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LAPORAN REKAP KLAIM - RSU ARGA MAKMUR

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Nov 2017 s/d 30 Nov 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien
1 30 Okt 2017 1 Nov 2017 220393 SETIA TRI RAHAYU NINGSIH
2 28 Okt 2017 1 Nov 2017 023634 NADARUDIN
3 31 Okt 2017 1 Nov 2017 102183 JUMANIS
4 30 Okt 2017 1 Nov 2017 117783 DEVI APRIYANTO PUTRA
5 28 Okt 2017 1 Nov 2017 123364a EKA ROHMANI
6 29 Okt 2017 1 Nov 2017 211303 METI SUSANTI
7 31 Okt 2017 1 Nov 2017 123409 RIZA ANIS SANTIA
8 29 Okt 2017 1 Nov 2017 123383 M.FADHIL TAQI ZAIN
9 29 Okt 2017 1 Nov 2017 119629 SULAIMAN
10 31 Okt 2017 1 Nov 2017 006483 SENDI GITA LESTARI
11 30 Okt 2017 1 Nov 2017 218906 DEVANOL PRANATA
12 30 Okt 2017 1 Nov 2017 218440 HAFIZ BRYAN RAMAZAN
13 29 Okt 2017 1 Nov 2017 123381 BAMBANG ARIANTO
14 28 Okt 2017 1 Nov 2017 123369 RUPIN
15 29 Okt 2017 1 Nov 2017 219951 TITIN SITI LAKSMANA
16 30 Okt 2017 1 Nov 2017 123399 JULITA HANDAYANI
17 30 Okt 2017 1 Nov 2017 211383 ISNAENI NUR LATIFAH
18 30 Okt 2017 1 Nov 2017 220388 MESI PUSPITA SARI
19 31 Okt 2017 1 Nov 2017 220427 RAHANIA
20 30 Okt 2017 1 Nov 2017 123403 BIMA INDRA SETIAWAN
21 28 Okt 2017 1 Nov 2017 123372 ADEL SIAHAAN
22 31 Okt 2017 1 Nov 2017 220424 ALBISER SILITONGA
23 30 Okt 2017 1 Nov 2017 207852 ADE KARTINI
24 30 Okt 2017 1 Nov 2017 203306 TRI WIJAYANTI
25 28 Okt 2017 1 Nov 2017 123368 IRVAN SEPTIAN SAPUTRA
26 30 Okt 2017 1 Nov 2017 219664 NOPITA LUSIANA
27 1 Nov 2017 1 Nov 2017 123452 KALMI
28 30 Okt 2017 2 Nov 2017 007533 MALIKA NAYYARA PARBO
29 31 Okt 2017 2 Nov 2017 206774 CHOLISAH
30 31 Okt 2017 2 Nov 2017 119076 KAMASSUNA
31 30 Okt 2017 2 Nov 2017 123397 BALIA
32 1 Nov 2017 2 Nov 2017 123267 CUCUN MAHYUDI
33 1 Nov 2017 2 Nov 2017 123438 ADITTIA NASUTION
34 1 Nov 2017 2 Nov 2017 220439 WENNY NUR ASTUTI
35 31 Okt 2017 2 Nov 2017 123417 LUSI ANDIKA
36 31 Okt 2017 2 Nov 2017 214540 ETIK NURHAYATI
37 31 Okt 2017 2 Nov 2017 123412 SITI SULFI ULFIAH
38 1 Nov 2017 2 Nov 2017 123445a DETI MARLENA
39 30 Okt 2017 2 Nov 2017 206732 NARTI
40 30 Okt 2017 2 Nov 2017 111745 ISMI SUMARNI
41 1 Nov 2017 2 Nov 2017 001535 SUMARI
42 30 Okt 2017 2 Nov 2017 117798 SEPTRIA MILDA, S.PD
43 1 Nov 2017 2 Nov 2017 123432 BY. NY RIZA ANIS SANTIA
44 31 Okt 2017 2 Nov 2017 123426 RIZKY DWI OCTAVIANI
45 31 Okt 2017 2 Nov 2017 220408 YENI SUSANTI
46 31 Okt 2017 2 Nov 2017 124313 BAYI NY NOPITA LUSIANA
47 30 Okt 2017 2 Nov 2017 123396a NURBAINAH
48 30 Okt 2017 3 Nov 2017 116391 LILIS MAHARANI

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49 31 Okt 2017 3 Nov 2017 023977 SRI UTAMI

50 1 Nov 2017 3 Nov 2017 220446 LAILI HINADAYANI
51 1 Nov 2017 3 Nov 2017 220429 EPI YULENSI
52 1 Nov 2017 3 Nov 2017 213836 EKA FITRIANINGSIH
53 1 Nov 2017 3 Nov 2017 123444 LENI MANIAR
54 1 Nov 2017 3 Nov 2017 123445 TRIA LESTARI AGUSTIAN
55 31 Okt 2017 3 Nov 2017 216117 RELLYE MARTIANA
56 30 Okt 2017 3 Nov 2017 123415 SITI PRIHATIN
57 2 Nov 2017 3 Nov 2017 218957 ZUL HIJAH
58 1 Nov 2017 3 Nov 2017 121723 DEWI SRI SARI NENGSIH
59 1 Nov 2017 3 Nov 2017 120634 REKA
60 31 Okt 2017 3 Nov 2017 220418 IKHLAS
61 1 Nov 2017 3 Nov 2017 203227 IKHSSAN RIZKI HANDARU
62 28 Okt 2017 3 Nov 2017 123371 MIRNA WATI
63 1 Nov 2017 3 Nov 2017 123442 HARYANTI BUTAR-BUTAR
64 31 Okt 2017 3 Nov 2017 123422 MELIANA LESTARI
65 30 Okt 2017 4 Nov 2017 104387 ERZAN ZAMZOBI
66 30 Okt 2017 4 Nov 2017 120443 SANTAUSI
67 3 Nov 2017 4 Nov 2017 123482 IRFAN
68 2 Nov 2017 4 Nov 2017 123491 RENI SEVENTEEN
69 3 Nov 2017 4 Nov 2017 210431 SYAFNAH
70 1 Nov 2017 4 Nov 2017 120259 DAIRMANSYAH
71 2 Nov 2017 4 Nov 2017 113638 MARDIUS
72 1 Nov 2017 4 Nov 2017 220430 MELI HARLENA
73 2 Nov 2017 4 Nov 2017 220050 FEBBI WULAN SAFITRI
74 1 Nov 2017 4 Nov 2017 123436 YUNA
75 3 Nov 2017 4 Nov 2017 119810 MEMI SUSANTI
76 2 Nov 2017 4 Nov 2017 123476 DEDI KRISTIAN
77 3 Nov 2017 4 Nov 2017 218423 RIL SUKIMAN
78 1 Nov 2017 4 Nov 2017 220442 EMI HARYANI
79 1 Nov 2017 4 Nov 2017 035456 SADAWATI
80 1 Nov 2017 4 Nov 2017 220441 SEPTI LISASTRI
81 1 Nov 2017 4 Nov 2017 123446 ANYA BATRISYA BADZLIN
82 31 Okt 2017 4 Nov 2017 220421 ANDRI MARSONO
83 2 Nov 2017 4 Nov 2017 204384 ALDILA VICITRA
84 1 Nov 2017 4 Nov 2017 209630 ATHAR FARUQ RIZKIYANTONI
85 29 Okt 2017 4 Nov 2017 123382 BAYI NY LELA WATI
86 1 Nov 2017 4 Nov 2017 119150 SHAWQI SJAQUILANO YANUAR
87 3 Nov 2017 4 Nov 2017 211378 TITI ANIARWATI
88 1 Nov 2017 4 Nov 2017 003819 NAWAWI NANGULAH, SH
89 3 Nov 2017 5 Nov 2017 220481 PAIMAN
90 3 Nov 2017 5 Nov 2017 204880 RISMAINI,AMA
91 2 Nov 2017 5 Nov 2017 029987 NAURA SYAFIRA RAMADHANI
92 2 Nov 2017 5 Nov 2017 114852 ISKANDAR
93 4 Nov 2017 5 Nov 2017 220489 PUJIATIN
94 2 Nov 2017 5 Nov 2017 121997a ASWADI
95 2 Nov 2017 5 Nov 2017 220156 MANISAH
96 2 Nov 2017 5 Nov 2017 123454 INDAR YANI
97 3 Nov 2017 5 Nov 2017 123480 ARMA PUTRA PRATAMA
98 1 Nov 2017 5 Nov 2017 123431 KAMSANAH
99 2 Nov 2017 5 Nov 2017 123466 CALON BY NY EMI
100 27 Okt 2017 5 Nov 2017 106411 EFI SUMARNI

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101 3 Nov 2017 5 Nov 2017 220278 DINA MARYANA

102 2 Nov 2017 5 Nov 2017 004857 PIRA DENSI
103 4 Nov 2017 5 Nov 2017 103271 MUHAMAD FARIS NASHIRUDDIN
104 3 Nov 2017 5 Nov 2017 123481 SUTRISNO
105 3 Nov 2017 5 Nov 2017 123469 NARTI LESTARI
106 1 Nov 2017 6 Nov 2017 123428 SILA HUDIN
107 4 Nov 2017 6 Nov 2017 101612 SUTARTI
108 1 Nov 2017 6 Nov 2017 123439 MILYANA
109 5 Nov 2017 6 Nov 2017 104078 ARYOS FRASETYO
110 30 Okt 2017 6 Nov 2017 123402 BY NY EKA ROHMANI
111 30 Okt 2017 6 Nov 2017 123401 BY NY CITRA WULAN SARI
112 5 Nov 2017 6 Nov 2017 115916 ARKA FIRDAUS
113 3 Nov 2017 6 Nov 2017 123297 HENDRI
114 3 Nov 2017 6 Nov 2017 123428a BY NY NARTI LESTARI
115 25 Okt 2017 6 Nov 2017 123310 BAYI NY ENI WIDIYATI
116 4 Nov 2017 6 Nov 2017 216161 W. EKO SUSANTO
117 4 Nov 2017 6 Nov 2017 215414 TIMUR PARDAMEAN SIAGIAN
118 4 Nov 2017 7 Nov 2017 120914 EKA WIJAYA
119 5 Nov 2017 7 Nov 2017 001774 SRI ASLINDA YANTI
120 2 Nov 2017 7 Nov 2017 123459 GIYATNO
121 2 Nov 2017 7 Nov 2017 123463 SABINA
122 1 Nov 2017 7 Nov 2017 220448 BAYI NY ROSFITA SARI
123 2 Nov 2017 7 Nov 2017 123460 BAYI NY ALDILA
124 2 Nov 2017 7 Nov 2017 123467 MUHAMMAD HANIEFIDZIKRI
125 3 Nov 2017 7 Nov 2017 123497 BAYI NY MANISAH
126 4 Nov 2017 7 Nov 2017 123521 M.HARUN YAHYA MIRZA
127 4 Nov 2017 7 Nov 2017 220471 AULIYA NISA SYAHIDAH
128 5 Nov 2017 7 Nov 2017 123520 ERNAINI
129 3 Nov 2017 7 Nov 2017 209768 KASMUDI
130 6 Nov 2017 8 Nov 2017 220525 ANI SURYANI
131 7 Nov 2017 8 Nov 2017 214927a WAHYU KUSPRAS SETIANINGSIH
132 5 Nov 2017 8 Nov 2017 123510 VIOLA RESTU KINANTI
133 4 Nov 2017 8 Nov 2017 122492 ARIF
134 6 Nov 2017 8 Nov 2017 007381 MAIZAN ZURIANTI
135 4 Nov 2017 8 Nov 2017 110496 MILIH BARUS
136 3 Nov 2017 8 Nov 2017 205169 JAMUDEN PURBA
137 3 Nov 2017 8 Nov 2017 123479 BASUKI RAHMAT, S.P
138 5 Nov 2017 8 Nov 2017 133506 YANTI ARIZA
139 6 Nov 2017 8 Nov 2017 220502 RUSNAWATI
140 6 Nov 2017 8 Nov 2017 201103 WIWIK YULIANTI
141 6 Nov 2017 8 Nov 2017 220428 NICE LIDYA
142 7 Nov 2017 8 Nov 2017 214920a DEBORA VERRI SUSANTI
143 3 Nov 2017 8 Nov 2017 123526 RAFFASYA ALFAREZEL
144 6 Nov 2017 8 Nov 2017 117785 WINARNI
145 5 Nov 2017 8 Nov 2017 112202 DELTA SASMITA YUNINGSIH
146 6 Nov 2017 8 Nov 2017 220532 DARWIS
147 1 Nov 2017 8 Nov 2017 123429 BAYI NY SENDI GITA LESTARI
148 5 Nov 2017 8 Nov 2017 122509 INDRI CANTIKA
149 5 Nov 2017 8 Nov 2017 123342 HERLINA WATI
150 7 Nov 2017 9 Nov 2017 220559 SIMIN
151 8 Nov 2017 9 Nov 2017 080779 SAPUAN
152 6 Nov 2017 9 Nov 2017 123530 CICI ERYA UTAMI

