Collecting Center : A001 Branch Code : 99E

LIC of India, Katol Branch Office 99E

Transaction No. : 40185363 Municipal Building.
Katol
Date ( Time ): 22/07/2019 ( 17:37:52 ) Katol, 441302
email: bo_99E@licindia.com
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 2,234.92 from policyholder Shri/Smt.Anil Krishnaji Wankhede
towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch

Name Term Mode Due Fr Late Fee SGST/UTGST Next Due
Agency D.O.C. Sum Assured Due To CD Chgs Total Amt Reg. No.
Code
978203450 807 1,059.00 2 2,118.00 29.11 99E
Wankhede Ak 21 QLY 02/19 58.70 29.11 08/19
0114299E 28/08/2012 1,00,000.00 05/19 0.00 2,234.92 27AAACL0582H1ZM
Page Total (Rs) 1,059.00 2,118.00 29.11
58.70 29.11
0.00 2,234.92
Grand Total (Rs) 1,059.00 2,118.00 29.11
58.70 29.11
0.00 2,234.92

RUPEES TWO THOUSAND TWO HUNDRED THIRTY-FOUR AND NINETY-TWO PAISE ONLY
Paid by Cash/Card :2,234.92
Paid by Cheque :0.00
Cheque No :0
Cheque Date :

Anil Krishnaji Wankhede Consolidated Stamp Duty Paid

At/Po-Kotwal Bardi
Tq-Katol
Dt-Nagpur For Life Insurance Corporation of India,
999900. Sunil Namdeorao Sarode(0114299E)
Mobile:
Email:

**GST borne by LIC of India is Rs 0.00

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