Er. KANHAIYA CHAUHAN
      Govt.Approved
SURVEYOR & LOSS ASSESSOR
INVESTIGATER,VALUER & CLAIM ADVISER
SPECIALIST IN MOTOR CLAIM`S
GST NO 09AENPC3685E1ZD
PAN NO. AENPC3685E
LICENCE NO.SLA-120150
BILL NO. /Final /BAJAJ ALLIANZE /628/23-24	      DATE 30.12.2023
  INSURERS	      :  BAJAJ ALLIANZ General Insurance Ltd.
  ADDRESS THE SILVER LINE ,11/9,CIVIL LINES KANPUR
  GST NO	   09AABCB5730G1ZV
  INSURED	       : Mr. ABHISHEK GAUR MODEL BAJAJ PLATINA
  POLICY/COVER NOTE     : OG-24-1302-1826-00011940 VEHICLE NO. UP 74 AJ 4764
  CLAIM NO.   OC-24-1302-1826-00007400
  DATE OF ACCIDENT      : 04.10.2023     DATE OF SURVEY 06.10.2023
						 Amount (Rs[Pa.
1. Survey fee				      750    00
    -Survey	 280  Km Kanpur to Sarda Auto Dealers
2						 2240
  Conveyance Chhibramau Kannauj and back @ Rs 8/Km
							  00
							  00
3 Total_fee				       2990
4CGST		  9% of total fee	   269.1
5 S GST		9% of total fee	   269.1
6 Toll Tax
					    G Total[ 3528 00
  Total fee amount Three Thousand Five Hundred Tweenty Eight only
  Cheque No :		       Bank A/c No.20006890666
						 Stae Bank of India
  Date:			    Phool Bagh Branch kanpur
  E.&O.E.			      Kanhaiya Chauhan SLA-120150

---PAGE END---