TASK
                                                                                               Phone: 9560490100, 9811130932
                                                                                               Email: tasksurveyors@gmail.com

                          Insurance Surveyors and Loss Assessors
                                                                       TAX INVOICE
Bill No.      TASK/2020/655
                                                                                                                         Dated :    31.10.2020
 Buyer Details
 M/s BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD
                                                                                          Buyer's GST NO -
 Block No-4, 7th Floor, DLF Tower,15, Shivaji Marg
 New Delhi-110015
                                                                                           Place of Survey         RAMA MOTORS SAMPLA ROTTAK:
 Vehiclc No.  HR-12AD-6068
                                                                                          Policy No. OG-20-1904-1802-00063969
 Insured      Mr. HArIoM                                                    Claim No.   OC-21-1103-1802-00002122
      S.no.                               Description                                Qty        Unit    Rate         Amount
         1       PROFESSIONAL CHARGES                                                          1.00                            500.0
                   CONVEYANCE CHARGES DELHI TO SAMPLA
         2                                                                                   120 Km x 8 Rs.                               960.00
                   ROHTAK (TO & FRO)

                                                                                            Sub Total                                       1,460.00
                                                                                                                         E. & 0.E.
 In Words:- ONE THOUSAND FOUR HUNDRED SIXT'Y ONLY                                                                 $


Bank Details:-       ICICI Bank Ltd., Sector-11, Rohin, Delhi (A/c no.:- 036705501385)
                  IFSC-ICIC0000367
Note:-
       1        Payment must be released with 7 days of receipt of bill
      2       Interest on overdues will be charged @ 24%
      3       All disputes are subject to Delhi Jurisdiction
                                                                                                       For TASKINSURANCE SURVEYOR


                                                                                                                   Authorised Srgpatory
                                                                                                                            51039

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