HITESH R. RAVAL                                     TEL: (02836) 228544 Mo. 9825225844
D.A.E.,A.I.I.S.A(BOMBAY)                                                     G-8, B Green Park, PI. No. 113-114, Tagore Road,
SURVEYOR LOSS ASSESSOR & VALUER                                            Gandhidham - 370201, Dist - Kutchh.
LIC.NO.SLA/36625 up to 02.04.2023                             EMAIL :hird2007@gmail.com
                                                                  INVOICE

BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD.              Invoice #           HIR/10931/2020
BARODA                                                                    Invoice Date       23-Oct-2020
GSTIN : 24AABCB5730G1Z3

Insured : AVANA LOGISTEK LTD                                          Vehicle No.                 GJ 12 AZ 6706
Policy # OG-20-1919-1803-00000882                                  Nature of Loss     Own Damage / External means
CLAIM NO. OC-21-2204-1803-00000195
Sr. NqDESCRIPTION                                               QTY.        UNIT       RATE          Rs. Ps.
 01.  Survey Fees -- Final                                            1           Per         2500             2500.00
 01.  Survey Fees -- Spot                                             0            Per           0                    0.00
 02.  Re Inspection Fees                                             0            Per           0                    0.00
 03.  Daily Allowance                                                0           Each         150                  0.00
 04.  Local Convence Charges                                      2           Each         350               700.00
         R. Inspection visits                                            1          Each         350               350.00
         Outstation Conveyance                                       0            km            6                    0.00
 05.  Photograph (CD) Charges No.                               1           Each          50                  50.00
 06.  Other Expense / Toll Taxes                                                                                        0.00
                                                                         Sub Total                                          3600.00
                                                                         CGST @                    9.00%                324.00
                                                                         SGST @                     9.00%                324.00
                                                                         Grand Total                                       4248.00
                                                                         Say                                                 4248.00
Rupees :      Four Thousand Two Hundred Forty Eight Only

E. and O.E.                                                                                  Bank Details
Subject to Gandhidham Jurisdiction                                                 INDUSIND BANK - GANDHIDHAM
GSTIN: 24AASPR2350N1Z6                                                         Account No.: 100005244918
PAN No. :AASPR2350N                                                                  IFSC Coad: INDB0000066
                                                                                                 Micr. No.: 370234001
                SH
                                                                                                Account Type: Savings
                Surveyor

HITESH RAVAL

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