PT.

COMINCO MITRA PERKASA

Jl. Marsma R. Iswahyudi No. 298/Blok 7 RT
TRAVEL REQUEST ,036 Kel.Sepinggan Balikpapan Selatan
Balikpapan 76115 – Kalimantan Timur
Telp : + 62 (0542) 766469, 766657, 766999
COM-F-FIN-01/00
Fax : + 62 (0542) 766180
'12/05/01

Name Of Employee : AKMAL SYUHADA Date 06 Juni 2022

Client PT Energi Unggul Persada

Contact Person

Location Bontang
Work Order No :
Car/Petrol Hotel/Acco-
No Explanation UM TLK Ferry Others TOTAL
Expenses modation
1 UM & TLK 7 hari Ma'ruf 35000 35000 490000
2 UM & TLK 7 hari Agus S 50000 45000 665000
3 UM & TLK 7 hari Akmal 35000 35000 490000
4 UM & TLK 7 hari Amir 35000 35000 420000
5 UM & TLK 7 hari Suhariady 35000 35000 490000
6 UM & TLK 7 hari Yogi 25000 25000 350000
7 UM & TLK 7 hari M.Ari 15000 25000 280000
8 UM 7 hari Heri 25000 175000
9 BBM Pertalite KT 1972 KL 400,000 400,000
10 BBM Pertalite KT 1810 KG 250,000 250,000
11 BBM Pertalite KT 1975 ZW 250,000 250,000
12 BBM Genset 1&2 200000 400000
13 BBM Motor 1 & 2 200000
14 Isi Ulang Oxygen Blender 185000

TOTAL 5,045,000

Diminta Oleh, Dibayar Oleh, Disetujui Oleh,

(Akmal ) ( Finance ) ( Log & Disp Asst Mgr/Mgr)