PT PUCUK JAYA

Advance Request
2/14/2022

Details

Reff. Number IMPORTANT NOTICE

Date Submitted By signing and submitting this form you
Name Slamet Supriyadi agree that the requested funds will be
Position Mill Manager used for the purposes stated in this form.
Failure to provide an expense report with
Department Mill receipts within 14 days of your return
Untuk pelaksanaan sounding dan berita acara TK. date or completion of works can result in
Purpose of advance
Tirta Samudra V a payroll deduction to cover the amount
Total Advance Requested Rp 300,000 .of funds advanced to you

Anticipated Expenses
Description of Expense Qty U/Price Total Expenses
Untuk menyaksikan pelaksanaan sounding TK. Tirta Samudra V Rp 300,000

GRAND TOTAL Rp 300,000

Oustanding/Un-settle Advance (filled by Accounting)
Description of Advance Reff. Date Total Advance

Grand Total Rp -

Recorded By
Name SIGNATURE ACCOUNTING USE ONLY

Requested by
User ……………………………………………………………………………….. Cashier …………………………
……………………………………
Acknowledge by Checked By
Head Of
Department ……………………………………………………………………………….. Acc. Mgr/FC …………………………
……………………………………

Approved By Received By
General Manager ……………………………………………………………………………….. User …………………………
……………………………………
 PT PUCUK JAYA
EXPENSE CLAIM

Name : Slamet S Claim Form No :

Department : Mill Advance Ref No :

Pelaksanaan sounding dan Berita Acara After

Date : 22 Oktober 2019 Purpose of Claim : Loading TK. Tirta Samudra

AMOUNT
NO DATE DESCRIPTION
IDR RINGGIT
1 24-Jul-19 Sarapan pagi dan air mineral perjalanan ke PT. Smart, Tarjun 90,000
2 24-Jul-19 Makan dan Minum Siang 110,000
3 24-Jul-19 Makan dan Minum Malam pelaksanaan sounding kapal dan sounding 120,000
darat di PT. Smart, Tarjun
4 25-Jul-19 Sarapan pagi dan minum di perjalanan dari PT. Smart Tarjun 65,000
ke PT. Pucuk Jaya

Total Expenses 385,000 -

Advance (If any) 800,000

Balance 415,000 -
***Minus Balance should return to accounts depratment IDR RINGGIT

Claim Approval Accounting Use Only

Claim by Checked by
User …………………………………………….. Account Assit. ……………………………………………..

Acknowledge by Verified By
Head Of Dept. …………………………………………….. Acc.Mgr/FC ……………………………………………..

Approved By General Cash Received By

Manager …………………………………………….. User ……………………………………………..
 PT PUCUK JAYA Do Not Delete 2/14/2022
ADVANCE SCHDULE
Sep-16

Date of Date of Amount of

Advance No Name of Applicant Advance Amount Balance (If any) Outsanding Days
Advance Settlement Settlement
ADV/09/001 30-Aug-16 Rafles 2,000,000 2,000,000 1,964
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Total 2,000,000 - 2,000,000