LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Tanggal Laporan : 09/08/23

Kepada Yth. / To : Statement Date

NONNY NURHAZLINA Periode Transaksi : 01/07/23 - 31/07/23

Transaction Periode

Centong,Rt.01/02,TULUNGAGUNG KAB.
SUMBERGEMPOL TULUNGAGUNG KAB.

No. Rekening : 11001037190530 Unit Kerja : KC Tulungagung

Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : Jl. P Diponegoro No 2B

Product Name Business Unit Address Tulungagung

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

09/07/23 10:34:50 EDC LANI TO NONNY NURHAZLIN 0852348 0.00 50,000,000.00 50,056,500.00
FROM659801032446538 TO011001037190530EDC

09/07/23 16:16:03 NBMB NONNY NURHAZLI TO EDI AGUS PURWANTO 8888299 4,152,000.00 0.00 45,904,500.00
ESB:NBMB:0001500F:556715543605

09/07/23 19:29:11 BFST0481798778 NBMB:CENAIDJA 8888342 2,500.00 0.00 45,902,000.00

20230709BRINIDJA010O0231134207
ESB:NBMB:0008G00F:556786099666

09/07/23 19:29:11 BFST0481798778 NBMB:CENAIDJA 8888342 200,000.00 0.00 45,702,000.00

20230709BRINIDJA010O0231134207
ESB:NBMB:0008G00F:556786099666

11/07/23 06:59:29 BFST1710010426578 NBMB:BMRIIDJA 8888023 2,500.00 0.00 45,699,500.00

20230711BRINIDJA010O0238563569
ESB:NBMB:0008G00F:557348944765

11/07/23 06:59:29 BFST1710010426578 NBMB:BMRIIDJA 8888023 500,000.00 0.00 45,199,500.00

20230711BRINIDJA010O0238563569
ESB:NBMB:0008G00F:557348944765

11/07/23 12:46:31 WBNKSETOR#1080642662 011001037190530#681 0888906 0.00 200,000.00 45,399,500.00

STR#01037190530 TRX#???????EDC00011255

11/07/23 16:17:19 NBMB DEWI INDAWATI TO NONNY NURHAZLINA 8888412 0.00 30,000,000.00 75,399,500.00
ESB:NBMB:0001500F:557558355745

11/07/23 16:36:50 NBMB GIDIAN TO NONNY NURHAZLINA 8888354 0.00 54,630,000.00 130,029,500.00
ESB:NBMB:0001500F:557566057194

11/07/23 16:50:43 BFST3280452466 NBMB:CENAIDJA 8888218 2,500.00 0.00 130,027,000.00

20230711BRINIDJA010O0287954063
ESB:NBMB:0008G00F:557571572842

11/07/23 16:50:43 BFST3280452466 NBMB:CENAIDJA 8888218 3,700,000.00 0.00 126,327,000.00

20230711BRINIDJA010O0287954063
ESB:NBMB:0008G00F:557571572842

11/07/23 18:41:29 BFST1727624074 NBMB:BNINIDJA 8888363 2,500.00 0.00 126,324,500.00

20230711BRINIDJA010O0242393817
ESB:NBMB:0008G00F:557618640140

08/09/2023 10:57:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

11/07/23 18:41:29 BFST1727624074 NBMB:BNINIDJA 8888363 12,000,000.00 0.00 114,324,500.00

20230711BRINIDJA010O0242393817
ESB:NBMB:0008G00F:557618640140

12/07/23 17:02:15 BFST0263207494 NBMB:BNINIDJA 8888271 2,500.00 0.00 114,322,000.00

20230712BRINIDJA010O0247822361
ESB:NBMB:0008G00F:557994082524

12/07/23 17:02:15 BFST0263207494 NBMB:BNINIDJA 8888271 46,875,000.00 0.00 67,447,000.00

20230712BRINIDJA010O0247822361
ESB:NBMB:0008G00F:557994082524

12/07/23 17:04:44 BFST0263207494 NBMB:BNINIDJA 8888367 2,500.00 0.00 67,444,500.00

20230712BRINIDJA010O0247833999
ESB:NBMB:0008G00F:557995115095

12/07/23 17:04:44 BFST0263207494 NBMB:BNINIDJA 8888367 7,500,000.00 0.00 59,944,500.00

20230712BRINIDJA010O0247833999
ESB:NBMB:0008G00F:557995115095

12/07/23 17:06:46 NBMB NONNY NURHAZLI TO MUJI ASTUTI 8888340 7,500,000.00 0.00 52,444,500.00
ESB:NBMB:0001500F:557995937443

12/07/23 17:08:39 NBMB NONNY NURHAZLI TO MUJI ASTUTI 8888285 1,850,000.00 0.00 50,594,500.00
ESB:NBMB:0001500F:557996705058

13/07/23 13:14:53 NBMB NONNY NURHAZLI TO MIYANTI 8888188 18,500,000.00 0.00 32,094,500.00
ESB:NBMB:0001500F:558312802995

13/07/23 14:07:05 EDC MUJI ASTUTI TO NONNY NURHAZLIN 0852308 0.00 7,500,000.00 39,594,500.00
FROM388701028328532 TO011001037190530EDC

