Er. KANHAIYA CHAUHAN
      Govt.Approved
SURVEYOR & LOSS ASSESSOR
INVESTIGATER,VALUER & CLAIM ADVISER
SPECIALIST IN MOTOR CLAIM`S
GST NO 09AENPC3685E1ZD
PAN NO. AENPC3685E
LICENCE NO.SLA-120150
BILL NO. /Final /BAJAJ ALLIANZE /633/23-24	      DATE 01.01.2024
  INSURERS	      :  BAJAJ ALLIANZ General Insurance Ltd.
  ADDRESS THE SILVER LINE ,11/9,CIVIL LINES KANPUR
  GST NO	   09AABCB5730G1ZV
  INSURED	       : Mr. SOURABH SINGH MODEL HONDA ACTIVA
  POLICY/COVER NOTE     : OG-24-1305-1826-00038 100 VEHICLE NO. UP 74 AK 3066
  CLAIM NO.   OC-24-1302-1826-00010440
  DATE OF ACCIDENT      : 22.12.2023     DATE OF SURVEY 31.12.2023
						 Amount (Rs[Pa.
1. Survey fee				      750    00
    -Survey  240Km Kanpur to Jaish Honda Tirwa Kannauj
2						 1920
  Conveyance    and back @ Rs 8/Km			00
							  00
3 Total_fee				       2670
4CGST		  9% of total fee	   240.3
5 S GST		9% of total fee	   240.3
6 Toll Tax
					    G Total[ 3151 00
  Total fee amount Three Thousand One Hundred Fifty One only
  Cheque No :		       Bank A/c No.20006890666
						 Stae Bank of India
  Date:			    Phool Bagh Branch kanpur
  E.&O.E.			      Kanhaiya Chauhan SLA-120150
							      NACHA
							    (SLA-120150}
							   *

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