DILIP PRALHAD MAWALE
                                                         SURVEYOR AND LOSS ASSESSOR
                            SLA No.IRDA/INDIA/SLA/72784 24/05/2022 / IIISLA MEMBERSHIP NO.A/W/0952
            SHOP NO.12, PARAMOUNT GARDEN, NEAR SHIVAM HOTEL, KATRAJ-KONDWA ROAD , KATRAJ, PUNE 411046
            MOBILE NO.9822354768,(O)9156476840              Mail ID : dilippmawale@gmail.com
                                                         INVOICE                                       Briginalfor Beceinient
                                                                                                                   Dunlicate for SuppliertTransporter
                                                                                                                   Trinlieate for Supplier
Reverse Charge  : NO                                                        INSURANCE CLAIM NO :               1803-92
Invoice No.        :20-21/0144                                              POLICY NUMBER
Invoice Date       :27/07/2020                                                   INSURED NAME           SHAUKAT HAMID SHAIKH
State               : MAHARASHTRA                State Code  27    VEHICLE NUMBER    :            MH14DM0197
                       Details of Receiver | Billed to:
Name              : BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD.         PLACE OF SURVEY          INDIAN WELDING WORKS
Address           : 1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK   MAHARASHIRA
PATH,YERWADA, PUNE 411006
GSTIN              : 27AABCB5730G1ZX
State               :MAHARASHTRA                   State Code  27
Sr.|                                                HSN/SAC code 997162                                                             Total
       Name of Service                                                                                   AMOUNTS
No

 1PROFFESSIONAL FEE                                                                  RS.                               5000
                                                      570539
 2CONVEYENCE CHARG      CITY          OUTSIDE                    RS.                               1620
                                               3 VISITS 180*9
 RE-INSPECTION FEE                                                                 RS.                                    0
 4PHOTOGHRPHS :                                       CD                          RS.            0                  50
                                                                                                                                                  0
 5OTHERS :                  SPOT                SURVEY                     RS.        TOLL                 0
6 HALTING                                                                                   RS.


                                          Total:                                                                                            6670
                           Total Invoice Amount in Words - SEVENTY EIGHT HUNDREDTotal Amount Before        :               6670
                          SEVENTY ONE ONLY                                           Add : CGST               9%                600.3
                                                                                             Add : SGST               9%                600.3
                                                                                              Add : IGST
                                                                                             Tax Amount : GST            :             1200.6
GSTIN -27 AJCPM1736A1ZP                                                              Total Amount After          :|                7871
                                                                                             ST Peyeble on Revene Charge          [1200.6
PAN AJCPM1736A                                                                          Certified that the particulars given above are true
                                                                                                            and correct. Dilip P. Mawale

---PAGE END---