LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 10
Page 1 of 10

Tanggal Laporan : 16/11/23

Kepada Yth. / To : Statement Date

FERI HERIANSYAH Periode Transaksi : 01/11/23 - 16/11/23

Transaction Periode

JALAN KH HAMID MASRI KEL KEDONDONG

RAYEK,EC BANYUASIN III,BANYUASIN KAB.
BANYUASIN III BANYUASIN KAB.

No. Rekening : 110001005696506 Unit Kerja : KCP PANGKALAN BALAI

Account No Business Unit

Nama Produk : Britama-IDR Alamat Unit Kerja : Jl.Merdeka Kel.Kedondong Raya

Product Name Business Unit Address Kec Banyuasin III Kab.Banyuasin

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/11/23 10:42:23 ATMLTRPRM 11541 000809798 11000100569650 0888784 0.00 1,000,000.00 1,500,898.95
TRF PRIMA FROM INDRA HADI ATMLTRPRM 11541
000809798 110001005696506

01/11/23 12:04:08 BRIVA88810082210974121NBMBDNID YOGX FADX 8888399 113,000.00 0.00 1,387,898.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:603605291621

01/11/23 13:51:52 NBMB FERI HERIANSYA TO LUKMAN BIN A IMR 8888089 500,000.00 0.00 887,898.95
ESB:NBMB:0001500F:603662275635

01/11/23 16:39:57 PLN-PRA 32202290774NBMB6013011122689044 8888163 3,000.00 0.00 884,898.95

ESB:NBMB:0400200T:603747984324

01/11/23 16:39:57 PLN-PRA 32202290774NBMB6013011122689044 8888163 20,000.00 0.00 864,898.95

ESB:NBMB:0400200T:603747984324

01/11/23 19:42:09 KOM5 602935 231030 00160511 48604975 9939891 0.00 100,000.00 964,898.95
ESB:T:9939891:S:9939002:DRONE

01/11/23 22:50:39 BRIVA88810081373403240NBMBDNID DIKX KURX 8888516 64,000.00 0.00 900,898.95

BRIVA 88810081373403240NBMBDNID DIKX KUR
ESB:NBMB:0200200P:603931203627

02/11/23 12:55:03 NBMB FERI HERIANSYA TO WAHYU NINGSIH 8888221 500,000.00 0.00 400,898.95
ESB:NBMB:0001500F:604162040864

03/11/23 01:11:25 NBMB FERI HERIANSYA TO RIANSYAH 8888585 50,000.00 0.00 350,898.95
ESB:NBMB:0001500F:604450060755

03/11/23 01:42:32 QRIS604453765651#9360000210057007336 8888525 50,000.00 0.00 300,898.95

ESB:NBMB:0007I00P:604453765651

03/11/23 02:10:19 BRIVA88099082352146983NBMBOVO FE** HE*** 8888482 45,000.00 0.00 255,898.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:604456294346

03/11/23 04:31:16 QRIS604466757876#9360000210057007336 8888538 25,000.00 0.00 230,898.95

ESB:NBMB:0007I00P:604466757876

03/11/23 04:42:42 QRIS604467846420#9360000210057007336 8888140 25,000.00 0.00 205,898.95

ESB:NBMB:0007I00P:604467846420

11/16/2023 10:02:58 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 10
Page 2 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

03/11/23 05:06:42 NBMB FERI HERIANSYA TO ARI ANDIKA 8888005 50,000.00 0.00 155,898.95
ESB:NBMB:0001500F:604470582020

03/11/23 08:52:27 QRIS604528987320#9360000210057007336 8888187 25,000.00 0.00 130,898.95

ESB:NBMB:0007I00P:604528987320

03/11/23 09:19:53 QRIS604539960025#9360000210057007336 8888419 25,000.00 0.00 105,898.95

ESB:NBMB:0007I00P:604539960025

03/11/23 11:03:49 QRIS604584536781#9360000210057007336 8888332 55,000.00 0.00 50,898.95

ESB:NBMB:0007I00P:604584536781

03/11/23 12:04:57 DANA20231103015434161503YOGIFADHILAK 0371849 0.00 45,000.00 95,898.95

WS_OB;20231103015434161503;72133
ESB:T:0371849:S:0371892:WSOB

03/11/23 12:15:19 BRIVA88099082352146983NBMBOVO FE** HE*** 8888447 45,000.00 0.00 50,898.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:604613828173

