EXPENSES STATEMENT

Name : NOPI RIDUAN DANA

Job No. : J - 045, J - 054
Subject : LOADING SUPERVISION MV. ANGLO MARIMAR, MV. OCEAN LUCKY
Date : JULY 13, 2022 Up To AUGUST 01, 2022

Amount
Date Specification
Rp USD At Cost
13-Jul-22 Transport From Home To PETERSON Office 23,000
14-Jul-22 Transport From Travel BALIKPAPAN to BERAU 500,000
15-Jul-22 SPEEDBOAT SAMBARATA - MV. ANGLO MARIMAR 100,000
16-Jul-22 SPEEDBOAT SAMBARATA - MV. ANGLO MARIMAR 100,000
17-Jul-22 SPEEDBOAT SAMBARATA - MV. ANGLO MARIMAR 100,000
30-Jul-22 SPEEDBOAT SAMBARATA - MV. OCEAN LUCKY 100,000
31-Jul-22 SPEEDBOAT SAMBARATA - MV. OCEAN LUCKY 100,000
01-Aug-22 SPEEDBOAT SAMBARATA - MV. OCEAN LUCKY 100,000
2,380,000

Total 3,503,000 0 0
Advance 2,000,000
Balance -1,503,000 0 0

Note : date

Approved by Prepared by

Page 1 of 1
 EXPENSES STATEMENT

Name :
Job No. :
Subject :
Date :

Amount
Date Specification
Rp USD At Cost

Total 0 0 0
Advance
Balance 0 0 0

Note : date

Approved by Prepared by

Page 2 of 2
 Surveyor's Income per job

Name : NOPI RIDUAN DANA

Position : ASSISTANT SURVEYOR

Daily Hotel
No. Job No. Vessel Name Port Client Commodity Started Finished Days Job Discription Allowance Bonus Per Job Compensation
Job Job (Rp)
(Rp) (Rp)

1 J - 045 MV ANGLO MARIMAR BERAU TPC COAL 13-Jul-22 19-Jul-22 7 LOADING 490,000 - -
2 J - 054 MV OCEAN LUCKY BERAU TPC COAL 20-Jul-22 07-Aug-22 19 LOADING 1,330,000 500,000
3 J - 065 MV TAIPOWER PROSPERITY BERAU TPC COAL 08-Aug-22 15-Aug-22 8 LOADING 560,000 500,000

Total Amount : 2,380,000 1,000,000 0

Grand Total Amount : Rp 3,380,000

Date

Approval by Prepared by

Surveyor's Income per job

Name : NOPI RIDUAN DANA

Position : ASSISTANT SURVEYOR

Daily Hotel
No. Job No. Vessel Name Port Client Commodity Started Finished Day Job Discription Allowance Bonus Per Job Compensation
Job Job (Rp) (Rp) (Rp)

1 J - 045 MV ANGLO MARIMAR BERAU TPC COAL 7/13/2022 7/19/2022 7 LOADING Rp 490,000 - -
2 J - 054 MV OCEAN LUCKY BERAU TPC COAL 7/20/2022 8/7/2022 19 LOADING Rp 1,330,000 Rp 500,000
3 J - 065 MV TAIPOWER PROSPERITY BERAU TPC COAL 8/8/2022 8/15/2022 8 LOADING Rp 560,000 Rp 500,000

Total Amount : Rp 2,380,000 Rp 1,000,000 Rp -

Grand Total Amount : Rp 3,380,000

Date

Approval by Prepared by
 TAXI EXPENSES SLIP TAXI EXPENSES SLIP

TAXI/OJEK/BUS : BUS TAXI/OJEK/BUS :

ORIGIN : SAMARINDA ORIGIN :

DESTINATION : BALIKPAPAN DESTINATION :

AMOUNT : Rp 43,000 AMOUNT : Rp

Amount in word : FORTY THREE THOUSAND RUPIAH Amount in word :

DATE : DATE :

Name & signature Name & signature

TAXI EXPENSES SLIP TAXI EXPENSES SLIP

TAXI/OJEK/BUS : TAXI/OJEK/BUS :

ORIGIN : ORIGIN :

DESTINATION : DESTINATION :

AMOUNT : Rp AMOUNT : Rp

Amount in word : Amount in word :

DATE : DATE :

Name & signature Name & signature

 EXPENSES SLIP EXPENSES SLIP

DATE : DATE :

PAYMENT OF : PAYMENT OF :

AMOUNT : Rp AMOUNT : Rp

Amount in word : Amount in word :

Name & signature Name & signature

EXPENSES SLIP EXPENSES SLIP

DATE : DATE :

PAYMENT OF : PAYMENT OF :

: :

AMOUNT : Rp AMOUNT : Rp

Amount in word : Amount in word :

