Licence No.: 73224                                                    VISHALC.IANNA
     Valid up to:28th Sep.2022                                          SURVEYOR& LOSS ASSESSOR
     Tel. No.         0260,2420108                                            Office No.215,Govinda Complex
     Mobile           09898212711                                             Opp. Panchratna Appartment,
     email            : vishal.tannasurveyor@gmail.com                 GIDC,Vapi 396191

                                                                 TAX INVOICE
Invoice No.                 66
REF.NO.                 VTBAG/FIN/072/2020                                                                 Date : 20/07/2020
Bajaj Allianz General Insurance co. Ltd.
402-408, 4Th Floor, Turquoise, C.G. Road, Panchwati Circle,
Ahmedabad. Gujarat
BRDIV OG-20
Insurer Name       Bajaj Allianz General Insurance co.Ltd.
                           402-408, 4Th Floor, Turquoise, C.G. Road, Panchwati Circle, Ahmedabad. Gujarat BRDIV
GST No.             24AABCB5730G1Z3
Insured              :M/S.Chemco Plastic Ind Pvt.Ltd.
                           Silvassa
Claim no.            OC-21-2203-1803-00000086
Policy No.            OG-20-1901-1803-00011469
Subject              DN 09Q9872
Sr.No.   Particular                                                                                                              Amount -
      1   Professional Fees                                                                                                              500.00
     2  Travelling/Conveyance                                                                                                       250.00
     3  Digital Photographs No's @ Rs.15.00                                                                                 50.00
     4  Haltage                                                                                                                              0.00
     5  Others if any                                                                                                                        0.00
     6                                                                                                                                            0.00
     7                                                                                                                                            0.00
                                                                                      TOTAL                                                800.00
                                                                                        Add CGST @    9.00%                       72.00
                                                                                        Add SGST        9.00%                        72.00
                                                                                        Grand Total                                       944.00
Surveyor Code SAC 997162
RUPEES NINE HUNDRED FORTY FOUR ONLY

PAN Number :ADFPT7401E                                                                                           Thanking You
GSTIN :24ADFPT7401E1ZS
Advance Receipt
                                                                                                                                   Vishal C.Tanna

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