| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| SEVA CANADA SOCIETY CAMBODIA | CHC/PPI/CR1-1046 |
Full Payment | CL/CHC/PPI/21223 | CL/CHC/PPI/21223-01 |
Supplemental accident expenses | Yi Kuok | 24.80 |