03/11/23 18:25:10 BFST110001005696506INDRA HADI :BMRIIDJA 8888638 0.00 500,000.00 550,898.95

20231103BMRIIDJA010O0226506228
ESB:BFST:0008N:20231103BRINIDJA110156962726
38

03/11/23 20:40:52 NBMB FERI HERIANSYA TO RIANSYAH 8888273 25,000.00 0.00 525,898.95
ESB:NBMB:0001500F:604833219312

03/11/23 21:14:09 QRIS604846238255#9360000210057007336 8888078 25,000.00 0.00 500,898.95

ESB:NBMB:0007I00P:604846238255

04/11/23 00:33:18 QRIS604898856016#9360000210057007336 8888183 25,000.00 0.00 475,898.95

ESB:NBMB:0007I00P:604898856016

04/11/23 01:13:42 QRIS604905448539#9360000210057007336 8888225 25,000.00 0.00 450,898.95

ESB:NBMB:0007I00P:604905448539

04/11/23 01:28:41 QRIS604907574290#9360000210057007336 8888125 50,000.00 0.00 400,898.95

ESB:NBMB:0007I00P:604907574290

04/11/23 03:07:38 QRIS604916869575#9360000210057007336 8888247 25,000.00 0.00 375,898.95

ESB:NBMB:0007I00P:604916869575

04/11/23 03:21:53 BRIVA88099082352146983NBMBOVO FE** HE*** 8888253 25,000.00 0.00 350,898.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:604917933143

04/11/23 09:55:42 BFST8790323701 NBMB:CENAIDJA 8888066 2,500.00 0.00 348,398.95

20231104BRINIDJA010O0216334051
ESB:NBMB:0008G00F:605005673633

04/11/23 09:55:42 BFST8790323701 NBMB:CENAIDJA 8888066 30,000.00 0.00 318,398.95

20231104BRINIDJA010O0216334051
ESB:NBMB:0008G00F:605005673633

04/11/23 10:48:42 BFST8790323701 NBMB:CENAIDJA 8888517 2,500.00 0.00 315,898.95

20231104BRINIDJA010O0216729165
ESB:NBMB:0008G00F:605026346370

04/11/23 10:48:42 BFST8790323701 NBMB:CENAIDJA 8888517 50,000.00 0.00 265,898.95

20231104BRINIDJA010O0216729165
ESB:NBMB:0008G00F:605026346370

04/11/23 11:18:49 BFST8790323701 NBMB:CENAIDJA 8888084 2,500.00 0.00 263,398.95

20231104BRINIDJA010O0216950782
ESB:NBMB:0008G00F:605038238319

11/16/2023 10:02:58 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 10
Page 3 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

04/11/23 11:18:49 BFST8790323701 NBMB:CENAIDJA 8888084 50,000.00 0.00 213,398.95

20231104BRINIDJA010O0216950782
ESB:NBMB:0008G00F:605038238319

04/11/23 14:10:08 BRIVA88810082210974121NBMBDNID YOGX FADX 8888138 54,000.00 0.00 159,398.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:605104550143

