LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 6
Page 1 of 6

Tanggal Laporan : 23/12/23

Kepada Yth. / To : Statement Date

RANDY PRAYOGA HIDAYAT Periode Transaksi : 01/12/23 - 23/12/23

Transaction Periode

DUSUN III REMPELAS RT RW 007 002,KEL SUMUR

BANDUNG KEC WAY JEPARA, KEL SU,LAMPUNG
TIMUR WAY JEPARA LAMPUNG TIMUR

No. Rekening : 339401051343536 Unit Kerja : UNIT WAY JEPARA METRO

Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : KANCA METRO

Product Name Business Unit Address KANWIL BANDAR LAMPUNG

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/12/23 14:06:29 ESB:INDS:0002B00F:51083721f2d1 3394051 0.00 15,000,000.00 15,050,328.00

01/12/23 16:33:59 ATMSTRPRM 08888 000453816 5280450334 8888413 6,500.00 0.00 15,043,828.00
ESB:NBMB:0005T00F:616521453816

01/12/23 16:33:59 ATMSTRPRM 08888 000453816 5280450334 8888413 1,335,000.00 0.00 13,708,828.00
ESB:NBMB:0005T00F:616521453816

01/12/23 16:37:21 ATMSTRPRM 08888 000192886 5820268166 8888115 6,500.00 0.00 13,702,328.00
ESB:NBMB:0005T00F:616523192886

01/12/23 16:37:21 ATMSTRPRM 08888 000192886 5820268166 8888115 1,666,000.00 0.00 12,036,328.00
ESB:NBMB:0005T00F:616523192886

01/12/23 19:50:18 BFST0690440598 NBMB:CENAIDJA 8888487 2,500.00 0.00 12,033,828.00

20231201BRINIDJA010O0245487233
ESB:NBMB:0008G00F:616629178889

01/12/23 19:50:18 BFST0690440598 NBMB:CENAIDJA 8888487 5,000,000.00 0.00 7,033,828.00

20231201BRINIDJA010O0245487233
ESB:NBMB:0008G00F:616629178889

01/12/23 21:17:31 BFST2750612469 NBMB:CENAIDJA 8888581 2,500.00 0.00 7,031,328.00

20231201BRINIDJA010O0246260007
ESB:NBMB:0008G00F:616671457362

01/12/23 21:17:31 BFST2750612469 NBMB:CENAIDJA 8888581 3,000,000.00 0.00 4,031,328.00

20231201BRINIDJA010O0246260007
ESB:NBMB:0008G00F:616671457362

02/12/23 04:52:57 BFST15309000261 NBMB:BSSPIDSP 8888466 2,500.00 0.00 4,028,828.00

20231202BRINIDJA010O0247508898
ESB:NBMB:0008G00F:616750546626

02/12/23 04:52:57 BFST15309000261 NBMB:BSSPIDSP 8888466 400,000.00 0.00 3,628,828.00

20231202BRINIDJA010O0247508898
ESB:NBMB:0008G00F:616750546626

02/12/23 05:41:50 BRIVA112085896553149NBMBrXXXXXXXXXXXXX9 8888269 10,000.00 0.00 3,618,828.00

BRIVA 112085896553149NBMBrXXXXXXXXXXXX
ESB:NBMB:0200200P:616756983848

12/23/2023 05:40:55 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 6
Page 2 of 6
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

02/12/23 17:52:59 BFST3500351895 NBMB:CENAIDJA 8888181 2,500.00 0.00 3,616,328.00

20231202BRINIDJA010O0203537331
ESB:NBMB:0008G00F:617034465201

02/12/23 17:52:59 BFST3500351895 NBMB:CENAIDJA 8888181 170,000.00 0.00 3,446,328.00

20231202BRINIDJA010O0203537331
ESB:NBMB:0008G00F:617034465201

03/12/23 18:32:36 NBMB HENDRA TO RANDY PRAYOGA HID 8888280 0.00 15,000,000.00 18,446,328.00
ESB:NBMB:0001500F:617463282213

