Dalam huruf
Tunai : Rp Jumlah......................................................
Bank : Rp .................................................................
Jumlah : Rp
Untuk : ....................................................................................................
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No.
Diisi oleh subag Akuntansi Perkiraa Debet Kredit
n
Tgl.
pembukuan : ...........................
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Hal. buku
Jurnal :.................................
Paraf : .........................
Lembar 1 : Akuntansi
Lembar 2 : Sub. Bagian Kas