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Collecting Center : A001 Branch Code : 22K

LIC of India, Sahaswan Branch Office 22K


Transaction No. : 99158898 Pramod Inter College Bhawan.
Sahaswan
Date ( Time ): 20/03/2017 ( 10:22:09 ) Sahaswan, 243638
email: [email protected]
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 5,062.40 from policyholder Shri/Smt.Sompal Singh


towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax Branch
Name Term Mode Due Fr Late Fee Edu. Cess Next Due
Agency Code D.O.C. Sum Assured Due To CD Chgs Total Amt
224270525 179 951.00 5 4,755.00 0.00 22K
Singh S 20 QLY 01/16 307.40 0.00 04/17
0089822K 28/07/2011 1,00,000.00 01/17 0.00 5,062.40
Page Total (Rs) 951.00 4,755.00 0.00
307.40 0.00
0.00 5,062.40
Grand Total (Rs) 951.00 4,755.00 0.00
307.40 0.00
0.00 5,062.40

RUPEES FIVE THOUSAND SIXTY-TWO AND FORTY PAISE ONLY


Paid by Cash :5,062.40
Paid by Cheque :0.00
Cheque No :0
Cheque Date :

Sompal Singh Consolidated Stamp Duty Paid


S/O.Sh.Ram Prakash AMuSh2016/2967/CR747/M1 w.e.f. 30/11/2016
Lekhpal Colony
Babrala Distt Budaun
242021. For Life Insurance Corporation of India,
Mobile: Satyendra Pal Gautam(0083922K)
Email:

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

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