mobile+919998100555
Parikh Associates                                                                            phone+912652481991
                                                                                                                          parikh.associates@yahoo.com
chartered engineer,
surveyor,                                                                                                            21.PadmavatinagarVL.PRoad.
loss assessor,                                                                                                      Karellbaug.Vadodara-390018.
valuer.
risk management
                                                                                                                          License no.SLA/72618,valid uplo Nov20


                                                                        INVOICE

  INVOICENO.                   212261                                                                Date:    19.02.2021
  REPORTNO.:                  BAG/2021/2199
  To,
  BAJAJ ALLIANZ GENERALINSURANCE CO LTD
  4TH FLOOR ATLANTIS HIGHTS
  NR SARABHAI CIRCLE
  VADODARA
  RECIPIENT ID                   24AABCB5730G1Z3
  INSURED:                       HIMMATBHAI BABUBHAI GOHIL                                 INTEREST GJ06KP9489
                                                                                                                                    EECO
  POLICY NO:                   OG-21-9910-1801-00164390
  CLAIMNO                     OC-21-2201-1801-00005284
  INSURER:                        BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
  APPOINTED BY:               BAJAJ ALLIANZ GENERALINSURANCE CO LTD.
 SR.NO.      DESCRIPTION                                              HSN/SAC         RATEQty.       AMOUNT
                                                                                      Code
          1        PROFESSIONAL SURVEY CHARGES
                     FINAL                                                                             500.00            1               500.00
                     RE-INSPECTION                                                                                     1
         2        CONVEYANCE CHARGES                                                                      o
                    2 VISITS TO PADRA 28*2=56KMS                                           7.50         112               840.00
         3        PHOTOGRAPHS                                                                                    o
                     DIGITALCD                                                                     40.00                               40.00
          4        OUTOF POCKET EXPENSES                                                                     1
                     TOLLTAX/PHOTOCOPIES
                    HALTING                                                                                              0
                                                                      SUB TOTAL                                                          1,380.00
                                                                             CGST                      9.00%                             124.20
                                                                              SGST                      9.00%                             124.20
                     ROUNDING OFF
                                                                GRAND TOTAL                                                                1,628
 RUPEES       FIVE THOUSAND NINE HUNDRED ONLY.
  Our Bank Detail:
 Bank         ICICI Bank Lta.
                   Karelibaug                                                                                    FOR PARIKH ASSOCIATES *
 Bank Br.
  C.A/c no.  024805001738                                                                                         unwr
 IFSC Code:ICIC0000248
 PAN NO.:    AFTPP 4625 C                                                                                            PRAKASHPARIKH

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