Licence No. - SLA 74140                                                                                     Valid upto --   22.09.2022
                                                             JIGNESH S. THAKKAR
         GST No. 24AFWPT8975J3Z5                                                                                  PAN No. -       AFWPT8975J
                                                               Surveyor & Loss Assessor
                           232, Shrushti Complex, Above SBI, N. H No.8, Kamrej Char Rasta, Surat.
        Mobile No. 9904096492 / Office : 9978696492                                        Email: thakkar97@gmail.com
        BANK NAME STATE BANK OF INDIA                                                       A/c No.       37215500008
        BRANCH    KAMREJ CHAR RASTA                                                       IFSC CODE SBIN0005149
        MICR Code  395002028                                                                      A/c Type     CURRENT
                                                                      TAX INVOICE
       Bill No.                        442/2020-21/JT                                                                Date : 5-Mar-2021
       Insurer                        Bajaj Allianz General Ins.Co.Ltd.
                                          MZ 30-37, Upper Ground Floor, Megh Mayur Plaza, Near HDFC Bank, Athwalines,
                                          Parle Point,Surat, Gujarat, India. Pin Code : 395 007.
                                          GSTIN - 24AABCB5730G1Z3
      Claim No.                          :       OC-21-2203-1803-00000251              Date of Accident :12-Nov-2021
     Policy No.                                   OG-21-1920-1803-00000175
     Insured's Name                          MR. HIMMATSINGH SOLANKI .
     Vehicle No.                        :       MH48BM3783
     Make/ Model                              EICHER / PRO 1114 XP

    PARTICULARS                                                                                       AMOUNT
                                                           VISIT       KMS         RS
   Spot Survey                     No                                                                                0.00
   Professional Charges                                                                                       1500.00
   Conveyance                                                                                                       500.00
  Spot Conveyance                                                                                                  0.00
  Re-Inspection                                                                                                        0.00
  Photo Charges                                                                                                     25.00
  Misc. Charges/Toll charges                                                                                   0.00
  Amount                                                                                                            2025.00
                                                                                     CGST            9%              182.25
     GST                       SAC CODE - 997162                  SGST           9%              182.25
                                                                                    IGST             0%                 0.00

TOTAL                                                                                                             2390.00
               S.THAR
In        : Ruppess Two Thousand Three Hundred Ninety Only
  *   SI   674140  *
  S
  GNESH S.THAKKAR

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