Licence No. SLA/22774                                                                                                 Mobile No. : 9829061788
Valid upto 8th March 2022                                                                                          Phone 2611275,2617371
Surveyor & Loss Assessore of Motor, Fire                                                                               ASHWANI BERI
Marin Miscellaneous                                                                                                SURVEYOR & LOSS ASSESSOR
                                                                                                                                            B - 13, Govind Marg
                                                                                                                                        Near Sindhi Ice Factory
                                                                                                                              Adarsh Nagar, Jaipur - 302 004
                                                            BILL
Bill No. :    3212
                                                                                  M/s. : Bajaj Allianz General Insurance Co. Ltd.
Date           15-Jan-21                                                            2nd & 3rd floor, 4 Hathroi Fort, Gopalbari, Ajmer Road,
                                                                                            GST No- 08AABCB5730G1ZX
Claim No.          OC-21-1401-1803-00000449
 Policy No        : OG-21-1401-1803-00002047
Insured Property : RJ-14-GB-5549
                                                                                        Date of Accident:                    20-12-2020
Insured Name : M/S SHANKAR GOLDEN TRANSPOR              Date of Survey                       29-12-2020
                                                        PARTICULARS                                                                         AMOUNT
(a) Professional Fee                                                                                                                             1,500.00
(b) Halting Allowance
 Conveyance (Local)                                                                              2 Visits @350/-                        700.00
(c) Photo Charges - CD                                                                                                                            50.00
(d) Fare From
    By
    Distance                            (Visits)
                                                                                                                                                          2,250.00
GSTIN 08ABPPB2007A1ZE                                                     Add  : CGST @ 9%                                   202.50
PAN No.ABPPB2007 A                                                           Add. :SGST@ 9%                                   202.50
                                                                                            Add. :IGST @ 18%
                                                                                                              Total                                   2,655.00
PUNJAB NATIONAL BANK
247, MANISH MANSION, FRONTIER COLONY, ADARSH NAGAR, JAIPUR-302 004
A/c Name Mr. Ashwani Beri A/c No.4079000100005077
IFS Code PUNB0407900, MICR No. 302024025
                                                                                                                           S
                                                                                                                                  HWANI BERI

---PAGE END---