Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

Collecting Branch : EPS1

E-mail : bo_eps1@licindia.com
Phone : +91-022-1251
Transaction No. : PR0583161600011314
Date ( Time ): 18/10/2013 ( 23:12:54 )
Servicing Branch : 922
LIC of India, Bombay B O 922
Oriental Building 1st Floor
Hutatma Chowk M G Road.
Mumbai
Fort (Oriental Bldg-M.G.Road) Cbo
400001
RENEWAL PREMIUM ACKNOWLEDGEMENT
Received with thanks Rs. 2976.40 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Sri Ram Sabaji Gaonkar
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
901387476
Gaonkar Rs
00893922
14
20
11/08/1999
2,930.00
HLY
1,00,000.00
1
08/13
08/13
2,930.00
46.40
0.00
0.00
2,976.40
922
02/14
Page Total (Rs) 2,930.00 2,930.00
46.40
0.00
0.00
2,976.40
Grand Total (Rs) 2,930.00 2,930.00
46.40
0.00
0.00
2,976.40
RUPEES TWO THOUSAND NINE HUNDRED SEVENTY-SIX AND FORTY PAISE ONLY
Sri Ram Sabaji Gaonkar
118/Yashodeep, Block No-6,
Shree Krishna Nagar, 11th Cross Rd,
Borivali-E, Mumbai.
400066
Payment Acknowledgement generated through Online
Portal on 18-Oct-2013 Time : 23:14:49. Digitally Signed
Premium Receipt sent by email
This receipt is electronically generated.
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