Shailesh Shah
Loss Assessor
H.O.:S.V.P.Road,Saiyedwada,Opp.Rajai Cycle Mart,Godhra -389 001.(Gujarat
Engineer Ph.: (O)242741,250415 E-mail : sk15.shailesh@gmail.com
Br. Off.:11,Nilgiri TereceOpp. Punjabi DhabhaNr, Hari Nagar Crossing,
Valuer Gotri Road,Vadodara. (Gujarat) M.:98250 42074,99987 67121,99798 62074
GSTIN NO.:24AHKPS0293G1Z8 PAN No.:AHKPS0293G
IRDA LICENSE NO.IRDA/IND-SLA-14663(Valid Up To 30-12-2022)
INVOICE NO.38227 DATEJuly20,2020
BILLED TO,
M/s.BAJAJ ALLIANZ GENERALINSURANCE COMPANY LTD. BUY.GSTIN NO 24AABCB5730G1Z3
4O1,ATLANTIS HERITAGE,OPP.SWAGAT PETROL
PUMP,SARABHAI MAIN ROAD,NEAR GENDA
CIRCLE,VADODARA-390007,GUJARAT PAN No. AABCB5730G
GUJARAT PLACE OFSUPPLY:GUJARAT
GODHRA GUJARAT INDIA STATE OF SUPPLY:GUJARAT
PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING,
OUR REPORT REF.NO. 38227
INSURED MR.DAOODBHAI JETHRA
POLICY NO. OG-21-2201-1803-00000356
CLAIM NO. OC-21-2201-1803-00000067
MV NO. GJ09AV3940
DESCRIPTION OF SERVICE CHARGES AMOUNT
PROFESSIONALSURVEY FEES: Rs. 1000.00
CONVEYENCE: 0 KMS. @ Rs. 7.50 Rs. 350.00
HALTING ALLOWANCE : Rs. 0
PHOTOGHRPHS: 1 NOS. @ RS. 50.00 Rs. 40
OTHERS: Rs. 0
TOTAL TAXABLE AMOUNT: Rs. 1390.00
HSN/SAC CGST @ 9% Rs. 125.10
CODE TAXES (00440169) SGST @ 9% Rs. 125.10
997162 IGST @ 0% Rs. 0.00
TOTALINVOICE AMOUNT WITH TAX Rs. 1640.20
Amount In Words:ONE THOUSAND SIX HUNDRED FORTY RUPEES AND TWENTY PAISA ONLY.
HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX
CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT
997162 1390.00 9% 125.10 9% 125.10 0% 0.00
TOTAL TAX RS. 250.20 TWO HUNDRED FIFTY RUPEES AND TWENTY PAISA ONLY.
BANK DETAILS
Suune
BANK NAME: HDFC BANK LIMITED
BRANCH GODHRA BRANCH B : 3
IFSCCODE : HDFC0000784
MICR CODE : 389240001
A/C.NO. 07841000000792
E&O.E-Subject to Godhra Jurisdiction (SHAILESH SHAH)
License No.IRDA/IND/SLA-14663 Valid up to 30-12-2022
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