mobile+919998100555
Parikh Associates                                                                         phone+912652481991
                                                                                                                       parikh.assoclates@yahoo.com
chartered engineer,
surveyor,                                                                                                         21.Padmavatinagar,VI.P.Road.
loss assessor,                                                                                                   Karelibaug.Vadodara-390018.
valuer.
risk management
                                                                      INVOICE                                License no.SLA/72618,valid upto Nov2021

  INVOICENO.:                    211650                                                            Date:   30.10.2020
  REPORT NO.:                 BAG/2021/1415
  TO.
  BAJAJ ALLIANZ GENERAL INSURANCE CO LTD
  4TH FLOOR ATLANTIS HIGHTS
  NR SARABHAI CIRCLE
  VADODARA
  RECIPIENTID                   24AABCB5730G1Z3                                STATE CODE:-24

  INSURED:                       UDAY INFRA PROJECTS                                          INTEREST GJ16BS1293
                                                                                                                                AMW
  POLICY NO:                   OG-20-2225-1811-00000420

  CLAIM NO:                    OC-21-2201-1811-00000008

  INSURER :                       BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.

  APPOINTED BY:               BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
  SR.NO.      DESCRIPTION                                            HSN/SAC        RATEQty.      AMOUNT
                                                                                    Code
                    PROFESSIONAL SURVEY CHARGES
                    FINAL                                                                        1,500.00            1            1,500.00
                    RE-INSPECTION                                                                                   1
         2        CONVEYANCE CHARGES                                                                    o
                    3 VISITS AT KUNDHELA 32*2=64KM                                      7.50        192            1,440.00
         3        PHOTOGRAPHS                                                                                  o
                    DIGITAL CD                                                                    40.00                               40.00

         4        OUT OF POCKET EXPENSES
                    TOLLTAX/PHOTOCOPIES
                    HALTING                                                                                            0
                                                                    SUB TOTAL                                                         2,980.00
                                                                          CGST                      9.00%                            268.20
                                                                           SGST                      9.00%                            268.20
                    ROUNDING OFF
                                                              GRAND TOTAL                                                             3,516
 RUPEES       THREE THOUSAND FIVE HUNDRED AND SIXTEEN ONLY.
 Qur Bank Detail:                                                                                                              ASSO
                                                                                                                               KH
 Bank         ICICI Bank Ltd.
 Bank Br..     Karelibaug                                                                                 FOR PARIKH ASSOCIATES
 C.A/c.no.   24805001738                                                                                        LIPDPNO.
 IFSC Code:ICIC0000248                                                                                              72618
 PAN NO.    AFTPP 4625C                                                                                         PRAKASH PARIKH

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