PARESH KOTHARI
                                          Approved Consulting Automobile and Engineering Surveyor, Loss Assessor & Valuer
S.L. NO. SLA -66761                                                                                                                     2C SONAL APRTMENT,
Dt. Exp. : 29-11-2021                                                                                                                   2 MARUTINAGAR,
Mobile :9825072771                                                                                                                   NEAR AIRPORT,RAJKOT -360001
pareshkothari1@gmail.com
                                                                               Survey Fee Bill
To,
       Bajaj Allianz General Insurance Co. Ltd.                                                          Bill. No : B-07-20-03759
       VADODARA                                                                                                    Date   22/07/2020
       4O1,ATLANTIS HERITAGE,OPP.SWAGAT PETROL PUMP,SARABHAI MAIN     Code :
       ROAD, NEAR GENDA CIRCLE
       GSTIN: 24AABCB5730G1Z3               State Code : Gujarat (24)
                  Report Ref No                     VKP/BAGI/V-1699-/07-20/F/03797
                  Vehicle No.                   :    GJ 3 BV 1699
                  Insured Name               :    Mr. SIS Prosegur Holding Private Ltd
                  Date Of Accident          :    01-May-20
                  Policy/cover note no     :    OG-20-1105-1811-00001070
                  Claim No                      :    OC-21-2204-1811-00000001

   S No                                        Particulars                                                 HSN/SAC                                Amount 
      1    Final                                                                                                 997162                                     1,800.00
                     Professional Fee :       Assessed Amount & 60,915.00                                      1,500.00
                     Photos/CD Expenses :                                                                                          50.00
                      1 Photographs , Charged for 1 @ Rs.50.00
                     Conveyance Expenses :                                                                                      250.00

                                                                                                                                       Sub Total :             1,800.00
                                                                                                                                  C GST @ 9.00 %                162.00
                                                                                                                                   S GST @ 9.00 %                162.00
               ADVANCE RECEIPT                                                                                    Grand Total :              2,124.00
                                                                                                                                       Round off :             2,124.00
                                               In words : Rs. Two Thousand One Hundred Twenty Four Only
   GSTIN: 24ADNPK4533G1ZM State : (24)                                                                             Ae0
   PAN. : ADNPK4533G                                                                                                            Paresh Kothari
                                                                                                            PARESH KOTHARI
   Bank Name : Bank of Baroda
   A/c No.             7460100005184                                                                                                          MI
   MICR No          360012006                                                                                                 orvevonand Assesse

---PAGE END---