LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 8
Page 1 of 8

Tanggal Laporan : 30/11/23

Kepada Yth. / To : Statement Date

GAVRA NARAPATI PRIMA BARUS Periode Transaksi : 01/11/23 - 30/11/23

Transaction Periode

SUKA SIPILIHEN KECAMATAN TIGA

PANAHRT,Rt.0/0,KARO TIGAPANAH KARO

No. Rekening : 334601055403535 Unit Kerja : UNIT PANCUR BATU MEDAN ISMU
Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : KANCA MEDAN ISKANDAR MUDA
Product Name Business Unit Address KAWIL MEDAN

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/11/23 23:59:59 087757463773|6SMS|27/10/2023-29/10/2023 DDY402 3,000.00 0.00 22,902.00

02/11/23 15:48:15 NBMB DELIANA TO GAVRA NARAPATI PR 8888210 0.00 55,000.00 77,902.00
ESB:NBMB:0001500F:604239150721

02/11/23 15:49:57 NBMB GAVRA NARAPATI TO HAMDAN 8888315 20,000.00 0.00 57,902.00
ESB:NBMB:0001500F:604239905948

02/11/23 16:18:42 NBMB GAVRA NARAPATI TO HAMDAN 8888411 30,000.00 0.00 27,902.00
ESB:NBMB:0001500F:604252603207

03/11/23 14:00:09 NBMB DELIANA TO GAVRA NARAPATI PR 8888041 0.00 500,000.00 527,902.00
ESB:NBMB:0001500F:604658314621

03/11/23 14:04:23 NBMB GAVRA NARAPATI TO HAMDAN 8888330 30,000.00 0.00 497,902.00
ESB:NBMB:0001500F:604660095605

03/11/23 14:22:11 BRIVA88810082167192674NBMBDNID SEPXXX AN 8888294 70,000.00 0.00 427,902.00

BRIVA 88810082167192674NBMBDNID SEPXXX A
ESB:NBMB:0200200P:604667533966

03/11/23 14:26:58 081362613455 00162011 000000003287 9936677 100,000.00 0.00 327,902.00

03/11/23 14:32:58 NBMB GAVRA NARAPATI TO HAMDAN 8888586 50,000.00 0.00 277,902.00
ESB:NBMB:0001500F:604672059356

03/11/23 15:16:06 NBMB GAVRA NARAPATI TO HAMDAN 8888265 50,000.00 0.00 227,902.00
ESB:NBMB:0001500F:604689908239

03/11/23 15:58:43 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888508 150,000.00 0.00 77,902.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:604707487814

03/11/23 16:00:22 NBMB GAVRA NARAPATI TO HAMDAN 8888057 50,000.00 0.00 27,902.00
ESB:NBMB:0001500F:604708163414

03/11/23 23:53:54 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888153 0.00 100,000.00 127,902.00
ESB:NBMB:0001500F:604890055663

04/11/23 00:13:48 081362613455 00621042 000000000041 9936267 100,000.00 0.00 27,902.00

04/11/23 15:11:31 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888176 0.00 50,000.00 77,902.00
ESB:NBMB:0001500F:605127358803

11/30/2023 08:51:29 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 8
Page 2 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

04/11/23 21:52:38 BRIVA88810082167192674NBMBDNID SEPXXX AN 8888437 50,000.00 0.00 27,902.00

BRIVA 88810082167192674NBMBDNID SEPXXX A
ESB:NBMB:0200200P:605292012294

05/11/23 23:59:59 087757463773|5SMS|30/10/2023-30/10/2023 DDY402 2,500.00 0.00 25,402.00

06/11/23 23:34:47 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888578 0.00 100,000.00 125,402.00
ESB:NBMB:0001500F:606153982864

06/11/23 23:47:04 081362613455 00451433 000000006434 9936051 100,000.00 0.00 25,402.00

