PT. BANK RAKYAT INDONESIA (PERSERO), TBK.

Jl. Jenderal Sudirman Kav. 44-46 Jakarta 10210

Telp. 021-5758965, 45, 46, 64 Facs. 021-5700914
TIME PRINTED : 8:08:44PM
SNAP STATEMENT

Periode : 01/10/20 - 31/10/20 PUSKESMAS TANJUNG RA

Nomor Rekening : 00000155-01-002134-30-9

Cabang : 00155 - Kota Bumi

Last Balance :  1,845,770,486.00

Trans Eff Trans Description Trans No. Cek Debet Kredit Ledger Balance User Id
Date Date Code

- - - B/F -  0.00  0.00  1,913,108,326.00 -

7/10/20 7/10/20 Novi SriwaPyuningsiP 7563/004 -  1,339,890.00  0.00  1,911,768,436.00 0374650
7/10/20 7/10/20 Avif AmrullaP 7563/004 -  1,914,782.00  0.00  1,909,853,654.00 0374651
7/10/20 7/10/20 Noya 7563/004 -  2,001,818.00  0.00  1,907,851,836.00 0374662
7/10/20 7/10/20 Rimi Nofalia 7563/004 -  4,128,750.00  0.00  1,903,723,086.00 0374663
7/10/20 7/10/20 Rieka RaPayu Campina 7563/004 -  3,753,409.00  0.00  1,899,969,677.00 0374654
7/10/20 7/10/20 Ria Susanti 7563/004 -  1,442,958.00  0.00  1,898,526,719.00 0374670
7/10/20 7/10/20 Erma Yunita 7563/004 -  2,752,500.00  0.00  1,895,774,219.00 0374664
7/10/20 7/10/20 Okta Mularini 7563/004 -  1,339,890.00  0.00  1,894,434,329.00 0374660
7/10/20 7/10/20 Anita 7563/004 -  2,001,818.00  0.00  1,892,432,511.00 0374661
7/10/20 7/10/20 Mulyadi 7563/004 -  1,664,555.00  0.00  1,890,767,956.00 0374652
7/10/20 7/10/20 MukPtar Kamil 7563/004 -  1,876,705.00  0.00  1,888,891,251.00 0374653
7/10/20 7/10/20 Okta Perianti 7563/004 -  1,975,478.00  0.00  1,886,915,773.00 0374671
7/10/20 7/10/20 WaPyudi 7563/004 -  1,795,109.00  0.00  1,885,120,664.00 0374675
7/10/20 7/10/20 Yanti Sari 7563/004 -  1,442,958.00  0.00  1,883,677,706.00 0374667
7/10/20 7/10/20 Ismo Parsoyo 7563/004 -  1,339,890.00  0.00  1,882,337,816.00 0374647
7/10/20 7/10/20 Lilis Suryati 7563/004 -  1,339,890.00  0.00  1,880,997,926.00 0374669
7/10/20 7/10/20 Maria Deni Ratnawati 7563/004 -  1,442,958.00  0.00  1,879,554,968.00 0374644
7/10/20 7/10/20 Susi RaPayuningsiP 7563/004 -  2,001,818.00  0.00  1,877,553,150.00 0374643
7/10/20 7/10/20 Susila Partini 7563/004 -  2,126,932.00  0.00  1,875,426,218.00 0374645
7/10/20 7/10/20 Novitasari 7563/004 -  1,914,783.00  0.00  1,873,511,435.00 0374656

Cetakan Cash Management System BRI tanggal - 03/11/2020

1
 TIME PRINTED : 8:08:44PM
SNAP STATEMENT

Periode : 01/10/20 - 31/10/20 PUSKESMAS TANJUNG RA

Nomor Rekening : 00000155-01-002134-30-9

Cabang : 00155 - Kota Bumi

Last Balance :  1,845,770,486.00

Trans Eff Trans Description Trans No. Cek Debet Kredit Ledger Balance User Id
Date Date Code

