PT.

Trust Certified International

Apartemen Grand Palace Ruko A25
Jl.Benyamin Sueb, Kemayoran, Jakarta Pusat
Tel : 62 21 - 22605900 √ ADVANCE FORM

EXPENSE FORM

ACCOUNTABILITY FORM
Paid to : Agung Satria A Date : 03-Feb-24
Dept : Operation Currency IDR : Rupiah
Subject : IDLSMSW 2400077 - Advance Witnessing at MV. PORTHOS - AVANI
FM.FAT.01.00.01
AMOUNT
NO DATE PAID TO DESCRIPTION COST ESTIMATE
Unit Price Quantity Total Price

Transport From PT. LEON Samarinda to

Rp 100,000.00 1 Rp 100,000.00
pelabuhan pasar pagi
Regular Speedboat for 2 persons from Pasar
Rp 600,000.00 2 Rp 1,200,000.00
pagi, Samarinda to MV. PORTHOS (pp)
Freelance Labour PT. JNS 2 Persons - Rp 208,150.00 12 Rp 2,497,800.00

SUB TOTAL Rp 3,797,800.00

Freelance PT. JNS Rp 2,497,800.00

TOTAL Rp 1,300,000.00
Transfer …..................
Kelebihan / Kekurangan -

Beneficiary's Name : AGUNG SATRIA A

Beneficiary's Account No : 789-508-9257
Bank's Name : BCA
Branch : SAMARINDA
Please sign and record date accordingly. Thanks

Diajukan, Diketahui, Disetujui, Disetujui, Dibayarkan,

for

Ari Samuel Sapan Salom Pasande Sanggit Sugiarto Zeng Mengyang Heri H
 PT.Trust Certified International
Apartemen Grand Palace Ruko A25
Jl.Benyamin Sueb, Kemayoran, Jakarta Pusat
Tel : 62 21 - 22605900 √ ADVANCE FORM

EXPENSE FORM

ACCOUNTABILITY FORM
Paid to : Agung Satria A Date : 03-Feb-24
Dept : Operation Currency IDR : Rupiah
Subject : IDLSMSW 2400077 - Advance Witnessing at MV. PORTHOS - AVANI
FM.FAT.01.00.01
AMOUNT
NO DATE PAID TO DESCRIPTION COST ESTIMATE
Unit Price Quantity Total Price

Transport From PT. LEON Samarinda to

Rp 100,000.00 1 Rp 100,000.00
pelabuhan pasar pagi
Regular Speedboat for 2 persons from Pasar
Rp 600,000.00 2 Rp 1,200,000.00
pagi, Samarinda to MV. PORTHOS (pp)
Freelance Labour PT. JNS 2 Persons - Rp 208,150.00 12 Rp 2,497,800.00

SUB TOTAL Rp 3,797,800.00

Freelance PT. JNS Rp 2,497,800.00

TOTAL Rp 1,300,000.00
Transfer …..................
Kelebihan / Kekurangan -

Beneficiary's Name : AGUNG SATRIA A

Beneficiary's Account No : 789-508-9257
Bank's Name : BCA
Branch : SAMARINDA
Please sign and record date accordingly. Thanks

Diketahui, Diketahui, Disetujui,

Finance Manajer Fajar Sidiq Heri H