mobile919998100555
Parikh Associates                                                                   phone+912652481991
                                                                                                             parikh.assoclatese.yahoo.com
chartered engineer.
                                                                                                             21. Padmvatinagan VP Road
surveyor,
loss assessor                                                                                           Karelbaug Vadodara-390018
valuer,
risk management
                                                                                                             License no.SLA/72618,valid uplo Nov2021
                                                                  INVOICE

    INVOICENO.               211245                                                           Date:   25.07.2020
   REPORT NO.                BAG/2021/1232
   To.
    BAJAJ ALLIANZ GENERAL INSURANCE CO LTD
    4TH FLOOR ATLANTIS HIGHTS
    NR SARABHAI CIRCLE
    VADODARA
    RECIPIENTID                 24AABCB5730G1Z3                             STATE CODE-24
   INSURED:                     KULDIPKUAR SWARSINGH MARWAHA                     INTEREST GJ06JQ9548
                                                                                                                       TIAGO
   POLICY NO:                 OG-20-2201-1801-00009128
    CLAIMNO:                  OC-21-2201-1801-00001296
   INSURER:                     BAJAJ ALLIANZ GENERALINSURANCE CO LTD.
    APPOINTED BY:             BAJAJ ALLIANZ GENERALINSURANCE CO LTD.
   SR. NO.     DESCRIPTION                                        HSN/SAC       RATE[Qty.      AMOUNT
                                                                              Code
                    PROFESSIONAL SURVEY CHARGES
                    IFINAL                                                                    500.00          1             500.00
                    RE-INSPECTION                                                                            O
          2       CONVEYANCE CHARGES                                                              o
                     1VISITS AT RANOLI 23*2=46 KMS                                     7.50         46|             345.00
          3       PHOTOGRAPHS                                                                           o
                    DIGITAL CD                                                             40.00          1               40.00
         4      OUT OF POCKET EXPENSES
                    TOLL TAX / PHOTOCOPIES                                                                                  -
                    HALTING                                                                                    o
                                                                 SUB TOTAL[                                                      885.00
                                                                      CGST|                    9.00%                           79.65
                                                                       SGST|                   9.00%                           79.65
                    ROUNDING OFF
                                                          GRAND TOTAL                                                         1.044
   RUPEES      ONE THOUSAND AND FOURTY FOUR ONLY.                                                   SOCIAT
   Our Bank Detail:
   Bank        ICICI Bank Ltd.
   Bank Br.     Karelibaug                                                                          FOR PARIKBASSOCIATES
   C.A/C.no.  24805001738                                                                              OOP
   IFSC Code:ICIC0000248
   PAN NO.:   AFTPP 4625 C                                                                                 PRAKASH PARIKH

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