07/11/23 13:45:23 NBMB DELIANA TO GAVRA NARAPATI PR 8888361 0.00 180,000.00 205,402.00
ESB:NBMB:0001500F:606361031475

07/11/23 14:32:26 BRIVA1269300000003772NBMBIKN-FERRY SAPTA 8888346 80,000.00 0.00 125,402.00

BRIVA 1269300000003772NBMBIKN-FERRY SAP
ESB:NBMB:0200200P:606379690216

07/11/23 14:41:51 NBMB GAVRA NARAPATI TO SIDINA HALAWA 8888336 50,000.00 0.00 75,402.00
ESB:NBMB:0001500F:606383431558

07/11/23 15:06:02 NBMB GAVRA NARAPATI TO HAMDAN 8888353 50,000.00 0.00 25,402.00
ESB:NBMB:0001500F:606393005570

07/11/23 17:35:12 NBMB RONI PAULUS GI TO GAVRA NARAPATI PR 8888263 0.00 300,000.00 325,402.00
ESB:NBMB:0001500F:606453403562

07/11/23 17:41:53 NBMB GAVRA NARAPATI TO FREDI BRAHMANA 8888260 250,000.00 0.00 75,402.00
ESB:NBMB:0001500F:606456346013

07/11/23 17:42:52 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888458 50,000.00 0.00 25,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:606456784989

08/11/23 13:45:39 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888112 0.00 100,000.00 125,402.00
ESB:NBMB:0001500F:606785868223

08/11/23 14:50:50 NBMB GAVRA NARAPATI TO HESTINA NASUTION 8888549 10,000.00 0.00 115,402.00
ESB:NBMB:0001500F:606810848703

08/11/23 14:51:45 BRIVA88810082377229832NBMBDNID BULXX OPP 8888098 90,000.00 0.00 25,402.00

BRIVA 88810082377229832NBMBDNID BULXX OP
ESB:NBMB:0200200P:606811205570

09/11/23 00:16:04 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888363 0.00 1,000,000.00 1,025,402.00
ESB:NBMB:0001500F:607013090785

09/11/23 00:16:56 NBMB CRISTINA AGUIL TO GAVRA NARAPATI PR 8888226 0.00 800,000.00 1,825,402.00
ESB:NBMB:0001500F:607013228573

09/11/23 07:28:06 NBMB BANI ESTER TIN TO GAVRA NARAPATI PR 8888045 0.00 250,000.00 2,075,402.00
ESB:NBMB:0001500F:607061690119

09/11/23 11:56:34 081362613455 00621042 000000009121 9936267 1,000,000.00 0.00 1,075,402.00

09/11/23 11:57:08 081362613455 00621042 000000009122 9936267 1,000,000.00 0.00 75,402.00

09/11/23 13:43:36 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888029 49,000.00 0.00 26,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:607198896244

09/11/23 15:08:18 NBMB EKA FEBRI SILA TO GAVRA NARAPATI PR 8888421 0.00 100,000.00 126,402.00
ESB:NBMB:0001500F:607230951398

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 8
Page 3 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

09/11/23 15:59:58 NBMB GAVRA NARAPATI TO HAMDAN 8888379 20,000.00 0.00 106,402.00
ESB:NBMB:0001500F:607250945707

09/11/23 16:15:06 NBMB GAVRA NARAPATI TO HAMDAN 8888425 30,000.00 0.00 76,402.00
ESB:NBMB:0001500F:607256832850

09/11/23 16:25:47 NBMB GAVRA NARAPATI TO HAMDAN 8888457 50,000.00 0.00 26,402.00
ESB:NBMB:0001500F:607261042251

09/11/23 17:09:15 NBMB DELIANA TO GAVRA NARAPATI PR 8888083 0.00 100,000.00 126,402.00
ESB:NBMB:0001500F:607278461688

09/11/23 17:23:08 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888039 100,000.00 0.00 26,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:607284159204

