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)