mobile+919998100555
Parikh Associates                                                                          phone+912652481991
                                                                                                                        parikh.associates@yahoo.com
chartered engineer,
                                                                                                                        21.Padmavatinagar.V1.P Road,
surveyor,
loss assessor,                                                                                                    KarelibaugVadodara-390018.
valuer,
risk management
                                                                                                                        License no.SLA/72618.valid upto Nov2021
                                                                       INVOICE

   INVOICENO.                   212195                                                               Date:   09.02.2021
   REPORT NO.:                  BAG/2021/1989

  To.
   BAJAJ ALLIANZ GENERALINSURANCE CO LTD
   4TH FLOOR ATLANTIS HIGHTS
   NR SARABHAI CIRCLE
   VADODARA
   RECIPIENT ID                   24AABCB5730G1Z3                                STATE CODE:-24

  INSURED:                       SAPNABEN H APTEL                                                INTEREST GJO6AZ2837
                                                                                                                                  DOST
  POLICY NO:                   OG-21-2201-1803-00000388
  CLAIMNO                    OC-21-2201-1803-00000255

  INSURER:                        BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.

  APPOINTED BY:              BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
  SR.NO.      DESCRIPTION                                             HSN/SAC        RATEQty.      AMOUNT
                                                                                     Code
                     PROFESSIONAL SURVEY CHARGES
                     FINAL                                                                           750.00            1               750.00
                     RE-INSPECTION                                                                                    1
         2        CONVEYANCE CHARGES                                                                     o
                    3 VISITS AT NH-8 19*2=38KM                                               7.50          76              570.00
         3        PHOTOGRAPHS                                                                                   o
                     DIGITAL CD                                                                    40.00                               40.00

          4        OUT OF POCKET EXPENSES
                    TOLLTAX/PHOTOCOPIES
                    HALTING                                                                                            0                   :
                                                                     SUB TOTAL                                                          1,360.00
                                                                            CGST                      9.00%                            122.40
                                                                            SGST|                      9.00%                            122.40
                    ROUNDING OFF
                                                               GRAND TOTAL                                                              1,605
  RUPEES        ONE THOUSAND SIX HUNDRED AND FIVE ONLY.

  Our Bank Detail:
  Bank          ICICI Bank Lta.
  Bank Br.      Karelibaug                                                                                  FOR PARIKHASSOCIATES
  C.A/c no.  24805001738                                                                                        PpOseNa
  IFSC Code:ICIC0000248
  PANNO.AFTPP 4625 C                                                                                          PRAKASH PARIKH

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