EMERALD COVER NOTE FERROCHROMIUM INDUSTRY STOICN-EFVX1/2021 Ref. No Draft. No PL Pv Date Submit 26 November 2021 Budget ¥ Budgeted / Index No. | Non-Budgeted Budget Group Department 2 HRGA Applicant : RISKA YURDANI Vendor E Invoice No Payment Due Date 03 Desember 2021 Content No “Amount Tax ‘Outgoing Payment [Advance Penbelian 2 Unit Motor Untuk Pars 35,600.00 v 35 600.00 Total 500.000 o 3.600000 in Words: ‘Tiga Pulah Lina Jota Enam Ratws Ribu Rupiah Now: BRI 1114.01-000739.30-8 PT, EMERALD FERROCHROMIUM INDUSTRY Prepared By Checked By Approved By Approved By) (fk 2 ANGGRID YOREL KOJOBA ‘ANGGIKA DUIA PRADANA ‘ADMIN FINANCE ITE MANAGER ‘GENERAL MANAGER DIRECTOR *) For Budgeted more than IDR 100 mio and/or Non Budgeted more than 10 mio *)Cash Advanced request more than IDR $ mio page 172EMER ALD FERROCHROMIUM INDUSTRY CASH ADVANCED (CA-O1-EFUX12021 Date Submit 26 November 2021 Budgeted Expense: | Notovemte Stacy eriNtana Mace apne: [Yipudgact Requestor Name RISKA YURDANI Non-Budgeted Title / Department HRGA Be Dacia mane Te ‘Sugoi Payment 1 [ans Plan Unt Soir Unk Pas 3560000 7 3.600000 take Total 35.600.000, o ~35.600.000 nk Ifomaton By Signing ai ebiing ts frm you ase Hat Bak Nan aR ke equ fds wil be sl fr the purpose stad Assman No Too in ths form. Please Prove A Cah Advanced Besciciary Nanz] ~ [PT EMERALD FERROCHROMIUM INDUSTRY —|Setloment Repo Wain» Working da fcr lst raved dy Notes Requestor Signature KABAG HRGA Approval Signatare 1 ANGGIKA DUTA PRADANA GENERAL MANAGER "Only for advance request more than IDR 5 mio Approval Signature 2 Approval Signature 3+) DIRECTOR page 272EMERALD PT. EMERALD FERROCHROMIUM INDUSTRY FERROCHROMIUM INDUSTRY PROCUREMENT REQUEST FORM No. rev : 043/HR/site-26-XI/2021_ Applicant Riska Yurdani Position Suptend HR Division ‘HRD "hereby submit an ase urchate with the detailed 3s flow Wo. ‘Asset Name “Specification /Grand/Type | Quantity | 1 | Motor Honda Revo Ft ‘unit | Re-47:800.000, Tp, 35600.000 i 1 I as Ro. 35,600.00 Date of use udeet Group ‘Uruk Pengaaan Ae Lersobut tar, harap auton kepada Nara Peer a ergan dara artor Sto PT. EFL Juma, 26 November 2021 ‘cratedby, ‘Approved by, = Gir iA fo |____ risa (ingrid Kooba) (Sgt ribowo) (Angi Outaradana i Ure nance ste i site Manager ‘General Manager ‘Attachment 1 (Orin) Submission to france *) Made by Support Service dvston (ex: Laptop =F HE & Fuel= Techni, te tachment 2 (Copy le **) £0 for Purchased more than Rp. 160.00.00= 2umt