13/07/23 14:52:06 NBMB NONNY NURHAZLI TO MIYANTI 8888369 250,008.00 0.00 39,344,492.00
ESB:NBMB:0001500F:558349777646

15/07/23 18:41:45 NBMB NONNY NURHAZLI TO SUYITNO 8888411 35,000,000.00 0.00 4,344,492.00
ESB:NBMB:0001500F:559231560784

15/07/23 23:59:59 Interest on Account 0.00 452.00 4,344,944.00

15/07/23 23:59:59 Tax 90.00 0.00 4,344,854.00

16/07/23 18:24:44 BFST011001037190530NONNY NURHAZ:CENAIDJA 8888662 0.00 15,000,000.00 19,344,854.00

20230716CENAIDJA010O0269830242
ESB:BFST:0008N:20230716BRINIDJA110108679

16/07/23 18:26:03 BFST1710011623736 NBMB:BMRIIDJA 8888589 2,500.00 0.00 19,342,354.00

20230716BRINIDJA010O0288756290
ESB:NBMB:0008G00F:559586563944

16/07/23 18:26:03 BFST1710011623736 NBMB:BMRIIDJA 8888589 18,562,500.00 0.00 779,854.00

20230716BRINIDJA010O0288756290
ESB:NBMB:0008G00F:559586563944

16/07/23 23:59:59 Admin Fee 5,500.00 0.00 774,354.00

23/07/23 16:51:06 BFST0481798778 NBMB:CENAIDJA 8888399 2,500.00 0.00 771,854.00

20230723BRINIDJA010O0208153586
ESB:NBMB:0008G00F:562306970870

23/07/23 16:51:06 BFST0481798778 NBMB:CENAIDJA 8888399 700,000.00 0.00 71,854.00

20230723BRINIDJA010O0208153586
ESB:NBMB:0008G00F:562306970870

08/09/2023 10:57:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

26/07/23 15:59:28 NBMB SUYITNO TO NONNY NURHAZLINA 8888482 0.00 60,214,000.00 60,285,854.00
ESB:NBMB:0001500F:563567949590

26/07/23 16:26:51 NBMB NONNY NURHAZLI TO BILLIANO KAPILE 8888558 7,400,000.00 0.00 52,885,854.00
ESB:NBMB:0001500F:563578932495

26/07/23 16:28:22 NBMB NONNY NURHAZLI TO DIANA FAIZZAROTUL 8888032 2,400,000.00 0.00 50,485,854.00
ESB:NBMB:0001500F:563579548755

26/07/23 16:33:53 BFST1315632663 NBMB:BNINIDJA 8888211 2,500.00 0.00 50,483,354.00

20230726BRINIDJA010O0226304962
ESB:NBMB:0008G00F:563581772710

26/07/23 16:33:53 BFST1315632663 NBMB:BNINIDJA 8888211 8,880,000.00 0.00 41,603,354.00

20230726BRINIDJA010O0226304962
ESB:NBMB:0008G00F:563581772710

26/07/23 16:36:09 NBMB NONNY NURHAZLI TO SYAKDIMAH 8888558 10,730,000.00 0.00 30,873,354.00
ESB:NBMB:0001500F:563582692687

27/07/23 06:58:09 BFST4160554245 NBMB:CENAIDJA 8888476 2,500.00 0.00 30,870,854.00

20230727BRINIDJA010O0228964405
ESB:NBMB:0008G00F:563787902524

27/07/23 06:58:09 BFST4160554245 NBMB:CENAIDJA 8888476 16,875,000.00 0.00 13,995,854.00

20230727BRINIDJA010O0228964405
ESB:NBMB:0008G00F:563787902524

27/07/23 16:44:32 NBMB NONNY NURHAZLI TO BLASIUS BISU LIWU 8888029 3,700,000.00 0.00 10,295,854.00
ESB:NBMB:0001500F:563999026085

27/07/23 16:46:47 BFST0481321378 NBMB:CENAIDJA 8888530 2,500.00 0.00 10,293,354.00

20230727BRINIDJA010O0232549209
ESB:NBMB:0008G00F:563999888160

27/07/23 16:46:47 BFST0481321378 NBMB:CENAIDJA 8888530 1,110,000.00 0.00 9,183,354.00

20230727BRINIDJA010O0232549209
ESB:NBMB:0008G00F:563999888160

28/07/23 09:03:44 BFST011001037190530JULI EDI HAR:BMRIIDJA 8888632 0.00 59,300,000.00 68,483,354.00

20230728BMRIIDJA010O0226554300
ESB:BFST:0008N:20230728BRINIDJA110113145

28/07/23 10:11:14 BFST5785081339 NBMB:CENAIDJA 8888371 2,500.00 0.00 68,480,854.00

20230728BRINIDJA010O0236359274
ESB:NBMB:0008G00F:564259247977

28/07/23 10:11:14 BFST5785081339 NBMB:CENAIDJA 8888371 9,620,000.00 0.00 58,860,854.00

20230728BRINIDJA010O0236359274
ESB:NBMB:0008G00F:564259247977

28/07/23 14:56:39 NBMB NONNY NURHAZLI TO ALFITRIYAH 8888358 1,500,000.00 0.00 57,360,854.00
ESB:NBMB:0001500F:564376889098

