TASK
                                                                                            Phone: 9560490100, 9811130932
                                                                                            Email: tasksurveyors@gmail.com

                        Insurance Surveyors and Loss Assessors
                                                                     TAX INVOICE
Bill No.      TASK/2020/615                                                                                   Dated :     17.10.2020
Buyer Details
M/s BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD                Buyer's GST NO -
Block No-4, 7th Fioor, DLF Tower,15, Shivaji Marg
New Delhi-110015
                                                                                         Place of Survey          BHARAT AUTOMOBILE BAGHPAT
Vehicle No.  UP-17H-7463                                                       Policy No. OG -21-4321-1802-00000087
Insured      MR. NARENDER KUMAR                                    Claim No.    OC-21-1103-1802-00001963
    S.no.                               Description                                 Qty        Unit    Rate         Amount
       1       PROFESSIONAL CHARGES                                                            1.00                             500.00
                 CONVEYANCE CHARGES DELHI TO BAGH PAT (TO &
       2                                                                                   120 Km x 8 Rs.                                960.00
                 FRO)

                                                                                          Sub Total                                        1,460.00
                                                                                                                        E. & 0.E.
In Words:- ONE THOUSAND FOUR HUNDRED SIXTY ONLY

 Bank Details:-       ICICI Bank Ltd., Sector-11, Rohin, Delhi (A/c no.:- 036705501385)
                  IFSC-ICIC0000367
Note:-
        1       Payment must be released with 7 days of receipt of bill
        2       Interest on overdues will be charged @ 24%
        3       All disputes are subject to Delhi Jurisdiction
                                                                                                     For TASK INSURANCE SURVEYOR
                                                                                                                        SLA-200063
                                                                                                                     N
                                                                                                                Authorise Signatory

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