Manoj Jain                                                                                   234845 (Resi.)
Fire, Motor, Enginnering                                                               Mobile       9425087045
Surveyor & Loss Assessor                                                                   7693087045
Investigator & Valuer                                                            Shreeji Nagar
Email : manoj_jain_2001@yahoo.com                                                    Behind Vrandavan Colony
GSTIN : 23AEDPJ2084E1ZZ                                                  Khargone - 451001
                          Central Govt. Lic. No. SLA-40879 (Valid Up To 20th May 2021)
Ref:Bajaj        289/020                                                                       Date :        05.02.2021
                                                       Professional Fee Bill

To
        The Manager
        Bajaj Allianz General Insurace Co. Ltd.
        Cust GSTIN/UIN:23AABCB5730G1Z5
1     Particular                                               MP 10 NC 8982
2     Policy ICovernote No.                             OG-21-2312-1826-00000143
3     Claim No.                               :              OC-21-2302-1826-00000219
4     Place /Date of occurrence       :             17.01.2021
 5     Insured                                  :             AMRATLAL JAISWAL
                        Particular                                                                   Amount

 1      Professional Fee                                           4505                            750.00
         Reinspection Fee
 2     Photographs CD                                                                                 50.00
 4     Travelling Expanses                                                                           300.00
  5     Daily Allowance                      @500/-
 6     Misc Expanses
                                                                      Total                                  1100.00
                                        CGST @                           9%                              99.00
                                        SGST @                           9%                              99.00
                                        Total Tax                                                            198.00
                                                                       Total                                  1298.00

 Rs. One Thousand Two Hundred & Ninety Eight Only
                                                                                                                   JAIR
          Advance Receipt
                                                                                                                   (Manf Jain)
                                                                                                        *          Surveyor
                                                                                                           )              VS
                                                                                                         e
  Bank A/c No. 0287000100070315
                                                                                                               087
  Bank Name : Punjab National Bank Khargone

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