NAGESH. S. DHUMAL
 Automobile Surveyor, Loss Assessor & Valuer                                             D.A.E., B.A.
                                                                                                        A-25, First Floor, Office No.6 ,Gurrukripa CHS,
 Licence No. : SLA - 74742               Valid Upto :22/03/2023                          Sector 03, Sanpada (E), Navi Mumbai - 400 705
                                                                                                         022-27753336,2775 3405,Mob No. 9833490051
                                                                                                        Email ID:surveyor.nsd@gmail.com
                                                                        FINAL SURVEY BILL
Bill No.       : BA-000011/2020-2021                                                                  Date        : 10/07/2020
                                     Bajaj Allianz General Insurance Company Ltd.
ISSUED TO
DIV./BRANCH                    MUMBAI
INSURED                  :    TEAM GLOBAL LOGISTIC PVT LTD
VEHICLE NO.                   MH43Y2350
POLICY NO.               :                                                           CLAIM NO. :          OC-21-1901-1803-00000301
SURVEYED AT            :    M/S FIROZ KHAN TIN WORKS,JASAI      on Dt. : --

             Professional Fees                                                                                               Rs.:                   2500.00
             Photograph1(at Rs. 0.00 x 0 Copy)                                                              Rs.:                        0.00
             Traveling Expenses 140 km.70 KM TO AND FRO (2 VISIT)@ Rs. 7.50                           Rs.:                   1050.00
             Toll Charges                                                                                                     Rs.:                        0.00
             Doc. Veri. Char.                                                                                                 Rs.:                        0.00
                                                                                                    Total                      Rs. :                   3550.00
             18.00% GST on Rs.3550.00                                                                              Rs. :                    639.00
             Rounded to Nearest Rupees :                                              Net Total                      Rs.:                   4189.00
             RupeeS :FOUR THOUSAND ONE HUNDRED EIGHTY NINE  ONLY
GST      No.            : 27AOMPD6250M1ZM

BAGIC GST NO :           27AABCB5730G1ZX
                                                                                                                       NAGESH. S. DHUMAL
Advance Receipt

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