LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Tanggal Laporan : 23/11/23

Kepada Yth. / To : Statement Date

GAVRA NARAPATI PRIMA BARUS Periode Transaksi : 01/10/23 - 31/10/23

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

16/10/23 23:59:59 Admin Fee 5,500.00 0.00 13,950.00

17/10/23 19:31:17 NBMB DELIANA TO GAVRA NARAPATI PR 8888034 0.00 450,000.00 463,950.00
ESB:NBMB:0001500F:597650844692

17/10/23 19:36:20 081362613455 00261169 000000017301 9936725 400,000.00 0.00 63,950.00

17/10/23 19:38:23 33460105540353500261169261169017303 9936725 0.00 200,000.00 263,950.00

17/10/23 19:45:21 BRIVA88810082377229832NBMBDNID BULXX OPP 8888589 100,000.00 0.00 163,950.00

BRIVA 88810082377229832NBMBDNID BULXX OP
ESB:NBMB:0200200P:597656849021

17/10/23 19:46:06 QRIS597657158424#9360000210075318676 8888386 35,976.00 0.00 127,974.00

ESB:NBMB:0007I00P:597657158424

17/10/23 20:43:58 BRIVA88810087757463773NBMBDNID GAVXX NAR 8888602 50,000.00 0.00 77,974.00

BRIVA 88810087757463773NBMBDNID GAVXX NA
ESB:NBMB:0200200P:597680474804

17/10/23 20:56:04 BRIVA88810082172568465NBMBDNID ETIXXX HX 8888137 46,000.00 0.00 31,974.00

BRIVA 88810082172568465NBMBDNID ETIXXX H
ESB:NBMB:0200200P:597684843790

17/10/23 23:00:31 QRIS597719607698#9360000210075318676 8888402 5,000.00 0.00 26,974.00

ESB:NBMB:0007I00P:597719607698

19/10/23 12:48:03 NBMB DELIANA TO GAVRA NARAPATI PR 8888352 0.00 150,000.00 176,974.00
ESB:NBMB:0001500F:598280505116

19/10/23 13:03:44 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888356 30,000.00 0.00 146,974.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:598286258108

19/10/23 13:04:41 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888466 20,000.00 0.00 126,974.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:598286608586

19/10/23 15:38:09 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888512 101,000.00 0.00 25,974.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:598341713206

11/23/2023 01:08:22 PM
 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

19/10/23 15:41:20 DANA20231019015292064043GAVRANARAPAT 0371877 0.00 101,000.00 126,974.00

WS_OB;20231019015292064043;72133
ESB:T:0371877:S:0371892:WSOB

19/10/23 15:41:42 QRIS598342991367#9360000210075318676 8888364 101,606.00 0.00 25,368.00

ESB:NBMB:0007I00P:598342991367

20/10/23 14:26:18 NBMB DELIANA TO GAVRA NARAPATI PR 8888439 0.00 550,000.00 575,368.00
ESB:NBMB:0001500F:598723552241

20/10/23 14:29:42 QRIS598724857795#9360000210075318676 8888227 51,325.00 0.00 524,043.00

ESB:NBMB:0007I00P:598724857795

20/10/23 14:45:04 QRIS598730699134#9360000210075318676 8888396 101,784.00 0.00 422,259.00

ESB:NBMB:0007I00P:598730699134

20/10/23 15:57:00 QRIS598758089643#9360000210075318676 8888339 383,652.00 0.00 38,607.00

ESB:NBMB:0007I00P:598758089643

20/10/23 16:11:56 QRIS598763758865#9360000210075318676 8888547 12,205.00 0.00 26,402.00

ESB:NBMB:0007I00P:598763758865

21/10/23 10:52:20 VA654086558812900Honorarium Sekretariat 0374617 0.00 1,050,000.00 1,076,402.00

