Printed on 22-Jan-2021 at 17:49 Invoice No : 1677 Dated : 22-Jan-2021 Insured Name : KANU BHAI Claim No : OC-21-2202-1811-00000023 Policy No : OG-21-2202-1811-00003028 Make and Model : MAHINDRA 475 TRACTOR Motor Vehicle No : GJ38BB5880 BAJAJ ALLIANZ GIC LTD BAJAJ ALLIANZ GIC LTD 4TH FLOOR, TURQUOISE BUIL ;, NEAR 4TH FLOOR, TURQUOISE BUIL ,, NEAR PANCHVAtI , CROSSROADS, C,G. ROAd PANCHVATI , CROSSROADS, C,G. ROAD AHMEDABAD 380006, Gujarat - 380006, India AHMEDABAD 380006, Gujarat - 380006, India State Name : Gujarat, Code : 24 State Name : Gujarat, Code : 24 GSTIN/UIN : 24AABCB5730G1Z3 GSTIN/UIN : 24AABCB5730G1Z3 PAN/IT No PAN/IT No Place of Supply : Gujarat 1 01.01 Profesnal Fees 997162 18 % 750.00 2 01.02 Conyances Charges 997162 18 % 750.00 DHOLKA TO KHEDA ROAD 3 C GST 135.00 4 S GST 135.00 Total ? 1,770.00 Indian Rupees One Thousand Seven Hundred Seventy Only HSN/SAC Taxable Central Tax State Tax Total Value Rate Amount Rate Amount Tax Amount 997162 1,500.00 9% 135.00 9% 135.00 270.00 Total 1,500.00 135.00 135.00 270.00 Tax Amount (in words) : Indian Rupees Two Hundred Seventy Only Company's GSTIN/UINI: 24AMHPM9424B1Z9 Company's PAN : AMHPM9424B Company's Bank Details Bank Name : 06.01 ICICIBANK A/c No. : 034401511645 Branch & IFS Code : Vasna Ahmedabad & ICIC0000344 SLA73478 ---PAGE END---