Office: 42/3, Meera Society, Mahavir Shrishrimal Salisbury Park, Surveyors/Loss Assessor/Valuers Pune 411037. LICENCE N0: 73388 / 2007-2026 Mobile: 9923197858 VALID UPT0: 25-04-2026 Email: ssmahavir@gmail.com INVOICE NO.: 17376 Date : 24/11/2023 To Surveyor Code : 73388 Bajaj Allianz General Insurance Co Ltd, 1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH YERWADA Regional Office PUNE RO PUNE Name of the Insurer : Bajaj Allianz General Insurance Co Ltd, 1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH YERWADA Regional Office PUNE MAHARASHTRA GST No. 27AABCB5730G1ZX Policy No. OG-23-9910-1870-00024973 Claim no. OC-24-2001-1870-00001493 Insured KENDRE DNYANOBA MADHAV Vehicle No. MH24AW4695 Date of accident : Date of Survey: Sr.No| DETAILS OF BILL Amount 1 Professional Fees : z 5000.00 2 Travelling/Conveyance : 750.00 3 Haltage : 0.00 4 Digital Photographs No's @ Rs.15.00 R 0.00 5 Others if any : 2 0.00 6 0.00 7 : 0.00 TOTAL : R 5750.00 Add CGST @ 9%: % 517.50 ADD SGST @ 9%: z 517.50 Pre Receipted Grand Total : R 6785.00 RUPEES SIX THOUSAND SEVEN HUNDRED EIGHTY FIVE ONLY P.A.N NO: BPBPS7678H GSTIN : 27BPBPS7678H1Z8 HSN CODE:997162 Bank Details: HSBC A/C No.# 105515548006 IFSC code : # HSBC0411002 / MICR code # 411039002 ---PAGE END---