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Template Cash Settlement

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Cash Advance Settlement

Applicant:

Purpose: DSY DOW Advance Date

Amount: 900,000 Settlement Date

Expense Breakdown
Receipt
Code Type of Expenses Descriptions Amount (Rp.)
Date

10-Aug-18 Konsumsi dan Snack TOT 3 hari 500,000

Total Expenses 500,000

Less Advance 900,000

Net Amount Dues (Owed to YCAB) (400,000)

Applicant (Print, sign & date) 30-Dec-99


Please transfer the owed amount to YCAB :

Account Name Yay Cinta Anak Bangsa

Bank A/C No. 6500 311 311 Baskoro Eko N Mario Montino
Bank Name Bank Central Asia Reviewed by & Date
Branch Sunrise Garden

Bank Address Sunrise Garden

Istanti Mega Indah


Net amount dues to employee will be transferred to : Finance Accounting
Account Name

Bank A/C No. Approved by & Date


Bank Name

Branch

Bank Address Phrisella Tasso

Head of Finance & Accounting

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