You are on page 1of 1

Fitter Fuel Claim (Per-Job)

Name Andriadi Authorized by Simon Purchase Rp -

Destination(s) Palembang Date Submitted Rp 15.000

Customer Name(s)PT.Citra Satria Utama total(s) 1

Location(s) Palembang Price Package(include Vat)

Departure Notes Rp 15.000

Return Per Job Fitment/Repair/De Re/Cancellation Rp 15.000

Allowance Rp15.000

Date Description address Ground total Job Per Job Telecommunicatio Miscellaneo Self Drive Mileage Expense Total Billable
of Expense Transportati Reimbusemen n / Internet us (KM) Reimbursem Currency Expense
on (Gas, t ent
07-Oct-23 Fitment PT.Citra Satria Utama Rental
motor Car,
cycle 1
Rp15.000 Rp 15.000

Total Rp - Rp 15.000

Reimbursement Received Date: Approval By: Simon Purchase Date:

Reimbursement Ref:

Expense Account:
CARTRACK ASIA PTE LTD

CARTRACK S.E.A. PTE LTD

You might also like