"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Lid
202-203,2nd Floor,Abhishree Adroit,Nr.Gwaliya Sweets,Mansi                                                          PRIORITY
Cross Road,Vastrapur, Ahmedabad,Gujarat 380015
Phone #: +91 7940029357
Email : accounts@prioritysurveyors.co.in
                                                                         Tax Invoice
To,                                                                                                                  Invoice No3111-2101-0119
Bajaj Allianz General Insurance Company Ltd                                                    Invoice Date : 28/01/2021
4nd Floor,Turquoise ,Near Panchvati Circle,CG Road
 EllisbridgeAhmedabad.


State       : Gujarat (Code -24)
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Ashok Leyland                             Vehicle Number          GJ-01-HT-8093
Policy #                      OG-21-1501-1812-00000379         Nature Of Loss           Own Damage
Claim #                      OC-21-2202-1812-00000016         Type of Vehicle           Bus

 SR.NO.                            DESCRIPTION                               QTY.         UNIT         RATE         AMOUNT
       1      Survey Fees                                                                1           Each        1000.00               1000.00
       2      Local Conveyance Charges -1st Visit                              1            Each         250.00                 250.00
                                                                                                            Sub Total                                 1250.00
                                                                                                            CGST @    9.00%                      112.50
                                                                                                            SGST @    9.00%                      112.50
                                                                                                            Grand Total                              1475.00
                                                                                                            Say                                            1475
                                      INR :ONE THOUSAND FOUR HUNDRED SEVENTY FIVEONLY

E. and O.E.                                                                           Bank Details
Subject to Ahmedabad Jurisdiction                                       Bank Name      : HDFC Bank Lid
GSTIN No                          : 24AAECP6441K1ZB                    A/C No           00692560008630
HSN/SAC Code                  : 997169                                      IFSC Code      :HDFC0000069
PAN NO                             : AAECP6441K                             Micro Code      380240005
Survey License No              72461/2018-2021                      Branch            : Ashram Road, Ahmedabad
Corporate Identity Numberr: U74120GJ2008PTC053700
For Priority Insurance Surveyors & Loss Assessors Pvt.Ltd


Authorized.Sionokef

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