SAPINSURANCE SURVEYORS & LA PVT.LTD.

206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S G ROAD,THALTEJ,
AHMEDABAD.380 059.PHONE (O) 40034803, E Mail : sapsurveyors05@gmail.com
Surveyor,Loss Assessor & Valuer.                             Lic.No.SLA 72495,Dt. of Exp. 13-09-2023
AJAY P.SHARMA                                                     PARAG D.SHAH
D.A.E.                                                                        D.A.E.
Surveyor,Loss Assessor & Valuer.                             Surveyor,Loss Assessor & Valuer.
Lic.No.SLA 17753,Dt. of Exp.01-02-2024                  Lic.No.SLA 25959,Dt.of Exp.07-11-2022
Mobile 98250 65858                                                  Mobile98250 68799
PAN No :AAICS9971M                TAX INVOICE        GSTIN :24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co.Ltd.,                  Invoice No.           SAP/0771/20
IV th Floor Turquoise Building,                                   Invoice Date         17/03/2021
Panchvati Cross Roads,C.G.Road,                            Policy No.            OG-21-2202-1803-00000248
Ahmedabad 380006.                                                  Claim No.             OC-21-2202-1803-00000844
GSTIN :24AABCB5730G1Z3                                    Insured                M/s Hasti Petro Chemical & Shippir
State :GujaratCode : 24                                        Make & Regn.No.AL 3516 /07         GJ-01-BY-5845
Sr.        Description of                            Taxable           CGST                  SGST
No.   Services Provided    SAC Code     Value      Rate  Amount  Rate   AmountTotal Amount
  1  Survey Fees.                       997162        750.00     9          67.50     9          67.50               885.00
  2  Local Expenses.                  997162                        9                         9
  3  Travel Expenses-60 Km      997162       420.00     9          37.80     9          37.80               495.60
  4  Out Station Expenses.        997162                        9                         9
  5  Photograph Expenses.        997162                        9                         9
  6  Reinspection Fees.              997162                        9                         9
  7  Local Expenses.                  997162                        9                         9
  8  Photograph Expenses.        997162                        9                         9
            Total Value                                     1170.00                105.30                 105.30             1380.60
   Total Value (in Words)One Thousand Three Hundred Eighty & Paise Sixty Only.
Bank Details :                                                                            Total Amount Before Tax              1170.00
Name :HDFC Bank Ltd.                                                                                 Add:CGST               105.30
A/C No :00482560002667                                                                             Add:SGST                105.30
RTGS/NEFTIFSC:HDFC0000048                                                      Total Tax Amount               210.60
                                                                                                     Total Amount After Tax              1380.60
                                                                                                  GST on Reverse Charge
                                                                         For,SAP INSURANCE SURVEYORS & L A P.LTD.

                                                         LIC No.
                                                        SLA 72495
                                                                                           AUTHORISED SIGNATORY

---PAGE END---