SAP INSURANCE SURVEYORS & LA PVT.LTD.

206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S G ROAD,THALTEJ,
AHMEDABAD.380 059.PHONE (O) 40034803, E Mail : sapsurveyors05@gmail.com
Surveyor,Loss Assessor & Valuer.                            Lic.No.SLA 72495,Dt. of Exp. 13-09-2020
AJAY P.SHARMA                                                    PARAG D.SHAH
D.A.E.                                                                     D.A.E.
Surveyor,Loss Assessor & Valuer.                            Surveyor,Loss Assessor & Valuer.
Lic.No.SLA 17753,Dt.of Exp.01-02-2021                 Lic.No.SLA 25959,Dt. of Exp. 07-11-2022
Mobile 98250 65858                                                Mobile:98250 68799
PAN No :AAICS9971M               TAX INVOICE        GSTIN:24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd.,                  Invoice No.          SAP/0300/20
IV th Floor Turquoise Building                                   Invoice Date       29/09/2020
Panchvati Cross Roads,C.G.Road,                           Policy No.            OG-21-2202-1803-00001294
Ahmedabad 380006.                                                Claim No.            OC-21-2202-1803-00000349
GSTIN :24AABCB5730G1Z3                                   Insured               Mr.Jayprakash Ahibaran Yadav.
State : GujaratCode : 24                                       Make & Regn.No.Tata LPT 3118 T(GJ-01-CZ-1124
Sr.       Description of                           Taxable           CGST                 SGST
No.  Services Provided    SAC Code     Value      Rate   Amount  Rate  Amount  Total Amount
  1 Survey Fees.                      997162     1500.00     9        135.00     9        135.00             1770.00
  2  Local Expenses-03 visil     997162     1050.00     9          94.50     9          94.50             1239.00
  3  Travelling Expenses.           997162                       9                        9
 4  Out Station Expenses         997162                       9                        9
  5  Photograph Expenses.       997162                       9                        9
 6  Reinspection Fees.             997162                       9                        9
  7  Local Expenses.                 997162                       9                        9
  8  Photo Expenses.                 997162                       9                        9
           Total Value                                    2550.00                229.50                229.50             3009.00
   Total Value (in Words)Three Thousand Nine Only.
Bank Details :                                                                          Total Amount Before Tax             2550.00
Name:HDFC Bank Ltd.                                                                              Add:CGST               229.50
A/C No :00482560002667                                                                           Add:SGST               229.50
RTGS/NEFTIFSC:HDFC0000048                                                    Total Tax Amount               459.00
                                                                                                  Total Amount After Tax             3009.00
                                                                                               GST on Reverse Charge
                                                                       For,SAP INSURANCE SURVEYORS & L A P.LTD.
                                                                                             Afamb
                                                                0..

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