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BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011

Accensure Insurance Brokers - Cape Town


Postal Address

Tel No.
Fax No.
VAT No.

P O Box 12061
N1 City, Goodwood
7463
021 5920122
021 5920138
4380101289

First National Bank


Corporate
255005
62192888281
Current

ACCOUNTS EXECUTIVE - Cavin Daniels


INSURANCE COMPANY - Etana Insurance Co Ltd
PRODUCT NAME
- Flexiplus

VAT No - 4840209946

POLICY DETAILS

PREMIUM

Policy Number

Client Name

ETANA/FLEX-Z/9023/M00004
ETANA/FLEX-Z/9023/M00002 - 2011a
TOTAL
TOTAL PER PRODUCT

PRODUCT NAME

VAT

SONDAY`S BAKERY AND MR AR SONDAY & FAMILY


STARFIRE CC
POLICY
COUNT -

- C.A.R.

CLIENT COUNT
-

Client Name

ETANA/CAR-Z/9023/M100002

VAT

PRIMA TOOL HIRE CC


POLICY
COUNT -

CLIENT COUNT
-

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

2.23
3.23

27.49
39.90

1,665.42
1,917.65

322.59
352.07

0.00
0.00

195.83
222.66

0.00
50.00

20.00
20.00

2,203.84
2,562.38

4,184.88

669.20
669.20

3,515.68
3,515.68

72.85
72.85

5.46
5.46

67.38
67.38

3,583.07
3,583.07

674.66
674.66

0.00
0.00

418.49
418.49

50.00
50.00

40.00
40.00

4,766.22
4,766.22

Premium

Comm

TOTAL

SASRIA
Nett

Sasria

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

416.67

83.33

333.33

0.00

0.00

0.00

333.33

83.33

0.00

41.67

0.00

0.00

458.33

416.67

83.33
83.33

333.33
333.33

0.00
0.00

0.00
0.00

0.00
0.00

333.33
333.33

83.33
83.33

0.00
0.00

41.67
41.67

0.00
0.00

0.00
0.00

458.33
458.33

PREMIUM
Client Name

VAT

Premium

Comm

20,159.03
POLICY
COUNT
POLICY COUNT POLICY
COUNT -

21 December 2011

12
15
15

CLIENT COUNT
-CLIENT COUNT
CLIENT
COUNT
-

TOTAL

SASRIA
Nett

Sasria

1,640.05
255.20
1,384.85
62.51
CAPE SHIPPING SUPPLIES CC
1,104.26
220.85
883.40
16.50
DESTINY CHANGES MINISTRY
575.53
115.11
460.42
5.94
DR G GALVAAN
702.13
140.43
561.71
0.00
EVANGELIC BIBLE CHURCH
2,398.66
403.73
1,994.93
112.20
GIGGLING GOURMET (T/As) - JENNY M LEISURE FOODS CC
456.25
73.38
382.88
13.57
GREENVILLE TRADING 434 CC
346.73
69.35
277.38
35.94
KARBARY - MR M
917.58
183.52
734.06
41.92
LA Jeans Company
3,060.58
542.74
2,517.84
204.28
PRIMA TOOL HIRE CC
3,336.98
640.24
2,696.74
168.24
Princeton`s Mens Boutique and Posh Clothing CC
891.52
RMH SPECIALISED INDUSTRIAL SERVICES AND ANY SUBSIDIARY5,298.41
COMPANIES AND TRUSTS
- VESTPOINT4,406.88
106 (PTY) LTD273.29
T/AS
321.88
64.38
257.51
5.00
TOY ZONE (T/As) - MR H LEE

ETANA/MM-Z/AR/9023/M00010
ETANA/MM-Z/AR/9022/M00010..
ETANA/MM-Z/AR/9023/M00001
ETANA/MM-Z/AR/9023/M00005 - 2011a
ETANA/MM-Z/AR/9023/M00006
ETANA/MM-Z/AR/9023/M00012
ETANA/MM-Z/AR/9023/M00011
ETANA/MM-Z/AR/9023/M00007
ETANA/MM-Z/AR/9023/M00002
ETANA/MM-Z/AR/9023/M00008
ETANA/MM-Z/AR/9023/M00004
ETANA/MM-Z/AR/9023/M00013 - 2011a

