We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
Received from TATA-AIG GENERAL INSURANCE COMPANY LIMITED the sum of
.) in full payment of our Bill No:
+. belonging to the !
(Rupees sess
dated . a Vehicl
under countersigned whose Satisfaction Voucher duly signi
RS.
Insured’s Counter Signature Repairers Signature
We hereby acknowledge having received from M/s «» .
My / Our vehicle No: .. va, Which has been repaired to my/our full satisfa.
‘ability amount conveyed by TATA-AIG GENERAL INSURA *
and /We admit that the li
aim upon the
COMPANY LIMITED of payment *
) for such repairs is in the full discharge of My / Our cl
in respect of the damage caused
day of
Company under its Policy No:
said Vehicle in an accident that occurred on the ...
We hence request TATA-AIG GENERAL INSURANCE COMPANY L!
the Final Payment for the claim in favour
MB...
Signature of the Insu:
DATE:?...-e0s008