04/11/23 14:15:27 BFST110001005696506DIAH PERMATA:CENAIDJA 8888696 0.00 350,000.00 509,398.95

20231104CENAIDJA010O0244450772
ESB:BFST:0008N:20231104BRINIDJA110157324306
19

04/11/23 14:30:26 BFST8790323701 NBMB:CENAIDJA 8888055 2,500.00 0.00 506,898.95

20231104BRINIDJA010O0297072160
ESB:NBMB:0008G00F:605112105996

04/11/23 14:30:26 BFST8790323701 NBMB:CENAIDJA 8888055 25,000.00 0.00 481,898.95

20231104BRINIDJA010O0297072160
ESB:NBMB:0008G00F:605112105996

04/11/23 14:52:58 QRIS605120479381#9360000210057007336 8888515 30,000.00 0.00 451,898.95

ESB:NBMB:0007I00P:605120479381

04/11/23 15:29:30 QRIS605134049691#9360000210057007336 8888239 30,000.00 0.00 421,898.95

ESB:NBMB:0007I00P:605134049691

04/11/23 16:00:37 NBMB FERI HERIANSYA TO ALFI RAMADHAN 8888151 30,000.00 0.00 391,898.95
ESB:NBMB:0001500F:605145831402

04/11/23 16:22:15 BFST8790323701 NBMB:CENAIDJA 8888101 2,500.00 0.00 389,398.95

20231104BRINIDJA010O0219134004
ESB:NBMB:0008G00F:605154225435

04/11/23 16:22:15 BFST8790323701 NBMB:CENAIDJA 8888101 30,000.00 0.00 359,398.95

20231104BRINIDJA010O0219134004
ESB:NBMB:0008G00F:605154225435

04/11/23 18:21:10 BFST110001005696506DIAH PERMATA:CENAIDJA 8888692 0.00 200,000.00 559,398.95

20231104CENAIDJA010O0245379880
ESB:BFST:0008N:20231104BRINIDJA110157438027
87

04/11/23 19:12:55 BRIVA88810082179380814NBMBDNID EPRXX BRIVA 8888194 50,000.00 0.00 509,398.95

88810082179380814NBMBDNID EPRXX
ESB:NBMB:0200200P:605228484152

04/11/23 19:14:03 BFST110001005696506DIAH PERMATA:CENAIDJA 8888686 0.00 300,000.00 809,398.95

20231104CENAIDJA010O0245586210
ESB:BFST:0008N:20231104BRINIDJA110157464180
01

04/11/23 19:31:00 QRIS605236696778#9360000210057007336 8888266 25,000.00 0.00 784,398.95

ESB:NBMB:0007I00P:605236696778

04/11/23 20:34:10 BFST5859459158387117 NBMB:YUDBIDJ1 8888445 2,500.00 0.00 781,898.95

20231104BRINIDJA010O0221012413
ESB:NBMB:0008G00F:605263870006

04/11/23 20:34:10 BFST5859459158387117 NBMB:YUDBIDJ1 8888445 50,000.00 0.00 731,898.95

20231104BRINIDJA010O0221012413
ESB:NBMB:0008G00F:605263870006

04/11/23 21:11:48 BRIVA88810082210974121NBMBDNID YOGX FADX 8888413 25,000.00 0.00 706,898.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:605278230165

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 10
Page 4 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

04/11/23 21:14:48 BRIVA88810082210974121NBMBDNID YOGX FADX 8888335 53,000.00 0.00 653,898.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:605279316987

04/11/23 23:22:51 BFST110001005696506INDRA HADI :BMRIIDJA 8888666 0.00 1,700,000.00 2,353,898.95

20231104BMRIIDJA010O0222384270
ESB:BFST:0008N:20231104BRINIDJA110157557600
58

04/11/23 23:26:24 BRIVA1164530000256352NBMBINDRA HADI BRIVA 8888410 1,671,330.00 0.00 682,568.95

1164530000256352NBMBINDRA HADI
ESB:NBMB:0200200P:605315471501

04/11/23 23:43:42 BFST110001005696506INDRA HADI :BMRIIDJA 8888680 0.00 500,000.00 1,182,568.95

20231104BMRIIDJA010O0222390674
ESB:BFST:0008N:20231104BRINIDJA110157561881
48

04/11/23 23:59:59 088274324734|7SMS|30/10/2023-01/11/2023 DDY402 3,500.00 0.00 1,179,068.95

05/11/23 00:46:34 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888278 50,000.00 0.00 1,129,068.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:605330784176

05/11/23 05:37:44 NBMB FERI HERIANSYA TO WAHYU NINGSIH 8888595 500,000.00 0.00 629,068.95
ESB:NBMB:0001500F:605356481054

05/11/23 07:55:56 BRIVA88810082210974121NBMBDNID YOGX FADX 8888468 200,000.00 0.00 429,068.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:605382687175

