Payment Claims Voucher
| Pcv No | 2026-05-032706 | Settle Date | May 29, 2026 |
| Insured Name | CHEVRON (CAMBODIA) CO., LTD AS OWNER STHANY BRENG ENTHENEAK 289 TOUL KORK CO., LTD AND/OR HONG LEONG BANK (CAMBODIA) PLC. (HEAD OFFICE) AS MORTGAGEE F.T.R.R&I. | Policy No | PL/PPI/CR2-0758 |
| Claims No | CL/PL/PPI/126-01 | ||
| No | Invoice No | Description | Exchange Rate | Amount |
|---|---|---|---|---|
| 1 | Payment For: THIRD PARTY PROPERTY DAMAGE | USD 78.95 | ||
| Pay To: STHANY BRENG ENTHENEAK 289 TOUL KORK CO., LTD. | ||||
| Payment Status: Full Payment | ||||
| Cheque No: | ||||
| Total | USD 78.95 | |||
| Amount in Word | USD Seventy Eight and Ninety Five Cents Only |
| Reviewed & Appr. PPI | Signature | Name | Date |
|---|---|---|---|
| PREPARED BY | vichet | May 29, 2026 | |
| CHECKED BY AM | KUSORL | May 29, 2026 | |
| VERIFIED BY HOD | SOCHEAN | May 29, 2026 | |
| APPR BY PPI CEO | JEFFFREY JAMES WHITTAKER | May 29, 2026 |
| Review And Approved By Group : | CHAIRMAN & CEO | CFO |
| Account Code | Account Name | Debit | Credit | |
|---|---|---|---|---|
| 111012 | Claim Paid-Liabilities | 78.95 | ||
| 660020 | Amount due from/(TO)Reinsuranc | 59.21 | ||
| Claim Rec.Cam.Re- Liability | ||||
| 114012 | Claim Rec.Q.T Share- Liabilty | 59.21 | ||
| Claim Rec.Surplus TTY-Liabilit | ||||
| 660216 | ABA - Collection Acct | 78.95 | ||
| TOTAL | 138.16 | 138.16 | ||
Print By: vichet