ICS Assure Services Pvt. Ltd.
22/23, Goodwill, Swastik Estate, 178 CST Road, Kalina, Santacruz (E),Mumbai-400 098, Maharashtra, India.                                                                                                                             ICS
Tel. 022-26507000
                                                                                                                                                                            ASSURE
Email :info@icsaspl.com
CIN :U74120MH2015PTC260921
                                                                                      INVOICE
BAJAJ ALLIANZ GIC LTD                                                                           Invoice No                            ICSA/2021/00323
MR ATISH KHOCHARE                                                                               Invoices Date                        06-Jul-2020
291 Atrium, 4th Floor, Next To Holy Family Church                                      Place Of Supply                    Maharashtra-27
Andheri-Kurla Rd;Chakala,Andheri (E) Mumbai 400099
                                                                                                             Delivery Address
State : Maharashtra State code:27
Tel No : 9082300171
Email : Atish.Khochare@bajajallianz.co.in
GSTIN : 27AABCB5730G1ZX
PAN : AABCB5730G
   Sr                        Particulars                      HSN/SAC   Qty      Rate         Total       CGS  SGS    CGST      SGST         Total
                                                                                                                                T %  T %                                   Amount
  No
   1     MotorClaim                                            997169   1      6500.00       6500.00    9%   9%    585.00    585.00      7670.00
           Claim No:-OC-21-1901-1803-
           00000218.
           Insured Name:-Pramod Suresh
           Lakhan
           Type of work:-Motor OD Fire









Whether Tax payable on reverse charge - NA                                                   6500.00                       585.00    585.00      7670.00
Amount Chargeable(in words)                                                                                                                          Total          7670.00
Indian Rupees Seven Thousand Six Hundred Seventy Rupees Only
Payments to be released in favour of ICS Assure Services Pvt. Ltd.
Bank Details:
Bank Name: CANARA BANK                          A/C No : 0207214000002
 Branch : MUMBAI KHAR                                RTG/NEFT IFSC : CNRB0000207
PAN Number : AADCI7124D                           GSTIN/UIN : 27AADCI7124D1ZU
SUBJECT TO MUMBAI JURIDICATION                                                                                        @i thorised Signatory
Declaration
We declare that this invoice shows the actual price of the services declared and that all particulars are true and correct and that the
transaction sale covered by this 'Tax Invoice' has been effected by us and it shall be Accounted for in the turnover of sales while filing of
return and Due tax, if any, payble on the sale been paid.
Tax invoice shall be issued upon receipt of payment.

---PAGE END---