SETTLEMENT OF BUSSINESS CASH ADVANCE Name / Number Purpose Destination Location Date : Budi Setiawan / 61306 : PM, CM : Bank

BCA, BPD Kaltim, Mandiri, Danamon : Tarakan, Nunukan, Tanjung Redeb : 23 Januari - 29 Januari 2013

Transport Expenses : 23-Jan-13 Office - Bandara Sepinggan Bandara Juwata - Hotel Hotel - BCA KC Tarakan BCA KC Tarakan - BCA Sakura Hotel BCA Sakura Hotel - BCA IT Plasa BCA IT Plasa - BCA Paradise Hotel BCA Paradise Hotel - BCA S Mart BCA S Mart - Mandiri Simpang Tiga Mandiri Simpang Tiga - Hotel 24-Jan-13 Hotel - Pelabuhan Tarakan Pelabuhan Nunukan - Hotel Hotel - BPD Kaltim Sedadap BPD Kaltim Sedadap - Hotel 25-Jan-13 Hotel - Danamon Patimura Danamon Patimura - Mandiri Alaska Swalayan Mandiri Alaska Swalayan - Mandiri Neo Fortune Hotel Mandiri Neo Fortune Hotel - Hotel 26-Jan-13 Hotel - BPD Kaltim Sedadap BPD Kaltim Sedadap - Hotel 27-Jan-13 Hotel - Pelabuhan Nunukan Hotel - Mandiri Top's Swalayan Mandiri Top's Swalayan - Hotel 28-Jan-13 Hotel - Mandiri RSUD Abdul rifai Mandiri RSUD Abdul Rifai - Bni Berau Coal BNI Berau Coal - Hotel 29-Jan-13 Hotel - BNI Lapauta Restaurant BNI Lapauta Restaurant - BNI Berau Coal BNI Berau Coal - Hotel Hotel - Bandara Kalimarau Bandara Sepinggan - Office Speedboat: 24-Jan-13 27-Jan-13 27-Jan-13

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

50,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 75,000 100,000 125,000 125,000 50,000 50,000 50,000 50,000 125,000 125,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 150,000 50,000

Tarakan - Nunukan Nunukan - Tarakan Tarakan - Tj. Selor

Rp Rp Rp

375,000 375,000 250,000

Travel Expenses: 27-Jan-13 Tj. Selor - Tj. Redeb Berau Ticket : 23-Jan-13

Rp

250,000

Balikpapan - Tarakan Rp Tiket Bagasi Lebih Balikpapan - Tarakan Rp *Note : tiket bagasi lebih dikarenakan bagasi cuma2 hanya 20 kg total bagasi yang dibawa adalah 29 kg sehingga lebih 9 kg spare part yang dibawa : Stacker 10 kg, IO Module 13 kg, toolbag 2 kg, PC 4 kg.

79,200

Airport Tax : 23-Jan-13 29-Jan-13

Bandara Sepinggan Bandara Kalimarau

Rp Rp

16,000

Accomodation Expenses 23-Jan-13 Hotel in Tarakan 24-Jan-13 Hotel in Nunukan 3 Days @250000 27-Jan-13 Hotel in Tanjung Redeb 2 Days @220000 Allowance Expenses : ETD : 23 Januari 2013 ETA : 29 Januari 2013 TOTAL To be Paid by Company

Rp Rp Rp

250,000 750,000 440,000

Rp

600,000

: Rp : Rp

5,460,200 5,460,200

Prepared by

Budi Setiawan

BON ONGKOS PENGGANTI Substitute Voucher Untuk ongkos-ongkos berikut ini tidak terdapat bon ongkos asli. No genuine voucher exist for the following cost. ONGKOS / COST

23-Jan-13

24-Jan-13

25-Jan-13

26-Jan-13 27-Jan-13

28-Jan-13

29-Jan-13

Office - Bandara Sepinggan Bandara Juwata - Hotel Hotel - BCA KC Tarakan BCA KC Tarakan - BCA Sakura Hotel BCA Sakura Hotel - BCA IT Plasa BCA IT Plasa - BCA Paradise Hotel BCA Paradise Hotel - BCA S Mart BCA S Mart - Mandiri Simpang Tiga Mandiri Simpang Tiga - Hotel Hotel - Pelabuhan Tarakan Pelabuhan Nunukan - Hotel Hotel - BPD Kaltim Sedadap BPD Kaltim Sedadap - Hotel Hotel - Danamon Patimura Danamon Patimura - Mandiri Alaska Swalayan Mandiri Alaska Swalayan - Mandiri Neo Fortune Hotel Mandiri Neo Fortune Hotel - Hotel Hotel - BPD Kaltim Sedadap BPD Kaltim Sedadap - Hotel Hotel - Pelabuhan Nunukan Hotel - Mandiri Top's Swalayan Mandiri Top's Swalayan - Hotel Hotel - Mandiri RSUD Abdul rifai Mandiri RSUD Abdul Rifai - Bni Berau Coal BNI Berau Coal - Hotel Hotel - BNI Lapauta Restaurant BNI Lapauta Restaurant - BNI Berau Coal BNI Berau Coal - Hotel Hotel - Bandara Kalimarau Bandara Sepinggan - Office
Disetujui / Approval Jumlah Total

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
Rp

50,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 75,000 100,000 125,000 125,000 50,000 50,000 50,000 50,000 125,000 125,000 100,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 150,000 50,000
2,075,000.00

Tanda Tangan / Signature