Printed on 30-Mar-2021 at 16:17 Tax Invoice MOHAMMED UVESH .V.MALVAT Invoice No 2200 Surveyor & Loss Assessor (Moter) Lic No SLA73478 Valid Upto August 2023 Dated : 30-Mar-2021 88 Sarani Society 132' Ring Road B/h APMC MARKET Vasna Tolnaka Insured Name : HIMMATSINHJI RAJPUT Ahmedabad Gujarat-380055,India Claim No : OC-21-2202-1801-00008934 GSTIN/UIN:24AMHPM9424B1Z9 Contact 9898070189 9925007717 Policy No OG-21-2202-1801-00014333 E-Mail uveshmalvat@gmail.com Make and Model : MARUTI SWIFT Motor Vehicle No : GJ01RA7985 Shipped To Party Billed To Party BAJAJ ALLIANZ GIC LTD BAJAJ ALLIANZ GIC LTD 4TH FLOOR,TURQUOISE BUIL,NEAR 4THFLOOR,TURQUOISEBUIL,NEAR PANCHVATI,CROSSROADS,C,G.ROAD PANCHVATI,CROSSROADS,C,G.ROAD AHMEDABAD 380006,Gujarat -380006,India AHMEDABAD 380006,Gujarat-380006India State Name :Gujarat,Code:24 State Name :Gujarat,Code:24 GSTIN/UIN :24AABCB5730G1Z3 GSTIN/UIN :24AABCB5730G1Z3 PAN/IT NO PAN/IT No : Place of Supply Gujarat SI Description of Goods HSN/SAC GST Amount No. Rate 1 01.01 Profesnal Fees 997162 18% 1,000.00 2 01.02 Conyances Charges 997162 18% 350.00 3 CGST 121.50 4 SGST 121.50 Total 1,593.00 Amount Chargeable (in words) E.&0.E Indian Rupees One Thousand Five Hundred Ninety Three Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 997162 1,350.00 9% 121.50 9% 121.50 243.00 Total 1,350.00 121.50 121.50 243.00 Tax Amount (in words) : Indian Rupees Two Hundred Forty Three Only Company's PAN : AMHPM9424B Declaration Company's Bank Details We declare that this invoice shows the actual price of the Bank Name :06.01 ICICI BANK goods described and that all particulars are true and A/c No. 034401511645 correct. Branch & IFS Code Vasna Ahmedabad & ICIC0000344 Customer's Seal and Signature for MOHAMMED UVESH V MALVAT SLA 73478 0 SUBJECT TO AHMEDABAD JURISDICTION ---PAGE END---