Format Lampiran SPM Dan SP2D

DAFTAR GAJI PNS/ASN DINAS KESEHATAN
KABUPATEN TASIKMALAYA
PUSKESMAS SUKAHENING
BULAN MARET TAHUN 2018
Lampiran SPM
Nomor :
Tanggal :
NO NAMA NIP NO REKENING PADA BANK
1 H. AEP SARIPUDIN, SKM., M.Si 196709081988031000 0073032962100 BJB Rajapolah

2 YAYAT SUPRIHAT, S.Kep 196011301982011004 0073102669101 BJB Rajapolah
3 H. DEDE NURDIN, AMK., SKM 196705171993031012 0073176018100 BJB Rajapolah
4 TETI SUSANTI, AM.Keb 196507061984122001 0073171415100 BJB Rajapolah
5 Hj. EUIS LINDAWATI, AMK 196606191987032006 0073176476101 BJB Rajapolah
6 YULIA SURYANTINI, AM.Keb 197007171990122002 0073172845100 BJB Rajapolah
7 Hj. TUTI KARWATI, AM.Keb 196904101992032004 0073170958100 BJB Rajapolah
8 dr. Hj. SITI ROCHAYATI AGUSTIN 197708302009032004 0073790409100 BJB Rajapolah
9 YULI KUSMIATI 197107231992032003 0073168791100 BJB Rajapolah
10 N. ELIN HERLINA, AM.Keb 196505291991012002 0073168236100 BJB Rajapolah
11 AANG 196706181988031004 0073168414101 BJB Rajapolah
12 ROSMALINDA, AMK 197102202000032004 0073167949100 BJB Rajapolah
13 INTAN CAHYA HERMALIA, SKM 198510012009022006 0073167736100 BJB Rajapolah
14 TITA DARSITA, AM.Keb 197701272005012006 0073163641101 BJB Rajapolah
15 Hj. EEM JAMILAH, AMK 197502282006042003 0073162701100 BJB Rajapolah
16 ROMLI BURHANI, S.Kep 198205102010011027 0073162424101 BJB Rajapolah
17 YULI ERLIA RUDIANITA, AM.Keb 197507012006042020 0073162033101 BJB Rajapolah
18 SANTI SUMARLI, A.Md.Keb 198001222010012008 0073161721101 BJB Rajapolah
19 YULIANTI, A.Md.KG 198406152010012016 0073161371100 BJB Rajapolah
20 LINDA MULDIANTI, AM.Keb 198301032011012001 0073160677102 BJB Rajapolah
21 ASEP YOGA NUSARELA, AMK 198010202014101001 0073160324100 BJB Rajapolah
JUMLAH
BULAN MARET TAHUN 2018
Lampiran SP2D
Nomor : ……./LS/BTL/BEL.PEG/GAJI/2018
Tanggal :

3 H. DEDE NURDIN, AMK., SKM 196705171993031012 0073176018100 BJB Rajapolah
12 ROSMALINDA, AMK 197102202000032004 0073167949100 BJB Rajapolah
JUMLAH
N DINAS KESEHATAN
ASIKMALAYA
UKAHENING
TAHUN 2018
POTONGAN
GAJI KOTOR GAJI BERSIH
TOTAL IWP 10 % PPH TAPERUM
5,625,140 479,540 - 10,000 5,135,600
6,042,691 526,291 - 10,000 5,506,400
5,438,802 464,902 - 10,000 4,963,900
5,526,627 480,927 - 7,000 5,038,700
5,535,470 474,570 - 7,000 5,053,900
4,948,785 430,385 - 7,000 4,511,400
4,365,610 379,310 - 7,000 3,979,300
4,494,298 352,698 - 7,000 4,134,600
4,365,610 379,310 - 7,000 3,979,300
4,485,060 391,260 - 7,000 4,086,800
5,069,032 427,932 - 7,000 4,634,100
4,028,620 345,620 - 7,000 3,676,000
3,826,572 308,172 - 7,000 3,511,400
3,972,747 349,047 - 7,000 3,616,700
3,236,170 289,870 - 7,000 2,939,300
3,568,632 305,132 - 7,000 3,256,500
4,143,805 358,905 - 7,000 3,777,900
3,628,366 307,366 - 7,000 3,314,000
3,534,472 297,972 - 7,000 3,229,500
3,388,588 285,888 - 5,000 3,097,700
3,603,963 314,663 - 5,000 3,284,300
92,829,060 7,949,760 - 152,000 84,727,300
Tasikmalaya, 5 Maret 2018

DIKETAHUI DAN DISETUJUI OLEH :
PENGGUNA ANGGARAN
NAMA
NIP :
N DINAS KESEHATAN
ASIKMALAYA
UKAHENING
TAHUN 2018
POTONGAN
5,625,140 479,540 - 10,000 5,135,600
6,042,691 526,291 - 10,000 5,506,400
5,438,802 464,902 - 10,000 4,963,900
5,526,627 480,927 - 7,000 5,038,700
5,535,470 474,570 - 7,000 5,053,900
4,948,785 430,385 - 7,000 4,511,400
4,365,610 379,310 - 7,000 3,979,300
4,494,298 352,698 - 7,000 4,134,600
4,365,610 379,310 - 7,000 3,979,300
4,485,060 391,260 - 7,000 4,086,800
5,069,032 427,932 - 7,000 4,634,100
4,028,620 345,620 - 7,000 3,676,000
3,826,572 308,172 - 7,000 3,511,400
3,972,747 349,047 - 7,000 3,616,700
3,236,170 289,870 - 7,000 2,939,300
3,568,632 305,132 - 7,000 3,256,500
4,143,805 358,905 - 7,000 3,777,900
3,628,366 307,366 - 7,000 3,314,000
3,534,472 297,972 - 7,000 3,229,500
3,388,588 285,888 - 5,000 3,097,700
3,603,963 314,663 - 5,000 3,284,300
92,829,060 7,949,760 - 152,000 84,727,300
Tasikmalaya, 5 Maret 2018

