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FORM REIMBURSEMENT BBM, TOL & PARKIR

Periode : 16 Juli 2022~15 Aug 2022

Jumlah BBM Toll Parkir Jumlah KM Nota


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

Bulan : July 2022


16 32.67 250,000.00 0 250,000 224,352
17 0
18 20,000 20,000
19 0 0
20 47,500 47,500
21 26.14 200,000.00 54,500 254,500 224,883
22 27,500 27,500
23 95,000 95,000
24 15.68 120,000.00 0 120,000 225,217
25 47,500 47,500
26 19.60 150,000.00 0 150,000
27 154,000 154,000
28 15.68 120,000.00 47,500 167,500 225,686
29 32.19 246,253.00 47,500 293,753 225,814
30 0 0
31 0
Total 141.96 1,086,253.00 541,000 0 1,627,253

Bulan : Aug 2022


1 95,000 95,000
2 19.60 150,000.00 47,500 197,500 226,306
3 47,500 47,500
4 47,500 47,500
5 0 0
6 37.91 290,011.00 47,500 337,511 226,844
7 0 0
8 47,500 47,500
9 0 0
10 47,500 47,500
11 47,500 47,500
12 0 0
13 31.96 244,234.00 67,500 311,734 227,250
14 0 0
15 47,500 47,500
Total 89.47 684,245.00 542,500 0 1,226,745

Grand Total 231.43 1,770,498.00 1,083,500 0 2,853,998

Kalijati, 15 Agustus 2022


Dibuat oleh Diperiksa, Mengetahui :

Diyan S. Firman Fitriadi Agung JW


PJC Manager GA Manager HRD Manager

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