18-22 april 22

PT. PURATOS INDONESIA PERINCIAN BIAYA PERJALANAN NAMA : Mariyati

NOMOR :
PERIODE : : 18/04/2022 sd 22/04/2022
HARI MINGGU SENIN SELASA RABU KAMIS JUMAT SABTU MINGGU SENIN
NO. JUMLAH KETERANGAN
TANGGAL 18/04/2022 19/04/2022 20/04/2022 21/04/2022 22/04/2022
KETERANGAN - KOTA Grogot Grogot Grogot Grogot HARUS DIISI
HOTEL - KAMAR Rp 450,000 Rp 450,000 Rp 450,000 Rp 450,000 Rp 1,800,000
LAUNDRY Rp -
SUPIR Rp -
Rp -
SUBTOTAL Rp - Rp 450,000 Rp 450,000 Rp 450,000 Rp 450,000 Rp - Rp - Rp - Rp - Rp 1,800,000

MAKAN PAGI Rp - Rp 14,000 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 14,000

MAKAN SIANG Rp - Rp 30,000 Rp 30,000 Rp 30,000 Rp 30,000 Rp 30,000 Rp - Rp - Rp - Rp 150,000
MAKAN MALAM Rp - Rp 30,000 Rp 30,000 Rp 30,000 Rp 30,000 Rp 30,000 Rp - Rp - Rp - Rp 150,000
ENTERTAINMENT Rp -
UANG MAKAN SOPIR Rp -
Rp -
SUBTOTAL Rp - Rp 74,000 Rp 60,000 Rp 60,000 Rp 60,000 Rp 60,000 Rp - Rp - Rp - Rp 314,000

TRANSPORT LUAR KOTA Rp 150,000 Rp 150,000 Rp 300,000

TRANSPORT DALAM KOTA (Sewa Motor) Rp 100,000 Rp 100,000 Rp 100,000 Rp 100,000 Rp 100,000 Rp - Rp 500,000 Sewa Motor 5 hari
AIRPORT TAXI Rp - Rp - Rp -
BAGASI OVER Rp -
POS/PAKET Rp -
TELEPON / FAX Rp -
UANG SAKU Rp - Rp 25,000 Rp 25,000 Rp 25,000 Rp 25,000 Rp 25,000 Rp - Rp - Rp - Rp 125,000
WRAPPING Rp - Rp -
LAIN-LAIN-Test Foods Produk SUS dan Roll Rp -
Rp -
SUBTOTAL Rp - Rp 275,000 Rp 125,000 Rp 125,000 Rp 125,000 Rp 275,000 Rp - Rp - Rp - Rp 925,000

TOTAL SELURUHNYA Rp - Rp 799,000 Rp 635,000 Rp 635,000 Rp 635,000 Rp 335,000 Rp - Rp - Rp - Rp 3,039,000

NO. TANGGAL BENSIN SERVIS KECIL SERVIS BESAR PARKIR TOL TOTAL KETERANGAN
KM LITER RP. KM RP. KM RP RP. RP. Rp.
1 -
2 -
3 -
4 -
5 -
6 0
7 -
DIBUAT OLEH: DIPERIKSA OLEH : DISETUJUI OLEH:
Previous balance : Rp 2,000,000
Total pengeluaran : Rp 3,039,000
(Yudhi Hendrawan) (............................) Ending balance : Rp (1,039,000)
(Tandatangan dan Nama ASE)
 P
Personal

Name / Department:
Location:
Date :

DESCRIPTION ACCOUNT CODE

Travel & Business Trip
Travel Transport A 5
Travel Hotel & Laundry B 5
Travel Meals C 5
Travel Allowance D 5
Travel Others E 5
Entertainment
Entertainment (meals, dinner, etc) F 5
Visit to / from Groups
Visit to / from Groups 5 2
Car / Lorry Expenses
Vehicles Expenses - Gasoline 5 2
Vehicles Expenses - Insurance 5 2
Vehicles Expenses - Tol & Park A 2
Vehicles Expenses - Rep/Main/Service 5 2
Vehicles Expenses - Road License/Permit 5 3
Vehicles Expenses - Others B 2
Kitchen Expenses
Kitchen Expenses 5 1
Other Personnel Expenses
Other Personnel Expenses 5 1
Other Personnel Expenses - Medical/Insurance 5 1
Supplies Ingredients
Supplies Ingredients/Inhouse Demo - Supplies 5 2
R&D Supplies 5 2
External Laboratory
External Laboratory 5 2
Others

TOTAL EXPENSES (TOTAL BIAYA)

E A / Employee Advances amount (No. EA )

BALANCE REFUND (Kelebihan Dikembalikan ke Perusahaan)

BALANCE CLAIMED (Kekurangan Diberikan ke Karyawan)
Mark ü
BANK

Beneficiary Name :
Beneficiary Bank :
Beneficiary Account :
 PT PURATOS INDONESIA
Personal Expense Statement Summary

Signature of Claimant

Authorized by

Amount
CCOUNT CODE
EURO Other Currency

1 3
1 3
1 3
1 3
1 3

1 3

9 5

8 5
7 2
1 8
1 8
1 6
1 8
 3 5

3 8
3 6

4 2
4 4

2 2

- -

- -
n) - -
in the relevant box.

BANK CASH

Received/Return by :
Date :
Signature :
 (Filled in by Cashier)

No. : 3
Date Input:

mount
Local Currency (IDR)
 -

-
-

Entered By :
Date :
Signature :