vasumurthy19

76@gmail.com

Collecting Branch : EPS1 Servicing Branch : LIC of India, Pithapuram Br

LIC OF INDIA,PITHAPURAM BR
Transaction No : 30800031
D NO-4-3-98,KOTHAPET,JEEVAN
Date ( Time ): 02/01/2024 ( 13:39:23 ) DIST-EAST GODAVARI
Email: BO_69K@LICINDIA.COM
Receipt No : PR3080003100012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 339.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Murapaka Vasu Murthy

towards the following :

Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
Revival Sum Assured Due To CD Charges Total Amt Reg. No.
Agency Code
(Yes/No) (`) (`) (`)
802772451 91 / 24 339.00 1 339.00 0.00 69K
Murapaka Vasu 08/09/2008 QLY 12/23 0.00 0.00 03/24
No 12/23 0.00 339.00 37AAACL0582H2ZK
0080469K 30,000.00

Page Total (`) 339.00 339.00 0.00

0.00 0.00
0.00 339.00
Grand Total (`) 339.00 339.00 0.00
0.00 0.00
0.00 339.00

GST borne by LIC of India ` 7.62

THREE HUNDRED THIRTY NINE RUPEES AND ZERO PAISE ONLY

Murapaka Vasu Murthy

S/O. Krishna Murthy,
H/No-18-4-58/1, Club Street,
Ayodhyaramapuram St, Samalkot,.

533440 Payment Acknowledgement generated through

Online Portal on 02-Jan-24 Time : 13:40:41.
Mobile: 90******05
Email: va********76@gmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!