NARESHAJAINI
                                                                     MOTOR SURVEYOR&LOSSASSESSOR&VALUER
                                                              VidyaPlot No.68/72,R.D.P.1,Gorai,Borivali [W]Mumbai-40009]
                                                                                                                                 9820141240
                                 Licence No.:SLA/22320
                                                                                                                                                                             Tel:022 28697145
                                Expiry                 24/01/2022
                                                                                                             FINAL SURVEY FEES
                                BILLNO:               SR/21388/06/2021
                                                                                                                                                                            Date 30/06/2021
                                TO
                                BAJAJALLIANZ GENERAL INSURANCE COMPNAY
                               LTD. 952/954APPASAHEB MARATHE MARGE
                                NEAR CHAITNYA TOWER,PRABHADEVI
                                MUMBAI400025 STATE MAHRASHTRA
                                GSTNo.27AABCBS730G1ZX
                               INSURERS                              BAIAJ ALLIANZ GENERALINSURANCE COMPNAY LTO.
                               CLAIM NO                              OC-22-1901-1801-00001623
                               INSURED                               BALUJADHAV
                               VEHICLE NO                           MH05BI9393
                              SURVEYED AT                           J.SAUTO GARAGE,ULHASNAGAR-03
                              POLICY NO                             OG-21-1905-1801-000027S2
                              Description                                                                                                      SAC
                              Pruhesshoni Faes                                                                                                                                                     Amount
                                                                                                                                            S9TASE                                                       500.00
                              TOLL Expenses                                                                                                 997162
                              Traveing Expenses 80 Kms @Rs.9.00/KW=                                                                         997162
                              CONVEYANCE
                              Sub Total
                                                                                                                                                                                                         500.00
                                                                                                                                           CGST9%                                                          45.00
                                                                                                                                           SGST 9%                                                         45.00
                                                                                                      TOTAL                                                                                             590.00
                                                                                            RuDeeS FIVE HONDRED NINETY ONLY
                             GSTIN              27AABPJ6623M2ZI                                                            Bank A/c:000610100026291
                             SACCode            HSN CODE-99716                                                             Benk Name The Bharat Co-on RankMumhail Ltd
                             PAN NO.            AABPJ6623M
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