"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Ltd
202-203, 2nd Floor, Abhishree Adroit, Nr. Gwaliya Sweets, Mansi                                                           PRIORITY
Cross Road, Vastrapur, Ahmedabad, Gujarat -- 380015
Phone #: +91 7940029357
Email : accounts@prioritysurveyors.co.in
                                                                         Tax Invoice
To,                                                                                                                   Invoice No : 3111-2010-0120
Bajaj Allianz General Insurance Company Ltd                                                    Invoice Date:30/10/2020
4nd Floor,Turquoise,Near Panchvati Circle,CG Road
,Ellisbridge, Ahmedabad.


State       :GujaratCode-24)
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Lopa Tapas Shah                         Vehicle Number           GJ-01-RN-1925
Policy #                      OG-20-2202-1801-000033360       Nature Of Loss           Own Damage
Claim #                      OC-21-2202-1801-00005065         Type of Vehicle           Four Wheeler

  SR.NO.                            DESCRIPTION                               QTY.         UNIT         RATE         AMOUNT
      1      Survey Fees                                                                1            Each         750.00                 750.00
      2      Local Conveyance Charges -1st Visit                             1            Each        250.00                 250.00
                                                                                                            Sub Total                                 1000.00
                                                                                                            CGST @    9.00%                       90.00
                                                                                                            SGST @    9.00%                       90.00
                                                                                                            Grand Total                              1180.00
                                                                                                           Say                                             1180
                                            INR :ONE THOUSAND ONE HUNDRED EIGHTY ONLY

E. and O.E.                                                                           Bank Details
Subject to Ahmedabad Jurisdiction                                      Bank Name      : HDFC Bank Ltd
GSTIN No                          : 24AAECP6441K1ZB                   A/C No             00692560008630
HSN/SAC Code                  997169                                     IFSC Code      HDFC0000069
PAN No                             : AAECP6441K                            Micro Code      380240005
Survey License No              72461/2018-2021                      Branch            : Ashram Road,Ahmedabad
Corporate Identity Number  U74120GJ2008PTC053700
For Prigrivgksitarance Surveyors & Loss Assessors Pvt. Ltd
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AuthoneaSenatory

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