CMS#654086558812900 T:0374617:CMS

21/10/23 17:37:02 NBMB GAVRA NARAPATI TO DELIANA 8888100 850,000.00 0.00 226,402.00
ESB:NBMB:0001500F:599192742575

21/10/23 17:56:39 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888050 99,000.00 0.00 127,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:599200571480

21/10/23 18:31:36 NBMB GAVRA NARAPATI TO LOLITA MALINDA 8888172 100,000.00 0.00 27,402.00
ESB:NBMB:0001500F:599215174928

21/10/23 19:45:18 NBMB DELIANA TO GAVRA NARAPATI PR 8888056 0.00 50,000.00 77,402.00
ESB:NBMB:0001500F:599247022911

21/10/23 19:55:26 NBMB GAVRA NARAPATI TO HERIANTA BR SURBA 8888546 50,000.00 0.00 27,402.00
ESB:NBMB:0001500F:599251260230

21/10/23 23:59:59 087757463773|4SMS|17/10/2023-17/10/2023 DDY402 2,000.00 0.00 25,402.00

22/10/23 18:31:20 BFST334601055403535BULAN OPPI A:SSPIIDJA 8888683 0.00 200,000.00 225,402.00

20231022SSPIIDJA010O0251240018
ESB:BFST:0008N:20231022BRINIDJA110151046

22/10/23 19:04:53 NBMB GAVRA NARAPATI TO HAMDAN 8888051 100,000.00 0.00 125,402.00
ESB:NBMB:0001500F:599577933460

22/10/23 19:36:38 NBMB GAVRA NARAPATI TO HAMDAN 8888374 100,000.00 0.00 25,402.00
ESB:NBMB:0001500F:599590184470

23/10/23 14:52:26 NBMB DELIANA TO GAVRA NARAPATI PR 8888216 0.00 400,000.00 425,402.00
ESB:NBMB:0001500F:599867487915

23/10/23 15:00:46 NBMB GAVRA NARAPATI TO IMRAN GINTING 8888235 300,000.00 0.00 125,402.00
ESB:NBMB:0001500F:599870531805

23/10/23 15:14:49 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888491 100,000.00 0.00 25,402.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:599875790350

25/10/23 23:59:59 087757463773|13SMS|19/10/2023-22/10/2023 DDY402 6,500.00 0.00 18,902.00

11/23/2023 01:08:23 PM
 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

26/10/23 12:26:37 NBMB DELIANA TO GAVRA NARAPATI PR 8888393 0.00 100,000.00 118,902.00
ESB:NBMB:0001500F:601042840045

26/10/23 13:01:55 NBMB GAVRA NARAPATI TO ARY YUDHA TARIGAN 8888293 75,000.00 0.00 43,902.00
ESB:NBMB:0001500F:601056387348

27/10/23 08:44:29 NBMB GAVRA NARAPATI TO ARY YUDHA TARIGAN 8888393 18,000.00 0.00 25,902.00
ESB:NBMB:0001500F:601376255390

27/10/23 09:59:16 NBMB DELIANA TO GAVRA NARAPATI PR 8888219 0.00 550,000.00 575,902.00
ESB:NBMB:0001500F:601406268610

27/10/23 11:18:21 BFST334601055403535BULAN OPPI A:SSPIIDJA 8888634 0.00 50,000.00 625,902.00

20231027SSPIIDJA010O0254138351
ESB:BFST:0008N:20231027BRINIDJA110153362

27/10/23 11:22:59 081362613455 00081015 000000002781 9935035 600,000.00 0.00 25,902.00

27/10/23 13:47:20 NBMB DEBY IVANIA PA TO GAVRA NARAPATI PR 8888089 0.00 14,000.00 39,902.00
ESB:NBMB:0001500F:601499266174

27/10/23 13:49:18 NBMB GAVRA NARAPATI TO ETISON HIA 8888058 14,000.00 0.00 25,902.00
ESB:NBMB:0001500F:601500038329

27/10/23 16:04:00 NBMB RONI PAULUS GI TO GAVRA NARAPATI PR 8888553 0.00 200,000.00 225,902.00
ESB:NBMB:0001500F:601554245273

