You are on page 1of 3

REIMBURSEMENT FORM

Employee Name : Trinov Gira Thimoteus Bank Name : Mandiri


Division : Legal Account Name : Trinov Gira Thimoteus
Request Date : 19-Oct-23 Account Number : 1380012907502
in IDR
Date Description Catergory Client Sales Stage Amount
26-Sep-23 Kirim Paket TIKI (NDA) 604030005 Freight & Courier CPPETINDO Rp 9,000
5-Oct-23 Kirim Paket TIKI (NDA & SK) 604030005 Freight & Courier CV Evyna Food Rp 9,000
10-Oct-23 E Materai (NDA) 604020004 Accomodation PT Kosmetika Halal Indonesia Rp 12,000
10-Oct-23 E-MATERAI (Surat Kuasa Mas Bayu di PN Depok) 604020004 Accomodation PCA Rp 12,000
12-Oct-23 E-MATERAI (Perjanjian X-SCALE) 604020004 Accomodation Andalin Rp 12,000
10-Oct-23 Kirim Paket TIKI (NDA & SK) 604030005 Freight & Courier CPPETINDO Rp 9,000
13-Oct-23 Kirim Paket TIKI (PKS & LAINNYA) 604030005 Freight & Courier PASEO Rp 9,000
13-Oct-23 E-MATERAI (ADD PKS) 604020004 Accomodation HYPEFAST Rp 12,000
19-Oct-23 Berkas Loan Request Agreement 604030005 Freight & Courier INTERPORT Rp 35,000

Grand Total 119,000

Requestor Approved By, Verified By, Approved By, Summary Reimbursement


Category Amount
604110001 Business Entertainment -
604020003 Travel Allowance -
604020004 Accomodation 48,000
Executive / Officer Head of Departemen Account Payable Finance Manager 604020002 Travel Expense - Domestic -
604030005 Freight & Courier 71,000
Grand Total 119,000
Division Account Sales Stage
11-1 Management 604110001 Business Entertainment Initial Meeting
12-1 Commercial 604020003 Travel Allowance Proposal Sent
13-1 Ecommerce Operation 604020004 Accomodation Presentation Made
13-2 Logistics Operation 604020002 Travel Expense - Domestic Negotiation
14-1 Marketing 604030005 Freight & Courier Confirm
15-1 Finance Live
15-2 Legal
16-1 Technology
17-1 HRGA
17-2 Academy

You might also like