03/12/23 18:33:58 NBMB RANDY PRAYOGA TO HAMODA 8888024 2,000,000.00 0.00 16,446,328.00
ESB:NBMB:0001500F:617463877625

03/12/23 18:34:44 BFST8940336202 NBMB:CENAIDJA 8888504 2,500.00 0.00 16,443,828.00

20231203BRINIDJA010O0211486721
ESB:NBMB:0008G00F:617464207156

03/12/23 18:34:44 BFST8940336202 NBMB:CENAIDJA 8888504 2,000,000.00 0.00 14,443,828.00

20231203BRINIDJA010O0211486721
ESB:NBMB:0008G00F:617464207156

04/12/23 15:54:22 BFST6430264085 NBMB:CENAIDJA 8888465 2,500.00 0.00 14,441,328.00

20231204BRINIDJA010O0218699120
ESB:NBMB:0008G00F:617843201987

04/12/23 15:54:22 BFST6430264085 NBMB:CENAIDJA 8888465 56,000.00 0.00 14,385,328.00

20231204BRINIDJA010O0218699120
ESB:NBMB:0008G00F:617843201987

04/12/23 16:18:07 NBMB RANDY PRAYOGA TO MARYATIN 8888288 1,000,000.00 0.00 13,385,328.00
ESB:NBMB:0001500F:617853810715

04/12/23 16:19:24 BFST0690440598 NBMB:CENAIDJA 8888569 2,500.00 0.00 13,382,828.00

20231204BRINIDJA010O0218929221
ESB:NBMB:0008G00F:617854386551

04/12/23 16:19:24 BFST0690440598 NBMB:CENAIDJA 8888569 1,000,000.00 0.00 12,382,828.00

20231204BRINIDJA010O0218929221
ESB:NBMB:0008G00F:617854386551

05/12/23 23:59:59 085896553149|12SMS|30/11/2023-02/12/2023 DDY402 6,000.00 0.00 12,376,828.00

06/12/23 12:34:16 BFST6600386415 NBMB:CENAIDJA 8888591 2,500.00 0.00 12,374,328.00

20231206BRINIDJA010O0235223169
ESB:NBMB:0008G00F:618715775386

06/12/23 12:34:16 BFST6600386415 NBMB:CENAIDJA 8888591 50,000.00 0.00 12,324,328.00

20231206BRINIDJA010O0235223169
ESB:NBMB:0008G00F:618715775386

06/12/23 17:57:06 BFST2440397592 NBMB:CENAIDJA 8888344 2,500.00 0.00 12,321,828.00

20231206BRINIDJA010O0238062647
ESB:NBMB:0008G00F:618853548422

06/12/23 17:57:06 BFST2440397592 NBMB:CENAIDJA 8888344 10,000,000.00 0.00 2,321,828.00

20231206BRINIDJA010O0238062647
ESB:NBMB:0008G00F:618853548422

07/12/23 16:43:14 ISATDT 085896553149NBMB6013013096177899 8888240 1,500.00 0.00 2,320,328.00

ESB:NBMB:0102602P:619268631720

07/12/23 16:43:14 ISATDT 085896553149NBMB6013013096177899 8888240 74,500.00 0.00 2,245,828.00

ESB:NBMB:0102602P:619268631720

12/23/2023 05:40:55 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 6
Page 3 of 6
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

07/12/23 16:44:19 BFST5280450334 NBMB:CENAIDJA 8888043 2,500.00 0.00 2,243,328.00

20231207BRINIDJA010O0246091757
ESB:NBMB:0008G00F:619269095078

07/12/23 16:44:19 BFST5280450334 NBMB:CENAIDJA 8888043 75,000.00 0.00 2,168,328.00

20231207BRINIDJA010O0246091757
ESB:NBMB:0008G00F:619269095078

08/12/23 00:52:10 GOP01 +6285896553149NBMB6013013096177899 8888421 1,000.00 0.00 2,167,328.00

ESB:NBMB:0201000T:619441947793

08/12/23 00:52:10 GOP01 +6285896553149NBMB6013013096177899 8888421 75,000.00 0.00 2,092,328.00

ESB:NBMB:0201000T:619441947793

09/12/23 20:45:51 BFST8040272187 NBMB:CENAIDJA 8888586 2,500.00 0.00 2,089,828.00

20231209BRINIDJA010O0215198323
ESB:NBMB:0008G00F:620265440079

09/12/23 20:45:51 BFST8040272187 NBMB:CENAIDJA 8888586 300,000.00 0.00 1,789,828.00

20231209BRINIDJA010O0215198323
ESB:NBMB:0008G00F:620265440079

09/12/23 23:59:59 085896553149|6SMS|03/12/2023-06/12/2023 DDY402 3,000.00 0.00 1,786,828.00

10/12/23 15:14:20 BFST339401051343536VISIONET INT:BDINIDJA 8888619 0.00 1,000,000.00 2,786,828.00

20231210BDINIDJA010O9990505613
ESB:BFST:0008N:20231210FASTIDJA01063167309

10/12/23 15:37:42 085896553149 00986208 000000010241 9909532 1,000,000.00 0.00 1,786,828.00

12/12/23 16:04:08 WBNKTRF339401049960538TO339401051343536 0888146 0.00 35,000,000.00 36,786,828.00

ESB:WBNK:000DE00F:505721937333

12/12/23 20:49:38 ATMSTRPRM 08888 000427944 2680080088 8888102 6,500.00 0.00 36,780,328.00
ESB:NBMB:0005T00F:621569427944