05/11/23 09:28:23 BRIVA88810081271360608NBMBDNID KIKX ARDX 8888216 25,000.00 0.00 404,068.95

BRIVA 88810081271360608NBMBDNID KIKX ARD
ESB:NBMB:0200200P:605409997489

05/11/23 20:36:21 BFST8790323701 NBMB:CENAIDJA 8888266 2,500.00 0.00 401,568.95

20231105BRINIDJA010O0297988137
ESB:NBMB:0008G00F:605657354648

05/11/23 20:36:21 BFST8790323701 NBMB:CENAIDJA 8888266 30,000.00 0.00 371,568.95

20231105BRINIDJA010O0297988137
ESB:NBMB:0008G00F:605657354648

05/11/23 23:24:49 BFST8790323701 NBMB:CENAIDJA 8888281 2,500.00 0.00 369,068.95

20231105BRINIDJA010O0298059257
ESB:NBMB:0008G00F:605705634190

05/11/23 23:24:49 BFST8790323701 NBMB:CENAIDJA 8888281 50,000.00 0.00 319,068.95

20231105BRINIDJA010O0298059257
ESB:NBMB:0008G00F:605705634190

06/11/23 01:43:43 BFST110001005696506DIAH PERMATA:CENAIDJA 8888660 0.00 175,000.00 494,068.95

20231106CENAIDJA010O0249830434
ESB:BFST:0008N:20231106BRINIDJA110157999530
89

06/11/23 09:52:36 BRIVA1164510002491892NBMBINDRA HADI BRIVA 8888379 201,750.00 0.00 292,318.95

1164510002491892NBMBINDRA HADI
ESB:NBMB:0200200P:605816516515

06/11/23 16:57:08 NBMB FERI HERIANSYA TO WAHYU NINGSIH 8888464 100,000.00 0.00 192,318.95
ESB:NBMB:0001500F:605999522401

06/11/23 17:05:46 BRIVA88099082352146983NBMBOVO FE** HE*** 8888408 28,500.00 0.00 163,818.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:606003304407

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 5 dari 10
Page 5 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

06/11/23 20:49:23 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888245 100,000.00 0.00 63,818.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:606106782147

06/11/23 21:31:23 BFST8790323701 NBMB:CENAIDJA 8888157 2,500.00 0.00 61,318.95

20231106BRINIDJA010O0234608055
ESB:NBMB:0008G00F:606122714229

06/11/23 21:31:23 BFST8790323701 NBMB:CENAIDJA 8888157 11,000.00 0.00 50,318.95

20231106BRINIDJA010O0234608055
ESB:NBMB:0008G00F:606122714229

06/11/23 22:33:49 DANA20231106015471457131KODRATULLAH 0371884 0.00 30,000.00 80,318.95

WS_OB;20231106015471457131;72133
ESB:T:0371884:S:0371892:WSOB

06/11/23 22:35:37 BFST8790323701 NBMB:CENAIDJA 8888177 2,500.00 0.00 77,818.95

20231106BRINIDJA010O0234854564
ESB:NBMB:0008G00F:606141855021

06/11/23 22:35:37 BFST8790323701 NBMB:CENAIDJA 8888177 27,500.00 0.00 50,318.95

20231106BRINIDJA010O0234854564
ESB:NBMB:0008G00F:606141855021

06/11/23 23:49:58 BFST110001005696506KODRATULLAH :DANAIDJ1 8888617 0.00 70,000.00 120,318.95

20231106DANAIDJ1010O9972079931
ESB:BFST:0008N:20231106BRINIDJA110158533536
65

06/11/23 23:55:26 NBMB FERI HERIANSYA TO AIGA OKSTAFIANDI 8888483 25,000.00 0.00 95,318.95
ESB:NBMB:0001500F:606157366671

07/11/23 00:33:15 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888124 20,000.00 0.00 75,318.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:606163919572

07/11/23 00:55:44 BFST8790323701 NBMB:CENAIDJA 8888555 2,500.00 0.00 72,818.95

20231107BRINIDJA010O0235141133
ESB:NBMB:0008G00F:606166643927

07/11/23 00:55:44 BFST8790323701 NBMB:CENAIDJA 8888555 22,500.00 0.00 50,318.95

20231107BRINIDJA010O0235141133
ESB:NBMB:0008G00F:606166643927

07/11/23 02:08:08 BFST110001005696506KODRATULLAH :YUDBIDJ1 8888702 0.00 40,000.00 90,318.95

20231107YUDBIDJ1010O0207096505
ESB:BFST:0008N:20231107BRINIDJA110158549644
66

07/11/23 02:16:21 QRIS606173976596#9360000210057007336 8888161 20,000.00 0.00 70,318.95

ESB:NBMB:0007I00P:606173976596

07/11/23 02:39:30 QRIS606175513110#9360000210057007336 8888431 20,000.00 0.00 50,318.95

ESB:NBMB:0007I00P:606175513110

07/11/23 04:21:04 DANA20231107015469976531KODRATULLAH 0371875 0.00 50,000.00 100,318.95

WS_OB;20231107015469976531;72133
ESB:T:0371875:S:0371892:WSOB

07/11/23 04:23:59 QRIS606182152709#9360000210057007336 8888584 25,000.00 0.00 75,318.95

ESB:NBMB:0007I00P:606182152709

07/11/23 04:31:24 BRIVA88099082352146983NBMBOVO FE** HE*** 8888532 25,000.00 0.00 50,318.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:606182687816

