SAP INSURANCE SURVEYORS & LA PVT.LTD.
206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S.G ROAD,THALTEJ,
AHMEDABAD.380 059.PHONE (O) 40034803,E Mail : sapsurveyors05@gmail.com
Surveyor,Loss Assessor & Valuer. Lic.No.SLA 72495,Dt. of Exp. 13-09-2023
AJAY P.SHARMA PARAG D.SHAH
D.A.E. D.A.E.
Surveyor,Loss Assessor & Valuer. Surveyor,Loss Assessor & Valuer.
Lic.No.SLA 17753,Dt. of Exp. 01-02-2021 Lic.No.SLA 25959,Dt. of Exp. 07-11-2022
Mobile :98250 65858 Mobile98250 68799
PAN No :AAICS9971M TAX INVOICE GSTIN :24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd., Invoice No. SAP/0504/20
IV th Floor Turquoise Building, Invoice Date 30/12/2020
Panchvati Cross Roads,C.G.Road, Policy No. OG-20-2202-1803-00030931
Ahmedabad 380006. Claim No. OC-21-2202-1803-00000569
GSTIN:24AABCB5730G1Z3 Insured M/s Hasti Petro Chemical & Shippir
State : GujaratCode : 24 Make & Regn.No.AL 3516 /05 GJ-01-BV-1552
Sr. Description of Taxable CGST SGST
No. Services Provided SAC Code Value Rate Amount Rate Amount Total Amount
1 Survey Fees. 997162 1000.00 9 90.00 9 90.00 1180.00
2 Local Expenses. 997162 350.00 9 31.50 9 31.50 413.00
3 Travelling Expenses. 997162 9 9
4 Out Station Expenses. 997162 9 9
5 Survey Fees -Spot. 997162 9 9
6 Local Expenses. 997162 9 9
7 Travelling Expenses. 997162 9 9
8 Out Station Expenses. 997162 9 9
Total Value 1350.00 121.50 121.50 1593.00
Total Value (in Words)One Thousand Five Hundred Ninety Three Only.
Bank Details : Total Amount Before Tax 1350.00
Name:HDFC Bank Ltd. Add:CGST 121.50
A/C No :00482560002667 Add:SGST 121.50
RTGS/NEFTIFSC:HDFC0000048 Total Tax Amount 243.00
Total Amount After Tax 1593.00
GST on Reverse Charge
For,SAP INSURANCE SURVEYORS & L A P.LTD.
495
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