Collecting Branch : EPS1 Servicing Branch : LIC of India, Pimpri Br 95V
Sunshine Plaza Cts No.4713
Transaction No : 12232670 Station Road.,Pimpri Pune Date ( Time ): 07/09/2019 ( 14:53:22 ) Pimpri,411018 bo_eps1@licindia.com Receipt No : PR1223267000011920 HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks ` 6,409.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Savita Prakash Dhasade
towards the following :
Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch
Name Term Mode Due From Late Fee SGST/UTGST Next Due Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No. (`) (`) (`) 952867693 75 6,409.00 1 6,409.00 0.00 95V Savita Prakash 20 YLY 08/19 0.00 0.0 08/20 0111295V 28/08/2002 1,00,000 08/19 0.00 6,409.00 0
Page Total (`) 6,409.00 6,409.00 0.00
0.00 0.00 0.00 6,409.00 Grand Total (`) 6,409.00 6,409.00 0.00 0.00 0.00 0.00 6,409.00
GST borne by LIC of India ` 144.20
SIX THOUSAND FOUR HUNDRED NINE RUPEES AND ZERO PAISE ONLY
Savita Prakash Dhasade
Consolidated Stamp Duty Paid Hinge Mala,Hadapsar, Pune. CSD/328/2019/646/19 DTD.15/02/2019
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