mobile+919998190555
Parikh Associates                                                                    phone+912652481991
                                                                                                              parikh.assoclateseyahoo.com
chartered engineer.
                                                                                                              21. Padmavaagar VIP Rood
surveyor.
loss assessor.                                                                                            Karellbaug.Vadodara-39018
valuer,
risk management
                                                                                                              License no.=SLA/72618.valid upfo Nov.2021
                                                                  INVOICE

   INVOICENO.               211171                                                       Date:   07.07.2020
   REPORT NO.:                BAG/2021/1183
   To.
   BAJAJ ALLIANZ GENERALINSURANCE CO LTD
   4TH FLOOR ATLANTIS HIGHTS
   NR SARABHAI CIRCLE
   VADODARA
   RECIPIENTID                 24AABCB5730G1Z3                             STATE CODE:-24
   INSURED:                     BIREN NATUBHAI PATEL                                        INTEREST GJ06CM1611
                                                                                                                        CITY
   POLICY NO:                 OG-20-2201-1801-00013389
   CLAIMNO                   OC-21-2201-1801-00001032

   INSURER:                      BAJAJ ALLIANZ GENERALINSURANCE CO LTD.

   APPOINTED BY:             BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
  [SR. NO.     DESCRIPTION                                         HSN/SAC       RATE[Qty.      AMOUNT
                                                                              Code
          1        PROFESSIONAL SURVEY CHARGES
                   FINAL                                                                     500.00          11             500.00
                    RE-INSPECTION                                                                             1
         2       CONVEYANCE CHARGES                                                               o
                    VISITS AT LOCAL                                                     250.00          1             250.00
                                                                                                                                          -
         3       PHOTOGRAPHS                                                                            o
                   DIGITALCD                                                              40.00          1               40.00

         4       OUT OF POCKET EXPENSES                                                                                  -
                   TOLL TAX / PHOTOCOPIES
                   HALTING                                                                                     o
                                                                SUB TOTAL|                                                      790.00
                                                                      CGST                   9.00%                           71.10
                                                                      SGST|                    9.00%                           71.10
                   ROUNDING OFF
                                                          GRAND TOTAL                                                           932]
  RUPEES      NINE HUNDRED AND THIRTY TWO ONLY.
                                                                                                                       ASSOCI
  Our Bank Detail:
  Bank        ICICI Bank Ltd.
  Bank Br.    Karelibaug                                                                         FOR PARIKHASSOCIATES
  C.A/c.no.  24805001738                                                                       te    POPE
  IFSC Code:ICIC0000248
  PAN NO.   AFTPP 4625 C                                                                                  PRAKASH PARIKH

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