Hans - Supplement Claim Form Jan 2022 - Approved

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Vitamin / Supplement Claim Form

Employee name : Hans Tambang Tambunan Business Purpose : MS BRI


Employee ID : 1159
Month : January Project : OP0712
FY : 2021

Date Amount Location

08 January - 14 January 2021 250,000 BRI RAGUNAN

15 January - 21 January 2021 250,000 BRI RAGUNAN

22 January - 28 January 2021 250,000 BRI RAGUNAN

TOTAL 750,000

Signed 11/1/2021 Approved by

14/2/2022
Rendi Danantyocitro
Hans Tambang Tambunan Direct Supervisor

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