09/11/23 23:59:59 087757463773|2SMS|06/11/2023-06/11/2023 DDY402 1,000.00 0.00 25,402.00

10/11/23 10:59:36 NBMB DELIANA TO GAVRA NARAPATI PR 8888209 0.00 500,000.00 525,402.00
ESB:NBMB:0001500F:607552423039

10/11/23 12:15:24 NBMB GAVRA NARAPATI TO LOLITA MALINDA 8888370 450,000.00 0.00 75,402.00
ESB:NBMB:0001500F:607582469776

10/11/23 12:21:19 NBMB GAVRA NARAPATI TO HAMDAN 8888050 50,000.00 0.00 25,402.00
ESB:NBMB:0001500F:607584832603

12/11/23 11:25:42 NBMB DELIANA TO GAVRA NARAPATI PR 8888547 0.00 200,000.00 225,402.00
ESB:NBMB:0001500F:608396623257

12/11/23 11:47:37 081362613455 00621042 000000001283 9936267 200,000.00 0.00 25,402.00

13/11/23 13:31:11 NBMB DELIANA TO GAVRA NARAPATI PR 8888586 0.00 470,000.00 495,402.00
ESB:NBMB:0001500F:608823607073

13/11/23 19:58:36 NBMB GAVRA NARAPATI TO LOLITA MALINDA 8888391 460,000.00 0.00 35,402.00
ESB:NBMB:0001500F:608983748818

13/11/23 23:59:59 087757463773|19SMS|03/11/2023-10/11/2023 DDY402 9,500.00 0.00 25,902.00

14/11/23 02:44:51 NBMB LUCKY ANANTA S TO GAVRA NARAPATI PR 8888569 0.00 50,000.00 75,902.00
ESB:NBMB:0001500F:609069830324

14/11/23 02:45:58 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888358 50,000.00 0.00 25,902.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:609069893207

14/11/23 03:05:52 NBMB EKA FEBRI SILA TO GAVRA NARAPATI PR 8888232 0.00 1,100,000.00 1,125,902.00
ESB:NBMB:0001500F:609070979532

14/11/23 03:07:09 NBMB GAVRA NARAPATI TO LUCKY ANANTA SEBA 8888307 1,000,000.00 0.00 125,902.00
ESB:NBMB:0001500F:609071058918

14/11/23 04:00:10 NBMB GAVRA NARAPATI TO HAMBALI 8888583 100,000.00 0.00 25,902.00
ESB:NBMB:0001500F:609074358258

14/11/23 04:43:21 NBMB LUCKY ANANTA S TO GAVRA NARAPATI PR 8888280 0.00 50,000.00 75,902.00
ESB:NBMB:0001500F:609077168230

14/11/23 04:44:11 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888117 50,000.00 0.00 25,902.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:609077233550

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 8
Page 4 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

14/11/23 04:46:03 DANA20231114015531190043GAVRANARAPAT 0371873 0.00 50,000.00 75,902.00

WS_OB;20231114015531190043;72133
ESB:T:0371873:S:0371892:WSOB

14/11/23 04:46:22 NBMB GAVRA NARAPATI TO HAMBALI 8888332 50,000.00 0.00 25,902.00
ESB:NBMB:0001500F:609077406823

14/11/23 04:55:46 NBMB LUCKY ANANTA S TO GAVRA NARAPATI PR 8888346 0.00 50,000.00 75,902.00
ESB:NBMB:0001500F:609078175635

14/11/23 04:56:05 NBMB GAVRA NARAPATI TO HAMBALI 8888187 50,000.00 0.00 25,902.00
ESB:NBMB:0001500F:609078203075

14/11/23 19:46:13 NBMB DELIANA TO GAVRA NARAPATI PR 8888231 0.00 400,000.00 425,902.00
ESB:NBMB:0001500F:609387284683

15/11/23 08:32:57 ESB:INDS:0002A00W:d42f3368ceeb 1338052 10,000.00 0.00 415,902.00

15/11/23 08:32:57 ESB:INDS:0002A00W:d42f3368ceeb 1338052 390,000.00 0.00 25,902.00

