SAP INSURANCE SURVEYORS &LA PVT.LTD.

2O6,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. 13-09-2023
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.SLA 25959,Dt. of Exp. 07-11-2022
Mobile :98250 65858                                                  Mobile 98250 68799
PAN No:AAICS9971M                TAX INVOICE        GSTIN:24AAICS9971M1ZJ
To,
Bajaj Allianz General Insurance Co. Ltd.,                  Invoice No.           SAP/0506/20
IV th Floor Turquoise Building,                                    Invoice Date        30/12/2020
Panchvati Cross Roads,C.G.Road,                            Policy No.            OG-20-2202-1803-00034268
Ahmedabad 380006.                                                  Claim No.             OC-21-2202-1803-00000582
GSTIN :24AABCB5730G1Z3                                    Insured                M/s Jai Ambe Transmovers Pvt.Ltd
State : Gujarat Code : 24                                         Make & Regn.No.AL U 4019 TT /19GJ-14-Z-2134

Sr.        Description of                            Taxable           CGST                  SGST
No.Services Provided    SAC Code    Value      Rate Amount  Rate Amount Total Amount
  1  Survey Fees.                      997162     1500.00     9        135.00     9        135.00              1770.00
  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
            Total Value                                     2550.00                229.50                 229.50             3009.00

   Total Value (in Words)   Three Thousand Nine Only.
Bank Details :                                                                            Total Amount Before Tax             2550.00
Name : HDFC Bank Ltd.                                                                                 Add:CGST               229.50
A/C No 00482560002667                                                                             Add : SGST               229.50
RTGS/NEFTIFSC : HDFC0000048                                                     Total Tax Amount               459.00
                                                                                                     Total Amount After Tax              3009.00
                                                                                                   GST on Reverse Charge
                                                                                                                 ORS&LO
                                                                          For,SAP INSURANCE SURVEYORS &L A P.LTD.
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