PRAVIN M. MUSALE Motor Surveyor, Loss Assessor and Valuer License No. : SLA - 73064 Exp.Dt. 08-02-2022 604 / Rilletta E / Casa Rio Gold, Kalyan-Shil Road, Dombivali East, Maharashtra - 421204 Mobile. : 9821681100 p_musale@yahoo.com Final Survey Fees Bill BILL NO : PM//BA/F/0022/19-20 Date : 08/05/2019 INSURERS : BAJAJ ALLIANZ GENERAL INSURANCE CO. LT Div./Branch : Mumbai POLICY NO. CLAIM NO. : OC-20-1901-1801-00003317 INSURED : MR. NANDKUMAR RAMKRISHNA NAYAK. VEHICLE NO. : MH 04 FR 7503 SURVEYED AT : DATTARAJ AUTOMOBILES, DATTAWADI 0n Dt. : 08/05/2019 Professional Fees Rs. 750.00 Photograph (at Rs. 10.00 x 0 Copy) Rs. 0.00 Traveling Expenses 60 km. 30*2 = 60 KMS.TO & FRO 1 VISIT Rs. 7.50 Rs. 450.00 Holting Allowance Rs. Out city Allowance Rs. Total Rs. 1,200.00 18.00% GST Rs. 1,200.00 Rs. 216.00 Net Total Rounded to Nearest Rupees : Rs. : 1,416.00 RupeeS :ONE THOUSAND FOUR HUNDRED SIXTEEN ONLY Service Tax No. : GSTIN NO. - 27ALPPM7590M1Z3 PAN No. : ALPPM7590M PRAVIN M. MUSALE Advance Receipt ---PAGE END---