TAX INVOICE MINESH VALLABHDAS SHAH LICENCE NO. -SLA/63819 Surveyor-Loss Assessors-Valuer-Investigator EXP.DATE : 26/04/2021 FIRE-MOTOR-MARINE(C)-ENGINEERING-MISC. IIISLA MEMBERSHIP NO.: F/W/01143 CONTACT :98240 32094 Email: mvshah2@gmail.com OFFICE97238 15456-BARODA mvshah2@rediffmail.com OFFICE :9824444179-BHARUCH GSTIN NO. 24AHNPS2949A1ZA PAN No.:AHNPS2949A INVOICENO. 1356/20-21 DATE: 08-Oct-20 BILLED TO, M/s.Bajaj Allianz General Insurance Co.Ltd BUY.GSTIN NO 24AABCB5730G1Z3 4th Floor,Atlantis Hetitage,B/h Atlantis Heights PAN No.: AABCB5730G Opp. Swagat petrol pump, Sarabhai Main Road, PLACE OFSUPPLY: GUJARAT Baroda. GUJARAT INDIA STATE OF SUPPLY: GUJARAT PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING, OUR JOB REF.NO. #20090239 INSURED/Vehicle No. MR.SALIMAHMED SHAIKH/GJ 16Z5486 POLICY NO./ Claim no. OG-20-2225-1803-00003063 /OC-21-2201-1803-00000124 DATE OF SURVEY 16/09/2020 ONWARDS PLACE OF SURVEY AT AKRAM AUTO GARAGE PANOLI DESCRIPTION OF SERVICE CHARGES AMOUNT PROFESSIONALSURVEY FEES: ASSESSED LOSS Rs.40000.00 Rs. 1000.00 CONVEYENCE (TO&FRO): 1 KMS. @ Rs. 450.00 Rs. 450.00 HALTING ALLOWANCE : Rs. 0.00 PHOTOGHRPHS/CD @ 40/-: 1 NOS. @ Rs. 40.00 Rs. 40.00 OTHERS(INCEDENTALIF ANY) : Rs. 0.00 SUB TOTAL TAXABLE : Rs. 1490.00 HSN/SAC CGST @ 9% Rs. 134.00 CODE TAXES (00440169) SGST @ 9% Rs. 134.00 997162 IGST @ 0% Rs. 0.00 TOTALAMOUNT WITH TAX - Rs. 1758.00 Amount In Words : ONE THOUSAND SEVEN HUNDRED FIFTY EIGHT ONLY HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 1490.00 9% 134.00 9% 134.00 0% 0.00 TOTAL TAX RS. 268.00 TWO HUNDRED SIXTY EIGHT ONLY BANK DETAILS FOR PAYMENT BANK NAME : BANK OF BARODA BRANCH : AKOTA MINESH V.SHAH IFSCCODE BARBOAKOTAX (SURVEYOR / LOSS ASSESSOR) LIC.No.SLA 63819/18-21 MICR CODE 390012021 1OS CURRENT A/C.NO.06760200000417 Advance receipt. MINESH V.SHAH E& O.E-Subject to Vadodara Jurisdiction (PROPRIETOR) ADDRESS : * 101, Kanha Appt.,52, Purshottam Nagar, Urmi Cross Road., Akota, Vadodara -390020 ---PAGE END---