LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 3
Page 1 of 3

Tanggal Laporan : 01/10/23

Kepada Yth. / To :
Statement Date

FAJRIN MUTAQIN Periode Transaksi : 01/09/23 - 30/09/23

Transaction Periode
KP.CIHANTAP RT001 RW 013 NAGROG,
CICALENGKA BANDUNG KAB 111 JAWA BARAT
ID INDONESIA 09002
40395

No. Rekening : 11301125219509 Unit Kerja : KC Pematang Siantar

Account No Business Unit

Nama Produk : Britama-IDR Alamat Unit Kerja : Jl Merdeka No 2

Product Name Business Unit Address Pematang Siantar

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

07/09/23 09:22:43 TRF 011301125219509 111441008185083 0888839 0.00 250,000.00 250,000.00

07/09/23 10:31:39 522184319886985600090781 9902164 200,000.00 0.00 50,000.00

16/09/23 19:18:04 BFST011301125219509RIFAN SETIA :SSPIIDJA 8888606 0.00 50,000.00 100,000.00

20230916SSPIIDJA010O0232371548
ESB:BFST:0008N:20230916BRINIDJA110135062555
02

16/09/23 19:26:17 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888060 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:584697192998

20/09/23 00:00:00 Monthly Fee ATM 3,500.00 0.00 46,500.00

20/09/23 00:25:23 BFST011301125219509VISIONET INT:BDINIDJA 8888686 0.00 59,600.00 106,100.00

20230920BDINIDJA010O9911760693
ESB:BFST:0008N:20230920BRINIDJA110136368541
35

20/09/23 00:45:00 QRIS585973243746#9360000210073775274 8888109 28,700.00 0.00 77,400.00

ESB:NBMB:0007I00P:585973243746

20/09/23 00:53:18 BRIVA88810082169263492NBMBDNID 082169263 8888227 30,900.00 0.00 46,500.00

BRIVA 88810082169263492NBMBDNID 08216926
ESB:NBMB:0200200P:585974175314

20/09/23 23:59:59 Admin Fee 12,000.00 0.00 34,500.00

23/09/23 21:50:22 01130112521950900780510780510023719 9902580 0.00 50,000.00 84,500.00

23/09/23 22:14:34 239N1PS600816910 0371872 0.00 18,000.00 102,500.00

WS_OB;239N1PS600816910;54738
ESB:T:0371872:S:0371892:WSOB

23/09/23 22:15:57 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888338 52,000.00 0.00 50,500.00
ESB:NBMB:0001500F:587505144488

24/09/23 12:03:54 BFST011301125219509VISIONET INT:BDINIDJA 8888627 0.00 49,500.00 100,000.00

20230924BDINIDJA010O9913607166
ESB:BFST:0008N:20230924BRINIDJA110138222056
28

10/01/2023 01:56:38 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 3
Page 2 of 3
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

24/09/23 12:05:01 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888603 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:587653187533

24/09/23 12:27:13 NBMB RUSLY ROMMY TO GABRIEL EURO CHRI 8888419 0.00 217,000.00 267,000.00
ESB:NBMB:0001500F:587660232391

24/09/23 12:38:38 QRIS587663824655#9360000210073775274 8888349 17,000.00 0.00 250,000.00

ESB:NBMB:0007I00P:587663824655

24/09/23 12:49:15 NBMB GABRIEL EURO C TO ANDINI WULANDARI 8888440 50,000.00 0.00 200,000.00
ESB:NBMB:0001500F:587667130715

24/09/23 12:59:45 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888569 100,000.00 0.00 100,000.00
ESB:NBMB:0001500F:587670368671

24/09/23 13:12:44 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888513 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:587674347904

24/09/23 19:57:32 BFST011301125219509VISIONET INT:BDINIDJA 8888607 0.00 46,000.00 96,000.00

20230924BDINIDJA010O9913682422
ESB:BFST:0008N:20230924BRINIDJA110138379311
31

24/09/23 19:58:38 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888562 46,000.00 0.00 50,000.00
ESB:NBMB:0001500F:587810344120

25/09/23 12:47:34 BFST011301125219509VISIONET INT:BDINIDJA 8888703 0.00 50,000.00 100,000.00

20230925BDINIDJA010O9913977999
ESB:BFST:0008N:20230925BRINIDJA110138665254
83

25/09/23 12:48:40 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888582 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:588084271033

28/09/23 17:02:10 DANA20230928015090773448AGILALIDRUS 0371861 0.00 90,000.00 140,000.00

WS_OB;20230928015090773448;72133
ESB:T:0371861:S:0371892:WSOB

28/09/23 17:04:56 BRIVA88099083131693675NBMBOVO FA**L PI** 8888039 38,000.00 0.00 102,000.00

BRIVA 88099083131693675NBMBOVO FA**L PI*
ESB:NBMB:0200200P:589453605635

28/09/23 17:16:09 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888468 50,000.00 0.00 52,000.00
ESB:NBMB:0001500F:589457567528

28/09/23 17:58:14 NBMB RUSLY ROMMY TO GABRIEL EURO CHRI 8888236 0.00 135,000.00 187,000.00
ESB:NBMB:0001500F:589473110807

28/09/23 18:12:10 BRIVA88099083131693675NBMBOVO FA**L PI** 8888388 37,000.00 0.00 150,000.00

BRIVA 88099083131693675NBMBOVO FA**L PI*
ESB:NBMB:0200200P:589478476261

28/09/23 18:33:36 NBMB GABRIEL EURO C TO ANDINI WULANDARI 8888459 50,000.00 0.00 100,000.00
ESB:NBMB:0001500F:589487080518

28/09/23 18:58:28 NBMB GABRIEL EURO C TO ANDINI WULANDARI 8888261 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:589497558792

28/09/23 19:10:09 5307952042552498#000000442607#ATM #TRFLA 0888946 0.00 133,000.00 183,000.00

TRF BERSAMA FROM RONI BACHTIAR LA
011301125219509ATM 5307952042552498

28/09/23 19:34:58 QRIS589512890123#9360000210073775274 8888055 32,000.00 0.00 151,000.00

ESB:NBMB:0007I00P:589512890123

10/01/2023 01:56:38 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

28/09/23 19:44:17 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888044 51,000.00 0.00 100,000.00
ESB:NBMB:0001500F:589516738903

28/09/23 20:05:27 NBMB GABRIEL EURO C TO BUDIANTO AMALO 8888485 50,000.00 0.00 50,000.00
ESB:NBMB:0001500F:589525332849

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

0.00 1,098,100.00 1,148,100.00 50,000.00

Terbilang / In Words

LIMA PULUH RIBU RUPIAH

FIFTY THOUSAND 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

10/01/2023 01:56:38 PM