FORM REIMBURSEMENT BBM, TOL & PARKIR

Periode : 16 Aug 2022~15 Sept 2022

Jumlah BBM Toll Parkir Jumlah KM Nota

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

Bulan : Aug 2022

16 47,500 47,500
17 0 0
18 6.56 50,000.00 47,500 97,500 227,733
19 30.06 230,000.00 47,500 277,500 227,780
20 19,000 19,000
21
22 47,500 47,500
23 8.80 110,000.00 0 110,000 228,130 14.38
24 47,500 47,500
25 13.07 100,000.00 47,500 147,500 228,315
26 0 0
27 31.28 239,346.00 0 239,346 228,354
28 0
29 47,500 47,500
30 14.37 110,000.00 47,500 157,500 228,817
31 9.38 150,000.00 47,500 197,500 229,013
Total 104.14 989,346.00 446,500 0 1,435,846

Bulan : Sept 2022

1 47,500 47,500
2 14.37 110,000.00 0 110,000 229,136
3 47,500 47,500
4 10.00 100,000.00 100,000 229,278
5 59,500 59,500
6 12.00 120,000.00 47,500 167,500 229,490
7 16.00 160,000.00 47,500 207,500 229,624
8 47,500 47,500
9 38.55 385,000.00 95,000 480,000 229,852
10 0
11
12 47,500 47,500
13 0 0
14 47,500 47,500
15 47,500 47,500
Total 90.92 875,000.00 534,500 0 1,409,500

Grand Total 195.06 1,864,346.00 981,000 0 2,845,346

Kalijati, 15 Sept 2022

Dibuat oleh Diperiksa, Mengetahui :

Diyan S. Firman Fitriadi Agung JW

PJC Manager GA Manager HRD Manager