YASH JAIN					 H.No.-19/190,Krishna Puri Mathiya,
Engineer						    Bhaiyaji Wali Gali,
Govt. approved Loss Assessor				     ALIGARH-202001
Surveyor.Lic No.120431				  yashjainsurveyor@gmail.com
IIISLA L/N/09452					     M.No.+91-8445355091
GSTIN-09BHJPJ5501J1Z9
					   Survey Fee Bill
To,
   Bajaj Allianz General Insurance Co. Ltd.	   Bill No. : B-03-24-03632
   Branch Office						  Date :13/03/2024
   15/54, 2nd floor, Virendra Smrati Complex, Civil Lines, Kanpur 208001 Code :yashjain.exe@surveyor.com
    GSTIN: 09AABCB5730G1ZV State Code : Uttar Pradesh (09)
	  Report Ref No       : YJ/BAGI/6AL0954/03-24/F/03669
	  Vehicle No.	 : UP86AL0954
	  Insured Name	: MR. VIKASH KUMAR
	  Date Of Accident : 10-Mar-24			Assessed : 	      6,080.00
	  Policy/cover note no : OG-24-1320-1826-00000208     Estimate :	       8,657.00
	  Claim No	    : OC-24-1302-1826-00013632	  IDV       :	 68,795.00
  S No		Particulars			    HSN/SAC		   Amount 
   1 Final						    997162		    2,250.00
	   Professional Fee : Assessed Amount  6,080.00		    850.00
	   Photos/CD Expenses :					       0.00
	    0 Photographs , Charged for 0 @ Rs. 0.00
	   Conveyance Expenses : Visited total 140 Kms. No of visits 1 charged @210.00/Km 1,400.00
									  Sub Total:    2,250.00
									C GST @ 9.00 %     202.50
									S GST @ 9.00 %     202.50
	ADVANCE RECEIPT					     Grand Total	 2,655.00
									  Round off :   2,655.00
			       In words : Rs. Two Thousand Six Hundred Fifty Five Only
 GSTIN: 09BHJPJ5501J1Z9 State :(09)
 PAN.BHJPJ5501J
 Bank Name e: PUNJAB NATIONAL BANK LTD					 YASH JAIN
 A/c No. 2961000100261910
									     Surveyor & Loss Assessor
 MICR No   202024005

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