NAGESH. S. DHUMAL
 Automobile Surveyor, Loss Assessor & Valuer                                             D.A.E., B.A.
                                                                                                         A-25, First Floor, Office No.6 ,Gurrukripa CHS,
 Licence No. : SLA - 74742               Valid Upto :22/03/2023                           Sector 03, Sanpada (E), Navi Mumbai - 400 705
                                                                                                         022-27753336,2775 3405,Mob No. 9833490051
                                                                                                         Email ID:surveyor.nsd@gmail.com
                                                                        FINAL SURVEY BILL
Bill No.      : BA-0000733/2019-2020                                                                Date        : 08/05/2020
                                     Bajaj Allianz General Insurance Company Ltd.
ISSUED TO
DIV./BRANCH                    MUMBAI
INSURED                         CARRYING CORPORATION OF INDIA
VEHICLE NO.                    HR 46 C 6072
POLICY NO.               :                                                           CLAIM NO. :          OC-20-1901-1803-00004633
SURVEYED AT            :    on Dt. : --

             Professional Fees                                                                                               Rs.:                   1100.00
             Photograph (at Rs. 15.00 x 0 Copy)                                                                      Rs.:                        0.00
              Traveling Expenses 210 km.@ Rs. 7.5.00 (70 km x 3 visits)                                            Rs.:                   1575.00
             Toll Charges                                                                                                     Rs.:                        0.00
             Doc. Veri. Char.                                                                                                 Rs. :                        0.00
                                                                                                    Total                      Rs. :                   2675.00
              18% GST on Rs. 2675                                                                                          Rs.:                    481.00
             Rounded to Nearest Rupees :                                              Net Total                      Rs. :                   3156.00
              Rupees :THREE THOUSAND FIFTY SIX ONLY
GST No.                   : 27AOMPD6250M1ZM

BAGIC GST NO : 27AABCB5730G1ZX
                                                                                                                       NAGESH. S. DHUMAL
Advance Receipt

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