7/10/20 7/10/20 Febrian Pramana Putra 7563/004 -  3,753,409.00  0.00  1,869,758,026.00 0374648
7/10/20 7/10/20 Ferdaya 7563/004 -  1,442,958.00  0.00  1,868,315,068.00 0374657
7/10/20 7/10/20 Suci RamadPona 7563/004 -  1,740,711.00  0.00  1,866,574,357.00 0374674
7/10/20 7/10/20 Siti Pajar 7563/004 -  1,251,136.00  0.00  1,865,323,221.00 0374665
7/10/20 7/10/20 Rama Daniati 7563/004 -  1,442,958.00  0.00  1,863,880,263.00 0374646
7/10/20 7/10/20 Arumeijayanti 7563/004 -  2,611,067.00  0.00  1,861,269,196.00 0374658
7/10/20 7/10/20 Paisman 7563/004 -  1,876,705.00  0.00  1,859,392,491.00 0374668
7/10/20 7/10/20 Didi Iswanto 7563/004 -  2,798,594.00  0.00  1,856,593,897.00 0374655
7/10/20 7/10/20 Lany Parma Sari 7563/004 -  1,914,783.00  0.00  1,854,679,114.00 0374659
7/10/20 7/10/20 Tias SusianaP 7563/004 -  1,839,772.00  0.00  1,852,839,342.00 0374681
7/10/20 7/10/20 Weni Anisa Sari 7563/004 -  1,442,958.00  0.00  1,851,396,384.00 0374673
7/10/20 7/10/20 Reni Marina 7563/004 -  2,377,159.00  0.00  1,849,019,225.00 0374683
7/10/20 7/10/20 Pera Susanti 7563/004 -  2,252,045.00  0.00  1,846,767,180.00 0374682
7/10/20 7/10/20 Yulian 7563/004 -  3,878,523.00  0.00  1,842,888,657.00 0374676
7/10/20 7/10/20 Septriana 7563/004 -  2,877,614.00  0.00  1,840,011,043.00 0374678
7/10/20 7/10/20 Siti AminaP 7563/004 -  1,958,300.00  0.00  1,838,052,743.00 0374679
7/10/20 7/10/20 Rio Inzar Agus Setiawan 7563/004 -  1,675,435.00  0.00  1,836,377,308.00 0374672
7/10/20 7/10/20 Rusmini 7563/004 -  2,627,386.00  0.00  1,833,749,922.00 0374677
7/10/20 7/10/20 Amrina NingsiP 7563/004 -  2,502,273.00  0.00  1,831,247,649.00 0374680
7/10/20 7/10/20 Reliyana 7563/004 -  5,129,659.00  0.00  1,826,117,990.00 0374684
7/10/20 7/10/20 MukHtar Kamil 7563/004 -  1,951,964.00  0.00  1,824,166,026.00 0374681
7/10/20 7/10/20 Rama Daniati 7563/004 -  1,548,927.00  0.00  1,822,617,099.00 0374600
7/10/20 7/10/20 Arumeijayanti 7563/004 -  2,252,265.00  0.00  1,820,364,834.00 0374682
7/10/20 7/10/20 Rimi Nofalia 7563/004 -  4,294,320.00  0.00  1,816,070,514.00 0374685
7/10/20 7/10/20 Anita 7563/004 -  2,082,095.00  0.00  1,813,988,419.00 0374601

Cetakan Cash Management System BRI tanggal - 03/11/2020

2
 TIME PRINTED : 8:08:44PM
SNAP STATEMENT

Periode : 01/10/20 - 31/10/20 PUSKESMAS TANJUNG RA

Nomor Rekening : 00000155-01-002134-30-9

Cabang : 00155 - Kota Bumi

Last Balance :  1,845,770,486.00

Trans Eff Trans Description Trans No. Cek Debet Kredit Ledger Balance User Id
Date Date Code

7/10/20 7/10/20 Suci RamadHona 7563/004 -  1,841,853.00  0.00  1,812,146,566.00 0374605

