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EXPENSES CLAIM/ADVANCE SETTLEMENT

Trip To and Date or Expense Claim


Name : Jacob

Date Description of Expenses/Advance Trip Original amount Amount in IDR


04-Oct-22 Tol to Bekasi (Weatherford) IDR 16.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 7.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 23.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 23.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 16.000
04/10/22 Tol to Bekasi (Weatherford) IDR 20.000
04/10/22 Tol to Bekasi (Weatherford) IDR 8.000
11-Oct-22 Tol to Bekasi (Weatherford) IDR 20.000
11-Oct-22 Tol to Bekasi (Weatherford) IDR 23.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 8.000
11-Oct-22 Tol to Bekasi (Weatherford) IDR 16.000
11-Oct-22 Tol to Bekasi (Weatherford) IDR 7.000
04-Oct-22 Tol to Bekasi (Weatherford) IDR 16.000

TOTAL EXPENSES IDR 203.000

Acknowledge by: Proposed by:

[Tax & Accounting] Jacob Colston

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