Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

English Close Print

UNITED INDIA INSURANCE COMPANY LIMITED

RECEIPT
Issuing Office 171384 / MO VELLAKOVIL Receipt
10117138423105825599
code/Address : 104, RAJPRIYA COMPLEXMUTHUR ROAD, Number :
VELLAKOVIL, KANGAYAM TK638111 Collection
07/08/2023
Date :

Received with thanks from BALAJI C (Customer ID : 23072881968, Customer GST/UIN No :Not Available) a sum of
Rs. 14467.00( Fourteen thousand four hundred sixty-seven rupees only) as per detail given hereunder:
SL No Policy Number Policy Type Endt/Ren/Clm/Decln No Particulars Total Amount
1 1713843123P105008795 PrivateCar 0 Final Premium 12,261.00
2 1713843123P105008795 PrivateCar 0 CGST 1,103.00
3 1713843123P105008795 PrivateCar 0 SGST 1,103.00
Total (Rounded Off) : 14,467.00
Stamp Duty : 0.00
Bank Charges : 0.00
Total Amount : 14,467.00

Instrument Details
SL Mode of Instrument Bank Branch Tagged
Payment ID Instrument Number
No Payment Date Name Name Amount
PAYMENT
1 123171384103714285 GATEWAY 20230807011000000895300761008477220 07/08/2023 NA 14,467.00
- PAYTM
Particulars :
GSTIN (UIIC) : 33AAACU5552C1ZQ for UNITED INDIA INSURANCE COMPANY LIMITED

Cashier Initial AUTHORISED SIGNATORY


Note:
1. Receipt valid subject to realisation of cheque
2. Please quote policy no., collection no., and date in all correspondences.

You might also like