CASH ADVANCE VOUCHER

NO : CAVASS 2304138
Pay to : Juni Tarigan Date : 03-Apr-23

Descriptions Amount
CA Operational Instalasi 3,000,000.00
Kode transaksi CA 138.00

Grand Total 3,000,138.00

The Sum of : Tiga Juta Seratus Tiga Puluh Delapan Rupiah

- To be settled within 7 days after received of this advance.

- In case I am fail to submit the relevant documents after 7 days, hereby I authorized the company to deduct the full amount from my salary.

Request By Dept. Head FC OM Paid By Received By

Juni Tarigan Daryono

Form Settlement

Employee Name : Juni Tarigan CA Number : CAVASS 2303135

Advance Payment : 27-Mar-23
Nominal: 3,000,135.00
Nominal Usage : 3,661,900.00
BALANCE : - 661,765.00

No Date Description Transaction Qty Unit Price Total Price

1 24-Mar-23 BBM Motor B3515BZP (ke Cengkareng) per 24/03/23 1 30,000.00 30,000.00
2 27-Mar-23 Pembelian Vitamin (Jababeka & KPP) per 27/03/23 1 450,000.00 450,000.00
3 27-Mar-23 Pembelian Vitamin (Jababeka) per 27/03/23 1 110,000.00 110,000.00
4 27-Mar-23 BBM Mobil B9423WCC per 27/03/23 1 200,000.00 200,000.00
5 27-Mar-23 BBM Motor Operasional Kantor per 27/03/23 1 50,000.00 50,000.00
6 27-Mar-23 BBM Mobil B9446WCC per 27/03/23 1 202,000.00 202,000.00
7 27-Mar-23 BBM Motor B3515BZP (ke UT Jababeka) per 27/03/23 1 35,000.00 35,000.00
8 28-Mar-23 (Gosend) Kirim Bracket Apar ke SKP per 28/03/23 1 66,000.00 66,000.00
9 28-Mar-23 Biaya Parkir Glodok Plaza per 28/03/23 1 5,000.00 5,000.00
10 28-Mar-23 Biaya Parkir LTC per 28/03/23 1 2,000.00 2,000.00
11 28-Mar-23 Pembelian Isi Ulang Aqua 2 galon @Rp. 18.000 per 28/03/23 1 36,000.00 36,000.00
12 28-Mar-23 BBM Mobil B9446WCC per 28/03/23 1 202,000.00 202,000.00
13 28-Mar-23 BBM Motor Operasional Kantor per 28/03/23 1 42,000.00 42,000.00
14 28-Mar-23 Pembelian Bensin Genset 5 Liter @Rp. 13.000 1 65,000.00 65,000.00
15 29-Mar-23 (Gosend) Kirim Seragam Almera ke WS per 29/03/23 1 36,000.00 36,000.00
16 29-Mar-23 Biaya Parkir LTC per 29/03/23 1 4,000.00 4,000.00
17 29-Mar-23 BBM Mobil B9423WCC per 29/03/23 1 302,000.00 302,000.00
18 29-Mar-23 BBM Mobil B1639WIK per 29/03/23 1 202,000.00 202,000.00
19 29-Mar-23 Pembelian Vitamin (Jababeka) per 29/03/23 1 62,000.00 62,000.00
20 30-Mar-23 Biaya Parkir Plaza Kenari per 30/03/23 1 4,000.00 4,000.00
21 30-Mar-23 Biaya Parkir Harco Glodok per 30/03/23 1 5,000.00 5,000.00
22 30-Mar-23 Pembelian Meterai 10.000 - 10 lembar @Rp. 10.000 per 30/03/23 1 100,000.00 100,000.00
23 31-Mar-23 Biaya Parkir Alfamart per 31/03/23 1 2,000.00 2,000.00
24 31-Mar-23 Pembelian Isi Ulang Aqua, Kopi, & Gula 1 118,400.00 118,400.00
25 31-Mar-23 Pembelian Meterai 10.000 - 40 lembar @Rp. 10.000 per 31/03/23 1 400,000.00 400,000.00
26 31-Mar-23 BBM Motor Operasional Kantor per 31/03/23 1 21,000.00 21,000.00
27 31-Mar-23 BBM Motor Operasional Kantor per 31/03/23 1 52,000.00 52,000.00
28 31-Mar-23 BBM Mobil B1639WIK per 31/03/23 1 102,000.00 102,000.00
29 31-Mar-23 BBM Mobil B9446WCC per 31/03/23 1 100,500.00 100,500.00
30 31-Mar-23 BBM Mobil B9423WCC per 31/03/23 1 202,000.00 202,000.00
31 01-Apr-23 BBM Mobil B9446WCC per 01/04/23 1 202,000.00 202,000.00
32 02-Apr-23 BBM Mobil B9423WCC per 02/04/23 1 252,000.00 252,000.00
Form Settlement

Employee Name : Juni Tarigan CA Number : CAVASS 2303135

Advance Payment : 27-Mar-23
Nominal: 3,000,135.00
Nominal Usage : 3,661,900.00
BALANCE : - 661,765.00

No Date Description Transaction Qty Unit Price Total Price

GRAND TOTAL 3,661,900.00

PREPARED BY : CHECK BY :

JUNI TARIGAN