mobile+919998100555
       Parikh Associates                                                                    phone+912652481991
                                                                                                                      parikh.associates@yahoo.com
                                                                       INVOICE
       chartered engineer.
       surveyor,                                                                                                  21,Padmavatinagar.VI.P Road.
       loss assessor,                                                                                             Karellbaug.Vadodara-39818.
       valuer,
INVOICENGgement     211505                                                                      Date:    30.09.2020
REPORT NO.            BAG/PDP/2021/1501                                                   License no.SLA/72618,valid uplo Nov.2021
To,
BAJAJ ALLIANZ GENERAL INSURANCE CO LTD
 4TH FLOOR ATLANTIS HIGHTS
 NR SARABHAI CIRCLE
VADODARA
RECIPIENTID              24AABCB5730G1Z3

INSURED:                  AJAYBHAI B GUJARIYA                                                  INTEREST :GJ12BR1729
                                                                                                                                        ETIOS
POLICY NO:             OG-21-2204-1801-00001040

CLAIM NO:               OC-21-2204-1801-00000577

INSURER :                  BAJAJ ALLIANZ GENERALINSURANCE CO LTD.

APPOINTED BY:        BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
SR.NO.    DESCRIPTION                                              HSN/SAC          RATEQty.         AMOUNT
                                                                                    Code
       1        PROFESSIONALSURVEY CHARGES
                 FINAL                                                                             1,500.00                           1,500.00

       2        CONVEYANCE CHARGES                                                                           o
                 LOCAL
                                                                                                                                     1
       3        PHOTOGRAPHS                                                                                          o
                  DIGITAL CD                                                                        40.00               o

       4        OUT OF POCKET EXPENSES
                 TOLLTAX/PHOTOCOPIES
                 HALTING                                                                                                     o
                                                                   SUB TOTAL                                                             1,500.00
                                                                          CGST                        9.00%                             135.00
                                                                           SGST                        9.00%                             135.00
                 ROUNDING OFF
                                                             GRAND TOTAL                                                                  1,770

RUPEES      ONE THOUSAND SEVEN HUNDRED AND SEVENTY ONLY.

Our Bank Detail:
Bank        ICICI Bank Ltd.
Bank Br.Karelibaug                                                                                     FOR PARIKH ASSOCIATES
C.A/c no.024805001738                                                                                          * Linse Ne
IFSC CodeICIC0000248                                                                                              S     728
PAN No.:AFTPP 4625 C                                                                                             PRAKASH PARIKH

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