SURENDRA UMALE
	      B.E.(Mech)		   37-RIDDHI SIDDHI RESIDENCY,
LICENCE NO: SLA 63834			  ST.XEVIER SCHOOL ROAD
DATE OF EXPIRY 30/04/2024  GST FEE BILL    AVANTI VIHAR RAIPUR (C.G.)
PAN NO AANPU0947M			      MOB. NO.94252 06797
REF NO.BAJAN2445			       Date :-29/01/2024
GSTIN: 22AANPU0947M1Z7
	INSURED BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD
			SHIVMOHAN BHAWAN, VIDHAN SABHA ROAD,
			PANDRI, RAIPUR,CG
	GSTIN:   22AABCB5730G1Z7
	CLAIM NO OC-24-2303-1826-00002841
	VEHICLE NO CG 13 AV 0264
	INSURED SHIVAM CONSTRUCTIONS COMPANY
	POLICY NO OG-23-2321-1826-00006800
       S.NO PARTICULAR					     AMOUNT
	  1] PROFESSIONAL FEE (final)				 750
	  2]  D.A.						    200
	  3] CONVEYANCE AS SCHEDULE				  1300
		raigarh to kapu & back 200km @ 6.50/-
								      2250
						 SGST @ 9%	  202.5
						 SGST @ 9%	  202.5
						 GRAND TOTAL	 2655
	Rs. TWO THOUSAND SIX HUNDRED FIFTY FIVE ONLY

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