QUE ... seeatehs ~ Collecting Branch: EPSt Servicing Branch : LIC OF INDIABRANCH 1SLFLOOR 8 WING.SAI CLASSIC, ‘90 FEET ROAD,NEAR PALM ACRES. Date (Time }- 04032010 (11:35:41 ) ‘Mumbai4o0081 'bo_eps1@licinciacom Receipt No: PR2590067600011819 geede ter aca er Transaction No : 25300676 RENEWAL PREMIUM RECEIPT Received with thanks @ 1,531.00 through Payment Gateway over the Internet from: Smt/ls/Shi: Yogesh Shyam Joshi towards the following Paley No a Name Term Mode DueFrom | LateFee |scstiuTcst] Next Due Agency code} 0.0.6. | SumAssured | DueTo | cDcharges | Total Amt | Reg. No. © ® ® easseoes | 165 1531.00 1 1581.00 000) aK Yogesh Shyam] 35 uy sito 0.00 0.00 oat oovsaesx | o1ns2009 | 1,25,000 oxo 0.00 1531.00 Page Total @) 1,531.00 1,531.00 ‘0.00 0.00 0.00 .00| 1,534.00 Grand Total ®) 1,531.00 1531.00 8.0% 0.00 0.0% 0.00] 1,831.0 GST borne by LIC of india ® 34.44 ‘ONE THOUSAND FIVE HUNDRED THIRTY ONE RUPEES AND ZERO PAISE ONLY ‘Yogesh Shyam Joshi ‘Mahaloxm Darshan, Fiat No 6, Ground Floor, Aaptewadi RamnagarKulgaon ‘Badlapur E Noor Sakshi Park 421503, Payment Ackroweds Mobile: 7385951603 Online Portal on 04 Email: yoshis6@yahoo.com generated trough (9 Sime 11-37-08 This receipts electronically generated and no signature is required, Har Pal Aapke Saatht