You are on page 1of 2

PAYMENT REQUISITION

DIRECT PAYMENT
PT.CITRARAYA NUSATAMA PR Date : 6-May-21
Rukan Permata Senayan Blok A 25-26, Jl. Tentara Pelajar PR Number : DH/PR/V/2021/00122
Daerah Khusus Ibukota Jakarta 12210 Requestor Name/Division : Nurdayanti
Phone: +62 21 579 409 88 PR Type : Direct Payment

Transaction Detail* Payment Detail


Project ID : Operasional Receiver Name : Telkom
Client Name : - Payment Due Date : 20-May-21
Project Name : Operasional Payment Method : Transfer Bank
Bank Account Number : 131161112238

No Invoice Number PO Number Description Qty Amount


Tagihan internet (IndiHome) pemakaian bulan April 2021 No Layanan :
131161112238 1 Rp 685,455

Total Rp 685,455
PPN 10% Rp -
Total Amount Rp 685,455

Purpose Use of Funds:


Tagihan Telkom Bandung April 2021

Estimated Use of Funds:

Detail Information:

Requested By Validated By Validated By

(Nurdayanti) (Dori Artsyanto)) (EVP Finance)

*Filled in only if submission for project requirements

Levels of Authorization
Non Project Project
Nominal Validated By Nominal Validated By
Rp0,- s/d Rp10.000.000,- Division Head, EVP Finance Rp0,- s/d Rp500.000.000,- Division Head, EVP Finance
>Rp10.000.000,- Division Head, EVP Finance, CFBO >Rp500.000.000,- Division Head, EVP Finance, CFBO

You might also like