| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| RA SOPHAROTH | PV/PPI/C-260486 |
Full Payment | CL/PV/PPI/11820 | CL/PV/PPI/11820-01 |
WINDSCREEN DAMAGE | SOPHAROTH RA | 900.00 |