Payment Claims Voucher

Pcv No 2026-06-032824 Settle Date June 05, 2026
Insured Name CAO HAO Policy No CVPT/PPI/C-259556
Claims No CL/CVPT/PPI/11784-05
No Invoice No Description Exchange Rate Amount
1Payment For: OWN DAMAGEUSD 3,390.00
Pay To: VANN PHALLIN
Payment Status: Full Payment
Cheque No:
Total USD 3,390.00
Amount in Word USD Three Thousand Three Hundred Ninety and Zero Cents Only
Reviewed & Appr. PPI Signature Name Date
PREPARED BY kosal June 05, 2026
CHECKED BY AM KUSORL June 05, 2026
VERIFIED BY HOD SOCHEAN June 05, 2026
APPR BY PPI CEO SALY SOULEVANN June 05, 2026
Review And Approved By Group : CHAIRMAN & CEO CFO
Account Code Account Name Debit Credit
111005Claim Paid -Motor.(Othe)3,390.00
660020Amount due from/(TO)Reinsuranc1,017.00
115505Claim Rec.Cam.Re-Motor-Other1,017.00
Claim Rec.Out FAC-Motor-Othe
Claim Rec.Q.T Share-Motor-Oth
660215FTB-Claims Acc.3,390.00
TOTAL 4,407.004,407.00