Agency Commission - Summary

Branch: 80N NO 1/1 LAKSHMI AVENUE

MS M THENMOZHI OFF IAF ROAD
LIC0065680N-891701 INDHRA
NAGAR,SELAIYUR,CHENNAI
085336 - 06/02/2016 PIN:600073

Summary of Premium and Commission of 12/2016 (2nd batch) (see annexure-A for details)

Sl.No. Description Premium Commission

1. First Year Premium and Commission 10,214.00 2,187.18
2. Second Year Premium and Commission 20,845.00 1,441.00
3. Subsequent Year Premium and Commission 110,745.00 5,706.69
4. Bonus Commission Payable 0.00 874.87
5. Total Premium and Commission Payable 141,804.00 10,209.74

Payment / Recovery Details (if any) of 12/2016 (2nd batch)

Sl.No. Description Payment Recovery

1. Total First Year Commission 2,187.18 0.00
2. Total Renewal Commission 7,147.69 0.00
3. Total Bonus Commission 874.87 0.00
4. Income-Tax 0.00 510.00
5. Short Remittance 0.26 0.00
Net Payment 9,700.00
Grand Total: 10,210.00 10,210.00

Commission Bill Voucher Paid on 03/01/2017

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80N-0065680N-12/2016 (2nd batch)-VR-4459 (03/01/2017 19:41:44) Page : 1
 Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
THENMOZHI 707985907 014-25 28-08-2016 28-02-2013 80N 30/12/2016 1184.00 59.20
MURUGAN 708194690 814-25 22-08-2016 22-02-2014 CBK1 08/12/2016 2102.00 157.65
PREETHA 708379372 821-20 20-12-2016 20-12-2014 80N 30/12/2016 11619.00 871.42
MANJU PRIYADARSHINI 708380797 827-20 27-08-2016 27-02-2015 71A 10/12/2016 1727.00 94.98
UMESH HARIHARASUDAN 708380798 827-20 27-08-2016 27-02-2015 71A 10/12/2016 1692.00 93.06
THENMOZHI 708380800 827-20 27-08-2016 27-02-2015 80N 30/12/2016 1915.00 105.32
MANJU 708479525 814-25 27-08-2016 27-02-2016 80N 30/12/2016 1957.00 489.25
PV KRISHNA 711949545 075-20 24-11-2016 24-05-1999 71Z 02/12/2016 573.00 34.38
V RAMAN 711949546 075-20 24-11-2016 24-05-1999 71Z 02/12/2016 564.00 33.84
JAGANNATHAVENUGOPA 711949548 075-20 24-11-2016 24-05-1999 71Z 02/12/2016 554.00 33.24
RAMESH 711949577 014-25 28-11-2016 28-05-1999 78C 23/12/2016 322.00 16.10
M SRINIVASAN 711949623 014-20 15-11-2016 15-07-1999 71Z 30/11/2016 106.00 5.30
J PITCHUMANI 711949629 014-18 02-11-2016 02-07-1999 71Z 30/11/2016 128.00 6.40
P GANGAIAH 711949749 088-20 28-11-2016 28-09-1999 71Z 02/12/2016 481.00 24.05
A DURAI 711949850 125-20 22-11-2016 22-11-1999 71Z 02/12/2016 154.00 9.24
SELVAKUMAR S 711949851 014-20 22-11-2016 22-11-1999 71Z 02/12/2016 105.00 5.25
M CHIRANJEEVULU 711949955 126-25 28-11-2016 28-01-2000 71Z 30/11/2016 491.00 29.46
PUGALENTHI V 716095472 089-20 28-11-2016 28-06-2000 71Z 02/12/2016 239.00 11.95
