T.M.Renganathan, B.E
Insurance Surveyor & Loss Assessor                                                      No. 16, R K Bhavan
Licence Number 64441                                                                      Chidambaranagar, Kottar, Nagercoil
IIISLA MEMBERSHIP NO:F/S/01095                                                    Kanyakumari Dist.
tmrenganathan@gmail.com                                                                 PH 231927, Cell 9443141927,9677724927
                                                                                                 tmrenganathan@gmail.com
Bank Current A/c No.: IDBI1903102000002455                                         PAN No.: AEOPR5716C
IFSC Code:IBKL0001903                                                                  GSTIN:33AEOPR5716C1ZI
                                                                                                 SAC Code: 997162
                                                   FINAL SURVEY FEE BILL
Invoice No.:7562         Bill Ref.:20/11/50                                                            Dated: 10-12-2020
Bajaj Allianz General Insurance Co. Ltd., C.C.                              Payer's GSTIN: 32AABCB5730G1Z6
No.36/2087,3RD FLOOR,FINANCE TOWER,NEAR                  SAC Code: 997162
INDIAN EXPRESS, KALOOR, ERNAKULAM,
ERNAKULAM,682017
Subject :Survey of Vehicle Reg. No. TN 74 AX 1418.                Surveyor State : Tamil Nadu
                 Accident dated: 11-11-2020
                                                                                                Processing State : Kerala
                 Insured : SIVABALAN.M
                 Policy No. : OG-21-1508-1825-00000004
                 Surveyed on: 17-11-2020 at AR.A.S.P.V.P.V.
                 Automobiles Pvt.Ltd, Nagercoil
Particulars
Professional fee for Final Survey                                                                  1250.00
                                                                                                                 1250.00            1250.00
Conveyance Charges
                                                                                                                                          200.00

Photographs
0 nos. @ Rs. 10 /Copy                                                                                                              0.00
                                                                                                                  Total :             1450.00
                                                                                                      IGST @ 18 %:              261.00
                                                                                                Total Bill Amount :             1711.00
                                                                             Net To Receive (Rounded off) :             1711.00
                      RUPEES ONE THOUSAND SEVEN HUNDRED AND ELEVEN ONLY
Remarks:


T.M.Renganathan
  SIGNATURE                                             SLA-64441

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