FORM PERMINTAAN PEMBAYARAN SUPPLIER

Payment Method
Transfer Giro
No. Date Invoice No. Invoice Date Supplier Name
Etc.
Destination Account BCA Mandiri BRI BCA Mandiri BRI

Total Amount Rp - Rp - Rp -
Total DPP Rp - Rp - Rp -
Total VAT 11% Rp - Rp - Rp -

Tangerang, …........................

Menyetujui, Mengetahui, Menerima, Mengajukan, Mengetahui,

Managing Director Finance Accounting Manager Finance Staff PIC Operational Manager