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CASH & BANK PAYMENT REQUEST FORM

PT. SINARNIAGA SEJAHTERA


PC GRP REGION PC DEPO Date 04/02/2019 Dept (7073141638) Prop / Claim Doc 19-70-1000004386 / 19-70-1000005484
SULAWESI 2 PARIGI PARIGI No.
WHOUSEFG
Remark: MKM;RUDIANTO;DB8586KY;LAS DUDUKAN BOX;040219

Amount
Description Cost Center Quantity Currency Rate Amount Amount in LC
6740100000 - Vehicle Maint: Mater
Depo Parigi - 7073141614 - Delivery Outbound - PARIGI 1 IDR 0.00 200,000 200,000
Maintenance Kendaraan : Material DELIV OUT
Total 200,000 200,000
Cash Adv Via Bank / PC 0 Cash Adv Doc No -
Variance -200,000 Cash Adv Date -
PPH 0
PPN 0
Payment Status - Payment Type Cash Payment Account No -
Bank - Beneficiary Name -

e-Approval Name Position Date & Time


Submitted By Zulhuzain Sado Section Head 04/02/2019 0:00:00
Ay
Approver 1 Prop Anton Sello Department 06/02/2019
Head 08:39:48
Approver 1 Arista Branch Head 19/02/2019
Claim Matulende 08:34:15
Payment by, Received by,

( ) ( )

This Request Form is digitally signed, therefore no signature is required


COMPLETELY APPROVED

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