"Original For Recipient"
Priority Insurance Surveyors & loss Assessors Pvt Ltd
202-203,2nd Floor, Abhishree Adroit, Nr. Gwaliya Sweets, Mansi                                                          PRIORITY
Cross Road, Vastrapur, Ahmedabad, Gujarat -- 380015
Phone #:+91 7940029357
Email : accounts@prioritysurveyors.co.in
                                                                         Tax Invoice
To,                                                                                                                  Invoice No  :3111-2101-0084
Bajaj Allianz General Insurance Company Ltd                                                    Invoice Date : 23/01/2021
4nd Floor,Turquoise,Near Panchvati Circle,CG Road
,Ellisbridge, Ahmedabad.


State       : Gujarat ( Code - 24 )
GSTIN No : 24AABCB5730G1Z3
Place of Supply : Gujarat
Insured                      Jaimala Jivanji                             Vehicle Number           GJ-02-Z-8283
Policy #                     OG-21-2202-1803-00003317         Nature Of Loss           Own Damage
Claim #                      OC-21-2202-1803-00000684          Type of Vehicle           Truck

 SR.NO.                            DESCRIPTION                               QTY.        UNIT        RATE         AMOUNT
      1      Survey Fees                                                                1           Each        1000.00               1000.00
      2      Outstation Conveyance Charges - 1st Visit                     60           Kms          8.00                   480.00
                                                                                                           Sub Total                                 1480.00
                                                                                                           CGST @   9.00%                      133.20
                                                                                                           SGST @   9.00%                      133.20
                                                                                                           Grand Total                              1746.40
                                                                                                           Say                                            1746
                                       INR :ONE THOUSAND SEVEN HUNDRED FORTY SIX ONLY

E. and O.E.                                                                          Bank Details
Subject to Ahmedabad Jurisdiction                                       Bank Name      : HDFC Bank Ltd
GSTIN No                          : 24AAECP6441K1ZB                   A/C No            00692560008630
HSN/SAC Code                  997169                                      IFSC Code      :HDFC0000069
PAN No                             : AAECP6441K                             Micro Code      380240005
Survey License No              72461/2018-2021                      Branch            : Ashram Road, Ahmedabad
Corporate Identity Number   U74120GJ2008PTC053700
For Priority Insuranemnatygyors & Loss Assessors Pvt. Ltd
                                               L9551
                                 0

Authorized Signatoy +

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