NAGESH. S. DHUMAL
 Automobile Surveyor, Loss Assessor & Valuer                                             D.A.E., B.A.
                                                                                                        A-25, First Floor, Office No.6 ,Gurrukripa CHS,
 Licence No. : SLA - 74742               Valid Upto :22/03/2023                          Sector 03, Sanpada (E), Navi Mumbai - 400 705
                                                                                                        022-27753336,2775 3405,Mob No. 9833490051
                                                                                                        Email ID:surveyor.nsd@gmail.com
                                                                       FINAL SURVEY BILL
Bill No.       : BA-000042/2020-2021                                                                 Date       : 29/10/2020
                                     Bajaj Allianz General Insurance Company Ltd.
ISSUED TO
DIV./BRANCH                    MUMBAI
INSURED                        M/S RAJ ENTERPRISES
VEHICLE NO.                   MH46BB0084
POLICY NO.               :                                                          CLAIM NO. :          OC-21-1901-1811-00000013
SURVEYED AT                 M/S KOHINOOR AUTO GARAGE      on Dt. : --

             Professional Fees               SPOT + SURVEY (750 + 750)                                              Rs.:                  1500.00
             Photograph1(at Rs. 0.00 x 0 Copy)                                                             Rs.:                       0.00
             Traveling Expenses 0 km.SPOT (60 KM TO AND FRO) 450 + 2 VISIT                               Rs.:                    750.00
             Toll Charges                                                                                                    Rs.:                        0.00
             Doc. Veri. Char.                                                                                                Rs.:                        0.00
                                                                                                   Total                      Rs. :                  2250.00
             18.00% GST on Rs. 2250.00                                                                             Rs. :                    405.00
             Rounded to Nearest Rupees :                                              Net Total                      Rs.:                  2655.00
             Rupees :TWO THOUSAND SIX HUNDRED FIFTY FIVE  ONLY
GST      No.            : 27AOMPD6250M1ZM

BAGIC GST NO :           27AABCB5730G1ZX
                                                                                                                      NAGESH. S. DHUMAL
Advance Receipt

---PAGE END---