ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

IRN : e6248fa86a8bb23dc6e6d737763b78553d4e06961e8ac12a12765a69545b608c

Customer Name & Address : ID : 1932523657 Invoice No. : 5/BR/23000949 Date : 23/05/2023 18:49:26
ASHWEEN MEHTA
68/b CHANDNI CHOWK, ratlam, 6260770443 Job Card No. : JC23001988 Job Card Date: 23/05/2023
RATLAM
Reg.No. : MP43CA6829 Mileage : 16953
Pin:457001
State & Code : 23-MADHYA PRADESH SA Name : VIRENDRA SINGH PANWAR SA(M) : 9340488043
Mobile : 9424064222 Model : MARUTI BALENO ZETA PE EW Type : NA
Loyalty Card : 77000790930 Fuel Trim : Chassis No. : 275031 MCP No. : AMC1900541478 (31/07/2021)
Last Service : 12200 (29-04-22)
Cust GSTIN/UIN : 23ABCPM2393K1ZM PAN : ABCPM2393K 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 99000M24120-579 BRAKE FLUID GC1500AA (500 ML AB 38190010 18% 1.000 296.61 296.61 0.00
PACK)
Demanded Repairs-Others/Suggested Jobs
1 03241M0516A SCREW AA 73181400 28% 5.000 0.78 3.90 0.00
2 09159M12042 NUT,WHEEL AA 73181600 28% 1.000 8.20 8.20 0.00
3 09409M07L01 CLIP AA 87082900 28% 5.000 2.34 11.70 0.00
4 09482M00636 SPARK PLUG AD 85111000 28% 4.000 160.15 640.60 0.00
5 13780M68P01 ELEMENT, AIR CLEANER AB 84213100 18% 1.000 245.76 245.76 0.00
6 15410M68P00 FILTER, FUEL AB 84212300 18% 1.000 218.64 218.64 0.00
7 16510M65L10 FILTER ASSY,OIL AB 84212300 18% 1.000 76.27 76.27 0.00
8 83714M62B00 CLIP DOOR TRIM AA 87089900 28% 2.000 2.34 4.68 0.00
9 95850M55R00 NEW DZIRE CABIN AIR FILTER AA 84213990 18% 1.000 302.54 302.54 0.00
10 99000M24120-551 COOLANT (SG) NON AMINE AB 38200000 18% 1.000 228.81 228.81 0.00
11 99000M24120-978 MGP RUST SMASH AA 27101990 18% 1.000 73.72 73.72 0.00
12 99000M99097-002 CAR SHAMPOO (10 AA 34029091 18% 0.040 664.40 26.58 0.00
13 99000M99280 SUPER CLEANER(480 AA 34024900 18% 1.000 316.10 316.10 0.00
 ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

Job Card Retail - Tax Invoice

Customer Name & Address : ID : 1932523657 Invoice No. : 5/BR/23000949 Date : 23/05/2023 18:49:26
ASHWEEN MEHTA
68/b CHANDNI CHOWK, ratlam, 6260770443 Job Card No. : JC23001988 Job Card Date: 23/05/2023
RATLAM
Reg.No. : MP43CA6829 Mileage : 16953
Pin:457001
State & Code : 23-MADHYA PRADESH SA Name : VIRENDRA SINGH PANWAR SA(M) : 9340488043
Mobile : 9424064222 Model : MARUTI BALENO ZETA PE EW Type : NA
Loyalty Card : 77000790930 Fuel Trim : Chassis No. : 275031 MCP No. : AMC1900541478 (31/07/2021)
Last Service : 12200 (29-04-22)
Cust GSTIN/UIN : 23ABCPM2393K1ZM PAN : ABCPM2393K 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
14 9999EM00W20-IOC ECSTAR PETROL 0W20 - IOCL AC 27101980 18% 3.500 390.67 1367.35 0.00
Labour
Schedule Service
1 ZE22L0P PMS - 2P 20K/40K/60K/80K 998729 1,475.00
Demanded Repairs-Others/Suggested Jobs
1 MK06R01 CALIPER CYLINDER SLIDE BUSHING 998729 345.00
OR DUST BOOT (ONE SIDE) WITH
OPPOSITE SIDE
2 ZA04L0 WHEEL BALANCING - 4 WHEEL 998729 320.00
3 ZA26L0 UPHOLSTERY CLEANING 998729 750.00
4 ZA11L01 WHEEL ALIGNMENT (4 HEAD) 998729 0.00

Recommendations : Sub Total Amount : 3,821.46 0.00 2,890.00

Less Discount : 0.00 0.00 442.50
30% DISCOUNT ON PAID SERVICE &
CGST @ 14% : 93.68
WHEEL ALIGNMENT FOC IN OFFER GIVEN
SGST @ 14% : 93.68
BY SMR TEAM CGST @ 9% : 283.70 220.28
SGST @ 9% : 283.70 220.28
For PATEL MOTORS (INDORE) PVT LTD
Sub Total Amount : 4,576.22 0.00 2,888.06
Authorised Signatory Net Bill Amount (Rounded) : 7,464.00
Dealer GSTIN : 23AABCP1892R1ZX Rupees Seven Thousand Four Hundred And Sixty Four 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. : GP23002146 Date : 23-MAY-23 18:49:38 Job Card No. Bill.No. Bill Date Amount
Cust. Name : MR ASHWEEN MEHTA Model : MARUTI BALENO PETROL JC23001988 BR/23000949 23-MAY-23 7,464.00
Tech. Name : SHAIKH PARVEZ Reg.No. : MP43CA6829

Customer Signature Accountant Signature

Created By: SATYENDRA MEHTA .