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SHIROI RAMEN 2024

Cash Payment Form

Employee Name Miftahiyatun Period Covered

Job Position Purpose
Department Expense No #

Date Details Qty

22 June 2024 Beras pulen 1
Beras Ketan 1
Yakinori 1
Tp. Terigu segitiga biru 2
Tp. Jagung mi won 1
Tp. Sagu tani 1
Tp. Roti Primera @1kg 1
Tp. Bumbu marinasi chicken tepung 1801 1
Lada putih bubuk @100gr 1
Lada hitam bubuk @100gr 1
Lada putih biji @100gr 1
Ketumbar biji @100gr 1
Chicken knoor powder @500gr 1
Ajinomoto @500gr 1
Aida bubuk cabe @500gr 1
Garam Dolphin @500gr 1
Gula Pasir 2
Gula merah bubuk @500gr 1
Hondashi powder 1
Niboshi (ikan sarden baby kering) @250gr 1
Kombu Dashi @100gr 2
Biji wijen putih @100gr 1
Katsuobushi 1
Kulit tahu 12x12cm @50lembar 1
Kulit Pangsit @50lembar 1
Parsley kering @20gr 1
Jamur Shitake kering @1kg 1
Sirup marjan melon @460ml 1
Susu skm frisian flag @545gr 1
Ocha sencha @200gr 1
Teh sepeda balap @10pcs 1
Goma oil Lee Kum Kee @207ml 1
Delmonte sauce tomat @200gr 1
Minyak goreng @1L 2
Kecap Manis cap korma @625ml 1
Cuka apel @500ml 1
Butter unsalted 1
 Madu @200ml 1
Mayonaise 1
Mie Ramen 2
Bawang Putih Cutting 1
Telur ayam negeri 2
Daun bawang @100 3
Daun mint @100gr 1
Kucai @1 ikat 1
Tauge @100gr 1
Kol @100gr 2
Pakcoy @100gr 2
Bawang Bombay @1kg 1
Jahe @100gr 2
Timun @1kg 1
Lemon fresh @1kg 1
Wortel @100gr 2
Daging Sapi @1kg 1
Paha Ayam Fillet @1kg 3
Dada Bebek @1kg 1
Udang @500gr 1
Ceker ayam 1kg 1
Kulit ayam @500gr 1
kikkoman shoyu 5 L 1

Requesting Department
Proposed by : Verified by : Approv

Miftahiyatun Rendy Dwi P Diki W

4

22 June 2024
Pengajuan test Food Shiro Ramen 2024

Unit Price IDR

Rp 13,000 Rp 13,000
Rp 13,000 Rp 13,000
Rp 85,000 Rp 85,000
Rp 13,000 Rp 26,000
Rp 15,000 Rp 15,000
Rp 12,000 Rp 12,000
Rp 22,000 Rp 22,000
Rp 47,000 Rp 47,000
Rp 13,000 Rp 13,000
Rp 12,000 Rp 12,000
Rp 16,500 Rp 16,500
Rp 9,000 Rp 9,000
Rp 50,000 Rp 50,000
Rp 32,000 Rp 32,000
Rp 35,000 Rp 35,000
Rp 8,000 Rp 8,000
Rp 18,000 Rp 36,000
Rp 18,000 Rp 18,000
Rp 120,000 Rp 120,000
Rp 35,000 Rp 35,000
Rp 28,000 Rp 56,000
Rp 8,000 Rp 8,000
Rp 153,000 Rp 153,000
Rp 20,000 Rp 20,000
Rp 10,000 Rp 10,000
Rp 12,000 Rp 12,000
Rp 32,000 Rp 32,000
Rp 22,000 Rp 22,000
Rp 15,000 Rp 15,000
Rp 46,000 Rp 46,000
Rp 19,000 Rp 19,000
Rp 58,000 Rp 58,000
Rp 10,000 Rp 10,000
Rp 18,000 Rp 36,000
Rp 24,000 Rp 24,000
Rp 38,000 Rp 38,000
Rp 120,000 Rp 120,000
Rp 25,000 Rp 25,000
Rp 35,000 Rp 35,000
Rp 30,000 Rp 60,000
Rp 45,000 Rp 45,000
Rp 30,000 Rp 60,000
Rp 5,000 Rp 15,000
Rp 33,000 Rp 33,000
Rp 10,000 Rp 10,000
Rp 5,000 Rp 5,000
Rp 15,000 Rp 30,000
Rp 10,000 Rp 20,000
Rp 60,000 Rp 60,000
Rp 13,000 Rp 26,000
Rp 18,000 Rp 18,000
Rp 10,000 Rp 10,000
Rp 10,000 Rp 20,000
Rp 150,000 Rp 150,000
Rp 45,000 Rp 135,000
Rp 80,000 Rp 80,000
Rp 45,000 Rp 45,000
Rp 35,000 Rp 35,000
Rp 30,000 Rp 30,000
Rp 250,000 Rp 250,000
Rp 2,493,500

CEO's Approval
Approved by :

Diki Wardana
 SHIROI RAMEN 2024
Cash Payment Form

Employee Name Miftahiyatun Period Covered

Job Position Purpose
Department Expense No #

Date Details Qty

22 June 2024 Frypan maxim pro series 20cm 1
Pan Tamagoyaki 1
Spatula silicone tamago 1
botol powder bumbu nori 1
botol sauce 3
Saringan putih Ocha 2
Jigger barista 1
lock n lock 3
Pisau daging 1
Sumpit 1 pack 1

Requesting Department
Proposed by : Verified by : A

Miftahiyatun Rendy Dwi P D

Nb : untuk pengajuan condiment di atas, setelah selesai test food akan digunakan untuk keperluan operasional re
2024
rm

22 June 2024
Pengajuan Condiment test Food Shiro Ramen 2024

Unit Price IDR

Rp 250,000 Rp 250,000
Rp 235,000 Rp 235,000
Rp 20,000 Rp 20,000
Rp 30,000 Rp 30,000
Rp 10,000 Rp 30,000
Rp 50,000 Rp 100,000
Rp 120,000 Rp 120,000
Rp 35,000 Rp 105,000
Rp 165,000 Rp 165,000
Rp 6,500 Rp 6,500
Rp 1,061,500

CEO's Approval
Approved by :

Diki Wardana

keperluan operasional resto.

 SHIROI RAMEN 2024
Cash Payment Form

Employee Name Miftahiyatun Period Covered

Job Position Purpose
Department Expense No #

Date Details Qty

22 June 2024 Dana Taktis
transport

Requesting Department
Proposed by : Verified by : Approv

Miftahiyatun Rendy Dwi P Diki W

4

22 June 2024
Dana Taktis dan transport

Unit Price IDR

Rp 500,000
Rp 200,000
Rp -
Rp -
Rp -
Rp 700,000

CEO's Approval
Approved by :

Diki Wardana
 SHIROI RAMEN 2024
FORM SETTLEMENT

Employee Name Miftahiyatun Period Covered

Job Position Purpose
Department Expense No #

Date Details Qty

 Actual Cash Used
Advance Paid (00/00/0000)
Overbudget
Underbudget
Only if overbudget Paid Additional Amount to Employee
Only if underbudget Returned to Company

Requesting Department
Proposed by : Verified by : Approv

Miftahiyatun Rendy Dwi P Diki W

4

22 June 2024
Pengajuan test Food Shiro Ramen 2024

Unit Price IDR

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

CEO's Approval
Approved by :

Diki Wardana