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Received With Thanks ' 10,188.44 Through Payment Gateway Over The Internet From

M. Mahalakshmi renewed her life insurance policy number 318662465 with LIC of India in Kancheepuram. She paid a total renewal premium of Rs. 10,188.44 online through a payment gateway. The payment was for a 16 year term life policy with a sum assured of Rs. 1,50,000 and an annual premium of Rs. 9,874. The receipt acknowledges receipt of the full premium amount including late fees and applicable taxes from M. Mahalakshmi.

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Mahalakshmi Mahendran
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19 views1 page

Received With Thanks ' 10,188.44 Through Payment Gateway Over The Internet From

M. Mahalakshmi renewed her life insurance policy number 318662465 with LIC of India in Kancheepuram. She paid a total renewal premium of Rs. 10,188.44 online through a payment gateway. The payment was for a 16 year term life policy with a sum assured of Rs. 1,50,000 and an annual premium of Rs. 9,874. The receipt acknowledges receipt of the full premium amount including late fees and applicable taxes from M. Mahalakshmi.

Uploaded by

Mahalakshmi Mahendran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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318662465_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Kancheepuram


NO.12 RAILWAY STATION ROAD
Transaction No : 14989157
PERIA KANCHIPURAM,TAMILNADU
Date ( Time ): 12/08/2021 ( 08:54:39 ) ,631502
Email: [email protected]
Receipt No : PR1498915700012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 10,188.44 through Payment Gateway over the Internet from:

Smt./Ms./Shri : M. Mahalakshmi
towards the following :

Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
Revival Sum Assured Due To CD Charges Total Amt Reg. No.
Agency Code
(Yes/No) (`) (`) (`)
318662465 914 / 16 9,874.00 1 9,874.00 118.12 734
M. Mahalakshmi 06/07/2020 YLY 07/21 78.20 118.12 07/22
Yes 07/21 0.00 10,188.44 33AAACL0582H1ZT
02122734 1,50,000

Page Total (`) 9,874.00 9,874.00 118.12


78.20 118.12
0.00 10,188.44
Grand Total (`) 9,874.00 9,874.00 118.12
78.20 118.12
0.00 10,188.44

TEN THOUSAND ONE HUNDRED EIGHTY EIGHT RUPEES AND FORTY FOUR PAISE ONLY

M. Mahalakshmi
Consolidated Stamp Duty Paid
No-57/31/14,Krishnan Street
Bharathi Nagar CSD/70/2021/2092 DATED - 24.06.2021
Pillaiyar Palayam Kanchipuram

631501 Payment Acknowledgement generated through


Online Portal on 12-Aug-21 Time : 08:57:03.
Mobile: 94******86
Email: mm********[email protected]
For Payment related queries-Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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