Printed by 10001759 - Wednesday, September 28, 2022

EMPLOYEE EXPENSE
CLAIM VOUCHER

ECV No : CV-20220928-0065 ECV Date : 28-09-2022

Department : RENTAL SALES REPS. ECV Status : CREATED
Employee SN : 10001759 Division : RUE
Employee Name : ARFAN MULYAWAN Branch : BANDUNG
Employee Email : ARFAN.MULYAWAN@TRAKINDO.CO.ID Cost Center : 10A0590FZ
Claim Number :1

Cash Detail

Refer to TCAR No : TC-20220916-0124

IO No : T2201DE14425
Credit Card
: NO
Settlement
TCAR Period : 16-09-2022 - 16-09-2022

Business Travel

Cost WO / IO Actual
Date Expense Type Description TCAR Ref Currency
Center No. Expense

Toll
Menggunakan
T2201DE14
2022-09-16 Domestic Travel - Toll Mobil Pribadi IDR 115,000.00
425
perjalanan ke
Mining Expo

Parkir Jiexpo T2201DE14

2022-09-16 Domestic Travel - Park IDR 40,000.00
Mining Expo 425

Domestic Travel - T2201DE14

2022-09-16 Bensin IDR 274,450.00
Accomodation 425

Dinner Travel to T2201DE14

2022-09-16 Domestic Travel - Meals IDR 42,000.00
bandung 425

Toll
Menggunakan
mobil pribadi T2201DE14
2022-09-17 Domestic Travel - Toll IDR 46,000.00
perjalanan 425
pulang ke
bandung

Non-Travel

Date Expense Type Description TCAR Ref Cost Center WO / IO No. LoB Currency Actual Expense
VER

Expense Type Currency Periode Actual Expense

Status Currency Cash Requested Actual Expense Total

Claim IDR 0.00 517,450.00 517,450.00

Claim USD 0.00 0.00 0.00

Approval Matrix

SN Employee Name Roles Email Status

10000338 HAGEN JEVON OSZARWIN SUPERIOR hagen.oszarwin@trakindo.co.id WAITING FOR APPROVAL

00029626 IVANLIE SUPERIOR ivanlie@trakindo.co.id WAITING FOR APPROVAL

- [VERIFICATION SECTION] VERIFICATION SECTION - WAITING FOR APPROVAL

File Attachments

Created Date Created Name Name

9/28/2022 12:23:03 PM ARFAN MULYAWAN TC-20220916-0124 TCAR Mining Expo.pdf

9/28/2022 12:23:03 PM ARFAN MULYAWAN Bon Meals travel back to bandung Mining Expo.pdf

9/28/2022 12:23:03 PM ARFAN MULYAWAN Bon Toll Park Fuel Mining Expo.pdf

I hereby declare that all the information above is true and correct, supported by adequate evidence as required by the Company policies in filling in a claim. I
understand that filing a false claim will result in rejection from the approver and any other disciplinary actions based on Company policies.

This is a system generated document. Should there be any difference of the information and/or the amount printed on this statement and in the system, the
correct information is as stated in the system.