Stadia Engineering Works Consultant PLC

Perdium and Other Payment Request Form

Date of Request:Jan 05 2020
Date of Mobilization:Jan 09 2020
Responsible person Yonathan Project: Gishen Project

   Human Resource Mobilization Vehicle and fuel Materials

Professionals Per diem for Site visit Length (KM) Rate(Km/Lt) cost/Lt. Total Items Qty Rate total
Name No of days Rate Amount 2592 7 19.00 7,035.43
Andualem 8 750.00 6,000.00
Rebi 8 450.00 3,600.00
Samuel 8 350.00 2,800.00
Yonathan 8 450.00 3,600.00

Sub total 7,035.43

Sub total 16,000.00 Vehicle Rental Others

Drivers Amount No of Days cost/day Total Sub total -
8 300.00 2,400.00 - Other costs
Petty cash Qty Rate total
Sub total 2,400.00 3000 3,000.00
Daily Labour
No of Labor No of days Rate Amount
0 0 - -

-
Sub total - Sub total - Sub total 3,000.00
G. total 18,400.00 G. total 7,035.43 G. total 3,000.00

Summary
G. Total 28,435.43

Requested By: _____________________ Checked by: ______________________ Approved By:_____________________

 Stadia Engineering Works Consultant PLC
Perdium and Other Payment Request Form
Date of Request:Feb 12 2020
Date of Mobilization:Feb 13 2020
Responsible person Asheber Project: Gishen Project

   Human Resource Mobilization Vehicle and fuel Materials

Professionals Per diem for Site visit Length (KM) Rate(Km/Lt) cost/Lt. Total Items Qty Rate total
Name No of days Rate Amount 2100 7 19.00 5,700.00
Asheber 16 350.00 5,600.00
Level Man 16 350.00 5,600.00
Traverse 16 350.00 5,600.00
-

Sub total 5,700.00

Sub total 16,800.00 Vehicle Rental Others

Drivers Amount No of Days cost/day Total Sub total -
16 300.00 4,800.00 - Other costs
Petty cash Qty Rate total
Sub total 4,800.00 3000 3,000.00
Daily Labour
No of Labor No of days Rate Amount
10 14 150.00 21,000.00

-
Sub total 21,000.00 Sub total - Sub total 3,000.00
G. total 42,600.00 G. total 5,700.00 G. total 3,000.00

Summary
G. Total 51,300.00

Requested By: _____________________ Checked by: ______________________ Approved By:_____________________