1,133,203.00 1,236,581.

00
1 01 InhouseT No.
31/0 31/
-20230131BMRIIDJA01000226642974 490,000.00 D 746,581.00
1 01
31/0 31/
1 01 - 202301318MRIIDJA01000226642974 2,500.00 0 744,081.00
31/0 31/
Tarif Link -01001298 /0011571985/ATB-0000000000920 600,000.00 D 144,081.00
1 01
31/0 31/
Tarif Link -01001298 /0011571985/ATB-0000000000920 7,500.00 0 136,581.00
1 01
31/0 31/
Biaya Adm 12,500.00 D 124,081.00
1 01
01/0 01/
- 20230201CENAIDJA01000235084043 500,000.00 624,081.00

Kepada Yth / To
14216
LANANG ROSENO No. Rekening/Account Number : 142-00-1351602-5
DSN DURAN Nama Produk/Product Name : Tab Mandiri
RT 04 RW 01 Valuta/Currency : Indonesia Rupiah
WONOAYU
Wonoayu SIDOARJO 61261 Periode/Period : 1/01/23 s/d 13/04/23
Cabang/Branch : KCP Mojosari
No. Kartu/Card Number :6032984843066527
No. NPWP/NPWP Number
4843066527

HALAMAN:
1
 Kepada Yth/ To
14216
LANANG ROSENO No. Rekening/Account Number: 142-00-1351602-5
DSN DURAN
Nama Produk/Product Name : Tab Mandiri
RT 04 RW 01 Valuta/Currency : Indonesia Rupiah
WONOAYU
Periode/Period : 1/01/23 s/d 13/04/23
Wonoayu SIDOARJO 61261
Cabang/Branch : KCP Mojosari
No. Kartu/Card Number : 6032984843066527
No. NPWP/NPWP Number

4843066527

HALAMAN:
2

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date
Date
V Description/Reference No. Debet / Credit Balance

