| Insured Name | Policy No. | Payment Status | Claim No. | Transaction No. | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| RATANA THARANYA | PV/PPI/CR1-239894 |
Full Payment | CL/PV/PPI/11727 | CL/PV/PPI/11727-02 |
OWN DAMAGE | VANN SOKCHEA | 887.50 |