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  • Lampiran BOS K7

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    Juni Ami
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    1. The document is a statement of responsibility from Dwita Rinawati, the principal of SDN 171/IV Elementary School in Jambi, regarding the use of the School Operational Assistance (BOS) funds. 2. It states that the BOS funds were used for school operations and not personal purposes, and provides a breakdown of the funds received and spent each quarter of 2015 and 2016. 3. The remaining balance as of December 31, 2016 was Rp. 2,715,000.

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    Contoh Lampiran BOS K7

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    1. The document is a statement of responsibility from Dwita Rinawati, the principal of SDN 171/IV Elementary School in Jambi, regarding the use of the School Operational Assistance (BOS) funds. 2. It states that the BOS funds were used for school operations and not personal purposes, and provides a breakdown of the funds received and spent each quarter of 2015 and 2016. 3. The remaining balance as of December 31, 2016 was Rp. 2,715,000.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Lampiran BOS K7

    Uploaded by

    Juni Ami
    1. The document is a statement of responsibility from Dwita Rinawati, the principal of SDN 171/IV Elementary School in Jambi, regarding the use of the School Operational Assistance (BOS) funds. 2. It states that the BOS funds were used for school operations and not personal purposes, and provides a breakdown of the funds received and spent each quarter of 2015 and 2016. 3. The remaining balance as of December 31, 2016 was Rp. 2,715,000.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Lampiran Formulir BOS K-7

    Diisi oleh Sekolah


    Dikirim ke Tim Manajemen BOS Kota

    PERNYATAAN TANGGUNG JAWAB

    Yang bertandatangan dibawah ini :

    Nama : Dwita Rinawati, S. Pd

    Jabatan : Kepala Sekolah SD Negeri 171/IV Kec. Telanaipura

    Alamat : Jl. Slamet Riyadi Lrg. Cendana Rt. 05 Kel. Solok Sipin

    dengan ini menyatakan bahwa :

    1. Belanja Bantuan Operasional Sekolah (BOS) telah digunakan dalam rangka


    mendukung operasional sekolah dan tidak untuk keperluan pribadi.

    2. Penggunaan Belanja Bantuan Operasional Sekolah (BOS) adalah sebagai


    berikut :

    No. Waktu Penerimaan (Rp) Penggunaan (Rp)


    Saldo per 31 Desember 2015 Rp. 1.975.000 Rp. -
    1 Triwulan I Rp. 38.200.000 Rp. 31.105.600
    2 Triwulan II Rp. 37.800.000 Rp. 44.929.400
    3 Triwulan III Rp. 37.800.000 Rp. 37.020.000
    4 Triwulan IV Rp. 36.200.000 Rp. 36.205.000
    JUMLAH Rp. 151.975.000 Rp. 149.260.000

    3. Saldo per 31 Desember 2016 adalah Rp. 2.715.000


    4. Apabila dikemudian hari pernyataan ini tidak sesuai dengan keadaan yang
    sebenarnya, saya bersedia dikenakan sanksi administrasi dan/atau dituntut
    ganti rugi dan/atau tuntutan lainnya sesuai dengan ketentuan peraturan per-
    undang-undangan yang berlaku.

    Demikian surat pernyataan ini dibuat dengan sebenarnya dan bermaterai cukup
    untuk dipergunakan sebagaimana mestinya.

    Jambi, 31 Desember 2016


    Kepala SDN 171/IV

    Dwita Rinawati, S. Pd
    NIP 19670414 198901 2 003

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