LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 5
Page 1 of 5

Tanggal Laporan : 27/02/24

Kepada Yth. / To : Statement Date

ATIM SUHARSONO Periode Transaksi : 01/02/24 - 27/02/24

Transaction Periode

ENDROSONO 5B NO 23B,RT.005/002,KOTA
SURABAYA SEMAMPIR KOTA SURABAYA

No. Rekening : 105101000187561 Unit Kerja : KK AMPEL

Account No Business Unit

Nama Produk : BritAma Bisnis Alamat Unit Kerja : JL NYAMPLUNGAN NO 135-137

Product Name Business Unit Address SURABAYA

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

15/02/24 12:43:56 NBMB ATIM SUHARSONO TO ATIM SUHARSONO 8888191 0.00 100,000.00 248,209.48
ESB:NBMB:0001500F:648500095927

15/02/24 12:47:06 BFST105101000187561ATIM SUHARSO:CENAIDJA 8888680 0.00 100,000.00 348,209.48

20240215CENAIDJA010O0221300509
ESB:BFST:0008N:20240215FASTIDJA01007769735

15/02/24 12:48:15 NBMB ARMADA TUNGGAL TO ATIM SUHARSONO 8888584 0.00 60,000.00 408,209.48
ESB:NBMB:0001500F:648501591700

15/02/24 12:49:17 5326595008956919#648501944333#NBMB#TRFLA 8888589 6,500.00 0.00 401,709.48

LA 0081400023131478NBMB5326595008956919
ESB:NBMB:0005N00F:648501944333

15/02/24 12:49:17 5326595008956919#648501944333#NBMB#TRFLA 8888589 350,000.00 0.00 51,709.48

LA 0081400023131478NBMB5326595008956919
ESB:NBMB:0005N00F:648501944333

15/02/24 16:43:56 NBMB DAVID TUNGKA TO ATIM SUHARSONO 8888020 0.00 30,000,000.00 30,051,709.48
ESB:NBMB:0001500F:648583714394

15/02/24 17:02:08 NBMB ATIM SUHARSONO TO SUDI HARTONO 8888222 25,000,000.00 0.00 5,051,709.48
ESB:NBMB:0001500F:648590268770

15/02/24 17:17:21 BFST1900426379 NBMB:CENAIDJA 8888113 2,500.00 0.00 5,049,209.48

20240215BRINIDJA010O0247107921
ESB:NBMB:0008G00F:648595843681

15/02/24 17:17:21 BFST1900426379 NBMB:CENAIDJA 8888113 700,000.00 0.00 4,349,209.48

20240215BRINIDJA010O0247107921
ESB:NBMB:0008G00F:648595843681

15/02/24 22:48:48 BFST1870568271 NBMB:CENAIDJA 8888300 2,500.00 0.00 4,346,709.48

20240215BRINIDJA010O0249498003
ESB:NBMB:0008G00F:648712806486

15/02/24 22:48:48 BFST1870568271 NBMB:CENAIDJA 8888300 650,000.00 0.00 3,696,709.48

20240215BRINIDJA010O0249498003
ESB:NBMB:0008G00F:648712806486

16/02/24 11:22:06 NBMB KENDY ANANTA P TO ATIM SUHARSONO 8888477 0.00 29,000,000.00 32,696,709.48
ESB:NBMB:0001500F:648850842695

16/02/24 12:11:55 Tunai; ESB:INDS:0002800D:efc07c9e7c6e 0172168 0.00 70,000,000.00 102,696,709.48

02/27/2024 10:35:12 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 5
Page 2 of 5
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

16/02/24 12:39:24 BFST1400023131478 NBMB:BMRIIDJA 8888150 2,500.00 0.00 102,694,209.48

20240216BRINIDJA010O0202384127
ESB:NBMB:0008G00F:648878772632

16/02/24 12:39:24 BFST1400023131478 NBMB:BMRIIDJA 8888150 500,000.00 0.00 102,194,209.48

20240216BRINIDJA010O0202384127
ESB:NBMB:0008G00F:648878772632

16/02/24 12:44:45 BFST1400025005050 NBMB:BMRIIDJA 8888357 2,500.00 0.00 102,191,709.48

20240216BRINIDJA010O0202423023
ESB:NBMB:0008G00F:648880718178

16/02/24 12:44:45 BFST1400025005050 NBMB:BMRIIDJA 8888357 30,000,000.00 0.00 72,191,709.48

20240216BRINIDJA010O0202423023
ESB:NBMB:0008G00F:648880718178

16/02/24 12:53:47 BRIVA14451100006521429NBMBATIM SURARSONO 8888427 4,399,920.00 0.00 67,791,789.48

BRIVA 14451100006521429NBMBATIM SURARSON
ESB:NBMB:0200200P:648884110480

16/02/24 12:57:51 ATMSTRPRM 08888 000651955 90019478740 8888044 6,500.00 0.00 67,785,289.48
ESB:NBMB:0005T00F:648885651955