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153 6 Nov 2017 9 Nov 2017 220507 SENIMAN

154 5 Nov 2017 9 Nov 2017 217146a FEBY ANGELINA
155 6 Nov 2017 9 Nov 2017 123515 KRISMIYANTI
156 7 Nov 2017 9 Nov 2017 220539 KIKI HERLENA
157 7 Nov 2017 9 Nov 2017 123561 RIRIN ZAENAH
158 6 Nov 2017 9 Nov 2017 220518 RAHINA
159 6 Nov 2017 9 Nov 2017 220403 NOPI SEPTI ARISANTI
160 6 Nov 2017 9 Nov 2017 207175 SUKARDI
161 6 Nov 2017 9 Nov 2017 117066 SASWANI
162 6 Nov 2017 9 Nov 2017 123534 YUNI
163 7 Nov 2017 9 Nov 2017 220542 CINTA HARUM LESTARI
164 7 Nov 2017 9 Nov 2017 123553 DIPA PEBRIYANTI
165 7 Nov 2017 9 Nov 2017 005035 IRSYAAD KURNIADI
166 7 Nov 2017 9 Nov 2017 123562 HARY WAHYU JUNAIDI
167 6 Nov 2017 9 Nov 2017 123532 REGO SYAPUTRA
168 6 Nov 2017 9 Nov 2017 123533 PETI ALIA SUSEPI
169 7 Nov 2017 9 Nov 2017 123549 NILA WATI
170 8 Nov 2017 9 Nov 2017 123571a PEPI GUSLENAWATI
171 8 Nov 2017 10 Nov 2017 123582 SEPTI NENGSI
172 7 Nov 2017 10 Nov 2017 220549 IIN SAPUTRA
173 8 Nov 2017 10 Nov 2017 220584 PIRI APDIANSYAH
174 6 Nov 2017 10 Nov 2017 100657 JINAN NADA ZALFA
175 8 Nov 2017 10 Nov 2017 200199 GEDE SUARA
176 8 Nov 2017 10 Nov 2017 217844 GRACE SIMATUPANG
177 6 Nov 2017 10 Nov 2017 123522 SUSANTI
178 8 Nov 2017 10 Nov 2017 123668 KIKY RAMADHAN
179 7 Nov 2017 10 Nov 2017 211978 DEWI CANDRA GUSTINA
180 9 Nov 2017 10 Nov 2017 115613 YESSY NAULI FITRI
181 8 Nov 2017 10 Nov 2017 110211 AFIFAH TALITA ZAHRA
182 7 Nov 2017 10 Nov 2017 220203 SWASTINI
183 6 Nov 2017 10 Nov 2017 116566 PANAEL ZAINTERRY
184 4 Nov 2017 10 Nov 2017 000490 TUMIJEM
185 8 Nov 2017 10 Nov 2017 034484 ANGGA RAHMAT RISMANTO
186 6 Nov 2017 10 Nov 2017 123537 SLAMET
187 8 Nov 2017 10 Nov 2017 220160 MEGI ALFA NOSI
188 8 Nov 2017 10 Nov 2017 123577 MUHAMMAD HABIB AKMAL AFAIZ
189 7 Nov 2017 11 Nov 2017 123557 MANUYA
190 10 Nov 2017 11 Nov 2017 123605 DEWI RAHAYU
191 10 Nov 2017 11 Nov 2017 220622 AGNES SERA NURUL .S
192 9 Nov 2017 11 Nov 2017 220595 ERMIWATI
193 7 Nov 2017 11 Nov 2017 123546 KADIR
194 9 Nov 2017 11 Nov 2017 123596 JITUS PRIANCE
195 9 Nov 2017 11 Nov 2017 213384 AZLA
196 8 Nov 2017 11 Nov 2017 123563 KASIMA
197 7 Nov 2017 11 Nov 2017 121997 ELISA MAYASARI, S.PD
198 9 Nov 2017 11 Nov 2017 219499 YENI KARNETI
199 8 Nov 2017 11 Nov 2017 110672 FATIN SYAHIRA
200 8 Nov 2017 11 Nov 2017 115985 CUCU CAHYATI
201 10 Nov 2017 11 Nov 2017 026119 WIWIT RINAWATI, S.PD.I
202 6 Nov 2017 11 Nov 2017 220223a SRI MARYANI
203 9 Nov 2017 11 Nov 2017 123595 FIRLI SERLYANA
204 9 Nov 2017 11 Nov 2017 220600 SUTIANI

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205 9 Nov 2017 11 Nov 2017 123506 BAYI NY MARIYANI K

206 10 Nov 2017 11 Nov 2017 215250 ZERI ANGGRAINI
207 9 Nov 2017 11 Nov 2017 112848 RISKAN MUKTAR
208 8 Nov 2017 11 Nov 2017 005689 EDI KRIS SUMANTO
209 8 Nov 2017 11 Nov 2017 123569 KARMAN
210 10 Nov 2017 11 Nov 2017 102526 SITI PERTIWI
211 11 Nov 2017 12 Nov 2017 123622 MUHAMAD SUHADI
212 9 Nov 2017 12 Nov 2017 004051 SUSANA SEPTRISIA
213 8 Nov 2017 12 Nov 2017 123566 MUNYANA
214 10 Nov 2017 12 Nov 2017 209154 YASMIN FAKHIRAH ATTAHARA
215 10 Nov 2017 12 Nov 2017 213420 ADIMAN
216 10 Nov 2017 12 Nov 2017 123606 FEBRI IKA PUTRI.R
217 9 Nov 2017 12 Nov 2017 123588 SELAMET RAHARJO
218 10 Nov 2017 12 Nov 2017 123601 VESI YULYANTI
219 10 Nov 2017 12 Nov 2017 206072 MARTINA
220 10 Nov 2017 12 Nov 2017 220614A MELI SUSYANTI
221 9 Nov 2017 12 Nov 2017 119150 SHAWQI SJAQUILANO YANUAR
222 9 Nov 2017 12 Nov 2017 220353 LILING INDRASARY
223 7 Nov 2017 12 Nov 2017 115855 CALON BAYI NY PIPIN HERAWATI
224 8 Nov 2017 12 Nov 2017 123564 BAYI NY NOPI SEPTI
225 8 Nov 2017 12 Nov 2017 210998 NUR ZULEHA
226 6 Nov 2017 12 Nov 2017 217896 SUHANA
227 10 Nov 2017 12 Nov 2017 200889 SAMUNA
228 9 Nov 2017 12 Nov 2017 204226 ANISA
229 10 Nov 2017 12 Nov 2017 123585 NYOMAN MAS ALVONSIUS JERICHO
230 10 Nov 2017 13 Nov 2017 123615 YENI SUPRIHATIN
231 11 Nov 2017 13 Nov 2017 123619 HERENA
232 12 Nov 2017 13 Nov 2017 214560 SARLINA SIHALOHO
233 10 Nov 2017 13 Nov 2017 213617a ZORA NOVIANTI
234 12 Nov 2017 13 Nov 2017 123706 PEPI
235 10 Nov 2017 13 Nov 2017 123608 IDARYA WATI
236 11 Nov 2017 13 Nov 2017 123624 WINARSIH
237 10 Nov 2017 13 Nov 2017 123612 DWI NOVILIASARI
238 7 Nov 2017 13 Nov 2017 123555 BAYI NY SASWANI
239 10 Nov 2017 13 Nov 2017 123598 IRIANTO
240 9 Nov 2017 13 Nov 2017 100845 FEBRIANA ZAHRA CHANIAGO
241 9 Nov 2017 13 Nov 2017 120438 ARFAN MIYAZ MUSTAFED
242 12 Nov 2017 13 Nov 2017 100647 BUNGA ARYA CESA ADITIO
243 6 Nov 2017 13 Nov 2017 123523 ABDULLAH
244 11 Nov 2017 13 Nov 2017 123626 SARTINI
245 10 Nov 2017 13 Nov 2017 123616 CITRA AYU PUTRI KINANTI
246 11 Nov 2017 14 Nov 2017 001058 NIPERTITI
247 12 Nov 2017 14 Nov 2017 123702 SETYA GUNAWAN, SP
248 9 Nov 2017 14 Nov 2017 008287 MARYAM
249 9 Nov 2017 14 Nov 2017 220612 TITI PITRIANI
250 11 Nov 2017 14 Nov 2017 220395 BUSTAMAN
251 12 Nov 2017 14 Nov 2017 123711 AGIL M .S
252 11 Nov 2017 14 Nov 2017 123620 RULHANA
253 10 Nov 2017 14 Nov 2017 123600 SAPARUDDIN
254 10 Nov 2017 14 Nov 2017 123607a YUNINGSIH
255 9 Nov 2017 14 Nov 2017 101866 MAHANI SAMAN
256 4 Nov 2017 14 Nov 2017 123273 JANUARI SIMATUPANG

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257 11 Nov 2017 14 Nov 2017 122045 MARSILAH

