NAGESH. S. DHUMAL
 Automobile Surveyor, Loss Assessor & Valuer                                             D.A.E., B.A.
                                                                                                         A-25, First Floor, Office No.6 ,Gurrukripa CHS,
 Licence No. : SLA - 74742               Valid Upto :22/03/2023                           Sector 03, Sanpada (E), Navi Mumbai - 400 705
                                                                                                         022-27753336,2775 3405,Mob No. 9833490051
                                                                                                         Email ID:surveyor.nsd@gmail.com
                                                                        FINAL SURVEY BILL
Bill No.      : BA-0000728/2019-2020                                                                Date        : 08/05/2020
                                     Bajaj Allianz General Insurance Company Ltd.
ISSUED TO
DIV./BRANCH                    MUMBAI
INSURED                        vishal thakur
VEHICLE NO.                    MH46AT2203
POLICY NO.               :                                                           CLAIM NO. :          OC-20-1901-1802-00000190
SURVEYED AT            :    TISSAI AUTO on Dt. : --

             Professional Fees                                                                                               Rs.:                    750.00
             Photograph (at Rs. 0.00 x 0 Copy)                                                                        Rs.:                        0.00
             Traveling Expenses 70 km. @ Rs. 7.50                                                                    Rs.:                     525.00
             Toll Charges                                                                                                     Rs.:                        0.00
             Doc. Veri. Char.                                                                                                 Rs. :                        0.00
                                                                                                    Total                      Rs. :                   1275.00
              18.00% GST on Rs.1275.00                                                                                  Rs.:                     229.50
             Rounded to Nearest Rupees :                                              Net Total                      Rs.:                   1505.00
             RupeeS :ONE THOUSAND FIVE HUNDRED FOUR ONLY
Service Tax No.         : 27AOMPD6250M1ZM

BAGIC GST NO : 27AABCB5730G1ZX
                                                                                                                       NAGESH. S. DHUMAL
Advance Receipt

---PAGE END---