Transaction ID Policy Number Package Name 2 Certificate Number

ON-30122022101809242 CO-23-82161623 INTERFACE- Comin-Medical

ON-30122022101809242 CO-23-82161623 INTERFACE- Comin-Medical 1
ON-30122022101809242 CO-23-82161623 INTERFACE- Comin-Medical 2
ON-30122022081001482 CO-23-72231531 INTERFACE- Comin-Medical
ON-30122022081001482 CO-23-72231531 INTERFACE- Comin-Medical 1
Payment Status Net Premi Charges Cost of PolExtra Char Extra Cost Taxable P Gross Pre proportion
Pending Delivery 225 125 55 75 110 590 590 64
Pending Delivery 125 75 30 60 50 340 340 34
Pending Delivery 100 50 25 15 60 250 250 30
Pending Delivery 100 50 25 15 60 250 250 30
Pending Delivery 100 50 25 15 60 250 250 30
Fixed StamMunicipal Discount Total Pre Package CuPromo CodPromocodeCreated Date Purchase Date
3 44 701 800 USD.F SANTA 0 9/1/2023 9/1/2023
2 24 400 400 USD.F 9/1/2023 9/1/2023
1 20 301 300 USD.F 9/1/2023 9/1/2023
1 20 301 345 USD.F SANTA 0 9/1/2023 9/1/2023
1 20 301 345 USD.F 9/1/2023 9/1/2023
Payment Date Policy Start Date Policy End Full Name Relation Principal Name
9/1/2023 9/2/2023 02/01/202Rita Khalife Principal Rita Khalife
9/1/2023 9/2/2023 02/01/202Rita Khalife Principal Rita Khalife
9/1/2023 9/2/2023 02/01/202spouse of Rita Khalife spouse Rita Khalife
9/1/2023 9/2/2023 04/01/202Daniella Al Hayek Principal Daniella Al Hayek
9/1/2023 9/2/2023 04/01/202Daniella Al Hayek Principal Daniella Al Hayek
Email Mobile Payment MAreeba Pa Currency Rate Online TotCOD Total Delivery Z Delivery C
khalifehri +96132871Cash On DeON-301220LBP 100000 0 80000000 Beirut 32000
+96132871Cash On Delivery USD.F 10
+96132871Cash On Delivery USD.F 10
Daniellah +96171602Cash On DeON-301220USD.F 10 357 Mount Leb 96000
+96132871Cash On Delivery USD.F 10
Delivery A Delivery AdAddress Renew Marital StaNational I Gender Date Of Birth Age
1st, Beydoun, Mohamad 1st, Beydo 0 Male 1/1/2000 23
0 Married 10864249 Female 1/1/1995 28
0 Married 10864250 male 2/1/1996 28
1, Plaza Center Block 1, Plaza Ce 0 000033548male 2/2/1996 28
0 Single 000033548Female 4/1/1998 28
Class HealthcareNetwork Weight / HPackage TyOnline Ext Online Ext 17 17-SI
2nd Class Fresh CO-NIL Full Netwo77kg , 169 Comin-HO_Medical 150000 Y 10,000
2nd Class Fresh CO-NIL Full Netwo77kg , 169 Comin-HO_Medical Y 11,000
1st Class CO-NIL Full Netwo95kg , 180 Comin-HO_Medical Y 12,000
2nd Class CO-NIL Limited Ne76kg , 165 Comin-HO_Medical 100000 Y 14,000
2nd CLass CO-NIL Limited Ne76kg , 165 Comin-HO_Medical Y 15,000
17-Rate 17-NP 17-TP 517 517-SI 517-Rate 517-NP 517-TP
0.25 250 400 Y 100,000 0.35 350 525
0.3 300 500 Y 110,000 0.35 350 525
0.35 350 600 Y 111,000 0.35 350 525
0.45 420 670 N 113,000 0.35 350 525
0.5 450 700 N 114,000 0.35 350 525