258 11 Nov 2017 14 Nov 2017 123628 JOSEP VALERIO TANJUNG
259 13 Nov 2017 14 Nov 2017 209466 DEDI HANSORI
260 14 Nov 2017 14 Nov 2017 123738 LINDA MASRIANI
261 15 Nov 2017 15 Nov 2017 123762 KARNO
262 11 Nov 2017 15 Nov 2017 220208 KOKON
263 13 Nov 2017 15 Nov 2017 116638a HELVA TULAILI
264 13 Nov 2017 15 Nov 2017 220682 NUZUL HUSNI
265 13 Nov 2017 15 Nov 2017 217127 HERLIN SUMARNI
266 13 Nov 2017 15 Nov 2017 123722 RITA ANDRIANI
267 8 Nov 2017 15 Nov 2017 123567 BY NY SUSANTI
268 11 Nov 2017 15 Nov 2017 123630 BAYI NY HERLENA
269 15 Nov 2017 15 Nov 2017 146600 SUBAKIR
270 14 Nov 2017 15 Nov 2017 110194 SAMSUL BAHRUN
271 15 Nov 2017 15 Nov 2017 123773 BAYI NY TRI UMIYATI
272 12 Nov 2017 15 Nov 2017 1237 EDO ADE GUSNA
273 13 Nov 2017 15 Nov 2017 220687 ZULFAKAR
274 13 Nov 2017 15 Nov 2017 112561 DENTI KARIMA
275 7 Nov 2017 15 Nov 2017 123552 BADRUSANA
276 31 Okt 2017 15 Nov 2017 200029 LASIYEM
277 9 Nov 2017 15 Nov 2017 123582a WARNO
278 13 Nov 2017 15 Nov 2017 202680 ARMA WATI
279 13 Nov 2017 15 Nov 2017 123721 JUNITA ANDIKA
280 13 Nov 2017 15 Nov 2017 218608 RIDA AFRIANI
281 13 Nov 2017 15 Nov 2017 220689 EKA SUSANTI
282 12 Nov 2017 15 Nov 2017 113704 JULYANTO
283 14 Nov 2017 16 Nov 2017 110162 YUNI
284 13 Nov 2017 16 Nov 2017 123439 MILYANA
285 14 Nov 2017 16 Nov 2017 220700 HARTAWAN
286 12 Nov 2017 16 Nov 2017 218506 TAUFIK ALYANTO
287 13 Nov 2017 16 Nov 2017 219876 SUMIARTI
288 13 Nov 2017 16 Nov 2017 220670 NARJA
289 2 Nov 2017 16 Nov 2017 206067 NURYATI
290 14 Nov 2017 16 Nov 2017 219843 TRI UMIYATI NINGSIH
291 8 Nov 2017 16 Nov 2017 123576 BAYI NY RIRIN
292 14 Nov 2017 16 Nov 2017 218507 LUT FATUL CHASANAH
293 13 Nov 2017 16 Nov 2017 123742 WULANDARI
294 14 Nov 2017 16 Nov 2017 220469 ESA PEBRINA
295 13 Nov 2017 16 Nov 2017 123736 SRI MULYANI
296 14 Nov 2017 16 Nov 2017 218217 ERA ERNI
297 14 Nov 2017 16 Nov 2017 123513 ARSYAQA UMAR ALFIAN
298 13 Nov 2017 16 Nov 2017 123723 NOVRIZON AKBAR WAHID
299 12 Nov 2017 16 Nov 2017 113019 YUSNIMAR
300 13 Nov 2017 16 Nov 2017 219458 CAHAYA JUKA ADE JAYA
301 14 Nov 2017 16 Nov 2017 118517 HERI UNTORO PUTRO
302 14 Nov 2017 16 Nov 2017 120452 ERVINA PUSPITASARI, S.PD
303 14 Nov 2017 16 Nov 2017 220707 MULKANI
304 10 Nov 2017 16 Nov 2017 123599 BAYI NY CUCU CAHYATI
305 13 Nov 2017 16 Nov 2017 123725 BAYI NY PEPI
306 14 Nov 2017 16 Nov 2017 200697 YATMI
307 13 Nov 2017 17 Nov 2017 220685 UTIM RUBAHA WINTI
308 13 Nov 2017 17 Nov 2017 123728 HENI SAHADI

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309 14 Nov 2017 17 Nov 2017 201352 TALITHA MAHARANI MUTIARA HERMAN
310 15 Nov 2017 17 Nov 2017 123763 AMIE YULIANTI
311 14 Nov 2017 17 Nov 2017 123750 RENA SUSANTI
312 16 Nov 2017 17 Nov 2017 123784 FAJAR WAHYU LESTARI
313 15 Nov 2017 17 Nov 2017 123382 BAYI NY LELA WATI
314 15 Nov 2017 17 Nov 2017 220726 TRI WINDA ALISA
315 14 Nov 2017 17 Nov 2017 123746 HASIATI
316 15 Nov 2017 17 Nov 2017 220705 OSNAH
317 14 Nov 2017 17 Nov 2017 220697 SRI MARYANI
318 12 Nov 2017 17 Nov 2017 123330 AMIRUDIN
319 16 Nov 2017 17 Nov 2017 110321 HARYUNI
320 15 Nov 2017 17 Nov 2017 123767 TITIN SUMARNI
321 16 Nov 2017 17 Nov 2017 111529 PURWANTO
322 15 Nov 2017 17 Nov 2017 106074 NURJASMI, DRA,SH
323 17 Nov 2017 18 Nov 2017 220597 FATMA WATI
324 14 Nov 2017 18 Nov 2017 001983 ZAKI AL EXSAN
325 17 Nov 2017 18 Nov 2017 216243 TRI NOVIKA
326 14 Nov 2017 18 Nov 2017 002966 HELPI SATRIANI
327 15 Nov 2017 18 Nov 2017 123768 BAYI NY ESA PERRIANA
328 15 Nov 2017 18 Nov 2017 220149 NUNSIA
329 10 Nov 2017 18 Nov 2017 123609 SAROHA SIAHAAN
330 12 Nov 2017 18 Nov 2017 122136 PEKI ARDIANSYAH
331 11 Nov 2017 18 Nov 2017 123623 BY NY DWI NOVI LIASARI
332 15 Nov 2017 18 Nov 2017 123776 IKA RATNA PRILIA
333 15 Nov 2017 18 Nov 2017 123778 BUNIYEM
334 14 Nov 2017 18 Nov 2017 123752 BAYI NY LUTFATUL CHASANAH
335 15 Nov 2017 18 Nov 2017 118744 SIRINA
336 14 Nov 2017 18 Nov 2017 123754 HAMRA
337 14 Nov 2017 18 Nov 2017 220702 BIANA
338 15 Nov 2017 18 Nov 2017 123782 SRI UTARI
339 17 Nov 2017 18 Nov 2017 220770a SUSANTI
340 16 Nov 2017 18 Nov 2017 217907 YULMI ASNI
341 16 Nov 2017 18 Nov 2017 220328 MARDALENA
342 16 Nov 2017 19 Nov 2017 220741 SALAM
343 15 Nov 2017 19 Nov 2017 203693 GIAN ADITYA ARDHANI RAFAEL
344 10 Nov 2017 19 Nov 2017 220623 ALMAHYRA MALAYEKA
345 18 Nov 2017 19 Nov 2017 113829 SARA TRI PUJIATI
346 16 Nov 2017 19 Nov 2017 123515 KRISMIYANTI
347 16 Nov 2017 19 Nov 2017 112264 ASTUTI TRI UTAMI
348 17 Nov 2017 19 Nov 2017 123822 ROMLAH
349 14 Nov 2017 19 Nov 2017 114258 EANDRA HAFUZA
350 15 Nov 2017 19 Nov 2017 002069 MARLENI
351 17 Nov 2017 19 Nov 2017 220770 NUR YASIH
352 16 Nov 2017 19 Nov 2017 000337 RUSTINAH
353 18 Nov 2017 19 Nov 2017 008753 EFRIDA
354 17 Nov 2017 19 Nov 2017 123807 NURYATI
355 14 Nov 2017 19 Nov 2017 220718 SUDARSIH
356 19 Nov 2017 19 Nov 2017 106359 RAISYA ARUSHI SYAKIRA SUKANDI
357 17 Nov 2017 20 Nov 2017 008651 SYAKIRAH DIANA MAHENDRA
358 16 Nov 2017 20 Nov 2017 121888 IRAWAN
359 17 Nov 2017 20 Nov 2017 123818 MUHYAR
360 17 Nov 2017 20 Nov 2017 123811 ALDYS SUPRIYANTO

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361 17 Nov 2017 20 Nov 2017 123812 NOVLIZA EKA PATRISIA

362 15 Nov 2017 20 Nov 2017 219535 SUMARDI
363 16 Nov 2017 20 Nov 2017 120688 SAIMI
364 15 Nov 2017 20 Nov 2017 123729 BOBBY AGTAREGO
365 16 Nov 2017 20 Nov 2017 220739 AI MARIYATI
366 15 Nov 2017 20 Nov 2017 123761 CALON BY NY ANI SUSILA NINGSIH
367 17 Nov 2017 20 Nov 2017 123805 NOVITA SARI
368 14 Nov 2017 20 Nov 2017 123741 SABA INA
369 15 Nov 2017 20 Nov 2017 219324 NURHADIAH
370 18 Nov 2017 20 Nov 2017 214920a DEBORA VERRI SUSANTI
371 17 Nov 2017 20 Nov 2017 123820 ABUKARI
372 16 Nov 2017 20 Nov 2017 123795 SURATNO
373 17 Nov 2017 20 Nov 2017 100851 DINI MULIANI
374 17 Nov 2017 20 Nov 2017 123766 INTAN SHELIKA
375 17 Nov 2017 20 Nov 2017 123816 BAYI NY AMIE YULIANTI
376 19 Nov 2017 21 Nov 2017 123840 YASMINE ZAHIRA PAISAL
377 17 Nov 2017 21 Nov 2017 220762 YAYUK SUWANTIKA
378 5 Nov 2017 21 Nov 2017 210565 YAHIDIN
379 18 Nov 2017 21 Nov 2017 123832 BAYI NY DINI MULIANI
380 17 Nov 2017 21 Nov 2017 210913 RAFANDA
381 20 Nov 2017 21 Nov 2017 219998 SRI WULANDARI
382 16 Nov 2017 21 Nov 2017 127375 SARNA
383 16 Nov 2017 21 Nov 2017 123790 BAYI NY LOLI SURYANI
384 17 Nov 2017 21 Nov 2017 219166 SITI AMANAH
385 19 Nov 2017 21 Nov 2017 218546A ANISA TURROCHMAH
386 16 Nov 2017 21 Nov 2017 208754 AHADMA
387 18 Nov 2017 21 Nov 2017 123837 SAINI
388 19 Nov 2017 22 Nov 2017 119292 RIA WATI
389 21 Nov 2017 22 Nov 2017 123861 BAYI NY DESI PUSPITA SARI
390 20 Nov 2017 22 Nov 2017 220786 NENGH SRI
391 19 Nov 2017 22 Nov 2017 205401 MAISER
392 20 Nov 2017 22 Nov 2017 123851 FITRIA NINGSIH
393 21 Nov 2017 22 Nov 2017 102885 ISWATI
394 17 Nov 2017 22 Nov 2017 220763 KAROLINA
395 20 Nov 2017 22 Nov 2017 000394 IKHSAN NURFIANI,A.MD.KEP
396 20 Nov 2017 22 Nov 2017 119165 ANTIKA KARERA
397 20 Nov 2017 22 Nov 2017 220252 DESI PUSPITA SARI
398 20 Nov 2017 22 Nov 2017 111289 YETRAINI
399 20 Nov 2017 22 Nov 2017 208632 NUR KHASANAH
400 20 Nov 2017 22 Nov 2017 220138 DHEA SEKAR AYU HIDAYATI
401 19 Nov 2017 22 Nov 2017 212210 WALUYO, DRS
402 16 Nov 2017 22 Nov 2017 123794 BY NY HELPI SATRIANI
403 21 Nov 2017 22 Nov 2017 214852 KASAN REJO
404 19 Nov 2017 22 Nov 2017 123841 PIINA
405 20 Nov 2017 22 Nov 2017 123858a ELHANA
406 20 Nov 2017 22 Nov 2017 112174 SALMAN ALFARISI
407 19 Nov 2017 22 Nov 2017 123842 MITA
408 20 Nov 2017 22 Nov 2017 123862 GHAISAN ALDIRA PRANAWA
409 18 Nov 2017 22 Nov 2017 220407 SUKMA DEWI
410 20 Nov 2017 23 Nov 2017 113584 AKADINAH NAHURFAJRI
411 20 Nov 2017 23 Nov 2017 001535 SUMARI
412 21 Nov 2017 23 Nov 2017 218440 HAFIZ BRYAN RAMAZAN

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413 20 Nov 2017 23 Nov 2017 220765 ISKRIMAN,SH

