Er.KANHAIYA CHAUHAN
     Govt.Approved
SURVEYOR&LOSS ASSESSOR
INVESTIGATER,VALUER&CLAIM ADVISER
SPECIALIST IN MOTOR CLAIMS
GST NO 09AENPC3685E1ZD
PAN NO. AENPC3685E
LICENCE NO.SLA-120150
BILL NO. /Final /BAJAJ ALLIANZE /626/23-24       DATE 30.12.2023
  INSURERS	   : BAJAJ ALLIANZ General Insurance Ltd.
  ADDRESS THE SILVER LINE ,11/9,CIVIL LINES KANPUR
 GSTNO	 09AABCB5730G1ZV
  INSURED	  Mr.AABID	MODEL HONDA SHINE
  POLICY/COVER NOTE OG-24-1302-1826-00010179 VEHICLE NO. UP 74 AJ 3912
  CLAIM NO. OC-24-1302-1826-00009409
		    :
  DATE OF ACCIDENT 01.12.2023     DATE OF SURVEY 04.12.2023
					   Amount (Rs[Pa.
1. Survey fee				750   00
   -Survey    240  Km Kanpur to JAISH HONDA Tirwa Kannauj
2					   1920
 Conveyance  and back @Rs 8/Km		     00
						   00
3 Total fee				 2670
4CGST	     9% of total fee	  240.3
5SGST	     9% of total fee	  240.3
6 Toll Tax
				      G Total[ 3151 00
 Total fee amount Three Thousand One Hundred Fity One only
  Cheque No :		Bank A/c No.20006890666
					   Stae Bank of India
 Date:		     [Phool Bagh Branch kanpur
 E&OE.			 Kanhaiya Chauhan SLA-120150
						  VACHA
						       U
						    KluouTana
						 {SLA-120150}

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