Office 149, 450 South Brand Brooklyn
San Diego County, CA 91905, USA
+1 (123) 456 7891, +44 (876) 543 2198
Thomas shelby
Shelby Company Limited
Small Heath, B10 0HF, UK
718-986-6062
peakyFBlinders@gmail.com
| Total Due: | $12,110.55 |
| Bank name: | American Bank |
| Country: | United States |
| IBAN: | ETD95476213874685 |
| SWIFT code: | BR91905 |
| Our Reference # | Intimation Date: | 11/01/2025 | |
| Job Specification: | Claim No. # | ||
| Interest Details: | 1218001 | Policy / PMD # | |
| Insured: | Contact / Phone: | ||
| Repairers : | Owner Name: |
Dear Sir / Madam
The subject Survey has been conducted by us on 31/01/2025 at the Appointed Survey Location. The initially Assessed Loss Amount is Rs. /- only (Repairer Estimate Rs: only).
| S. No. | Labour Panels | Type | Panel Rate | Quantity | Total Panel Rates |
|---|---|---|---|---|---|
| Total Amount of Labour: |
| S. No. | Replacement Parts | Type | Unit Price | Quantity | Total Part Price |
|---|---|---|---|---|---|
| Total Amount of Parts: | 0 |
(Part rates are subject to verification - Kindly set Claim Reserve amount and update your records accordingly.)
Surveyor Company
Assigned By
Invoice Balance:
$5000.00