TAX INVOICE MINESH VALLABHDAS SHAH LICENCE NO.-SLA/63819 Surveyor-Loss Assessors-Valuer-Investigator EXP.DATE : 26/04/2021 FIRE-MOTOR-MARINE(C)-ENGINEERING-MISC. IIISLA MEMBERSHIP NO.: F/W/01143 CONTACT : 98240 32094 Email: mvshah2@gmail.com OFFICE :97238 15456-BARODA mvshah2@rediffmail.com OFFICE : 9824444179 -BHARUCH GSTIN NO.:24AHNPS2949A1ZA PAN No.:AHNPS2949A INVOICENO. 1438/20-21 DATE: 29-Oct-20 BILLED TO M/s.Bajaj Allianz General Insurance Co.Ltd BUY.GSTIN NO 24AABCB5730G1Z3 4th Floor,Atlantis Hetitage,B/h Atlantis Heights PAN No.: AABCB5730G Opp. Swagat petrol pump, Sarabhai Main Road, PLACE OFSUPPLY: GUJARAT Baroda. GUJARAT INDIA STATE OF SUPPLY: GUJARAT PROFESSIONAL SERVICES RENDERED FOR THE FOLLOWING, OURJOB REF.NO. #20100334 INSURED/Vehicle No. MR.JAYDEEPKUMAR PATEL/GJ16 CE 7504 POLICY NO./Claim no. OG-20-2203-1802-00032178 /OC-21-2203-1802-00000698 DATE OF SURVEY 24-10-2020 PLACE OF SURVEY AT LAXMI AUTO TRADERS KOSAMBA DESCRIPTION OF SERVICE CHARGES AMOUNT PROFESSIONALSURVEY FEES: ASSESSED LOSS Rs.7800.00 Rs. 350.00 CONVEYENCE (TO & FRO): 100 KMS. @ Rs. 7.50 Rs. 750.00 HALTING ALLOWANCE: Rs. 0.00 PHOTOGHRPHS/CD @40/-: 1 NOS. @ Rs. 40.00 Rs. 40.00 OTHERS(INCEDENTAL IF ANY): Rs. 0.00 SUB TOTAL TAXABLE : Rs. 1140.00 HSN/SAC CGST @ 9% Rs. 103.00 CODE: TAXES (00440169) SGST @ 9% Rs. 103.00 997162 IGST @ 0% Rs. 0.00 TOTALAMOUNT WITH TAX - Rs.. 1346.00 Amount In Words : ONE THOUSAND THREE HUNDRED FORTY SIX ONLY HSN/SAC TAXABLE CENTRAL TAX STATE TAX INTERSTATE TAX CODE VALUE RATE AMOUNT RATE AMOUNT RATE AMOUNT 997162 1140.00 9% 103.00 9% 103.00 0% 0.00 TOTAL TAX Rs. 206.00 TWO HUNDRED SIX ONLY BANK DETAILS FOR PAYMENT BANK NAME : BANK OF BARODA OO1L BRANCH : AKOTA HIV.S MINESH V.SHAH IFSCCODE BARBOAKOTAX (SURVEYOR/LOSS ASSESSOR) LIC.No.SLA 63819/18-21 MICR CODE 390012021 CURRENTA/C.NO.: 06760200000417 Advance receipt. MINESH V.SHAH E& O.E -Subject to Vadodara Jurisdiction (PROPRIETOR) ADDRESS : * 101, Kanha Appt.,52, Purshottam Nagar, Urmi Cross Road., Akota, Vadodara -390020 ---PAGE END---