ARVIND KUMAR (SURVEYOR& LOSS ASSESSOR) B-04,Mellford CityOpp.Nand Vihar Colony,Rohta Road,MeerutU.P)-250001 License No SLA 74002 Mobiles)9760025714,8267972592 Valid Up to 17.06.2022 E- Mail id: bajajarvindkumar@gmail.com PAN No. :AKHPK8427G Bank Name ICICI BANKLTD. GSTIN No. 09AKHPK8427G1ZW Bank A/C No.:003701508594 Bill No. BAJAJ/09/2020/8120 HSN/SAC Code:997162 Date:22/09/2020 SURVEY FEES BILL(PRE -RECEIPTED) Insurer BAJAJ ALLIANZ GENERALINSURANCE CO.LTD. GSTIN No. 07AABCB5730G1ZZ Address BLOCK -04,7TFLOOR,DLF TOWER SHIVAJI MARG,NEW DELHI--110015 Vehicle No. : DL-12-SJ-8120 Insured Mr.SANDEEP KUMAR Policy No. : OG-20-1103-1802-00007636 Claim No. OC-21-1103-1802-00001426 Professional fee 400.00 Conveyance for Visiting Baghpat (Final) 975.00 1375.00 Add IGST @ 18.00 % 247.50 Total 1622.50 (Rupees one thousand six hundred twenty two and fifty paisa only) Professional fee & conveyance charged for Baghpat (Single visit=65Km*2@Rs.7.5/Km=Rs.975.00). ARVIND KUMAR SLA 74002 A --------------PAGE END-----------------------