Parikh Associates                                                                       mobile+919998100555
                                                                                                                           phone+912652481991
                                                                                                                          parikh.assoclates@yahoo.com
        chartered engineer
        surveyor,
        loss assessor,                                                                                               21,Padmavatinagar,VI.P Road,
        valuer,                                                                                                        Karelibaug.Vadodara-390018
        risk management

                                                                                                                          License no.SLA/72618.valid upto Nov.2021


                                                                  INVOICE

 INVOICENO.                 212094                                                           Date:   23.01.2021
 REPORTNO.:                 BAG/2021/1858
To,
 BAJAJ ALLIANZ GENERALINSURANCE CO LTD
 4TH FLOOR ATLANTIS HIGHTS
 NR SARABHAI CIRCLE
 VADODARA
 RECIPIENT ID                  24AABCB5730G1Z3
INSURED:                      SURESHBHAI KHATIK                                             INTEREST GJ06BT1722
                                                                                                                         TEMPO TRAVELLOR
POLICY NO:                  OG-20-2201-1812-00000233
 CLAIM NO:                   OC-21-2201-1812-00000010
INSURER:                      BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
 APPOINTED BY:              BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
SR.NO.      DESCRIPTION                                           HSN/SAC        RATE|Qty.      AMOUNT
                                                                               Code
                  PROFESSIONAL SURVEY CHARGES
                 FINAL                                                                      1,000.00                          1,000.00
                  RE-INSPECTION
       2       CONVEYANCE CHARGES                                                                  0
                 3 VISIT LOCAL                                                            350.00                            350.00
       3       PHOTOGRAPHS                                                                               0
                  DIGITAL CD
       4       OUT OF POCKET EXPENSES                                             40.00                             40.00
                 TOLL TAX/PHOTOCOPIES
                 HALTING                                                                                        0
                                                               SUB TOTAL                                                       1,390.00
                                                                      CGST                     9.00%                           125.10
                                                                      SGST|                     9.00%                           125.10
                 ROUNDING OFF
                                                          GRAND TOTAL                                                           1,640
RUPEES       ONE THOUSAND SIX HUNDRED AND FOURTY ONLY.
Our Bank Detail:                                                                                                           ASSOCI
Bank       ICICI Bank Ltd.
Bank Br.     Karelibaug                                                                               FOR PARIKH ASSOCIATES
C.A/c no.  024805001738                                                                               X     ipaspo.
IFSC Code:ICIC0000248                                                                                3      2013
PAN NO.    AFTPP 4625 C                                                                                     PRAKASH PARIKH

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