Parikh Associates                                                                          mobile+919998100555
                                                                                                                        phone+912652481991
                                                                                                                       parikh.associates@yahoo.com
charfered engineer
surveyor,                                                                                                          21.Padmavatinagar.V1.R Road,
loss assessor;                                                                                                    Karellbaug.Vadodara-390018
valuer,
risk management
                                                                                                                       License no.=SLA /72618.valid upto Nov2821


                                                                     INVOICE

 INVOICE NO.                  212209                                                              Date:    12.02.2021
 REPORT NO.:                 BAG/2021/2177
To,
 BAJAJ ALLIANZ GENERALINSURANCE CO LTD
 4TH FLOOR ATLANTIS HIGHTS
 NR SARABHAI CIRCLE
 VADODARA
RECIPIENT ID                   24AABCB5730G1Z3
INSURED:                       PRAVINBHAI SOLANKI                                             INTEREST GJ32B8033
                                                                                                                               CRETA
POLICY NO.:                   OG-21-4381-1801-00000039
CLAIM NO:                    OC-21-2204-1801-00003451
INSURER:                       BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
APPOINTED BY:              BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
SR.NO.      DESCRIPTION                                             HSN/SAC        RATEQty.      AMOUNT
                                                                                   Code
                  PROFESSIONAL SURVEY CHARGES
                  FINAL                                                                         1,500.00                           1,500.00
                  RE-INSPECTION
       2        CONVEYANCE CHARGES                                                                     0

       3        PHOTOGRAPHS                                                                                   0
                  DIGITAL CD
       4        OUT OF POCKET EXPENSES
                  TOLL TAX/PHOTOCOPIES
                  HALTING                                                                                            0
                                                                  SUB TOTAL                                                         1,500.00
                                                                         CGST                      9.00%                            135.00
                                                                          SGST|                      9.00%                            135.00
                  ROUNDING OFF
                                                             GRAND TOTAL                                                              1,770
RUPEES       ONE THOUSAND SEVEN HUNDRED AND SEVENTY ONLY.
Our Bank Detail:
                                                                                                                            KH
Bank         ICICI Bank Lta.
Bank Br. Karelibaug                                                                                  FORPARIKH ASSOCIATES
C.A/c no. 024805001738                                                                                 +
IFSC Code:ICIC0000248                                                                                    S     12aN
PAN NO.:    AFTPP 4625 C                                                                                         PRAKASH PARIKA

---PAGE END---