Office: 42/3, Meera Society,	  Mahavir Shrishrimal
  Salisbury Park,	     Surveyors/Loss Assessor/Valuers
  Pune 411037.		   LICENCE N0: 73388 / 2007-2026
  Mobile: 9923197858		 VALID UPT0: 25-04-2026
  Email: ssmahavir@gmail.com
INVOICE NO.: 17674					 Date : 29/01/2024
To				     Surveyor Code :     73388
Bajaj Allianz General Insurance Co Ltd,
1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH
YERWADA
Regional Office PUNE RO
PUNE
Name of the Insurer  : Bajaj Allianz General Insurance Co Ltd,
		     1ST FLOOR, TOWER 1,COMMERZONE, SAMRAT ASHOK PATH YERWADA Regional
		     Office PUNE MAHARASHTRA
GST No.       27AABCB5730G1ZX
Policy No. OG-24-2001-1803-00001354
Claim no. OC-24-2001-1803-00001143
Insured    BALAJI KISANRAO MUGALE
Vehicle No.	 : MH12QR8016
Date of accident   :    Date of Survey :
Sr.No| DETAILS OF BILL					       Amount 
  1 Professional Fees				      : z	  850.00
  2 Travelling/Conveyance				    :	  250.00
  3 Haltage						  :	     0.00
  4 Digital Photographs No's @ Rs.15.00		       R	    0.00
  5 Others if any					     2	    0.00
  6									0.00
  7							  :	     0.00
						     TOTAL :  R       1100.00
				       Add CGST @       9%: %	     99.00
				       ADD SGST @       9%: z	     99.00
Pre Receipted			       Grand Total :     R       1298.00
RUPEES ONE THOUSAND TWO HUNDRED NINETY EIGHT ONLY
P.A.N NO: BPBPS7678H GSTIN : 27BPBPS7678H1Z8 HSN CODE:997162
Bank Details: HSBC A/C No.# 105515548006
IFSC code : # HSBC0411002 / MICR code # 411039002

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