SAP INSURANCE SURVEYORS & LA PVT.LTD. 206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S G ROAD,THALTEJ, AHMEDABAD.380 059.PHONE (O) 40034803,E Mail : sapsurveyors05@gmail.com Surveyor,Loss Assessor & Valuer. Lic.No.SLA 72495,Dt. of Exp. 13-09-2023 AJAY P.SHARMA PARAG D.SHAH D.A.E. D.A.E. Surveyor,Loss Assessor & Valuer. Surveyor,Loss Assessor & Valuer. Lic.No.SLA 17753,Dt. of Exp.01-02-2021 Lic.No.SLA 25959,Dt. of Exp.07-11-2022 Mobile98250 65858 Mobile 98250 68799 PAN No :AAICS9971M TAX INVOICE GSTIN :24AAICS9971M1ZJ To, Bajaj Allianz General Insurance Co. Ltd., Invoice No. SAP/0608/20 IV th Floor Turquoise Building, Invoice Date 30/01/2021 Panchvati Cross Roads,C.G.Road, Policy No. OG-20-2216-1803-00000668 Ahmedabad 380006 Claim No. OC-21-2202-1803-00000631 GSTIN :24AABCB5730G1Z3 Insured M/s Banas Sand Suppliers. State : GujaratCode :24 Make & Regn.No. Tata Signa 4823 -GJ-24-X-2854 Sr. Description of Taxable CGST SGST No. Services Provided SAC Code Value Rate Amount Rate Amount Total Amount 1 Survey Fees -Spot. 997162 850.00 9 76.50 9 76.50 1003.00 2 Local Expenses. 997162 350.00 9 31.50 9 31.50 413.00 3 Travel Expenses. 997162 9 9 4 Out Station Expenses. 997162 9 9 5 Photograph Expenses. 997162 9 9 6 Survey Fees -Final. 997162 5000.00 9 450.00 9 450.00 5900.00 7 Local Expenses. 997162 9 9 8 Travel Expenses -200 K 997162 1400.00 9 126.00 9 126.00 1652.00 9 Out Station Expenses. 997162 9 9 Total Value 7600.00 684.00 684.00 8968.00 Total Value (in Words) Eight Thousand Nine Hundred Sixty Eight Only. Bank Details : Total Amount Before Tax 7600.00 Name : HDFC Bank Ltd. Add:CGST 684.00 A/C No :00482560002667 Add:SGST 684.00 RTGS/NEFTIFSC:HDFC0000048 Total Tax Amount 1368.00 Total Amount After Tax 8968.00 GST on Reverse Charge For,SAP INSURANCE SURVEYORS & LA P.LTD. LICNo. SLA 72495 AUTHORISED SIGNATORY ---PAGE END---