DEEPAK RATHIBE.
                                                                        Surveyor and Loss Assessor & Valuer
   IIISLA Member Ship No.-Associate-A/W/04882                              Fire,Motor& Engineering)
   GSTIN :08ACUPR3734N1ZO                                                                       SLA-73076
   PAN :ACUPR3734N                                                    Mobile :94149-14640, 99822-14640


                                                  PRE RECEIPT
  Bill Number: DR/08-2020/233                                                 Date: 05-08-2020
  Insurer                                     Bajaj Allianz General Insurance Company Limited
                                                 23Floor,4,Hathroi Fort,Gopal bari Ajmer road,Jaipur
                                                  GSTIN-08AABCB5730G1ZX
  Claim Number                          OC-21-1401-1801-00001192
  Insured                                    Mr. Niranjan Singh
  Policy Number                          OG-20-1402-1801-00001465
  Report number                          DR/Motor/08-2020/233
  Place of inspection                     Bharat Motors-Barmer
  Vehicle Regd. Number               RJ-04-UB-0171
  Professional Fees                                                                               1250.00/-
  Conveyance-For Final                                                                        3300.00/-
  Distance between Jodhpur & Barmer is 220.00 km.
  Total distance covered =220.00 x 2=440.00 km
  Conveyance @07.50/-=440.00x 07.50/-=3300.00/
 Photographs charges-CD                                                                        30.00/-
 DA                                                                                                   175.00/-
 Regd Letters                                                                                          0.00/-
  TOTAL                                                                                          4755.00/-
  CGST @ 09.00% = 427.95/- & SGST @09.00% = 427.95/-                                855.90/-
  TOTAL Rs/-                                                                                    5611.00/-
(Rs/- Five Thousand Six Hundred Eleven Only)
       For NEFT Fund Transfer:-
      Bank Name:Union Bank of India                                                   K
      IFSCUBIN 0550388
      A/C Number:503802010011146                                                 SAA
                                                                                                                E
      MICR Code:342026003
      GSTIN-08ACUPR3734N1ZO                              DEEPAKRATHI




            C/o. Annkoot Agro Food, T-2, Mandore Mandi, Jodhpur-342 006 (Raj.)

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