GENERAL EXPENSES CLAIM FORM

LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
1 17/12/2022 Yong Ta Hardware & Trading 139.00 139.00 penyapu,dustpan,beg sampah,padlock..
2 17/12/2022 Pasaraya 800 Zonkhas S/B 49.70 49.70 socket,towel,magnet
3 23/12/2022 Lipta Hardware sdn.bhd 52.00 52.00 steel handle,bison cuteer knife…
4 23/12/2023 Hat Hua Enterprise 22.30 22.30 mineral water,beg sampah
5 17/12/2022 38.50 38.50 Barricade
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - 301.50 301.50 PAGE : 1 of 1
- Less Advance Taken
301.50 BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : JAN Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
1 7-Jan-23 Yong Ta Hardware & Trading 82.80 82.80 Double side tape,beg sampah
2 9-Jan-23 MR .DIY (H) SDN BHD 70.00 70.00 Document holder,marker,tape
3 9-Jan-23 MR .DIY (H) SDN BHD 0.50 0.50 Tape
4 14-Jan-23 Ect Aik Industrial Hardware 286.50 286.50 Rope clip , turn buckles,spannar
op 14-Jan-23 Ect Aik Industrial Hardware 12.50 12.50 Safety helmet red
6 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - 452.30 452.30 PAGE : 1 of 1
- Less Advance Taken
452.30 BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - - - PAGE : 1 of 1
- Less Advance Taken
- BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - - - PAGE : 1 of 1
- Less Advance Taken
- BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - - - PAGE : 1 of 1
- Less Advance Taken
- BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - - - PAGE : 1 of 1
- Less Advance Taken
- BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date
 GENERAL EXPENSES CLAIM FORM
LD/HR/F3 Rev.05

Name : Petty cash (BK) Signature : Date : DEC Company : LDD LDC / AD Others

No. Date Particulars Petrol Parking Toll Flights Accommodation Others Total Remarks
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - - - - - - PAGE : 1 of 1
- Less Advance Taken
- BALANCE TO PAID/ RETURN
FOR HR USED ONLY FOR FINANCE USED ONLY
VERIFIED BY (HOD/SUPERIOR) APPROVED BY GENERAL MANAGER
Checked By Verirfied By Checked By Verirfied By

Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial Name & Initial
Date Date Date Date Date Date