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  • Adobe Scan 6 Nov 2023

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    irfan mulyadi
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    This document is a travel authorization form for an employee named Rolan Windu. It authorizes him to travel from January 10th from 8:00 to 16:00 using a Toyota Avanza vehicle with plate number B 2356 TY for work purposes. The starting odometer reading was 19,281 kilometers and the expected ending reading was 25,486 kilometers. The form was approved by the department head.

    Original Description:

    Form Surat Tugas

    Original Title

    Adobe Scan 6 Nov 2023 (1)

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    This document is a travel authorization form for an employee named Rolan Windu. It authorizes him to travel from January 10th from 8:00 to 16:00 using a Toyota Avanza vehicle with plate number B 2356 TY for work purposes. The starting odometer reading was 19,281 kilometers and the expected ending reading was 25,486 kilometers. The form was approved by the department head.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    2 views1 page

    Adobe Scan 6 Nov 2023

    Uploaded by

    irfan mulyadi
    This document is a travel authorization form for an employee named Rolan Windu. It authorizes him to travel from January 10th from 8:00 to 16:00 using a Toyota Avanza vehicle with plate number B 2356 TY for work purposes. The starting odometer reading was 19,281 kilometers and the expected ending reading was 25,486 kilometers. The form was approved by the department head.

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    © All Rights Reserved
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    of 1

    I

    PT. Dasa Windu Agung

    SURAT JUGAS KELUAR


    1anggal : O(, • \\- l-bi;
    Nama \\\\\\1 //11;
    : \rol1\ "'\>\~06\ II/
    ...:.:t........................:.J.......................................................................................... E F
    Departemen
    : Sl..S Qc
    Ditugaskan
    .....
    ································································································································
    Sd1'4\~t \.~\"odv t . . ..Lv. -..~~"09.............................................................................. . . . . ..
    LJU •

    Jam Berangkat
    "°'··· . .~'I'll\t.f···················································-···········- ·-······················································
    : :00 ..................................................................... s/d ...... /b . ~.f". .,. ... . . . . . . . . .. .. . . . . ... . . . . . . . . . . . . . . ... ..
    Pengemudi
    Kendaraan
    : \~ ~~cl,
    ........................................................................................................................................................................................................ __ ,,,, .

    : ·\::b"do.-
    · · · · · · · · · · · · · 1A1l-
    · . · · ·· · · · · · ·· · · · · ·· · · · · · · · · · · · · No. Palisi 11
    . . . . . . . .2£Jfl:,
    . . . .?!, . . ... . . . .. ..T'll
    . ... . v. . . . . . . . . . . . . . . . . . . ..
    Km. Awai
    .19. 2.l\l-\.'L-.. . . . ... . . . . . . . . .... . . . . Km Akhir .2~.t4.8b. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . .
    Ya~skan, Disetujui, hui,

    ~
    .
    -tt(
    ~"" Department Head

    Note: Apabila Department Head tidak ada di tempat maka dapat diwakilkan oleh
    Deputy Dept. Head / Section Head

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