"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 No3111-1911-0150
Bajaj Allianz General Insurance Company Ltd                                                   Invoice Date : 15/07/2020
4nd Floor ,Turquoise ,Near Panchvati Circle, CG Road
,Ellisbridge, Ahmedabad.


State       : Gujarat ( Code - 24 )
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Pravinbhai                                  Vehicle Number           GJ-01-DY-1247
Policy #                      OG-20-2234-1811-00000286         Nature Of Loss           Own Damage
Claim #                      OC-20-2202-1811-00000054         Type of Vehicle           Truck

 SR.NO.                            DESCRIPTION                              QTY.        UNIT         RATE         AMOUNT
       1      Spot Survey Fees                                                        1           Each        750.00                 750.00
       2      Survey Fees                                                               1           Each        2500.00               2500.00
       3      Local Conveyance Charges - 1st Visit                             1           Each        250.00                 250.00
       4      Local Conveyance Charges - 2nd Visit                            1           Each        250.00                 250.00
       5      Outstation Conveyance (Rajkot-Jasdan-Rajkot)               120          Kms          7.00                   840.00
       6      Other Expense /RPAD                                                 1           Each         25.00                    25.00
                                                                                                           Sub Total                                 4615.00
                                                                                                           CGST @   9.00%                      415.35
                                                                                                           SGST @   9.00%                     415.35
                                                                                                            Grand Total                              5445.70
                                                                                                           Say                                            5446
                                         INR : FIVE THOUSAND FOUR HUNDRED FORTY SIX 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 Priority Insurance Surveyors & Loss Assessors Pvt. Ltd
                              F


 Authorized Signatory

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