TAX INVOICE MINESH VALLABHDAS SHAH LICENCE NO.-SLA/63819 Surveyor-Loss Assessors-Valuer-Investigator EXP.DATE :26/04/2021 MOTOR-MARINE(C)-ENGINEERING IIISLA MEMBERSHIP NO.: F/W/01143 CONTACT 9824032094/9824444179 Email: mvshah2@gmail.com OFFICE0265-2325523-BARODA mvshah2@rediffmail.com OFFICE:02642-262524-BHARUCH GSTINNO. 24AHNPS2949A1ZA PAN No.: AHNPS2949A INVOICENO. 1142/20-21 DATE : 10-Jul-20 BILLED TO, M/s.Bajaj Allianz General Insurance Co. Ltd BUY.GSTIN NO 24AABCB5730G1Z3 4th Floor, Atlantis Hetitage, B/h Atlantis Heights PANNo. AABCB5730G Opp. Swagat petrol pump,Sarabhai Main Road, PLACE OF SUPPLY: GUJARAT Baroda. GUJARAT INDIA STATE OF SUPPLY: GUJARAT PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING, OUR JOB REF.NO. #20050033 INSURED/Vehicle No. MR.BHARAT PATEL/GJ 16 BD 3405 POLICY NO./Claim no. OG-20-2225-1802-00006845 /OC-21-2201-1802-00000016 DATE OF SURVEY 18-05-2020 PLACE OF SURVEY AT RAVIRAJ TVS ANKLESHWAR DESCRIPTION OF SERVICE CHARGES AMOUNT PROFESSIONALSURVEY FEES: ASSESSED LOSS Rs. 5650.00 Rs. 350.00 CONVEYENCE(TO&FRO): 1 KMS. @ Rs. 450.00 Rs. 450.00 HALTING ALLOWANCE: Rs. 0.00 PHOTOGHRPHS/CD@40/- 1 NOS. @ Rs. 40.00 Rs. 40.00 OTHERS(INCEDENTALIFANY): Rs. 0.00 SUB TOTAL TAXABLE : Rs. 840.00 HSN/SAC CGST @ 9% Rs. 76.00 CODE: TAXES (00440169) SGST @ 9% Rs. 76.00 997162 IGST @ 0% Rs. 0.00 TOTAL AMOUNT WITH TAX Rs. 992.00 Amount In Words : NINE HUNDRED NINETY TWO ONLY HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 840.00 9% 76.00 9% 76.00 0% 0.00 TOTAL TAX Rs. 152.00 ONE HUNDRED FIFTY TWO ONLY BANK DETAILS FOR PAYMENT BANK NAME : BANK OF BARODA randah BRANCH AKOTA HV.S : MINESH V.SHAH IFSCCODE BARBOAKOTAX (SURVEYOR/LOSS ASSESSOR) LIC.No. SLA 63819/18-21 MICR CODE: 390012021 CURRENTA/C.NO. 06760200000417 Advance receipt. MINESH V.SHAH E&O.E-Subject to Vadodara Jurisdiction (PROPRIETOR) ADDRESS : *101, Kanha Appt.,52, Purshottam Nagar, Urmi Cross Road., Akota,Vadodara -390020 ---PAGE END---