12/12/23 20:49:38 ATMSTRPRM 08888 000427944 2680080088 8888102 25,000,000.00 0.00 11,780,328.00
ESB:NBMB:0005T00F:621569427944

12/12/23 20:57:56 NBMB RANDY PRAYOGA TO HENDRA 8888272 10,000,000.00 0.00 1,780,328.00
ESB:NBMB:0001500F:621572863320

12/12/23 21:05:06 NBMB RANDY PRAYOGA TO HENDRA 8888483 20,000.00 0.00 1,760,328.00
ESB:NBMB:0001500F:621575808954

13/12/23 00:58:40 BRIVA112085896553149NBMBrXXXXXXXXXXXXX9 8888273 100,000.00 0.00 1,660,328.00

BRIVA 112085896553149NBMBrXXXXXXXXXXXX
ESB:NBMB:0200200P:621634864037

13/12/23 12:18:00 GOP01 +6285890940129NBMB6013013096177899 8888187 1,000.00 0.00 1,659,328.00

ESB:NBMB:0201000T:621795485598

13/12/23 12:18:00 GOP01 +6285890940129NBMB6013013096177899 8888187 50,000.00 0.00 1,609,328.00

ESB:NBMB:0201000T:621795485598

13/12/23 23:59:59 085896553149|3SMS|09/12/2023-10/12/2023 DDY402 1,500.00 0.00 1,607,828.00

14/12/23 19:11:55 NBMB RANDY PRAYOGA TO MARYOTO 8888098 500,000.00 0.00 1,107,828.00
ESB:NBMB:0001500F:622393699681

15/12/23 11:36:51 BFST339401051343536ANANDA TRI W:DANAIDJ1 8888656 0.00 200,000.00 1,307,828.00

20231215DANAIDJ1010O9945361059
ESB:BFST:0008N:20231215FASTIDJA01079762200

12/23/2023 05:40:55 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 6
Page 4 of 6
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

