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CATATAN PENDAPATAN DAN PENGELUARAN SISIPAN

TGL N0 PENDAPATAN QTY JUMLAH PETUGAS PENGELUARAN QTY


1 2 3 4 5 6 7 8
08-12-2016 1 LAB HB 1 20000 HIKMAT
14-12-2016 1 KIR 1 10000 AKA
2 LAB HB 1 30000 HIKMAT
15-12-2016 1 LAB GLU 1 10000 HIKMAT
17-12-2016 1 TINDAKAN 1 30000 HIKMAT
22-12-2016 1 BELANJA KERTAS 1
27-12-2016 1 SISIPAN 1 40000 HIKMAT
2 KIR 1 10000 AKA
3 LAB HB 1 30000 HIKMAT
04-01-2017 1 BELANJA KERTAS+JILID 1
06-01-2017 1 LAB AU 1 20000 HIKMAT
2 LAB GLU 1 20000 PA HAJI
3 BELANJA LANCET 1
4 BELANJA OBAT NEBU 5
10-01-2017 1 LAB GLU 1 20000 HIKMAT
2 LAB COL 1 45000 HIKMAT
3 LAB HB 1 20000 HIKMAT
4 KIR 1 10000 AKA
5 BELANJA BUKU KAS 1
19-01-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 HIKMAT
3 LAB COL 1 45000 HIKMAT
21-01-2017 1 SISIPAN 1 50000 PA AMAS
30-01-2017 1 LAB COL 1 45000 HIKMAT
2 LAB AU 1 20000 HIKMAT
21-02-2017 1 LAB PAKET 50000 HIKMAT
22-02-2017 1 KIR 1 30000 AKA
25-02-2017 1 SISIPAN 1 30000 PA AMAS
03-03-2017 1 CB HIKMAT
13-03-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 HIKMAT
14-03-2017 1 SISIPAN 1 50000 PA AMAS, HIKMAT
17-03-2017 1 SISIPAN 1 50000 HIKMAT
2 CB HIKMAT
20-03-2017 1 SISIPAN 1 150000 PA AMAS, HIKMAT
2 LAB AU 1 20000 HIKMAT
23-03-2017 1 TINDAKAN 1 35000 PA AMAS
24-03-2017 1 LAB PAKET 1 70000 HIKMAT
30-03-2017 1 SISIPAN 1 100000 PA HAJI
31-03-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA JANUR
03-04-2017 1 KIR 1 10000 UPIK
2 LAB GLU 1 20000 HIKMAT
05-04-2017 1 KIR SD 3 75000 AKA, PA AMAS
07-04-2017 1 LAB GLU 1 20000 PA AMAS
10-04-2017 1 LAB AU 1 20000 PA AMAS
2 SISIPAN 1 40000 PA AMAS
13-04-2017 1 SISIPAN 1 50000 HIKMAT
16-04-2017 1 SISIPAN 1 50000 HIKMAT
2 LAB COL 1 35000 HIKMAT
17-04-2017 1 LAB GLU 1 20000 HIKMAT
2 LAB HB 1 20000 HIKMAT
3 KIR 1 10000 AKA
4 CB PA AMAS
19-04-2017 1 LAB HB 1 20000 UPIN
20-04-2017 1 PB HIKMAT 100000
22-04-2017 1 KIR 1 10000 AKA
25-04-2017 1 SISIPAN 1 50000 PA AMAS
2 BELANJA STIP COL 1
3 BELANJA STIP GLU 1
29-04-2017 1 LAB COL 1 35000 PA HAJI
2 LAB COL 1 28000 PA JANUR
3 LAB GLU 1 20000 DOK HENDI
4 SISIPAN 1 100000 PA NURDIN, PA AMAS
5 CB HIKMAT
6 CB PA JANUR
01-05-2017 1 SISIPAN 1 100000 PA HAJI
2 LAB COL 1 35000 HIKMAT
02-05-2017 1 LAB HB 1 20000 ELISA
04-05-2017 1 LAB HB 1 20000 UPIN
05-05-2017 1 LAB GLU 1 20000 PA HAJI
06-05-2017 1 LAB COL 1 30000 HIKMAT
07-05-2017 1 CB HIKMAT
2 BELANJA KERTAS COVER
12-05-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA HAJI
16-05-2017 1 PB PA JANUR 20000
2 KIR 2 20000 AKA
3 LAB HB 1 20000 PA JANUR
19-05-2017 1 INPAQ MESJID
2 PB HIKMAT 100000
3 LAB HB 1 20000 Bd TITI
22-05-2017 1 LAB HB 1 20000 Bd TITI
2 LAB HB 3 60000 Bd RESTU
24-05-2017 1 TRANSPORT PA JAJUL
2 SISIPAN 75000 HIKMAT, PA JANUR
25-05-2017 1 BELANJA BATU BATRE 2
26-05-2017 1 KIR 7 70000 AKA
30-05-2017 1 LAB HB 1 20000 HIKMAT
03-06-2017 1 KIR 4 40000 AKA
2 LAB HB 2 40000 HIKMAT
3 LAB HB 1 20000 PA HAJI
4 LAB AU 1 20000 PA HAJI
5 LAB COL 1 35000 PA HAJI
6 CB HIKMAT
7 BELANJA LANCET
8 TRANSPORT UPIK
06-06-2017 1 SISIPAN 5 250000 ALL BRUDER
07-06-2017 1 LAB AU 1 20000 HIKMAT
2 LAB HB 1 20000 PA JANUR
3 KIR 1 10000 UPIK
08-06-2017 1 MATERAI 4
2 CB HIKMAT
09-06-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA JANUR
10-06-2017 1 BELANJA STIP GLU + AU 1
2 BELANJA STIP COL 1
14-06-2017 1 CB HIKMAT
19-06-2017 1 LAB GLU 1 20000 PA HAJI
2 LAB HB 3 60000 Bd LELA
22-06-2017 1 SISIPAN 100000 HIKMAT
2 BAYAR PIKET SIAGA
23-06-2017 1 BELANJA TEMPAT SAMPAH
03-07-2017 1 KIR 3 45000 AKA
