Collecting Center : A001 Branch Code : 703

LIC of India, Attur Br Office

Transaction No. : 89212402 Lpnu Complex Near Bus Stand
Bazaar Street Attur
Date ( Time ): 06/02/2018 ( 16:46:37 ) Attur, 636102
email: bo_703@licindia.com
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 5,887.56 from policyholder Shri/Smt.P.Prakash

towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch

Name Term Mode Due Fr Late Fee SGST/UTGST Next Due
Agency D.O.C. Sum Assured Due To CD Chgs Total Amt Reg. No.
Code
709597693 815 5,758.00 1 5,758.00 0.00 703
Prakash P 20 HLY 01/18 0.00 0.00 07/18
01046703 28/01/2015 2,05,000.00 01/18 0.00 5,887.56 33AAACL0582H1ZT
Page Total (Rs) 5,758.00 5,758.00 0.00
0.00 0.00
0.00 5,887.56
Grand Total (Rs) 5,758.00 5,758.00 0.00
0.00 0.00
0.00 5,887.56

RUPEES FIVE THOUSAND EIGHT HUNDRED EIGHTY-SEVEN AND FIFTY-SIX PAISE ONLY
Paid by Cash/Card :5,887.56
Paid by Cheque :0.00
Cheque No :0
Cheque Date :

P.Prakash Consolidated Stamp Duty Paid

S/O.Purachimani CSD/328/2019/646/19 DTD.15/02/2019
83/A.Sivankovil Theru,
Thalaivasal Po,Attur Tk.
636112. For Life Insurance Corporation of India,
Mobile: Sri L Rajamanickam,(01046703)
Email:

**GST borne by LIC of India is Rs 0.00

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