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 6 dari 10
Page 6 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

08/11/23 11:56:19 NBMB M TEGUH TO FERI HERIANSYAH 8888002 0.00 50,000.00 100,318.95
ESB:NBMB:0001500F:606742464119

08/11/23 12:37:14 BFST8790323701 NBMB:CENAIDJA 8888404 2,500.00 0.00 97,818.95

20231108BRINIDJA010O0245245220
ESB:NBMB:0008G00F:606759198809

08/11/23 12:37:14 BFST8790323701 NBMB:CENAIDJA 8888404 30,000.00 0.00 67,818.95

20231108BRINIDJA010O0245245220
ESB:NBMB:0008G00F:606759198809

08/11/23 13:34:32 BFST8790323701 NBMB:CENAIDJA 8888185 2,500.00 0.00 65,318.95

20231108BRINIDJA010O0280028395
ESB:NBMB:0008G00F:606781685289

08/11/23 13:34:32 BFST8790323701 NBMB:CENAIDJA 8888185 15,000.00 0.00 50,318.95

20231108BRINIDJA010O0280028395
ESB:NBMB:0008G00F:606781685289

08/11/23 23:59:59 088274324734|14SMS|02/11/2023-06/11/2023 DDY402 7,000.00 0.00 43,318.95

09/11/23 12:19:43 BFST110001005696506INDRA HADI :BMRIIDJA 8888667 0.00 1,000,000.00 1,043,318.95

20231109BMRIIDJA010O0221002166
ESB:BFST:0008N:20231109BRINIDJA110159759836
90

09/11/23 13:00:21 NBMB FERI HERIANSYA TO WAHYU NINGSIH 8888575 900,000.00 0.00 143,318.95
ESB:NBMB:0001500F:607182436126

09/11/23 14:05:15 BFST8790323701 NBMB:CENAIDJA 8888176 2,500.00 0.00 140,818.95

20231109BRINIDJA010O0202815930
ESB:NBMB:0008G00F:607206967636

09/11/23 14:05:15 BFST8790323701 NBMB:CENAIDJA 8888176 30,000.00 0.00 110,818.95

20231109BRINIDJA010O0202815930
ESB:NBMB:0008G00F:607206967636

09/11/23 15:06:37 NBMB FERI HERIANSYA TO AIGA OKSTAFIANDI 8888143 25,000.00 0.00 85,818.95
ESB:NBMB:0001500F:607230303866

09/11/23 15:44:43 NBMB AIGA OKSTAFIAN TO FERI HERIANSYAH 8888468 0.00 375,000.00 460,818.95
ESB:NBMB:0001500F:607245005502

09/11/23 16:49:31 BFST8790323701 NBMB:CENAIDJA 8888543 2,500.00 0.00 458,318.95

20231109BRINIDJA010O0280943663
ESB:NBMB:0008G00F:607270475212

09/11/23 16:49:31 BFST8790323701 NBMB:CENAIDJA 8888543 25,000.00 0.00 433,318.95

20231109BRINIDJA010O0280943663
ESB:NBMB:0008G00F:607270475212

09/11/23 18:06:50 BRIVA88810082179380814NBMBDNID EPRXX BRIVA 8888288 150,000.00 0.00 283,318.95

88810082179380814NBMBDNID EPRXX
ESB:NBMB:0200200P:607302605774

09/11/23 18:13:09 NBMB FERI HERIANSYA TO JUMISA ANGGRAINI 8888418 25,000.00 0.00 258,318.95
ESB:NBMB:0001500F:607305302024

09/11/23 18:48:19 BFST8790323701 NBMB:CENAIDJA 8888033 2,500.00 0.00 255,818.95

20231109BRINIDJA010O0204782978
ESB:NBMB:0008G00F:607320879941

09/11/23 18:48:19 BFST8790323701 NBMB:CENAIDJA 8888033 25,000.00 0.00 230,818.95

20231109BRINIDJA010O0204782978
ESB:NBMB:0008G00F:607320879941

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 7 dari 10
Page 7 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