15/12/23 11:44:32 TTMI231215094930NBMB339401051343536 8888057 4,000.00 0.00 1,303,828.00

ESB:NBMB:0000600F:231215094930

15/12/23 11:44:32 TTMI231215094930NBMB339401051343536 8888057 300,000.00 0.00 1,003,828.00

ESB:NBMB:0000600F:231215094930

15/12/23 17:15:15 NBMB RANDY PRAYOGA TO MARYATIN 8888515 200,000.00 0.00 803,828.00
ESB:NBMB:0001500F:622796710789

15/12/23 17:56:37 DANA20231215015848927459ANANDATRIWAH 0371894 0.00 100,000.00 903,828.00

WS_OB;20231215015848927459;72133
ESB:T:0371894:S:0371892:WSOB

15/12/23 22:59:16 BFST0690440598 NBMB:CENAIDJA 8888574 2,500.00 0.00 901,328.00

20231215BRINIDJA010O0214152929
ESB:NBMB:0008G00F:622941680186

15/12/23 22:59:16 BFST0690440598 NBMB:CENAIDJA 8888574 850,000.00 0.00 51,328.00

20231215BRINIDJA010O0214152929
ESB:NBMB:0008G00F:622941680186

16/12/23 00:00:00 Monthly Fee ATM 2,500.00 0.00 48,828.00

16/12/23 19:10:42 WBNKSTOR117101000556560TO339401051343536 0888122 0.00 500,000.00 548,828.00

ESB:WBNK:0303A00F:505772511992

16/12/23 19:25:04 BRIVA112085896553149NBMBrXXXXXXXXXXXXX9 8888279 300,000.00 0.00 248,828.00

BRIVA 112085896553149NBMBrXXXXXXXXXXXX
ESB:NBMB:0200200P:623291663997

16/12/23 23:59:59 Admin Fee 5,500.00 0.00 243,328.00

17/12/23 10:39:59 BFST339401051343536AL FATAH MUI:CENAIDJA 8888674 0.00 50,000.00 293,328.00

20231217CENAIDJA010O0297644123
ESB:BFST:0008N:20231217FASTIDJA01036704326

17/12/23 14:39:10 BFST4142242579 NBMB:CENAIDJA 8888097 2,500.00 0.00 290,828.00

20231217BRINIDJA010O0225450951
ESB:NBMB:0008G00F:623585809567

17/12/23 14:39:10 BFST4142242579 NBMB:CENAIDJA 8888097 10,000.00 0.00 280,828.00

20231217BRINIDJA010O0225450951
ESB:NBMB:0008G00F:623585809567

17/12/23 15:13:28 DANA20231217015869613759ANANDATRIWAH 0371853 0.00 1,000,000.00 1,280,828.00

WS_OB;20231217015869613759;72133
ESB:T:0371853:S:0371892:WSOB

17/12/23 15:14:41 BRIVA112082113594491NBMBnXXXXXXXXXXXm 8888155 995,000.00 0.00 285,828.00

BRIVA 112082113594491NBMBnXXXXXXXXXXXm
ESB:NBMB:0200200P:623597335415

17/12/23 18:54:39 DANA20231217015927960270MIBNUROSID 0371876 0.00 400,000.00 685,828.00

WS_OB;20231217015927960270;72133
ESB:T:0371876:S:0371892:WSOB

17/12/23 23:59:59 085896553149|5SMS|12/12/2023-14/12/2023 DDY402 2,500.00 0.00 683,328.00

19/12/23 01:17:04 ISATDT 085896553149NBMB6013013096177899 8888420 1,500.00 0.00 681,828.00

ESB:NBMB:0102602P:624237042961

19/12/23 01:17:04 ISATDT 085896553149NBMB6013013096177899 8888420 99,500.00 0.00 582,328.00

ESB:NBMB:0102602P:624237042961

12/23/2023 05:40:55 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 5 dari 6
Page 5 of 6
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

19/12/23 02:06:26 QRIS624241517476#9360000210040209554 8888445 50,000.00 0.00 532,328.00

ESB:NBMB:0007I00P:624241517476

19/12/23 02:19:02 QRIS624242474226#9360000210040209554 8888189 30,000.00 0.00 502,328.00

ESB:NBMB:0007I00P:624242474226

19/12/23 12:46:43 NBMB RANDY PRAYOGA TO ANGGI SEPTIAWAN 8888467 200,000.00 0.00 302,328.00
ESB:NBMB:0001500F:624406448096

19/12/23 22:49:50 QRIS624656570429#9360000210040209554 8888082 50,000.00 0.00 252,328.00

ESB:NBMB:0007I00P:624656570429

20/12/23 02:18:00 QRIS624688095020#9360000210040209554 8888458 50,000.00 0.00 202,328.00

ESB:NBMB:0007I00P:624688095020

20/12/23 03:31:08 QRIS624693312293#9360000210040209554 8888350 100,000.00 0.00 102,328.00

ESB:NBMB:0007I00P:624693312293

21/12/23 21:50:17 QRIS625544270740#9360000210040209554 8888486 40,000.00 0.00 62,328.00

ESB:NBMB:0007I00P:625544270740

21/12/23 22:51:09 Payment WS_OB;C2949324943932055552;20093 0371855 0.00 270,000.00 332,328.00

ESB:T:0371855:S:0371892:WSOB

21/12/23 22:54:04 QRIS625562534260#9360000210040209554 8888029 50,000.00 0.00 282,328.00

ESB:NBMB:0007I00P:625562534260

21/12/23 23:26:04 QRIS625569615912#9360000210040209554 8888549 200,000.00 0.00 82,328.00

ESB:NBMB:0007I00P:625569615912

21/12/23 23:46:46 BFST339401051343536SUWANA :DANAIDJ1 8888698 0.00 100,000.00 182,328.00

20231221DANAIDJ1010O9908716549
ESB:BFST:0008N:20231221FASTIDJA01023491335

21/12/23 23:59:59 085896553149|10SMS|15/12/2023-17/12/2023 DDY402 5,000.00 0.00 177,328.00

22/12/23 02:31:42 QRIS625598755360#9360000210040209554 8888457 70,000.00 0.00 107,328.00

ESB:NBMB:0007I00P:625598755360

22/12/23 02:34:23 BRIVA88810088902081906NBMBDNID SUWXXX 8888532 50,000.00 0.00 57,328.00

BRIVA 88810088902081906NBMBDNID SUWXXX
ESB:NBMB:0200200P:625598981308

22/12/23 21:19:01 DANA20231222015920540159ANANDATRIWAH 0371854 0.00 400,000.00 457,328.00

WS_OB;20231222015920540159;72133
ESB:T:0371854:S:0371892:WSOB

22/12/23 21:45:38 085896553149 00161853 000000022583 9825338 400,000.00 0.00 57,328.00

23/12/23 16:44:42 EDC HENDRA TO RANDY PRAYOGA H 0852282 0.00 506,000.00 563,328.00

23/12/23 16:47:29 BFST3121000821 NBMB:CENAIDJA 8888301 506,000.00 0.00 57,328.00

23/12/23 16:47:29 BFST3121000821 NBMB:CENAIDJA 8888301 2,500.00 0.00 54,828.00

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

50,328.00 69,521,500.00 69,526,000.00 54,828.00

Terbilang / In Words

LIMA PULUH EMPAT RIBU DELAPAN RATUS DUA PULUH DELAPAN RUPIAH
FIFTY FOUR THOUSAND EIGHT HUNDRED TWENTY EIGHT RUPIAH

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 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 6 dari 6
Page 6 of 6
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

12/23/2023 05:40:55 PM