Mobile No9315158266
                                                                                    Virender Kumar
                                                                               SURVEYOR & LOSSASSESSOR
                                                               Survey Licence No.74199 Valid up to 10-12-2022
                                                     OFFICE:11/312, Vishwakarma Road, Indira Market, Near Triveni Sr.
                                                                      Sec. School, Bahadur Garh-124507
                                                             E-mail: virenderkumarsurveyor@gmail.com
                                                                                                                                                      Dated: 12/08/2022
                        Bill/Ref. No.                 22/0121                                                                                                                                                                              el
                       Insurers                       M/s Bajaj Allianz General Insurance Co..Ltd, Ltd, 3RD Floor, JMD Regent
                                                      Plaza, Sikanderpur, Mahrauli-Gurgaon Road, Gurgaon-122002 Haryana Phone
                                                      no 4064501GST No.06AABCB5730G1Z1
                      Regarding.                      Final Survey Fee Bill of Vehicle no HR12W3013
                      A/C                             Mr. Harjinder Singh
                      Claim No.                       OC-23-1103-1801-00004859
                     S.NO                                PARTICULARS                                                                                                                 AMOUNT Rs.
                                     Professional Charges                                                                                                                                   1250.00
                        2.           Conveyance Charges (Two Visits - Bahadur Garh to Rohtak =                                                                                               1800.00
                                     45KM*2*Rs.10/-)
                       3.           Professional Charges (DL verification from RTO Rohtak)                                                                                                    0000.00
                                                                                                                                                                                               3050.00
                                                                                                                                                                                               3050.00
                                                                                                                                                                              VIRENDERKUMAR
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