DEPARTMENT INDOLAB DATE : 5-Apr-22

:
NAME :
NO. :
FIN
PAYMENT REQUEST
DEPARTMENT DUE DATE
:
CODE :
10 April 2022

COA DESCRIPTION TOTAL

PPH Pasal 23 atas sewa mesin photo copy Rp66,590

PPH Pasal 23 atas Jasa KAP Ferdinan & Rekan Rp500,000

TOTAL Rp566,590

Lampiran : Invoice

FINANCE GM COO DIRECTOR

ISSUED BY : APPROVED BY : CHECKED BY : APPROVED BY :

NAME : Bertha NAME : SUSANTO NAME : MOSES MARUNDA NAME : dr. BUDIMAN KHARMA NAME : CHARLIE SALIM
DATE : 05/04/2022 DATE : 05/04/2022 DATE : DATE : DATE :
 DATE

FORM REIMBURSEMENT
DEPARTEMEN: FAT - PRILLY

NO. DESCRIPTION TOTAL

1
2
3
4
5
6

Pembayaran dapat dilakukan melalui Transfer/ Cash :

(Nama Bank)
(Nomor Rekening)
(Nama Pemilik Rekening)

TOTAL Rp0

Lampiran : Nota/Bon/Invoic

DEPARTMENT FINANCE GM COO

ISSUED BY : APPROVED BY : CHECKED BY : APPROVED BY : APPROVED BY :

NAME : MOSES NAME : dr. BUDIMAN

NAME : PRILLY PRATIWI NAME : SUSANTO NAME : PRILLY/SUSANTO
MARUNDA KHARMA

DATE : 28 MARET 2022 DATE : DATE : DATE : DATE :

 DATE :

FORM CASH ADVANCE

DEPARTEMEN:

NO. DESCRIPTION TOTAL

Nama :

Keperluan :

Nomor PO :

Nominal :

*Penyelesaian Cash Advance Maksimal 2 minggu dari pembayaran

Pembayaran dapat dilakukan melalui Transfer/ Cash :

(Nama Bank)
(Nomor Rekening)
(Nama Pemilik Rekening)

TOTAL Rp0

Lampiran : Nota/Bon/Invoic

DEPARTMENT FINANCE GM COO

ISSUED BY : APPROVED BY : CHECKED BY : APPROVED BY : APPROVED BY :

NAME : MOSES NAME : dr. BUDIMAN

NAME : NAME : NAME : PRILLY/SUSANT
MARUNDA KHARMA

DATE : DATE : DATE : DATE : DATE :

 DATE :

FORM CASH ADVANCE

DEPARTEMEN:

NO. DESCRIPTION TOTAL

Nama :

Keperluan :

Nomor PO :

Nominal :

*Penyelesaian Cash Advance Maksimal 2 minggu dari pembayaran

Pembayaran dapat dilakukan melalui Transfer/ Cash :

(Nama Bank)
(Nomor Rekening)
(Nama Pemilik Rekening)

TOTAL Rp0

Lampiran : Nota/Bon/Invoic

DEPARTMENT FINANCE GM COO

ISSUED BY : APPROVED BY : CHECKED BY : APPROVED BY : APPROVED BY :

NAME : MOSES NAME : dr. BUDIMAN

NAME : NAME : NAME : PRILLY/SUSANT
MARUNDA KHARMA

DATE : DATE : DATE : DATE : DATE :

 No.
LAPORAN PEMAKAIAN PETTY CASH Disiapkan Oleh : Disetujui Oleh :

TANGGAL
PENANGGUNG JAWABSUSANTO DHARMAWI Nama : PRILLY Nama : SUSANTO DHARMAWI
OFFICE HEAD OFFICE Tanggal : Tanggal :
Tanggal Keterangan Debit Kredit Saldo