Manoj Jain                                                                     m                234845 (Resi.)
Fire,Motor, Enginnering)                                                                      Mobile       9425087045
Surveyor & Loss Assessor                                                                         7693087045
Investigator & Valuer                                                                  Shreeji Nagar
                                                                                                    Behind Vrandavan Colony
Email : manoj_jain_2001@yahoo.com
GSTIN :23AEDPJ2084E1ZZ                                                       Khargone - 451001
                             Central Govt. Lic. No. SLA-40879 ( Valid Up To 20th May 2021)
Ref : Bajaj         269/020                                                                              Date:         22.01.2021
                                                              Professional Fee Bill

To
         The Manager
          Bajaj Allianz General Insurace Co. Ltd.
          Cust GSTIN/UIN :23AABCB5730G1Z5

 1      Particular                                                  MP 10 MS 2171
 2      Policy ICovernote No.                               OG-21-2312-1802-00000096
                                                            :
 3      Claim No.                                                  OC-21-2302-1802-00000320
                                                            :
  4      Place /Date of occurrence       :              02.01.2021
  5     Insured                                                     VINAY MAHAJAN
                                                            :
                           Particular                                                                         Amount
  1      Professional Fee                                                                                      750.00
           Reinspection Fee
  2      Photographs CD                                                                                         50.00
   4     Travelling Expanses                                                                                 300.00
   5      Daily Allowance                        @5001-
   6      Misc Expanses
                                                                             Total                                     1100.00
                                            CGST @                             9%                                99.00
                                            SGST @                             9%                                99.00
                                             Total Tax                                                                 198.00
                                                                             Total                                     1298.00

   Rs. One Thousand Two Hundred & Ninety Eight Only

            Advance Receipt
                                                                                                                            (Manoj Jain)
                                                                                                                                Surveyor
    Bank A/c No.0287000100070315                                                           *7
                                                                                                                    )
    Bank Name : Punjab National Bank Khargone                                           7
    PAN No.AEDPJ2084 E                                                                                4087

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