Er. KANHAIYA CHAUHAN
      Govt.Approved
SURVEYOR & LOSS ASSESSOR
INVESTIGATER,VALUER & CLAIM ADVISER
SPECIALIST IN MOTOR CLAIM`S
GST NO 09AENPC3685E1ZD
PAN NO. AENPC3685E
LICENCE NO.SLA-120150
BILL NO. /Final /BAJAJ ALLIANZE /631/23-24	       DATE 31.12.2023
  INSURERS	      :  BAJAJ ALLIANZ General Insurance Ltd.
  ADDRESS THE SILVER LINE ,11/9,CIVIL LINES KANPUR
  GST NO	    09AABCB5730G1ZV
  INSURED	       : Mr. RAVEEN YADAV MODEL ROYAL ENFILED CLASIC 350
  POLICY/COVER NOTE     : OG-23-1302-1826-00045398 VEHICLE NO. UP 74 AH 5169
  CLAIM NO.   OC-24-1301-1826-00009856
  DATE OF ACCIDENT      : 25.11.2023      DATE OF SURVEY 08.12.2023
						  Amount (Rs[Pa.
1. Survey fee				       750    00
    -Survey	200  Km Kanpur to Sampuranta Automobiles
2						  1600
  Conveyance Kannauj and back @ Rs 8/Km		    00
							  00
3 Total_fee					2350
4CGST		  9% of total fee	    211.5
5 S GST		9% of total fee	    211.5
6 Toll Tax
					    G Total[ 2773  00
  Total fee amount Two Thousand Seven Hundred Seventy Three only
  Cheque No :		       Bank A/c No.20006890666
						  Stae Bank of India
  Date:			    Phool Bagh Branch kanpur
  E.&O.E.			       Kanhaiya Chauhan SLA-120150
							      ACHA
							       K
							   SLA-120150}

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