Date Printed

Comm

29.72
43.13

- ETANA MULTIMARK III (Arrears)

Policy Number

TOTAL PER INSURER


TOTAL PER ACCOUNTS EXE

Sasria

1,637.93
1,877.75

416.67

POLICY DETAILS

TOTAL
TOTAL PER PRODUCT

Nett

320.36
348.84

PREMIUM

Policy Number

PRODUCT NAME

Comm

1,958.30
2,226.59
4,184.88

POLICY DETAILS

TOTAL
TOTAL PER PRODUCT

Premium

TOTAL

SASRIA

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

4.69
1.24
0.45
0.00
8.41
1.02
2.70
3.14
15.32
12.62
20.50
0.38

57.83
15.27
5.50
0.00
103.78
12.55
33.24
38.78
188.96
155.62
252.80
4.63

1,442.68
898.67
465.92
561.71
2,098.71
395.43
310.62
772.84
2,706.80
2,852.36
4,659.68
262.13

259.89
222.09
115.55
140.43
412.15
74.39
72.04
186.66
558.06
652.86
912.02
64.75

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

164.01
88.34
57.55
56.17
191.89
45.63
27.74
91.76
306.06
266.96
423.87
25.75

200.00
30.00
100.00
20.00
20.00
0.00
50.00
90.00
100.00
100.00
20.00
50.00

20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00

2,086.57
1,259.10
759.03
798.30
2,742.75
535.45
480.40
1,161.26
3,690.92
3,892.18
6,035.57
422.63

12

20,159.03

3,600.43
3,600.43

16,558.60
16,558.60

939.40
939.40

70.45
70.45

868.95
868.95

17,427.54
17,427.54

3,670.88
3,670.88

0.00
0.00

1,745.72
1,745.72

780.00
780.00

240.00
240.00

23,864.15
23,864.15

14
14

24,760.58
24,760.58

4,352.96
4,352.96

20,407.62
20,407.62

1,012.25
1,012.25

75.92
75.92

936.33
936.33

21,343.95
21,343.95

4,428.88
4,428.88

0.00
0.00

2,205.88
2,205.88

830.00
830.00

280.00
280.00

29,088.70
29,088.70

Page 1 of 6

Printed By - Noline

BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011


ACCOUNTS EXECUTIVE - Deon Hughes
INSURANCE COMPANY - Etana Insurance Co Ltd
PRODUCT NAME
- Flexiplus

VAT No - 4840209946

POLICY DETAILS

PREMIUM

Policy Number

Client Name

PRODUCT NAME

Comm

32,518.62
POLICY
COUNT -

17

CLIENT COUNT
-

17

5,021.62
5,021.62

32,518.62

Nett

Sasria

Comm

Nett

Premium

Comm

27,497.00
27,497.00

755.99
755.99

56.70
56.70

699.29
699.29

28,196.29
28,196.29

Policy

Admin

Broker

C Fee

TOTAL

73.76
204.72
189.93
106.90
885.84
197.21
194.74
970.73
975.74
387.32
133.57
125.21
66.72
134.20
108.89
153.37
169.47

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

42.55
130.67
83.73
63.38
401.49
58.41
100.13
499.92
600.59
186.44
97.74
63.91
26.45
69.01
66.19
71.22
76.23

0.00
20.00
30.00
30.00
20.00
20.00
30.00
51.32
70.00
0.00
40.00
20.00
15.00
20.00
15.00
20.00
20.00

20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00

603.89
1,500.46
1,197.80
760.51
5,889.71
1,281.26
1,430.17
6,866.99
8,235.43
2,594.86
1,144.11
902.82
400.07
990.38
773.95
1,022.42
1,079.16

5,078.32
5,078.32

0.00
0.00

2,638.04
2,638.04

421.32
421.32

340.00
340.00

36,673.97
36,673.97

- ETANA MULTIMARK III (Arrears)

