EXPENSE REQUISITION

Expense Requisition No : ER-APM-22-002410 Expense Request Type : Reimbursement

Expense Requisition Date : 18 April, 2022 Project ID : P-APM-22-000024

Revision No : Project Name : Proyek Indosat AOP Rollout_2022

Revision Note : Purpose : Project

Requested by : Abdurahman Alif Required Date :

Div / Dept : OP Project 2 Suggestion Vendor :
Prepared by : SELLY Attachment : YES V NO

Line Main Expense Description Unit Qty Crcy Requested Total Requested Amount Budget Remaining Budget keterangan
account Category Amount
1 143030 PROEXP26 2963 Reimb An Alif Biaya Transport 1 IDR 128,000.00 128,000.00 0.00 0.00 BCA 0870204167
by Gojek (Raker To Indosat Office) An Abdurahman
Project Sisindokom Tgl 30 Mar - 9 Alif
Aprl 2022
2 143030 PROEXP28 2963 Reimb An Alif Biaya BBM 1 IDR 76,270.00 76,270.00 0.00 0.00
(Raker To Indosat Office) Project
Sisindokom Tgl 9 Aprl 2022
3 143030 PROEXP35 2963 Reimb An Alif Biaya Kirim 1 IDR 57,500.00 57,500.00 0.00 0.00
Dokumen by Gojek (BAST) Project
Sisindokom Tgl 9 Aprl 2022
GRAND IDR 261,770.00
TOTAL

Requested by Verified by Verified by Approved by Approved by Approved by Acknowledged by

Name HENRI Name RATIH Name LENCY Name WAHYU Name Name Name DHESY
Date 18-APRL-22 Date 18-APRL-22 Date 18-APRL-22 Date 18-APRL-22 Date Date Date 18-APRL-22

Remark
 SURAT PERMINTAAN BARANG & JASA
No Permintaan : 2963 Tanggal : 18-Apr-2022
Kepada Yth : Finance Kualifikasi : Normal
Yang Mengajukan : selly Target Pengiriman : 18-Apr-2022
Bag./Dept : OP PROJECT 2 Tipe : Reimbursement

No Deskripsi Project Pos Anggaran Sisa Anggaran Qty Harga Total Keterangan

2963 Reimb An Alif Biaya Transport by

Gojek (Raker To Indosat Office) Project P-22024 - Proyek Indosat AOP
1 71010110 1 128,000.00 128,000.00
Sisindokom Tgl 30 Mar - 9 Aprl 2022 Rollout_2022

2963 Reimb An Alif Biaya BBM (Raker To

BCA 0870204167 An
Indosat Office) Project Sisindokom Tgl 9 P-22024 - Proyek Indosat AOP
2 71010114 1 76,270.00 76,270.00 Abdurahman Alif
Aprl 2022 Rollout_2022

2963 Reimb An Alif Biaya Kirim Dokumen

by Gojek (BAST) Project Sisindokom Tgl 9 P-22024 - Proyek Indosat AOP
3 71010117 1 57,500.00 57,500.00
Aprl 2022 Rollout_2022

261,770.00

Yang Mengajukan Menyetujui Paraf RAB

selly

Mengetahui Catatan Catatan

Bagian Keuangan Bagian Keuangan