PrmPayRcpt-PR0145800900011516
1
Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi Collecting Branch : EPS1 E-mail : [email protected] Phone : +91-022-1251 Transaction No. : PR0145800900011516 Date ( Time ): 08/05/2015 ( 11:34:09 ) Servicing Branch : 712 LIC of India, Chittoor Branch Office Post Box No 23 10 1 17 Gandhi Road. Chittoor A P Chittoor 517001 RENEWAL PREMIUM RECEIPT Received with thanks Rs. 1552.00 through Payment Gateway over the Internet from: Smt./Ms./Shri : V.Jayavelu Towards the following Policy No Name Agency Code Plan Term D.O.C. Inst. Prem(Rs) Mode Sum Assured No Of Inst Due Fr Due To Total Premium Late Fee Service Tax Edu Cess Total Amt Branch Next Due 841164646 Jayavelu V 04085712 75 20 15/05/2002 1,552.00 HLY 50,000.00 1 05/15 05/15 1,552.00 0.00 0.00 0.00 1,552.00 712 11/15 Page Total (Rs) 1,552.00 1,552.00 0.00 0.00 0.00 1,552.00 Grand Total (Rs) 1,552.00 1,552.00 0.00 0.00 0.00 1,552.00 RUPEES ONE THOUSAND FIVE HUNDRED FIFTY-TWO ONLY V.Jayavelu S/O K.Venkatesan, Kanipakam P , Irala M , Chittoor Dist. 1 This receipt is electronically generated. Page 1of1
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Transcript of PrmPayRcpt-PR0145800900011516
Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi
Collecting Branch : EPS1E-mail : [email protected] : +91-022-1251
Transaction No. : PR0145800900011516
Date ( Time ): 08/05/2015 ( 11:34:09 )
Servicing Branch : 712LIC of India, Chittoor Branch OfficePost Box No 23 10 1 17 Gandhi Road.Chittoor A P
Chittoor517001
RENEWAL PREMIUM RECEIPT
Received with thanks Rs. 1552.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : V.Jayavelu
Towards the following
Policy NoName
Agency Code
PlanTerm
D.O.C.
Inst. Prem(Rs)Mode
Sum Assured
No Of InstDue FrDue To
Total PremiumLate Fee
Service TaxEdu CessTotal Amt
BranchNext Due
841164646Jayavelu V
04085712
7520
15/05/2002
1,552.00HLY
50,000.00
105/1505/15
1,552.000.00
0.000.00
1,552.00
71211/15
Page Total (Rs) 1,552.00 1,552.000.00
0.000.00
1,552.00Grand Total (Rs) 1,552.00 1,552.00
0.000.000.00
1,552.00
RUPEES ONE THOUSAND FIVE HUNDRED FIFTY-TWO ONLY
V.JayaveluS/O K.Venkatesan,Kanipakam P , Irala M ,Chittoor Dist.1
This receipt is electronically generated.
Page 1of1
