Licence No.-SLA 74140                                                                                        Valid upto --    22.09.2022
                                                      JIGNESH S.THAKKAR
GST No.24AFWPT8975J3Z5                                                                                     PAN No.-       AFWPT8975J
                                                        Surveyor & Loss Assessor
                    232, Shrushti Complex, Above SBI, N. H No.8, Kamrej Char Rasta, Surat.
 Mobile No.9904096492/Office :9978696492                                         Email: thakkar97@gmail.com
 BANK NAME STATE BANK OF INDIA                                                         A/c No.       37215500008
 BRANCH     KAMREJ CHAR RASTA                                                         IFSC CODESBIN0005149
 MICR Code  395002028                                                                        A/c Type      CURRENT
                                                                 TAX INVOICE

  Bill No.                        384/2020-21/JT                                                                  Date :27/Jan/2021
 Insurer.                        Bajaj Allianz General Ins.Co.Ltd.
                                     MZ 30-37, Upper Ground Floor, Megh Mayur Plaza, Near HDFC Bank, Athwalines,
                                     Parle Point,Surat, Gujarat, India. Pin Code : 395 007.
                                      GSTIN -24AABCB5730G1Z3

   Claim No.                                   OC-21-2203-1803-00000338              Date of Accident :    4/Jan/2021
   Policy No.                          :        OG-20-2203-1803-00004579
   Insured's Name                          ABDULKHALEK S PATHAN
    Vehicle No.                       :       GJ21W4595
    Make/Model                    :       TATA MOTORS LTD/3118


    PARTICULARS                                                                                       AMOUNT

                                                           VISIT       KMS         RS
    Spot Survey                    No                                                                               0.00
    Professional Charges                                                                                      1500.00
     Conveyance                                     3            54          7.50                           1215.00
     Spot Conveyance                                                                                                 0.00
     Re-Inspection                                                                                                      0.00
     Photo Charges
                                                                                                                                25.00
     Misc. Charges/Toll charges
                                                                                                                                 0.00
     Amount
                                                                                                                            2740.00
                                                                                      CGST           9%
                                                                                                                              246.60
         GST                     SAC CODE -997162                  SGST
                                                                                                           9%             246.60
                                                                                      IGST             0%
                                                                                                                                 0.00
      TOTAL
                                                                                                                            3233.00

               ESHS

       HGNESH S.THAKKAR

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