TAX INVOICE MINESH VALLABHDAS SHAH LICENCE NO.-SLA/63819 Surveyor-Loss Assessors-Valuer-Investigator EXP.DATE:26/04/2021 MOTOR-MARINE(C)-ENGINEERING IIISLA MEMBERSHIP NO.: F/W/01143 CONTACT 9824032094/9824444179 Email: mvshah2@gmail.com OFFICE:0265-2325523-BARODA mvshah2@rediffmail.com OFFICE :02642-262524-BHARUCH GSTINNO.24AHNPS2949A1ZA PAN No.: AHNPS2949A INVOICE NO.:1035/20-21 DATE: 25-May-20 BILLED TO, M/s.Bajaj Allianz General Insurance Co. Ltd BUY.GSTIN NO 24AABCB5730G1Z3 4th Floor,Atlantis Hetitage, B/h Atlantis Heights PANNo. AABCB5730G Opp. Swagat petrol pump, Sarabhai Main Road, PLACE OF SUPPLY: GUJARAT Baroda. GUJARAT INDIA STATE OF SUPPLY: GUJARAT PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING, OUR JOB REF.NO. #20030931 INSURED/Vehicle No. MR.KANUBHAI AHIR/GJ 16 AU 3969 POLICY NO./Claim no. OG-20-2202-1803-00030195 /0C-20-2201-1803-00000482 DATE OF SURVEY 20-03-2020 PLACE OF SURVEY AT AK WELDING WORKS PANOLI DESCRIPTION OF SERVICE CHARGES AMOUNT PROFESSIONALSURVEY FEES: Gross Assessed Rs. 95000.00 Rs. 1500.00 CONVEYENCE(TO&FRO): 1 KMS. @ Rs. 450.00 Rs. 450.00 HALTING ALLOWANCE : Rs. 0.00 PHOTOGHRPHS/CD@40/-: 1 NOS. @ Rs. 40.00 Rs. 40.00 OTHERS(INCEDENTALIF ANY): Rs. 0.00 SUB TOTALTAXABLE: Rs. 1990.00 HSN/SAC CGST @ 9% Rs. 179.00 CODE: TAXES (00440169) SGST @ 9% Rs. 179.00 997162 IGST @ 0% Rs. 0.00 TOTAL AMOUNT WITH TAX Rs. 2348.00 Amount In Words: TWO THOUSAND THREE HUNDRED FOURTY EIGHT ONLY. HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 1990.00 9% 179.00 9% 179.00 0% 0.00 TOTAL TAX Rs. 358.00 THREE HUNDRED FIFTY EIGHT ONLY BANK DETAILS FOR PAYMENT BANKNAME: BANK OF BARODA fromnbah BRANCH : AKOTA MINESH V.SHAH IFSCCODE BARBOAKOTAX (SURVEYOR/LOSS ASSESSOR) LIC.No.SLA 63819/18-21 MICR CODE 390012021 CURRENT A/C.NO.:06760200000417 Advance receipt. MINESH V.SHAH E O.E-Subject to Vadodara Jurisdiction (PROPRIETOR) ADDRESS : * 101, Kanha Appt.,52, Purshottam Nagar, Urmi Cross Road., Akota, Vadodara -390020 ---PAGE END---