Payment Claims Voucher
| Pcv No | 2026-06-032904 | Settle Date | June 10, 2026 |
| Insured Name | A.V.R ( ASIA VEHICLE RENTAL ) CO.,LTD. | Policy No | CPECO/PPI/CR1-1884 |
| Claims No | CL/CPECO/PPI/0010-03 | ||
| No | Invoice No | Description | Exchange Rate | Amount |
|---|---|---|---|---|
| 1 | Payment For: OWN DAMAGE | USD 249.00 | ||
| Pay To: CB GENERAL INSURANCE PLC | ||||
| Payment Status: Full Payment | ||||
| Cheque No: | ||||
| Total | USD 249.00 | |||
| Amount in Word | USD Two Hundred Forty Nine and Zero Cents Only |
| Reviewed & Appr. PPI | Signature | Name | Date |
|---|---|---|---|
| PREPARED BY | vichet | June 10, 2026 | |
| CHECKED BY AM | KUSORL | June 10, 2026 | |
| VERIFIED BY HOD | SOCHEAN | June 10, 2026 | |
| APPR BY PPI CEO | SALY SOULEVANN | June 10, 2026 |
| Review And Approved By Group : | CHAIRMAN & CEO | CFO |
| Account Code | Account Name | Debit | Credit | |
|---|---|---|---|---|
| 111008 | Claim Paid- CAR/ENG | 249.00 | ||
| 660020 | Amount due from/(TO)Reinsuranc | 124.50 | ||
| Claim Rec.Cam.Re- CAR/Eng | ||||
| 114008 | Claim Rec.Q.T Share-CAR/Eng | 124.50 | ||
| Claim Rec.Surplus TTY-CAR/Eng | ||||
| Claim Rec.Out FAC CAR/Eng | ||||
| 660215 | FTB-Claims Acc. | 249.00 | ||
| TOTAL | 373.50 | 373.50 | ||
Print By: vichet