Manoj Jain                                                                                234845 (Resi.)
     Fire,MotorEnginnering                                                              Mobile       9425087045
     Surveyor & Loss Assessor                                                                 7693087045
     Investigator& Valuer                                                          Shreeji Nagar
     Email : manoj_jain_2001@yahoo.com                                                   Behind Vrandavan Colony
     GSTIN :23AEDPJ2084E1ZZ                                                 Khargone - 451001
                              Central Govt. Lic. No. SLA-40879 ( Valid Up To 20th May 2021)
    Ref :Bajaj        323/020                                                                     Date:       05.03.2021
                                                          Professional Fee Bill

    To
            The Manager
            Bajaj Allianz General Insurace Co. Ltd.
            Cust GSTIN/UIN :23AABCB5730G1Z5
    1     Particular                              :             MP 46 MP 4953
    2     Policy ICovernote No.             :             OG-21-2302-1802-00000922
   3     Claim No.                              :             OC-21-2302-1802-00000365
   4     Place/Date of occurrence       :             29.01.2021
   5    Insured                                 :             SHRI KRISHNA JI
                         Particular                                                                 Amount
   1     Professional Fee                                          5267                           750.00
           Reinspection Fee
  2    Photographs CD                                                                              50.00
   4     Travelling Expanses                                                                        300.00
  5     Daily Allowance                     @5001-
  6     Misc Expanses
                                                                    Total                                 1100.00
                                       CGST @                          9%                             99.00
                                       SGST @                          9%                             99.00
                                       Total Tax                                                          198.00
                                                                    Total                                 1298.00
 Rs. One Thousand Two Hundred & Ninety Eight Only
        Advance Receipt                                                                                 DAIR
                                                                                                              (Manoljain
                                                                                                                 Suryeyor
Bank A/c No. 0287000100070315
Bank Name : Punjab National Bank Khargone
                                                                                                               70

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