HEMANT R.PANCHAL
                                        Surveyor & Loss Assesor
             A-2032nd floorRushi Complex.Beside Hari Om Petrol PumpLP.Savani Road
                                Adaan,Surat -394510.Mobil98244-75769.
                                     Lic.No.58125 Valid upto 30/01/2023
                                             SURVEY BILL
 To,
 Bajaj Alian Genns.Co.Ltd
 Gujarat
 GST No.24AABCB5730G1Z3

 Bill/Ref.No.:                          HP/172/203/2020            Date:                  29/08/2020
 Policy No                               OG-20-2202-1803-00020416
 laim No.                               OC-21-2203-1803-00000120
nsured                                Maksud Majid Fatuwala
Vehicle no.                               [CJ21/X/2461
                                                                                                 Amount
                                                                                                  Rs.Rs.
01.Survey Fees                                                                                          500

02.Out Station Allowance

03.Travelling& Conveyance charges                                                                   300

04.Photographs Charges                                                                                  40
05.Other Exps.
                                                                                                           840
AddGST                                   CGST                    09%                           76
GST No.24AIWPP4714A1ZA           SGST                    09%                           76
PAN no.AIWPP4714A                   IGST                     00%
                                               ADVANCE RECEIPT   TotalRs.                    991
                                                                           Pmers
                                                                   HEMANTPANCHAL        REEER
                                                               SURVEYOR&OSS ASSESSO

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