FORM REIMBURSEMENT BBM, TOL & PARKIR

Periode : 16 Sept 2022~15 Oct 2022

Jumlah BBM Toll Parkir Jumlah

KM Nota Pengisian
Tanggal
BBM
Liter Rupiah (Rp) (Rp) (Rp)

Bulan : Sept 2022

16 25.00 250,000.00 113,000 363,000 230,256 PADI
16 33.34 333,470.00 333,470 230,540
17 0 0
18 0 0
19 47,500 47,500
20 0 0
21 47,500 47,500
22 47,500 47,500
23 25.00 250,000.00 0 250,000 231,090 32.68
24 0 0
25 0 0
26 6.00 60,000.00 0 60,000 231,855
27 60,000 60,000
28 39.61 396,190.00 0 396,190 232,310
29 47,500 47,500
30 47,500 47,500
31 0 0
Total 128.95 1,289,660.00 410,500.00 0.00 1,700,160.00

Bulan : Oct 2022

1 47,500 47,500
2 0 0
3 17.00 170,000.00 47,500 217,500 232,777
4 0 0
5 47,500 47,500
6 47,500 47,500
7 40.84 408,400.00 47,500 455,900 233,028
8 0 0
9 0 0
10 47,500 47,500
11 0 0
12 47,500 47,500
13 33.36 333,680.00 47,500 381,180 233,442
14 47,500 47,500
15 0 0
Total 91.20 912,080.00 427,500.00 0.00 1,339,580.00

Grand Total 220.15 2,201,740.00 838,000.00 0.00 3,039,740.00

Kalijati, 15 Oct 2022

Dibuat oleh Diperiksa, Mengetahui :

Diyan S. Firman Fitriadi Agung JW

PJC Manager GA Manager HRD Manager