PANKAJKALRA
                                                                                         SURVEYOR AND LOSS ASSESSOR
                           License NumberIRDA/IND/SLA-73833                                                                                        Mobile:+919560711136
                           Valid up to:25-12-2021                                                                                                  E-mail: pankajkaira41@yahoo.in
                           PAN No.:AREPK8637N                                                                                                      GST No.:07AREPK8637N1Z6
                                                                                                   Surveyor Fees Bill
                           To,                                                                                                            Bill No.                       BAZ/21-22/94
                                                                                                                                          Date                           01-07-2021
                            Bajaj Allianz General Insurance Company Limited
                            Block No-4,7th Floor,DLF Tower,Shivaji Marg,
                            New Delhi 110015.
                            Phone-011-66278000
                            GST No.07AABCB5730G1ZZ                                                                                        SAC Code-997162
                            Claim No.                             OC-22-1103-1801-00002777                                          Vehicle No.                           DL8CAQ3067
                            Policy No.                            OG-21-9910-1801-00286685                                          insured Name                          YOSHIKA SAHAY
                            Professional Fee                                                                                                                500.00
                            Conveyance Survey                                                                                                               150.00
                             CGST @ 9%                                                                                                                         58.50
                             SGST @ 9%                                                                                                                         58.50
                             Total INR Incl.Tax                                                                                                              767.00
                             Rs. Seven Hundred Sixty Seven Only
                                                                                                                                                                            jAK73833
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