2021-03-30113258


            Licence No. -SLA 74140                                                                   Valid upto -  22.09.2022
                                                      JIGNESH S. THAKKAR
            GST No. 24AFWPT8975J3Z5                                                                 PAN No.-     AFWPT8975J
                                                       Surveyor & Loss Assessor
                           232, Shrushti Complex, Above SBI, N. HNo.8, Kamrej Char Rasta, Surat.
            Mobile No. 9904096492 / Office : 9978696492                               Email: thakkar97@gmail.com
            BANK NAME STATE BANK OF INDIA                                            A/c No.     3721550008
            BRANCH   KAMREJ CHAR RASTA                                            IFSC CODE SBIN0005149
            MICR Code 395002028                                                        A/c Type    CURRENT
                                                              TAX INVOICE
            Bill No.          :      511/2020-21/JT                                                   Date :30-Mar-2021
            Insurer          :      Bajaj Allianz General Ins.Co.Ltd.
                                        MZ 30-37, Upper Ground Floor, Megh Mayur Plaza, Near HDFC Bank, Athwalines,
                                         Parle Point,Surat, Gujarat, India. Pin Code : 395 007.
                                         GSTIN -24AABCB5730G1Z3
            Claim No.                    :     OC-21-2204-1811-00000017          Date of Accident :1-Dec-2020
            Policy No.                    :     OG-20-4379-1811-00000012
            Insured's Name            :      MR. ASHWINBHAI HUMBAL.
             Vehicle No.                  :     GJ03CL9962
            Make/Model               :     TATA/LPK 2518 TC

             PARTICULARS                                                                      AMOUNT
                                                         VISIT      KMS       RS
             Spot Survey                Yes                                                            750.00
             Professional Charges                                                                     1500.00
             Conveyance                                                                                 1000.00
             Spot Conveyance                                   54       7.50                      405.00
             Re-Inspection                                                                                   0.00
             Photo Charges                                                                                 25.00
             Misc. Charges/Toll charges                                                                  0.00
             Amount                                                                                      3680.00
                                                                               CGST         9%          331.20
               GST                 SAC CODE -997162              SGST         9%          331.20
                                                                               IGST          0%             0.00
             TOTAL                                                                                       4342.00

                words:Ruppese Four Thousand Three Hundred Forty Two Only
                                *
               -St.A-74140
               IGNESH S.THARMAR

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