| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| CAO HAO | CVPT/PPI/C-259556 |
Full Payment | CL/CVPT/PPI/11784 | CL/CVPT/PPI/11784-05 |
OWN DAMAGE | VANN PHALLIN | 3,390.00 |