Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

Collecting Branch : EPS1

E-mail : bo_eps1@licindia.com
Phone : +91-022-1251
Transaction No. : PR0502804300011415
Date ( Time ): 17/08/2014 ( 16:19:57 )
Servicing Branch : 82B
LIC of India, Malkapur Br Office
Dilip Deshmukh'S Bungalow
Vitthal Nagar Chalisbigha.
Malkapur Dist-Buldana (Ms)
Malkapur
RENEWAL PREMIUM ACKNOWLEDGEMENT
Received with thanks Rs. 6005.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Mamta Ashok Rathi
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
824488763
Rathi M.A
0088082B
165
20
22/07/2013
6,005.00
YLY
1,25,000.00
1
07/14
07/14
6,005.00
0.00
0.00
0.00
6,005.00
82B
07/15
Page Total (Rs) 6,005.00 6,005.00
0.00
0.00
0.00
6,005.00
Grand Total (Rs) 6,005.00 6,005.00
0.00
0.00
0.00
6,005.00
RUPEES SIX THOUSAND FIVE ONLY
Mamta Ashok Rathi
"Sundaram",Prashant Nagar
At Po Tq Malkapur Dt Buldana
443101
Payment Acknowledgement generated through Online
Portal on 17-Aug-2014 Time : 16:26:29. Digitally Signed
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Digitally signed by Rekha Varshney
Date: August 17, 2014 4:26:29 PM IST
Reason: Premium Receipt
Location: LIC OF INDIA
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