7/10/20 7/10/20 Erma Yunita 7563/004 -  2,862,880.00  0.00  1,809,283,686.00 0374602
7/10/20 7/10/20 Avif AmrullaH 7563/004 -  880,886.00  0.00  1,808,402,800.00 0374688
7/10/20 7/10/20 Maria Deni Ratnawati 7563/004 -  1,548,927.00  0.00  1,806,853,873.00 0374695
7/10/20 7/10/20 Amrina NingsiH 7563/004 -  2,602,618.00  0.00  1,804,251,255.00 0374692
7/10/20 7/10/20 Weni Anisa Sari 7563/004 -  1,548,927.00  0.00  1,802,702,328.00 0374691
7/10/20 7/10/20 Ria Susanti 7563/004 -  1,548,927.00  0.00  1,801,153,401.00 0374690
7/10/20 7/10/20 WaHyudi 7563/004 -  1,876,888.00  0.00  1,799,276,513.00 0374694
7/10/20 7/10/20 Susila Hartini 7563/004 -  2,212,225.00  0.00  1,797,064,288.00 0374604
7/10/20 7/10/20 Noya 7563/004 -  2,082,095.00  0.00  1,794,982,193.00 0374607
7/10/20 7/10/20 Haisman 7563/004 -  1,951,964.00  0.00  1,793,030,229.00 0374606
7/10/20 7/10/20 Mulyadi 7563/004 -  1,786,797.00  0.00  1,791,243,432.00 0374689
7/10/20 7/10/20 Lany parma Sari 7563/004 -  880,886.00  0.00  1,790,362,546.00 0374687
7/10/20 7/10/20 Didi Iswanto 7563/004 -  2,910,823.00  0.00  1,787,451,723.00 0374699
7/10/20 7/10/20 Rusmini 7563/004 -  2,732,749.00  0.00  1,784,718,974.00 0374696
7/10/20 7/10/20 Okta Mularini 7563/004 -  1,438,289.00  0.00  1,783,280,685.00 0374686
7/10/20 7/10/20 Febrian pramana putra 7563/004 -  3,903,927.00  0.00  1,779,376,758.00 0374684
7/10/20 7/10/20 Rio Inzar Agus Setiawan 7563/004 -  1,751,762.00  0.00  1,777,624,996.00 0374693
7/10/20 7/10/20 Novi SriwaHyuningsiH 7563/004 -  1,438,289.00  0.00  1,776,186,707.00 0374697
7/10/20 7/10/20 Rieka RaHayu Campina 7563/004 -  3,903,927.00  0.00  1,772,282,780.00 0374683
7/10/20 7/10/20 Ismo Harsoyo 7563/004 -  1,438,289.00  0.00  1,770,844,491.00 0374698
7/10/20 7/10/20 Yanti Sari 7563/004 -  1,548,927.00  0.00  1,769,295,564.00 0374612
7/10/20 7/10/20 Reliyana 7563/004 -  5,335,367.00  0.00  1,763,960,197.00 0374610
7/10/20 7/10/20 Siti Hajar 7563/004 -  1,301,309.00  0.00  1,762,658,888.00 0374613
7/10/20 7/10/20 Susi RaHayuningsiH 7563/004 -  2,082,095.00  0.00  1,760,576,793.00 0374611

Cetakan Cash Management System BRI tanggal - 03/11/2020

3
 TIME PRINTED : 8:08:44PM
SNAP STATEMENT

Periode : 01/10/20 - 31/10/20 PUSKESMAS TANJUNG RA

Nomor Rekening : 00000155-01-002134-30-9

Cabang : 00155 - Kota Bumi

Last Balance :  1,845,770,486.00

Trans Eff Trans Description Trans No. Cek Debet Kredit Ledger Balance User Id
Date Date Code

7/10/20 7/10/20 Lilis Suryati 7563/004 -  1,438,289.00  0.00  1,759,138,504.00 0374617

7/10/20 7/10/20 Tias SusianaH 7563/004 -  1,974,881.00  0.00  1,757,163,623.00 0374619
7/10/20 7/10/20 Yulian 7563/004 -  4,034,058.00  0.00  1,753,129,565.00 0374615
7/10/20 7/10/20 Okta Perianti 7563/004 -  2,054,699.00  0.00  1,751,074,866.00 0374614
7/10/20 7/10/20 Hera Susanti 7563/004 -  2,342,356.00  0.00  1,748,732,510.00 0374618
7/10/20 7/10/20 Novitasari 7563/004 -  1,651,661.00  0.00  1,747,080,849.00 0374609
7/10/20 7/10/20 Reni Marina 7563/004 -  2,472,487.00  0.00  1,744,608,362.00 0374628
7/10/20 7/10/20 Septriana 7563/004 -  2,877,895.00  0.00  1,741,730,467.00 0374627
7/10/20 7/10/20 Siti AminaH 7563/004 -  2,102,115.00  0.00  1,739,628,352.00 0374625
7/10/20 7/10/20 Ferdaya 7563/004 -  1,548,927.00  0.00  1,738,079,425.00 0374626
7/10/20 7/10/20 perjadin jkn agsts 20 7563/004 -  300,000.00  0.00  1,737,779,425.00 0374677
7/10/20 7/10/20 perjadin jkn agustus 20 7563/004 -  300,000.00  0.00  1,737,479,425.00 0374678
7/10/20 7/10/20 perjadin kb agsts 20 7563/004 -  300,000.00  0.00  1,737,179,425.00 0374649
7/10/20 7/10/20 perjadin jkn september 20 7563/004 -  300,000.00  0.00  1,736,879,425.00 0374690
7/10/20 7/10/20 perjadin jkn septmber 20 7563/004 -  300,000.00  0.00  1,736,579,425.00 0374627
7/10/20 7/10/20 perjadin kb september 20 7563/004 -  300,000.00  0.00  1,736,279,425.00 0374675
7/10/20 7/10/20 perjadin homecare september 20 7563/004 -  16,200,000.00  0.00  1,720,079,425.00 0374664
8/10/20 8/10/20 blj ATK agustus 20 7563/004 -  991,000.00  0.00  1,719,088,425.00 0374688
8/10/20 8/10/20 blj alat kebersihan agsts 20 7563/004 -  615,000.00  0.00  1,718,473,425.00 0374624
8/10/20 8/10/20 blj listrik agsts 20 7563/004 -  1,211,400.00  0.00  1,717,262,025.00 0374691
8/10/20 8/10/20 blj cetak agsts 20 7563/004 -  985,000.00  0.00  1,716,277,025.00 0374669
8/10/20 8/10/20 blj fotocopi september 20 7563/004 -  950,000.00  0.00  1,715,327,025.00 0374663
8/10/20 8/10/20 blj makan minum agsts 20 7563/004 -  3,369,600.00  0.00  1,711,957,425.00 0374622
8/10/20 8/10/20 blj ATK septmber 20 7563/004 -  360,000.00  0.00  1,711,597,425.00 0374687
8/10/20 8/10/20 blj alat kebersihan septmber 20 7563/004 -  615,000.00  0.00  1,710,982,425.00 0374641

