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/11090/2020
BARODA                                                                     Invoice Date       24-Oct-2020
GSTIN : 24AABCB5730G1Z3

Insured : VINOD DATRANIA                                                Vehicle No.                 GJ 05 JM 1863
Policy # OG-21-2203-1801-00001919                                  Nature of Loss     Own Damage / External means
CLAIM NO. OC-21-2204-1801-00002211
Sr. NqDESCRIPTION                                                QTY.        UNIT       RATE          Rs. Ps.
 01.  Survey Fees -- Final                                            1           Per         1000             1000.00
 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         250               500.00
         R. Inspection visits                                             1           Each         250               250.00
         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                                          1800.00
                                                                          CGST @                     9.00%                162.00
                                                                          SGST @                     9.00%                162.00
                                                                          Grand Total                                       2124.00
                                                                         Say                                                 2124.00
Rupees :      Two Thousand One Hundred Twenty Four 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
                  LiNO.                                                                         Account Type: Savings
              3S-36625
                 Surveyor

HITESH RAVAL

---PAGE END---