Nama FA : ARI WAHYUDI

Wilayah Kerja : Lampung Tengah / Metro Area/ Kalirejo

Periode Claim : September 2023

Operation Claim
BPJS Kelas 2
Tanggal Makan Per Hari (Max 15 hari) Sewa Motor & Service BBM Pulsa FM FFD Jumlah
On Bill
(Rp. 30.000/ Hari) Rp. 250.000/ Bulan (On Bill) (On Bill) Rp. 100.000
01- 10 - 2023 30,000 250,000 35,000 102,000 417,000
02- 10 - 2023 30,000 220,000 250,000
04- 10 - 2023 30,000 30,000 60,000
05- 10 - 2023 30,000 30,000
06- 10 - 2023 40,000 40,000
07- 10 - 2023 30,000 30,000
08- 10 - 2023 30,000 30,000 60,000
09- 10 - 2023 30,000 30,000
11- 10 - 2023 30,000 30,000
12- 10 - 2023 30,000 35,000 65,000
13- 10 - 2023 30,000 30,000
14- 10 - 2023 30,000 30,000
15- 10 - 2023 30,000 30,000 60,000
16- 10 - 2023 30,000 30,000
18- 10 - 2023 30,000 35,000 65,000
19- 10 - 2023 30,000 30,000
20- 10 - 2023 -
21- 10 - 2023 40,000 40,000
22- 10 - 2023 -
23- 10 - 2023 -
25- 10 - 2023 30,000 150,000 180,000
26- 10 - 2023 300,000 300,000
27- 10 - 2023 -
28- 10 - 2023 35,000 150,000 185,000
29- 10 - 2023 -
30- 10 - 2023 -

Total 450,000 470,000 340,000 102,000 600,000 - - 1,962,000

FA/ SFA JCE AM BSM

(ARI WAHYUDI) (RIO ALFIANSYAH) (CHARLES BUTAR-BUTAR) (H. ALI SYARIF)

Nama FA : Rizal Zamzami
Wilayah Kerja : Kabupaten Mesuji dan Tulang Bawang
Periode Claim : September 2023

Operation Claim
BPJS Kelas 2
Tanggal Makan Per Hari (Max 15 hari) Sewa Motor & Service BBM Pulsa FM FFD Jumlah
On Bill
(Rp. 30.000/ Hari) Rp. 250.000/ Bulan (On Bill) (On Bill) Rp. 100.000
01- 07 - 2023 30,000 250,000 100,000 380,000
03- 07 - 2023 30,000 30,000
04- 07 - 2023 30,000 30,000
05- 07 - 2023 30,000 30,000
06- 07 - 2023 30,000 150,000 180,000
07- 07 - 2023 30,000 120,000 150,000
08- 07 - 2023 30,000 150,000 180,000
10- 07 - 2023 50,000 50,000
13- 07 - 2023 120,000 120,000
15- 07 - 2023 30,000 30,000
17- 07 - 2023 30,000 100,000 130,000
18- 07 - 2023 30,000 30,000
19- 07 - 2023 -
20- 07 - 2023 30,000 30,000
21- 07 - 2023 30,000 30,000
22- 07 - 2023 30,000 30,000
24- 07 - 2023 100,000 100,000
26- 07 - 2023 50,000 50,000
27- 07 - 2023 30,000 180,000 210,000
28- 07 - 2023 120,000 150,000 270,000
29- 07 - 2023 30,000 30,000
31- 07 - 2023 100,000 100,000

Total 450,000 430,000 760,000 100,000 300,000 150,000 - 2,190,000

FA/ SFA JCE AM BSM

(RIZAL ZAMZAMI) (RIO ALFIANSYAH) (CHARLES BUTAR-BUTAR) (H. ALI SYARIF)