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| Settelement of Claim Number | CL-0325-1101010101-V11-D-01576 / CLI/34753 |
| TID | |
| Registration Number | BYT-759 |
| Parts Amount | 12,000 |
| Less: Depreciation% | 6,000 |
| Net Payable Amount | 6,000 |
| Payment in favour of workshop / Insured | Participant |
Surveyor Company
Assigned By
Invoice Balance:
$5000.00