SAP INSURANCE SURVEYORS & LA 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.13-09-2023 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/0599/20 IV th Floor Turquoise Building, Invoice Date 29/01/2021 Panchvati Cross Roads,C.G.Road, Policy No. OG-21-2202-1803-00002689 Ahmedabad 380006. Claim No. OC-21-2202-1803-00000669 GSTIN :24AABCB5730G1Z3 Insured Mr.Pranjal Ashokbhai Patel. State : Gujarat Code : 24 Make & Regn.No.LPT 3118 /14 GJ-01-DV-3468 Sr. Description of Taxable CGST SGST No.Services Provided SAC Code Value Rate Amount Rate Amount Total Amount 1 Survey Fees. 997162 1000.00 9 90.00 9 90.00 1180.00 2 Local Expenses. 997162 350.00 9 31.50 9 31.50 413.00 3 Travelling Expenses. 997162 9 9 4 Out Station Expenses. 997162 9 9 5 Photograph Expenses. 997162 9 9 6 Local Expenses. 997162 9 9 7 Photo Expenses. 997162 9 9 Total Value 1350.00 121.50 121.50 1593.00 Total Value (in Words)One Thousand Five Hundred Ninety Three Only. Bank Details : Total Amount Before Tax 1350.00 Name:HDFC Bank Ltd. Add:CGST 121.50 A/C No :00482560002667 Add:SGST 121.50 RTGS/NEFTIFSC:HDFC0000048 Total Tax Amount 243.00 Total Amount After Tax 1593.00 GST on Reverse Charge For,SAP INSURANCE SURVEYORS & L A P.LTD. ---PAGE END---