LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Tanggal Laporan : 02/03/24

Kepada Yth. / To : Statement Date

ADRIAN HARTANTO SALIM Periode Transaksi : 01/01/24 - 31/01/24

Transaction Periode

JL PSR INPRES GG KENARI MEDAN

LABUHAN,-,KOTA MEDAN MEDAN LABUHAN KOTA
MEDAN

No. Rekening : 531101009281508 Unit Kerja : UNIT TITI PAPAN MEDAN ISMU
Account No Business Unit

Nama Produk : Britama-IDR Alamat Unit Kerja : KANCA MEDAN PEMUDA

Product Name Business Unit Address KANWIL MEDAN

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

03/01/24 15:52:31 NBMB HERU SUKOCO TO ADRIAN HARTANTO S 8888139 0.00 10,530,000.00 34,159,178.00
ESB:NBMB:0001500F:631031933700

03/01/24 18:54:53 BFST8370137758 NBMB:CENAIDJA 8888318 2,500.00 0.00 34,156,678.00

20240103BRINIDJA010O0217506658
ESB:NBMB:0008G00F:631110270381

03/01/24 18:54:53 BFST8370137758 NBMB:CENAIDJA 8888318 686,500.00 0.00 33,470,178.00

20240103BRINIDJA010O0217506658
ESB:NBMB:0008G00F:631110270381

05/01/24 15:18:13 NBMB HERU SUKOCO TO ADRIAN HARTANTO S 8888272 0.00 30,530,000.00 64,000,178.00
ESB:NBMB:0001500F:631886922424

05/01/24 15:35:15 NBMB DELI TARIGAN TO ADRIAN HARTANTO S 8888580 0.00 93,000,000.00 157,000,178.00
ESB:NBMB:0001500F:631894348497

05/01/24 15:41:15 NBMB ADRIAN HARTANT TO DELI TARIGAN 8888447 500,000.00 0.00 156,500,178.00
ESB:NBMB:0001500F:631896937272

06/01/24 16:37:22 NBMB HENDRA TOHAR TO ADRIAN HARTANTO S 8888040 0.00 92,250,000.00 248,750,178.00
ESB:NBMB:0001500F:632348558908

08/01/24 16:29:10 NBMB HERU SUKOCO TO ADRIAN HARTANTO S 8888018 0.00 210,000.00 248,960,178.00
ESB:NBMB:0001500F:633142564666

11/01/24 15:49:54 NBMB HERU SUKOCO TO ADRIAN HARTANTO S 8888419 0.00 53,680,000.00 302,640,178.00
ESB:NBMB:0001500F:634397085676

12/01/24 14:52:53 ESB:INDS:0002B00F:f3a1aaea2e35 5252051 0.00 125,000,000.00 427,640,178.00

12/01/24 16:23:13 NBMB DELI TARIGAN TO ADRIAN HARTANTO S 8888123 0.00 60,000,000.00 487,640,178.00
ESB:NBMB:0001500F:634819795487

12/01/24 18:30:23 NBMB HENDRA TOHAR TO ADRIAN HARTANTO S 8888123 0.00 27,840,000.00 515,480,178.00
ESB:NBMB:0001500F:634871609296

13/01/24 13:34:52 PLN-PRA 32162589314NBMB5221842109008968 8888135 3,000.00 0.00 515,477,178.00

ESB:NBMB:0400200T:635154307121

13/01/24 13:34:52 PLN-PRA 32162589314NBMB5221842109008968 8888135 500,000.00 0.00 514,977,178.00

ESB:NBMB:0400200T:635154307121

03/02/2024 09:46:11 AM
 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

15/01/24 10:53:53 0; ESB:INDS:0002800D:1e0408ec545c 3383051 0.00 61,500,000.00 576,477,178.00

15/01/24 15:54:25 NBMB HERU SUKOCO TO ADRIAN HARTANTO S 8888440 0.00 30,850,000.00 607,327,178.00
ESB:NBMB:0001500F:635983212263

17/01/24 13:07:51 BFST1436231719 NBMB:BNINIDJA 8888147 2,500.00 0.00 607,324,678.00

20240117BRINIDJA010O0227260365
ESB:NBMB:0008G00F:636767447679

17/01/24 13:07:51 BFST1436231719 NBMB:BNINIDJA 8888147 20,500,000.00 0.00 586,824,678.00

20240117BRINIDJA010O0227260365
ESB:NBMB:0008G00F:636767447679

17/01/24 13:14:48 BFST1436243599 NBMB:BNINIDJA 8888112 2,500.00 0.00 586,822,178.00

20240117BRINIDJA010O0227318208
ESB:NBMB:0008G00F:636770178848

17/01/24 13:14:48 BFST1436243599 NBMB:BNINIDJA 8888112 4,950,000.00 0.00 581,872,178.00

20240117BRINIDJA010O0227318208
ESB:NBMB:0008G00F:636770178848

18/01/24 15:47:08 NBMB DELI TARIGAN TO ADRIAN HARTANTO S 8888564 0.00 50,000,000.00 631,872,178.00
ESB:NBMB:0001500F:637236715029

19/01/24 11:50:30 NBMB DELI TARIGAN TO ADRIAN HARTANTO S 8888139 0.00 50,000,000.00 681,872,178.00
ESB:NBMB:0001500F:637567167969

20/01/24 23:59:59 Interest on Account 0.00 92,747.00 681,964,925.00

20/01/24 23:59:59 Tax 18,549.00 0.00 681,946,376.00

20/01/24 23:59:59 Monthly Fee ATM 3,500.00 0.00 681,942,876.00

20/01/24 23:59:59 Admin Fee 12,000.00 0.00 681,930,876.00

22/01/24 11:41:07 NBMB ADRIAN HARTANT TO IRMANDA SISKA 8888371 20,000,000.00 0.00 661,930,876.00
ESB:NBMB:0001500F:638757510170

25/01/24 12:45:05 NBMB ADRIAN HARTANT TO PT STAR MULTI EXC 8888104 70,740,000.00 0.00 591,190,876.00
ESB:NBMB:0001500F:640011284656

26/01/24 11:52:23 NBMB ADRIAN HARTANT TO SITI KHAIRUNNISYA 8888599 1,009,000.00 0.00 590,181,876.00
ESB:NBMB:0001500F:640438245754

29/01/24 15:40:28 NBMB ADRIAN HARTANT TO JOHAN 8888063 2,452,500.00 0.00 587,729,376.00
ESB:NBMB:0001500F:641719339132

29/01/24 15:47:20 NBMB ADRIAN HARTANT TO JOHAN 8888155 50,000.00 0.00 587,679,376.00
ESB:NBMB:0001500F:641722108243

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

23,629,178.00 121,432,549.00 685,482,747.00 587,679,376.00

Terbilang / In Words

LIMA RATUS DELAPAN PULUH TUJUH JUTA ENAM RATUS TUJUH PULUH SEMBILAN RIBU TIGA RATUS TUJUH PULUH ENAM RUPIAH
FIVE HUNDRED EIGHTY SEVEN MILLION SIX HUNDRED SEVENTY NINE THOUSAND THREE HUNDRED SEVENTY SIX RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

03/02/2024 09:46:12 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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- 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

03/02/2024 09:46:12 AM