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REKAPITULASI DATA PENERIMAAN HIBAH TINGKAT ESELON 1

UNTUK BULAN JANUARI S.D. MARET XXXX

Bagian Anggaran :
Eselon :

GENERAL INFORMATION LINE MINISTRY DONOR

CASH DISBURSEMENT IN BANK DISBURSEMENT CURRENT YEAR (SPHL/MPHLBJS) DISBURSEMENT CURRENT YEAR
ACCOUNT CURRENT YEAR
NO REGISTRATION PROJECT ENTITY
CASH GOODS/SERVICES CASH GOODS/SERVICES
NUMBER NAME CODE
DATE OF
NO VALUE NO
CURR AMOU ACCOUNT AUTHORIZATI CURR FOREIG CURR AMOU CURR FOREIGN
VALUE DATE IDR IDR SPHL/MPHLBJS DATE IDR BAST
ENCY NT NUMBER ON ENCY N CURR ENCY NT ENCY CURR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
PENERIMAAN UANG MASUK REKENING
PENERIMAAN HIBAH TAHUN INI (SPHL/MPHLBJS) PEMBERIAN HIBAH TAHUN INI
TAHUN INI
NAMA KODE UANG BARANG/JASA UANG BARANG/JASA
NO NO.REGISTER
PROJECT SATKER TANGGAL TANGGAL
MATA NO TANGGAL NO NO
PENERIMAA NILAI MATA PEMBERI MATA MATA
UANG REKENING PENGESAHAN IDR VALAS IDR SPHL/MPHLBJS BAST
N HIBAH UANG AN HIBAH UANG NILAI UANG VALAS IDR

1. 2HJKIL46 USD 100 100,000.00 MPHLBJS USD 100 100,000.00 BAST-10

2. 2LPOMNB17 JPY 1,000.00 100,000.00 BAST-11

3. 71234587 1-Oct-14 USD 100 1-Oct-14 USD 100


31-Oct-14 600,000 SPHL
2-Nov-14 400,000 SPHL
1-Nov-14 USD 150 1-Nov-14 USD 150
DISBURSEMENT CURRENT YEAR
ENTITY
DONOR_RE DATE PROJECT NET DISBURSEMENT REGISTERATION
CLOSING DATE CURRENCY UNDISBURSED
F SIGNED NAME COMMITMENT CUMMULATIVE NUMBER CASH GOODS/SERVICES
VALUE DATE
RENT YEAR

CURRENC NET
GOODS/SERVICES Y COMMITMENT
DISBURSEMENT CURRENT YEAR

NET
DONOR_RE DATE CLOSING PROJECT NET DISBURSEMENT REGISTERATION CURREN
CURRENCY UNDISBURSED ENTITY COMMIT
F SIGNED DATE NAME COMMITMENT CUMMULATIVE NUMBER CASH GOODS/SERVICES CY
MENT
VALUE
DATE

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