Run Date : 14-Feb-24

PAYMENT VOUCHER

ISSUING OFFICE Voucher No : 230050353

DO611900_HYD_BEGUMPET_DO Voucher Date : 13-Feb-24
6 -3 862/A/B, 2nd floor, Issuing Office Code : 611900
Lal Banglow ,GreenLands Payment Office Code : 611900
Ameerpet
500016
India

Receiver/ : BHARAT RE-INSURANCE Payee Bank Name : AXIS BANK

Surveyor BROKERS PRIVATE LTD
Name (DM2551289)
Particulars : CLOCK TOWER, NAVKETAN Payee Bank : 014010200028680
BUILDING Account Number
SECUNDERABAD Payee Bank IFSC : UTIB0000014
SECUNDERABAD Code
500003
TELANGANA
India

Sr No Invoice Number Policy Number End/Dec/Claim Ref Number Amount Vendor Tax Invoice Vendor Tax
Number Invoice Date
1 611900CN230000018222 COMMISSION 01-JUL-2023- 126,256.18 TL118/2023-24 05-Aug-2023
61190001AUG2023
2 611900CN230000018222- -10,884.00
TDS-CM-34517099
3 611900CN230000035731 COMMISSION 01-NOV-2023- 813.96 TL268/2023-24 10-Jan-2024
61190001DEC2023
4 611900CN230000035731- -70.00
TDS-CM-37058537
5 611900CN230000045353 COMMISSION 01-JAN-2024- 141,847.34 TL285/2023-24 06-Feb-2024
61190001FEB2024
6 611900CN230000045353- -12,228.00
TDS-CM-38393907
7 611900DN230000000143 COMMISSION 01-MAY-2023- -178,569.00 CN-TL006/23-24 14-Jun-2023
61190001JUN2023

Net Amount (Rs.) : 67,166.48

(In Words) Rupees : Sixty Seven Thousand One Hundred Sixty Six and paise
Fourty Eight
Cheque Favouring : BHARAT RE-INSURANCE BROKERS PRIVATE LTD
(DM2551289)
Cheque No : 126283
Cheque Date : 13-Feb-24
Bank : 00210350002503 - Disbursement Account
Payment Method : NIA_NEFT

Accountant Payment Sanctioned Cheque Signed By Receiver's Signature