09/11/23 19:33:09 NBMB FERI HERIANSYA TO ROSDIANA MANLANI 8888458 30,000.00 0.00 200,818.95
ESB:NBMB:0001500F:607340916240

09/11/23 23:55:05 NBMB FERI HERIANSYA TO MUHAMAD ABDIK FUA 8888590 50,000.00 0.00 150,818.95
ESB:NBMB:0001500F:607421826194

10/11/23 01:31:33 BRIVA88810085783823508NBMBDNID DAVXX JUL 8888006 50,000.00 0.00 100,818.95

BRIVA 88810085783823508NBMBDNID DAVXX JU
ESB:NBMB:0200200P:607434663491

10/11/23 01:35:30 NBMB SUCI RAHAYU TO FERI HERIANSYAH 8888349 0.00 202,000.00 302,818.95
ESB:NBMB:0001500F:607434999635

10/11/23 01:37:26 BFST8790323701 NBMB:CENAIDJA 8888068 2,500.00 0.00 300,318.95

20231110BRINIDJA010O0281217276
ESB:NBMB:0008G00F:607435159816

10/11/23 01:37:26 BFST8790323701 NBMB:CENAIDJA 8888068 25,000.00 0.00 275,318.95

20231110BRINIDJA010O0281217276
ESB:NBMB:0008G00F:607435159816

10/11/23 02:36:35 THREE 0895362368833NBMB6013011122689044 8888399 20,000.00 0.00 255,318.95

ESB:NBMB:0100803C:607439316949

10/11/23 03:21:50 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888342 50,000.00 0.00 205,318.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:607442466744

10/11/23 03:59:25 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888367 100,000.00 0.00 105,318.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:607444545091

10/11/23 04:04:57 BRIVA88810082210974121NBMBDNID YOGX FADX 8888282 25,000.00 0.00 80,318.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:607444872107

10/11/23 04:05:38 BRIVA88810082210974121NBMBDNID YOGX FADX 8888492 25,000.00 0.00 55,318.95

BRIVA 88810082210974121NBMBDNID YOGX FAD
ESB:NBMB:0200200P:607444911869

10/11/23 07:04:04 5260512030394835#000000545584#ATM #TRFLA 0888934 0.00 275,000.00 330,318.95

TRF BERSAMA FROM DIAH PERMATASARI LA
110001005696506ATM 5260512030394835

10/11/23 07:14:05 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888265 25,000.00 0.00 305,318.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:607471489938

10/11/23 07:15:07 BRIVA88810082179380814NBMBDNID EPRXX BRIVA 8888263 25,000.00 0.00 280,318.95

88810082179380814NBMBDNID EPRXX
ESB:NBMB:0200200P:607471748712

10/11/23 07:22:18 BFST8790323701 NBMB:CENAIDJA 8888527 2,500.00 0.00 277,818.95

20231110BRINIDJA010O0206767811
ESB:NBMB:0008G00F:607473583909

10/11/23 07:22:18 BFST8790323701 NBMB:CENAIDJA 8888527 30,000.00 0.00 247,818.95

20231110BRINIDJA010O0206767811
ESB:NBMB:0008G00F:607473583909

10/11/23 07:44:12 QRIS607479542383#9360000210057007336 8888080 25,000.00 0.00 222,818.95

ESB:NBMB:0007I00P:607479542383

10/11/23 08:05:58 NBMB FERI HERIANSYA TO AIGA OKSTAFIANDI 8888277 25,000.00 0.00 197,818.95
ESB:NBMB:0001500F:607485984002

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 8 dari 10
Page 8 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

10/11/23 08:26:02 NBMB FERI HERIANSYA TO M AFIF ABDILLAH 8888427 25,000.00 0.00 172,818.95
ESB:NBMB:0001500F:607492500625