S CHANDRA SEKAR 716095500 088-22 15-11-2016 15-07-2000 71Z 02/12/2016 447.00 22.35
RAMAMURTHY R 716095719 125-20 28-11-2016 28-07-2000 723 14/12/2016 606.00 36.36
K RAVINDRAN 716095966 090-21 28-11-2016 28-09-2000 71Z 30/11/2016 120.00 6.00
M CHIRANJEEVULU 716095968 111-25 28-11-2016 28-09-2000 71Z 30/11/2016 124.00 7.44
K V VENKATESHA 716096164 088-25 28-11-2016 28-11-2000 71Z 02/12/2016 377.00 18.85
M RANJITHKUMAR 716096197 126-25 15-11-2016 15-12-2000 71Z 02/12/2016 469.00 28.14
P PALANI 716096198 089-25 15-11-2016 15-12-2000 71Z 30/11/2016 203.00 10.15
S THIRUMALA RAO 716096424 125-20 28-11-2016 28-01-2001 71Z 30/11/2016 330.00 19.80
K ATHEESWARAN 716096443 088-25 15-10-2016 15-02-2001 748 31/10/2016 345.00 17.25
K ATHEESWARAN 716096443 088-25 15-11-2016 15-02-2001 748 10/12/2016 345.00 17.25
M RAMESH 716096455 089-20 15-11-2016 15-02-2001 71Z 30/11/2016 233.00 11.65
V PAUL KRUPA RAO 716096456 089-20 15-11-2016 15-02-2001 71Z 30/11/2016 275.00 13.75
M RAMESH 716096479 111-20 15-11-2016 15-02-2001 71Z 30/11/2016 227.00 13.62
PARTHEEPAN C 716096516 103-18 28-11-2016 28-02-2001 71Z 02/12/2016 537.00 32.22
P UDAYACHANDAR 716096629 103-21 28-11-2016 28-03-2001 71Z 02/12/2016 230.00 13.80
SUBRAMANIAN C 716096631 103-21 28-11-2016 28-03-2001 78C 01/12/2016 227.00 13.62
JESSY SHAJI 716096634 089-30 28-11-2016 28-03-2001 71Z 30/11/2016 201.00 10.05
SALY BIJO 716096641 089-30 28-11-2016 28-03-2001 71Z 30/11/2016 201.00 10.05
SHYAMALA SUGUNA JO 716096651 126-25 28-11-2016 28-03-2001 71Z 02/12/2016 280.00 16.80
K RAMESH 716096653 089-21 28-11-2016 28-03-2001 71Z 30/11/2016 229.00 11.45
KOTHANDARAMAN K 716096681 090-21 28-11-2016 28-03-2001 742 05/12/2016 193.00 9.65
H KADAR BASHA 716096894 088-20 12-11-2016 12-07-2001 71Z 02/12/2016 217.00 10.85
NAGARAJAN K II 716096989 088-17 28-11-2016 28-07-2001 71Z 30/11/2016 143.00 7.15
D DEVARAJAN 716096991 088-20 28-11-2016 28-07-2001 71Z 30/11/2016 217.00 10.85
L BALASUBRAMANI 716097266 088-20 28-11-2016 28-10-2001 71Z 30/11/2016 222.00 11.10
BASKAR A 716097268 126-25 15-11-2016 15-10-2001 71Z 02/12/2016 469.00 28.14
S SAKUNTALA 716097271 125-20 28-11-2016 28-10-2001 71Z 02/12/2016 641.00 38.46
UDAIYAR M 716097305 088-20 28-11-2016 28-11-2001 71Z 02/12/2016 215.00 10.75
T RAJENDRAN 716097321 088-21 28-11-2016 28-11-2001 71Z 02/12/2016 480.00 24.00
DURAIRAJ N 716097393 088-16 28-10-2016 28-12-2001 K071 02/11/2016 511.00 25.55
DURAIRAJ N 716097393 088-16 28-11-2016 28-12-2001 K071 05/12/2016 511.00 25.55
MURIKIPUDI RAVI 716097877 088-21 28-11-2016 28-03-2002 71Z 02/12/2016 417.00 20.85
K SARAVANAN 716097878 113-17 28-11-2016 28-03-2002 71Z 30/11/2016 247.00 14.82