414 21 Nov 2017 23 Nov 2017 220795 LEDIA SONETA
415 20 Nov 2017 23 Nov 2017 220091 TRISNAWATI
416 21 Nov 2017 23 Nov 2017 117095 IIS SUGIANTO
417 21 Nov 2017 23 Nov 2017 007748 SAWI
418 21 Nov 2017 23 Nov 2017 220568 TARI MAHESTI
419 20 Nov 2017 23 Nov 2017 123853 HAIYUDA
420 21 Nov 2017 23 Nov 2017 123869 GAUL PRANATA
421 22 Nov 2017 23 Nov 2017 217599 IIN INDRIYANI
422 21 Nov 2017 23 Nov 2017 215739 DEVIA MONIKASARI
423 21 Nov 2017 23 Nov 2017 214630 KURNIA
424 22 Nov 2017 23 Nov 2017 123878 UMI KHASANAH
425 21 Nov 2017 23 Nov 2017 123864 LINA SURYANI
426 21 Nov 2017 24 Nov 2017 115288 LASIMAN
427 22 Nov 2017 24 Nov 2017 214431 DEWI HANDAYANI
428 22 Nov 2017 24 Nov 2017 209955 AZIZI ZAHRA EKYE
429 21 Nov 2017 24 Nov 2017 123858 RIKA PURNA WIRAWAN
430 22 Nov 2017 24 Nov 2017 220835 NIA ANITA
431 21 Nov 2017 24 Nov 2017 102574 ALDI ANDRIANTO
432 21 Nov 2017 24 Nov 2017 123871 SANTI WULANDARI
433 21 Nov 2017 24 Nov 2017 123875 NYOMAN ARINI
434 24 Nov 2017 24 Nov 2017 123912 SRI ULANDARI
435 19 Nov 2017 24 Nov 2017 123533 PETI ALIA SUSEPI
436 21 Nov 2017 24 Nov 2017 123860 SALIKIN
437 20 Nov 2017 24 Nov 2017 210278 PASKALIA APRILIANTI
438 22 Nov 2017 24 Nov 2017 220749 ARYA BIMA
439 22 Nov 2017 24 Nov 2017 203613 AYYASHA NOSIDA
440 23 Nov 2017 25 Nov 2017 110600 SULISTIONO
441 17 Nov 2017 25 Nov 2017 123814 BY NY MARLENI II
442 21 Nov 2017 25 Nov 2017 211342a RODI HARTONO
443 24 Nov 2017 25 Nov 2017 001001 LERRY COTAMA
444 21 Nov 2017 25 Nov 2017 112217 RADEN RAKA RADITYA DINATA
445 22 Nov 2017 25 Nov 2017 211452 HERMANELLY
446 22 Nov 2017 25 Nov 2017 212293 DESTI APRIANI
447 23 Nov 2017 25 Nov 2017 123891 KATINA WATI
448 17 Nov 2017 25 Nov 2017 123815 BY NY MARLENI III
449 22 Nov 2017 25 Nov 2017 220832 ZATIRMAN
450 24 Nov 2017 25 Nov 2017 123904 ELIA ESSENSI
451 23 Nov 2017 25 Nov 2017 203943 SULAMI
452 21 Nov 2017 25 Nov 2017 123859 DAMIA
453 22 Nov 2017 25 Nov 2017 214812 MEN SIRAM
454 23 Nov 2017 25 Nov 2017 220260 RISWANTY LESMAYA
455 23 Nov 2017 25 Nov 2017 116391 LILIS MAHARANI
456 22 Nov 2017 25 Nov 2017 100309 ILUH SUNENI
457 22 Nov 2017 25 Nov 2017 123884 TRI SEPTI
458 24 Nov 2017 25 Nov 2017 123913 EVA JAMILA
459 21 Nov 2017 25 Nov 2017 220807 ARIFIN
460 23 Nov 2017 26 Nov 2017 208871 AYUDIA INARA PUTRI
461 23 Nov 2017 26 Nov 2017 220842 BAYI NY SITI NURKHASANAH
462 24 Nov 2017 26 Nov 2017 220057 LINA KURNAIAWATI
463 24 Nov 2017 26 Nov 2017 123926 SUSANTI KURNIATI
464 24 Nov 2017 26 Nov 2017 220840 AGUS EFENDI

Page 9
 sheet1 -1

465 23 Nov 2017 26 Nov 2017 220752 INDRI SAJAH ASTUTI

466 23 Nov 2017 26 Nov 2017 123936 GALYS ANARE PRATIWI.S
467 23 Nov 2017 26 Nov 2017 123899 WARIJAH
468 24 Nov 2017 26 Nov 2017 123905 BAYI NY RISWANTY LESMAYA
469 20 Nov 2017 26 Nov 2017 207175 SUKARDI
470 14 Nov 2017 26 Nov 2017 121790 SUKADI
471 24 Nov 2017 26 Nov 2017 220856 AUFA DHOWI MAHIRA
472 21 Nov 2017 26 Nov 2017 219964 LUSTINA
473 24 Nov 2017 27 Nov 2017 123530 CICI ERYA UTAMI
474 24 Nov 2017 27 Nov 2017 123918 BY NY SANTI WULANDARI
475 24 Nov 2017 27 Nov 2017 123916 SAKINA
476 25 Nov 2017 27 Nov 2017 205728 ELYA RAMAYATI
477 23 Nov 2017 27 Nov 2017 123280 NURFAJAR ANTA SARI
478 24 Nov 2017 27 Nov 2017 113917 BAYI NY NYOMAN ARINI
479 25 Nov 2017 27 Nov 2017 123929 EVI DWI SEPTIASARI
480 24 Nov 2017 27 Nov 2017 123919a BAYI NY HERMANELY
481 22 Nov 2017 27 Nov 2017 214708 SUWARNI
482 25 Nov 2017 27 Nov 2017 123927 AHYAR
483 24 Nov 2017 27 Nov 2017 220859 DHAFIN AZKA ALDRIC
484 22 Nov 2017 27 Nov 2017 123723 NOVRIZON AKBAR WAHID
485 26 Nov 2017 27 Nov 2017 123962 DWI SUNARSI
486 23 Nov 2017 27 Nov 2017 123892 MANTARIDI
487 22 Nov 2017 27 Nov 2017 203468 MOHD.ADAM
488 25 Nov 2017 27 Nov 2017 123934 ERNITASARI
489 26 Nov 2017 27 Nov 2017 123944 GUSTI PUTU BAYU ANGGARA
490 23 Nov 2017 27 Nov 2017 123897 KANINA
491 24 Nov 2017 27 Nov 2017 007800 ROBIN PANJAITAN
492 24 Nov 2017 27 Nov 2017 123910 NICO JEANSHA
493 22 Nov 2017 27 Nov 2017 220831 MISNO BROTO HANDOYO
494 24 Nov 2017 27 Nov 2017 123907 SAMIYEM
495 16 Nov 2017 27 Nov 2017 123789 DWI HARTANTI
496 25 Nov 2017 28 Nov 2017 123908 AKNES MANITA
497 26 Nov 2017 28 Nov 2017 123965a WAWAN KURNIAWAN
498 26 Nov 2017 28 Nov 2017 123918a MELI YANTI
499 25 Nov 2017 28 Nov 2017 115202a ANISA AGUSTIAS
500 25 Nov 2017 28 Nov 2017 213493 AGNES ROSIANI,S.PD
501 25 Nov 2017 28 Nov 2017 205958 SUADI
502 22 Nov 2017 28 Nov 2017 218369 SUMIATI
503 20 Nov 2017 28 Nov 2017 001675 WATI PRIHARTINI
504 27 Nov 2017 28 Nov 2017 123729 BOBBY AGTAREGO
505 25 Nov 2017 28 Nov 2017 220862 WASINI
506 24 Nov 2017 28 Nov 2017 208778 ERI NURLIANA
507 27 Nov 2017 28 Nov 2017 123968 JUMIIYATI
508 25 Nov 2017 28 Nov 2017 115447 WALUYO
509 25 Nov 2017 28 Nov 2017 123909 DIAN EKA
510 26 Nov 2017 29 Nov 2017 123961 BOBI ALATAS
511 27 Nov 2017 29 Nov 2017 217051 BENI
512 25 Nov 2017 29 Nov 2017 220734 PEPI MARYANI
513 26 Nov 2017 29 Nov 2017 123966a HARTINI PUJIANTI
514 26 Nov 2017 29 Nov 2017 220866 NENRA WATI
515 28 Nov 2017 29 Nov 2017 123987 ANA
516 24 Nov 2017 29 Nov 2017 119161 RAHMARTHA AYU WIRANDA

Page 10
 sheet1 -1

517 27 Nov 2017 29 Nov 2017 123968a KASMO

518 26 Nov 2017 29 Nov 2017 001166 FENI FEBRIYANTI, SH
519 27 Nov 2017 29 Nov 2017 220869 MISKEM
520 25 Nov 2017 29 Nov 2017 123941 RODI HARTONO
521 26 Nov 2017 29 Nov 2017 123953 BAYI NY AGNES
522 26 Nov 2017 29 Nov 2017 123949 MARJIAH
523 26 Nov 2017 29 Nov 2017 123969a SALEHA
524 27 Nov 2017 29 Nov 2017 211923 TUMIYEM
525 27 Nov 2017 29 Nov 2017 123959 BAYI NY ANISA A
526 28 Nov 2017 29 Nov 2017 123984 RASILA
527 26 Nov 2017 29 Nov 2017 123950 MURSIDI
528 27 Nov 2017 29 Nov 2017 208446 RESMINAH
529 26 Nov 2017 29 Nov 2017 023598 KATIMAH
530 27 Nov 2017 29 Nov 2017 220872 ZAENURI
531 28 Nov 2017 29 Nov 2017 123981a MUHAMAD YUSUP
532 27 Nov 2017 29 Nov 2017 220885 SUPRAPTI
533 27 Nov 2017 30 Nov 2017 217802 YANYAN SEFTIANI
534 25 Nov 2017 30 Nov 2017 115202 RIRISNA RISWARI
535 26 Nov 2017 30 Nov 2017 208277 PUTY ADAM SARI
536 28 Nov 2017 30 Nov 2017 123978 ENAH SUHAENAH
537 28 Nov 2017 30 Nov 2017 123977 BAYI NY RESMINAH
538 27 Nov 2017 30 Nov 2017 123964 MUHAMMAD BARA MAHARDIKA ZAKTA
539 27 Nov 2017 30 Nov 2017 103873 AKHIFA NAILA PUTRI CEKWAN
540 27 Nov 2017 30 Nov 2017 205709 WIDANINGSIH
541 28 Nov 2017 30 Nov 2017 220735 TATI
542 27 Nov 2017 30 Nov 2017 220314 HERA WATI
543 28 Nov 2017 30 Nov 2017 123723 NOVRIZON AKBAR WAHID
544 28 Nov 2017 30 Nov 2017 220892 ELI MARYANTI
545 26 Nov 2017 30 Nov 2017 123957 FARNSISKA TRASELLA
546 25 Nov 2017 30 Nov 2017 123930 NAKEM
547 28 Nov 2017 30 Nov 2017 108058 RASIDI
548 27 Nov 2017 30 Nov 2017 115051 REYKI ANGGARI
549 28 Nov 2017 30 Nov 2017 206673 TUGINEM
550 28 Nov 2017 30 Nov 2017 123981 YAHANI
551 28 Nov 2017 30 Nov 2017 123969 BAYI NY BENI
552 28 Nov 2017 30 Nov 2017 220895 KHEVIN MEYLO ANGGARA
553 27 Nov 2017 30 Nov 2017 123965 NOVIANTI
554 27 Nov 2017 30 Nov 2017 123966 DARMA
555 28 Nov 2017 30 Nov 2017 123985 JAMIL ARIF
556 27 Nov 2017 30 Nov 2017 123970 BAYI NY RAHMARTHA AYU WIRANDA
557 23 Nov 2017 30 Nov 2017 209384 SUMERI
558 27 Nov 2017 30 Nov 2017 220852 NURIYA
559 25 Nov 2017 30 Nov 2017 123936a SAUTI
560 28 Nov 2017 30 Nov 2017 220897 ANINDIA RAHMAWATI
561 26 Nov 2017 30 Nov 2017 123963 WAYAN DIASTI
562 25 Nov 2017 30 Nov 2017 123932a MURSI ALI
Total
Kode RS: 1703016

