SAPINSURANCE 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.01-02-2024                 Lic.No.SLA 25959,Dt.of Exp.07-11-2022
Mobile :98250 65858                                                 Mobile:98250 68799
PAN No :AAICS9971M                TAX INVOICE       GSTIN :24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd.,                  Invoice No.           SAP/0780/20
IV th Floor Turquoise Building,                                   Invoice Date        19/03/2021
Panchvati Cross Roads,C.G.Road,                           Policy No.            OG-21-2202-1803-00002124
Ahmedabad 380006.                                                 Claim No.            OC-21-2202-1803-00000835
GSTIN :24AABCB5730G1Z3                                   Insured               Mr.Jayantibhai Baldevbhai Patel.
State : GujaratCode :24                                        Make & Regn.No.Mahindra 31 /11 GJ-18-AU-7934
Sr.        Description of                           Taxable           CGST                 SGST
No.   Services Provided    SAC Code     Value      Rate  Amount  Rate  Amount  Total Amount
  1  Survey Fees.                      997162      1500.00     9        135.00     9        135.00             1770.00
  2  Local Expenses-01 visit      997162       350.00     9          31.50     9          31.50               413.00
  3  Travelling Expenses.           997162                       9                        9
  4  Out Station Expenses.        997162                       9                        9
  5  Photograph Expenses.        997162                       9                        9
  6  Reinspection Fees.             997162                       9                        9
  7  Local Expenses.                 997162                       9                        9
  8  Photograph Expenses.        997162                       9                        9
            Total Value                                    1850.00                166.50                166.50             2183.00
   Total Value (in Words)Two Thousand One Hundred Eighty Three Only.
Bank Details:                                                                           Total Amount Before Tax             1850.00
Name :HDFC Bank Lfd                                                                               Add:CGST               166.50
A/C No :00482560002667                                                                            Add:SGST               166.50
RTGS/NEFTIFSC:HDFC0000048                                                     Total Tax Amount               333.00
                                                                                                   Total Amount'After Tax             2183.00
                                                                                                 GST on Reverse Charge
                                                                        For,SAP INSURANCE SURVEYORS & L A P.LTD.

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