16/11/23 11:47:01 NBMB ASNIDAR SARTIK TO GAVRA NARAPATI PR 8888447 0.00 200,000.00 225,902.00
ESB:NBMB:0001500F:610036726302

16/11/23 14:01:38 WBNKSTOR537701017963536TO334601055403535 0888122 0.00 500,000.00 725,902.00

ESB:WBNK:0303A00F:505417276729

16/11/23 17:10:31 081362613455 00081039 000000016179 9936386 700,000.00 0.00 25,902.00

16/11/23 23:59:59 Admin Fee 5,500.00 0.00 20,402.00

17/11/23 08:48:24 NBMB DELIANA TO GAVRA NARAPATI PR 8888445 0.00 650,000.00 670,402.00
ESB:NBMB:0001500F:610397258754

17/11/23 09:13:45 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888027 50,000.00 0.00 620,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:610406654625

17/11/23 09:18:05 NBMB GAVRA NARAPATI TO HAMBALI 8888417 50,000.00 0.00 570,402.00
ESB:NBMB:0001500F:610408311483

17/11/23 09:39:29 NBMB GAVRA NARAPATI TO ETISON HIA 8888101 46,000.00 0.00 524,402.00
ESB:NBMB:0001500F:610416580720

17/11/23 10:01:24 NBMB DELIANA TO GAVRA NARAPATI PR 8888037 0.00 10,000.00 534,402.00
ESB:NBMB:0001500F:610425229037

17/11/23 10:05:08 NBMB GAVRA NARAPATI TO REYZAELVI NASURYA 8888224 500,000.00 0.00 34,402.00
ESB:NBMB:0001500F:610426710623

17/11/23 10:07:00 DANA20231117015560625343GAVRANARAPAT 0371867 0.00 160,000.00 194,402.00

WS_OB;20231117015560625343;72133
ESB:T:0371867:S:0371892:WSOB

17/11/23 10:09:20 NBMB GAVRA NARAPATI TO SILVIA NINGSI ZEG 8888546 50,000.00 0.00 144,402.00
ESB:NBMB:0001500F:610428382355

17/11/23 10:10:49 NBMB GAVRA NARAPATI TO HAMBALI 8888137 65,000.00 0.00 79,402.00
ESB:NBMB:0001500F:610428983183

17/11/23 10:30:37 NBMB GAVRA NARAPATI TO ETISON HIA 8888333 46,000.00 0.00 33,402.00
ESB:NBMB:0001500F:610436994178

17/11/23 13:19:09 WBNKSTOR383301024185533TO334601055403535 0888138 0.00 50,000.00 83,402.00

ESB:WBNK:0303A00F:505429149866

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 5 dari 8
Page 5 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

17/11/23 13:45:31 NBMB GAVRA NARAPATI TO HAMBALI 8888411 54,000.00 0.00 29,402.00
ESB:NBMB:0001500F:610514450250

17/11/23 14:02:53 NBMB HAMBALI TO GAVRA NARAPATI PR 8888186 0.00 50,000.00 79,402.00
ESB:NBMB:0001500F:610521264223

17/11/23 14:03:41 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888193 50,000.00 0.00 29,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:610521579786

17/11/23 23:59:59 087757463773|8SMS|12/11/2023-14/11/2023 DDY402 4,000.00 0.00 25,402.00

18/11/23 10:41:41 NBMB ANGELY EKAWANT TO GAVRA NARAPATI PR 8888148 0.00 50,000.00 75,402.00
ESB:NBMB:0001500F:610852830814

18/11/23 15:11:58 BRIVA88810082377229832NBMBDNID BULXX OPP 8888314 50,000.00 0.00 25,402.00

BRIVA 88810082377229832NBMBDNID BULXX OP
ESB:NBMB:0200200P:610949458342

18/11/23 15:44:24 ATM NASIB HOTTUA T TO GAVRA NARAPATI Pj 9933141 0.00 100,000.00 125,402.00
FROM534201013206501 TO334601055403535ATM

