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Adjustech UK
Survey Bill

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
Owners' CNIC 4230194385293, 4230175755205 License # 124.S.MOTOR.F - Motor Third Party Compulsory Business
Company NTN 1228507-2 License Validity 14/May/2026
Invoice # PICL/A-12118374/ 2025 Date: 13/Jun/2025
Survey Report # PICL/A-2119400/2024
Client: EFU General Insurance Ltd. (Corporate Division)
Description: SUZUKI ALTO VXR 660 (2022) BXF-504 (CH. 1129061 EN. 229101)
Insured: Mahesh Lohana
Policy #: 2514057804/05/2024
Claim / Loss #: 4251000382/2025
Particulars Amount
Professional Fee: 3,000
Tax Charged @ SST 15%: 450
TOTAL INVOICE AMOUNT: 3,450

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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