Reimbursement Form

Date 27-Aug
Name Putri Annisa
Designation Quota Reimbursement
Department Customer Service
Expense Period
Client Name
Expense Details
S.No. Expense Description Expense Cost
1 Quota Telkomsel August 125,000
2 Quota Telkomsel September 125,000
3
4
5
6
7
8
9
10
Total Expenses 250,000.00
* If there are more expenses, please add rows to the above table and modify the formula accordingly.