Motor Final Survey Report
Office 149, 450 South Brand Brooklyn
San Diego County, CA 91905, USA
+1 (123) 456 7891, +44 (876) 543 2198
Invoice #86423
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 |
| Survey Report No: | PICL/A-2120303/2024 | S.Report Date: |
28/05/2025 |
| Takaful Operator | Atlas Insurance Limited (Window Takaful Operations) - NTN # 2396345-0 | Intimation Date: |
17/04/2025 |
| Participant | MEEZAN BANK LTD, Karachi A/C MR.KHURAM ZAMEER | ||
| Repairers: | Toyota Eastern Motors - Karachi | ||
| Survey Location: | At the Repairer Workshop |
| Reg. # | Make | Type of Body | Colour |
|---|---|---|---|
| BXM-771 | TOYOTA YARIS ATIV CVT 1.3 | saloon | GRAPHITE GRAY |
| Year of Mnf. | Engine No. | Chassis No. | Meter Reading |
| 2022 | 2A55588 | R-7035064 | 39473 |
| Name | D/Licence # | Issued Date | Expiry Date |
|---|---|---|---|
| Syed Muhammad Azeem | 42201-2772835-5#282 | 11/03/1984 | 08/03/2026 |
| Date | Place of Loss | Police Report (If any) |
|---|---|---|
| 16/04/2025 | P.E.C.H.S Karachi | Stated Not repoerted to police |
| PMD # | Issuance Date | Valid Upto |
|---|---|---|
| 2024SDRTAPCDP01362 | 01/09/2024 | 31/08/2025 |
| Benefit # | Sum Covered | CV4 Applicable |
| 2025SDRTAPCDI00257 | Rs. 2,650,960 /= | No |
| Date of Survey | Date of Re-inspection | Pre-Accident / Theft Market Value |
| 19/04/2025 | 05/05/2025 | 0/= |
| Repairers' Estimate | Net Adjusted Amount | Dep. Amount |
| Rs. 40,000/= | Rs. 41,582/= | Rs. 1,575 |
Continued on next page...
Page 2
| Our Ref. # | PICL/A-2120303/2024 |
THIS IS TO CERTIFY that, at the request of the interested Takaful Operator, we did conduct Survey of the Accidental Loss sustained by the subject vehicle at the Workshop on 19/04/2025. We now report on our assessment/adjustment of the Loss as follows:
| DESCRIPTION | REPAIRERS' ESTIMATE | OUR ASSESSMENT |
|---|---|---|
| Labour Charges | 40,000 | 27,000 |
| 1 - Front Bumper - Repairing | - | - |
| 2 - R/s Rear Door - Denting | - | - |
| 3 - R/s Rear Fender - Denting | - | - |
| 4 - Rear Bumper - Repairing | - | - |
| 5 - R/s Rear Door Outer - | - | - |
| 6 - Painting of the above - | - | - |
| Labour Charges: | 40,000 | 27,000 |
| Replacement Parts (Rate of Dep.) | Quantity | Price |
| 1 - R/s Rear Door Outer (15% - Rs. 966) | 1 | 6,441 |
| 2 - R/s Tape Black out 02 (15% - Rs. 609) | 1 | 4,060 |
| Cost of Parts : | 10,501 |
| FINAL ASSESSMENT / ADJUSTMENT: | Labour Charges: | 27,000 | |
| Add: Provincial Sales Tax: (15%) | 4,050 | ||
| TOTAL LABOUR CHARGES: | 31,050 | ||
| Cost of Parts | 10,501 | ||
| Less: Total Depreciation (15%) | - 1,575 | ||
| Cost of Parts after Depreciation | 8,926 | ||
| Add: GST on Parts 18% (+) | + 1,607 | ||
| TOTAL COST OF PARTS | + 10,532 | ||
| GRAND TOTAL: | 41,582 | ||
| NET ADJUSTED AMOUNT: | 41,582 |
- Salvage of the replaceable parts (if any) may be taken over by the Insurers/Takaful Operator.
- Settlement of the net adjusted loss may be directly paid to the Workshop (Toyota Eastern Motors - Karachi)
- Photographs of the damages to the vehicle are enclosed to the Insurers for their records.
We do hereby declare that neither WE, as Surveyors, nor any DIRECTOR, EMPLOYEE, ASSOCIATE or PARTNER of this entity, has any interest, directly, by way of Risk Coverage, Ownership, Agency Commission, Repairs Disposal of salvage or any other way, whatsoever, other than as a Surveyor, in the Property or Interest, which constitutes the Subject-matter of this Report.
Issued without prejudice.
Surveyor Company
Assigned By
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Invoice Balance:
$5000.00