EXPENSE REQUISITION

Expense Requisition No : ER-APM-22-002409 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 : Unik Melia 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 PROEXP36 2962 Reimb An Melia Biaya F.Copy & 1 IDR 38,000.00 38,000.00 0.00 0.00 Mandiri
San dan Pembelian Amplop Tgl 13 670002908670
April 2022 anUnik Melia
2 143030 PROEXP35 2962 Reimb An Melia Biaya Kirim 1 IDR 20,000.00 20,000.00 0.00 0.00
Dokumen By Sicepat Exp (BAST &
Nota) Project Sisindokom Tgl 13 April
2022
GRAND IDR 58,000.00
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 : 2962 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

2962 Reimb An Melia Biaya F.Copy & Scan

dan Pembelian Amplop Tgl 13 April 2022 P-22024 - Proyek Indosat AOP
1 71010200 1 38,000.00 38,000.00
Rollout_2022

Mandiri 670002908670
anUnik Melia
2962 Reimb An Melia Biaya Kirim
Dokumen By Sicepat Exp (BAST & Nota) P-22024 - Proyek Indosat AOP
2 71010117 1 20,000.00 20,000.00
Project Sisindokom Tgl 13 April 2022 Rollout_2022

58,000.00

Yang Mengajukan Menyetujui Paraf RAB

selly

Mengetahui Catatan Catatan

Bagian Keuangan Bagian Keuangan