INVESTIGATION FEE BILL
                  DIBYAJYOTIBHUYAN
                 Insurance Investigator
                                                                                                                                 PANNO.APMPB6177L.
                                                                                                                                Add:K.B Road,Ward No.12
                                                                                                   North Lakhimpur, Dist- Lakhimpur,Assam.
                                                   Cell-94013-37030.88765-50144 (M),E-mail: djbhuyan13@gmail.com
                 Ref No.DJB/BAJAJ/NLP/22/DL034                                                                                                      Date 10-08-2022.
                To,
                Bajaj Allianz GIC LTD.
                Sreeji Tower, Christian Basti
                Guwahati,Pin -781005.
                State&Code-18-Assam.
               GSTIN/UIN NO.18AABCB5730G1ZW.
               INSUREDNAME:
               CLAIM NO.:OC-23-1101-1870-00001533.
               DRIVER NAME:Smti Neha Dewan
              PLACE OF INVESTIGATION:RagaA.P.
                             a.Professional Fee                                                                                                     Rs.                       650.00
                             b.T/A From .North Lakhimpur..To...Raga,A.P.                                                                            Rs.                     3220.00
                                   Distance -230 k.m.X2=460 k.m.@Rs.7/-
                             c. Hotel Rent........1....days @ Rs. 800/-                                                                             Rs.                       800.00
                                   (Four Thousand Six hundred Seventy Only)                                                     Total Rs.                                   4670.00
             Bank Details :-                                                                                                                                               am
                                                                                                                                                        Dib}jyot Bhuyan
             SB A/C No.1253010225656,Punjab National Bank.
                                                                                                                                                     Insurance Investigator
             IFSCCode:PUNB0125320.
                                                                                                                                                        Dibyajyou Bhuyan
             MICR Code:787024005.
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