17-12-2009
To,
The Manager,
The Oriental Insurance Company Ltd.,
Near Public Library,
Bunder Road,
Veraval – 362 265.

Dear Sir,

Sub : 142803/11/2010/152 Exp. 18-05-2010.
Claim No.142803/11/2010/000002
Ref : Your Discharge Voucher dated 16-12-2009

Please refer to my loss/damage Intimation letter dated 16-07-2009 in which estimate of loss/damaged claimed by me is of Rs.6,10,000/- (Rupees Six Lac Ten Thousand Only).

In consideration of disapproval of my claim, I hereby deny from the Oriental Insurance Company Limited the sum of Rs.9355/- in full and final settlement of my claim for the loss of property which occurred on 15-07-2009 and 16-07-2009 covered under the above policy number.

I hereby bind the company for the full & final settlement of my claim of Rs.6,10,000/- in respect of the said loss. I hereby do not transfer any of my rights and remedies to the Oriental Insurance Company Ltd who has indemnified me in respect of the loss till the claim is settled.

Thank you,

Yours faithfully,

Dwarka Balchand Kundlani
The insured.