"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Ltd
202-203, 2nd Floor, Abhishree Adroit, Nr. Gwaliya Sweets, Mansi                                                         PRIORITY
Cross Road, Vastrapur, Ahmedabad, Gujarat -- 380015
Phone #: +91 7940029357
Email : accounts@prioritysurveyors.co.in
                                                                        Tax Invoice
To,                                                                                                                 Invoice No : 3111-2012-0192
Bajaj Allianz General Insurance Company Ltd                                                   Invoice Date : 06/01/2021
4nd Floor ,Turquoise ,Near Panchvati Circle, CG Road
,Ellisbridge, Ahmedabad.


State       : Gujarat (Code - 24)
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Naimesh S Soni                          Vehicle Number          GJ-18-BD-2616
Policy #                     OG-20-9910-1801-00243084         Nature Of Loss           Own Damage
Claim #                      OC-21-2202-1801-00007358         Type of Vehicle           Four Wheeler

 SR.NO.                            DESCRIPTION                              QTY.         UNIT         RATE         AMOUNT
      1      Survey Fees                                                               1           Each        750.00                 750.00
      2      1st Visit                                                                      1           Each        350.00                 350.00
      3      R. Inspection visit                                                        1           Each        350.00                 350.00
                                                                                                          Sub Total                                1450.00
                                                                                                          CGST @   9.00%                     130.50
                                                                                                          SGST @   9.00%                     130.50
                                                                                                          Grand Total                             1711.00
                                                                                                          Say                                            1711
                                         INR : ONE THOUSAND SEVEN HUNDRED ELEVEN ONLY

E. and O.E.                                                                          Bank Details
Subject to Ahmedabad Jurisdiction                                      Bank Name     : HDFC Bank Ltd
GSTIN No                         : 24AAECP6441K1ZB                   A/C No           00692560008630
HSN/SAC Code                   997169                                     IFSC Code      : HDFC0000069
PAN No                             : AAECP6441K                            Micro Code      : 380240005
Survey License No              72461/2018-2021                      Branch           : Ashram Road, Ahmedabad
Corporate Identity Number   :U74120GJ2008PTC053700
For Priority Insuragoe Surxeyors & Loss Assessors Pvt. Ltd
                                 ORPISLA os5


Authorized SignatoryL10

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