mobile+919998100555
Parikh Associates                                                                          phone+912652481991
                                                                                                                        parikh.assocfates@yahoo.com
chartered engineer,
surveyor.                                                                                                           21,Padmavatinagar.VI.P.Road.
loss assessor;                                                                                                     KarelibaugVadodara-390018.
valuer,
risk management
                                                                      INVOICE                                  License no.SLA/72618valid uplo Nov.2021

 INVOICENO.                  211479                                                               Date:    29.09.2020
 REPORT NO.                  BAG/2021/1484

 To,
 BAJAJ ALLIANZ GENERAL INSURANCE CO LTD
  4TH FLOOR ATLANTIS HIGHTS
 NR SARABHAI CIRCLE
 VADODARA
 RECIPIENT ID                   24AABCB5730G1Z3                                STATE CODE:-24

 INSURED:                       MOHIT SONI                                                          INTEREST GJO3JL5041
                                                                                                                                 FLUDIC VERNA
 POLICY NO:                   QG-20-2243-1801-00000239

 CLAIM NO:                    OC-21-2204-1801-00001834
 INSURER :                       BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
 APPOINTED BY :               BAJAJ ALLIANZ GENERAL INSURANCE CO LTD.
SR. NO.      DESCRIPTION                                             HSN/SAC         RATEQty.      AMOUNT
                                                                                    Code
        1        PROFESSIONAL SURVEY CHARGES
                   FINAL                                                                         1,500.00                           1,500.00
                   RE-INSPECTION
        2        CONVEYANCE CHARGES                                                                     o
                   VISITS                                                                                               o
        3        PHOTOGRAPHS                                                                                   o
                   DIGITAL CD

        4        OUT OF POCKET EXPENSES
                   TOLL TAX/PHOTOCOPIES
                   HALTING                                                                                             o
                                                                   SUB TOTAL997162                                               1,500.00
                                                                          CGST                      9.00%                            135.00
                                                                           SGST                      9.00%                            135.00
                   ROUNDING OFF
                                                              GRAND TOTAL                                                               1,770
RUPEES        ONE THOUSAND SEVEN HUMDRED AND SEVENTY ONLY.
Our Bank Detail:
Bank:         ICICI Bank Ltd.
Bank Br..     Karelibaug                                                                                   FOR PARIKH ASSOCIATES
C.A/cno.   24805001738                                                                                             w
IFSC Code:ICIC0000248
PAN NO.:    AFTPP 4625 C                                                                                          PRAKASH PARIKH

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