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---