DEEPAK RATHIBE.
                                                                        Surveyor and Loss Assessor & Valuer
   IIISLA Member Ship No.-Associate-A/W/04882                              Fire,Motor & Engineering)
   GSTIN :08ACUPR3734N1ZO                                                                       SLA-73076
   PAN :ACUPR3734N                                                    Mobile :94149-14640,99822-14640

                                                  PRE RECEIPT
  Bill Number: DR/09-2020/390                                                  Date: 23-09-2020
 Insurer                                     Bajaj Allianz General Insurance Company Limited
                                                 2&3r Floor,4,Hathroi Fort,Gopal bari Ajmer road,Jaipur
                                                 GSTIN-08AABCB5730G1ZX
  Claim Number                           OC-21-1401-1802-00000594
 Insured                                     Mr.Lalit Kumar
 Policy Number                          OG-20-9906-1802-00505149
  Report number                          DR/Motor/09-2020/390
 Place of inspection                     Sonu Motors-Kantaliya
  Vehicle Regd.Number               RJ-22-DS-1468
 Professional Fees                                                                                 500.00/-
  Conveyance-For Final                                                                         2325.00/-
 Distance between Jodhpur & Kantaliya is 155.00 km.
  Total distance covered=155.00x2=310.00 km
 Conveyance @07.50/-=310.00 x 07.50/-=2325.00/-
 Photographs charges-CD                                                                        30.00%
 DA                                                                                                    175.00/-
 Regd Letters                                                                                          0.00/-
 TOTAL                                                                                          3030.00/-
 CGST @09.00%=272.70/-& SGST @09.00%=272.70/-                                545.40/-
  TOTAL Rs/-                                                                                   3575.00/-
(Rs/- Three Thousand Five Hundred Seventy Five Only)
      For NEFT Fund Transfer:-
      Bank Name:Union Bank of India
      IFSC:UBIN 0550388
      A/C Number:503802010011146                                              SLA
      MICR Code342026003
      GSTIN-08ACUPR3734N1ZO                               DEEPAKRATHI



             C/o.Annkoot Agro Food,T-2, Mandore Mandi, Jodhpur-342 006 Raj.)

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