No.

NIK Nama Type of Reimbursement Receipt Date Approved Date

1 8041122 CANDRA MAULANA ABUDIN BUSINESS TRIP ALLOWANCE (ME) 14/04/2023 20/05/2023

2 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

3 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

4 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

5 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

6 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

7 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

8 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

9 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

10 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 14/04/2023 20/05/2023

11 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 18/04/2023 20/05/2023

12 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 18/04/2023 20/05/2023
13 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 18/04/2023 20/05/2023
14 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 18/04/2023 20/05/2023
15 8041122 CANDRA MAULANA ABUDIN BUSINESS TRIP ALLOWANCE (ME) 10/05/2023 20/05/2023

16 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 11/05/2023 20/05/2023

17 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 16/05/2023 20/05/2023

18 8041122 CANDRA MAULANA ABUDIN TRANSPORTATION (ME) 16/05/2023 20/05/2023

Grand Total

Printed on: 22/05/2023 10:59:25

Printed by : REVITA INDAH SETIYAWATI

Reimburse Cost
BUSINESS TRIP ALLOWANCE (ME). DECEASED OF EMPLOYEE DECEASED OF FAMILY
60,000 60,000

13,500

22,500

14,500

5,500

71,000

81,000

5,500

300,000

110,000

9,000
2,500
6,000
150,000
60,000 60,000

200,000

150,000

5,500
1,266,500 120,000
 Employee Reimbursement Request
From 17/04/2023 to 21/05/2023
Type Of Expense
ENTERTAINMENT (ME). FUEL (ME). HOTEL (ME). MAINTENANCE (ME). MARRIAGE OF EMPLOYEE

300,000

110,000

150,000

200,000

150,000

910,000
Reimbursement Request
04/2023 to 21/05/2023
Type Of Expense
MATERNITY/PATERNITY MEALS (ME). MEDICAL OTHERS (ME). OVERNIGHT ALLOWANCE. PARKING (ME).
PULSA (ME). TAXI (ME) TICKET (ME). TOL (ME) TUNJANGAN LUAR PULAU TUNJANGAN MENGINAP (ME)

13,500

22,500

14,500

5,500

71,000

81,000

5,500

9,000
2,500
6,000

5,500
236,500
Approved Cost Remark Additional Field
km awal km akhir
60,000 Pengantaran parcel ke Probolinggo, Mojokerto,
Jombang
13,500 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
22,500 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
14,500 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
5,500 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
71,000 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
81,000 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
5,500 Tol untuk pengantaran parcel wilayah
Probolinggo, Mojokerto, Jombang
300,000 W 1997 EF > pengantaran parcel ke Probolinggo, 239582 239934
Mojokerto, Jombang
110,000 W 1997 EF > pengantaran parcel ke Probolinggo, 239934 240065
Mojokerto, Jombang
9,000 Tol untuk pengurusan izin DOC
2,500 Tol untuk pengurusan izin DOC
6,000 Tol untuk pengurusan izin DOC
150,000 B 1759 RD > pengurusan izin DOC 338633 338795
60,000 Pengukuran muka air tanah Probolinggo Farm 1,
2, 3
200,000 W 1086 BE > pengukuran muka air tanah 362283 362518
Pasuruan Hatchery
150,000 W 1086 BE > pengujian air limbah domestik ke 363561 363734
Lab Mojokerto kemudian ke Sars Racing
5,500 Ke Sars Racing dari Lab Mojokerto
1,266,500