18/11/23 16:04:48 081362613455 00621042 000000018257 9936267 100,000.00 0.00 25,402.00

19/11/23 01:13:12 BFST334601055403535GAVRA NARAPA:DANAIDJ1 8888631 0.00 50,000.00 75,402.00

20231119DANAIDJ1010O9976230443
ESB:BFST:0008N:20231119FASTIDJA01063504372

19/11/23 01:14:01 NBMB GAVRA NARAPATI TO HAMBALI 8888094 50,000.00 0.00 25,402.00
ESB:NBMB:0001500F:611154546669

19/11/23 18:15:12 NBMB HAMBALI TO GAVRA NARAPATI PR 8888354 0.00 270,000.00 295,402.00
ESB:NBMB:0001500F:611392269796

19/11/23 18:22:33 BRIVA88810082377229832NBMBDNID BULXX OPP 8888240 100,000.00 0.00 195,402.00

BRIVA 88810082377229832NBMBDNID BULXX OP
ESB:NBMB:0200200P:611395135458

19/11/23 18:44:36 NBMB GAVRA NARAPATI TO ETISON HIA 8888158 15,000.00 0.00 180,402.00
ESB:NBMB:0001500F:611404150612

19/11/23 19:30:56 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888046 55,000.00 0.00 125,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:611423322777

19/11/23 19:46:35 NBMB EKA FEBRI SILA TO GAVRA NARAPATI PR 8888034 0.00 100,000.00 225,402.00
ESB:NBMB:0001500F:611429639152

19/11/23 19:49:44 NBMB GAVRA NARAPATI TO ETISON HIA 8888232 46,000.00 0.00 179,402.00
ESB:NBMB:0001500F:611430904942

19/11/23 20:23:02 NBMB GAVRA NARAPATI TO AHMAD RAIHAN 8888416 50,000.00 0.00 129,402.00
ESB:NBMB:0001500F:611444249991

19/11/23 20:56:35 NBMB CASONO TO GAVRA NARAPATI PR 8888420 0.00 50,000.00 179,402.00
ESB:NBMB:0001500F:611456709908

19/11/23 21:49:51 QRIS611473501351#9360000210075318676 8888136 50,718.00 0.00 128,684.00

ESB:NBMB:0007I00P:611473501351

19/11/23 21:58:13 BRIVA88810082167192674NBMBDNID SEPXXX AN 8888517 100,000.00 0.00 28,684.00

BRIVA 88810082167192674NBMBDNID SEPXXX A
ESB:NBMB:0200200P:611475795941

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 6 dari 8
Page 6 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

20/11/23 17:58:34 NBMB DELIANA TO GAVRA NARAPATI PR 8888529 0.00 20,000.00 48,684.00
ESB:NBMB:0001500F:611804445743

20/11/23 18:32:13 NBMB GAVRA NARAPATI TO ETISON HIA 8888287 23,000.00 0.00 25,684.00
ESB:NBMB:0001500F:611820036608

20/11/23 22:48:45 6391696038356543#000000236922#ATM #TRFLA 0888827 0.00 300,000.00 325,684.00

TRF BERSAMA FROM SARLOMO BARASA LA
334601055403535ATM 6391696038356543

20/11/23 23:45:15 081362613455 00621042 000000020580 9936267 300,000.00 0.00 25,684.00

21/11/23 13:35:36 EDC SUKARMAN TO GAVRA NARAPATI 0852454 0.00 200,000.00 225,684.00
FROM537701011336537 TO334601055403535EDC

21/11/23 13:59:47 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888090 196,000.00 0.00 29,684.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:612136490258

21/11/23 23:59:59 087757463773|9SMS|15/11/2023-18/11/2023 DDY402 4,500.00 0.00 25,184.00

22/11/23 16:44:52 WBNKSTOR019401059716508TO334601055403535 0888122 0.00 200,000.00 225,184.00

ESB:WBNK:0303A00F:505489939738

22/11/23 19:22:03 NBMB GAVRA NARAPATI TO ASNIDAR SARTIKA N 8888425 200,000.00 0.00 25,184.00
ESB:NBMB:0001500F:612672725292

