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-08-20-03829
       VADODARA                                                                                                     Date: 21/08/2020
      4O1,ATLANTIS HERITAGE,OPP.SWAGAT PETROL PUMP,SARABHAI MAIN     Code   :
       ROAD, NEAR GENDA CIRCLE
       GSTIN:24AABCB5730G1Z3               State Code : Gujarat (24)
                  Report Ref No                     VKP/BAGI/HE-713-/07-20/F/03843
                  Vehicle No.                          GJ 3 HE 713
                  Insured Name                     Mr. Kunal Structure Pvt Ltd
                  Date Of Accident           :    15-Jun-20
                  Policy/cover note no     :    OG-20-2204-1811-00000583
                  Claim No                       :    OC-21-2204-1811-000005

   S No                                        Particulars                                                 HSN/SAC                                Amount 
      1    Final                                                                                                 997162                                      2,800.00
                     Professional Fee :       Assessed Amount & 120,000.00                                    2,500.00
                     Photos/CD Expenses :                                                                                          50.00
                      1 Photographs , Charged for 1 @ Rs.50.00
                     Conveyance Expenses :                                                                                      250.00

                                                                                                                                       Sub Total:             2,800.00
                                                                                                                                  C GST @ 9.00 %                252.00
                                                                                                                                  S GST @ 9.00 %                252.00
               ADVANCE RECEIPT                                                                                   Grand Total :             3,304.00
                                                                                                                                      Round off :            3,304.00
                                                   In words : Rs. Three Thousand Three Hundred Four Only
  GSTIN: 24ADNPK4533G1ZM State : (24)                                                                            A KC
   PAN. : ADNPK4533G                                                                                                           Paresh Kothari
                                                                                                            PARESH KOTHARI
  Bank Name : Bank of Baroda
  A/c No.             7460100005184                                                                                                               M
  MICR No           360012006                                                                                                rvevqnd Assess

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