SAP INSURANCE SURVEYORS & L A PVT.LTD. 2O6,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,SG ROAD,THALTEJ, AHMEDABAD.380 059.PHONE (O) 40034803,E Mail :sapsurveyors05@gmail.com Surveyor,Loss Assessor & Valuer. Lic.No.SLA 72495,Dt. of Exp.13-09-2023 AJAY P.SHARMA PARAG D.SHAH D.A.E. D.A.E. Surveyor,Loss Assessor & Valuer. Surveyor,Loss Assessor & Valuer. Lic.No.SLA 17753,Dt.of Exp.01-02-2024 Lic.No.SLA 25959,Dt. of Exp.07-11-2022 Mobile 98250 65858 Mobile :98250 68799 PAN No :AAICS9971M TAX INVOICE GSTIN :24AAICS9971M1ZJ To, Bajaj Allianz General Insurance Co. Ltd., Invoice No. SAP/0652/20 IV th Floor Turquoise Building, Invoice Date 13/02/2021 Panchvati Cross Roads,C.G.Road, Policy No. OG-21-2202-1803-00007382 Ahmedabad 380006. Claim No. OC-21-2202-1803-00000640 GSTIN :24AABCB5730G1Z3 Insured Mr.Jayprakash Babubhai Prajapati State :GujaratCode :24 Make & Regn.No.Eicher Pro 1095/GJ-01-FT-9129 Sr. Description of Taxable CGST SGST No. Services Provided SAC Code Value Rate Amount Rate Amount Total Amount 1 Survey Fees. 997162 2500.00 9 225.00 9 225.00 2950.00 2 Local Expenses-03 visit 997162 1050.00 9 94.50 9 94.50 1239.00 3 Travelling Expenses. 997162 9 9 4 Out Station Expenses. 997162 9 9 5 Photograph Expenses. 997162 9 9 6 Reinspection Fees 997162 9 9 7 Local Expenses. 997162 9 9 8 Photo Expenses. 997162 9 9 Total Value 3550.00 319.50 319.50 4189.00 Total Value (in Words)Four Thousand One Hundred Eighty Nine Only. Bank Details : Total Amount Before Tax 3550.00 Name:HDFC Bank Ltd Add:CGST 319.50 A/C No :00482560002667 Add:SGST 319.50 RTGS/NEFTIFSC:HDFC0000048 Total Tax Amount 639.00 Total Amount After Tax 4189.00 GST on'Reverse Charge For,SAP INSURANGESURVEYORS & L A P.LTD. LC SL 2495 ---PAGE END---