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 Allian 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    : 1,326,580.00
 SNO	  Particulars		   HSN/SAC	   Amount t
  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
	ConveyncExpeneistdoal180Kms.Noofvistcharged10.00/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 ExpensesVisited total 180 Kms.No of visits 1charged@10.00/Km 1,800.00
	 HALDWANI TO KASHIPUR 90*2 TOTAL 180KM
						     Sub Total :  6,100.00
						   CGST 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/CNo.. 50200085453100		     SOHAKA CPAR ADHIKARI
 MICRNo 110240116
 IFS Code HDFC0000932			     Surveyo! Poss Assessor
						      SLAN
							  Z0

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