ANGSHUMAN DEB                                                                                                                             ARJYAPATTY,NEAR DURGABARI
               SURVEYOR&LOSS ASSESSOR                                                                                                                    STEAMERGHAT ROAD,SILCHAR
               LICENSE NO.49078,EXP.06-11-2022                                                                                                           PIN NO.-788001
               E Mall.angshuman.deb@rediffmail.com                                                                                                       PH.9435071495(M),9859672572(M)
                                                                                                                                                                                                   Date :03-11-2022
               PAN NO.                                                                     AFRPD3416K
                                                                                                                   BILL
               To
                Bajaj Allianz General Insurance co.Ltd.
               Sreeji Tower,2 Floor Above Manyavar Show Room
               Adjacent to Walford Bus Stand
               Near Ganeshguri Flyover,Dispur,G S.Road
               Guwahati.
                                                                           Policy                                                         OG-22-2481-1870-00000026
                                                                           Claim No.                                                      OC-22-2405-1870-00001364
                                                                           Vehicle No.                                                    AS-11-R-0270
                                                                           Insured                                                       Mr. Satyanjoy Kurmi
                                                                                                                                         Silchar.
              1)              To Professional Fee                                                                                        Rs.              2,500.00
              2)              To Local Conveyance for -- days                                                                            Rs.                  450.00
              3)              To Out Station Conveyance                                                                                  Rs.
              4)              To Haultage --days@Rs.--                                                                                   Rs.
              5)             To Photo Charges --Nos.@ Rs.-                                                                               Rs.
              6)             To Misc.Expense                                                                                             Rs.
                                                                                                                                         Rs.              2.950.00
                                                                       (Rupees two thousand nine hundred fifty Only
                                                                                                                                                                                                        aeb
                                                                                                                                                                                         (ANGSHUMAN DEB)
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