ARVIND KUMAR (SURVEYOR& LOSS ASSESSOR) B-04,Mellford CityOpp.Nand Vihar ColonyRohta Road,Meerut(U.P)-250001 License No :SLA 74002 Mobiles):9760025714,8267972592 Valid Up to 17.06.2022 E- Mail id: bajajarvindkumar@gmail.com PAN No. : AKHPK8427G Bank Name ICICI BANK LTD. GSTIN No. : 09AKHPK8427G1ZW Bank A/C No. : 003701508594 Bill No. BAJAJ/09/2020/2574 HSN/SAC Code:997162 Date: 01/09/2020 SURVEY FEES BILL (PRE - RECEIPTED) Insurer BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD. GSTIN No. 07AABCB5730G1ZZ Address BLOCK -04,TH FLOOR,DLF TOWER SHIVAJI MARG,NEW DELHI--110015 Vehicle No. UP-12-AS-2574 Insured :Mr.SUSHIL Policy No. OG-20-4254-1802-00000298 Claim No. OC-21-1103-1802-00001267 Professional fee 400.00 Conveyance for Visiting Jansath (Final) 750.00 1150.00 Add IGST @ 18.00 % 207.00 Total 1357.00 (Rupees one thousand three hundred fifty seven only) Professional fee & conveyance charged for Jansath (Single visit= 50Km*2 @Rs.7.5 /Km=Rs.750.00). ARVINDKUMAR S R 74002 I --------------PAGE END-----------------------