15/02 Saldo Pemindahan 2,069,365.00

15/0 15/0
- S1AW10U2 /0000005077/ATM-BECIRO 01 1,000,000.00 0 2,069,365.00
2 2
15/0 15/0
-20230215BMRIIDJA01000226024661 490,000.00 D 1,579,365.00
2 2
15/0 15/0
-202302158MRIIDJA01000226024661 2,500.00 0 1,576,865.00
2 2
16/0
16/02 - UBP60148960801FFFFFF896082233418800 83,000.00 0 1,493,865.00
2
16/0 16/0
- UBP60148960801FFFFFF896082233418800 51,000.00 0 1,442,865.00
2 2
16/0
16/02 - 20230216BMRIIDJA01000226443682 200,000.00 D 1,242,865.00
2
16/0 16/0
- 202302168MRI[DJA01000226443682 2,500.00 0 1,240,365.00
2 2
16/0
16/02 -MONTHLY CARD CHARGE 0006032984843066527 2,500.00 0 1,237,865.00
2
19/0 19/0
S1ANKDBB /0000006592/ATM-DEAWIJAYA 0 700,000.00 0 537,865.00
2 2
23/0 23/0
MCM InhouseTrf - 5,800,000.00 6,337,865.00
2 2
23/0
23/02 - S1AW10U2 /0000006718/ATM-BECIRO 01 1,000,000.00 0 5,337,865.00
2
23/0 23/0
- S1AW1DU2 /0000006719/ATM-BECIRO 01 1,000,000.00 D 4,337,865.00
2 2
23/0 23/0
MCM InhouseTrf- 2,850,000.00 0 1,487,865.00
2 2
24/0
24/02 - UBP60148961801FFFFFF8961802021389709 85,773.00 D 1,402,092.00
2
26/0 26/0
- S1AW1NUH /0000005809/ATM-CEMENGKALAN 300,000.00 0 1,102,092.00
2 2
27/0
27/02 - S1AW1DU2 /0000007793/ATM-BECIRO 01 1,000,000.00 D 102,092.00
2
28/0 28/0
MCM InhouseTrf- 1,062,476.00 1,164,568.00
2 2
28/0 28/0
Biaya Adm - 12,500.00 0 1,152,068.00
2 2
01/0 01/0
- S1AW14UX /0000009107/ATM-BANGSRI 01 200,000.00 0 952,068.00
3 3
01/0
01/03 - 1420013516025/0E36000808323171/613101014 500,000.00 D 452,068.00
3
01/0 01/0
-Transfer Fee 167476034460456270 6,500.00 0 445,568.00
3 3
02/0
02/03 - 20230302BMRIIDJA01000220055132 250,000.00 0 195,568.00
3
02/0 02/0
- 20230302BMRIIDJA01000220055132 2,500.00 0 193,068.00
3 3
15/0 15/0
3 3 MCM InhouseTrf - 1,642,433.00 1,835,501.00
16/0 16/
- S1AW1NKO /0000007684/ATM-SUKODONO 01 1,000,000.00 0 835,501.00
3 03
16/0 16/0
- S1AW1NKO /0000007686/ATM-SUKODONO 01 200,000.00 0 635,501.00
3 3
16/0 16/
3 -20230316BMRII0JA01000226089282 490,000.00 0 145,501.00
03
16/0 16/0
3 3 - 20230316BMRIIDJA01000226089282 2,500.00 D 143,001.00
16/0 16/ 2,500.00 0 140,501.00
-MONTHLY CARD CHARGE 0006032984843066527
03
3
 Kepada Yth / To
14216
LANANG ROSENO
DSN DURAN
No. Rekening/Account Number: 142-00-1351602-5
RT 04 RW 01 Nama Produk/Product Name : Tab Mandiri
WONOAYU Valuta/Currency : Indonesia Rupiah
Honoayu SIDOARJO 61261 Periode/Period : 1/01/23 s/d 13/04/23
Cabang/Branch : KCP Mojosari
No. Kartu/Card Number :6032984843066527
No. NPWP/NPWP Number
4843066527

HALAMAN:
3

Saldo
Da
Tgl. Val.D Rincian Transaksi / No. Referensi
Description / Reference No. Debet / Credit Balance
te ate Description / Reference No.
29/
Saldo Pemindahan 140,501.00
03
29/
29/03 - S1AW10U2 /0000005386/ATM-BECIRO 01 200,000.00 0 140,501.00
03
31/
31/03 MCM InhouseTrf - 2,036,919.00 2,177,420.00
03
31/
31/03 -1420013516025/0E36000857436841/184071356 250,000.00 0 1,927,420.00
03
31/
31/03 -Transfer Fee 171826786922404085 6,500.00 D 1,920,920.00
03
31/
31/03 - S1AW10U2 /0000005919/ATM-BECIRO 01 1,000,000.00 0 920,920.00
03
31/
31/03 S1AW1DU2 /0000005920/ATM-BECIRO 01 300,000.00 D 620,920.00
03
31/
31/03 Biaya Adm - 12,500.00 0 608,420.00
03
02/
02/04 - S1AW1DU2 /0000006889/ATM-BECIRO 01 500,000.00 D 108,420.00
04
10/
10/04 MCM InhouseTrf - 4,243,582.00 4,352,002.00
0
11/
11/04 - S1AW1DU3 /0000006690/ATM-ALAMPESONA 1,000,000.00 D 3,352,002.00
04
11/
11/04 - S1AW10U3 /0000006691/ATM-ALAMPESONA 1,000,000.00 0 2,352,002.00
0
117,073.00

M
u
t 26,026,856.00 16
M 23,791,927.00 54
u
t

Biaya Administrasi:Rp 7,500.00

(RP 2,500.00 per halaman)
Biaya Administrasi:Rp

Status Biaya Statement Nasabah:

* ENO OF REPORT * ACCEPTED
000

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