NAGESH. S. DHUMAL
Automobile Surveyor, Loss Assessor & Valuer  D.A.E., B.A.
						     A-25, First Floor, Office No.6 ,Gurrukripa CHS,
Licence No. : SLA - 74742 Valid Upto :22/03/2026 Sector 03, Sanpada (E), Navi Mumbai - 400 705
						     022 -27753336,2775 3405,Mob No. 9833490051
						     Email ID:surveyor.nsd@gmail.com
				    FINAL SURVEY BILL
Bill No. : BA-0405/2023-24				Date : 28/12/2023
		  Bajaj Allianz General Insurance Company Ltd.
ISSUED TO
DIV./BRANCH      MUMBAI
INSURED    MR RAJESH GADGE
VEHICLE NO.    MH43BP0752
POLICY NO.      :		       CLAIM NO. : OC-24-1901-1803-00001630
SURVEYED AT     : GHANSHYAM GARAGE, DHUTUM
      Professional Fees					 Rs.:       1250.00
      Photograph (at Rs. 15.00 x 0 Copy)			Rs.:	   0.00
       Traveling Expenses 180 km.60KM TO & FRO X 3 VISIT @ Rs.10.00 Rs.:   1800.00
      Toll Charges					      Rs.:	   0.00
       Doc. Veri. Char.					 Rs.:	   0.00
						  Total	Rs. :       3050.00
      18.00 % GST on Rs.3050.00				 Rs.:	549.00
      Rounded to Nearest Rupees :	  Net Total	    Rs.:       3599.00
       RupeeS :THREE THOUSAND FIVE HUNDRED NINETY NINE ONLY
GST No. : 27AOMPD6250M1ZM
BAGIC GST NO : 27AABCB5730G1ZX
							    NAGESH. S. DHUMAL
Advance Receipt
							   (License No.

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