KEPALA UPT PUSKESMAS SUKAHENING
H. AEP SARIPUDIN, S.KM., M.Si

NIP. 196709081988031002
BULAN APRIL TAHUN 2018
Lampiran SPM
Nomor :
Tanggal :

3 H. DEDE NURDIN, S.Kep 196705171993031012 0073176018100 BJB Rajapolah
12 ROSMALINDA, S.Kep 197102202000032004 0073167949100 BJB Rajapolah
JUMLAH
BULAN APRIL TAHUN 2018
Lampiran SP2D
Nomor : ……./LS/BTL/BEL.PEG/GAJI/2018
Tanggal :

3 H. DEDE NURDIN, S.Kep 196705171993031012 0073176018100 BJB Rajapolah
12 ROSMALINDA, S.Kep 197102202000032004 0073167949100 BJB Rajapolah
JUMLAH
N DINAS KESEHATAN
ASIKMALAYA
UKAHENING
TAHUN 2018
POTONGAN
5,625,140 479,540 - 10,000 5,135,600
6,042,691 526,291 - 10,000 5,506,400
5,788,802 464,902 - 10,000 5,313,900
5,526,627 480,927 - 7,000 5,038,700
5,535,470 474,570 - 7,000 5,053,900
4,948,785 430,385 - 7,000 4,511,400
4,365,610 379,310 - 7,000 3,979,300
4,494,298 352,698 - 7,000 4,134,600
4,365,610 379,310 - 7,000 3,979,300
4,485,060 391,260 - 7,000 4,086,800
5,069,032 427,932 - 7,000 4,634,100
4,237,500 356,500 - 7,000 3,874,000
3,826,572 308,172 - 7,000 3,511,400
4,207,747 349,047 - 7,000 3,851,700
3,236,170 289,870 - 7,000 2,939,300
3,568,632 305,132 - 7,000 3,256,500
4,143,805 358,905 - 7,000 3,777,900
3,628,366 307,366 - 7,000 3,314,000
3,534,472 297,972 - 7,000 3,229,500
3,388,588 285,888 - 5,000 3,097,700
3,603,963 314,663 - 5,000 3,284,300
93,622,940 7,960,640 - 152,000 85,510,300
Tasikmalaya, 3 April 2018

DIKETAHUI DAN DISETUJUI OLEH :
PENGGUNA ANGGARAN
NAMA
NIP :
N DINAS KESEHATAN
ASIKMALAYA
UKAHENING
TAHUN 2018
POTONGAN
5,625,140 479,540 - 10,000 5,135,600
6,042,691 526,291 - 10,000 5,506,400
5,788,802 464,902 - 10,000 5,313,900
5,526,627 480,927 - 7,000 5,038,700
5,535,470 474,570 - 7,000 5,053,900
4,948,785 430,385 - 7,000 4,511,400
4,365,610 379,310 - 7,000 3,979,300
4,494,298 352,698 - 7,000 4,134,600
4,365,610 379,310 - 7,000 3,979,300
4,485,060 391,260 - 7,000 4,086,800
5,069,032 427,932 - 7,000 4,634,100
4,237,500 356,500 - 7,000 3,874,000
3,826,572 308,172 - 7,000 3,511,400
4,207,747 349,047 - 7,000 3,851,700
3,236,170 289,870 - 7,000 2,939,300
3,568,632 305,132 - 7,000 3,256,500
4,143,805 358,905 - 7,000 3,777,900
3,628,366 307,366 - 7,000 3,314,000
3,534,472 297,972 - 7,000 3,229,500
3,388,588 285,888 - 5,000 3,097,700
3,603,963 314,663 - 5,000 3,284,300
93,622,940 7,960,640 - 152,000 85,510,300
Tasikmalaya, 3 April 2018

KEPALA UPT PUSKESMAS SUKAHENING
H. AEP SARIPUDIN, S.KM., M.Si

NIP. 196709081988031002

Format Lampiran SPM Dan SP2D

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DAFTAR GAJI PNS/ASN DINAS KESEHATAN

NO NAMA NIP NO REKENING PADA BANK

1 H. AEP SARIPUDIN, SKM., M.Si 196709081988031000 0073032962100 BJB Rajapolah

NO NAMA NIP NO REKENING PADA BANK

1 H. AEP SARIPUDIN, SKM., M.Si 196709081988031000 0073032962100 BJB Rajapolah

Tasikmalaya, 5 Maret 2018

Tasikmalaya, 5 Maret 2018

H. AEP SARIPUDIN, S.KM., M.Si

NO NAMA NIP NO REKENING PADA BANK

1 H. AEP SARIPUDIN, SKM., M.Si 196709081988031000 0073032962100 BJB Rajapolah

NO NAMA NIP NO REKENING PADA BANK

1 H. AEP SARIPUDIN, SKM., M.Si 196709081988031000 0073032962100 BJB Rajapolah

Tasikmalaya, 3 April 2018

Tasikmalaya, 3 April 2018

H. AEP SARIPUDIN, S.KM., M.Si

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