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
OFFICE:97238 15456-BARODA                                                        mvshah2@rediffmail.com
OFFICE :9824444179-BHARUCH
GSTIN NO. 24AHNPS2949A1ZA                                      PAN No.:AHNPS2949A
  INVOICENO.  1371/20-21                                                    DATE:     12-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,           PLACEOF SUPPLY:   GUJARAT
Baroda.                       GUJARAT                   INDIA           STATE OF SUPPLY :  GUJARAT
PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING,
 OUR JOB REF.NO.                                  #20050001
INSURED/Vehicle No.                           M/s.Fastrack Courier & Cargo /GJ 16 AU 5092
POLICY NO./Claim no.                          OG-20-2202-1803-00021332/OC-21-2203-1803-00000005
DATE OF SURVEY                              :    16/05/2020 onwards
PLACE OF SURVEY                                  At Vimco auto Bharuch
DESCRIPTION OF SERVICE CHARGES                                                                              AMOUNT
PROFESSIONALSURVEYFEES:    ASSESSED LOSS Rs.450000.00                            Rs.              5000.00
 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.               5490.00
      HSN/SAC                                                                         CGST     @         9%  Rs.                  494.00
         CODE                         TAXES (00440169)                     SGST     @         9%  Rs.                  494.00
        997162                                                                           IGST      @         0%  Rs.                      0.00
                                                                                 TOTALAMOUNT WITH TAX -   Rs.                6478.00
    Amount In Words :    SIX THOUSAND FOUR HUNDRED SEVENTY EIGHT ONLY
      HSN/SAC            TAXABLE             CENTRAL TAX                STATE TAX                INTERSTATE TAX
         CODE                  VALUE             RATE      AMOUNT       RATE        AMOUNT        RATE        AMOUNT
        997162               5490.00             9%         494.00         9%          494.00          0%            0.00
   TOTAL TAX RS.           988.00        NINE HUNDRED EIGHTY EIGHT ONLY
BANK DETAILS FOR PAYMENT
BANK NAME :       BANK OF BARODA
BRANCH       :      AKOTA                                                                                                                 HV.SH
                                                                                                               MINESH V.SHAH
IFSCCODE    :      BARBOAKOTAX                                                           (SURVEYOR /LOSS ASSESSOR)       SLA
                                                                                                               LIC.No.SLA 63819/18-21           9.18
 MICRCODE:      390012021                                                                                                           LOSS
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

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