MILIND S.BELHEKAR
SURVEYORS / LOSS ASSESORS
IRDA LIC No.85200 / 2015-2020 (Exp 27.10.2020)
U 202, ROSELAND RESIDANCY, GATE NO 4, KUNAL ICON ROAD, PIMPLE SAUDAGER
RAOD, PUNE-411027, PH-9168116994, Epost- Milind_belhekar@yahoo.com
GST No-27AKIPB3600P2Z5
REPORT NO: BAJAJ ALLIANZ_652                               DATE: 23/12/2020

                                                                SURVEY BILL

TO:
M/S. BAJAJ ALLIANZ GIC LTD
REGIONAL OFFICE, PUNE
GST NO -27AABCB5730G1ZX
Place of supply - Maharashtra (Pune)
  REFERENCE NO. : BAJAJ ALLIANZ_652

  POLICY NO.               : OG-21-9910-1801-00200345
  CLAIM NO.                 : OC-21-2001-1801-00006011
  REGISTRATION NO.    : MH14FG4580
  DT. OF SURVEY  : 21/12/2020
 PROF. SURVEY FEES                                           997162      Rs.               2500
 Photo                                                                                               Rs.                     50
 Con 1 VISITS =250+(70*2*2*7.5)                                                Rs.                2350
 Reinspection :                                                          997162      Rs.
 Toll                                                                                                   Rs.
 SGST                                                                                               Rs.                  441
 CGST                                                                                               Rs.                  441
                                                               Total                                  Rs.                5782
 Total                                                                                                                       5782


     IND

                      *
                     R
           PVEYOR

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