VIETTEL PERU S.A.

C - Operator and Maintanance Department

EXPENSE REPORT ADVANCE RECORD

No: VTPEX21050002 Debit:...................................

Requester's Name: TON THAT DU .............................................
Department: Operator and Maintanance Department .............................................
Expense for Cash Advance # .............................................
Period Payment: 05/2021 Credit:..................................
Reason: Travel PUN CUS MAD to check transmisison network, Node sites .............................................
separation and technical operation
.............................................
.............................................
Currency: PEN
Document Description VAT Tax Total
No. Amount Retencion Tax
Date Doc. No. (Original Document) 18% Amount
Planilla movilidad - Travel
PUN CUS MAD to check
transmisison network, Node
1 03/05/2021 01631290 sites separation and 270.00 270.00
technical operation
A074.1_Viático (Tecnico
team, SOS)
Planilla movilidad - Travel
PUN CUS MAD to check
transmisison network, Node
2 03/05/2021 42197112 sites separation and 270.00 270.00
technical operation
A074.1_Viático (Tecnico
team, SOS)
Planilla movilidad - Travel
PUN CUS MAD to check
transmisison network, Node
3 03/05/2021 47201734 sites separation and 270.00 270.00
technical operation
A074.1_Viático (Tecnico
team, SOS)
Planilla movilidad - Travel
PUN CUS MAD to check
transmisison network, Node
4 03/05/2021 73260928 sites separation and 270.00 270.00
technical operation
A074.1_Viático (Tecnico
team, SOS)
Planilla movilidad - Travel
PUN CUS MAD to check
transmisison network, Node
5 03/05/2021 8854074 sites separation and 270.00 270.00
technical operation
A074.1_Viático (Tecnico
team, SOS)

5/3/21 9:32 AM OMDST2104009 Page 1 / 2

 Document Description VAT Tax Total
No. Amount Retencion Tax
Date Doc. No. (Original Document) 18% Amount

Total Amount 1,350.00 0.00 0.00 1,350.00

In word: One Thousand Three Hundred Fifty Nuevos Soles

Note: Original receipts/ invoices must be attached in this form.

Prepared By Head of Dept. P/Accountant Accounting Manager CFO General Director

OMDST2104009 Page 2 / 2