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Payment Receipt

Customer Details
Customer
: MR.A T H GAYAN CHATHURANGA
name
HEENATIGALA ROAD ,
Address : ERAMUDUGAHA JUNCTION ,
UNAWATUNA , GALLE , 80000
Contact no : 0770190352
Policy Details
Policy Number : 0012052802901
Premium Mode : Monthly
Commencement : 21/05/2015
Agent Code : AG000237
Payment Summary
Receipt Number : 0000000028961344
Date : 10/08/2022
Time : 07:05:37
Payment type : Cash
Amount paid : Rs.5,160.00

Union Assurance PLC (PQ12), No. 20, St. Michael's Road, Colombo 03, Sri Lanka
Telephone: Hotline (+94) 112 990 990 | Shortcode: 1330 | General (+94) 112 990 000
Fax: Life Insurance: (+94) 112 438 165
Human Resources (+94) 112 320 595 | Email: info@unionassurance.com
Website: www.unionassurance.com

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