| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| THALIAS CO., LTD | PV/PPI/C-259481 |
Full Payment | CL/PV/PPI/11824 | CL/PV/PPI/11824-01 |
OWN DAMAGE | Darc Arnaud Roland Jacques | 350.00 |