Servicing Branch : LIC of India, Churu Branch
Collecting Branch : EPS1
Jeevan Jyoti Opp Govt. D.B. Hospital Churu Dist.,Rajasthan Churu,331001 bo_eps1licindia.com HelpDesk: +91-022-1251
Transaction No : 6884295 Date ( Time ): 14/08/2017 ( 08:11:22 ) Receipt No :
PR0688429500011718
RENEWAL PREMIUM RECEIPT Received With Thanks ` 766.00 through Payment Gateway over the Internet from: Smt./Ms./Shri :
Singh B
Towards The Following : Policy No Name Agency Code
Plan Term D.O.C.
Inst. Premium Mode Sum Assured
No Of Inst Due From Due To
Total Premium Late Fee CD Charges
(`)
(`) 502202408 Bhawani Singh
165 10
01822186
28/11/2008
766.00
1
Qly
08/17
766.00 0.00
62,500.00
08/17
0.00
Tax* Total Amt Reg. No.
Branch Next Due
(`) 0.00
186
766.00
11/17
Page Total (`)
766.00
766.00 0.00 0.00
0.00 766.00
Grand Total (`)
766.00
766.00 0.00
0.00 766.00
0.00
SEVEN HUNDRED SIXTY SIX RUPEES AND ZERO PAISE ONLY Singh B
Consolidated Stamp Duty paid
S/O.Sh.Mangu Singh Shekhawat C/O Sh.Chhagansingh Rathore Vip.Kanrapura Po.Ladariya,Churu 331029 Mobile: 7014501532 Email: bssbhawanisingh@gmail.com
Payment Acknowledgement generated through Online Portal on 14-Aug-17 Time : 08:13:43.
*Tax here indicates Goods and Service Tax (GST) from 01/07/2017 or Service Tax prior to 01/07/2017.
This receipt is electronically generated. Har Pal Aapke Saath! Page 0 of 1