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706470809_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Chennai City Br
LIC OF INDIA,CHENNAI CITY BR
Transaction No : 26233367
NO.6, NEW STREET,,BIG BAZAR
Date ( Time ): 26/11/2022 ( 11:40:09 ) CHENNAI,600016
Email: BO_71X@LICINDIA.COM
Receipt No : PR2623336700032223
Call Center No: 022 6827 6827
Received with thanks ` 12,062.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : K Hemanath
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) (`) (`) (`)
706470809 179 / 20 12,062.00 1 12,062.00 0.00 71X
K Hemanath 21/12/2012 YLY 12/22 0.00 0.00 12/23
No 12/22 0.00 12,062.00 33AAACL0582H1ZT
0219271X 3,50,000
K Hemanath
Consolidated Stamp Duty Paid
Old No.29, New No.49
Tha Tha Muthi Appan Street LOA NO/CSD/390/2022 Dtd - 28.06.2022 valid from 05.07.2022 to
Sowcarpet,Chennai
705791788_2
Collecting Branch : EPS1 Servicing Branch : LIC of India, Chennai City Br
LIC OF INDIA,CHENNAI CITY BR
Transaction No : 26233367
NO.6, NEW STREET,,BIG BAZAR
Date ( Time ): 26/11/2022 ( 11:40:09 ) CHENNAI,600016
Email: BO_71X@LICINDIA.COM
Receipt No : PR2623336700032223
Call Center No: 022 6827 6827
Received with thanks ` 6,005.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : K.Hemanath
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) (`) (`) (`)
705791788 165 / 35 6,005.00 1 6,005.00 0.00 71X
K.Hemanath 21/12/2011 YLY 12/22 0.00 0.00 12/23
No 12/22 0.00 6,005.00 33AAACL0582H1ZT
0219271X 1,25,000
K.Hemanath
Consolidated Stamp Duty Paid
Old No 29 New No 49 Thatha Muthiappan
Street Sowcarpet Post LOA NO/CSD/390/2022 Dtd - 28.06.2022 valid from 05.07.2022 to
Chenani
705791791_3
Collecting Branch : EPS1 Servicing Branch : LIC of India, Chennai City Br
LIC OF INDIA,CHENNAI CITY BR
Transaction No : 26233367
NO.6, NEW STREET,,BIG BAZAR
Date ( Time ): 26/11/2022 ( 11:40:09 ) CHENNAI,600016
Email: BO_71X@LICINDIA.COM
Receipt No : PR2623336700032223
Call Center No: 022 6827 6827
Received with thanks ` 6,005.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : K.Hemanath
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) (`) (`) (`)
705791791 165 / 35 6,005.00 1 6,005.00 0.00 71X
K.Hemanath 21/12/2011 YLY 12/22 0.00 0.00 12/23
No 12/22 0.00 6,005.00 33AAACL0582H1ZT
0219271X 1,25,000
K.Hemanath
Consolidated Stamp Duty Paid
Old No 29 New No 49 Thatha Muthiappan
Street Sowcarpet Post LOA NO/CSD/390/2022 Dtd - 28.06.2022 valid from 05.07.2022 to
Chenani