2022-02-23 14:08:55
               SATRAJIT KHATUA
               Surveyor & Loss Assessor
               License No.-SLA74172
                                                                                          PROFESSIONAL BILL
                     BillNo.-SK/BAJAJ ALLIANZ/00241/2021-22                                                                                                                                    Date:22A-22
                               INSURER                                M/s. Bajaj Allianz General Insurance Cornpary Led.
                                                                      6th Floor,Mani Square,
                                                                       Kolkata-700054
                      2.       INSURED                                 KISHORE MONDAL
                      3.       POLICY NO.                              OG-19-2401-1828-00000465
                      4.       CLAIM NO.                               OC-22-2401-1828-00000948
                      5.       VEHICLE NO.                             WB-98-D-616
                      SL.                                           DESCRIPTION                                                                                         RATE                           AMOUNT
                      NO.
                                                                                                                                                                                                               RS.          P.
                       1.              Professional fees for final survey including                                                                                                                      350                (09
                                       Photographs Upload Charge
                      2.               Conveyance Charges (95 KM x 2 x 10.00)                                                                                                                          1900                 00
                                        (SARISHA)
                                                                                                                                                                        TOTAL                    2750                       00
             (RUPEES TWO THOUSAND SEVEN HUNDRED & FIFTY ONLY)
                                                                                                                                                                                         SAAK          4
                                                                                                                                                                                                         S
                                                                                                                                                                                                 5          7
                                                                                                                                                                         SATR             19        KH          HA
                                                                                                                                                                                             V 'H IN
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