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Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi Collecting Center : A001 Transaction No. : 14481810 Date ( Time ): 20/04/2015 ( 23:13:11 ) Branch Code : 233 LIC of India, Kanpur Branch City II 233 Westcott Bldg. M G Marg Kanpur Kanpur Cbo-2, 0 email: [email protected] HelpDesk: +91-022-1251 RENEWAL PREMIUM RECEIPT Received with thanks Rs. 3,032.00 from policyholder Shri/Smt.Shiv Narayan Sharma towards the following policy/ies Policy No Name Agency Code Plan Term D.O.C. Inst. Prem(Rs) Mode Sum Assured No Of Inst Due Fr Due To Total Premium Late Fee Service Tax Edu. Cess Total Amt Branch Next Due 233692308 Sharma S N 06007233 165 15 28/03/2010 3,032.00 HLY 1,25,000.00 1 03/15 03/15 3,032.00 0.00 0.00 0.00 3,032.00 233 09/15 Page Total (Rs) 3,032.00 3,032.00 0.00 0.00 0.00 3,032.00 Grand Total (Rs) 3,032.00 3,032.00 0.00 0.00 0.00 3,032.00 RUPEES THREE THOUSAND THIRTY-TWO ONLY Paid by Cash :3,032.00 Paid by Cheque :0.00 Cheque No :0 Cheque Date : Shiv Narayan Sharma S/O Late Shiv Mangal Prasad Sharma 107ews Doubl Story Barra-2 Madhya Bhag Barra-5 Kanpur 208027. Mobile: Email: Consolidated Stamp Duty Paid For Life Insurance Corporation of India, Dinesh Chandra Trivedi(06007233)

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  • Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

    Collecting Center : A001

    Transaction No. : 14481810

    Date ( Time ): 20/04/2015 ( 23:13:11 )

    Branch Code : 233LIC of India, Kanpur Branch City II 233Westcott Bldg.M G Marg KanpurKanpur Cbo-2, 0email: [email protected]: +91-022-1251

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 3,032.00 from policyholder Shri/Smt.Shiv Narayan Sharmatowards the following policy/ies

    Policy NoName

    Agency Code

    PlanTerm

    D.O.C.

    Inst. Prem(Rs)Mode

    Sum Assured

    No Of InstDue FrDue To

    Total PremiumLate Fee

    Service TaxEdu. CessTotal Amt

    BranchNext Due

    233692308Sharma S N

    06007233

    16515

    28/03/2010

    3,032.00HLY

    1,25,000.00

    103/1503/15

    3,032.000.00

    0.000.00

    3,032.00

    23309/15

    Page Total (Rs) 3,032.00 3,032.000.00

    0.000.00

    3,032.00Grand Total (Rs) 3,032.00 3,032.00

    0.000.000.00

    3,032.00

    RUPEES THREE THOUSAND THIRTY-TWO ONLYPaid by Cash :3,032.00Paid by Cheque :0.00Cheque No :0Cheque Date :

    Shiv Narayan SharmaS/O Late Shiv Mangal Prasad Sharma107ews Doubl Story Barra-2 Madhya BhagBarra-5 Kanpur208027.Mobile:Email:

    Consolidated Stamp Duty Paid

    For Life Insurance Corporation of India,Dinesh Chandra Trivedi(06007233)