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 15 Mei 2022

Client PT Energi Unggul Persada

Contact Person

Location Bontang
Work Order No :
No Explanation UM TLK Car/Petrol Hotel/Acco- Ferry Others TOTAL
Expenses modation
1 UM & TLK 7 hari Ma'ruf 35000 35000 490000
2 UM & TLK 7 hari Agus Susanto 50000 45000 665000
3 UM & TLK 7 hari Akmal 35000 35000 490000
4 UM & TLK 7 hari Suhariady 35000 35000 490000
5 UM & TLK 7 hari M.Amir 35000 30000 455000
6 UM & TLK 5 hari Sukamto (28,29,30,8,9,10) 50000 35000 595000
7 UM & TLK 7 hari Yogi 25000 25000 350000
8 UM & TLK 7 hari Louis 25000 25000 350000
9 UM & TLK 7 hari Naufal 15000 25000 280000
10 UM & TLK 7 hari M.Ari 15000 25000 280000
11 UM & TLK 7 hari Adam 15000 25000 280000
12 UM 7 hari Heri 25000 175000
13 BBM Pertalite KT 1972 KL 400,000 400,000
14 BBM Pertalite KT 1810 KG 250,000 250,000
15 BBM Pertalite KT 1975 ZW 400,000 400,000
16 BBM Pertalite KT 1377 LB 400,000 400,000
17 BBM Genset 1,2,3 & 4 600,000 2400000
18 BBM Motor 1 & 2 200000 200000
19 Isi Tabung Oxygen 189000 189000
20 Isi LPG Untuk Blender 110000 110000
TOTAL 9,249,000

Diminta Oleh, Dibayar Oleh, Disetujui Oleh,

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