16/02/24 12:57:51 ATMSTRPRM 08888 000651955 90019478740 8888044 2,004,665.00 0.00 65,780,624.48
ESB:NBMB:0005T00F:648885651955

16/02/24 13:02:00 ATMSTRPRM 08888 000224681 98833011550337 8888152 6,500.00 0.00 65,774,124.48
ESB:NBMB:0005T00F:648887224681

16/02/24 13:02:00 ATMSTRPRM 08888 000224681 98833011550337 8888152 2,400,000.00 0.00 63,374,124.48
ESB:NBMB:0005T00F:648887224681

16/02/24 13:04:09 NBMB ATIM SUHARSONO TO ATIM SUHARSONO 8888089 2,200,000.00 0.00 61,174,124.48
ESB:NBMB:0001500F:648888053914

17/02/24 11:39:54 BFST1400018132051 NBMB:BMRIIDJA 8888267 2,500.00 0.00 61,171,624.48

20240217BRINIDJA010O0209643390
ESB:NBMB:0008G00F:649244219206

17/02/24 11:39:54 BFST1400018132051 NBMB:BMRIIDJA 8888267 500,000.00 0.00 60,671,624.48

20240217BRINIDJA010O0209643390
ESB:NBMB:0008G00F:649244219206

17/02/24 20:48:53 PLN-PRA 32110073056NBMB5326595008956919 8888177 3,000.00 0.00 60,668,624.48

ESB:NBMB:0400200T:649444094505

17/02/24 20:48:53 PLN-PRA 32110073056NBMB5326595008956919 8888177 200,000.00 0.00 60,468,624.48

ESB:NBMB:0400200T:649444094505

18/02/24 10:02:33 BFST1900426379 NBMB:CENAIDJA 8888549 2,500.00 0.00 60,466,124.48

20240218BRINIDJA010O0215581333
ESB:NBMB:0008G00F:649578699280

18/02/24 10:02:33 BFST1900426379 NBMB:CENAIDJA 8888549 17,000,000.00 0.00 43,466,124.48

20240218BRINIDJA010O0215581333
ESB:NBMB:0008G00F:649578699280

18/02/24 22:03:17 PUL-SIM 082234445582NBMB5326595008956919 8888597 1,500.00 0.00 43,464,624.48

ESB:NBMB:0100101C:649804235699

18/02/24 22:03:17 PUL-SIM 082234445582NBMB5326595008956919 8888597 100,000.00 0.00 43,364,624.48

ESB:NBMB:0100101C:649804235699

19/02/24 04:59:24 PUL-SIM 082234445582NBMB5326595008956919 8888346 1,500.00 0.00 43,363,124.48

ESB:NBMB:0100101C:649853330847

02/27/2024 10:35:12 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 5
Page 3 of 5
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

19/02/24 04:59:24 PUL-SIM 082234445582NBMB5326595008956919 8888346 100,000.00 0.00 43,263,124.48

ESB:NBMB:0100101C:649853330847

19/02/24 15:30:29 ATMSTRPRM 08888 000290586 1900426379 8888139 6,500.00 0.00 43,256,624.48
ESB:NBMB:0005T00F:650061290586

19/02/24 15:30:29 ATMSTRPRM 08888 000290586 1900426379 8888139 500,000.00 0.00 42,756,624.48
ESB:NBMB:0005T00F:650061290586

