Payment Claims Voucher
| Pcv No | 2026-06-032925 | Settle Date | June 10, 2026 |
| Insured Name | MR. HOR PHEACH AND MS. HOR MONITA C/O MR. KAO BUNTHORNG | Policy No | PV/PPI/CR1-245568 |
| Claims No | CL/PV/PPI/11842-01 | ||
| No | Invoice No | Description | Exchange Rate | Amount |
|---|---|---|---|---|
| 1 | Payment For: OWN DAMAGE | USD 380.00 | ||
| Pay To: Monita HOR | ||||
| Payment Status: Full Payment | ||||
| Cheque No: | ||||
| Total | USD 380.00 | |||
| Amount in Word | USD Three Hundred Eighty 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 | |
|---|---|---|---|---|
| 111005 | Claim Paid -Motor.(Othe) | 380.00 | ||
| 660020 | Amount due from/(TO)Reinsuranc | 76.00 | ||
| 115505 | Claim Rec.Cam.Re-Motor-Other | 76.00 | ||
| Claim Rec.Out FAC-Motor-Othe | ||||
| Claim Rec.Q.T Share-Motor-Oth | ||||
| 660216 | ABA - Collection Acct | 380.00 | ||
| TOTAL | 456.00 | 456.00 | ||
Print By: vichet