MAHESH PRAIAPATI Contact No.:7574844245
SURVEYOR&LOSS ASSESSOR&VALUER 22, Vaikunth Park Society, Nr. Ashruti Tenament,
Promoted By IRDA,Govt.of India Jitodia Road,Anand-388001
SLA NO.85079 Valid up to 09.10.2022 Email :mahesh.bagic@gmail.com
Bill Cum Advance Receipt
Invoice No. 155
Invoice Date 29.09.2020
Ins Comp. BAJAJALLIANZ GENERALINS CO LTD GSTIN 24AABCB5730G1Z3
VADODARA Nature of Loss : Own damage/repair/spot
Insured MR.SWAPNILKUMAR C PATEL Vehicle No. GJ23AT0180
Clalim No. OC-21-2201-1803-00000084 Policy No. OG-20-2224-1803-00000472
Sr.No. DESCRIPTION QTY. UNIT RATE Rs.Ps.
01 Survey Fees - OD 1 Per 2500 2500.00
01 Survey Fees -Spot 1 Per 500 500.00
02 Re Inspection Fees 1 Per 0 0.00
03 Daily Allowance 1 Each 0 0.00
04 Local Conveyance Charges 1 Each 300 300.00
Re Inspection visits 1 Each 0 0.00
Outstation Conveyance Charges 80 Km 7.5 600.00
05 Photograph (CD)Charges 1 Each 0 0.00
06 Other Expense/Toll Taxes 0.00
Sub Total 3900.00
GSTIN 24APMPP3544B1Z2 SGST@ 9.00% 351.00
SACCODE 997162 CGST@ 9.00% 351.00
Grand Total 4602.00
Rupees: Four thousand six hundred two only.
E.and O.E. Bank Details:
Subject to Anand Jurisdiction ICICI Bank -Anand (Gamdivad Branch-0256)
Pan No.:APMPP3544B PRA Account No. :000301531217
SACCODE 997162 SH0 IFSC CodeICIC0000256
SURVEYOR Account Type : Savings
SLA-85079
.ANAND0
MAHESH PRAJAPATI
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