BILL
BILL
BILL
Customer Name & Address : ID : 10-270 Invoice No. : 17/BI/24000472 Date : 23/10/2024 18:00:07
United India Insurance Company Limited
Opp Numaish Ground, Civ, Lines II Job Card No. : JC24003504 Job Card Date: 14/10/2024
BIJNOR
Reg.No. : UP20CP3819 Mileage : 23503
Pin:246701
State & Code : 09-UTTAR PRADESH SA Name : GOURAV KUMAR BALYAN SA(M) : 7055602536
Mobile : Model : MARUTI BREZZA LXI CNG EW Type : III
Loyalty Card : NA Fuel Trim : Chassis No. : 333954 Last Service : 25124 (07-09-24)
Next Service Due : PMS 40
Cust GSTIN/UIN : 09AAACU5552C1ZH PAN : AAACU5552C Service type: BODY REPAIR
Ins.Comp. : UIIC
Place of Supply: UTTAR PRADESH
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 71711M66T00-5PK BUMPER,FRONT UPPER AC 87089900 28% 1.000 1609.37 1609.37 0.00
Labour
Demanded Repairs-Others/Suggested Jobs
1 ZF9992 DENTING CHARGES 998729 350.00
2 ZA15L01 BODY WASHING 998729 300.00
3 ZF9993 PAINTING CHARGES 998729 5,270.00
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. : GP24003437 Date : 23-OCT-24 18:00:47 Job Card No. Bill.No. Bill Date Amount
JC24003504 BI/24000472 23-OCT-24 9,048.00
Cust. Name : United India Insurance Company Lim Model : BREZZA S-CNG
Tech. Name : JAMSHED Reg.No. : UP20CP3819