19/02/24 19:06:08 BRIVA80777082234445582NBMBTKP2558669222 8888382 234,000.00 0.00 42,522,624.48

BRIVA 80777082234445582NBMBTKP2558669222
ESB:NBMB:0200200P:650148421467

19/02/24 20:18:38 GOP01 +6282234445582NBMB5326595008956919 8888600 1,000.00 0.00 42,521,624.48

ESB:NBMB:0201000T:650179949653

19/02/24 20:18:38 GOP01 +6282234445582NBMB5326595008956919 8888600 50,000.00 0.00 42,471,624.48

ESB:NBMB:0201000T:650179949653

20/02/24 14:32:20 GOP01 +6282234445582NBMB5326595008956919 8888511 1,000.00 0.00 42,470,624.48

ESB:NBMB:0201000T:650457470569

20/02/24 14:32:20 GOP01 +6282234445582NBMB5326595008956919 8888511 100,000.00 0.00 42,370,624.48

ESB:NBMB:0201000T:650457470569

20/02/24 16:52:50 ATMSTRPRM 08888 000105544 1900426379 8888305 6,500.00 0.00 42,364,124.48
ESB:NBMB:0005T00F:650511105544

20/02/24 16:52:50 ATMSTRPRM 08888 000105544 1900426379 8888305 500,000.00 0.00 41,864,124.48
ESB:NBMB:0005T00F:650511105544

20/02/24 19:58:53 ATMSTRPRM 08888 000775058 1900426379 8888514 6,500.00 0.00 41,857,624.48
ESB:NBMB:0005T00F:650590775058

20/02/24 19:58:53 ATMSTRPRM 08888 000775058 1900426379 8888514 500,000.00 0.00 41,357,624.48
ESB:NBMB:0005T00F:650590775058

20/02/24 23:59:59 Interest on Account 0.00 4,590.00 41,362,214.48

20/02/24 23:59:59 Tax 918.00 0.00 41,361,296.48

20/02/24 23:59:59 082234444552|14SMS|15/02/2024-18/02/2024 DDY402 7,000.00 0.00 41,354,296.48

21/02/24 05:22:05 PUL-SIM 081230428544NBMB5326595008956919 8888276 1,500.00 0.00 41,352,796.48

ESB:NBMB:0100101C:650699011488

21/02/24 05:22:05 PUL-SIM 081230428544NBMB5326595008956919 8888276 100,000.00 0.00 41,252,796.48

ESB:NBMB:0100101C:650699011488

21/02/24 06:46:09 TLKM 152302116008NBMB5326595008956919 8888593 2,500.00 0.00 41,250,296.48

ESB:NBMB:0101301P:650713899245

21/02/24 06:46:09 TLKM 152302116008NBMB5326595008956919 8888593 794,600.00 0.00 40,455,696.48

ESB:NBMB:0101301P:650713899245

21/02/24 13:51:53 5326595008956919#650865568822#NBMB#TRFLA 8888313 6,500.00 0.00 40,449,196.48

LA 0081480021217297NBMB5326595008956919
ESB:NBMB:0005N00F:650865568822

21/02/24 13:51:53 5326595008956919#650865568822#NBMB#TRFLA 8888313 1,650,000.00 0.00 38,799,196.48

LA 0081480021217297NBMB5326595008956919
ESB:NBMB:0005N00F:650865568822

02/27/2024 10:35:12 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 5
Page 4 of 5
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

