TASK
                                                                                    Phone: 9560490100, 92111309-2
                                                                                    Email: tasksurveyors@gmail.com
                      Insurance Surveyors and Loss Assessors
                                                               TAX INVOICE
Bill No.     TASK/2020/511
                                                                                                            Dated :    22.09.2020
Buyer Details
M/s BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD
                                                                                 Buyer's GST NO -
Block No-4, 7th Floor, DLF Tower,15, Shivaji Marg
New Delhi-110015
                                                                                 Place of Survey         PREMAUIO AGRACY BNHPH
Vehicle No. UP-17K-8985                                                Policy No.  0G-21-1901-1802-00056605
Insured     MR. MUKUL GOYAL                                        Claim No.   0C-21-1103-1802 00001659
    S.no.                            Description                            Qty       Unit   Rate        Amount
       1      PROFESSIONAL CHARGES                                                    1.00                          550.00
       2      CONVEYANCE CHARGES DELHI TO BAGHPAT (TO &
                                                                                  120Km X Rs. 8/-                             960.0 t
                FRO)

                                                                                  Sub Total                                     1,510.00
                                                                                                             E.&0.E.
 In WOrds:- ONE THOUSAND FIVE HUNDRED AND TEN ONLY

 Bank Details:-      ICICI Bank Ltd., Sector-11, Rohin, Delhi (A/c no.:- 036705501335)
                 IFSC-ICIC0000367
 Note:-
       1      Payment must be released with 7 days of receipt of bill
       2      Interest on overdues will be charged @ 24%
       3      All disputes are subject to Delhi Jurisdiction
                                                                                                             KVE
                                                                                                      E SN
                                                                                                                C0063
                                                                                                          ithonsed Syignatory

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