Salahuddin & Associates Gov.Approved EngineerVuemetigator.Sueyor Los Assessor LienseNo.SL/23Vd Uo9--025 Addres:D-322,2Floor.FM Tower. Vibhuti Khand Gomti Nagar Lucknow-226 010 Phone No.0522-4009370. Cell Nos.-9839118322&9984995544 Pan No.AOJPS0386L&GST NO 09AOJPS0386L129 HSN/SAC 997162 Ref: 2324BAJAJ1475 Dated:30-11-2023 1. Claim No. OC-24-1301-1826-00009283 2. Policy No. OG-24-1301-1826-00020473 3. Bill o Insurance Company Bajaj Allianz General Insurance Company 4. Insurance Company GST No 09AABCBS730GIZV 5. Insurance Company Address 3FloorNarain Automobiles, 4, Shahnajaf Road Hazratganj, Lucknow, Uttar Pradesh -226001 6. Insured Mr ASHUTOSH MISHRA 7. Registration No. UP34BS6480 Sl No. Description Amount (Rs) 1. Professional fee Rs 1,500.00 2. Conveyance RS 250.00 RS 1,750.00 Add: CGST @9.00% RS 157.50 Add: SGST @9.00% Rs 157.50 TOTAL Rs 2,065.00 (RUPEES TWO THOUSAND AND SIXTY FIVE ONLY) For,Salahuddin Associates ---PAGE END---