No Tanggal Post Date Branch

1 13/02/2017 13/02/2017 15.56.52 TANJUNG BALAI ASAHAN

2 14/02/2017 14/02/2017 15.05.27 TANJUNG BALAI ASAHAN
3 19/04/2017 19/04/2017 12.09.01 TANJUNG BALAI ASAHAN
4 13/06/2017 13/06/2017 09.37.44 TANJUNG BALAI ASAHAN
5 13/06/2017
6 12/09/2017 12/09/2017 08.31.48 INTERNAL
7 12/09/2017
8 12/09/2017
9 17/11/2017 17/11/2017 18.45.26 INTERNAL
10 17/11/2017
11 17/11/2017
12 26/01/2018 26/01/2018 18.20.03 INTERNAL
13 15/02/2018 15/02/2018 20.25.32 INTERNAL
14 18/03/2018 18/03/2018 19.41.12 INTERNAL
15 18/03/2018

NB: Tanggal 13-06-2017 Transfer Rp. 1.800.000,- Pembayaran Limbah Maret 2017 Rp. 900.000,-(814939-04/17) dan Limba
Tanggal 12-09-2017 Transfer Rp. 2.500.000,- pembayaran Limbah Mei 2017 Rp. 900.000,-(527107-06/17) dan Juni 201
Tanggal 17-11-2017 Transfer Rp. 2.000.000,- Pembayaran Sisa Limbah Juli 2017 Rp. 200.000,- (527385-08/17 Limbah Ju
dan Oktober 2017 Rp. 900.000,- (029879-11/17)
 Description Amount Db/Cr No. Invoice
SETOR TUNAI | HJ SABAR HATI TRG 900,000 C 999633-01/17
SETOR TUNAI | sabar hati br tarigan 900,000 C 999756-02/17
SETOR TUNAI | SABAR HATI BR TARIGAN 900,000 C 999884-03/17
SETOR TUNAI | SABAR HATI BR TARIGAN 1,800,000 C 814939-04/17
815072-05/17
TRF/PAY/TOP-UP ECHANNEL | KARTU 6013014307900640 0323-2,500,000 C 527107-06/17
527251-07/17
527385-08/17
TRF/PAY/TOP-UP ECHANNEL | 6013014307900640 | 0000000 2,000,000 C 527385-08/17
896739-10/17
029879-11/17
TRF/PAY/TOP-UP ECHANNEL | 6013014307900640 | 0000000 900,000 C 030044-12/17
TRF/PAY/TOP-UP ECHANNEL | 6013014307900640 | 0000000 900,000 C 552885-01/18
TRF/PAY/TOP-UP ECHANNEL | 6013014307900640 | 0000000 1,800,000 C 553041-02/18
553161-03/18

ran Limbah Maret 2017 Rp. 900.000,-(814939-04/17) dan Limbah April 2017 Rp. 900.000,-(815072-05/17)
ran Limbah Mei 2017 Rp. 900.000,-(527107-06/17) dan Juni 2017 Rp. 900.000,-(527251-07/17) Sisa Rp. 700.000,- untuk Pembayarn Limb
ran Sisa Limbah Juli 2017 Rp. 200.000,- (527385-08/17 Limbah Juli 2017 LUNAS) dan Pembayaran Limbah September 2017 Rp. 900.000,-
 Nilai Invoice Nama Customer Kode Customer POSTING BANK BALACE
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 700,000 200,000
900,000 KLINIK PERMATA HATI 0146.01.4.06 200,000 700,000
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -
900,000 KLINIK PERMATA HATI 0146.01.4.06 900,000 -

Rp. 700.000,- untuk Pembayarn Limbah Juli 2018 (527385-08/17)

mbah September 2017 Rp. 900.000,- (896739-10/17)
PEMBAYARAN MELALUI
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
TRANSEFR
NO TANGGAL NO INVOICE NAMA CUSTOMER ALAMAT NPWP Nilai
INVOICE POKOK PPN
1 10/01/2017 999633-01/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
2 06/02/2017 999756-02/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
3 06/03/2017 999884-03/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
4 06/04/2017 814939-04/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
5 05/05/2017 815072-05/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
6 05/06/2017 527107-06/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
7 06/07/2017 527251-07/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
8 07/08/2017 527385-08/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
9 06/10/2017 896739-10/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
10 06/11/2017 029879-11/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818
11 06/12/2017 030044-12/17 KLINIK PERMATA HATI JL. IR.H.JUANDA LK 818,182 81,818

NB: Tanggal 13-06-2017 Transfer Rp. 1.800.000,- Pembayaran Limbah Maret 2017 Rp. 900.000,-(814939-04/1
Tanggal 12-09-2017 Transfer Rp. 2.500.000,- pembayaran Limbah Mei 2017 Rp. 900.000,-(527107-06/17)
Tanggal 17-11-2017 Transfer Rp. 2.000.000,- Pembayaran Sisa Limbah Juli 2017 Rp. 200.000,- (527385-08/
dan Oktober 2017 Rp. 900.000,- (029879-11/17)
Di warna HIJAU Tolong Dilihat Note nya Bu.
 Pembayaran PIUTANG ID CUSTOMER
TOTAL BANK TANGGAL BYR KAS Total
900,000 BNI 13/02/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 14/02/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 19/04/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 13/06/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 13/06/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 12/09/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 12/09/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 17/11/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 17/11/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 17/11/2017 900,000 900,000 - 0146.01.4.06
900,000 BNI 26/01/2018 900,000 900,000 - 0146.01.4.06

017 Rp. 900.000,-(814939-04/17) dan Limbah April 2017 Rp. 900.000,-(815072-05/17)

7 Rp. 900.000,-(527107-06/17) dan Juni 2017 Rp. 900.000,-(527251-07/17) Sisa Rp. 700.000,- untuk Pembayarn Limbah Juli 2018 (52738
2017 Rp. 200.000,- (527385-08/17 Limbah Juli 2017 LUNAS) dan Pembayaran Limbah September 2017 Rp. 900.000,- (896739-10/17)
 NOMOR KONTRAK

0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146/PKS/ASA/AEI-MDN/IV/16
0146-1/PKS/ASA/AEI-MDN/IV/17
0146-1/PKS/ASA/AEI-MDN/IV/17
0146-1/PKS/ASA/AEI-MDN/IV/17

00,- untuk Pembayarn Limbah Juli 2018 (527385-08/17)

tember 2017 Rp. 900.000,- (896739-10/17)
NO NO INVOICE NAMA CUSTOMER ALAMAT NPWP Nilai
POKOK
1 10/01/2018 552885-01/18 KLINIK PERMATA HATI JL. IR.H.JUANDA LK. I NO.21 RT. 818,182
2 06/02/2018 553041-02/18 KLINIK PERMATA HATI JL. IR.H.JUANDA LK. I NO.21 RT. 818,182
3 06/03/2018 553161-03/18 KLINIK PERMATA HATI JL. IR.H.JUANDA LK. I NO.21 RT. 818,182
 Pembayaran PIUTANG ID CUSTOMER
PPN TOTAL BANK TANGGAL KAS Total
81,818 900,000 BNI 15/02/2018 900,000 900,000 - 0146.01.4.06
81,818 900,000 BNI 16/03/2018 900,000 900,000 - 0146.01.4.06
81,818 900,000 BNI 16/03/2018 900,000 900,000 - 0146.01.4.06
NOMOR KONTRAK

0146-1/PKS/ASA/AEI-MDN/IV/17
0146-1/PKS/ASA/AEI-MDN/IV/17
0146-1/PKS/ASA/AEI-MDN/IV/17