BUKU KAS UMUM

Pengeluaran
NO TANGGAL URAIAN No. Bukti Penerimaan Rp. Rp. Saldo

1 Saldo awal termin I 70% 105,000,000

2 Potongan pajak PPh 22. 1.5% 1,575,000
3 total dana yang diterima KKM 103,425,000 103,425,000
4 saldo mengendap di Bank 532,000 102,893,000
5 Pasir 2,400,000 100,493,000
6 Batako 6,600,000 93,893,000
7 Semen 7,700,000 86,193,000
8 Pintu Platinum + kusen 3,410,000 82,783,000
9 Wastapel 2,750,000 80,033,000
10 Kanal partisi 7,040,000 72,993,000
11 Reng 2,640,000 70,353,000
12 Kalsibot 3,520,000 66,833,000
13 Kloset 1,375,000 65,458,000
14 Spandek 3,850,000 61,608,000
15 Baut Kanal 1,400,000 60,208,000
16 Baut spandek 1,060,000 59,148,000
17 Baut kalsiboard 700,000 58,448,000
18 Mil/semen putih 385,000 58,063,000
19 Kuas rol 150,000 57,913,000
20 Amplas 150,000 57,763,000
21 Cat tembok 2,100,000 55,663,000
22 Pipa 3" 880,000 54,783,000
23 Pipa 2" 1,320,000 53,463,000
24 Pipa 1" 180,000 53,283,000
25 Pipa 1/2" 1,232,000 52,051,000
26 Knee 3" 660,000 51,391,000
27 Knee 2" 440,000 50,951,000
28 Knee 1/2 264,000 50,687,000
29 Tee 1/2 132,000 50,555,000
30 Tee 1" 165,000 50,390,000
31 SDD 1/2 132,000 50,258,000
32 Sel tip 44,000 50,214,000
33 Lem rajawali 165,000 50,049,000
34 Kran onda 1/2 " 550,000 49,499,000
35 Benang Sifat 30,000 49,469,000
36 Rompi 440,000 49,029,000
37 Helmet 550,000 48,479,000
38 Kaos tangan 300,000 48,179,000
39 sepatu bod 660,000 47,519,000
40 Kotak P3K 200,000 47,319,000
41 Buis beton 9,625,000 37,694,000
42 Tutup buis beton 2,640,000 35,054,000
43 Bak sampah 1 set 4,950,000 30,104,000
44 Bak air/ember dan gayung 880,000 29,224,000
45 1 sak Cornes 990,000 28,234,000
46 kepala tukang 5,500,000 22,734,000
47 Tukang 4,180,000 18,554,000
48 Pekerja 10,560,000 7,994,000
49 Buat stempel 40,000 7,954,000
50 Bak stempel 45,000 7,909,000
51 Tipe X 30,000 7,879,000
52 Buku Kwitansi 7,000 7,872,000
53 Tinta Print epson 750,000 7,122,000
54 Konsumsi rapat 750,000 6,372,000
 Pengeluaran
NO TANGGAL URAIAN No. Bukti Penerimaan Rp. Rp. Saldo

55 materai 10 Ribu 300,000 6,072,000

56 Polpen 30,000 6,042,000
57 Buku Besar 25,000 6,017,000
58 Konsultasi Perangkat Dinas 300,000 5,717,000
59 Kertas HVS 100,000 5,617,000
60 Konsumsi Rapat 650,000 4,967,000
61 Potocopy 84,000 4,883,000
62 Survey lokasi 700,000 4,183,000
63 Survey Bahan Material 250,000 3,933,000
64 Sewa Printer + Laptop 500,000 3,433,000
65 Konsultasi perangkat Dinas 250,000 3,183,000
66 Pembuatan laporan 189,000 2,994,000
JUMLAH 103,425,000 100,431,000
SISA SALDO 2,994,000

Desa Rempek, September 2021

Diverifikasi Oleh, Disusun Oleh :
Penanggungjawab Kesling Kepala Puskesmas / KKM
Dinkes Kabupaten Sanitarian Puskesmas

(H. ZAINI, S.ST) I KETUT SUKRASTA (MAYADI)

NIP. 196812311990031067 NIP. 19631231 198603 1 336
 LAPORAN PENGGUNAAN DANA TERMIN 1 DST.

DESA : KECAMATAN :
NAMA KKM : KABUPATEN :