Cetakan Cash Management System BRI tanggal - 03/11/2020

4
 TIME PRINTED : 8:08:44PM
SNAP STATEMENT

Periode : 01/10/20 - 31/10/20 PUSKESMAS TANJUNG RA

Nomor Rekening : 00000155-01-002134-30-9

Cabang : 00155 - Kota Bumi

Last Balance :  1,845,770,486.00

Trans Eff Trans Description Trans No. Cek Debet Kredit Ledger Balance User Id
Date Date Code

8/10/20 8/10/20 blj pengisian tabung gas septmbr 20 7563/004 -  800,000.00  0.00  1,710,182,425.00 0374604
8/10/20 8/10/20 blj listrik sptmber 20 7563/004 -  974,800.00  0.00  1,709,207,625.00 0374628
8/10/20 8/10/20 blj cetak septmber 20 7563/004 -  1,190,400.00  0.00  1,708,017,225.00 0374682
8/10/20 8/10/20 blj FC september 20 7563/004 -  950,000.00  0.00  1,707,067,225.00 0374633
8/10/20 8/10/20 blj pemeliharaan laptop sptmbr 20 7563/004 -  720,000.00  0.00  1,706,347,225.00 0374675
8/10/20 8/10/20 blj pemeliharaan laptop sptmber 20 7563/004 -  720,000.00  0.00  1,705,627,225.00 0374641
12/10/20 12/10/20 MPN 124506941247111 CMS Single 7562/004 -  60,000.00  0.00  1,705,567,225.00 0374600
12/10/20 12/10/20 MPN 124506941012037 CMS Single 7562/004 -  49,600.00  0.00  1,705,517,625.00 0374650
12/10/20 12/10/20 MPN 124506941895151 CMS Single 7562/004 -  121,140.00  0.00  1,705,396,485.00 0374624
12/10/20 12/10/20 MPN 124506941486137 CMS Single 7562/004 -  140,400.00  0.00  1,705,256,085.00 0374629
12/10/20 12/10/20 MPN 124506946683159 CMS Single 7562/004 -  4,311,124.00  0.00  1,700,944,961.00 0374648
12/10/20 12/10/20 MPN 124506946735059 CMS Single 7562/004 -  4,338,575.00  0.00  1,696,606,386.00 0374657
12/10/20 12/10/20 MPN 124506947506084 CMS Single 7562/004 -  272,727.00  0.00  1,696,333,659.00 0374619
12/10/20 12/10/20 MPN 124506950778151 CMS Single 7562/004 -  40,909.00  0.00  1,696,292,750.00 0374696
12/10/20 12/10/20 blj suku cadang september 20 7563/004 -  2,686,364.00  0.00  1,693,606,386.00 0374601
13/10/20 13/10/20 DANA JKN PUSKESMAS TANJUNG RAJA 1301/002 01528823  2,525,000.00  0.00  1,691,081,386.00 0155051
13/10/20 13/10/20 DANA JKN PUSKESMAS TANJUNG RAJA 1301/002 01528824  1,125,000.00  0.00  1,689,956,386.00 0155051
15/10/20 15/10/20 BPJS KESEHATAN-BANK MANDIRI-Kapitasi 0000/563 -  0.00  155,814,100.00  1,845,770,486.00
BRI0372

Saldo Awal Total Debet Total Kredit Saldo Akhir

 1,913,108,326.00  223,151,940.00  155,814,100.00  1,845,770,486.00

Cetakan Cash Management System BRI tanggal - 03/11/2020

5