"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Ltd
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 No3111-2101-0109
Bajaj Allianz General Insurance Company Ltd                                                  Invoice Date : 06/03/2021
4nd Floor ,Turquoise ,Near Panchvati Circle, CG Road
,Ellisbridge, Ahmedabad.


State       : Gujarat ( Code - 24 )
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
                                AMENITY FOOD AND
Insured                                                                     Vehicle Number          GJ-24-V-7342
                                BEVERAGES
Policy #                     OG-20-2211-1803-00000614         Nature Of Loss           Own Damage
Claim #                     OC-21-2202-1803-00000683         Type of Vehicle          Truck

 SR.NO.                           DESCRIPTION                              QTY.        UNIT        RATE        AMOUNT
      1      Survey Fees                                                             1           Each       1000.00              1000.00
      2      Local Conveyance Charges - 1st Visit                            1           Each        350.00                 350.00
      3      Local Conveyance Charges - 2nd Visit                           1           Each        350.00                 350.00
                                                                                                       Sub Total                               1700.00
                                                                                                       CGST @   9.00%                     153.00
                                                                                                       SGST @   9.00%                     153.00
                                                                                                       Grand Total                            2006.00
                                                                                                       Say                                          2006
                                                         INR : TWO THOUSAND SIX ONLY

E. and O.E.                                                                       Bank Details
Subject to Ahmedabad Jurisdiction                                     Bank Name     : HDFC Bank Ltd
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 Number  U74120GJ2008PTC053700
For Priority Insurance Surveyors & Loss Assessors Pvt. Ltd
                                                      LOSS


Authorized Signatory      PPT
                                                    L10

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