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Adjustech UK
Payment Receiving Acknowledgement

Office 149, 450 South Brand Brooklyn

San Diego County, CA 91905, USA

+1 (123) 456 7891, +44 (876) 543 2198

Invoice #86423
Date Issues: April 25, 2021
Date Due: May 25, 2021
Invoice To:

Thomas shelby

Shelby Company Limited

Small Heath, B10 0HF, UK

718-986-6062

peakyFBlinders@gmail.com

Bill To:
Total Due: $12,110.55
Bank name: American Bank
Country: United States
IBAN: ETD95476213874685
SWIFT code: BR91905
Invoice / Bill #: PICL/A-12117714/ 2025
Survey Report #: PICL/A-2120026/2025
Client: Adamjee Insurance Co. Ltd. (New Unit Division)
Client NTN No. : 0709389-6
Description: SUZUKI ALTO (2024) CAN-743 (CH. NF1AET306H-1225958 EN. 6R325849)
Insured / Participant: NASIMA SHAUKAT
Policy #: PL-0225-201001-V01-000423
Claim / Loss #: CL-0325-201001-V01-000397 / CLMTKT/28/03/2025/185577
Description Amount
Professional Fee: 1,250
SST Charged @ 15%: 188
TOTAL INVOICE AMOUNT IN RUPEES: 1,438

Surveyor Company    

Assigned By


Note: It was a pleasure working with you and your team. We hope you will keep us in mind for future freelance projects. Thank You!
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