mobile+919998100555
                                                                                                                               phone+912652481991
Parikh Associates
                                                                                                                               parikh.associates@yahoo.com

chartered engineer.                                                                                                21,Padmavatinagar.VIP Road,
surveyor,                                                                                                                Karellbaug.Vadodara-390018
loss assessor,
valuer,
risk management
                                                                                                                               License no.SLA/72618,valid upto Nov.2021


                                                                               INVOICE

      INVOICENO.:                   211610                                                                   Date:  23.10.2020
      REPORT NO.                   BAG/2021/1609
      To,
      BAJAJ ALLIANZ GENERAL INSURANCE CO LTD
       4TH FLOOR ATLANTIS HIGHTS
      NR SARABHAI CIRCLE
      VADODARA
      RECIPIENTID                    24AABCB5730G1Z3

      INSURED:                         CHETANBHAI PARMAR                                              INTEREST GJ36L4333
                                                                                                                                             120
      POLICY NO:                    OG-20-2204-1870-00000056
      CLAIM NO                      OC-21-2204-1870-00000421
      INSURER:                        BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
      APPOINTED BY:               BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
     SR.NO.       DESCRIPTION                                                HSN/SAC         RATEQty.       AMOUNT
                                                                                             Code
              1         PROFESSIONAL SURVEY CHARGES
                         FINAL                                                                             1,500.00             1              1,500.00
                         RE-INSPECTION
             2         CONVEYANCE CHARGES                                                                         o

             3         PHOTOGRAPHS                                                                                        0
                         DIGITAL CD
             4         OUT OF POCKET EXPENSES
                         TOLL TAX/PHOTOCOPIES
                         HALTING                                                                                                   0
                                                                            SUB TOTAL                                                             1,500.00
                                                                                   CGST                       9.00%                              135.00
                                                                                    SGST|                       9.00%                              135.00
                         ROUNDING OFF
                                                                      GRAND TOTAL                                                                  1,770
     RUPEES        ONE THOUSAND SEVEN HUNDRED AND SEVENTY ONLY.
     Our Bank Detail:
     Bank          ICICI Bank Ltd.                                                                                             KH
     Bank Br.     Karelibaug                                                                                        FOR PARIKH ASSOCIATES
     C.A/c no.  024805001738                                                                                      *         PDP
     IFSC Code:ICIC0000248
     PAN NO.    AFTPP 4625 C                                                                                               PRAKASH PARIKH

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