POLICY DETAILS
Policy Number

PREMIUM
Client Name

ETANA/MM-Z/AR/9022/M00030
ETANA/MM-Z/AR/9022/M00007
ETANA/MM-Z/AR/9022/M00004
ETANA/MM-Z/AR/9022/M00031
ETANA/MM-Z/AR/9022/M00002
ETANA/MM-Z/AR/9022/M00033
ETANA/MM-Z/AR/9022/M00005 - 2011a
ETANA/MM-Z/AR/9022/M00008
ETANA/MM-Z/AR/9022/M00035
ETANA/MM-Z/AR/9022/M00009
ETANA/MM-Z/AR/9022/M00012
ETANA/MM-Z/AR/9022/M00038
ETANA/MM-Z/AR/9022/M00039
ETANA/MM-Z/AR/9022/M00040
ETANA/MM-Z/AR/9022/M00041
ETANA/MM-Z/AR/9022/M00042
ETANA/MM-Z/AR/9022/M00016 - 2011a
ETANA/MM-Z/AR/9022/M00043
ETANA/MM-Z/AR/9022/M00014
ETANA/MM-Z/AR/9022/M00020
ETANA/MM-Z/AR/9022/M00001
ETANA/MM-Z/AR/9022/M00032
ETANA/MM-Z/AR/9022/M00034
ETANA/MM-Z/AR/9022/M00045

Date Printed

Premium

531.84
73.05
458.79
9.50
0.71
8.79
467.58
Calvert - MR E R
202.99
1,103.71
23.10
1.73
21.37
1,125.07
CARRIBBEAN POOLS AND MR L MERCUUR & MISS K SAWYER 1,306.70
1,046.57
188.61
857.96
17.50
1.31
16.19
874.14
COETZEE MR M & MRS C AND COLLEENS HAIR SALON
633.84
105.91
527.93
13.28
1.00
12.29
540.22
DAVE MILL ROOFING CC AND MR D APRIL
5,018.59
853.62
4,164.98
32.22- EDWARDS
397.41 STATIONERY
4,562.38
EDWARDS OFFICE NATIONAL & MAYS STATIONERS CC & EDWARDS
STATIONERY CANAL
WALK T/AS EDWARDS
OFFICE429.63
NATIONAL (T/As)
(PTY) LTD
1,168.14
196.11
972.03
14.71
1.10
13.61
985.64
HERMANS S AND MISS N AND FAMILY FTRR&I
1,251.59
192.61
1,058.98
28.45
2.13
26.32
1,085.30
IMVUSA TRADING 1378 CC (T/As) - LAUBSCHER; A
6,248.98
967.22
5,281.76
46.77
3.51
43.26
5,325.02
J WILLIAMS CONTRACTING CC AND MR J I C AND MRS S H WILLIAMS
7,507.34
972.92
6,534.42
37.50
2.81
34.69
6,569.11
JARDINE MARINE SERVICES CC & SUBCONTRACTORS
2,330.44
382.97
1,947.47
57.98
4.35
53.63
2,001.10
MARIAM`S KITCHEN; MRS D EBRAHIM; A EBRAHIM & MR M EBRAHIM
FTRRI
977.37
132.89
844.48
9.00
0.68
8.32
852.80
MR A DO NASCIMENTO
798.90
125.21
673.70
0.00
0.00
0.00
673.70
MR S & MRS Y ISMAIL AND MR AK ISMAIL
330.62
66.12
264.49
8.00
0.60
7.40
271.89
Mrs S R Richards and Mr B Thomas
862.61
132.80
729.81
18.76
1.41
17.35
747.16
NUTON TRADING CC
661.88
108.08
553.80
10.89
0.82
10.07
563.87
Parker A - Mr
151.80
738.47
20.92
1.57
19.35
757.82
SIZWE PRESS & MR A & MISS P E MANUEL (T/As) - READY PRESS 890.28
952.92
168.72
784.21
10.00
0.75
9.25
793.46
WILLIAM PETERSON AND ASSOCIATES AND MR W AND MRS MD PETERSON

