EXPENSE REIMBURSEMENT

Cost Type : General Expenses

Name : Annastasia Dyah KP Currency Rate Amount
NIK : 920110559 IDR 1
Cost Center : 18030006-Purchasing USD
: JPY
: RMB
: CNY

Payment Method : Cash Payment

X Bank Transfer Bank Account Name : Annastasia Dyah KP

Bank Name & Branch : BCA
Bank Account No. : 2465226828

Date List of Expenses Description Currency Original Amount Exch. Rate Total
3-Jan-22 Others expense Pembelian Epson Printer L121 + original ink via tokopedia 1 unit IDR 2,263,000 1 IDR 2,263,000
no PO 4200014914
ongkir 29,000.00 1 IDR 29,000
insurance barang 46,000.00 1 IDR 46,000

paid IDR 2,338,000

- -

TOTAL 2,338,000
ADVANCE 2,400,000

BALANCE PAID TO EMPLOYEE (RETURN TO COMPANY) TOTAL 62,000

Applicant, Approver,

Annastasia Yulius

Please see instruction before you fill in this document to ensure that you claim as per company policy.