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 Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
PUGALENTHI V 716097879 113-16 28-11-2016 28-03-2002 71Z 02/12/2016 217.00 13.02
L BALASUBRAMANI 716097880 093-25 28-11-2016 28-03-2002 71Z 30/11/2016 450.00 27.00
K MUTHUMANI 716097881 089-20 28-11-2016 28-03-2002 71Z 30/11/2016 516.00 25.80
A PADMANABHAN 716097882 088-21 28-11-2016 28-03-2002 71Z 02/12/2016 205.00 10.25
P KUMARAN 716097883 075-20 28-11-2016 28-03-2002 71Z 02/12/2016 323.00 19.38
KALAVATHY S 716097890 075-20 28-11-2016 28-03-2002 71Z 30/11/2016 292.00 17.52
THANGAVELU 716097951 089-15 28-11-2016 28-03-2002 B071 01/12/2016 491.00 24.55
THANGAVELU 716097951 089-15 28-12-2016 28-03-2002 B071 29/12/2016 491.00 24.55
ADENA VENKATESWARA 716098876 014-25 28-11-2016 28-02-2003 71Z 02/12/2016 322.00 16.10
M MOHAN 716098890 048-20 01-11-2016 01-02-2003 71Z 30/11/2016 396.00 19.80
R RAVI 716098897 103-23 28-11-2016 28-02-2003 71Z 30/11/2016 218.00 13.08
B CHANDRAIAH 716098899 048-20 28-11-2016 28-02-2003 71Z 30/11/2016 196.00 9.80
P SRINIVASAN 716098911 048-20 28-11-2016 28-02-2003 71Z 30/11/2016 200.00 10.00
NARAYANAN M 716099003 151-16 28-11-2016 28-03-2003 71Z 30/11/2016 3004.00 150.20
K SUNDARAM 716099034 075-20 28-11-2016 28-03-2003 71Z 02/12/2016 497.00 29.82
BALAJI 716099036 089-16 28-09-2016 28-03-2003 724 30/12/2016 924.00 46.20
BALAJI 716099036 089-16 28-12-2016 28-03-2003 724 30/12/2016 924.00 46.20
GOPAL S 716099041 103-18 28-11-2016 28-03-2003 71Z 02/12/2016 264.00 15.84
N SUBRAMANYAM 716099133 088-15 28-11-2016 28-05-2003 71Z 02/12/2016 309.00 15.45
A MOORTHY 716099134 014-15 28-11-2016 28-05-2003 71Z 02/12/2016 626.00 31.30
S CHINNASWAMY 716099190 091-15 11-11-2016 11-07-2003 71Z 02/12/2016 304.00 15.20
RUTTALA SURYANARAY 716099335 075-20 28-11-2016 28-08-2003 71Z 02/12/2016 279.00 16.74
P MANJULA 716099431 090-20 28-11-2016 28-10-2003 71Z 30/11/2016 202.00 10.10
P MANJULA 716099432 091-20 28-11-2016 28-10-2003 71Z 30/11/2016 211.00 10.55
M R CHOWDAPPA 716099433 088-21 28-11-2016 28-10-2003 71Z 02/12/2016 324.00 16.20
P MANJULA 716099487 088-21 15-11-2016 15-11-2003 71Z 30/11/2016 217.00 10.85
P MANJULA 716099488 014-20 15-11-2016 15-11-2003 71Z 30/11/2016 216.00 10.80
PRADEEP 716099564 088-21 28-10-2016 28-12-2003 58S 21/11/2016 312.00 15.60
PRADEEP 716099564 088-21 28-11-2016 28-12-2003 58S 16/12/2016 312.00 15.60
A SURESH 716099566 133-22 28-11-2016 28-12-2003 745 05/12/2016 222.00 11.10
SALY BIJO 716099635 103-21 28-11-2016 28-01-2004 71Z 30/11/2016 242.00 14.52
PARTHEEPAN C 716099833 159-18 28-11-2016 28-03-2004 71Z 02/12/2016 619.00 30.95
P PALANI 716099837 103-25 28-11-2016 28-03-2004 71Z 30/11/2016 208.00 12.48
K RAMESH 716099845 103-21 28-11-2016 28-03-2004 71Z 30/11/2016 454.00 27.24
P PALANI 716099846 088-25 28-11-2016 28-03-2004 71Z 30/11/2016 212.00 10.60
SURESH 716099926 149-26 28-12-2016 28-03-2004 B071 29/12/2016 3980.00 199.00
R MUNUSWAMY 716099928 090-17 28-11-2016 28-03-2004 71Z 02/12/2016 266.00 13.30
S SATHYANARAYANAN 716099929 103-18 28-11-2016 28-03-2004 71Z 30/11/2016 291.00 17.46
S SATHYANARAYANAN 716099930 103-18 28-11-2016 28-03-2004 71Z 30/11/2016 291.00 17.46
SESHADRI 716251616 088-27 28-12-2016 28-06-1999 728 24/12/2016 817.00 40.85
RADHA 716252283 125-20 14-11-2016 14-08-1999 731 27/12/2016 970.00 58.20
KRISHNAN 716252557 088-20 28-11-2016 28-08-1999 70R 24/12/2016 909.00 45.45
JAYANTHIKRISHNA 716252564 088-20 28-11-2016 28-08-1999 70R 24/12/2016 747.00 37.35
SRIVIDHYA 716587224 102-19 15-11-2016 15-02-2001 CBK1 29/12/2016 1252.00 62.60
KHADAR BASHA 716594336 126-25 12-10-2016 12-01-2002 EPS1 27/12/2016 1063.00 63.78
MUNIYAN 716594357 112-16 28-10-2016 28-01-2002 EPS1 09/12/2016 6900.00 345.00
PACHAIAMMAL 716965121 091-21 28-12-2016 28-03-2002 70S 03/12/2016 611.00 30.55
SANKAR B 716973370 088-15 28-11-2016 28-03-2003 71Z 02/12/2016 294.00 14.70
SUKUMAR 717177034 091-15 10-10-2016 10-07-2003 758 01/12/2016 531.00 26.55
KAMALADASAN 717177035 091-15 10-10-2016 10-07-2003 719 05/12/2016 538.00 26.90
VENKATESH 717380280 102-20 28-11-2016 28-08-2004 80P 21/12/2016 614.00 30.70

