Run Date : 2-Feb-24

PAYMENT VOUCHER

ISSUING OFFICE Voucher No : 230047320

DO611900_HYD_BEGUMPET_DO Voucher Date : 31-Jan-24
6 -3 862/A/B, 2nd floor, Issuing Office Code : 611900
Lal Banglow ,GreenLands Payment Office Code : 611900
Ameerpet
500016
India

Receiver/ : RELLENO INSURANCE Payee Bank Name : AXIS BANK

Surveyor BROKING SERVICES PVT LTD.
Name (1D4149263)
Particulars : RELLENO INS BROKING Payee Bank : 911020017650714
SERVICES PVT LTD Account Number
3-6-239, LILAM VILLA, Payee Bank IFSC : UTIB0000068
HIMAYATNAGAR Code
HYDERABAD
500029
TELANGANA
India

Sr No Invoice Number Policy Number End/Dec/Claim Ref Number Amount Vendor Tax Invoice Vendor Tax
Number Invoice Date
1 611900CN230000004207 COMMISSION 01-APR-2023- 11,300.18 GST/2023-24/1334 23-Jan-2024
61190001MAY2023
2 611900CN230000004207- -974.00
TDS-CM-32771131
3 611900CN230000012686 COMMISSION 01-JUN-2023- 7,334.54 GST/2023-24/1335 23-Jan-2024
61190001JUL2023
4 611900CN230000012686- -632.00
TDS-CM-33910382
5 611900CN230000012687 COMMISSION 01-JUN-2023- 11,241.18 GWST/2023-24/648 07-Sep-2023
61190001JUL2023
6 611900CN230000012687- -969.00
TDS-CM-33910470
7 611900CN230000026842 COMMISSION 01-SEP-2023- 139,392.68 GST/2023-24/1337 23-Jan-2024
61190001OCT2023
8 611900CN230000026842- -12,017.00
TDS-CM-35715449
9 611900CN230000031573 COMMISSION 01-OCT-2023- 37,711.80 GST/2023-24/1338 23-Jan-2024
61190001NOV2023
10 611900CN230000031573- -3,251.00
TDS-CM-36449404
11 611900CN230000032458 COMMISSION 05-NOV-2023- 1,876.66 GST/2023-24/1356 29-Jan-2024
61190007NOV2023
12 611900CN230000032458- -162.00
TDS-CM-36600067
13 611900CN230000035732 COMMISSION 01-NOV-2023- 3,669.74 GST/2023-24/1345 23-Jan-2024
61190001DEC2023
14 611900CN230000035732- -316.00
TDS-CM-37057999
15 611900CN230000035733 COMMISSION 01-NOV-2023- 3,681.54 GST/2023-24/1344 23-Jan-2024
61190001DEC2023
16 611900CN230000035733- -317.00
TDS-CM-37058433
17 611900CN230000037396 COMMISSION 08-DEC-2023- 1,975.92 GST/2023-24/1332 23-Jan-2024
61190008DEC2023
18 611900CN230000037396- -170.00
TDS-CM-37307148
19 611900CN230000039218 COMMISSION 26-DEC-2023- 48,067.24 GST/2023-24/1333 13-Jan-2024
61190026DEC2023
20 611900CN230000039218- -4,144.00
TDS-CM-37627141
21 611900CN230000041243 COMMISSION 01-DEC-2023- 13,535.62 GST/2023-24/1347 23-Jan-2024
61190001JAN2024
22 611900CN230000041243- -1,167.00
TDS-CM-37757275
23 611900DN230000000180 COMMISSION 28-JUN-2023- -5,153.00 RIBS/2324/CN/54 29-Jan-2024
61190028JUN2023
24 611900DN230000000622 COMMISSION 08-DEC-2023- -1.00 GST/2023-24/1334 23-Jan-2024
61190008DEC2023

Net Amount (Rs.) : 250,514.10

(In Words) Rupees : Two Lakh Fifty Thousand Five Hundred Fourteen and
paise Ten
Cheque Favouring : RELLENO INSURANCE BROKING SERVICES PVT LTD.
(1D4149263)
Cheque No : 125473
Cheque Date : 31-Jan-24
Bank : 00210350002503 - Disbursement Account
Payment Method : NIA_NEFT

Accountant Payment Sanctioned Cheque Signed By Receiver's Signature