10/11/23 08:45:19 BFST8790323701 NBMB:CENAIDJA 8888073 2,500.00 0.00 170,318.95

20231110BRINIDJA010O0207227081
ESB:NBMB:0008G00F:607499210437

10/11/23 08:45:19 BFST8790323701 NBMB:CENAIDJA 8888073 50,000.00 0.00 120,318.95

20231110BRINIDJA010O0207227081
ESB:NBMB:0008G00F:607499210437

10/11/23 09:05:35 BFST8790323701 NBMB:CENAIDJA 8888168 2,500.00 0.00 117,818.95

20231110BRINIDJA010O0207361961
ESB:NBMB:0008G00F:607506571019

10/11/23 09:05:35 BFST8790323701 NBMB:CENAIDJA 8888168 67,500.00 0.00 50,318.95

20231110BRINIDJA010O0207361961
ESB:NBMB:0008G00F:607506571019

10/11/23 09:43:56 ATM WAHYU NINGSIH TO FERI HERIANSYAH c 9939556 0.00 100,000.00 150,318.95
FROM110001006067530 TO110001005696506ATM

10/11/23 09:50:40 BFST8790323701 NBMB:CENAIDJA 8888172 2,500.00 0.00 147,818.95

20231110BRINIDJA010O0281373814
ESB:NBMB:0008G00F:607524002894

10/11/23 09:50:40 BFST8790323701 NBMB:CENAIDJA 8888172 97,500.00 0.00 50,318.95

20231110BRINIDJA010O0281373814
ESB:NBMB:0008G00F:607524002894

10/11/23 10:21:26 BFST110001005696506DIAH PERMATA:CENAIDJA 8888650 0.00 328,500.00 378,818.95

20231110CENAIDJA010O0266495866
ESB:BFST:0008N:20231110BRINIDJA110160196173
33

10/11/23 10:29:37 NBMB FERI HERIANSYA TO AIGA OKSTAFIANDI 8888215 50,000.00 0.00 328,818.95
ESB:NBMB:0001500F:607540026146

10/11/23 11:07:47 NBMB FERI HERIANSYA TO MOH ARIFIN 8888022 50,000.00 0.00 278,818.95
ESB:NBMB:0001500F:607555797243

10/11/23 12:51:45 NBMB ROEDIONO TO FERI HERIANSYAH 8888209 0.00 200,000.00 478,818.95
ESB:NBMB:0001500F:607597629727

10/11/23 12:58:00 NBMB FERI HERIANSYA TO WAHYU NINGSIH 8888080 200,000.00 0.00 278,818.95
ESB:NBMB:0001500F:607600283517

10/11/23 12:59:53 BRIVA88810085783823508NBMBDNID DAVXX JUL 8888349 25,000.00 0.00 253,818.95

BRIVA 88810085783823508NBMBDNID DAVXX JU
ESB:NBMB:0200200P:607601071674

10/11/23 18:39:00 BFST8790323701 NBMB:CENAIDJA 8888387 2,500.00 0.00 251,318.95

20231110BRINIDJA010O0211869733
ESB:NBMB:0008G00F:607744577606

10/11/23 18:39:00 BFST8790323701 NBMB:CENAIDJA 8888387 25,000.00 0.00 226,318.95

20231110BRINIDJA010O0211869733
ESB:NBMB:0008G00F:607744577606

10/11/23 19:02:30 NBMB FERI HERIANSYA TO MOH ARIFIN 8888457 25,000.00 0.00 201,318.95
ESB:NBMB:0001500F:607755965728

10/11/23 20:13:07 NBMB ROEDIONO TO FERI HERIANSYAH 8888252 0.00 200,000.00 401,318.95
ESB:NBMB:0001500F:607788148164

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 9 dari 10
Page 9 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

