SURVEY FEES BILL CUM RECEIPT DATE 20-Aug-20 SPARTANS INSURANCE SURVEYORS AND LOSS ASSESSORS PRIVATE LIMITED 98482 09966, 94400 14565 FELLOW MEMBER - FIRE, ENGINEERING, MOTOR # 3D SUSHO SAMRAT , 175, RANGARAJPURAM MAIN ROAD SLA IRDA/CORP/SLA-200055 EXPIRY June 24, 2022 KODAMBAKKAM GST NO 33AAZCS2907E1Z6 CHENNAI -600032 PAN NO AAZCS2907E TAMILNADU BILLING ADDRESS ; CLAIM NO OC-21-1501-1803-00000089 THE REGIONAL CLAIMS MANAGER POLICY NO OG-20-1919-1803-00000903 BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD INSURED NAME AVANA LOGISTICS ANNA NAGAR VEHICLE NO TN69BF9580 CHENNAI WORKSHOP NAME TVS LEYLAND MADHAVARAM TAMILNADU ESTIMATE 750000 GST NO 33AABCB5730G1Z4 PLACE OF SUPPLY SURVEY FEELS BILL NO 09/BAJAJ/20-21 GST INVOICE NO 51BILL DATE 20-Aug-20 S. NO ITEM DESCRIPTION HSN CODE PROF FEE CONVEYANCE CGST SGST IGST INSURANCE CLAIMS ADJUSTMENT SERVICES MODE OF TRAVEL RATE % AMT RATE % AMT RATE % AMT DETAILS OF SURVEY FEES NO OF KM'S 1 PROFESSIONAL FEES - SPOT 997162 0 0 9% 0 9% 0 0% 0 2 PROFESSIONAL FEES - FINAL 997162 5000 800 9% 522 9% 522 0% 0 3 REINSPECTION FEES 997162 0 0 9% 0 9% 0 0% 0 4 DAILY ALLOWANCE 997162 0 0 9% 0 9% 0 0% 0 5 PHOTO CHARGES CD/DVD 997162 0 0 9% 0 9% 0 0% 0 TOTAL 5000 800 522 522 0 TOTAL INVOICE VALUE 6844 BANK CURRENT ACCOUNT NO 50200046343670 SWISS CODE BANK ADDRESS NO 6-3-891 & 892, RAJBHAVAN ROAD SOMAJIGUDA , HYDERABAD - 500015 MICR CODE NA IFSC CODE HDFC0000512 SPARTANS INSURANCE SURVEYORS AND LOSS ASSESSORS PRIVATE LIMITED IRDACORPA SLA-200055 ---PAGE END---