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    Yama

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    712097
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 824.20 through an online payment gateway. The payment is for policy number 693250966 held by Gali Yama Rao with a sum assured of Rs. 40,000. The receipt details that the payment is for the 1st installment of Rs. 808.00 that was due on 09/10 along with a late fee of Rs. 16.20, making the total payment Rs. 824.20. The receipt is digitally signed.

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    Attribution Non-Commercial (BY-NC)
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    Yama

    Uploaded by

    712097
    57 views1 page
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 824.20 through an online payment gateway. The payment is for policy number 693250966 held by Gali Yama Rao with a sum assured of Rs. 40,000. The receipt details that the payment is for the 1st installment of Rs. 808.00 that was due on 09/10 along with a late fee of Rs. 16.20, making the total payment Rs. 824.20. The receipt is digitally signed.

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    yama

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    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 824.20 through an online payment gateway. The payment is for policy number 693250966 held by Gali Yama Rao with a sum assured of Rs. 40,000. The receipt details that the payment is for the 1st installment of Rs. 808.00 that was due on 09/10 along with a late fee of Rs. 16.20, making the total payment Rs. 824.20. The receipt is digitally signed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    57 views1 page

    Yama

    Uploaded by

    712097
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 824.20 through an online payment gateway. The payment is for policy number 693250966 held by Gali Yama Rao with a sum assured of Rs. 40,000. The receipt details that the payment is for the 1st installment of Rs. 808.00 that was due on 09/10 along with a late fee of Rs. 16.20, making the total payment Rs. 824.20. The receipt is digitally signed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Collecting Branch : EPS1 Servicing Branch : 69C

    E-mail : bo_eps1@licindia.com LIC of India,


    Phone : +91-022-1251 Palasa B O
    Palasa Kasibugga.
    Transaction No. : PR0293966200011011 Dt Srikakulam A P
    Palasa-Kasibugga
    Date ( Time ): 13/12/2010 ( 22:05:51 ) 532222

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 824.20 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Gali Yama Rao

    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
    693250966 108 808.00 1 808.00 69C
    G Y Rao 25 QLY 09/10 16.20 12/10
    0124269C 28/03/2003 40,000.00 09/10 824.20
    Page Total (Rs) 808.00 808.00
    16.20
    824.20
    Grand Total (Rs) 808.00 808.00
    16.20
    824.20

    RUPEES EIGHT HUNDRED TWENTY-FOUR AND TWENTY PAISE ONLY

    Gali Yama Rao


    Vill Suryamanipuram
    Post Devunaltada, Via Naupada,
    Dist Sklm
    532211

    This receipt is electronically generated and is digitally signed.

    Signature Not Verified


    Digitally signed by REKHA VARSHNEY
    Date: December 13, 2010 10:05:51 PM IST
    Reason: Premium Receipt
    Location: LIC OF INDIA

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


    Page 1of1

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