SURENDRA UMALE
	      B.E.(Mech)		    37-RIDDHI SIDDHI RESIDENCY,
LICENCE NO: SLA 63834			   ST.XEVIER SCHOOL ROAD
DATE OF EXPIRY 30/04/2024   GST FEE BILL    AVANTI VIHAR RAIPUR (C.G.)
PAN NO AANPU0947M				MOB. NO.94252 06797
REF NO.BAFEB2405				 Date :-05/02/2024
GSTIN: 22AANPU0947M1Z7
	INSURED BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD
			SHIVMOHAN BHAWAN, VIDHAN SABHA ROAD,
			PANDRI, RAIPUR,CG
	GSTIN:    22AABCB5730G1Z7
	CLAIM NO OC-24-2303-1826-00002931
	VEHICLE NO CG 13 AV 9610
	INSURED    SANTOSHI DIWEDI
	POLICY NO OG-24-2321-1826-00001593
       S.NO PARTICULAR					      AMOUNT
	   1] PROFESSIONAL FEE (final)				  750
	  2] CONVEYANCE AS SCHEDULE				     750
									1500
						  SGST @ 9%	     135
						  SGST @ 9%	     135
						  GRAND TOTAL	  1770
	Rs. ONE THOUSAND SEVEN HUNDRED SEVENTY ONLY

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