MAHESH PRAIAPATI Contact No.:7574844245 SURVEYOR&LOSS ASSESSOR&VALUER 22, Vaikunth Park Society, Nr. Ashruti Tenament, Promoted By IRDA,Govt.of India Jitodia Road,Anand-388001 SLA NO.85079 Valid up to 09.10.2022 Email :mahesh.bagic@gmail.com Bill Cum Advance Receipt Invoice No. 155 Invoice Date 29.09.2020 Ins Comp. BAJAJALLIANZ GENERALINS CO LTD GSTIN 24AABCB5730G1Z3 VADODARA Nature of Loss : Own damage/repair/spot Insured MR.SWAPNILKUMAR C PATEL Vehicle No. GJ23AT0180 Clalim No. OC-21-2201-1803-00000084 Policy No. OG-20-2224-1803-00000472 Sr.No. DESCRIPTION QTY. UNIT RATE Rs.Ps. 01 Survey Fees - OD 1 Per 2500 2500.00 01 Survey Fees -Spot 1 Per 500 500.00 02 Re Inspection Fees 1 Per 0 0.00 03 Daily Allowance 1 Each 0 0.00 04 Local Conveyance Charges 1 Each 300 300.00 Re Inspection visits 1 Each 0 0.00 Outstation Conveyance Charges 80 Km 7.5 600.00 05 Photograph (CD)Charges 1 Each 0 0.00 06 Other Expense/Toll Taxes 0.00 Sub Total 3900.00 GSTIN 24APMPP3544B1Z2 SGST@ 9.00% 351.00 SACCODE 997162 CGST@ 9.00% 351.00 Grand Total 4602.00 Rupees: Four thousand six hundred two only. E.and O.E. Bank Details: Subject to Anand Jurisdiction ICICI Bank -Anand (Gamdivad Branch-0256) Pan No.:APMPP3544B PRA Account No. :000301531217 SACCODE 997162 SH0 IFSC CodeICIC0000256 SURVEYOR Account Type : Savings SLA-85079 .ANAND0 MAHESH PRAJAPATI ---PAGE END---