SAP INSURANCE 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.01-02-2021                 Lic.No.SLA 25959,Dt. of Exp. 07-11-2022
Mobile:98250 65858                                                 Mobile98250 68799
PAN No:AAICS9971M                TAX INVOICE        GSTIN :24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd.,                  Invoice No.          SAP/0406/20
IV th Floor Turquoise Building,                                   Invoice Date        25/11/2020
Panchvati Cross Roads,C.G.Road,                            Policy No.            OG-20-2202-1803-00027875
Ahmedabad 380006.                                                  Claim No.            OC-21-2202-1803-00000500
GSTIN :24AABCB5730G1Z3                                   Insured               Mr.Narendra Singh Durga Singh.
State : GujaratCode :24                                        Make & Regn.No.AL 3116/09        GJ-01-BY-5110
Sr.       Description of                           Taxable           CGST                 SGST
No. Services Provided   SAC Code     Value      Rate  Amount   Rate  Amount Total Amount
  1 Survey Fees.                      997162      1000.00     9          90.00     9          90.00             1180.00
  2  Local Expenses -03 visil     997162      1050.00     9          94.50     9          94.50             1239.00
  3  Travelling EXpenses.           997162                       9                         9
  4  Out Station Expenses.        997162                       9                         9
  5  Photograph Expenses.        997162                       9                         9
  6  Local Expenses.                  997162                       9                         9
  7  Photo Expenses.                 997162                       9                         9
            Total Value                                    2050.00                184.50                184.50             2419.00
   Total Value (in Words)   Two Thousand Four Hundred Nineteen Only.
Bank Details :                                                                           Total Amount Before Tax             2050.00
Name:HDFC Bank Ltd.                                                                               Add : CGST               184.50
A/C No :00482560002667                                                                            Add : SGST               184.50
RTGS/NEFTIFSC:HDFC0000048                                                     Total Tax Amount               369.00
                                                                                                    Total Amount After Tax             2419.00
                                                                                                 GST on Reverse Charge
                                                                         For,SAP INSURANCESURVEYORS & LA P.LTD.

                                                                                                               72495
                                                                                                        SLY

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