Page 11
 sheet1 -1

ua / Jenis Tarif = TARIF RS KELAS C PEMERINTAH

No. SEP INACBG Top Up Total Tarif Tarif RS Jenis
0702R00110170002888 L-1-50-I 4,911,600 4,104,000 RI
0702R00110170002721 I-4-12-I 3,127,800 7,839,500 RI
0702R00110170002999 I-4-20-I 3,676,200 1,436,500 RI
0702R00110170002826 A-4-14-I 2,964,700 1,825,000 RI
0702R00110170002732 O-6-10-I 4,888,200 5,110,594 RI
0702R00110170002784 W-4-14-I 1,498,900 2,403,500 RI
0702R00110170002922 O-6-13-II 1,850,400 2,195,500 RI
0702R00110170002973 A-4-14-I 2,541,200 1,795,000 RI
0702R00110170002770 I-4-17-I 2,491,600 2,128,500 RI
0702R00110170002981 O-6-13-II 2,590,600 3,183,500 RI
0702R00110170002918 J-4-16-II 4,739,300 834,000 RI
0702R00110170002979 J-4-16-I 3,372,600 692,000 RI
0702R00110170002737 I-4-16-I 1,580,900 1,475,000 RI
0702R00110170002755 A-4-14-I 2,117,600 1,325,000 RI
0702R00110170002858 D-4-13-III 4,063,500 2,314,500 RI
0702R00110170002891 O-6-10-I 4,888,200 5,576,094 RI
0702R00110170002889 K-1-14-I 4,583,200 4,213,000 RI
0702R00110170002870 L-1-50-I 4,911,600 3,546,000 RI
0702R00110170002982 L-1-40-I 3,741,300 2,649,500 RI
0702R00110170002887 A-4-14-I 2,117,600 1,232,500 RI
0702R00110170002802 A-4-14-I 2,541,200 1,824,500 RI
0702R00110170002980 L-1-40-I 4,489,600 2,653,000 RI
0702R00110170002917 A-4-14-I 2,117,600 951,000 RI
0702R00110170002911 O-6-10-I 4,888,200 5,958,594 RI
0702R00110170002738 N-4-11-I 1,911,700 2,353,000 RI
0702R00110170002869 O-6-10-I 4,888,200 5,338,594 RI
0702R00111170000136 K-4-17-I 1,423,100 1,179,500 RI
0702R00110170002978 A-4-14-I 2,964,700 2,623,500 RI
0702R00110170002997 I-4-17-III 3,480,800 2,546,000 RI
0702R00110170003001 I-4-17-I 1,779,700 1,259,000 RI
0702R00110170002903 I-4-12-III 3,625,600 2,821,000 RI
0702R00111170000108 K-4-17-I 1,423,100 639,000 RI
0702R00111170000157 M-1-80-I 6,321,400 5,181,000 RI
0702R00111170000174 W-1-10-I 1,925,300 2,344,000 RI
0702R00110170003005 O-6-10-I 4,888,200 5,632,094 RI
0702R00110170002924 O-6-10-I 4,888,200 5,463,094 RI
0702R00110170002920 O-6-10-I 4,888,200 5,554,094 RI
0702R00111170000179 O-6-13-I 1,563,400 2,207,500 RI
0702R00110170002993 I-4-17-III 2,486,300 5,697,500 RI
0702R00110170002848 I-4-17-II 2,900,700 2,277,000 RI
0702R00111170000061 I-4-24-I 3,170,300 1,432,500 RI
0702R00110170002953 I-4-17-I 1,779,700 1,597,500 RI
0702R00111170000029 P-8-16-I 1,808,300 530,500 RI
0702R00110170002996 G-4-23-I 1,991,600 836,500 RI
0702R00110170002989 L-1-40-I 3,741,300 2,857,500 RI
0702R00110170003003 P-8-08-I 3,887,600 1,154,000 RI
0702R00110170002860 I-4-16-I 1,580,900 2,103,500 RI
0702R00110170002894 D-4-13-I 2,244,700 2,823,500 RI

Page 12
 sheet1 -1

0702R00110170003000 K-4-17-I 1,707,700 1,562,500 RI

0702R00111170000103 D-1-20-I 3,880,800 1,469,000 RI
0702R00111170000099 D-1-20-I 3,880,800 3,451,500 RI
0702R00111170000097 L-1-40-I 3,741,300 801,000 RI
0702R00111170000177 W-4-16-I 2,023,800 910,000 RI
0702R00111170000231 W-1-10-I 1,604,500 2,575,545 RI
0702R00110170002994 N-1-11-I 8,960,000 9,677,500 RI
0702R00110170002987 W-4-15-I 1,521,100 2,293,500 RI
0702R00111170000242 O-6-13-II 1,850,400 2,109,000 RI
0702R00111170000149 O-6-10-I 6,843,500 7,642,156 RI
0702R00111170000058 J-4-18-I 2,077,600 1,658,500 RI
0702R00110170002998 K-4-18-I 1,257,500 999,500 RI
0702R00111170000100 A-4-14-I 2,541,200 994,500 RI
0702R00110170002739 D-4-13-I 2,244,700 2,551,500 RI
0702R00111170000172 K-1-11-I 8,042,200 6,751,531 RI
0702R00110170003002 O-6-10-I 5,865,800 6,620,375 RI
0702R00110170002842 J-4-18-I 2,077,600 4,319,500 RI
0702R00110170002856 B-4-13-II 3,680,700 2,693,500 RI
0702R00111170000363 I-4-17-I 2,491,600 783,500 RI
0702R00111170000361 O-6-10-II 6,195,900 10,897,875 RI
0702R00111170000227 K-4-17-I 1,992,400 1,236,500 RI
0702R00111170000197 A-4-14-I 2,964,700 2,601,500 RI
0702R00111170000270 A-4-14-I 2,541,200 1,391,500 RI
0702R00111170000084 L-4-14-I 2,212,400 4,413,500 RI
0702R00111170000222 L-1-50-I 4,911,600 3,844,500 RI
0702R00111170000093 E-4-10-I 3,370,600 2,442,500 RI
0702R00111170000287 I-4-17-I 1,779,700 833,000 RI
0702R00111170000309 M-1-50-I 3,886,400 3,981,000 RI
0702R00111170000348 M-1-50-I 3,886,400 5,207,000 RI
0702R00111170000140 O-6-10-I 4,888,200 5,637,675 RI
0702R00111170000083 O-6-10-I 4,888,200 5,633,175 RI
0702R00111170000293 W-4-16-I 2,428,600 1,635,500 RI
0702R00111170000122 K-4-18-I 1,257,500 1,111,000 RI
0702R00110170002972 B-4-13-II 4,416,800 2,235,000 RI
0702R00111170000277 O-6-10-I 5,865,800 6,296,531 RI
0702R00111170000284 J-4-18-III 4,211,200 1,936,000 RI
0702R00110170002946 P-8-08-I 3,887,600 4,273,500 RI
0702R00111170000139 K-4-17-I 1,992,400 1,626,500 RI
0702R00111170000323 D-4-13-I 2,244,700 1,532,000 RI
0702R00111170000291 N-4-13-I 4,604,100 2,081,000 RI
0702R00111170000528 K-1-14-I 4,583,200 3,667,000 RI
0702R00111170000379 O-6-10-I 6,843,500 11,213,219 RI
0702R00111170000334 A-4-14-I 2,964,700 2,167,500 RI
0702R00111170000225 N-4-12-I 2,181,200 1,383,500 RI
0702R00111170000436 L-1-50-I 4,911,600 4,026,000 RI
0702R00111170000131 I-4-12-II 3,021,300 2,798,500 RI
0702R00111170000356 O-6-10-I 4,888,200 4,651,375 RI
0702R00111170000143 W-1-11-II 1,850,600 3,493,000 RI
0702R00111170000381 G-4-22-I 3,066,800 2,402,500 RI
0702R00111170000057 G-4-15-I 3,078,200 1,820,000 RI
0702R00111170000257 B-4-13-II 3,680,700 801,500 RI
0702R00110170002724 J-4-20-I 5,424,700 5,371,000 RI

Page 13
 sheet1 -1

0702R00111170000353 O-6-10-I 5,865,800 5,784,625 RI

0702R00111170000337 K-4-18-I 1,760,500 2,137,500 RI
0702R00111170000383 M-4-12-I 3,100,900 3,305,625 RI
0702R00111170000357 K-4-18-I 1,257,500 1,144,500 RI
0702R00111170000380 W-4-16-I 2,023,800 4,664,594 RI
0702R00111170000055 I-4-10-I 2,947,100 6,881,000 RI
0702R00111170000536 N-4-12-I 2,181,200 1,257,000 RI
0702R00111170000162 B-4-13-II 3,680,700 3,266,500 RI
0702R00111170000430 D-4-13-I 2,244,700 798,500 RI
0702R00110170002988 P-8-08-II 5,516,500 4,384,000 RI
0702R00110170002893 P-8-08-II 7,723,000 6,278,000 RI
0702R00111170000541 J-4-16-I 3,372,600 720,500 RI
0702R00111170000354 I-4-12-III 3,625,600 4,451,500 RI
0702R00111170000505 P-8-16-I 1,808,300 940,000 RI
0702R00110170002508 P-8-13-I 5,049,500 7,473,000 RI
0702R00111170000412 D-4-13-II 4,447,800 2,030,000 RI
0702R00111170000515 U-4-10-I 3,341,600 1,597,500 RI
0702R00111170000410 K-4-17-I 1,423,100 867,000 RI
0702R00111170000454 A-4-14-I 2,964,700 1,463,000 RI
0702R00111170000211 D-4-13-III 4,876,200 3,507,500 RI
0702R00111170000275 J-4-15-I 4,047,700 2,313,000 RI
0702R00111170000124 P-8-17-II 6,059,400 1,641,500 RI
0702R00111170000292 P-8-08-I 4,665,200 3,925,500 RI
0702R00111170000286 I-4-24-III 9,229,900 3,789,165 RI
0702R00111170000537 P-8-17-II 6,059,400 1,318,000 RI
0702R00111170000538 K-4-18-I 1,509,000 1,514,500 RI
0702R00111170000437 A-4-14-II 3,598,700 2,620,000 RI
0702R00111170000698 A-4-14-I 2,117,600 1,500,000 RI
0702R00111170000355 I-4-17-II 2,071,900 5,213,500 RI
0702R00111170000594 L-1-50-I 4,911,600 3,794,000 RI
0702R00111170000611 L-1-40-II 7,504,200 2,691,500 RI
0702R00111170000560 A-4-14-I 2,117,600 1,425,500 RI
0702R00111170000408 K-4-18-II 1,787,000 1,758,500 RI
0702R00111170000613 I-4-17-I 2,491,600 1,711,500 RI
0702R00111170000486 A-4-14-I 2,964,700 2,073,500 RI
0702R00111170000331 J-4-16-I 4,721,600 4,493,500 RI
0702R00111170000351 D-4-11-I 4,253,400 2,545,000 RI
0702R00111170000396 A-4-14-I 2,117,600 1,890,000 RI
0702R00111170000417 O-6-10-I 4,888,200 5,963,675 RI
0702R00111170000464 W-4-16-I 2,428,600 1,343,000 RI
0702R00111170000668 W-4-14-I 1,249,100 952,500 RI
0702R00111170000696 W-4-15-I 1,825,300 1,847,500 RI
0702R00111170000544 J-4-21-I 2,692,900 1,776,500 RI
0702R00111170000672 G-4-23-I 2,788,200 1,532,500 RI
0702R00111170000466 W-4-16-I 2,428,600 1,843,000 RI
0702R00111170000558 L-1-40-I 3,741,300 4,224,500 RI
0702R00111170000204 P-8-08-I 5,442,700 3,620,500 RI
0702R00111170000432 A-4-14-II 2,570,500 1,117,500 RI
0702R00111170000407 W-4-16-I 2,023,800 1,174,500 RI
0702R00111170000701 K-1-14-I 4,583,200 3,883,000 RI
0702R00111170000859 L-1-40-I 5,237,800 4,449,500 RI
0702R00111170000664 A-4-14-I 2,964,700 3,111,500 RI

