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. 13-09-2023 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.01-02-2024 Lic.No.SLA 25959,Dt.of Exp.07-11-2022 Mobile98250 65858 Mobile98250 68799 PAN No:AAICS9971M TAX INVOICE GSTIN:24AAICS9971M1ZJ To, Bajaj Allianz General Insurance Co.Ltd., Invoice No. SAP/0825/20 IV th Floor Turquoise Building, Invoice Date 26/03/2020 Panchvati Cross Roads,C.G.Road, Policy No. OG-21-2202-1803-00012896 Ahmedabad 380006. Claim No. OC-21-2202-1803-00000918 GSTIN :24AABCB5730G1Z3 Insured Mr.Sukhpalsingh Nachhattarsingh State : GujaratCode :24 Make & Regn.No.Eicher 35.31 /12 GJ-27-T-7543 Sr. Description of Taxable CGST SGST No. Services Provided SAC Code Value Rate Amount Rate Amount Total Amount 1 Survey Fees. 997162 5000.00 9 450.00 9 450.00 5900.00 2 Local Expenses. 997162 350.00 9 31.50 9 31.50 413.00 3 Travel 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 5350.00 481.50 481.50 6313.00 Total Value (in Words) Six Thousand Three Hundred Thirteen Only. Bank Details: Total Amount Before Tax 5350.00 Name:HDFC Bank Ltd. Add:CGST 481.50 A/C No 00482560002667 Add:SGST 481.50 RTGS/NEFTIFSC:HDFC0000048 Total Tax Amount 963.00 Total Amount After Tax 6313.00 GST on Reverse Charge 5&1OS For,SAP INSURANCE SURVEYORS & L A P.LTD. HG LE ---PAGE END---