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 Page I of 1

UNITED INDIA INSURANCE COMPANY LIMITED

RECE,IPT
IOgOI / BO DANAPUR
l0l2l090l 19105910
ssrring Ol'tice code/Address ;

B. SAHDEO MAHTO MARGS.K PURISOOOOI

l(cccivecl rvirlr rlranl<s fiom M/S VlSllAL SysrEM pvr. LTD. (custorner ID : 1871355637,
Customer GST/UIN
1.00( Two lakhs sixteen thousand two hundred fifty-one rupees only) as per
1,..1o : l0AAACtW665gD2Zl() a surn of Rs. 21625
_letarrg
cletai llcreull(lcl
ven hereutrder:
I eiven .

Endt/Ren/Clm/Decln No Particu lars Total Amounl

SL N; f\rl"y Nu'"b* Policy Type
1,83,263.0C
Final Prern iurr.l
I 2 t090 I 441 ,5 P 1089 I I 709 StorageC unr Erecti on I nsurance
GST 16,494.00
2 2r090r4415P10891 1709 StorageCum Erection I nsurance
SGST 16,494.04
J I t0e0 l.l4 l,5P I 0891 I 709 StorageCum Erecti on I nsurance
Total (Rounded Off) : 2,16,251.00
StamP DutY : 0.00
Bank Charges : 0.00
Total Amount: 2,16,251.00

nstrument Details
nstrument
Mode of Pavment lnstrument Number Date

ENTRALISED BANK OF
r t9lr090l lol0l HDFCHI1088995 AMERICA

Particulars:
(is'flN (UllC) : l0AAACU5552C!ZY for UNITED INDIA INSURANCE COMP

AUTHORISE
('ashicr lrritial
Noter:
l. l{ecoipt valid subject to realisation ofcheque
I l'1.;r.t'rttl()le policy tlo.. collcctiotr tlo ' and date in allcorrespondences'

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