ETANA/FLEX-Z/9022/M00007
ETANA/FLEX-Z/9022/M00018
ETANA/FLEX-Z/9022/M00001
ETANA/FLEX-Z/9022/M00019
ETANA/FLEX-Z/9022/M00008
ETANA/FLEX-Z/9022/M00009
ETANA/FLEX-Z/9022/M00003
ETANA/FLEX-Z/9022/M00014
ETANA/FLEX-Z/9022/M00010
ETANA/FLEX-Z/9022/M00011
ETANA/FLEX-Z/9022/M00005
ETANA/FLEX-Z/9022/M00012
ETANA/FLEX-Z/9022/M00006
ETANA/FLEX-Z/9022/M00017
ETANA/FLEX-Z/9022/M00016
ETANA/FLEX-Z/9022/M00015
ETANA/FLEX-Z/9022/M00013 - 2011a
TOTAL
TOTAL PER PRODUCT

VAT

TOTAL

SASRIA

21 December 2011

VAT

Premium

Comm

1,152.54
4 KOEBERG ROAD INVESTMENTS CC
501.73
ABDURAHMAN - MRS A
400.49
ALL-PRO FOODS (T/As) - ALL-PRO DISTRIBUTORS CC
1,907.99
BAYANA BAYANA FISHING
6,872.23
BELLVILLE GLASS (T/As) - ASHRAFS WINDSCREENS CC
1,700.87
BRAND ID AFRICA
984.39
BUILDING SUPER STRUCTURES CC
3,917.34
CLIVES`S ELECTRICAL WORK (T/As) - MULTIMEN ELECTRICAL SERVICES
CC
645.35
COLORADO TV REPAIRERS AND HIRE (T/As) - M SALIE
906.43
COMIDA RESTAURANT CC AND MORGAN CREEK PROPERTIES 117 (PYT)LTD
1,208.00
ESTRALLITA MARINE CC
347.65
F & A DISTRIBUTORS (T/As) - F A L DISRIBUTORS
2,999.48
FLOOR WIZARD CC
2,567.27
G H STARCK CENTRE & CAPE CITY MISSION (FTRRI)
515.0321)
HEAVENLY PROMISE 33 (ASSOCIATION INCORPORATED UNDER SECTION
374.17
HOPE OF AFRICA CHRISTIAN COLLEGE (T/As) - MR D AND MRS CB CRISTALLIDES
560.72
HYPERCUT (T/As) - CJ VISSER
1,522.39
ICE COLD SERVICES AND MRS T SYDOW
1,613.18
J M F RETICULATION (T/As) - FEBRUARY J
3,199.17
JOSDEL PROPERTIES NO 85 (PTY) LTD
6,050.34
LABEL TECHNIQUES (T/As) - MTL LABELS AND FINSHING (PTY) LTD
560.71
LEWIS (MR W)
145.83
MEDINA TAKE AWAYS AND CAF (T/As) - MR M EBRAHIM
1,031.20
O.W.L. HAVEN-SHELTER - LANSDOWNE

230.51
100.35
62.28
244.14
1,026.91
340.17
170.61
589.73
129.07
181.29
205.96
60.00
496.56
398.46
103.01
74.83
80.38
232.08
203.52
639.83
1,108.77
76.00
29.17
188.74

TOTAL

SASRIA
Nett
922.03
401.39
338.20
1,663.85
5,845.32
1,360.70
813.78
3,327.61
516.28
725.15
1,002.04
287.65
2,502.92
2,168.81
412.03
299.33
480.34
1,290.31
1,409.66
2,559.34
4,941.57
484.71
116.66
842.46

Page 2 of 6

Sasria
176.53
36.42
9.50
16.00
103.72
34.09
98.83
31.83
12.90
107.50
56.60
9.50
114.16
23.35
13.58
17.96
14.71
22.99
18.00
425.92
389.42
11.50
5.00
27.52

Comm
13.24
2.73
0.71
1.20
7.78
2.56
7.41
2.39
0.97
8.06
4.25
0.71
8.56
1.75
1.02
1.35
1.10
1.72
1.35
31.94
29.21
0.86
0.38
2.06

Nett
163.29
33.68
8.79
14.80
95.94
31.54
91.42
29.44
11.93
99.43
52.36
8.79
105.60
21.60
12.56
16.61
13.60
21.26
16.65
393.97
360.21
10.64
4.63
25.46

Premium
1,085.32
435.07
346.99
1,678.65
5,941.26
1,392.23
905.19
3,357.05
528.21
824.58
1,054.40
296.43
2,608.52
2,190.41
424.59
315.95
493.95
1,311.57
1,426.31
2,953.31
5,301.79
495.35
121.29
867.92

