F11

030420241002

BANK OUT TRANSFER REQUEST

Name, Adress, Phone of Beneficiary or Payee Reason for request

Name : Ni Komang Arista Dewi 1/PR-SAS/IV/2024 Pembayaran token listrik bulan April 24
Address : Kantor Dewata

City :
Phone :

Payment
Currency RP Amount Rp 500.000
Bank BCA In words : Lima Ratus Ribu Rupiah
Acct. No. 772-5283288
(FOR ACCOUNTING USE ONLY)
CHARGES
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -
Coa No : FC. Amt Rp -

Requested By : Arista Dewi Approved By :

Financial Controller

Posted By : Arista Dewi Anggarda Sanjaya

Financial Controller VP of People and Culture

Date 3-Apr-24
Note: Please attach the relevant documents to support this request.
 PURCHASE REQUEST
Nomor: 1/PR-SAS/IV/2024

Date : 03 April 2024 Transfer By : Cash

Department : Finance V Transfer Bank
Requested By : Arista Dewi
NIP : 09021999027

Please supply the requested items:

No Item Description Reason QTY COA NOMINAL TOTAL

Token listrik dewata

1 Token Listrik 1 Rp 500.000 Rp 500.000
bulan April 24

TOTAL Rp 500.000

Requested By Approved By Declined Resived/Delayed

Financial Controller VP of People & Culture VP of People & Culture VP of People & Culture

Arista Dewi Anggarda Sanjaya Anggarda Sanjaya Anggarda Sanjaya

Bank Name : BCA

Account No : 772-5283288
Name Acc bank : NI KOMANG ARISTA DEWI

Remaks :