| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| MR. HOR PHEACH AND MS. HOR MONITA C/O MR. KAO BUNTHORNG | PV/PPI/CR1-245568 |
Full Payment | CL/PV/PPI/11842 | CL/PV/PPI/11842-01 |
OWN DAMAGE | Monita HOR | 380.00 |