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  • Reimbursement Form

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    Negeri Mulah
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    This expense settlement/reimbursement form summarizes a cash claim for Jamaludin for January 2023 mobile phone allowance. The total expense amount is Rp. 200,000 for a mobile phone allowance claim in January 2023. The total amount due to the employee is Rp. -200,000. The form is signed by the Finance assistant, Head, and Claimant Jamaludin.

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    _Reimbursement Form (6)

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    This expense settlement/reimbursement form summarizes a cash claim for Jamaludin for January 2023 mobile phone allowance. The total expense amount is Rp. 200,000 for a mobile phone allowance claim in January 2023. The total amount due to the employee is Rp. -200,000. The form is signed by the Finance assistant, Head, and Claimant Jamaludin.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    10 views1 page

    Reimbursement Form

    Uploaded by

    Negeri Mulah
    This expense settlement/reimbursement form summarizes a cash claim for Jamaludin for January 2023 mobile phone allowance. The total expense amount is Rp. 200,000 for a mobile phone allowance claim in January 2023. The total amount due to the employee is Rp. -200,000. The form is signed by the Finance assistant, Head, and Claimant Jamaludin.

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    © All Rights Reserved
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    of 1

    EXPENSE SETTLEMENT /

    REIMBURSEMENT FORM

    PT. SOLUSI MOBILITAS BANGSA


    Gd. Pasaraya Blok M, Gedung B Lantai 4 EXPENSE REPORT DATE : 23 February 2023
    Jl. Iskandarsyah II No. 2 RT.002 RW.001 Melawai EXPENSE REPORT NUMBER : PP-23020042
    Kebayoran Baru Jakarta Selatan 12160

    CASH ADVANCE NUMBER : -


    KETERANGAN : CLAIM PULSA JANUARI 2023
    BAYAR KEPADA : EMP-000008 Jamaludin
    JUMLAH : Rp. 200,000
    TERBILANG : Dua Ratus Ribu Rupiah

    Date Expense Category Description Currency Amount


    1/25/2023 Mobile Phone CLAIM TUNJANGNA PULSA JANUARI IDR 200,000
    Allowance 2023

    Cash Advance Amount : 0


    Total Expense Amount : 200,000
    Total Amount Due To Employee : -200,000

    Finance Pimpinan Pemohon

    CHRISTOPHER MOZES ENO SUGIYANTO JAMALUDIN

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