Page 14
 sheet1 -1

0702R00111170000615 K-1-14-I 4,583,200 4,218,750 RI

0702R00111170000389 K-1-50-I 4,474,600 3,977,000 RI
0702R00111170000524 W-4-16-I 2,023,800 1,368,500 RI
0702R00111170000700 W-1-10-I 2,246,200 3,546,500 RI
0702R00111170000820 O-6-10-I 4,888,200 5,780,094 RI
0702R00111170000582 W-4-12-I 2,703,300 2,626,500 RI
0702R00111170000587 O-6-10-I 4,888,200 4,124,875 RI
0702R00111170000517 I-4-12-III 5,075,800 4,480,000 RI
0702R00111170000590 O-6-10-I 6,843,500 7,810,152 RI
0702R00111170000630 O-6-10-I 4,888,200 4,866,375 RI
0702R00111170000797 K-4-18-I 1,257,500 1,118,000 RI
0702R00111170000791 A-4-14-II 3,084,600 1,171,000 RI
0702R00111170000734 G-4-22-I 3,577,900 1,410,000 RI
0702R00111170000800 I-4-17-I 1,779,700 1,799,000 RI
0702R00111170000699 J-4-16-I 3,372,600 1,119,000 RI
0702R00111170000623 K-4-18-I 1,257,500 1,535,500 RI
0702R00111170000751 O-6-10-I 4,888,200 5,760,594 RI
0702R00111170000882 O-6-13-I 1,876,100 2,469,000 RI
0702R00111170000854 J-4-16-I 3,372,600 2,021,500 RI
0702R00111170000738 L-1-40-I 3,741,300 2,179,000 RI
0702R00111170000796 K-1-13-I 2,824,200 4,156,000 RI
0702R00111170000543 G-4-26-I 4,193,500 2,370,500 RI
0702R00111170000813 L-1-40-I 3,741,300 3,946,500 RI
0702R00111170000879 O-6-13-II 2,590,600 2,833,500 RI
0702R00111170000625 O-6-10-I 4,888,200 5,240,594 RI
0702R00111170000898 D-4-13-III 4,063,500 1,868,000 RI
0702R00111170000868 W-4-16-I 2,428,600 2,772,500 RI
0702R00111170000983 W-1-10-I 2,246,200 3,500,500 RI
0702R00111170000795 A-4-12-I 3,555,600 1,399,500 RI
0702R00111170000798 O-6-10-I 4,888,200 5,357,094 RI
0702R00111170000697 K-4-17-I 1,707,700 1,680,500 RI
0702R00111170000478 N-4-16-II 3,964,300 2,007,000 RI
0702R00111170000794 A-4-12-I 3,555,600 1,608,000 RI
0702R00111170000694 G-4-15-I 3,078,200 5,937,000 RI
0702R00111170000843 D-4-13-I 2,244,700 1,151,000 RI
0702R00111170000863 L-4-14-I 3,097,400 1,463,000 RI
0702R00111170000719 J-4-16-I 3,372,600 2,234,000 RI
0702R00111170000997 U-4-13-I 1,848,300 1,337,500 RI
0702R00111170001191 L-1-40-I 3,741,300 2,975,500 RI
0702R00111170000945 L-1-40-I 3,741,300 3,625,000 RI
0702R00111170000784 M-4-17-I 2,771,400 1,671,500 RI
0702R00111170001189 B-4-14-I 3,787,400 1,734,500 RI
0702R00111170000914 L-4-11-II 4,437,000 1,781,000 RI
0702R00111170000788 I-4-16-I 1,580,900 2,338,000 RI
0702R00111170000721 W-4-16-I 2,833,400 1,973,000 RI
0702R00111170000924 O-6-10-I 4,888,200 4,993,094 RI
0702R00111170000844 A-4-14-I 2,117,600 1,216,500 RI
0702R00111170000801 O-6-10-I 5,865,800 6,893,031 RI
0702R00111170001159 W-4-16-I 2,428,600 1,127,000 RI
0702R00111170000618 O-6-10-I 4,888,200 6,203,094 RI
0702R00111170000940 O-6-13-II 1,850,400 2,122,000 RI
0702R00111170000935 K-1-14-I 4,583,200 3,734,500 RI

Page 15
 sheet1 -1

0702R00111170001005 P-8-13-I 5,049,500 2,925,000 RI

0702R00111170001021 K-1-13-I 2,824,200 4,671,000 RI
0702R00111170000855 J-4-17-I 2,772,100 1,932,000 RI
0702R00111170000875 J-4-16-I 4,721,600 2,462,000 RI
0702R00111170000809 G-4-15-I 3,078,200 3,271,000 RI
0702R00111170001030 K-4-18-I 1,760,500 1,146,000 RI
0702R00111170001140 L-4-13-I 2,752,600 1,070,500 RI
0702R00111170000953 A-4-13-II 3,221,100 2,141,000 RI
0702R00111170000754 A-4-14-I 2,964,700 3,365,500 RI
0702R00111170001060 A-4-12-I 3,555,600 1,435,500 RI
0702R00111170001017 K-1-13-I 2,824,200 1,958,000 RI
0702R00111170001166 A-4-14-I 2,964,700 2,315,500 RI
0702R00111170000956 K-4-17-I 1,423,100 1,235,000 RI
0702R00111170000963 O-6-10-I 6,843,500 6,548,125 RI
0702R00111170001058 W-1-11-I 2,012,400 3,091,500 RI
0702R00111170001032 O-6-10-I 4,888,200 5,242,094 RI
0702R00111170000913 K-4-18-I 1,760,500 1,625,000 RI
0702R00111170000965 O-6-10-II 6,195,900 7,192,625 RI
0702R00111170000865 K-4-17-I 1,423,100 974,000 RI
0702R00111170000789 P-8-08-I 3,887,600 979,500 RI
0702R00111170000915 I-4-16-III 3,046,200 1,597,000 RI
0702R00111170000555 E-4-10-I 3,370,600 3,236,000 RI
0702R00111170000972 K-4-17-I 1,992,400 1,279,500 RI
0702R00111170000975 K-4-18-I 1,257,500 1,206,000 RI
0702R00111170000918 A-4-12-I 2,539,700 1,128,500 RI
0702R00111170001044 K-1-13-I 2,824,200 7,416,500 RI
0702R00111170001064 O-6-10-I 4,888,200 5,538,594 RI
0702R00111170001192 W-4-12-I 2,703,300 849,000 RI
0702R00111170001059 O-6-10-I 5,865,800 6,821,031 RI
0702R00111170001174 O-6-13-II 2,590,600 2,627,000 RI
0702R00111170001035 O-6-10-I 4,888,200 5,539,094 RI
0702R00111170001065 J-4-17-I 3,326,500 1,378,500 RI
0702R00111170001202 O-6-10-I 6,843,500 6,362,125 RI
0702R00111170000761 J-4-15-I 5,666,800 5,740,000 RI
0702R00111170000908 I-4-17-II 2,900,700 2,562,500 RI
0702R00111170000916 J-4-16-I 4,721,600 2,241,500 RI
0702R00111170000938 J-4-16-I 3,372,600 2,649,000 RI
0702R00111170001331 J-4-18-I 2,908,700 1,544,500 RI
0702R00111170000659 I-4-17-II 2,071,900 4,282,500 RI
0702R00111170001101 K-4-18-I 1,760,500 1,835,500 RI
0702R00111170001190 A-4-14-I 2,964,700 2,406,500 RI
0702R00111170001113 I-4-24-I 2,264,500 1,339,500 RI
0702R00111170001088 A-4-14-II 3,598,700 2,041,000 RI
0702R00111170000977 I-4-21-I 2,292,400 1,776,000 RI
0702R00111170000930 O-6-10-I 4,888,200 5,833,094 RI
0702R00111170001062 Z-4-12-I 1,180,200 1,375,500 RI
0702R00111170001123 M-1-80-I 6,321,400 4,919,500 RI
0702R00111170001007 K-4-18-I 1,257,500 1,399,500 RI
0702R00111170001034 A-4-13-II 2,760,900 1,515,500 RI
0702R00111170001053 K-4-18-I 1,257,500 1,736,500 RI
0702R00111170000905 M-4-21-I 3,106,300 2,769,500 RI
0702R00111170000422 N-4-16-II 4,757,100 6,587,500 RI

Page 16
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0702R00111170001193 N-4-10-III 4,430,300 16,913,500 RI

0702R00111170001080 D-4-11-I 3,645,800 1,178,500 RI
0702R00111170001241 I-1-17-I 9,936,000 7,693,000 RI
0702R0011117V000007 W-4-15-I 1,825,300 815,500 RI
0702R00111170001453 G-4-15-I 4,309,500 1,551,500 RI
0702R00111170001115 J-4-15-I 4,047,700 2,275,000 RI
0702R00111170001198 L-4-12-II 1,689,800 2,688,125 RI
0702R00111170001200 M-1-50-I 5,441,000 4,358,000 RI
0702R00111170001261 W-4-16-I 2,023,800 834,000 RI
0702R00111170001321 O-6-10-I 4,888,200 10,119,156 RI
0702R00111170000845 P-8-12-I 5,878,400 4,400,000 RI
0702R00111170001129 P-8-16-II 3,475,000 2,140,000 RI
0702R00111170001483 A-4-10-I 1,904,800 1,466,000 RI
0702R00111170001396 N-4-10-I 2,490,300 4,335,000 RI
0702R00111170001551 P-8-08-I 3,887,600 1,639,000 RI
0702R00111170001134 J-4-16-I 3,372,600 1,389,000 RI
0702R00111170001201 K-1-14-I 4,583,200 4,026,500 RI
0702R00111170001277 W-4-15-I 1,521,100 1,353,000 RI
0702R00111170000731 N-4-16-II 3,964,300 4,638,000 RI
0702R00110170002992 K-1-20-III 25,339,000 25,561,000 RI
0702R00111170000911 D-4-13-II 3,177,000 2,348,000 RI
0702R00111170001266 G-4-15-I 3,078,200 3,815,000 RI
0702R00111170001197 O-6-10-I 4,888,200 5,312,094 RI
0702R00111170001327 O-6-10-I 5,865,800 6,155,531 RI
0702R00111170001258 W-1-10-I 1,925,300 3,203,000 RI
0702R00111170001195 L-4-12-I 1,277,600 1,730,500 RI
0702R00111170001350 G-4-23-I 1,991,600 1,761,800 RI
0702R00111170001086 K-4-18-I 1,257,500 2,580,500 RI
0702R00111170001328 M-1-50-I 4,663,700 2,866,000 RI
0702R00111170001079 D-4-13-III 4,063,500 2,043,000 RI
0702R00111170001452 O-6-10-I 4,888,200 4,468,875 RI
0702R00111170001199 J-4-16-I 3,372,600 1,802,500 RI
0702R00111170000255 L-4-10-I 1,284,600 6,312,300 RI
0702R00111170001393 O-6-13-I 1,563,400 2,138,500 RI
0702R00111170000894 P-8-08-II 5,516,500 2,551,000 RI
0702R00111170001323 O-6-10-I 6,843,500 7,531,156 RI
0702R00111170001270 O-6-10-I 4,888,200 4,401,375 RI
0702R00111170001379 O-6-10-I 4,888,200 5,544,594 RI
0702R00111170001249 W-1-10-I 1,604,500 4,530,250 RI
0702R00111170000153 I-4-12-I 3,127,800 2,357,500 RI
0702R00111170001333 J-4-16-II 4,739,300 1,103,500 RI
0702R00111170001308 U-4-13-I 1,848,300 1,372,500 RI
0702R00111170001119 A-4-13-I 1,832,700 2,701,500 RI
0702R00111170001243 O-6-10-I 4,888,200 5,658,594 RI
0702R00111170001413 J-4-16-I 4,047,100 1,658,000 RI
0702R00111170001332 L-4-14-I 3,097,400 6,317,500 RI
0702R00111170001438 K-1-14-I 5,499,900 6,010,000 RI
0702R00111170001006 P-8-08-I 4,665,200 3,944,500 RI
0702R00111170001212 A-4-14-I 2,964,700 1,375,500 RI
0702R00111170001449 I-4-12-I 3,127,800 2,357,500 RI
0702R00111170001424 A-4-14-I 2,117,600 2,339,500 RI
0702R00111170001324 J-4-16-I 3,372,600 2,112,500 RI

Page 17
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0702R00111170001397 A-4-12-I 3,555,600 1,805,500 RI

