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    Received With Thanks ' 30,577.00 Through Payment Gateway Over The Internet From

    Uploaded by

    Syambabu Mathangi

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Received With Thanks ' 30,577.00 Through Payment Gateway Over The Internet From

    Uploaded by

    Syambabu Mathangi
    23 views1 page

    Original Title

    PremiumpaymentReceipt_6347521

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views1 page

    Received With Thanks ' 30,577.00 Through Payment Gateway Over The Internet From

    Uploaded by

    Syambabu Mathangi

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    syammunni07

    675767153_1
    Collecting Branch : EPS1 Servicing Branch : LIC of India, Tenali Branch
    LIC OF INDIA,TENALI BRANCH
    Transaction No : 6347521
    P B NO 21 DOOR NO 22-6-
    Date ( Time ): 27/05/2022 ( 14:24:48 ) TENALI DT GUNTUR A P,522201
    Email: [email protected]
    Receipt No : PR0634752100012223
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 30,577.00 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Mathangi Syam Babu


    towards the following :

    Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
    Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
    Revival Sum Assured Due To CD Charges Total Amt Reg. No.
    Agency Code
    (Yes/No) (`) (`) (`)
    675767153 103 / 18 30,577.00 1 30,577.00 0.00 687
    Mathangi Syam 28/04/2009 HLY 04/22 0.00 0.00 10/22
    No 04/22 0.00 30,577.00 37AAACL0582H2ZK
    02622687 10,00,000

    Page Total (`) 30,577.00 30,577.00 0.00


    0.00 0.00
    0.00 30,577.00
    Grand Total (`) 30,577.00 30,577.00 0.00
    0.00 0.00
    0.00 30,577.00

    GST borne by LIC of India ` 687.98


    THIRTY THOUSAND FIVE HUNDRED SEVENTY SEVEN RUPEES AND ZERO PAISE ONLY

    Mathangi Syam Babu


    Consolidated Stamp Duty Paid
    C/O K.Koteswara Rao,D No 7-1-6,
    Opp.Asn College,Prakasam Road, LOA/CSD/280/2022 DTD- 24.02.2022 VALID FROM 14.03.2022 TO
    Tenali Po Mdl Guntur Dt

    0 Payment Acknowledgement generated through


    Online Portal on 27-May-22 Time : 14:29:02.
    Mobile: 94******17
    Email: sy********[email protected]
    For Payment related queries-Email: [email protected]

    This receipt is electronically generated and no signature is required.

    Har Pal Aapke Saath!

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