PT.

HONG KONG KINGLAND

No. : R _____________
22001

REIMBURSEMENT

No. : _____________________
R 22001

Date : _____________________
4 January 2022

Name : _____________________
Septo

Department : _____________________
HRGA

Amount : ______________________________________________________________________________________
Rp. 502,000

Reason : ______________________________________________________________________________________
Flazz Driver (249) B 1790 NJI

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Prepare by, Checked by, Checked by, Acknowledge by, Approved by,
Digitally signed by Septo

Ratna Digitally signed

by Ratna Sari K
Septo Budi Rismanto
DN: cn=Septo Budi
Rismanto, o=PT Hong
Date: Budi Kong Kingland, ou=PDO,
email=Septo.BR@hk-

Sari K 2022.01.04
09:39:38 +07'00' Rismanto
kingland.co.id, c=ID
Date: 2022.01.04 16:21:19
+07'00'

Date : 4 January 2022 Date: 4-1-22 Date: Date: Date:

Name: Ratna
4 January
Sari2022
Kalanit Name: Septo BR Name: Name: Name:

Document Verification Tax Verification Budget Verification Note:

Date : 4 January 2022 Date: 4 January 2022 Date: 4 January 2022

Name: 4 January 2022 Name: 4 January 2022 Name: 4 January 2022

Note:

6312000-7312000-Gasoline Addresor Name : _________________

Ratna Sari Kalanit
531300-7313000-Parking & Toll A/C No. : _________________
8010407835

Bank : _________________
BCA
Branch of Bank : _________________
 DRIVER FLAZZ PT. HONG KONG KINGLAND
(249)

Guntoro
NO. DESC DATE 4994
IN OUT IN OUT IN OUT IN OUT IN OUT
Gasoline B 1790 NJI Rp 502,000 Rp -
09 Desember 2021 - 31
1 Toll B 1790 NJI Rp 489,000
Desember 2021
Parking B 1790 NJI Rp 13,000

TOTAL Rp 502,000 Rp 502,000 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -

SALDO Rp - Rp - Rp - Rp - Rp -
SALDO AKHIR KESELURUHAN Rp -

Permintaan TOP UP Rp 502,000 Rp - Rp -

TOTAL TOP UP Rp 502,000

Departement Sharing Cost Gasoline Parking Toll Total Request Rp 502,000

Marketing 75% Rp - Usage Rp 502,000
HR/GA 6% Rp - Remaining Rp -
Project 7% Rp -
FAT 5% Rp -
IT 5% Rp -
Legal & Permit 3% Rp -
TOTAL Rp - Rp - Rp - Rp -
PDO 100% Rp - Rp 13,000 Rp 489,000 Rp 502,000
TOTAL Rp - Rp 13,000 Rp 489,000 Rp 502,000
GRAND TOTAL Rp 502,000

* Transfer to
Bank BCA an Ratna Sari Kalanit - 8010407835