PARESH KOTHARI
                                           Approved Consulting Automobile and Engineering Surveyor, Loss Assessor & Valuer
S.L. NO. SLA -66761                                                                                                                       2C SONAL APRTMENT,
Dt. Exp. : 29-11-2021                                                                                                                     2 MARUTINAGAR,
Mobile : 9825072771                                                                                                                     NEAR AIRPORT, RAJKOT -360001
pareshkothari1@gmail.com
                                                                                Survey Fee Bill
To,
       Bajaj Allianz General Insurance Co. Ltd.                                                           Bill. No : B-03-21-04391
       VADODARA                                                                                                      Date   23/03/2021
       401,ATLANTIS HERITAGE,OPP.SWAGAT PETROL PUMP,SARABHAI MAIN     Code
       ROAD, NEAR GENDA CIRCLE
       GSTIN: 24AABCB5730G1Z3               State Code : Gujarat (24)
                  Report Ref No                     VKP/BAGI/-W-8864/03-21/F/04439
                  Vehicle No.                    :    GJ 3 W 8864
                  Insured Name               :    Mr. Guru Logistic
                  Date Of Accident           :    02-Mar-21
                   Policy/cover note no     :    OG-20-2221-1803-00000490
                  Claim No                       :    OC-21-2204-1803-00000495

   S No                                        Particulars                                                 HSN/SAC                                Amount 
      1    Final                                                                                                   997162                                      6,025.00
                     Professional Fee:        Assessed Amount  206,250.00                                     5,000.00
                     Photos/CD Expenses :                                                                                           50.00
                      1 Photographs , Charged for 1 @ Rs. 50.00
                     Conveyance Expenses : Visited total 150 Kms. No of visits 1 charged @26.50/ Km               975.00

                                                                                                                                         Sub Total :            6,025.00
                                                                                                                                    C GST @ 9.00 %                542.25
                                                                                                                                    S GST @ 9.00 %                542.25
               ADVANCE RECEIPT                                                                                     Grand Total :            7,109.50
                                                                                                                                        Round off :            7,110.00
                                                     In words : Rs. Seven Thousand One Hundred Ten Only
  GSTIN: 24ADNPK4533G1ZM State : (24)                                                                           Acvance Receipt
  PAN.ADNPK4533G                                                                                                          Paresh Kothari
                                                                                                             PARESH KOTHARI
  Bank Name :Bank of Baroda
                                                                                                                                                                   LM
  A/c No.             7460100005184
  MICR No                                                                                                                              Surveyor ahd Assessar
                           : 360012006

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