Payment Claims Voucher
| Pcv No | 2026-06-032778 | Settle Date | June 02, 2026 |
| Insured Name | MEDTECS (CAMBODIA) CORP.LIMITED | Policy No | PARCO/PPI/CR2-0211 |
| Claims No | CL/PARCO/PPI/051-01 | ||
| No | Invoice No | Description | Exchange Rate | Amount |
|---|---|---|---|---|
| 1 | Payment For: MATERIAL DAMAGE | USD 1,593.40 | ||
| Pay To: NEWA INSURANCE (CAMBODIA) PLC | ||||
| Payment Status: Full Payment | ||||
| Cheque No: | ||||
| Total | USD 1,593.40 | |||
| Amount in Word | USD One Thousand Five Hundred Ninety Three and Forty Cents Only |
| Reviewed & Appr. PPI | Signature | Name | Date |
|---|---|---|---|
| PREPARED BY | kosal | June 02, 2026 | |
| CHECKED BY AM | KUSORL | June 02, 2026 | |
| VERIFIED BY HOD | SOCHEAN | June 02, 2026 | |
| APPR BY PPI CEO | SALY SOULEVANN | June 02, 2026 |
| Review And Approved By Group : | CHAIRMAN & CEO | CFO |
| Account Code | Account Name | Debit | Credit | |
|---|---|---|---|---|
| 111001 | Claim Paid-Fire | 1,593.40 | ||
| 660020 | Amount due from/(TO)Reinsuranc | 1,489.67 | ||
| Claim Rec.Cam.Re- Fire | ||||
| 114001 | Claim Rec.Q.T Share-Fire | 311.19 | ||
| 114601 | Claim Rec.Surplus TTY-Fire | 1,178.48 | ||
| Claim Rec.Out FAC-Fire | ||||
| 660215 | FTB-Claims Acc. | 1,593.40 | ||
| TOTAL | 3,083.07 | 3,083.07 | ||
Print By: kosal