04-07-2017 1 KIR 2 20000 AKA
2 LAB HB 2 40000 HIKMAT
05-07-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA JANUR
3 BELANJA BATU BATRE 4
4 TRANSPORT UNDANGAN
06-07-2017 1 CB PA JANUR
07-07-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 HIKMAT
08-07-2017 1 CB HIKMAT
2 LAB HB 1 20000 ELISA
13-07-2017 1 BELANJA O2
2 TAMBAHAN O2 50000 KIA
14-07-2017 1 LAB HB 2 40000 Bd LENI
2 LAB HB 150000 KIA
15-04-2017 1 KIR 2 20000 UPIK
2 LAB HB 2 40000 HIKMAT
3 CB BU POPON
24-07-2017 1 KIR 2 20000 AKA
2 LAB HB 2 40000 PA AMAS
3 LAB HB 1 20000 LISNA
4 BELANJA BATRE ABC KECIL 8
25-07-2017 1 PB BU POPON 50000
2 BELANJA STIP HB 1
29-07-2017 1 LAB HB 3 60000 KIA
2 LAB HB 1 20000 HIKMAT
3 KIR 1 10000 UPIK
01-08-2017 1 LAB HB 1 20000 ELISA
2 LAB HB 2 40000 PA JANUR
3 KIR 2 20000 AKA
02-08-2017 1 LAB HB 1 20000 Bd RESTU
2 CB RUJUK KIA
03-08-2017 1 PB RUJUK KIA 200000 PA IWAN
2 LAB AU 1 20000 HIKMAT
05-08-2017 1 LAB AU 1 20000 HIKMAT
10-08-2017 1 SISIPAN 20000 PA HAJI
14-08-2017 1 LAB AU 2 40000 HIKMAT
21-04-2017 1 KIR 2 20000 AKA
2 LAB HB 2 40000 PA JANUR
3 LAB AU 1 20000 HIKMAT
23-08-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA JANUR
3 LAB HB 4 80000 KIA
4 LAB AU 1 20000 PA JANUR
26-08-2017 1 KIR 1 10000 AKA
28-08-2017 1 KIR 1 10000 AKA
2 LAB HB 1 20000 PA JANUR
3 LAB HB 1 20000 PA AMAS
4 KIR 1 10000 UPIK
5 CB INDUNG
29-08-2017 1 LAB HB 1 20000 KIA
2 CB RUJUK KIA
30-08-2017 1 BELANJA STIP HB 1
BELANJA STIP COL 1
02-09-2017 1 PB RUJUK KIA 1 200000
06-09-2017 1 LAB AU 1 20000 PA JANUR
07-09-2017 1 LAB HB 2 40000 KIA
11-09-2017 1 LAB GLU 1 20000 PA JANUR
2 SISIPAN 1 20000 PA JANUR
13-09-2017 1 LAB GLU 1 20000 PA HAJI
2
4953000
JUMLAH SALDO
9 10
20000
30000
60000
70000
100000
10000 90000
130000
140000
170000
10000 160000
180000
200000
20000 180000
55000 125000
145000
190000
210000
220000
10000 210000
220000
240000
285000
335000
380000
400000
450000
480000
510000
50000 460000
470000
490000
540000
590000
50000 540000
690000
710000
745000
815000
915000
925000
945000
955000
975000
1050000
1070000
1090000
1130000
1180000
1230000
1265000
1285000
1305000
1315000
90000 1225000
1245000
1345000
1355000
1405000
180000 1225000
150000 1075000
1110000
1138000
1158000
1258000
50000 1208000
100000 1108000
1208000
1243000
1263000
1283000
1303000
1333000
50000 1283000
10000 1273000
1283000
1303000
1323000
1343000
1363000
50000 1313000
1413000
1433000
1453000
1513000
50000 1463000
1538000
6000 1532000
1602000
1622000
1662000
1702000
1722000
1742000
1777000
50000 1727000
35000 1692000
15000 1677000
1927000
1947000
1967000
1977000
28000 1949000
50000 1899000
1909000
1929000
35000 1894000
150000 1744000
65000 1679000
1699000
1759000
1859000
300000 1559000
26000 1533000
1578000
1598000
1638000
1648000
1668000
10000 1658000
20000 1638000
20000 1618000
1628000
1648000
100000 1548000
1568000
150000 1418000
1468000
1508000
1658000
1678000
1718000
50000 1668000
1688000
1728000
1748000
20000 1728000
1778000
150000 1628000
1688000
1708000
1718000
1738000
1778000
1798000
1818000
200000 1618000
1818000
1838000
1858000
1878000
1918000
1938000
1978000
1998000
2008000
2028000
2108000
2128000
2138000
2148000
2168000
2188000
2198000
30000 2168000
2188000
200000 1988000
150000 1838000
150000 1688000
1888000
1908000
1948000
1968000
1988000
2008000
2008000
2008000
2008000
2008000
2008000
2008000
2008000
2008000
2008000
2945000 2008000
TOTAL SISIPAN 4953000
BELANJA 2945000
SALDO 2008000 1900000 550000 350000
TOTAL INSENTIF JASA 1350000 658000 458000
MODAL STIP 458000
SHARE 200000