Comm
243.75
103.08
63.00
245.34
1,034.69
342.73
178.02
592.12
130.04
189.35
210.21
60.71
505.12
400.21
104.02
76.18
81.48
233.81
204.87
671.78
1,137.98
76.86
29.54
190.80

Policy
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Admin
92.20
45.58
0.00
152.64
687.22
136.07
78.75
195.87
51.63
54.39
96.64
34.76
239.96
128.36
41.20
29.93
22.43
152.24
129.05
159.96
484.03
56.07
11.67
82.49

Broker
20.00
0.00
0.00
20.00
50.00
20.00
20.00
50.00
30.00
30.00
50.00
20.00
20.00
50.00
40.00
20.00
20.00
20.00
0.00
30.00
0.00
0.00
20.00
20.00

Printed By - Noline

C Fee
20.00
0.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00

TOTAL
1,461.27
583.73
429.99
2,116.63
7,733.17
1,911.03
1,201.97
4,215.03
759.87
1,118.32
1,431.24
431.91
3,393.60
2,788.98
629.81
462.06
637.86
1,737.62
1,780.23
3,835.05
6,943.79
648.28
202.50
1,181.21

BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011


ETANA/MM-Z/AR/9022/M00047
ETANA/MM-Z/AR/9022/M00022
ETANA/MM-Z/AR/9022/M00048
ETANA/MM-Z/AR/9022/M00023
ETANA/MM-Z/AR/9022/M00024
ETANA/MM-Z/AR/9022/M00050
ETANA/MM-Z/AR/9022/M00025
ETANA/MM-Z/AR/9022/M00051 - 2011a
ETANA/MM-Z/AR/9022/M00052 - 2011a
ETANA/MM-Z/AR/9022/M00026
ETANA/MM-Z/AR/9022/M00053
ETANA/MM-Z/AR/9022/M00028
ETANA/MM-Z/AR/9022/M00054 - 2011a
ETANA/MM-Z/AR/9022/M00029
ETANA/MM-Z/AR/9022/M00055
TOTAL
TOTAL PER PRODUCT

PRODUCT NAME

POLICY
COUNT -

4,680.33
PUBLIC AND ALLIED WORKERS UNION OF SOUTH AFRICA
1,709.31
R FURNITURE ZONE CC
627.24
R K BAKERY CC
REHOBOTH AGE EXCHANGE & CAPE TOWN CITY MISSION (FTRRI)2,345.77
271.21
SATELITE TV AND AERIAL INSTALLTION (T/As) - JSR ROSS
14,692.11
SECURI-TECH SA (PTY) LTD
835.44
SILVER KNIGHT PROPERTIES 87 (PTY) LTD
796.17
SILVERLEA PRIMARY SCHOOL
372.32
SOOTHE BODY AND SKINCARE STUDIO
1,384.85
THUNDERSTRUCK INVESTMENTS 81 (PTY) LTD
3,278.40
URBAN SOUL COMMUNICATIONS (PTY) LTD
448.78
VOS (DR P J)
WDCD ENGINEERING SUPPLIES (FORREST ENGINEERING T/AS) 1,342.42
WYNBERG GLASS (T/As) - SOUTH PENINSULA GLASS CENTRE CC4,139.46
ZINTATHU-M CONSTRUCTION (SPELLBOUND TRADING 119 T/AS) 353.93

936.07
213.66
109.92
372.00
43.13
2,903.07
167.09
159.23
74.46
276.97
586.62
69.13
262.32
561.79
49.62

3,744.27
1,495.65
517.32
1,973.77
228.08
11,789.04
668.35
636.94
297.85
1,107.88
2,691.78
379.65
1,080.09
3,577.68
304.30

62.86
8.50
14.08
74.62
9.50
1,360.61
75.54
13.75
5.00
155.91
20.67
3.58
89.56
100.95
7.00

4.71
58.14
0.64
7.86
1.06
13.03
5.60
69.02
0.71
8.79
102.05 1,258.56
5.67
69.88
1.03
12.72
0.38
4.63
11.69 144.22
1.55
19.12
0.27
3.31
6.72
82.84
7.57
93.38
0.52
6.48

