Tax Invoice VNAYVERMA Invoice No. Dated Autamobile Engg.& Surveyor and Loss Assessor) 1449 31-Oct-2020 Licence No-SLA-72903 /ALIDJP TO-24/02/2020 Delivery Note Mode/Terms of Payment 861/2,Archarya Puri, Near Bus Stand,Gurgaon GSTIN/UIN:06AEGPV2217J1ZE Supplier's Ref. Other Reference(s) S-ate Name : Haryana,Code :06 2020/BAGIC/1959 E-Mal:vinayvermasurveyor@gmail.com Buyer Buyer's Order No. Dated BAJAJ ALLIANZE INS.CO.LTD. BLOCKNO 4,7TH FLOOR,DLF TOWER Despatch Document No. Delivery Note Date SHIVAJI MARG,DELHI G3TIN/JIN 07AABCB5730G1ZZ Despatched through Destination State Name :Delhi,Code:07 Terms of Delivery 13 Particulars HSN/SAC Quantity Rate per Amount No. 1 PROFESSIONAL SURVEY FEES 997162 550.00 2 CONVEYANCE CHARGES 997162 350.00 3 IGST 18% 162.00 Total 1,062.00 Arount Chargeable (in words) E.&O.E INR Ome Thousand Sixty Two Only HSN/SAC Taxable Integrated Tax Total Value Rate Amount Tax Amount 967162 900.00 18% 162.00 162.00 Total 900.00 162.00 162.00 Tax Amount (in words) : INR One Hundred Sixty Two Only Remarks: REGN MC,HR05AH1959,A/C,SURENDER SHARMA, CLAIM NO,OC-21-1103-1802-00001833,POLICY NO,OG Company's Bank Details SLA-72903 -20-9903-1802-00585287,W/SHOP NAME-JASHODHA Bank Name :ICICI Bank Ltd ALTO. A/c No. 025001006042 Ccmpary's PAN AEGPV2217J Branch &IFS Code :ICIC0000250 for VINAY VERMA Authorised Signatory ---PAGE END---