VivekRumar M. Desai
			Surveyor & Loss Assessor.(Motor
Licence No.: S.L.A.73760			    Address: 29, Anand Nager Society, Morabhagal,
Valid upto: 03rd Oct.2024.			    Rander Road, Surat - 395005.
Licentiate Membership No :L/W/06452 (M)9879666447 & E-Mail: desaivivek29@gmail.com
			       SURVEYFEEBILL
					  TAX INVOICE
To,			   BILL NO.	 7098
Bajaj Allianz General Insurance Co. Ltd. Regional Office. Ref. Number. 7098 -06-2024-25
4th Floor, Atlantis Heritage     DATE      17-06-2024
Opp-Swagat Petrol Pump, Policy issuing office: Bajaj Allianz General Insurance Co. Ltd. (Regional Office).
Sarabhai Road,Vadodara -390007 Office Code
     GSTIN No. 24AABCB5730G1Z3 Claim No OC-25-2203-1803-00000195
REPORT NO VD/BAGIC/06/2024/7098			  DATE OFLOSS   19-May-2024
INSURED SANJAY VISHWAKARMA			     DATE OF SURVEY  22-May-2024
POLICY NO. OG-24-2202-1803-00033900
VEHICLE REGN.NO. GJ05 CX 2965    MAKE      RE COMPACT4S PLACE OF SUPPLY       GUJARAT
ESTIMATED LOSS Rs.92,060   ASSESSED LOSS		STATE OF SUPPLY       GUJARAT
DESCRIPTION			 NO.1KM	   RATE	AMOUNT
01.PROFESSIONALFEES							  Rs. 1,500.00
SPOT SURVEY
FINAL SURVEY						   Rs. 1,500.00
RE-INSPECTION
02.EXPENSES								  Rs.    500.00
PHOTOGRAPH				      Rs.	    Rs.
CONVEYANCE CHARGES		       2      Rs.    250.00  Rs.   500.00
HALTING ALLOWANCE					      Rs.
OUT OF POCKET EXPENSES (COURIER)			       Rs.
OUTSTATION TRAVELLING EXPENSES				 Rs.
	 FROM
	    TO				  Rs.	    Rs.
03.TOTALFEES:								Rs. 2,000.00
				       CGST	     @	    9%      Rs.    180.00
 HSN/SAC CODE
		TAXES (00440169)      SGST	      @	    9%      Rs.    180.00
    997162			    IGST	      @		    Rs.
TOTAL:									Rs. 2,360.00
TOTAL AMOUNT WITH TAX:						     Rs.2,360.00
						Rupeess Two Thousand Three Hundred Sixty Only
 HSN/SAC CODE      997162
	    CENTRAL TAX		  STATE TAX	       INTERSTATE TAX
     RATE	  AMOUNT	      RATE	AMOUNT	  RATE	 AMOUNT
      9%	    180.00	       9%	180.00
 TAXABLE VALUE Rs.      2,000.00
  TOTAL TAX RS. Rs.	360.00
       GSTIN No.:24AJAPD3623K1ZN		 DESAI
						M.
	PAN No.: AJAPD3623K
					   VIVEK
E&OE PRE RECEIPTED
					       SURAT	      U. M.Desq9
						       *
						  NO
							      VIVEKKUMAR M DESAI
								Surveyor & Loss Assessor.
						 tOS
 * Please quote my Ref. Number/Job No. while disbursement of the payment of ts bilf. Lic No:73760,Valid Upto:03/10/2024.

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