TASK Phone: 9560490100, 9811130932 Email: tasksurveyors@gmail.com Insurance Surveyors and Loss Assessors TAX INVOICE TASK/2020/589 Dated : 16.10.2020 Bill No. Buyer Details M/s BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Buyer's GST NO - Block No-4, 7th Floor,DLF Tower,15, Shivaji Marg New Dclhi-110015 Place of Survey SIDAK MOTORS SONIPAT HR-10Z-3461 Policy No. OG-20-9906-1802-00494031 Vehicle No. Insured MR. SANJEEV KUMAR Claim No. OC-21-1103-1802-00001889 S.no. Description Qty Unit Rate Amount 1 PROFESSIONAL CHARGES 1.00 500.07): 2 CONVEYANCE CHARGES 1.00 600.00 Sub Total 1,100.00 E. & 0.E. In Words:- ONE THOUSAND ONE HUNDRED ONLY Bank Details:- ICICI Bank Ltd., Sector-11, Rohin, Delhi (A/c no.:- 036705501385) IFSC-ICIC0000367 Note:- .1 Payment must be released with 7 days of receipt of bill 2 Interest on overdues will be charged @ 24% 3 All disputes are subject to Delhi Jurisdiction 11 FOr TASKANSURANCE SURVEYOR 163 X ---PAGE END---