FIN. FORM 4.03
EXPENSES OF NATIONAL ELECTIONS 2004 CASH BOOK IN TABLE FORM PAGE :
GEC OF SUBDISTRICT : MONTH :
GEC OF DISTRICT : SECRETARIAT OF POLLING KPU YEAR :
GEC OF CITY :
GEC OF PROVINCE :
VILLAGE/VILLAGE UNIT/PREPARATION/UPT:………………..
EXPENSES POST
Serial Cash Receipt 11.2 Overtime 32.1 32.2 Premium for TOTAL
Dated Description 11.1 Honorarium
No. No. Payment Administration Votes
Expenses Registration
(Rp)
(Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9
I. I N C O M E
a. Income until end of last month
b. Income until end of last month
c. Balance at the end……………..
d. Income of ………………………
e. ………………………………….
TOTAL (c + d +……..)
II. E X P E N S E S
TOTAL II
Cash remains on this last month ( I – II )
HAS BEEN VERIFIED AND APPROVED: Note Rp.
KPU SECRETARIAT OF DISTRICT………………… ……………..,……………………….
Cash Balance comprising CHAIRMAN OF
a. Cash Rp. KPU SECRETARIAT OF PPS
b. Advance payment for work Rp. ………………………………………
Total
(……………………) (…………………..)
Employee ID No.: Employee ID No.: