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              SAPINSURANCE SURVEYORS & L A PVT.LTD.
              206,BINORI AMBIT,NEXT TO JAIN TEMPLE,OPP NEW YORK TOWER,S G ROAD,THALTEJ,
              AHMEDABAD.380 059.PHONE (O) 40034803, E Mail : sapsurveyors05@gmail.com
              Surveyor,Loss Assessor & Valuer.                            Lic.No.SLA 72495,Dt. of Exp.13-09-2020
              AJAY P.SHARMA                                                    PARAG D.SHAH
              D.A.E.                                                                      D.A.E.
              Surveyor,Loss Assessor & Valuer.                            Surveyor,Loss Assessor & Valuer.
              Lic.No.SLA 17753,Dt.of Exp.01-02-2021                 Lic.No.SLA25959,Dt. of Exp. 07-11-2022
              Mobile98250 65858                                                Mobile98250 68799
              PAN No:AAICS9971M               TAX INVOICE        GSTIN :24AAICS9971M1ZJ
              To,
              Bajaj Allianz General Insurance Co. Ltd.,                 Invoice No.          SAP/0279/20
              IV th Floor Turquoise Building,                                  Invoice Date        22/09/2020
              Panchvati Cross Roads,C.G.Road,                           Policy No.            OG-20-2202-1803-00013386
              Ahmedabad 380006.                                                Claim No.            OC-21-2202-1803-00000251
              GSTIN :24AABCB5730G1Z3                                   Insured               Mr.Prabhatsang Hamirji Gohil.
              State :GujaratCode :24                                       Make & Regn.No.Tata LPT 3118 /1 GJ-18-AU-8397
              Sr.        Description of                           Taxable           CGST                 SGST
              No.  Services Provided    SAC Code     Value      Rate  Amount  Rate  Amount  Total Amount
                1  Survey Fees.                      997162     5000.00     9        450.00     9        450.00             5900.00
                2  Local Expenses-03 visit      997162     1050.00     9          94.50     9          94.50             1239.00
                3  Travelling Expenses.          997162                       9                        9
                4  Out Station Expenses.        997162                       9                        9
                5  Photograph Expenses.       997162                       9                        9
                6  Re Inspection Fees.            997162                       9                        9
                7  Local Expenses.                 997162                       9                        9
                8  Photograph Expenses.       997162                       9                        9
                          Total Value                                    6050.00                544.50                544.50             7139.00
                 Total Value (in Words)   Seven Thousand One Hundred Thirty Nine Only.
              Bank Details :                                                                          Total Amount Before Tax             6050.00
              Name :HDFC Bank Ltd.                                                                              Add:CGST               544.50
              A/C No :00482560002667                                                                          Add:SGST               544.50
              RTGS/NEFTIFSC: HDFC0000048                                                    Total Tax Amount             1089.00
                                                                                                                 Total Amount After Tax             7139.00
                                                                                                              GST on Reverse Charge
                                                                                      For,SAPINSURANCE SURVEYORS &LA P.LTD.
                                                                                                          Rammio
                                                                      LICNo.
                                                                    SLA72495

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