Biaya Laporan Lalu Biaya Laporan Saat Ini Komulatif Biaya

NO URAIAN Satuan Jumlah Satuan Jumlah Satuan Jumlah
Vol Vol. Vol
Rp. Rp. RP. Rp. RP. Rp.
A. Bahan / Material Jamban
1 Pasir 8 300,000 2,400,000 8 300000 2,400,000
2 Batako 3,300 2,000 6,600,000 3,300 2000 6,600,000
3 Semen 110 70,000 7,700,000 110 70000 7,700,000
4 Pintu Platinum + kusen 11 310,000 3,410,000 11 310000 3,410,000
5 Wastapel 11 250,000 2,750,000 11 250000 2,750,000
6 Kanal partisi 88 80,000 7,040,000 88 80000 7,040,000
7 Reng 44 60,000 2,640,000 44 60000 2,640,000
8 Kalsibot 44 80,000 3,520,000 44 80000 3,520,000
9 Kloset 11 125,000 1,375,000 11 125000 1,375,000
10 Spandek 44 87,500 3,850,000 44 87500 3,850,000
11 Baut Kanal 4 350,000 1,400,000 4 350000 1,400,000
12 Baut spandek 4 265,000 1,060,000 4 265000 1,060,000
13 Baut kalsiboard 4 175,000 700,000 4 175000 700,000
14 Mil/semen putih 11 35,000 385,000 11 35000 385,000
15 Kuas rol 4 37,500 150,000 4 37500 150,000
16 Amplas 5 30,000 150,000 5 30000 150,000
17 Cat tembok 2 1,050,000 2,100,000 2 1050000 2,100,000
18 Pipa 3" 11 80,000 880,000 11 80000 880,000
19 Pipa 2" 22 60,000 1,320,000 22 60000 1,320,000
20 Pipa 1" 4 45,000 180,000 4 45000 180,000
21 Pipa 1/2" 44 28,000 1,232,000 44 28000 1,232,000
22 Knee 3" 22 30,000 660,000 22 30000 660,000
23 Knee 2" 22 20,000 440,000 22 20000 440,000
24 Knee 1/2 44 6,000 264,000 44 6000 264,000
25 Tee 1/2 22 6,000 132,000 22 6000 132,000
26 Tee 1" 11 15,000 165,000 11 15000 165,000
27 SDD 1/2 22 6,000 132,000 22 6000 132,000
28 Sel tip 10 4,400 44,000 10 4400 44,000
29 Lem rajawali 10 16,500 165,000 10 16500 165,000
30 Kran onda 1/2 " 22 25,000 550,000 22 25000 550,000
31 Benang Sifat 6 5,000 30,000 6 5000 30,000
TOTAL A 53,424,000 53,424,000

B. 1 Rompi 11 40,000 440,000 11 40000 440,000

2 Helmet 11 50,000 550,000 11 50000 550,000
3 Kaos tangan 20 15,000 300,000 20 15000 300,000
4 sepatu bod 10 66,000 660,000 10 66000 660,000
5 Kotak P3K 1 200,000 200,000 1 200000 200,000
6 Buis beton 77 125,000 9,625,000 77 125000 9,625,000
7 Tutup buis beton 33 80,000 2,640,000 33 80000 2,640,000
8 Bak sampah 1 set 22 225,000 4,950,000 22 225000 4,950,000
9 Bak air/ember dan gayung 11 80,000 880,000 11 80000 880,000
 Biaya Laporan Lalu Biaya Laporan Saat Ini Komulatif Biaya
NO URAIAN Satuan Jumlah Satuan Jumlah Satuan Jumlah
Vol Vol. Vol
Rp. Rp. RP. Rp. RP. Rp.
10 1 sak Cornes 11 90,000 990,000 11 90000 990,000
11 kepala tukang 44 125,000 5,500,000 44 125000 5,500,000
12 Tukang 44 95,000 4,180,000 44 95000 4,180,000
13 Pekerja 132 80,000 10,560,000 132 80000 10,560,000
TOTAL B 41,475,000 41,475,000

C. 1 Buat stempel 1 40,000 40,000 1 40000 40,000

2 Bak stempel 1 45,000 45,000 1 45000 45,000
3 Tipe X 1 30,000 30,000 1 30000 30,000
4 Buku Kwitansi 1 7,000 7,000 1 7000 7,000
5 Tinta Print epson 3 250,000 750,000 3 250000 750,000
6 Konsumsi rapat 1 750,000 750,000 1 750000 750,000
7 materai 10 Ribu 30 10,000 300,000 30 10000 300,000
8 Polpen 1 30,000 30,000 1 30000 30,000
9 Buku Besar 1 25,000 25,000 1 25000 25,000
10 Konsultasi Perangkat Dinas 1 300,000 300,000 1 300000 300,000
11 Kertas HVS 4 25,000 100,000 4 25000 100,000
12 Konsumsi Rapat 1 650,000 650,000 1 650000 650,000
13 Potocopy 1 84,000 84,000 1 84000 84,000
14 Survey lokasi 1 700,000 700,000 1 700000 700,000
15 Survey Bahan Material 1 250,000 250,000 1 250000 250,000
16 Sewa Printer + Laptop 1 500,000 500,000 1 500000 500,000
17 Konsultasi perangkat Dinas 1 250,000 250,000 1 250000 250,000
18 Pembuatan laporan 1 189,000 189,000 1 189000 189,000
TOTAL C 5,000,000 5,000,000
TOTAL A+B+C 99,899,000 99,899,000

Desa Rempek, September 2021

Diverifikasi Oleh,
Penanggungjawab Kesling Kepala Puskesmas / KKM
Dinkes Kabupaten Sanitarian Puskesmas

(……………………………………..) I KETUT SUKRASTA (MAYADI)

NIP. 19631231 198603 1 336