KEU.

01 PERSONAL EXPENSES REPORT

Name Nugraha Akbar Tanggal Pengajuan*

Division Phaco Nomor*
Destination Ke rsud dumai *Diisi oleh Admin Divisi Terkait
Date 8/2/2022
Objectives Install mesin phaco sophi premium di rsud dumai

USD 1 USD
Received in Advance Exchange Rate
Rp Rp
Transport Expenses Hotel Expenses Ent. Expenses Other Expenses
No Date Description
USD Rp USD Rp USD Rp USD Rp
2-Aug-22 Naik taksi dari rumah ke bandara soekarno hatta 350,000
Wreeping bagasi toolkit dan sparepart phaco sophi premium 2 koli di bandara soeta 100,000
Sewa mobil 3 hari, pekanbaru ke dumai dan dumai ke pekanbaru 1,050,000
Isi bensin mobil sewa 150,017
Masuk tol pekanbaru keluar pintu tol dumai 118,500
Menginap 2 malam di hotel cititel dumai 654000
Uang makan training perawat rsud dumai 25 orang 550,000
Snack luar kota 1 hari 9000
8/4/2022 Masuk tol dumai keluar pintu tol pekanbaru 118,500
Menginap 1 malam di hotel red planet pekanbaru 250000
Beli lakban untuk bungkus part mesin phaco sophi premium 12,000
8/5/2022 Naik taksi dari hotel red planet pekanbaru ke bandara SSK II pekanbaru 170,000
Wreeping bagasi toolkit dan sparepart phaco sophi premium 2 koli di bandara SSK II 100,000
Uang saku 4 hari 400,000
Naik taksi dari bandara soekarno hatta ke kantor 350000
Total Expenses 4,382,017
Received in Advance
Net to be Returned to the Cashier
Net to be Paid to the Employee 4,382,017
Signature
Manager Terkait Director Finance Employee