_— PT. SHIELD ON SERVICE Tbk. Cash Book Requisition Disbursement - Other Request Date + 26 December 2023 Location + SHIELO OW BALIKPAPAN Document Number: CBR01282312-0013312 Cost Center; BALIKPAPAN OPERATION project 01.001613-PT LAMINDO INTER MULTIKON Payment ype + Bank escrption Pembayaran Invoice Ne VD23120949 FT. CSM Corporatama = THtoh 2.5L DC HL Nope KT 198 YH Periode 17 Moreh” 13 April 2023 User Operational Baispopon No. Account Description ‘amount ISEWA KENDARAAN BERMOTOR, JANGKA, WAKTU <= 1 BULAN Pembayaren Invoice Nr VD23120949 PT. CSM |Corporatarna - Triton 2.5L DC HL Nopol KT 8198 YH Periode 17 Maret - 13 April 2023 User Operational Balikpapan 9,935,484.00| [PPN DARI VENDOR ( PPN MASUKAN) ~ PPN 11% - PT. CSM Corporatama ~ FP No. 2. Joriuar pRocuREMENT. [o10.012.23.66609437 1,092,803.00 3._|marerar Materai 40,000.00 Sub Total : | 11,038,387.00 [Stated : Sebelas Juta Tiga Puluh Delapan Ribu Tiga Ratus Delapan Puluh Tujuh Rupiah Destination Account a [Account Number [0301573202 Bank BANK DBS INDONESIA [Account Name |PT.CSM COPRPORATAMA Requested By Direct Supervisor | Expense Control | Approved By Cashier Receipt By wrfeses ner Of enn ome va JaRANeH tanacer satrnrapnn | 4 fe he oe atama a)