ANUJ KUMAR AGARWAL
			    Surveyor&Loss Assessor Tel. 01342-262305
			 License No.SLA 25892, Exp.09.11.25 Mob.9412215972
		       Fellow Member,Dep.Motor, Marine &Engg. Email a_bijnor@yahoo.com
						     Add.H.N.360,State Bank Colony
						     Nai Basti, Bijnor-246701
			       Survey Fee Bill
To,
  Bajaj Allianz General Insurance Co. Ltd. Bill No.: B-01/24/05003
  LUCKNOW					Date 23/01/2024
   4TH FLOOR HABIBULAH ESTATE ,HALWASIA BUILDING HAZA Code :
  GSTIN:09AABCB5730G1ZV State Code : UP (09)
       Report Ref No  : AK/BAGI/CK-7269/01-24/F/07465
       Vehicle No.    : UP20CK 7269
       Insured Name   :  SAURABH KUMAR
       Date Of Accident : 15/01/2024	 Assessed :       -1,000.00
       Policy/cover note no : OG-24-9910-1825-00111437 Estimate :    0.00
       Claim No       : OC-24-1301-1825-00001952 IDV     :	   0.00
 SNo	  Particulars		   HSN/SAC	    Amount 
  1 Final				    997162	     1,500.00
	Professional Fee: Assessed Amount  -1,000.00 1,250.00
	Photos/CD Expenses:			       0.00
	0 Photographs , Charged for 0 @ Rs. 10.00
	Conveyance Expenses:			   250.00
						      Sub Total: 1,500.00
						    CGST 9.00%     135.00
						    SGST9.00%      135.00
     ADVANCE RECEIPT			 Grand Total :      1,770.00
						      Round off : 1,770.00
		   In words : Rs. One Thousand Seven Hundred Seventy Only
 GSTIN:09 ADGPA7680KIZ8 State :(09
 PAN.ADGPA7680K
 Bank Name:STATE BANK OF INDIA
A/CNo. 31013997566
MICR No 264002303
IFS Code SBIN0000621
					ANUJ KUMAR AGARWAL

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