MILIND S.BELHEKAR
SURVEYORS / LOSS ASSESORS
IRDA LIC No.85200 / 2015-2020 (Exp 27.10.2020)
U 202, ROSELAND RESIDANCY, GATE NO 4, KUNAL ICON ROAD, PIMPLE SAUDAGER
RAOD, PUNE-411027, PH-9168116994, Epost- Milind_belhekar@yahoo.com
GST No-27AKIPB3600P2Z5
REPORT NO: BAJAJ ALLIANZ_660                               DATE: 17/01/2021

                                                                 SURVEY BILL

TO:
M/S. BAJAJ ALLIANZ GIC LTD
REGIONAL OFFICE, PUNE
GST NO -27AABCB5730G1ZX
Place of supply - Maharashtra (Pune)
  REFERENCE NO. : BAJAJ ALLIANZ_660

  POLICY NO.               : OG-21-3241-1801-00000133
  CLAIM NO.                 : OC-21-2001-1801-00003609
  REGISTRATION NO.    : MH14EP3463
  DT. OF SURVEY : 09/10/2020
 PROF. SURVEY FEES                                           997162      Rs.                1500
 Conveyance 4 VISITS 142*7.5*3                                           Rs.                3195
 Reinspection :                                                                              Rs.
 Toll                                                                               997162      Rs.                     74
 Photos                                                                                             Rs.                     50
 SGST                                                                                               Rs.                  434
 CGST                                                                                               Rs.                  434
                                                                Total                                  Rs.                5686
 Total                                                                                                                        5686


     IND

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                     R
           PVEYOR

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