VISHALVISHWAS KODULKAR Insurance Surveyor &Loss Assessor DNK Business ayOffice No-30 Motor-B"Grade 5th FloorSr No-22 License No:SLA.74735 Katraj-Kondhwa Road,Katraj-46 Date of Expiry March 2023 Mob No :7040427707 SLA NoA/W/08527 DATE:14/09/2021 BILL No-8804 Survey Fee Bill Cum Receipt BAIAI ALLAINZ GIC LTD ADDRESS:IST FLOOR TOWER 1COMMERZONE SAMARTH ASHOK PETH YERWADA PUNE STATE:MAHARASTRA STATE CODE:27 GSYIN NO27AABCBS730G1ZX Name ofW/S RST CHOK E Calm No OO-22-2001-1801-00X03540 Insured Name VISNAL Vehicie No MSPHESIS SACCODE Charges SR No Service Discreption Professional FeesAssessed Loss 997261 1250 1 23973) 997261 750 2) Travelling Charges 997261 0 3) PHOTO Charges- 997261 0 4) Reinspection Charges 2000 SUS TOTAL: 180 Add CGST@9%ONTotal(GST No27AXVPK7189A1ZX) 180 Add CGST@9XONTotal(GST No27AXVPK7189A1ZX GRAND TOTAL 2360 Two Thousand Three Hundred and Saty Rs OnYy Yours Sincerely, VishalV Kodulkar. Pan No:AXVPK7189A GSTIN NO:27AXVPK7139A1ZX T --------------PAGE END-----------------------