LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Page 1 of 2

Tanggal Laporan : 28/09/23

Kepada Yth. / To : Statement Date

AHMAD SYAMSUL HADI Periode Transaksi : 01/09/23 - 28/09/23

Transaction Periode

DUSUN PAOKKAMBUTRT.05/00,Rt.05/0,LOMBOK
BARAT KAB. LABUAPI LOMBOK BARAT KAB.

No. Rekening : 224201002725539 Unit Kerja : KCP MATARAM

Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : SEMARANG A YANI

Product Name Business Unit Address KANWIL SEMARANG

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

02/09/23 11:34:11 TRF 224201002725539 111441008139056 0888839 0.00 50,000.00 50,000.00

16/09/23 23:59:59 Admin Fee 5,500.00 0.00 44,500.00

26/09/23 18:13:42 QRIS588663419361#9360000210072826112 8888055 19,134.00 0.00 25,366.00

ESB:NBMB:0007I00P:588663419361

27/09/23 02:18:27 DANA20230927015148141868PERTIWI 0371869 0.00 17,500.00 42,866.00

WS_OB;20230927015148141868;72133
ESB:T:0371869:S:0371892:WSOB

27/09/23 02:25:57 DANA20230927015090768079FAISALAHMAD 0371859 0.00 12,500.00 55,366.00

WS_OB;20230927015090768079;72133
ESB:T:0371859:S:0371892:WSOB

27/09/23 02:34:57 QRIS588797551077#9360000210072826112 8888023 30,212.00 0.00 25,154.00

ESB:NBMB:0007I00P:588797551077

27/09/23 13:55:25 6048200011001666#080007698562#ATM #TRFLA 0888201 0.00 20,000.00 45,154.00

TRF BERSAMA FROM JOVANKA INTAN FE LA
224201002725539ATM 6048200011001666

27/09/23 14:01:53 DANA20230927015065959464NURFEBRIHARY 0371884 0.00 77,500.00 122,654.00

WS_OB;20230927015065959464;72133
ESB:T:0371884:S:0371892:WSOB

27/09/23 14:21:38 QRIS588997607957#9360000210072826112 8888327 22,156.00 0.00 100,498.00

ESB:NBMB:0007I00P:588997607957

27/09/23 14:38:36 QRIS589004591579#9360000210072826112 8888498 74,522.00 0.00 25,976.00

ESB:NBMB:0007I00P:589004591579

27/09/23 21:00:43 DANA20230927015101497312GILBERTJONAT 0371862 0.00 100,000.00 125,976.00

WS_OB;20230927015101497312;72133
ESB:T:0371862:S:0371892:WSOB

27/09/23 21:14:28 QRIS589171290234#9360000210072826112 8888575 50,353.00 0.00 75,623.00

ESB:NBMB:0007I00P:589171290234

27/09/23 21:53:39 GOP01 +6281237797462NBMB5221849700696711 8888097 1,000.00 0.00 74,623.00

ESB:NBMB:0201000T:589184296841

09/28/2023 05:41:02 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 2
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Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

27/09/23 21:53:39 GOP01 +6281237797462NBMB5221849700696711 8888097 10,000.00 0.00 64,623.00

ESB:NBMB:0201000T:589184296841

27/09/23 23:01:58 QRIS589201915897#9360000210072826112 8888348 39,275.00 0.00 25,348.00

ESB:NBMB:0007I00P:589201915897

Saldo Awal Total Transaksi Debet Total Transaksi Kredit Saldo Akhir
Opening Balance Total Debit Transaction Total Credit Transaction Closing Balance

0.00 252,152.00 277,500.00 25,348.00

Terbilang / In Words

DUA PULUH LIMA RIBU TIGA RATUS EMPAT PULUH DELAPAN RUPIAH
TWENTY FIVE THOUSAND THREE HUNDRED FORTY EIGHT RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

- Apabila terdapat perbedaan dengan catatan Saudara, harap menghubungi kami selambat-lambatnya 14 hari sejak diterimanya rekening koran ini.
- In the case of any differences from your records, please contact us within not later than 14 days from the receipt of this Statement of Account
- Salinan rekening koran ini merupakan hasil cetakan komputer, tidak diperlukan tanda tangan pejabat Bank
- The copy of this Statement of Account is computer-generated, no official signature is required.
- Apabila ada perubahan alamat email mohon diinformasikan pada Unit Kerja BANK BRI
- Should there be any change of email address, please notify the relevant Bank BRI Business Unit

09/28/2023 05:41:03 AM