Name & signature Name & signature

 EXPENSES STATEMENT

Name : MUHAMMAD RIDUAN

Job No. : J - 069
Subject : LOADING SUPERVISION MV. ORIENTAL LEADER
Date : OCTOBER 25, 2021 Up To OCTOBER 30, 2021

Amount
Date Specification
Rp USD At Cost
Oct-25-21 PCR SWAB 499,000
Transport From Home To Bus Station Balikpapan 30,700
Bus Ticket From Balikpapan To Samarinda 35,000
Transport From Bus Station Samarinda To Messhouse Samarinda 34,000
Oct-29-21 Transport From Messhouse Samarinda To Bus Station Samarinda 33,000
Transport From Bus Station Samarinda To Messhouse Samarinda 46,000
Oct-30-21 Transport From Messhouse Samarinda To Bus Station Samarinda 41,000
Bus Ticket From Samarinda To Balikpapan 35,000
Transport From Bus Station Balikpapan To Home 12,700
Nov-03-21 PCR SWAB 300,000
Total 1,066,400 0 0
Advance 2,000,000
Balance 933,600 0 0

Note : date 4-Nov-21

Approved by Prepared by

Muhammad Riduan

Page 6 of 6
 Surveyor's Income per job

Name :
Position : SURVEYOR

Daily Hotel
No. Job No. Vessel Name Port Client Commodity Started Finished Days Job Discription Allowance Bonus Per Job Compensation
Job Job (Rp)
(Rp) (Rp)

1 #VALUE! 1,000,000
2 #VALUE! 1,000,000
3 #VALUE! 1,000,000
4 #VALUE! 1,000,000

Total Amount : #VALUE! 4,000,000 0

Grand Total Amount : #VALUE!

Date 09 March 2022

Approval by Prepared by

FA'IRSALI N. RAFDI

Surveyor's Income per job

Name :
Position : SURVEYOR

Started Finished Daily Bonus Per Job Hotel

No. Job No. Vessel Name Port Client Commodity Day Job Discription Allowance Compensation
Job Job (Rp) (Rp) (Rp)

1 #VALUE! Rp 1,000,000
2 #VALUE! Rp 1,000,000
3 #VALUE! Rp 1,000,000
4 #VALUE! Rp 1,000,000

Total Amount : #VALUE! Rp 4,000,000 Rp -

Grand Total Amount : #VALUE!

Date 09 March 2022

Approval by Prepared by

FA'IRSALI N. RAFDI
 TAXI EXPENSES SLIP TAXI EXPENSES SLIP

TAXI/OJEK/BUS : TAXI/OJEK/BUS :

ORIGIN : ORIGIN :

DESTINATION : DESTINATION :

AMOUNT : Rp AMOUNT : Rp

Amount in word : Amount in word :

DATE : DATE :

Name & signature Name & signature

TAXI EXPENSES SLIP TAXI EXPENSES SLIP

TAXI/OJEK/BUS : TAXI/OJEK/BUS :

ORIGIN : ORIGIN :

DESTINATION : DESTINATION :

AMOUNT : Rp AMOUNT : Rp

Amount in word : Amount in word :

DATE : DATE :

Name & signature Name & signature

 EXPENSES SLIP EXPENSES SLIP

DATE : JULY 11, 2022 DATE : JULY 14, 2022

PAYMENT OF : TRANSPORT SPEEDBOAT TO MUARA PANTAI ANCHORAGE PP PAYMENT OF : TRANSPORT SPEEDBOAT TO MUARA PANTAI ANCHORAGE PP

BERAU - MV. OCEAN LUCKY : BERAU - MV. ANGLO MARIMAR

AMOUNT : Rp 1,800,000 AMOUNT : Rp 1,800,000

Amount in word : ONE MILLION EIGHT HUNDRED THOUSAND RUPIAH Amount in word : ONE MILLION EIGHT HUNDRED THOUSAND RUPIAH

FA'IRSALI N. RAFDI FA'IRSALI N. RAFDI

Name & signature Name & signature

EXPENSES SLIP EXPENSES SLIP

DATE : JULY 31, 2022 DATE : AUGUST 09, 2022

PAYMENT OF : TRANSPORT SPEEDBOAT TO MUARA PANTAI ANCHORAGE PP PAYMENT OF : TRANSPORT SPEEDBOAT TO MUARA PANTAI ANCHORAGE PP

: BERAU - MV. OCEAN LUCKY : BERAU - MV. TAIPOWER PROSPERITY VI

AMOUNT : Rp 1,800,000 AMOUNT : Rp 1,800,000

Amount in word : ONE MILLION EIGHT HUNDRED THOUSAND RUPIAH Amount in word : ONE MILLION EIGHT HUNDRED THOUSAND RUPIAH

FA'IRSALI N. RAFDI FA'IRSALI N. RAFDI

Name & signature Name & signature