29/07/23 18:56:42 BFST0599660769 NBMB:BNINIDJA 8888339 2,500.00 0.00 57,358,354.00

20230729BRINIDJA010O0292734590
ESB:NBMB:0008G00F:564869142586

29/07/23 18:56:42 BFST0599660769 NBMB:BNINIDJA 8888339 1,665,000.00 0.00 55,693,354.00

20230729BRINIDJA010O0292734590
ESB:NBMB:0008G00F:564869142586

30/07/23 21:26:20 NBMB NONNY NURHAZLI TO MEILANY ROSHELA P 8888256 740,000.00 0.00 54,953,354.00
ESB:NBMB:0001500F:565278476447

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 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

30/07/23 21:28:56 NBMB NONNY NURHAZLI TO SUJIATI 8888099 740,000.00 0.00 54,213,354.00
ESB:NBMB:0001500F:565279295656

30/07/23 21:31:12 BFST0581367260 NBMB:CENAIDJA 8888027 2,500.00 0.00 54,210,854.00

20230730BRINIDJA010O0293028507
ESB:NBMB:0008G00F:565280004120

30/07/23 21:31:12 BFST0581367260 NBMB:CENAIDJA 8888027 2,590,000.00 0.00 51,620,854.00

20230730BRINIDJA010O0293028507
ESB:NBMB:0008G00F:565280004120

30/07/23 21:55:51 NBMB NONNY NURHAZLI TO SRI LESTARI 8888062 500,000.00 0.00 51,120,854.00
ESB:NBMB:0001500F:565287281790

31/07/23 09:53:43 BFST1233915755 NBMB:BNINIDJA 8888544 2,500.00 0.00 51,118,354.00

20230731BRINIDJA010O0203919270
ESB:NBMB:0008G00F:565410549719

31/07/23 09:53:43 BFST1233915755 NBMB:BNINIDJA 8888544 11,100,000.00 0.00 40,018,354.00

20230731BRINIDJA010O0203919270
ESB:NBMB:0008G00F:565410549719

31/07/23 09:55:01 NBMB NONNY NURHAZLI TO FENTI DINA NURCAH 8888545 11,100,000.00 0.00 28,918,354.00
ESB:NBMB:0001500F:565411118561

31/07/23 12:18:41 NBMB NONNY NURHAZLI TO ELI HERLIANTO 8888200 3,700,000.00 0.00 25,218,354.00
ESB:NBMB:0001500F:565475070914

31/07/23 12:21:47 NBMB NONNY NURHAZLI TO ELI HERLIANTO 8888214 950,000.00 0.00 24,268,354.00
ESB:NBMB:0001500F:565476500188

31/07/23 16:23:32 NBMB NONNY NURHAZLI TO SRI KUSTIANINGSIH 8888299 4,995,000.00 0.00 19,273,354.00
ESB:NBMB:0001500F:565583565691

31/07/23 16:24:44 NBMB NONNY NURHAZLI TO HESTI HANDAYANI 8888069 14,060,000.00 0.00 5,213,354.00
ESB:NBMB:0001500F:565584085776

31/07/23 16:26:24 2023073100519905#SANK#MISS UMBELINA FRAG 0301891 0.00 76,463,060.40 81,676,414.40

2023073100519905#MISS UMBELINA FRAGA XIM
T:0301801:SWANK

31/07/23 16:27:12 NBMB NONNY NURHAZLI TO RIYAN EVENDI 8888461 12,210,000.00 0.00 69,466,414.40
ESB:NBMB:0001500F:565585185899

31/07/23 18:26:21 BFST0263207494 NBMB:BNINIDJA 8888496 2,500.00 0.00 69,463,914.40

20230731BRINIDJA010O0208061180
ESB:NBMB:0008G00F:565641365596

31/07/23 18:26:21 BFST0263207494 NBMB:BNINIDJA 8888496 4,125,000.00 0.00 65,338,914.40

20230731BRINIDJA010O0208061180
ESB:NBMB:0008G00F:565641365596

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

56,500.00 288,025,098.00 353,307,512.40 65,338,914.40

Terbilang / In Words

ENAM PULUH LIMA JUTA TIGA RATUS TIGA PULUH DELAPAN RIBU SEMBILAN RATUS EMPAT BELAS KOMA EMPAT PULUH RUPIAH
SIXTY FIVE MILLION THREE HUNDRED THIRTY EIGHT THOUSAND NINE HUNDRED FOURTEEN POINT FORTY RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

08/09/2023 10:57:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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- 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

08/09/2023 10:57:30 AM