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 Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
SUNDARRAJAN S 717387071 075-20 25-11-2016 25-06-2004 71Z 02/12/2016 287.00 17.22
D LEKHA MC 717387072 075-20 25-11-2016 25-06-2004 71Z 02/12/2016 545.00 32.70
E BALAN 717387073 014-15 26-11-2016 26-06-2004 71Z 02/12/2016 324.00 16.20
S PRABHAKAR 717387258 149-21 28-11-2016 28-08-2004 71Z 30/11/2016 495.00 24.75
L BALASUBRAMANI 717387278 103-25 21-11-2016 21-09-2004 71Z 30/11/2016 385.00 23.10
SELVAKUMAR J 717387357 149-25 13-11-2016 13-11-2004 71Z 02/12/2016 359.00 17.95
K VENKATESAN 717387443 149-21 07-11-2016 07-01-2005 71Z 30/11/2016 481.00 24.05
K VENKATESAN 717387444 089-21 07-11-2016 07-01-2005 71Z 30/11/2016 529.00 26.45
K VENKATESAN 717387445 075-20 07-11-2016 07-01-2005 71Z 30/11/2016 1137.00 68.22
NAGARAJAN K II 717387467 091-21 28-11-2016 28-01-2005 71Z 30/11/2016 182.00 9.10
ANBAZHAGAN M 717387529 088-21 10-11-2016 10-02-2005 71Z 02/12/2016 338.00 16.90
D GURUMURTHY 717387655 149-21 28-11-2016 28-03-2005 71Z 30/11/2016 481.00 24.05
D RAJENDRAN 717387659 089-15 28-11-2016 28-03-2005 71Z 02/12/2016 423.00 21.15
S CHANDRASEKARAN 717387660 089-20 28-11-2016 28-03-2005 71Z 30/11/2016 559.00 27.95
K A THANGAVEL RAAJ 717387661 103-21 28-10-2016 28-03-2005 748 31/10/2016 242.00 14.52
K A THANGAVEL RAAJ 717387661 103-21 28-11-2016 28-03-2005 748 10/12/2016 242.00 14.52
K A THANGAVEL RAAJ 717387665 089-21 28-10-2016 28-03-2005 748 31/10/2016 248.00 12.40
K A THANGAVEL RAAJ 717387665 089-21 28-11-2016 28-03-2005 748 10/12/2016 248.00 12.40
P K JAYACHANDRAN 717387760 088-15 28-11-2016 28-05-2005 71Z 30/11/2016 400.00 20.00
JASWANT SINGH 717388044 088-21 28-11-2016 28-10-2005 71Z 30/11/2016 425.00 21.25
B VENKATESH 717388138 088-25 28-11-2016 28-12-2005 644 05/12/2016 362.00 18.10
K DEVENDRAN 717388171 088-15 13-11-2016 13-01-2006 71Z 30/11/2016 382.00 19.10
M S RANGANATHAN 717388172 174-20 13-11-2016 13-01-2006 71Z 02/12/2016 366.00 18.30
S RAJAKUMARI 717388200 174-16 27-11-2016 27-01-2006 71Z 30/11/2016 577.00 28.85
KALAVATHY S 717388201 174-20 27-11-2016 27-01-2006 71Z 30/11/2016 392.00 19.60