23/11/23 19:35:06 NBMB DELIANA TO GAVRA NARAPATI PR 8888032 0.00 550,000.00 575,184.00
ESB:NBMB:0001500F:613088863482

23/11/23 19:37:01 NBMB GAVRA NARAPATI TO IMRAN GINTING 8888208 450,000.00 0.00 125,184.00
ESB:NBMB:0001500F:613089664194

23/11/23 19:40:04 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888366 50,000.00 0.00 75,184.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:613090926877

23/11/23 21:03:24 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888323 50,000.00 0.00 25,184.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:613123087561

24/11/23 09:12:26 NBMB DELIANA TO GAVRA NARAPATI PR 8888007 0.00 30,000.00 55,184.00
ESB:NBMB:0001500F:613255462816

24/11/23 09:14:30 NBMB GAVRA NARAPATI TO NOFAL ZANURIAH 8888345 30,000.00 0.00 25,184.00
ESB:NBMB:0001500F:613256284236

24/11/23 12:05:52 FROM545001015077537 TO334601055403535MP 9936113 0.00 200,000.00 225,184.00

24/11/23 12:27:43 QRIS613336379812#9360000210075318676 8888424 98,580.00 0.00 126,604.00

ESB:NBMB:0007I00P:613336379812

24/11/23 13:39:40 NBMB GAVRA NARAPATI TO ETISON HIA 8888270 29,000.00 0.00 97,604.00
ESB:NBMB:0001500F:613367181698

24/11/23 13:46:45 NBMB GAVRA NARAPATI TO ETISON HIA 8888175 29,000.00 0.00 68,604.00
ESB:NBMB:0001500F:613370093316

24/11/23 14:02:36 BRIVA88810082167192674NBMBDNID SEPXXX AN 8888519 20,000.00 0.00 48,604.00

BRIVA 88810082167192674NBMBDNID SEPXXX A
ESB:NBMB:0200200P:613376555910

24/11/23 14:04:03 QRIS613377158541#9360000210075318676 8888082 22,982.00 0.00 25,622.00

ESB:NBMB:0007I00P:613377158541

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 7 dari 8
Page 7 of 8
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

25/11/23 11:09:39 EDC LAMHOT ASIROHAN TO GAVRA NARAPATI 0852405 0.00 100,000.00 125,622.00
FROM537701025128536 TO334601055403535EDC

25/11/23 14:03:48 BRIVA88810081264408488NBMBDNID HERXXXXX 8888539 95,000.00 0.00 30,622.00

BRIVA 88810081264408488NBMBDNID HERXXXXX
ESB:NBMB:0200200P:613808020842

25/11/23 15:08:26 NBMB SUTO AJI RAMAD TO GAVRA NARAPATI PR 8888362 0.00 137,000.00 167,622.00
ESB:NBMB:0001500F:613832266480

25/11/23 15:10:40 NBMB GAVRA NARAPATI TO ETISON HIA 8888461 33,000.00 0.00 134,622.00
ESB:NBMB:0001500F:613833118921

25/11/23 16:18:51 NBMB GAVRA NARAPATI TO HAMBALI 8888255 50,000.00 0.00 84,622.00
ESB:NBMB:0001500F:613859284427

25/11/23 16:41:30 QRIS613868336342#9360000210075318676 8888107 50,753.00 0.00 33,869.00

ESB:NBMB:0007I00P:613868336342

25/11/23 23:36:59 NBMB LUCKY ANANTA S TO GAVRA NARAPATI PR 8888307 0.00 50,000.00 83,869.00
ESB:NBMB:0001500F:614026257928

25/11/23 23:39:56 NBMB GAVRA NARAPATI TO MUHAMAD NURUL SAJ 8888247 50,000.00 0.00 33,869.00
ESB:NBMB:0001500F:614026821880

