HITESH R. RAVAL                                     TEL: (02836) 228544 Mo. 9825225844
D.A.E.,A.I.I.S.A(BOMBAY)                                                     G-8, B Green Park, PI. No. 113-114, Tagore Road,
SURVEYOR LOSS ASSESSOR & VALUER                                            Gandhidham - 370201, Dist - Kutchh.
LIC.NO.SLA/36625 up to 02.04.2020                              EMAIL :hird2007@gmail.com
                                                                   INVOICE


BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD.              Invoice #           HIR/BAJAJ/S01671/2020
BARODA                                                                     Invoice Date       24-02-20
GSTIN : 24AABCB5730G1Z3


Insured : GOKUL AGRO RESOURCES LTD                                Vehicle No.                 GJ 12 BV 7422
Policy # 0G-19-2202-1803-00013410                                  Nature of Loss     Own Damage / External means
CLAIM NO. OC-20-2204-1803-00000257
Sr. NqDESCRIPTION                                                QTY.        UNIT       RATE          Rs. Ps.
 01.  Survey Fees -- Final                                            1           Per         5000             5000.00
 01.  Survey Fees -- Spot                                             1            Per          550               550.00
 02.  Re Inspection Fees                                             0           Per            0                     0.00
 03.  Daily Allowance                                                 0           Each         150                   0.00
 04.  Local Convence Charges SPOT                             1           Each         250               250.00
         R. Inspection visits                                             0           Each         250                   0.00
         Outstation Conveyance                                      120          km            7                 840.00
 05.  Photograph (CD) Charges No.                               1           Each          50                  50.00
 06.  Other Expense / Toll Taxes                                                                                         0.00
                                                                          Sub Total                                           6690.00
                                                                          CGST @                     9.00%                602.10
                                                                          SGST @                     9.00%                602.10
                                                                          Grand Total                                        7894.20
                                                                         Say                                                 7894.00
Rupees :      Seven Thousand Eight Hundred Ninety Four Only

E. and O.E.                                                                                   Bank Details
Subject to Gandhidham Jurisdiction                                                 INDUSIND BANK - GANDHIDHAM
GSTIN: 24AASPRN2350N1Z6                                                        Account No.: 100005244918
PAN No. :AASPR2350N                                                                  IFSC Coad: INDB0000066
Survey License No. : SLA/36625 UP TO 02.04.2017                             Micr. No.: 370234001
                                                                                                 Account Type: Savings
                 SLi.NO
                 SA-36625
                 Surveyor
                  DHIDHA
HITESH RAVAL

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