10/11/23 20:14:32 BRIVA88810081313381633NBMBDNID KODXXXXXX 8888031 100,000.00 0.00 301,318.95

BRIVA 88810081313381633NBMBDNID KODXXXXX
ESB:NBMB:0200200P:607788762045

10/11/23 20:16:46 BRIVA88810082179380814NBMBDNID EPRXX BRIVA 8888232 25,000.00 0.00 276,318.95

88810082179380814NBMBDNID EPRXX
ESB:NBMB:0200200P:607789718712

10/11/23 20:26:50 QRIS607793969680#9360000210057007336 8888005 26,000.00 0.00 250,318.95

ESB:NBMB:0007I00P:607793969680

10/11/23 23:29:11 NBMB FERI HERIANSYA TO ANDIKA RIANDRA 8888285 50,000.00 0.00 200,318.95
ESB:NBMB:0001500F:607849615541

11/11/23 00:02:11 BFST8790323701 NBMB:CENAIDJA 8888194 2,500.00 0.00 197,818.95

20231111BRINIDJA010O0213592049
ESB:NBMB:0008G00F:607858236108

11/11/23 00:02:11 BFST8790323701 NBMB:CENAIDJA 8888194 47,500.00 0.00 150,318.95

20231111BRINIDJA010O0213592049
ESB:NBMB:0008G00F:607858236108

11/11/23 00:19:53 BFST8790323701 NBMB:CENAIDJA 8888368 2,500.00 0.00 147,818.95

20231111BRINIDJA010O0282003142
ESB:NBMB:0008G00F:607862485573

11/11/23 00:19:53 BFST8790323701 NBMB:CENAIDJA 8888368 97,500.00 0.00 50,318.95

20231111BRINIDJA010O0282003142
ESB:NBMB:0008G00F:607862485573

11/11/23 01:05:55 BFST110001005696506DIAH PERMATA:CENAIDJA 8888700 0.00 175,000.00 225,318.95

20231111CENAIDJA010O0269644075
ESB:BFST:0008N:20231111BRINIDJA110160610839
24

11/11/23 10:57:54 BRIVA88810082179380814NBMBDNID EPRXX BRIVA 8888415 100,000.00 0.00 125,318.95

88810082179380814NBMBDNID EPRXX
ESB:NBMB:0200200P:607987732801

11/11/23 22:13:31 PLN-PRA 32202290774NBMB6013011122689044 8888355 3,000.00 0.00 122,318.95

ESB:NBMB:0400200T:608253846088

11/11/23 22:13:31 PLN-PRA 32202290774NBMB6013011122689044 8888355 20,000.00 0.00 102,318.95

ESB:NBMB:0400200T:608253846088

12/11/23 00:40:34 BRIVA88099082352146983NBMBOVO FE** HE*** 8888420 52,000.00 0.00 50,318.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:608286746525

12/11/23 14:00:22 ATM WAHYU NINGSIH TO FERI HERIANSYAH c 9939593 0.00 100,000.00 150,318.95
FROM110001006067530 TO110001005696506ATM

12/11/23 19:22:21 BRIVA88099082352146983NBMBOVO FE** HE*** 8888161 93,000.00 0.00 57,318.95

BRIVA 88099082352146983NBMBOVO FE** HE**
ESB:NBMB:0200200P:608557213809

12/11/23 23:59:59 088274324734|13SMS|09/11/2023-10/11/2023 DDY402 6,500.00 0.00 50,818.95

15/11/23 14:47:17 NBMB FEBRI LINDU RO TO FERI HERIANSYAH 8888543 0.00 50,000.00 100,818.95
ESB:NBMB:0001500F:609687107382

15/11/23 15:52:21 BFST8790323701 NBMB:CENAIDJA 8888563 2,500.00 0.00 98,318.95

20231115BRINIDJA010O0242935136
ESB:NBMB:0008G00F:609712740034

11/16/2023 10:02:59 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 10 dari 10
Page 10 of 10
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

15/11/23 15:52:21 BFST8790323701 NBMB:CENAIDJA 8888563 48,000.00 0.00 50,318.95

20231115BRINIDJA010O0242935136
ESB:NBMB:0008G00F:609712740034

16/11/23 18:30:07 088274324734|3SMS|11/11/2023-12/11/2023 BRIMDBT 1,500.00 0.00 48,818.95

16/11/23 21:39:40 ATM WAHYU NINGSIH TO FERI HERIANSYAH c 9939593 0.00 200,000.00 248,818.95

16/11/23 21:53:28 BFST8790323701 NBMB:CENAIDJA 8888315 30,000.00 0.00 218,818.95

16/11/23 21:53:28 BFST8790323701 NBMB:CENAIDJA 8888315 2,500.00 0.00 216,318.95

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

500,898.95 8,600,080.00 8,315,500.00 216,318.95

Terbilang / In Words

DUA RATUS ENAM BELAS RIBU TIGA RATUS DELAPAN BELAS KOMA SEMBILAN PULUH LIMA RUPIAH
TWO HUNDRED SIXTEEN THOUSAND THREE HUNDRED EIGHTEEN POINT NINETY FIVE 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

11/16/2023 10:03:00 PM