27/10/23 16:08:25 NBMB GAVRA NARAPATI TO SEPTHA ANDRIANUS 8888475 54,000.00 0.00 171,902.00
ESB:NBMB:0001500F:601556011583

27/10/23 16:11:46 NBMB GAVRA NARAPATI TO SEPTHA ANDRIANUS 8888287 140,000.00 0.00 31,902.00
ESB:NBMB:0001500F:601557350797

28/10/23 18:34:45 NBMB DELIANA TO GAVRA NARAPATI PR 8888494 0.00 70,000.00 101,902.00
ESB:NBMB:0001500F:602017920470

28/10/23 18:39:41 PLN-PRA 86012701396NBMB5221840991994535 8888514 3,000.00 0.00 98,902.00

ESB:NBMB:0400200T:602020186914

28/10/23 18:39:41 PLN-PRA 86012701396NBMB5221840991994535 8888514 20,000.00 0.00 78,902.00

ESB:NBMB:0400200T:602020186914

28/10/23 20:35:27 NBMB GAVRA NARAPATI TO HAMDAN 8888236 53,000.00 0.00 25,902.00
ESB:NBMB:0001500F:602069952993

29/10/23 18:41:34 DANA20231029015389524543GAVRANARAPAT 0371881 0.00 200,000.00 225,902.00

WS_OB;20231029015389524543;72133
ESB:T:0371881:S:0371892:WSOB

29/10/23 19:18:47 081362613455 00621042 000000029225 9936267 100,000.00 0.00 125,902.00

29/10/23 20:02:22 NBMB GAVRA NARAPATI TO HAMDAN 8888415 98,000.00 0.00 27,902.00
ESB:NBMB:0001500F:602418894566

29/10/23 23:59:59 087757463773|4SMS|23/10/2023-26/10/2023 DDY402 2,000.00 0.00 25,902.00

30/10/23 12:08:57 DANA20231030015394263543GAVRANARAPAT 0371860 0.00 100,000.00 125,902.00

WS_OB;20231030015394263543;72133
ESB:T:0371860:S:0371892:WSOB

30/10/23 14:43:38 081362613455 00621042 000000030196 9936267 100,000.00 0.00 25,902.00

30/10/23 18:42:27 VA654086558812900Honorarium Sekretariat 0374610 0.00 1,050,000.00 1,075,902.00

CMS#654086558812900 T:0374610:CMS

11/23/2023 01:08:23 PM
 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

30/10/23 20:56:20 BRIVA88810081362613455NBMBDNID GAVXX NAR 8888463 52,000.00 0.00 1,023,902.00

BRIVA 88810081362613455NBMBDNID GAVXX NA
ESB:NBMB:0200200P:602872108159

30/10/23 21:09:25 NBMB GAVRA NARAPATI TO DELIANA 8888193 895,000.00 0.00 128,902.00
ESB:NBMB:0001500F:602877086230

30/10/23 21:19:51 081362613455 00162010 000000030479 9936676 100,000.00 0.00 28,902.00

31/10/23 16:51:29 NBMB DELIANA TO GAVRA NARAPATI PR 8888191 0.00 15,000.00 43,902.00
ESB:NBMB:0001500F:603199886552

31/10/23 17:17:57 NBMB GAVRA NARAPATI TO HESTINA NASUTION 8888451 18,000.00 0.00 25,902.00
ESB:NBMB:0001500F:603211749342

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

19,450.00 5,493,548.00 5,500,000.00 25,902.00

Terbilang / In Words

DUA PULUH LIMA RIBU SEMBILAN RATUS DUA RUPIAH

TWENTY FIVE THOUSAND NINE HUNDRED TWO RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

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- 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

11/23/2023 01:08:23 PM