AKSHAY D.THAKKAR
                D.A.E.
                Surveyor,Loss Assessor &Valuer.                                                                                                              93-Gardan Villa.
                Licence No.SLA 74364                                                                                                                         Opp.GEB
                Date of Expiry :12-08-2023                                                                                                                    Kadi-Chatral Road.
                                                                                                                                                             Kadi -382715,
                PAN NO.:                        AFFPT5511H                                                                                                    Mobile No.:9825549222
                To
                 Bajaj Allianz General Insurance Co.Ltd.
                 4th floor Turquoise,Nr Panchvati Circle
                ,C.G.Road,Ellisbridge Ahmedabad-380006
                GST NO                      24AABCB5730G1Z3
                Policy No.                  OG-22-2202-1871-00006780                                                                                         Date.                       31/12/2021
                Claim No.                   OC-22-2202-1871-00000604                                                                                         Ref.No.                     AD/GST/0344/21
                                              SS            2V
                Insured                     MR.KISHANKUMAR MALI
                Make,Regd.No.of Vehicle HERO PASSION /2018                                                                                                    GJ02CS7101
                Survey Fees                                                                                                                                                      Rs.                           750.00
                Local Expenses                                                                                                                                                   Rs.                           350.00
                 Travelling Expenses.                        CL                                                                                                                  Rs.
                Out station Expenses                                                                                                                                             Rs.
                Photograph Expenses                                                                                                                                              Rs.
                Spot Survey Fees.                            EL                                                                                                                  Rs.
                Local Expenses                                                                                                                                                   Rs.
                Travelling Expenses.                                                                                                                                             Rs.
                Out station Expenses :20                                                                                                                                        Rs..
                Photograph Expenses.20.                                                                                                                                         Rs.
                                                                                                                                                                                Rs.                          1100.00
                                              ARNISA!
                Rupees.:One Thousond One Hundred Only.
                                                                                                    D.
                                                                                                                                                    AKSHAY D.THAKKAR
                ADVANCE                                                                                              3
                RECEIPT                                                                 tihrw                                                   SURVEYOR&ASSESSOR
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