25/11/23 23:59:59 087757463773|10SMS|19/11/2023-22/11/2023 DDY402 5,000.00 0.00 28,869.00

26/11/23 11:13:51 NBMB DELIANA TO GAVRA NARAPATI PR 8888596 0.00 150,000.00 178,869.00
ESB:NBMB:0001500F:614152363860

26/11/23 11:48:16 NBMB GAVRA NARAPATI TO LAVANIA MIRAGEL B 8888039 120,000.00 0.00 58,869.00
ESB:NBMB:0001500F:614163501770

26/11/23 11:57:35 NBMB GAVRA NARAPATI TO ETISON HIA 8888565 33,000.00 0.00 25,869.00
ESB:NBMB:0001500F:614166501773

26/11/23 18:13:52 NBMB ASNIDAR SARTIK TO GAVRA NARAPATI PR 8888325 0.00 150,000.00 175,869.00
ESB:NBMB:0001500F:614288899915

26/11/23 18:17:10 BRIVA88810082377229832NBMBDNID BULXX OPP 8888415 100,000.00 0.00 75,869.00

BRIVA 88810082377229832NBMBDNID BULXX OP
ESB:NBMB:0200200P:614290145343

26/11/23 18:26:40 NBMB GAVRA NARAPATI TO LOLY 8888304 50,000.00 0.00 25,869.00
ESB:NBMB:0001500F:614293831568

27/11/23 15:18:43 NBMB DELIANA TO GAVRA NARAPATI PR 8888195 0.00 150,000.00 175,869.00
ESB:NBMB:0001500F:614638138611

27/11/23 15:22:41 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888199 50,000.00 0.00 125,869.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:614639739292

27/11/23 15:43:10 NBMB EKA FEBRI SILA TO GAVRA NARAPATI PR 8888138 0.00 55,000.00 180,869.00
ESB:NBMB:0001500F:614648070917

27/11/23 16:36:30 NBMB GAVRA NARAPATI TO LOLITA MALINDA 8888357 150,000.00 0.00 30,869.00
ESB:NBMB:0001500F:614669842296

28/11/23 01:07:54 BFST334601055403535HIDE THOSI S:DANAIDJ1 8888694 0.00 50,000.00 80,869.00

20231128DANAIDJ1010O9970262115
ESB:BFST:0008N:20231128FASTIDJA01015883931

11/30/2023 08:51:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

28/11/23 01:08:20 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888388 55,000.00 0.00 25,869.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:614837231887

29/11/23 12:04:07 VA654086558812900Honorarium Sekretariat 0374664 0.00 1,050,000.00 1,075,869.00

CMS#654086558812900 T:0374664:CMS

29/11/23 12:12:29 NBMB GAVRA NARAPATI TO DELIANA 8888444 880,000.00 0.00 195,869.00
ESB:NBMB:0001500F:615411616461

29/11/23 12:17:45 081362613455 00621042 000000029167 9936267 100,000.00 0.00 95,869.00

29/11/23 12:26:23 NBMB GAVRA NARAPATI TO ETISON HIA 8888165 15,000.00 0.00 80,869.00
ESB:NBMB:0001500F:615417390362

29/11/23 19:40:45 QRIS615597717672#9360000210075318676 8888585 14,000.00 0.00 66,869.00

ESB:NBMB:0007I00P:615597717672

29/11/23 20:05:43 QRIS615608863825#9360000210075318676 8888486 35,738.00 0.00 31,131.00

ESB:NBMB:0007I00P:615608863825

29/11/23 23:59:59 087757463773|9SMS|23/11/2023-26/11/2023 DDY402 4,500.00 0.00 26,631.00

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

25,902.00 12,136,271.00 12,137,000.00 26,631.00

Terbilang / In Words

DUA PULUH ENAM RIBU ENAM RATUS TIGA PULUH SATU RUPIAH
TWENTY SIX THOUSAND SIX HUNDRED THIRTY ONE 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

11/30/2023 08:51:30 AM