" RECEIPT "

No.

Received From

Amount
Particular
Payment For

:
:

Mr Lucas
Officer of Kelurahan/Sub Distric/Semper Barat
" Five Hundred Thousand Rupiah "

:
Transport and coordination for Mr. Lucas, making Document "
Wajib Lapor Ketenagakerjaan and Domisili letter"

Jakarta, 12 March 2015.

Amount

Rp.

500,0000.Imam Topo W
Administration & HRD

ACKNOWLEDGE AND APPROVED

G Superintendent

DG Superintendent

Adm and Finance

Commercial

Section