Payment Claims Voucher

Pcv No 2026-06-033028 Settle Date June 16, 2026
Insured Name SOK CHANRITHY Policy No PV/PPI/C-247122
Claims No CL/PV/PPI/11705-02
No Invoice No Description Exchange Rate Amount
1Payment For: OWN DAMAGEUSD 1,045.00
Pay To: TC Express Auto Services and Spare Parts (Cambodia) Pty.Ltd
Payment Status: Full Payment
Cheque No:
Total USD 1,045.00
Amount in Word USD One Thousand Forty Five Only
Reviewed & Appr. PPI Signature Name Date
PREPARED BY vichet June 16, 2026
CHECKED BY AM KUSORL June 16, 2026
VERIFIED BY HOD SOCHEAN June 16, 2026
APPR BY PPI CEO SALY SOULEVANN June 16, 2026
Review And Approved By Group : CHAIRMAN & CEO CFO
Account Code Account Name Debit Credit
111005Claim Paid -Motor.(Othe)1,045.00
660020Amount due from/(TO)Reinsuranc209.00
115505Claim Rec.Cam.Re-Motor-Other209.00
Claim Rec.Out FAC-Motor-Othe
Claim Rec.Q.T Share-Motor-Oth
660215FTB-Claims Acc.1,045.00
TOTAL 1,254.001,254.00