0702R00111170001437 O-6-10-I 4,888,200 5,465,594 RI
0702R00111170001381 O-6-10-I 4,888,200 4,879,375 RI
0702R00111170001481 O-6-13-II 1,850,400 2,121,500 RI
0702R00111170001429 B-4-13-I 3,159,500 745,000 RI
0702R00111170001502 L-1-40-I 3,741,300 2,341,500 RI
0702R00111170001326 J-4-16-I 3,372,600 1,779,000 RI
0702R00111170001504 L-1-40-I 3,741,300 3,047,500 RI
0702R00111170001417 B-4-14-I 3,787,400 2,395,000 RI
0702R00111170001252 D-4-14-I 2,407,500 2,709,000 RI
0702R00111170001592 N-4-16-II 4,757,100 5,903,500 RI
0702R00111170001810 L-4-12-I 1,277,600 3,729,375 RI
0702R00111170001479 K-4-18-I 1,509,000 947,000 RI
0702R00111170001614 K-4-18-I 1,760,500 2,213,000 RI
0702R00111170001610 L-1-50-I 6,876,200 5,346,500 RI
0702R00111170001506 A-4-12-I 3,555,600 2,633,000 RI
0702R00111170001578 O-6-13-II 2,590,600 3,177,500 RI
0702R00111170001329 O-6-10-II 5,163,200 6,103,175 RI
0702R00111170001450 P-8-16-I 1,808,300 674,500 RI
0702R00111170001501 O-6-10-I 4,888,200 5,482,594 RI
0702R00111170001025 K-1-40-I 7,027,200 11,475,000 RI
0702R00111170001163 A-4-14-I 2,541,200 4,104,000 RI
0702R00111170001216 P-8-08-I 5,442,700 5,082,000 RI
0702R00111170001474 J-4-16-I 4,721,600 1,633,000 RI
0702R00111170001515 J-4-16-I 4,721,600 2,197,500 RI
0702R00111170001421 P-8-13-I 7,069,300 909,000 RI
0702R00111170001550 I-4-17-I 1,779,700 1,712,000 RI
0702R00111170001540 U-4-13-I 1,848,300 1,245,000 RI
0702R00111170001447 I-4-15-I 4,313,200 3,923,000 RI
0702R00111170001498 O-6-10-I 4,888,200 5,646,094 RI
0702R00111170001818 O-6-13-II 1,850,400 3,459,500 RI
0702R00111170001548 K-4-18-I 1,760,500 1,760,500 RI
0702R00111170001553 A-4-14-I 2,117,600 862,000 RI
0702R00111170001554 K-1-14-I 4,583,200 6,206,500 RI
0702R00111170001513 A-4-14-I 2,964,700 2,109,500 RI
0702R00111170001031 J-4-16-I 4,047,100 2,547,500 RI
0702R00111170001680 O-6-13-II 1,850,400 1,392,500 RI
0702R00111170001552 W-4-16-I 2,023,800 958,000 RI
0702R00111170001755 O-6-10-I 5,865,800 5,245,875 RI
0702R00111170001834 W-1-10-I 1,604,500 2,343,000 RI
0702R00111170001475 G-4-22-I 3,066,800 2,223,000 RI
0702R00111170001477 O-6-10-II 5,163,200 6,376,894 RI
0702R00111170001574 W-4-12-I 3,784,700 4,465,500 RI
0702R00111170001622 A-4-14-I 2,964,700 2,263,000 RI
0702R00111170001644 C-4-13-I 2,331,900 2,839,500 RI
0702R00111170001794 A-4-14-I 2,117,600 1,260,500 RI
0702R00111170001389 M-1-80-I 6,321,400 7,522,500 RI
0702R00111170001905 G-4-22-I 3,577,900 1,216,000 RI
0702R00111170001632 A-4-14-I 2,541,200 2,024,000 RI
0702R00111170001682 A-4-14-I 2,117,600 1,685,500 RI
0702R00111170001821 J-4-15-I 4,047,700 1,511,000 RI
0702R00111170001687 I-4-14-I 2,504,800 2,271,000 RI

Page 18
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0702R00111170001731 A-4-14-I 2,541,200 1,130,500 RI

0702R00111170001522 I-4-12-III 3,625,600 4,287,500 RI
0702R00111170001819 I-4-12-I 2,606,500 3,242,000 RI
0702R00111170001442 A-4-14-II 3,598,700 3,075,500 RI
0702R00111170001808 O-6-10-I 4,888,200 5,775,675 RI
0702R00111170001441 K-4-17-I 1,707,700 1,560,000 RI
0702R00111170001747 O-6-10-I 4,888,200 5,818,094 RI
0702R00111170001423 G-4-15-I 3,078,200 2,806,000 RI
0702R00111170001470 A-4-14-I 2,117,600 2,605,000 RI
0702R00111170001706 W-4-15-I 1,825,300 1,737,500 RI
0702R00111170001886 A-4-14-II 2,570,500 1,488,000 RI
0702R00111170001570 J-4-16-I 4,721,600 1,973,500 RI
0702R00111170001599 O-6-10-I 6,843,500 8,325,438 RI
0702R00111170001612 K-4-18-I 1,257,500 1,217,500 RI
0702R00111170001766 P-8-03-I 7,436,200 744,500 RI
0702R00111170001768 G-4-22-I 3,577,900 1,679,000 RI
0702R00111170001654 D-4-13-II 4,447,800 2,943,000 RI
0702R00111170000443 J-4-15-II 4,835,800 13,887,000 RI
0702R00111170001940 P-8-16-I 2,531,600 1,463,500 RI
0702R00111170001562 K-4-17-I 1,423,100 1,166,000 RI
0702R00111170001708 O-6-13-II 1,850,400 2,160,500 RI
0702R00111170001759 I-4-10-I 2,947,100 7,337,000 RI
0702R00111170001746 J-4-15-I 4,047,700 1,953,000 RI
0702R00111170001567 J-4-16-I 3,372,600 1,554,500 RI
0702R00111170001690 K-4-18-II 2,501,800 1,339,000 RI
0702R00111170001833 K-4-18-I 1,257,500 1,854,500 RI
0702R00111170001689 J-4-17-I 2,772,100 1,786,500 RI
0702R00111170001754 W-4-16-I 2,023,800 1,070,500 RI
0702R00111170002018 P-8-16-I 1,808,300 744,500 RI
0702R00111170001891 W-1-11-I 1,677,000 2,268,000 RI
0702R00111170001871 B-4-13-II 3,680,700 1,802,500 RI
0702R00111170001906 O-6-10-I 4,888,200 8,716,438 RI
0702R00111170002044 W-1-10-I 1,604,500 2,350,000 RI
0702R00111170001641 O-6-10-I 4,888,200 5,356,875 RI
0702R00111170001758 W-4-16-I 2,428,600 1,116,000 RI
0702R00111170001903 W-4-12-I 2,703,300 1,002,500 RI
0702R00111170001703 O-6-10-I 4,888,200 5,162,875 RI
0702R00111170001882 W-1-10-I 1,604,500 2,443,000 RI
0702R00111170001889 W-1-10-I 1,604,500 2,263,000 RI
0702R00111170001820 K-1-13-I 3,953,900 6,717,500 RI
0702R00111170001717 I-4-20-I 4,288,900 5,148,000 RI
0702R00111170001817 P-8-08-I 3,887,600 4,372,000 RI
0702R00111170002034 K-4-18-I 1,257,500 1,275,500 RI
0702R00111170001825 G-4-15-I 3,078,200 1,955,000 RI
0702R00111170001877 J-4-16-I 3,372,600 1,395,000 RI
0702R00111170001684 A-4-14-I 2,541,200 2,180,000 RI
0702R00111170001814 J-4-16-I 3,372,600 1,860,000 RI
0702R00111170001959 J-4-16-I 4,047,100 1,139,500 RI
0702R00111170001890 O-6-13-I 1,563,400 2,832,500 RI
0702R00111170001900 A-4-14-I 2,964,700 2,550,500 RI
0702R00111170001957 A-4-14-I 2,964,700 2,719,500 RI
0702R00111170002073 A-4-12-I 2,539,700 663,000 RI

Page 19
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0702R00111170001856 N-4-13-II 5,553,100 2,320,000 RI

0702R00111170001860 O-6-10-I 4,888,200 5,494,094 RI
0702R00111170001898 O-6-10-I 4,888,200 5,055,094 RI
0702R00111170002016 S-4-16-I 3,879,600 1,167,000 RI
0702R00111170002022 L-1-40-I 3,741,300 2,842,000 RI
0702R00111170001999 L-1-40-I 3,741,300 4,099,000 RI
0702R00111170001857 A-4-14-I 2,117,600 2,141,000 RI
0702R00111170002072 K-4-17-I 1,423,100 1,223,000 RI
0702R00111170002169 I-4-17-II 2,486,300 848,000 RI
0702R00111170002023 L-1-50-I 6,876,200 4,883,500 RI
0702R00111170002006 M-1-50-I 3,886,400 3,680,000 RI
0702R00111170002111 K-4-16-I 2,770,800 4,913,500 RI
0702R00111170002026 O-6-10-I 5,865,800 5,696,125 RI
0702R00111170002015 B-4-13-II 3,680,700 2,727,500 RI
0702R00111170002104 W-1-11-I 2,347,800 2,561,000 RI
0702R00111170002103 A-4-12-I 2,539,700 762,000 RI
0702R00111170001964 A-4-12-I 2,539,700 1,324,500 RI
0702R00111170002147 W-4-15-II 1,689,300 1,560,000 RI
0702R00111170002062 A-4-14-II 2,570,500 1,566,500 RI
0702R00111170001974 O-6-10-II 5,163,200 5,068,094 RI
0702R00111170002024 O-6-10-I 4,888,200 5,074,094 RI
0702R00111170002314 O-6-10-I 4,888,200 5,459,594 RI
0702R00111170001896 K-4-18-I 1,257,500 1,483,000 RI
0702R00111170002025 J-4-15-I 4,047,700 1,861,500 RI
0702R00111170001875 W-4-16-I 2,023,800 1,514,000 RI
0702R00111170002093 K-1-14-I 4,583,200 3,303,500 RI
0702R00111170002106 G-4-14-I 4,520,800 3,918,000 RI
0702R00111170002102 A-4-14-I 2,964,700 2,119,500 RI
0702R00111170001822 P-8-13-II 7,877,200 4,786,000 RI
0702R00111170002039 G-4-22-I 2,555,600 5,555,500 RI
0702R00111170002242 O-6-13-II 2,220,500 2,546,000 RI
0702R00111170002030 J-4-16-I 4,047,100 2,788,000 RI
0702R00111170002100 O-6-10-I 6,843,500 7,488,125 RI
0702R00111170002065 O-6-10-I 6,843,500 8,014,156 RI
0702R00111170002213 O-6-10-I 4,888,200 5,443,594 RI
0702R00111170001823 P-8-12-II 8,358,300 4,231,500 RI
0702R00111170002076 I-4-19-III 5,482,700 800,000 RI
0702R00111170002272 N-4-12-I 2,181,200 977,000 RI
0702R00111170002221 W-4-12-I 2,703,300 2,458,000 RI
0702R00111170002017 I-4-17-I 1,779,700 1,914,500 RI
0702R00111170002138 I-4-18-III 6,303,300 1,496,000 RI
0702R00111170002218 O-6-13-I 1,563,400 2,038,500 RI
0702R00111170002231 D-4-13-II 3,177,000 1,596,000 RI
0702R00111170002168 O-6-11-II 3,443,200 5,604,500 RI
0702R00111170002208 O-6-10-I 4,888,200 5,247,594 RI
0702R00111170002317 O-6-13-II 1,850,400 2,223,000 RI
0702R00111170002068 J-4-17-I 2,772,100 1,108,900 RI
0702R00111170002226 A-4-14-I 2,964,700 2,196,500 RI
0702R00111170002238 B-4-13-II 3,680,700 1,287,500 RI
0702R00111170002256 O-6-10-I 4,888,200 5,451,094 RI
0702R00111170002309 O-6-13-II 1,850,400 2,781,500 RI
0702R00111170002278 M-1-50-I 3,886,400 2,221,000 RI

