Printed by 00003306 - Sunday, December 31, 2023

EMPLOYEE EXPENSE
CLAIM VOUCHER

ECV No : CV-20231231-0037 ECV Date : 31-12-2023

Department : SERVICE DIRECT ECV Status : CREATED
Employee SN : 00003306 Division : JAVA
Employee Name : GEDION SETYO BEKTI Branch : MATARAM
Employee Email : GEDION.BEKTI@TRAKINDO.CO.ID Cost Center : 10A1260HA
Claim Number :1

Cash Detail

Refer to TCAR No : TC-20231218-0166

IO No :
Credit Card
: NO
Settlement
TCAR Period : 18-12-2023 - 25-12-2023

Business Travel

Actual
Date Expense Type Description TCAR Ref Cost Center WO / IO No. Currency
Expense

Boat dari
2023-12-19 Service - Ticket Boat Lombok ke - 8500273284 IDR 502,000.00
Sumbawa

Service - Daily Daily expen job

2023-12-19 - 8500273284 IDR 350,000.00
Lumpsum Sewatama

Service - Daily Daily expen job

2023-12-20 - 8500273284 IDR 350,000.00
Lumpsum Sewatama

Service - Daily Daily expen job

2023-12-21 - 8600657810 IDR 350,000.00
Lumpsum Balai Perikanan

Boat dari
2023-12-22 Service - Ticket Boat Sumbawa ke - 8600657810 IDR 502,000.00
Lombok

Breakfast job
2023-12-22 Service - Meals - 8600657810 IDR 75,700.00
Balai Perikanan

Lunch job Balai

2023-12-22 Service - Meals - 8600657810 IDR 87,600.00
Perikanan

Non-Travel

Date Expense Type Description TCAR Ref Cost Center WO / IO No. LoB Currency Actual Expense
VER

Expense Type Currency Periode Actual Expense

Status Currency Cash Requested Actual Expense Total

Claim IDR 0.00 2,217,300.00 2,217,300.00

Claim USD 0.00 0.00 0.00

Approval Matrix

SN Employee Name Roles Email Status

- [SERVICE ACCOUNT] SERVICE ACCOUNT - WAITING FOR APPROVAL

00007076 AHMAD BAHRUL ULUM SUPERIOR ahmad.b.ulum@trakindo.co.id WAITING FOR APPROVAL

00025743 JEFFRY RANGGA WINATA SUPERIOR jeffry.winata@trakindo.co.id WAITING FOR APPROVAL

00003508 HENDRA SURYANA SUPERIOR hsuryana@trakindo.co.id WAITING FOR APPROVAL

- [VERIFICATION SECTION] VERIFICATION SECTION - WAITING FOR APPROVAL

File Attachments

Created Date Created Name Name

12/31/2023 1:50:41 PM GEDION SETYO BEKTI WhatsApp Image 2023-12-31 at 14.48.24.jpeg

12/31/2023 1:50:41 PM GEDION SETYO BEKTI WhatsApp Image 2023-12-31 at 14.47.57.jpeg

I hereby declare that all the information above is true and correct, supported by adequate evidence as required by the Company policies in filling in a claim. I
understand that filing a false claim will result in rejection from the approver and any other disciplinary actions based on Company policies.

This is a system generated document. Should there be any difference of the information and/or the amount printed on this statement and in the system, the
correct information is as stated in the system.