"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Ltd
202-203, 2nd Floor, Abhishree Adroit, Nr. Gwaliya Sweets, Mansi                                                          PRIORITY
Cross Road, Vastrapur, Ahmedabad, Gujarat -- 380015
Phone #: +91 7940029357
Email : accounts@prioritysurveyors.co.in
                                                                        Tax Invoice
To,                                                                                                                 Invoice No : 3111-2002-0060
Bajaj Allianz General Insurance Company Ltd                                                   Invoice Date : 14/03/2020
4nd Floor ,Turquoise ,Near Panchvati Circle, CG Road
,Ellisbridge, Ahmedabad.


State       : Gujarat (Code -24)
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Balvindersingh G Kalsi                  Vehicle Number          GJ-01-LQ-4009
Policy #                     OG-20-2202-1811-00000598         Nature Of Loss           Own Damage
Claim #                      OC-20-2202-1811-00000070         Type of Vehicle          Truck

 SR.NO.                            DESCRIPTION                               QTY.         UNIT        RATE         AMOUNT
       1      Survey Fees                                                               1           Each        1500.00              1500.00
      2      Local Conveyance Charges - 1st Visit                             1           Each        350.00                 350.00
      3      Local Conveyance Charges - 2nd Visit                            1            Each        350.00                 350.00
                                                                                                           Sub Total                                2200.00
                                                                                                           CGST @   9.00%                      198.00
                                                                                                           SGST @    9.00%                      198.00
                                                                                                           Grand Total                             2596.00
                                                                                                           Say                                            2596
                                         INR : TWO THOUSAND FIVE HUNDRED NINETY SIX ONLY

E. and O.E.                                                                          Bank Details
Subject to Ahmedabad Jurisdiction                                      Bank Name     : HDFC Bank Ltd
 GSTIN No                          : 24AAECP6441K1ZB                   A/C No            00692560008630
HSN/SAC Code                 : 997169                                     IFSC Code      : HDFC0000069
PAN No                             : AAECP6441K                            Micro Code      : 380240005
 Survey License No              72461/2018-2021                      Branch            : Ashram Road, Ahmedabad
 Corporate Identity Number: U74120GJ2008PTC053700
For Priority Insurance Surveyors & Loss Assessors Pvt. Ltd


Authorized Signatory
                         09S

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