YUVARAJ S 717388205 014-12 01-11-2016 01-01-2006 71Z 30/11/2016 779.00 38.95
A S JYOTHINARASIMM 717388297 174-12 01-11-2016 01-02-2006 71Z 30/11/2016 1254.00 62.70
K SARAVANAN 717388513 174-20 28-11-2016 28-03-2006 71Z 30/11/2016 351.00 17.55
T SARASWATHY 717388514 174-20 28-11-2016 28-03-2006 71Z 30/11/2016 319.00 15.95
SHRI S SIVA 717388515 174-20 28-11-2016 28-03-2006 71Z 30/11/2016 306.00 15.30
T SARASWATHY 717388516 174-20 28-11-2016 28-03-2006 71Z 30/11/2016 319.00 15.95
B HARIDOSS 717388518 088-21 28-11-2016 28-03-2006 71Z 30/11/2016 464.00 23.20
SUMATHI S 717389267 088-25 24-11-2016 24-03-2007 71Z 02/12/2016 506.00 25.30
B HARIDOSS 717389517 149-21 23-11-2016 23-07-2007 71Z 30/11/2016 477.00 23.85
A RADHAKRISHNA 717389625 149-25 28-11-2016 28-10-2007 71Z 02/12/2016 357.00 17.85
SARAVANAN R 717389713 103-21 28-11-2016 28-12-2007 71Z 02/12/2016 447.00 26.82
S THAMIZHARASU 717389714 149-25 28-11-2016 28-12-2007 71Z 02/12/2016 370.00 18.50
SARAVANAN R 717389724 089-25 07-11-2016 07-01-2008 71Z 02/12/2016 400.00 20.00
B MAHENDER 717389810 159-18 28-11-2016 28-02-2008 71Z 02/12/2016 619.00 30.95
NAGARAJAN K II 717390385 168-17 17-11-2016 17-01-2009 71Z 30/11/2016 472.00 23.60
H GULAMDASTAGIR 717390426 179-16 28-10-2016 28-01-2009 748 31/10/2016 559.00 27.95
H GULAMDASTAGIR 717390426 179-16 28-11-2016 28-01-2009 748 10/12/2016 559.00 27.95
A RADHAKRISHNA 717390669 179-20 15-11-2016 15-04-2009 71Z 02/12/2016 479.00 23.95
B MAHENDER 717391063 103-21 28-11-2016 28-10-2009 71Z 02/12/2016 877.00 52.62
K SARAVANAN 717391321 165-18 28-11-2016 28-01-2010 71Z 30/11/2016 510.00 25.50
G RAVICHANDRAN 717391322 165-10 28-11-2016 28-01-2010 71Z 30/11/2016 510.00 25.50
B K NAVANEETHAM 717391343 165-15 28-11-2016 28-01-2010 71Z 02/12/2016 1021.00 51.05
B K NAVANEETHAM 717391344 165-15 28-11-2016 28-01-2010 71Z 02/12/2016 1021.00 51.05
P SHANMUGASUNDARAM 717391469 165-10 26-11-2016 26-02-2010 71Z 30/11/2016 1021.00 51.05
S SAKUNTALA 717391714 165-15 28-11-2016 28-04-2010 71Z 02/12/2016 766.00 38.30
A MANJU 717391716 165-15 28-11-2016 28-04-2010 71Z 02/12/2016 766.00 38.30

