HEMANT R. PANCHAL Surveyor & Loss Assesor A-203, 2nd floor, Rushi Complex, Beside Hari Om Petrol Pump, L.P. Savani Road, Adajan, Surat - 394510. Mobile: 98244 -75769. Lic. No. 58125 Valid upto 30/01/2026. SURVEY BILL To, Bajaj Alianz Gen. Ins. Co. Ltd. Gujarat GST No. 24AABCB5730G1Z3 Bill / Ref. No. : 1359 /23-24 Date: 23-03-2024 Policy No OG-23-2203-1825-00001223 Claim No OC-24-2203-1825-00002363 Insured PRATIMAKUMARI SOLANKI Vehicle no. GJ19BJ2424 Amount Rs. Rs. 01. Survey Fees 7,500 02. Out Station Allowance 03. Travelling & Conveyance charges 250 04. Photographs Charges 40 05. Other Exps. 7,790 Add: GST CGST 09% 701 GST No. 24AIWPP4714A1ZA SGST 09% 701 PAN no. AIWPP4714A IGST 00% - ADVANCE RECEIPT Total Rs. 9,192 &VAL HEMANT R. PANCHAL ---PAGE END---