Rupees Nine Thousand Seven Hundred And Fifty One 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
inform me with any other information in relation to my vehicle.
Mobile No.:

Gate Pass
GP No. : GP23000270 Date : 09-APR-23 12:27:48 Job Card No. Bill.No. Bill Date Amount
Cust. Name : MR SURENDRA SINGH Model : VITARA BREZZA K15B BS-VI JC23000206 BC/23000121 09-APR-23 9,751.00
Tech. Name : KALASH YADAV Reg.No.: MP13CD1406

Customer Signature Accountant Signature

Created By: AZHER QURESHI