JASA
INSENTIF INSENTIF
NO NAMA TOTAL INSENTIF
LAB QTY 5000 x Rp SISIPAN Rp x 40% - 50 Rp KIR x 40 Rp JASA UMUM
(Qty)
1 PA AMAS LAB HB 20000 3 15000 21-01) Sisipan 50000 20000 35000
LAB AU 20000 1 5000 25-02) Sisipan 30000 12000 17000
LAB GLU 20000 1 5000 14-03) Sisipan, 50:2 25000 10000 15000
0 20-03) Sisipan, 150:2 75000 30000 30000
0 23-03) Tindakan 35000 17500 17500
0 10-04) Sisipan 40000 16000 16000
0 25-04) Sisipan 50000 20000 20000
0 29-04) Sisipan, 100:2 50000 20000 20000
0 06-06) Sisipan, 250:5 50000 20000 20000
KIR 75000:2 (37500 1 15000 15000
JUMLAH 200000 205500 0 205500

2 PA HAJI LAB HB 20000 2 10000 30-03) Sisipan 100000 40000 50000


LAB AU 20000 1 5000 01-05) Sisipan 100000 40000 45000
LAB GLU 20000 4 20000 06-06) Sisipan, 250:5 50000 20000 40000
LAB COL 35000 2 17500 10-08) Sisipan 20000 8000 25500
JUMLAH 150000 160500 0 160500

3 PA NURDIN 0 29-04) Sisipan, 100:2 50000 20000 20000


0 06-06) Sisipan, 250:5 50000 20000 20000
JUMLAH 50000 40000 0 40000
4 PA JANUR LAB HB 20000 10 50000 24-05) Sisipan, 75:2 37500 15000 65000
LAB AU 20000 2 10000 06-06) Sisipan, 250:5 50000 20000 30000
LAB GLU 20000 1 5000 11-09) Tindakan 20000 10000 15000
LAB COL 28000 1 7000 0 7000
JUMLAH 100000 117000 0 117000

5 HIKMAT LAB HB 20000 14 70000 17-12) Tindakan 30000 15000 85000


LAB AU 20000 10 50000 27-12) Sisipan 40000 16000 66000
LAB GLU 20000 3 15000 14-03) Sisipan, 50:2 25000 10000 25000
LAB GLU 10000 1 2500 17-03) Sisipan 50000 20000 22500
LAB COL 35000 2 17500 20-03) Sisipan, 150:2 75000 30000 47500
LAB COL 30000 1 7500 13-04) Sisipan 50000 20000 27500
LAB COL 45000 3 33750 16-04) Sisipan 50000 20000 53750
LAB PAKET 50000 1 12500 24-05) Sisipan, 75:2 37500 15000 27500
LAB PAKET 75000 1 18750 06-06) Sisipan, 250:5 50000 20000 38750
0 22-06) Sisipan 100000 40000 40000
JUMLAH 400000 433500 0 433500

6 UPIK KIR 10000 6 100000 0


7 AKA KIR 10000 38 152000 152000
KIR 30000 1 12000 12000
KIR 75000:2 (37500 1 15000 15000
JUMLAH 200000 179000 0 179000

8 KIA LAB HB 20000 24 120000 120000


LAB HB 150000 1 37500 37500
JUMLAH 150000 157500 0 157500
9 DOK HENDI LAB GLU 20000 1 5000 5000 0 5000
10 LAIN LAIN 1 0 0
LAIN LAIN 2 0 0
LAIN LAIN 3 0 0
90 1350000 2008000 1298000

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