Licence No: SLA -31896			   Tel.No.:28332089,28986989
Valid Upto :08/04/2025			      Mobile No.:- 9821215937
			 DATTA M.KORE
		   AUTOMOBILE SURVEYOR, LOSS ASSESSOR & VALUERS
			      Email: datta.kore08@gmail.com
	 C-107,Beach Classic Apt., Kanti Park,Shimpoli-Gorai Road, Chikuwadi, Borivali (W),Mumbai-92
				FINAL SURVEY BILL
REF. NO. : 5344/23-24
INSURER : BAJAJ ALLIANZ GENERAL INSURANCE CO. GST BILL NO. : 2324/5371
	      LTD.
	      BAGI Andheri			   Date : 11/12/2023
	      291 , Xtrium, 2nd Floor, Next To Holy Family Church, Andheri-Kurla Road, Chakala, Andheri (E),
	      Mumbai-400099.
	      State : Maharashtra - 27 GSTIN No. : 27AABCB5730G1ZX
INSURED : VIVEK BABAN SHINDE
POLICY NO. : OG-24-1910-1870-00000019
CLAIM NO. : OC-24-1901-1870-00003419
VEHICLE NO. : MH46BZ3477
SURVEYED AT : FORTUNE CARS PVT LTD on Dt. : 11/12/2023
    Details							   Amount
    Professional Fees SAC Code No. 997162		    Rs. :     500.00
    Photograph (@ Rs. 10.00 x 0 Copy)			Rs. :	0.00
    Conveyance ()					    Rs. :	0.00
							 Total Rs. :   500.00
    CGST 9% On Rs. 500.00				    Rs. :      45.00
    SGST 9% On Rs. 500.00				    Rs. :      45.00
    Rounded to Nearest Rupees:
						       Net Total F Rs. : 590.00
    Rupees : Five Hundred Ninety Only
GST No. : 27AAPPK5632B1ZS       State : Maharashtra Code:27
PAN No. : AAPPK5632B
STATE BANK OF INDIA
							DATTA M.KORE
							    oo3d
							  SURVEYOR

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