ARVIND KUMAR
                                                       (SURVEYOR& LOSS ASSESSOR)
                       B-04,Mellford CityOpp. Nand Vihar ColonyRohta Road,Meerut(U.P)-250001
License No    : SLA 74002                                                           Mobile(s) : 9760025714,8267972592
Valid Up to   17.06.2022                                                          E- Mail id: bajajarvindkumar@gmail.com
PAN No.       : AKHPK8427G                                                       Bank Name   ICICI BANK LTD.
GSTIN No.     : 09AKHPK8427G1ZW                                           Bank A/C No.:003701508594
Bill No. BAJAJ/09/2020/2574                         HSN/SAC Code:997162                           Date: 01/09/2020
                                                SURVEY FEES BILL (PRE -RECEIPTED)
Insurer                  BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD.
GSTIN No.               07AABCB5730G1ZZ
Address                BLOCK 04,TM FLOOR,DLF TOWER
                             SHIVAJI MARG, NEW DELHI--110015
Vehicle No.        :    UP-12-AS-2574                                     Insured        Mr.SUSHIL
Policy No.                 OG-20-4254-1802-00000298                   Claim No.      :OC-21-1103-1802-00001267
Professional fee                                                                         400.00
Conveyance for Visiting Jansath (Final)                                          750.00

                                                                                               1150.00
                                                  Add IGST @ 18.00 %                   207.00

                                                                      Total                1357.00
(Rupees one thousand three hundred fifty seven only)
Professional fee & conveyance charged for Jansath (Single visit= 50Km*2 @Rs.7.5 /Km=Rs.750.00).
ARVINDKUMAR
          S         R

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