ARVIND KUMAR
                                                      (SURVEYOR & LOSS ASSESSOR)
                       B-04,Mellford City,Opp.Nand Vihar Colony,Rohta Road,Meerut(U.P)-250001
License No   SLA 74002                                                          Mobile(s)9760025714,8267972592
Valid Up to   17.06.2022                                                          E-Mail id:bajajarvindkumar@gmail.com
PAN No.       :AKHPK8427G                                                       Bank NameICICI BANK LTD.
GSTIN No.     :09AKHPK8427G1ZW                                           Bank A/C No.:003701508594
Bill No. AK2021-872                                 HSN/SAC Code:997162                               Date: 24/10/2020
                                               SURVEY FEES BILL(PRE-RECEIPTED)
Insurer                  BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD.
GSTIN No.               07AABCB5730G1ZZ
Address                 BLOCK-04,7TH FLOOR,DLF TOWER
                             SHIVAJI MARG,NEW DELHI--110015
Vehicle No.               UP-13-AX-3387                                    Insured         :Mr.JAMILAHAMAD
Policy No.                 OG-21-4328-1802-00000335                  Claim No.           OC-21-1103-1802-00001904
Professional fee                                                                         400.00
Conveyance for Visiting Siyana (Final)                                         1425.00

                                                                                               1825.00
                                                  Add IGST @ 18.00 %                   328.50

                                                                      Total                 2153.50
(Rupees Two thousand one hundred fifty three and fifty paisa only)
Professional fee & conveyance charged for Siyana (Single visit=95Km*2 @Rs.7.5 /Km=Rs.1425.00).
ARVIND KUMAR

             A

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