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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)


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