Tax Invoice
Invoice No 546
MOHAMMED UVESH V.MALVAT
Dated 28-Jul-2020
Surveyor&Loss Assessor (Moter
Lic No SLA73478 Valid Upto August 2020
Insured Name PRITESHBHAI PATEL
88 Sarani Society132 Ring Road
B/n APMC MARKET Vasna Tolnaka Claim No OC-21-2202-1802-00000334
Anmedabad"
GSTIN/UIN 24AMHPM9424B1Z9 OG-20-2202-1802-00083367
Policy No
Contact 9898070189 9925007717
E-Mail:uveshmalvat@gmail.com Make and Model FPRITESHBHAI PATEL
Motor Vehicle No :GJ38CB5683
Shipped To Pary Biled To Pary
BAJAJ ALLIANZ GIC LTD
BAJAJ ALLIANZ GIC LTD
ATHFLOOR. TURQUOISE BUIL.NEAR
ATHFLOOR.TURQUOISE BUIL.NEAR
PANCHVATLCROSSROADS.C.G.ROAD
PANCHVATI.CROSSROADS,C.G.ROAD AHMEDABAD 380006
AHMEDABAD 380006 State Name Gujarat.Code24
State Name Gujarat Code 24 GSTIN/UIN 24AABCB5730G1Z3
GSTIN/UIN 24AABCB5730G1Z3 PAN/ITNO
PANITNO Place of Supply Gujarat
HSN/SAC GST Amount
SI Description of Goods
Rate
Na]
1 01.01 Profesnal Fees997162 18% 500.00
3 01.02 Conyances Charges 997162 18% 500.00
3 CGST 90.00
4 SGST 90.00
Total] 1,180.00
Amount Chargeable in words
E0E
Indian Rupees One Thousand One Hundred Eighty Only
HSN/SAC Taxable Central Tax State Tax Total"
Value Rate Amount Rate Amount. Tax Amount
997162 1.000.00 9% 90.00
9% 90.00 180.00
Totall 1,000.00] 90.00 90.00 180.00]
Tax Amountin words Indian Rupees One Hundred Eighty Only
Companys PAN AMHPM9424B
Dectaration Company's Bonk Detale
We declare that tnis invoce show the actual prce of the Bank Name 06.01ICICIBANK
goods descnbed and t t paticuars are true and Alc No 034401511645
correct Branch &S CodeVasna Ahmedabay&ICIC0000344
Customers Sl and gnture MMED V.MALVAY
SUIJECT TOAHMEDABAD JURISDICTION
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