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 Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
NAGARAJAN K II 717391924 165-15 17-11-2016 17-09-2010 71Z 30/11/2016 510.00 25.50
CHITHRA 717685593 091-25 28-09-2016 28-06-2005 71M 05/12/2016 1084.00 54.20
CHITHRA 717685593 091-25 28-12-2016 28-06-2005 71M 05/12/2016 1084.00 54.20
GOPI 717689829 091-21 13-12-2016 13-01-2006 CBK1 23/12/2016 256.00 12.80
ANUBABU 717689830 091-21 13-12-2016 13-01-2006 CBK1 23/12/2016 256.00 12.80
SHYAMALA 717905901 091-15 27-09-2016 27-09-2006 CBK1 27/12/2016 6874.00 343.70
VEERABATHRAN 718383243 091-25 28-10-2016 28-10-2007 CBK1 30/12/2016 2005.00 100.25
GOPINATH 718953419 179-16 10-12-2016 10-12-2009 717 24/12/2016 1334.00 66.70
P JAI JEETAN 718953602 091-20 28-10-2016 28-01-2010 CBK1 22/12/2016 228.00 11.40
P JAI JEETAN 718953602 091-20 28-11-2016 28-01-2010 CBK1 22/12/2016 228.00 11.40
P JAI JEETAN 718953602 091-20 28-12-2016 28-01-2010 CBK1 22/12/2016 228.00 11.40
K MUTHUMANI 718959489 165-20 28-11-2016 28-04-2011 71Z 30/11/2016 500.00 25.00
M CHIRANJEEVULU 718959541 179-20 26-11-2016 26-05-2011 71Z 30/11/2016 894.00 44.70
M DHANALAKSHMI 718960655 048-15 28-11-2016 28-02-2013 71Z 30/11/2016 2208.00 110.40
E BALAN 718961162 014-05 18-11-2016 18-10-2013 71Z 02/12/2016 1035.00 51.75
SUJEET BASKE 718961836 821-20 20-11-2016 20-12-2014 71Z 30/11/2016 1006.00 75.45
SUJEET BASKE 718961958 827-16 27-11-2016 27-02-2015 71Z 30/11/2016 784.00 43.12
JALIPARTHI TOLSTOY 718962337 827-20 25-11-2016 25-02-2016 71Z 30/11/2016 613.00 114.93
JALIPARTHI TOLSTOY 718962338 814-21 25-11-2016 25-02-2016 71Z 30/11/2016 2044.00 511.00
PREMKUMAR C 718962339 827-10 25-11-2016 25-02-2016 70B 02/12/2016 1466.00 219.90
PREMKUMAR C 718962339 827-10 25-12-2016 25-02-2016 70B 30/12/2016 1466.00 219.90
B HARIDOSS 718962340 814-16 25-11-2016 25-02-2016 71Z 30/11/2016 1138.00 284.50
H PACHAIAMMAL 718962341 814-21 25-11-2016 25-02-2016 71Z 30/11/2016 834.00 208.50
M A SARAVANAN 718962342 820-15 25-11-2016 25-02-2016 71Z 30/11/2016 696.00 139.20
PARAMESWARA KANDAR 719291510 179-16 17-12-2016 17-09-2010 EPS1 30/11/2016 942.00 47.10
THENMOZHI 719296151 165-21 25-08-2016 25-02-2011 80N 30/12/2016 3062.00 153.10
MUNIYAN 719296152 179-16 25-11-2016 25-02-2011 EPS1 09/12/2016 5400.00 270.00
MANJUPRIYADARSHINI 719296153 165-20 25-08-2016 25-02-2011 71A 10/12/2016 2250.00 112.50
PRAVEENKUMAR 719552237 179-20 28-11-2016 28-04-2011 B071 01/12/2016 463.00 23.15
PRAVEENKUMAR 719552237 179-20 28-12-2016 28-04-2011 B071 29/12/2016 463.00 23.15
GAYATHRI 719553440 179-16 06-12-2016 06-06-2011 80P 03/12/2016 462.00 23.10
RAJARAMAN 719560210 179-20 27-08-2016 27-02-2012 71N 01/12/2016 1189.00 59.45
RAJARAMAN 719560210 179-20 27-11-2016 27-02-2012 71N 01/12/2016 1189.00 59.45

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