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SAP INSURANCE SURVEYORS &LA PVT.LTD.

206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S G ROAD,THALTEJ,
AHMEDABAD.380 059.PHONE (O) 40034803, E Mail : sapsurveyors05@gmail.com
Surveyor,Loss Assessor & Valuer.                             Lic.No.SLA 72495,Dt. of Exp. 13-09-2023
AJAY P.SHARMA                                                     PARAG D.SHAH
D.A.E.                                                                       D.A.E.
Surveyor,Loss Assessor & Valuer.                             Surveyor,Loss Assessor & Valuer.
Lic.No.SLA 17753,Dt. of Exp.01-02-2021                  Lic.No.SLA 25959,Dt.of Exp.07-11-2022
Mobile98250 65858                                                 Mobile :98250 68799
PAN No :AAICS9971M                TAX INVOICE        GSTIN : 24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd.,                  Invoice No.          SAP/PRLM/20
IV th Floor Turquoise Building,                                   Invoice Date        26/09/2020
Panchvati Cross Roads,C.G.Road,                            Policy No.            OG-21-2202-1803-00004132
Ahmedabad 380006.                                                  Claim No.             OC-21-2202-1803-00000286
GSTIN :24AABCB5730G1Z3                                    Insured               Mrs.Meenaben Kishan Matthar.
State : GujaratCode : 24                                        Make & Regn.No.AL 2214 /06        GJ-18-AZ-0246
Sr.        Description of                            Taxable           CGST                  SGST
No.   Services Provided    SAC Code     Value      Rate  Amount  Rate  Amount  Total Amount
  1  Survey Fees -Spot.             997162       850.00     9          76.50     9          76.50             1003.00
  2  Travel Expenses -90Km      997162       630.00     9          56.70     9          56.70               743.40
  3  Out Station Expenses.        997162                        9                         9
  4  Photograph Expenses.        997162                        9                         9
  5  Survey Fees.                       997162     2500.00     9        225.00     9        225.00             2950.00
  6  Local Expenses.                  997162                       9                         9
  7  Travel Expenses -200 K      997162      1400.00     9         126.00     9        126.00             1652.00
  8  Out Station Expenses.        997162                       9                         9
            Total Value                                     5380.00                484.20                484.20             6348.40
   Total Value (in Words)Six Thousand Three Hundred Fourty Eight & Paise Forty Only.
Bank Details :                                                                            Total Amount Before Tax             5380.00
Name :HDFC Bank Ltd.                                                                                Add:CGST               484.20
A/C No : 00482560002667                                                                            Add:SGST               484.20
RTGS/NEFTIFSC :HDFC0000048                                                     Total Tax Amount               968.40
                                                                                                    Total Amount After Tax             6348.40
                                                                                                  GST on Reverse Charge
                                                                         For,SAP INSURANCESURVEYORS & L A P.LTD.

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