Payment Claims Voucher
| Pcv No | 2026-06-032910 | Settle Date | June 10, 2026 |
| Insured Name | RMA (CAMBODIA) PLC | Policy No | PLCO/PPI/CR1-0601 |
| Claims No | CL/PLCO/PPI/054-03 | ||
| No | Invoice No | Description | Exchange Rate | Amount |
|---|---|---|---|---|
| 1 | Payment For: OWN DAMAGE | USD 141.79 | ||
| Pay To: CB GENERAL INSURANCE PLC | ||||
| Payment Status: Full Payment | ||||
| Cheque No: | ||||
| Total | USD 141.79 | |||
| Amount in Word | USD One Hundred Forty One and Seventy Nine 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 | |
|---|---|---|---|---|
| 111012 | Claim Paid-Liabilities | 141.79 | ||
| 660020 | Amount due from/(TO)Reinsuranc | 106.34 | ||
| Claim Rec.Cam.Re- Liability | ||||
| 114012 | Claim Rec.Q.T Share- Liabilty | 106.34 | ||
| Claim Rec.Surplus TTY-Liabilit | ||||
| 660215 | FTB-Claims Acc. | 141.79 | ||
| TOTAL | 248.13 | 248.13 | ||
Print By: vichet