21/02/24 14:12:51 5326595008956919#650873369134#NBMB#TRFLA 8888391 6,500.00 0.00 38,792,696.48

LA 0081400018132051NBMB5326595008956919
ESB:NBMB:0005N00F:650873369134

21/02/24 14:12:51 5326595008956919#650873369134#NBMB#TRFLA 8888391 500,000.00 0.00 38,292,696.48

LA 0081400018132051NBMB5326595008956919
ESB:NBMB:0005N00F:650873369134

21/02/24 16:05:02 PUL-SIM 082234445582NBMB5326595008956919 8888187 1,500.00 0.00 38,291,196.48

ESB:NBMB:0100101C:650915460187

21/02/24 16:05:02 PUL-SIM 082234445582NBMB5326595008956919 8888187 100,000.00 0.00 38,191,196.48

ESB:NBMB:0100101C:650915460187

21/02/24 18:24:23 5326595008956919#650969356303#NBMB#TRFLA 8888237 6,500.00 0.00 38,184,696.48

LA 0081480019508830NBMB5326595008956919
ESB:NBMB:0005N00F:650969356303

21/02/24 18:24:23 5326595008956919#650969356303#NBMB#TRFLA 8888237 1,000,000.00 0.00 37,184,696.48

LA 0081480019508830NBMB5326595008956919
ESB:NBMB:0005N00F:650969356303

23/02/24 17:10:06 5326595008956919#651737569503#NBMB#TRFLA 8888345 6,500.00 0.00 37,178,196.48

LA 0081400018132051NBMB5326595008956919
ESB:NBMB:0005N00F:651737569503

23/02/24 17:10:06 5326595008956919#651737569503#NBMB#TRFLA 8888345 500,000.00 0.00 36,678,196.48

LA 0081400018132051NBMB5326595008956919
ESB:NBMB:0005N00F:651737569503

24/02/24 10:07:35 PUL-SIM 082234445582NBMB5326595008956919 8888263 1,500.00 0.00 36,676,696.48

ESB:NBMB:0100101C:651973860555

24/02/24 10:07:35 PUL-SIM 082234445582NBMB5326595008956919 8888263 100,000.00 0.00 36,576,696.48

ESB:NBMB:0100101C:651973860555

24/02/24 11:35:35 PLN-PRA 32110073056NBMB5326595008956919 8888329 3,000.00 0.00 36,573,696.48

ESB:NBMB:0400200T:652003850639

24/02/24 11:35:35 PLN-PRA 32110073056NBMB5326595008956919 8888329 200,000.00 0.00 36,373,696.48

ESB:NBMB:0400200T:652003850639

24/02/24 23:59:59 082234444552|2SMS|21/02/2024-21/02/2024 DDY402 1,000.00 0.00 36,372,696.48

25/02/24 08:47:34 BFST1400012081890 NBMB:BMRIIDJA 8888361 2,500.00 0.00 36,370,196.48

20240225BRINIDJA010O0206600125
ESB:NBMB:0008G00F:652314633430

25/02/24 08:47:34 BFST1400012081890 NBMB:BMRIIDJA 8888361 500,000.00 0.00 35,870,196.48

20240225BRINIDJA010O0206600125
ESB:NBMB:0008G00F:652314633430

25/02/24 08:49:18 BFST1400012081890 NBMB:BMRIIDJA 8888140 2,500.00 0.00 35,867,696.48

20240225BRINIDJA010O0206611129
ESB:NBMB:0008G00F:652315074073

25/02/24 08:49:18 BFST1400012081890 NBMB:BMRIIDJA 8888140 200,000.00 0.00 35,667,696.48

20240225BRINIDJA010O0206611129
ESB:NBMB:0008G00F:652315074073

25/02/24 08:50:38 FIF 847000906022NBMB5326595008956919 8888554 1,209,000.00 0.00 34,458,696.48

FIFNBMB170882581589923000
ESB:NBMB:0600205P:652315415414

02/27/2024 10:35:12 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

26/02/24 08:02:16 BFST1900426379 NBMB:CENAIDJA 8888327 2,500.00 0.00 34,456,196.48

20240226BRINIDJA010O0213581232
ESB:NBMB:0008G00F:652643966999

26/02/24 08:02:16 BFST1900426379 NBMB:CENAIDJA 8888327 10,000,000.00 0.00 24,456,196.48

20240226BRINIDJA010O0213581232
ESB:NBMB:0008G00F:652643966999

26/02/24 09:02:36 ATMSTRPRM 08888 000607831 1900426379 8888007 6,500.00 0.00 24,449,696.48
ESB:NBMB:0005T00F:652663607831

26/02/24 09:02:36 ATMSTRPRM 08888 000607831 1900426379 8888007 400,000.00 0.00 24,049,696.48
ESB:NBMB:0005T00F:652663607831

26/02/24 23:03:12 BRIVA1039082011057952NBMBAxxK NxA FxxxxA 8888540 1,001,870.00 0.00 23,047,826.48

BRIVA 1039082011057952NBMBAxxK NxA Fxxx
ESB:NBMB:0200200P:652986818047

27/02/24 10:07:09 NBMB ATIM SUHARSONO TO ATIM SUHARSONO 8888562 13,000,000.00 0.00 10,047,826.48

27/02/24 10:07:55 KK 5520020241149606NBMB5326595008956919 8888021 2,506,336.00 0.00 7,541,490.48

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

148,209.48 121,871,309.00 129,264,590.00 7,541,490.48

Terbilang / In Words

TUJUH JUTA LIMA RATUS EMPAT PULUH SATU RIBU EMPAT RATUS SEMBILAN PULUH KOMA EMPAT PULUH DELAPAN RUPIAH
SEVEN MILLION FIVE HUNDRED FORTY ONE THOUSAND FOUR HUNDRED NINETY POINT FORTY EIGHT 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

02/27/2024 10:35:12 AM