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Collecting Branch : EPS1 E-mail : bo_eps1@licindia.com Phone : +91-022-1251

 

Servicing Branch : 4016 LIC of India,Sonari Branch Office Nabtala Road. Sonari Assam

   

Transaction No. : PR0528093200021112

         
       

Sonari

     

Date ( Time ): 20/04/2011 ( 21:30:44 )

785690

     
     

RENEWAL PREMIUM RECEIPT

   

Received with thanks Rs. 10071.00 through Payment Gateway over the Internet from:

   

Smt./Ms./Shri : Monuj Kumar Dutta

           

Towards the following

           

Policy No

Plan

Inst. Prem(Rs)

No Of Inst

Total Premium

Branch

 

Name

 

Term

Mode

Due Fr

Late Fee

Next Due

 

Agency Code

D.O.C.

Sum Assured

Due To

Total Amt

   

442284477

14

6,489.00

1

 

6,489.00

4016

 

Kumar

 

16

YLY

03/11

0.00

03/12

 

000514016

28/03/2005

1,00,000.00

03/11

6,489.00

   

442644808

14

3,582.00

1

 

3,582.00

4016

 

Dutta

M.K

16

YLY

03/11

0.00

03/12

 

005294016

28/03/2006

55,000.00

03/11

3,582.00

   

Page Total (Rs)

10,071.00

   

10,071.00

   
           

0.00

   
           

10,071.00

   

Grand Total (Rs)

10,071.00

   

10,071.00

   
           

0.00

   
           

10,071.00

   

RUPEES TEN THOUSAND SEVENTY-ONE ONLY

         

Monuj Kumar Dutta Moira Mora Gaon Po-Nagagaon Dt-Sivasagar

   

A.Mu.Sh.2011/CR 36/M-1 Dated 02/02/2011

 

785640

               
   

This receipt is electronically generated and is digitally signed.

   
           
   

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

 

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