Collecting Center : A001

Branch Code : 70P

LIC of India, Chennai City Br Office-24
Yaafa Complex
9 Puraswalkam High Road
Chennai, 600007
email: bo_70P@licindia.com
HelpDesk: +91-022-1251

Transaction No. : 69971280

Date ( Time ): 11/12/2016 ( 10:18:56 )

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 29,409.60 from policyholder Shri/Smt.K.Arumugam
towards the following policy/ies
Policy No
Name
Agency Code
718923701

Plan
Term
D.O.C.
169
Arumugam K
10
0031170P
15/12/2009
Page Total (Rs)

Grand Total (Rs)

Inst. Prem(Rs)
Mode
Sum Assured
28,076.00
HLY
5,00,000.00
28,076.00

28,076.00

No Of Inst
Due Fr
Due To
1
06/16
06/16

Total Premium
Late Fee
CD Chgs
28,076.00
1,333.60
0.00
28,076.00
1,333.60
0.00
28,076.00
1,333.60
0.00

Service Tax
Branch
Edu. Cess
Next Due
Total Amt
0.00
70P
0.00
12/16
29,409.60
0.00
0.00
29,409.60
0.00
0.00
29,409.60

RUPEES TWENTY-NINE THOUSAND FOUR HUNDRED NINE AND SIXTY PAISE ONLY
Paid by Cash :29,409.60
Paid by Cheque :0.00
Cheque No :0
Cheque Date :
K.Arumugam
No:20/10.Cheran Street,Anbalagan Nagar
Sebiam,Perambur
Chennai
600011.
Mobile: 919840258309
Email:

Consolidated Stamp Duty Paid

Mudrank : AMuSh2016/2967/CR747/M1 w.e.f. 30/11/2016

For Life Insurance Corporation of India,

Sri D Ramakrishnan(0031170P)

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi