LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 4
Page 1 of 4

Kepada Yth. / To :
Tanggal Laporan : 19/03/24
YULITA TRIENDHA SARI Statement Date

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

PONDOK ALAM PERMAI BLOK F4/12 Transaction Periode
RT.002/RW.007, ALAM JAYA, KEC.
JATIUWUNG, TANGERANG KAB.

No. Rekening : 081701053492532 Unit Kerja : UNIT JATIUWUNG

Account No Business Unit

Nama Produk : Simpedes Umum Alamat Unit Kerja : KANCA TANGERANG

Product Name Business Unit Address KANWIL JAKARTA 3

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance
01/09/23 20:04:44 BRIVA112081381658432NBMBrXXXXXXXXXX5 BRIVA 8888555 226,081.00 0.00 55,017,033.00
112081381658432NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:496360210658

05/09/23 14:29:09 5307952059276569#000000252899#ATM #TRFLA 0888004 0.00 25,800,000.00 80,817,033.00

TRF BERSAMA FROM JOHAN LA
114501015320503ATM 5307952059276569

05/09/23 15:01:39 BRIVA1110801821241300NBMBrXXXXXXXXXX5 8888109 26,701,338.00 0.00 54,115,695.00

BRIVA 1110801821241300NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:497285498370

05/09/23 15:02:45 BRIVA8878800225313764NBMBEJEM BRIVA 8888394 52,000.00 0.00 54,063,695.00

8878800225313764NBMBEJEM
ESB:NBMB:0200200P:497285767122

05/09/23 15:06:30 BRIVA10477931477542795NBMBYULITA TRIENDHA 8888502 490,768.00 0.00 53,572,927.00

BRIVA 10477931477542795NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:497286672750

05/09/23 15:08:42 BRIVA111820374343900NBMBYULITA TRIENDHA 8888565 372,000.00 0.00 53,200,927.00

BRIVA 111820374343900NBMBAMAN ABDU RAH
ESB:NBMB:0200200P:497287209475

05/09/23 15:09:47 BRIVA111820374343900NBMBYULITA TRIENDHA 8888409 372,000.00 0.00 52,828,927.00

BRIVA 111820374343900NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:497287467916

05/09/23 15:26:51 ATMSTRPRM 08888 000582583 7610533404 8888363 6,500.00 0.00 52,822,427.00
ESB:NBMB:0005T00F:497291582583

05/09/23 15:26:51 ATMSTRPRM 08888 000582583 7610533404 8888363 100,000.00 0.00 52,722,427.00
ESB:NBMB:0005T00F:497291582583

05/09/23 15:28:40 BRIVA111820374343900NBMBYULITA TRIENDHA 8888427 372,000.00 0.00 52,350,427.00

BRIVA 111820374343900NBMBAMAN ABDU RAH
ESB:NBMB:0200200P:497292019672

05/09/23 15:29:14 BRIVA111820374343900NBMBYULITA TRIENDHA 8888560 372,000.00 0.00 51,978,427.00

BRIVA 111820374343900NBMBAMAN ABDU RAH
ESB:NBMB:0200200P:497292154303

03/19/2024 12:13:13 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION
Halaman 2 dari 4
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Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance
05/09/23 15:43:52 BRIVA1240804521245973NBMBAXXXXXXXXXXXXXX 8888366 510,943.00 0.00 51,467,484.00
BRIVA 1240804521245973NBMBAXXXXXXXXXXXX
ESB:NBMB:0200200P:497295672555

05/09/23 15:45:53 BRIVA112081381658432NBMBrXXXXXXXXXX5 BRIVA 8888119 500,000.00 0.00 50,967,484.00

112081381658432NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:497296153504

05/09/23 17:17:24 BRIVA128081381658432NBMBrXXXXXXXXXX5 BRIVA 8888086 290,600.00 0.00 50,676,884.00

128081381658432NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:497318511782

06/09/23 09:30:17 522184216398217300074383 9967215 650,000.00 0.00 50,026,884.00

09/09/23 05:37:57 SHOPEE_200001012_194447091 0371868 0.00 100,000.00 50,126,884.00

WS_OB;A8722056888005463280;89168
ESB:T:0371868:S:0371892:WSOB

09/09/23 07:13:39 5221842163982173000000001480 0888333 100,000.00 0.00 50,026,884.00

09/09/23 14:15:36 NBMB ANDY PAMUNGKAS TO YULITA TRIENDHA SA 8888545 0.00 75,000.00 50,101,884.00
ESB:NBMB:0001500F:498193285844

10/09/23 06:59:37 5221842163982173000000009182 0888333 50,000.00 0.00 50,051,884.00

10/09/23 07:02:35 5221842163982173000000001670 0888329 40,000.00 0.00 50,011,884.00

14/09/23 17:38:50 SHOPEE_108002702_279385923 0371862 0.00 742,500.00 50,754,384.00

WS_OB;15454736155002262382;89168
ESB:T:0371862:S:0371892:WSOB

14/09/23 17:40:58 NBMB YULITA TRIENDHA SA TO AWAN SETIAWAN 8888409 50,000.00 0.00 50,704,384.00
ESB:NBMB:0001500F:499414846773

14/09/23 18:00:17 ~crG5r5 SYF REMARK1 0018498040 0371894 0.00 1,400,000.00 52,104,384.00
WS_OB;16736940175113367269;94948
ESB:T:0371894:S:0371892:WSOB

14/09/23 18:16:08 BRIVA1047719625800253NBMBYULITA TRIENDHA 8888358 496,400.00 0.00 51,607,984.00

BRIVA 1047719625800253NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:499422838249

14/09/23 18:17:24 ATMSTRPRM 08888 000129033 98844908328024 8888177 6,500.00 0.00 51,601,484.00
ESB:NBMB:0005T00F:499423129033

14/06/23 18:17:24 ATMSTRPRM 08888 000129033 98844908328024 8888177 601,998.00 0.00 50,999,486.00
ESB:NBMB:0005T00F:499423129033

14/09/23 18:18:03 ATMSTRPRM 08888 000279649 7235342171 8888355 6,500.00 0.00 50,992,986.00
ESB:NBMB:0005T00F:499423279649

14/09/23 18:18:03 ATMSTRPRM 08888 000279649 7235342171 8888355 300,000.00 0.00 50,692,986.00
ESB:NBMB:0005T00F:499423279649

15/09/23 13:43:52 522184216398217300080245 9909282 600,000.00 0.00 50,092,986.00

15/09/23 13:44:31 522184216398217300000214 9909262 50,000.00 0.00 50,042,986.00

17/09/23 16:07:06 5221842163982173000000002802 0888310 20,000.00 0.00 50,022,986.00

19/09/23 12:17:19 BRIVA112081381658432NBMBrXXXXXXXXXX5 BRIVA 8888541 10,000.00 0.00 50,012,986.00

112081381658432NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:500467183464

20/09/23 15:51:26 ~FNrt4N Cash Ammount Credit 9825100 0.00 13,800,000.00 63,812,986.00

03/19/2023 12:13:14 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
20/09/23 16:07:16 BRIVA8878800009931321NBMBYulita Triendha Sa 8888081 7,201,000.00 0.00 56,611,986.00
BRIVA 8878800009931321NBMBYulita Triendha Sa
ESB:NBMB:0200200P:500761133027

20/09/23 16:07:35 GOP01 +6281381658432NBMB5221842163982173 8888189 1,000.00 0.00 56,610,986.00

ESB:NBMB:0201000T:500761204655

20/09/23 16:07:35 GOP01 +6281381658432NBMB5221842163982173 8888189 6,390,000.00 0.00 50,220,986.00

ESB:NBMB:0201000T:500761204655

20/09/23 16:09:44 GOP01 +6281381658432NBMB5221842163982173 8888426 1,000.00 0.00 50,219,986.00

ESB:NBMB:0201000T:500761705097

20/09/23 16:09:44 GOP01 +6281381658432NBMB5221842163982173 8888426 100,000.00 0.00 50,119,986.00

ESB:NBMB:0201000T:500761705097

20/09/23 16:36:56 BRIVA128081381658432NBMBrXXXXXXXXXX5 BRIVA 8888535 105,305.00 0.00 50,014,681.00

128081381658432NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:500768111087

20/09/23 23:59:59 Admin Fee 6,000.00 0.00 50,008,681.00

25/09/23 05:27:25 ~cLO9rH SNR Cash Amount 2023 0371884 0.00 2,280,000.00 52,288,681.00
WS_OB;16745992426541224967;25078
ESB:T:0371884:S:0371892:WSOB

25/09/23 06:40:12 BRIVA8878800225996510NBMBYULITA TRIENDHA 8888540 307,838.00 0.00 51,980,843.00

BRIVA 8878800225996510NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:501790387406

25/09/23 06:40:43 BRIVA8878800009073570NBMBYULITA TRIENDHA 8888403 351,500.00 0.00 51,629,343.00

BRIVA 8878800009073570NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:501790455910

25/09/23 06:41:31 BRIVA1047719625800253NBMBYULITACTRIENDHA 8888343 269.000.00 0.00 51,360,343.00

BRIVA 1047719625800253NBMBYULITA TRIENDHA
ESB:NBMB:0200200P:501790557747

25/09/23 06:55:56 BRIVA1110807521270248NBMBrXXXXXXXXXX5 8888308 164,733.00 0.00 51,195,610.00

BRIVA 1110807521270248NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:501792483585

25/09/23 06:59:47 GOP01 +6281381658432NBMB5221842163982173 8888448 1,000.00 0.00 51,194,610.00

ESB:NBMB:0201000T:501793026740

25/09/23 06:59:47 GOP01 +6281381658432NBMB5221842163982173 8888448 119,000.00 0.00 51,075,610.00

ESB:NBMB:0201000T:501793026740

25/09/23 07:01:40 5221842163982173000000000040 0888318 50,000.00 0.00 51,025,610.00

25/09/23 07:06:44 5221842163982173000000004077 0888316 20,000.00 0.00 51,005,610.00

25/09/23 16:27:13 522184216398217300095210 9967170 950,000.00 0.00 50,055,610.00

26/09/23 19:23:39 BRIVA88099081381658432NBMBOVO SO** 8888221 20,000.00 0.00 50,035,610.00

BRIVA 88099081381658432NBMBOVO SO**
ESB:NBMB:0200200P:502225522464

27/09/23 08:03:13 5221842163982173000000004477 0888342 20,000.00 0.00 50,015,610.00

28/09/23 19:50:53 (45180) OPEX FIFPYMT ESB:T:0374633:CMS 0371877 0.00 6,145,765.00 56,161,375.00

03/19/2023 12:13:14 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
30/09/23 18:22:41 BR ATH-RPLTWUN2 I 0371877 0.00 650,000.00 56,811,375.00
WS_OB;9135896870705320503;75087
ESB:T:0371877:S:0371892:WSOB

30/09/23 19:08:22 ATMSTRPRM 08888 000837804 88081922572204 8888135 6,500.00 0.00 56,804,875.00
ESB:NBMB:0005T00F:502936837804

30/09/23 19:08:22 ATMSTRPRM 08888 000837804 88081922572204 8888135 8,721,530.00 0.00 48,083,345.00
ESB:NBMB:0005T00F:502936837804

30/09/23 19:10:23 BRIVA88099081381658432NBMBOVO SO** 8888387 1,297,054.00 0.00 46,786,291.00

BRIVA 88099081381658432NBMBOVO SO**
ESB:NBMB:0200200P:502937310342

30/09/23 19:15:44 BRIVA1110800921308486NBMBrXXXXXXXXXX5 8888231 595,846.00 0.00 46,190,445.00

BRIVA 1110800921308486NBMBrXXXXXXXXXX5
ESB:NBMB:0200200P:502938591171

30/09/23 22:51:14 522184216398217300350733 9967158 4,000,000.00 0.00 42,190,445.00

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

55,763,614.00 67,429,434.00 54,993,265.00 42,190,445.00

Terbilang / In Words
EMPAT PULUH DUA JUTA SERATUS SEMBILAN PULUH RIBU EMPAT RATUS EMPAT PULUH LIMA RUPIAH
FOURTY TWO MILLION ONE HUNDRED NINE THOUSAND FOUR HUNDRED FORTY FIVE 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

03/19/2023 12:13:14 PM