Office: 42/3, Meera Society,	  Mahavir Shrishrimal
  Salisbury Park,	     Surveyors/Loss Assessor/Valuers
  Pune 411037.		  LICENCE NO: 73388 / 2007-2026
  Mobile: 9923197858		VALID UPTO: 25-04-2026
  Email: ssmahavir@gmail.com
INVOICE NO. ::17669				       Date : 13/09/2023
To				    Surveyor Code :     73388
Bajaj Allianz General Insurance Co Ltd,
1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH
YERWADA
Regional Office PUNE RO
PUNE
Name of the Insurer  : Bajaj Allianz General Insurance Co Ltd,
		    1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH YERWADA RegionaI
		    Office PUNE MAHARASHTRA
GST No.       27AABCB5730G1ZX
Policy No. OG-23-9906-1802-00390541
Claim no. OC-24-2001-1802-00000524
Insured     VIJAY ARUN MANDEKAR
 Vehicle No.    MH14GL4010
Date of accident   :     Date of Survey:
Sr.No DETAILS OF BILL					      Amount 
  1 Professional Fees				       :	1250.00
  2 Travelling/Conveyance				 : z	  250.00
  3 Haltage					       : z	     0.00
  4 Digital Photographs No's @ Rs. 15.00		    :	     0.00
  5 Others if any					  : 	     0.00
  6							 :	     0.00
  7							 : 7	   0.00
						     TOTAL : R       1500.00
				      Add CGST @       9%: %	   135.00
				      ADD SGST @       9%: r	   135.00
Pre Receipted			     Grand Total : 	     1770.00
RUPEES ONE THOUSAND SEVEN HUNDRED SEVENTY ONLY
P.A.N NO: BPBPS7678H GSTIN : 27BPBPS7678H1Z8 HSN CODE:997162
Bank Details: HSBC A/C No. # 105515548006
IFSC code : # HSBC0411002 / MICR code # 411039002

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