Licence No.SLA74772                                                                                               Office No. 7887513931
 Valid Upto :06/06/2023                                                                                              Mobile No. 9769319849
                                                        Amol Sawant
                                                     Surveyor, Loss Assessor & Valuer
                                                         Email Id :- amol6777@gmail.com
                               C/103 New Ashish CHSL, CSC Road No.4, Dahisar East, Mumbai 400068
                                                              FINAL SURVEY BILL
 ReF. no.            : AS/3697/2021
 INSURER            : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD.          BILL NO : 2021/0920
                              BAGI Andheri                                                              Date         : 19/02/2021
                              291, Xtrium, 2nd Floor, Next To Holy Family Church, Andheri-Kurla Road, Chakala, Andheri (E),
                              Mumbai-400099.
                              State : Maharashtra - 27 GSTIN No. : 27AABCB5730G1ZX
 INSURED           : RAJHANS INFRACON INDIA PVT LTD
 POLICY NO.       : OG-21-1907-1801-00003441
 CLAIM NO.         : OC-21-1901-1801-00007866
  VEHICLE NO.     : MH06AZ5995
 SURVEYED AT  : V8 AUTOWORKS on Dt. : 13/11/2020
        Details                                                                                                                       Amount
       Professional Fees              SAC Code No. 997162                                           Rs. :        1,500.00
       Photograph (@Rs. 10.00 x 0 Copy)                                                          Rs. :              0.00
       Conveyance ()                                                                                            Rs. :           250.00
        KO PHOTO                                                                                                 Rs. :           250.00
        RI PHOTO                                                                                                   Rs. :           250.00
                                                                                                             Total   Rs. :        2,250.00
        CGST 9% On Rs. 2,250.00                                                                              Rs. :           202.50
        SGST 9% On Rs. 2,250.00                                                                               Rs. :           202.50
        Rounded to Nearest Rupees:
                                                                                                         Net Total  Rs. :         2,655.00
        Rupees : Two Thousand Six Hundred Fifty Five Only
GST No. : 27BNAPS9753G1ZJ                                               State : Maharashtra Code:27
PAN No. : BNAPS9753G
0
                                                                                                                Amol Sawant

                                                                                                                SURVEYOR

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