TASK
                                                                                            Phone: 9560490100, 9811130932
                                                                                            Email: tasksurveyors@gmail.com

                          Insurance Surveyors and Loss Assessors
                                                                      TAX INVOICE
 Bill No.      TASK/2020/686                                                                                 Dated :      27.11.2020
 Buyer Details
 M/s BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD               Buyer's GST NO -
 Block No-4, 7th Floor, DLF Tower,15, Shivaji Marg
 New Delhi-110015
                                                                                         Place of Survey         RAMA MOTORS SAMPLA ROHTAK
 Vehicle No.  HR-12AC-6942                                                    Policy No.  0G-20-1901-1802-00076659
 Insured      MR. VIKASH                                                    Claim No.    OC-21-1103-1802-00002183
     S.no.                              Description                                Qty        Unit    Rate         Amount
        1       PROFESSIONAL CHARGES                                                          1.00                            550.00
                  CONVEYANCE CHARGES DELHI TO SAMPLA ROHTAK                                                           960.00
        2                                                                                  120 Km x 8 Rs.
                  (TO & FRO)
                                                                                         Sub Total                                        1,510.00
                                                                                                                       E. & O.E.
in Words:- ONE THOUSAND FIVE HUNDRED TEN ONLY


Bank Details:-       ICICI Bank Ltd., Sector-11, Rohin, Delhi (A/c no.:- 036705501385)
                 IFSC-ICIC0000367
Note:-
       1       Payment must be released with 7 days of receipt of bill
      2       Interest on overdues will be charged @ 24%
      3       All disputes are subject to Delhi Jurisdiction
                                                                                                   For TASK INSURANCE SURVEYOR
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