License No. SLA-73766
Valid Up to  05-10-2024			  Mobile(S) :9990929990
Pan card no. : AHRPA8488Q			 E-Mail : msadhikari77@gmail.com
		      MANOHAR ADHIKARI
			      Surveyor & Loss Assessor
		    C/o Harinagar Nayak, Near DAV School, Haldwani,Uttrakhand
				 Survey Fee Bill
To,
   Bajaj Allianz General Insurance Co. Ltd. Bill No.: B-01-24-02197
   NEW DELHI				       Date 24/01/2024
   NEW DELHI,WEST DELHI-110015		     Code   :
   GSTIN: 07AABCB5730G1ZZ State Code : NEW DELHI (07)
	Report Ref No M S/BAGI/18R0031/12-23/F/02028
	Vehicle No.  UK18R0031
	 Insured Name SAURABH KUMAR
	Date Of Accident 06-Dec-23	      Assessed :      169,642.00
	Policy/cover note no OG-24-9910-1825-00047399 Estimate :	0.00
	Claim No OC-24-1103-1825-00009639	   IDV     2 1,326,580.00
 SNo	   Particulars		     HSN/SAC	     Amount 
  1 Final				       997162	      4,300.00
	 Professional Fee : Assessed Amount & 169,642.00 2,500.00
	 Photos/CD Expenses :				0.00
	 0 Photographs , Charged for 0 @ Rs. 0.00
	Conveyance Expenses : Visited total 180 Kms.No of visits 1 charged @10.00/Km 1,800.00
	 HALDWANI TO KASHIPUR 90*2 TOTAL 180KM
  2 ReInspection				997162	      1,800.00
	 Professional Fee :				  0.00
	 Photos/CD Expenses :				0.00
	 0 Photographs , Charged for 0 @ Rs. 0.00
	Conveyance Expenses Visited total 180 Kms.No of visits 1 charged10.00/Km 1,800.00
	 HALDWANI TO KASHIPUR 90*2 TOTAL 180KM
							Sub Total : 6,100.00
						       C GST @9.00 %  549.00
						      S GST @ 9.00 %  549.00
      ADVANCE RECEIPT			    Grand Total        7,198.00
							Round off : 7,198.00
		   In words : Rs. Seven Thousand One Hundred Ninety Eight Only
 GSTIN: 07AHRPA8488Q1Z9 State : (07)
 PAN.AHRPA8488Q
 Bank Name : HDFC BANK LTD
 A/c No. 50200085453100
 MICR No  110240116
	   :HDFC0000932				arveyof LossAssessor
 IFS Code
							 SLAN

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