Statement of Income and Expenses

OOD - Schedule 3
Rp % Rp % Rp %
A Departmental Revenue
1 Other Operated Department 1
2 Other Operated Department 2
3 Other Operated Department 3
4 Other Operated Department 4
5 Other Operated Department 5
6 Other Operated Department 6
7 Other Operated Department 7
8 Other Operated Department 8
9 Minor Operated Departments
10 Total Departmental Revenue
Rp % Rp % Rp %
B Departmental Expenses
1 Other Operated Department 1
2 Other Operated Department 2
3 Other Operated Department 3
4 Other Operated Department 4
5 Other Operated Department 5
6 Other Operated Department 6
7 Other Operated Department 7
8 Other Operated Department 8
9 Minor Operated Departments
10 Total Departmental Expenses
Rp % Rp % Rp %
C Departmental Income (Loss)
1 Other Operated Department 1
2 Other Operated Department 2
3 Other Operated Department 3
4 Other Operated Department 4
5 Other Operated Department 5
6 Other Operated Department 6
7 Other Operated Department 7
8 Other Operated Department 8
9 Minor Operated Departments
D Total OOD Income/(Loss)
Current Period
Prior Year Actual Forecast
Current Period
Prior Year Actual Forecast
Current Period
Prior Year Actual Forecast
Note: Departmental Expenses = Cost of Sales (when applicable) + Total Expenses
Rp % Rp % Rp %
Rp % Rp % Rp %
Rp % Rp % Rp %
Year-To-Date
Prior Year Actual Forecast
Year-To-Date
Prior Year Actual Forecast
Year-To-Date
Prior Year Actual Forecast
Statement of Income and Expenses
OOD - Schedule 3
Rp % Rp % Rp
B Departmental Expenses
a Payroll & Related Expenses
1 Salaries, Wages and Bonuses
a Salaries and Wages
b Bonuses and Incentives
c Total - Salaries, Wages and Bonuses
2 Payroll-Related Expenses
a Payroll Taxes
b Supplemental Pay
c Employee Benefits
d Total - Payroll Related Expenses
3 Total - Payroll & Related Expenses
Rp % Rp % Rp
b Other Expenses
1 Cleaning Supplies
2 Complimentary Services and Gifts
3 Contract Services
4 Corporate Office Reimbursables
5 Decorations
6 Dues and Subscriptions
7 Equipment Rental
8 Laundry and Dry Cleaning
9 Licences and Permits
10 Linen
11 Management Fees
12 Miscellaneous
13 Operating Supplies
14 (Other detailed expenses as warranted)
15 Printing and Stationery
16 Professional Fees
17 Royalty Fees
18 Telecommunications
19 Training
20 Travel-Meals and Entertainment
21 Travel-Other
22 Uniform Laundry
23 Uniforms
24 Total Other Expenses
C Total Expenses
Current Period
Actual Forecast Prior Year
Current Period
Actual Forecast Prior Year
% Rp % Rp % Rp %
% Rp % Rp % Rp %
Current Period Year-To-Date
Prior Year Actual Forecast Prior Year
Current Period Year-To-Date
Prior Year Actual Forecast Prior Year