3,802.41
1,503.51
530.35
2,042.79
236.87
13,047.60
738.23
649.66
302.48
1,252.10
2,710.90
382.97
1,162.94
3,671.06
310.78

940.78
214.30
110.97
377.60
43.84
3,005.11
172.75
160.27
74.84
288.66
588.17
69.40
269.04
569.36
50.15

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

374.43
136.75
50.18
117.29
27.12
1,175.37
41.77
63.69
29.79
110.79
262.27
35.90
107.39
331.16
28.31

50.00
30.00
20.00
50.00
50.00
20.00
20.00
20.00
0.00
20.00
20.00
20.00
30.00
50.00
20.00

20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00

5,187.62
1,904.56
731.50
2,607.68
377.83
17,268.09
992.76
913.62
427.10
1,691.56
3,601.35
528.27
1,589.37
4,641.57
429.24

78,962.25

13,757.46
13,757.46

65,204.79
65,204.79

3,779.65
3,779.65

283.47 3,496.17
283.47 3,496.17

68,700.96
68,700.96

14,040.94
14,040.94

0.00
0.00

6,055.36
6,055.36

970.00
970.00

760.00
760.00

90,527.26
90,527.26

39

CLIENT COUNT
-

39

78,962.25

- ENGINEERING/CONTRACTORS

POLICY DETAILS

PREMIUM

Policy Number

Client Name

ETANA/ENG-Z/9022/M00001 - 2011a
TOTAL
TOTAL PER PRODUCT

PRODUCT NAME

VAT

HERCULES BUILDERS
POLICY
COUNT -

CLIENT COUNT
-

Sasria

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

1,083.33

0.00

0.00

0.00

1,083.33

270.83

0.00

135.42

0.00

0.00

1,489.58

1,354.17

270.83
270.83

1,083.33
1,083.33

0.00
0.00

0.00
0.00

0.00
0.00

1,083.33
1,083.33

270.83
270.83

0.00
0.00

135.42
135.42

0.00
0.00

0.00
0.00

1,489.58
1,489.58

PREMIUM
Client Name

ETANA/BC/AR/9022/M00001
ETANA/BC/AR/9022/M00002

Date Printed

Nett

270.83

- BODY CORPORATE / SECTIONAL TITLE

Policy Number

TOTAL PER INSURER


TOTAL PER ACCOUNTS EXE

Comm

1,354.17
1,354.17

POLICY DETAILS

TOTAL
TOTAL PER PRODUCT

Premium

TOTAL

SASRIA

VAT

6 MALAN STREET BODY CORPORATE


OLIVE MEWS BODY CORPORATE
POLICY
COUNT
POLICY COUNT
POLICY COUNT -

21 December 2011

2
59
59

CLIENT COUNT
CLIENT
COUNT
-CLIENT COUNT
-

2
59
59

Premium

Comm

TOTAL

SASRIA
Nett

Sasria

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

806.67
1,020.00

161.33
204.00

645.33
816.00

18.39
38.25

1.38
2.87

17.01
35.38

662.34
851.38

162.71
206.87

0.00
0.00

64.53
81.60

30.00
20.00

20.00
20.00

939.59
1,179.85

1,826.67
1,826.67

365.33
365.33

1,461.33
1,461.33

56.64
56.64

4.25
4.25

52.39
52.39

1,513.72
1,513.72

369.58
369.58

0.00
0.00

146.13
146.13

50.00
50.00

40.00
40.00

2,119.44
2,119.44

114,661.70
114,661.70

19,415.25
19,415.25

95,246.45
95,246.45

4,592.27
4,592.27

344.42 4,247.85
344.42 4,247.85

99,494.31
99,494.31

19,759.67
19,759.67

0.00
0.00

8,974.95
8,974.95

1,441.32
1,441.32

1,140.00
1,140.00

130,810.25
130,810.25

Page 3 of 6

Printed By - Noline

BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011


ACCOUNTS EXECUTIVE - Henry Williams
INSURANCE COMPANY - Etana Insurance Co Ltd
PRODUCT NAME
- ETANA MULTIMARK III (Arrears)

