Tax Invoice
MOHAMMED UVESH .V. MALVAT Invoice No : 927
Surveyor & Loss Assessor (Moter)
Dated : 21-Oct-2020
Lic No SLA73478 Valid Upto August 2023
88 Sarani Society 132' Ring Road Insured Name : TAUFIK MEMAN
B/h APMC MARKET Vasna ToInaka
Ahmedabad Claim No : OC-21-2202-1803-00000299
GSTIN/UIN: 24AMHPM9424B1Z9
Contact : 9898070189 9925007717 Policy No : OG-20-2234-1803-00000708
E-Mail : uveshmalvat@gmail.com
Make and Model : TATA SFC 909 EX
Motor Vehicle No : GJ07UU8409
Shipped To Party Billed To Party
BAJAJ ALLIANZ GIC LTD BAJAJ ALLIANZ GIC LTD
4TH FLOOR, TURQUOISE BUIL , NEAR 4tH FLOOR, tURQUOISE BUIL ;, NEAR
PANCHVAtI , CROSSROAdS, C,G. ROAd
PANCHVATI , CROSSROADS, C,G. ROAD
AHMEDABAD 380006
AHMEDABAD 380006
State Name : Gujarat, Code : 24
State Name : Gujarat, Code : 24 GSTIN/UIN : 24AABCB5730G1Z3
GSTIN/UIN : 24AABCB5730G1Z3 PAN/IT No
:
PAN/IT No : Place of Supply : Gujarat
SI Description of Goods HSN/SAC GST Amount
No. Rate
1 01.01 Profesnal Fees997162 18 % 1,000.00
2 01.02 Conyances Charges 997162 18 % 750.00
SURVEY AT BAREJA
3 C GST 157.50
4 S GST 157.50
Total ? 2,065.00
Amount Chargeable (in words) E. &0.E
Indian Rupees Two Thousand Sixty Five Only
HSN/SAC Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount
997162 1,750.00 9% 157.50 9% 157.50 315.00
Total| 1,750.00 157.50 157.50 315.00
Tax Amount (in words) : Indian Rupees Three Hundred Fifteen Only
Company's PAN : AMHPM9424B
Declaration Company's Bank Details
We declare that this invoice shows the actual price of the Bank Name : 06.01 ICICIBANK
goods described and that all particulars are true and A/c No. : 034401511645
correct. Branch & IFS Code : Vasna Ahmedabad & ICIC0000344
Customer's Seal and Signature for MOHAMMED UVESH .V.MALVAT
VO
TVEOL
O Authorised Signatory
SUBJECT TO AHMEDABAD JURISDICTION O SLA73478 A
AHMEDABAD
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