Licence No.: 73224 VISHAL C.TANNA Valid up to:28th Sep.2022 SURVEYOR& LOSS ASSESSOR IIISLA Member No.:AW/06402 Office No.215,Govinda Complex Mobile 09898212711 Opp. Panchratna Appartment, email : vishal.tannasurveyor@gmail.com GIDC,Vapi 396191 TAX INVOICE Invoice No. 446 REF.NO. VTBAG/FIN/0457/2021 Date : 24/03/2021 Bajaj Allianz General Insurance co. Ltd. MZ 30-37,Upper Ground Floor,Megh Mayur PlazaAthwalines,Parle Point,Surat-Dumas Road,Surat Gujarat - 395007 BRDIV OG-18 Insurer Name Bajaj Allianz General Insurance co.Ltd. MZ 30-37,Upper Ground Fioor,Megh Mayur Plaza,Athwalines,Parle Point,Surat-Dumas Road,Surat Gujarat-395007 BRDIV GST No. GST NO.24AABCB5730G1Z3 Insured :Mr. Ramesh G.Jain Dahanu Claim no. OC-21-2203-1803-00000412 Policy No. OG-21-2218-1803-00000454 Subject MH 43Y 6332 Sr.No. Particular Amount 1 Professional Fees (FINAL + SPOT) 1500.00 2 Travelling Charges Rs.7.5 Kms.70 No.of visit 2 1050.00 3 Digital Photographs No's @ Rs.15.00 0.00 4 Haltage 0.00 5 Others if any 0.00 6 0.00 7 0.00 TOTAL 2550.00 Add CGST @ 9.00% 229.50 Add SGST 9.00% 229.50 Grand Total 3009.00 Surveyor Code SAC 997162 RUPEES THREE THOUSAND NINE ONLY AL PAN Number :ADFPT7401E Thanking GSTIN:24ADFPT7401E1ZS Advance Receipt Vishal C.Tanna ---PAGE END---