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 INVOICE NO. 1832/20-21 DATE: 09-Mar-21 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, PLACE OF SUPPLY: GUJARAT Baroda. GUJARAT INDIA STATE OF SUPPLY: GUJARAT PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING, OUR JOB REF.NO. #21020623 INSURED/Vehicle No. Mr.Dinesh Tadvi/GJ 22 B 7947 POLICY NO./Claim no. OG-21-2203-1802-00010521 /OC-21-2201-1802-00000953 DATE OF SURVEY 12-02-2021 PLACE OF SURVEY At Narma Motor Garudeshwar DESCRIPTION OF SERVICE CHARGES AMOUNT PROFESSIONALSURVEY FEES: ASSESSED LOSS Rs.3500.00 Rs. 350.00 CONVEYENCE(TO&FRO): 200 KMS. @ Rs. 7.50 Rs. 1500.00 HALTING ALLOWANCE : Rs. 0.00 PHOTOGHRPHS/CD @40/-: 1 NOS. @ Rs. 40.00 Rs. 40.00 OTHERS(INCEDENTALIF ANY): Rs. 0.00 SUBTOTAL TAXABLE : Rs. 1890.00 HSN/SAC CGST @ 9% Rs. 170.00 CODE TAXES (00440169) SGST @ 9% Rs. 170.00 997162 IGST @ 0% Rs. 0.00 TOTALAMOUNT WITH TAX - Rs. 2230.00 Amount In Words : TWO THOUSAND TWO HUNDRED THIRTY ONLY HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 1890.00 9% 170.00 9% 170.00 0% 0.00 TOTAL TAX Rs. 340.00 THREE HUNDRED FORTY ONLY BANK DETAILS FOR PAYMENT BANK NAME : BANK OF BARODA BRANCH : AKOTA MINESH V.SHAH IFSCCODE : BARBOAKOTAX (SURVEYOR/LOSS ASSESSOR) SLA LIC.No.SLA 63819/18-21 2819-18-2 MICRCODE: 390012021 ALOSST CURRENTA/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 ---PAGE END---