Page 20
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0702R00111170002230 O-6-10-I 4,888,200 4,718,375 RI

0702R00111170002330 W-4-16-I 2,428,600 2,473,000 RI
0702R00111170002184 I-4-17-I 1,779,700 2,018,000 RI
0702R00111170002254 P-8-13-II 7,877,200 2,161,000 RI
0702R00111170001894 I-4-12-III 5,075,800 7,614,500 RI
0702R00111170001430 I-4-10-III 7,582,500 8,862,500 RI
0702R00111170002302 L-1-40-I 4,489,600 3,682,500 RI
0702R00111170002011 O-6-10-I 4,888,200 6,037,094 RI
0702R00111170002316 W-4-14-I 1,748,800 1,753,500 RI
0702R00111170002465 P-8-17-II 6,059,400 1,106,500 RI
0702R00111170002476 P-8-17-I 4,712,800 1,527,500 RI
0702R00111170002437 W-1-10-I 1,604,500 2,379,500 RI
0702R00111170002225 W-4-16-I 2,023,800 1,258,500 RI
0702R00111170002290 P-8-16-I 1,808,300 745,000 RI
0702R00111170002288 O-6-10-I 4,888,200 5,361,594 RI
0702R00111170002475 P-8-17-II 8,483,100 1,445,500 RI
0702R00111170002099 W-1-20-I 6,210,500 7,796,500 RI
0702R00111170002300 A-4-14-I 2,117,600 990,000 RI
0702R00111170002339 J-4-16-III 8,389,000 2,223,000 RI
0702R00111170002162 K-4-17-I 1,423,100 1,249,000 RI
0702R00111170002398 O-6-13-II 1,850,400 2,098,000 RI
0702R00111170002329 J-4-17-I 3,881,000 3,108,000 RI
0702R00111170002095 N-4-10-I 3,486,400 2,987,000 RI
0702R00111170002343 A-4-14-I 2,117,600 1,339,000 RI
0702R00111170002399 S-4-10-I 2,038,800 1,299,500 RI
0702R00111170002199 J-4-16-I 3,372,600 1,145,500 RI
0702R00111170002275 K-4-18-I 1,760,500 4,823,500 RI
0702R00111170002340 K-1-50-I 4,474,600 5,192,500 RI
0702R00111170002066 I-4-10-I 2,947,100 6,622,500 RI
0702R00111170002328 W-4-12-I 2,703,300 1,527,000 RI
0702R00111170001772 I-4-12-III 5,075,800 9,752,500 RI
0702R00111170002442 A-4-14-I 2,117,600 1,375,500 RI
0702R00111170002381 N-4-10-I 2,988,400 1,212,500 RI
0702R00111170002390 O-6-13-II 1,850,400 2,221,000 RI
0702R00111170002411 O-6-10-I 4,888,200 5,403,094 RI
0702R00111170002387 O-6-10-I 6,843,500 7,025,636 RI
0702R00111170002501 I-4-17-I 2,491,600 2,518,000 RI
0702R00111170002105 W-1-20-I 6,210,500 7,975,000 RI
0702R00111170001851 K-4-18-II 2,501,800 5,621,000 RI
0702R00111170002592 A-4-13-I 2,138,200 1,189,500 RI
0702R00111170002345 I-4-17-I 1,779,700 1,462,600 RI
0702R00111170002338 O-6-10-II 5,163,200 5,640,594 RI
0702R00111170002462 O-6-13-II 1,850,400 1,682,500 RI
0702R00111170002469 J-4-16-I 4,721,600 1,837,500 RI
0702R00111170002479 O-6-10-II 5,163,200 5,172,594 RI
0702R00111170002371 A-4-14-I 2,964,700 1,891,000 RI
0702R00111170002440 O-6-10-I 4,888,200 5,405,594 RI
0702R00111170002365 O-6-10-I 4,888,200 5,131,875 RI
0702R00111170002380 O-6-10-I 4,888,200 5,365,594 RI
0702R00111170002561 W-4-14-I 1,249,100 1,212,000 RI
0702R00111170002719 W-1-10-I 1,604,500 2,814,625 RI
0702R00111170002315 O-6-10-I 5,865,800 5,328,125 RI

Page 21
 sheet1 -1

0702R00111170002540 M-4-11-I 2,774,800 1,714,000 RI

0702R00111170002502 W-1-10-I 2,246,200 3,660,000 RI
0702R00111170002533 L-1-40-I 3,741,300 960,500 RI
0702R00111170002369 A-4-14-I 2,117,600 1,349,000 RI
0702R00111170002481 P-8-08-I 5,442,700 1,786,000 RI
0702R00111170002376 N-4-13-I 3,288,600 1,570,000 RI
0702R00111170002396 A-4-14-I 2,117,600 1,256,000 RI
0702R00111170002451 C-4-13-I 1,665,600 4,518,500 RI
0702R00111170002483 P-8-16-II 3,475,000 1,649,500 RI
0702R00111170002623 A-4-14-I 2,117,600 889,000 RI
0702R00111170002434 J-4-21-II 4,338,200 1,376,000 RI
0702R00111170002553 O-6-10-I 6,843,500 8,629,125 RI
0702R00111170002428 I-4-17-III 2,486,300 1,371,500 RI
0702R00111170002468 L-4-12-II 2,365,800 2,174,500 RI
0702R00111170002632 J-4-16-I 3,372,600 1,078,500 RI
0702R00111170002542 M-1-50-I 4,663,700 5,218,500 RI
0702R00111170002536 O-6-10-I 4,888,200 5,342,094 RI
0702R00111170002414 W-1-10-I 1,604,500 3,314,500 RI
0702R00111170002418 O-6-10-I 5,865,800 7,534,031 RI
0702R00111170002544 W-1-10-I 1,604,500 2,665,000 RI
0702R00111170002604 P-8-16-I 2,531,600 1,184,500 RI
0702R00111170002578 A-4-12-I 3,555,600 1,696,500 RI
0702R00111170002659 A-4-14-II 3,598,700 1,685,000 RI
0702R00111170002654 O-6-10-I 4,888,200 5,937,094 RI
0702R00111170002656 O-6-10-I 4,888,200 5,295,094 RI
0702R00111170002541 O-6-10-II 6,195,900 6,294,531 RI
0702R00111170002619 K-1-13-I 2,824,200 4,606,500 RI
0702R00111170002624 L-1-40-I 3,741,300 2,951,000 RI
0702R00111170002823 A-4-14-I 2,964,700 2,089,000 RI
0702R00111170002335 I-4-12-III 3,625,600 5,001,500 RI
0702R00111170002565 A-4-14-I 2,117,600 1,500,000 RI
0702R00111170002517 A-4-14-I 2,117,600 1,526,500 RI
0702R00111170002630 G-4-23-I 1,991,600 1,367,500 RI
0702R00111170002539 K-4-18-I 1,257,500 1,298,500 RI
0702R00111170002738 P-8-16-II 3,475,000 1,590,500 RI
0702R00111170002608 M-1-50-I 4,663,700 2,918,800 RI
0702R00111170002495 O-6-10-I 6,843,500 8,077,250 RI
0702R00111170002644 J-4-17-I 3,881,000 3,274,000 RI
0702R00111170002697 K-4-18-I 1,760,500 1,302,000 RI
0702R00111170002600 P-8-13-II 9,452,600 1,830,000 RI
0702R00111170002279 I-4-12-III 3,625,600 5,570,000 RI
0702R00111170002588 L-4-10-I 1,284,600 1,263,000 RI
0702R00111170002385 J-4-15-II 4,835,800 1,647,000 RI
0702R00111170002607 M-1-50-I 4,663,700 4,565,000 RI
0702R00111170002408 G-4-15-III 7,259,200 6,765,500 RI
0702R00111170002374 K-1-40-I 5,856,000 9,118,500 RI
2,003,611,500 1,789,856,020

Page 22
0702R00110170002992
0702R00110170002994
0702R00111170000136
0702R00111170000286
0702R00111170000412
0702R00111170000437
0702R00111170000517
0702R00111170000972
0702R00111170001212
0702R00111170001690
0702R00111170001772
0702R00111170001894
0702R00111170001905
0702R00111170002339
0702R00111170002468
0702R00111170002469
0702R00111170002475
0702R00111170002644

1 31 Okt 2017 15 Nov 2017 200029 LASIYEM 0702R00110170002992 K-1-20-III 25,339,000 25,561,000
2 31 Okt 2017 3 Nov 2017 216117 RELLYE MARTIANA 0702R00110170002994 N-1-11-I 8,960,000 9,677,500
3 1 Nov 2017 1 Nov 2017 123452 KALMI 0702R00111170000136 K-4-17-I 1,423,100 1,179,500
4 2 Nov 2017 7 Nov 2017 123467 MUHAMMAD HANIEFIDZIKRI 0702R00111170000286 I-4-24-III 9,229,900 3,789,165
5 4 Nov 2017 6 Nov 2017 216161 W. EKO SUSANTO 0702R00111170000412 D-4-13-II 4,447,800 2,030,000
6 4 Nov 2017 7 Nov 2017 220471 AULIYA NISA SYAHIDAH 0702R00111170000437 A-4-14-II 3,598,700 2,620,000
7 6 Nov 2017 9 Nov 2017 207175 SUKARDI 0702R00111170000517 I-4-12-III 5,075,800 4,480,000
8 10 Nov 2017 12 Nov 2017 200889 SAMUNA 0702R00111170000972 K-4-17-I 1,992,400 1,279,500
9 13 Nov 2017 15 Nov 2017 220682 NUZUL HUSNI 0702R00111170001200 M-1-50-I 5,441,000 4,358,000
10 19 Nov 2017 21 Nov 2017 218546A ANISA TURROCHMAH 0702R00111170001690 K-4-18-II 2,501,800 1,339,000
11 16 Nov 2017 27 Nov 2017 123789 DWI HARTANTI 0702R00111170001772 I-4-12-III 5,075,800 9,752,500
12 20 Nov 2017 26 Nov 2017 207175 SUKARDI 0702R00111170001894 I-4-12-III 5,075,800 7,614,500
13 19 Nov 2017 19 Nov 2017 106359 RAISYA ARUSHI SYAKIRA SUKANDI 0702R00111170001905 G-4-22-I 3,577,900 1,216,000
14 24 Nov 2017 27 Nov 2017 220859 DHAFIN AZKA ALDRIC 0702R00111170002339 J-4-16-III 8,389,000 2,223,000
15 27 Nov 2017 29 Nov 2017 220872 ZAENURI 0702R00111170002468 L-4-12-II 2,365,800 2,174,500
16 25 Nov 2017 28 Nov 2017 115447 WALUYO 0702R00111170002469 J-4-16-I 4,721,600 1,837,500
17 24 Nov 2017 27 Nov 2017 123919a BAYI NY HERMANELY 0702R00111170002475 P-8-17-II 8,483,100 1,445,500
18 27 Nov 2017 30 Nov 2017 123966 DARMA 0702R00111170002644 J-4-17-I 3,881,000 3,274,000
19 13 Nov 2017 16 Nov 2017 123725 BAYI NY PEPI 0702R00111170001212 A-4-14-I 2,964,700 1,375,500
112,544,200
0702R00110170002992
0702R00110170002994
0702R00111170000136
0702R00111170000286
0702R00111170000412
0702R00111170000437
0702R00111170000517
0702R00111170000972
0702R00111170001212
0702R00111170001690
0702R00111170001772
0702R00111170001894
0702R00111170001905
0702R00111170002339
0702R00111170002468
0702R00111170002469
0702R00111170002475
0702R00111170002644
0702R00110170002992
0702R00110170002994
0702R00111170000136
0702R00111170000286
0702R00111170000412
0702R00111170000437
0702R00111170000517
0702R00111170000972
0702R00111170001200
0702R00111170001690
0702R00111170001772
0702R00111170001894
0702R00111170001905
0702R00111170002339
0702R00111170002468
0702R00111170002469
0702R00111170002475
0702R00111170002644
RI
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