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Received With Thanks ' 6,115.00 Through Payment Gateway Over The Internet From

This receipt acknowledges the renewal premium payment of Rs. 6,115 for LIC policy number 573676272 of Harihar Bhatta. The payment was made through an online payment gateway on September 14, 2019 for the premium due in September 2019. The receipt provides details of the policy holder, policy number, premium amount paid, taxes, and next premium due date.

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Bhattbhai
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110 views1 page

Received With Thanks ' 6,115.00 Through Payment Gateway Over The Internet From

This receipt acknowledges the renewal premium payment of Rs. 6,115 for LIC policy number 573676272 of Harihar Bhatta. The payment was made through an online payment gateway on September 14, 2019 for the premium due in September 2019. The receipt provides details of the policy holder, policy number, premium amount paid, taxes, and next premium due date.

Uploaded by

Bhattbhai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Collecting Branch : EPS1 Servicing Branch : LIC of India, Chatrapur Branch

Chatrapur.
Transaction No : 12842883
Dist Ganjam,
Date ( Time ): 14/09/2019 ( 11:29:19 ) Chhatrapur,761020
[email protected]
Receipt No : PR1284288300011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,115.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Harihar Bhatta


towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch


Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
573676272 149 6,115.00 1 6,115.00 0.00 58L
Harihara Bhatta 71 HLY 09/19 0.00 0.0 03/20
0198058L 28/03/2012 3,00,000 09/19 0.00 6,115.00 0

Page Total (`) 6,115.00 6,115.00 0.00


0.00 0.00
0.00 6,115.00
Grand Total (`) 6,115.00 6,115.00 0.00
0.00 0.00
0.00 6,115.00

GST borne by LIC of India ` 137.58


SIX THOUSAND ONE HUNDRED FIFTEEN RUPEES AND ZERO PAISE ONLY

Harihar Bhatta
Consolidated Stamp Duty Paid
At-Mohanty Street
Po-Borigumma CSD/328/2019/646/19 DTD.15/02/2019
Dt-Koraput(Odisha)

764056 Payment Acknowledgement generated through


Online Portal on 14-Sep-19 Time : 11:30:41.
Mobile: 9438719827
Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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