VAT No - 4840209946

POLICY DETAILS

PREMIUM

Policy Number

Client Name

ETANA/MM-Z/AR/9021/M00001
ETANA/MM-Z/AR/9021/M00002
TOTAL
TOTAL PER PRODUCT
TOTAL PER INSURER
TOTAL PER ACCOUNTS EXE

Date Printed

VAT

FRAME IT (T/As) - WHITE COTTON


WOODWORK SPECIALISTS
POLICY
COUNT
POLICY COUNT POLICY
COUNT -

21 December 2011

2
2
2

CLIENT COUNT
CLIENT
COUNT
CLIENT
COUNT
-

Premium

Comm

TOTAL

SASRIA
Nett

Sasria

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

371.67
6,634.32

74.33
1,082.15

297.34
5,552.17

5.00
148.59

0.38
11.14

4.63
137.45

301.96
5,689.62

74.71
1,093.29

0.00
0.00

29.73
530.75

50.00
50.00

20.00
20.00

476.40
7,383.66

7,005.99
2

7,005.99

1,156.48
1,156.48

5,849.51
5,849.51

153.59
153.59

11.52
11.52

142.07
142.07

5,991.58
5,991.58

1,168.00
1,168.00

0.00
0.00

560.48
560.48

100.00
100.00

40.00
40.00

7,860.06
7,860.06

2
2

7,005.99
7,005.99

1,156.48
1,156.48

5,849.51
5,849.51

153.59
153.59

11.52
11.52

142.07
142.07

5,991.58
5,991.58

1,168.00
1,168.00

0.00
0.00

560.48
560.48

100.00
100.00

40.00
40.00

7,860.06
7,860.06

Page 4 of 6

Printed By - Noline

BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011


ACCOUNTS EXECUTIVE - Irvan Arendse
INSURANCE COMPANY - Etana Insurance Co Ltd
PRODUCT NAME
- ETANA MULTIMARK III (Arrears)

VAT No - 4840209946

POLICY DETAILS

PREMIUM

Policy Number

Client Name

ETANA/MM-Z/AR/9024/M00002
ETANA/MM-Z/AR/9024/M00001
TOTAL
TOTAL PER PRODUCT
TOTAL PER INSURER
TOTAL PER ACCOUNTS EXE

Date Printed

POLICY
COUNT
POLICY COUNT POLICY
COUNT -

21 December 2011

VAT

Premium

Comm

TOTAL

SASRIA
Nett

Sasria

Comm

Nett

Premium

Comm

Policy

Admin

Broker

C Fee

TOTAL

695.63
HOME EQUITIES
2,192.13
KLOOF STREET MOTORS (PTY) LTD (DCA18 SERVICE STATION T/AS)

139.13
409.92

556.50
1,782.20

34.34
187.43

2.58
14.06

31.77
173.37

588.27
1,955.57

141.70
423.98

0.00
0.00

69.56
219.21

20.00
0.00

20.00
20.00

839.53
2,618.77

2,887.75
2
2
2

CLIENT COUNT
CLIENT
COUNT
CLIENT
COUNT
-

2,887.75

549.05
549.05

2,338.70
2,338.70

221.78
221.78

16.63
16.63

205.14
205.14

2,543.84
2,543.84

565.68
565.68

0.00
0.00

288.77
288.77

20.00
20.00

40.00
40.00

3,458.30
3,458.30

2
2

2,887.75
2,887.75

549.05
549.05

2,338.70
2,338.70

221.78
221.78

16.63
16.63

205.14
205.14

2,543.84
2,543.84

565.68
565.68

0.00
0.00

288.77
288.77

20.00
20.00

40.00
40.00

3,458.30
3,458.30

Page 5 of 6

Printed By - Noline

BORDEREAUX SUMMARY REPORT BY DATE - 15 December 2011


TOTAL PER REPORT

Date Printed

POLICY
COUNT -

21 December 2011

78

CLIENT COUNT
-

77

149,316.02

25,473.74

123,842.28

Page 6 of 6

5,979.89

448.49 5,531.40

129,373.68

25,922.23

0.00

12,030.09

2,391.32

Printed By - Noline

1,500.00 171,217.32

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