LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 3
Page 1 of 3

Tanggal Laporan : 20/04/24

Kepada Yth. / To : Statement Date

TRI WAHYU HIDAYAT Periode Transaksi : 01/02/24 - 29/02/24

Transaction Periode

DSN KARANGJATI RT 001 RW 005 KEL,CITEPUS

KEC JERUKLEGI,CILACAP JERUKLEGI CILACAP

No. Rekening : 667601042700536 Unit Kerja : UNIT JERUKLEGI CILACAP

Account No Business Unit

Nama Produk : Simpedes Alamat Unit Kerja : KANCA CILACAP

Product Name Business Unit Address KANWIL YOGYAKARTA

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/02/24 10:51:01 BFST8710294519 NBMB:CENAIDJA 8888057 2,500.00 0.00 1,866,741.00

20240201BRINIDJA010O0248674495
ESB:NBMB:0008G00F:642931951781

01/02/24 10:51:01 BFST8710294519 NBMB:CENAIDJA 8888057 1,200,000.00 0.00 666,741.00

20240201BRINIDJA010O0248674495
ESB:NBMB:0008G00F:642931951781

01/02/24 23:59:59 083196539229|3SMS|27/01/2024-28/01/2024 DDY402 1,500.00 0.00 665,241.00

05/02/24 13:49:31 BRIVA887895462314922650NBMBTRI WAHYU HID 8888009 208,500.00 0.00 456,741.00

ESB:NBMB:0200200P:644724662868

06/02/24 23:59:59 083196539229|3SMS|30/01/2024-01/02/2024 DDY402 1,500.00 0.00 455,241.00

10/02/24 13:51:46 601301125319594400170502 9854573 0.00 250,000.00 705,241.00

10/02/24 14:07:00 BFST3580876888 NBMB:CENAIDJA 8888115 2,500.00 0.00 702,741.00

20240210BRINIDJA010O0213458738
ESB:NBMB:0008G00F:646751936503

10/02/24 14:07:00 BFST3580876888 NBMB:CENAIDJA 8888115 600,000.00 0.00 102,741.00

20240210BRINIDJA010O0213458738
ESB:NBMB:0008G00F:646751936503

10/02/24 20:37:55 AXIS 083196539229NBMB5221840933085681 8888186 2,000.00 0.00 100,741.00

ESB:NBMB:0100703C:646886217308

10/02/24 20:37:55 AXIS 083196539229NBMB5221840933085681 8888186 25,000.00 0.00 75,741.00

ESB:NBMB:0100703C:646886217308

10/02/24 23:58:47 601301125319594400170502 9854573 0.00 150,000.00 225,741.00

10/02/24 23:59:59 083196539229|1SMS|05/02/2024-05/02/2024 DDY402 500.00 0.00 225,241.00

11/02/24 08:34:50 BPJS8888802279220625NBMBFFD25F3A3ED7EADB 8888139 70,000.00 0.00 155,241.00

ESB:NBMB:0705800P:646996788229

11/02/24 09:57:55 AXIS 083196539229NBMB5221840933085681 8888508 2,000.00 0.00 153,241.00

ESB:NBMB:0100703C:647018032054

11/02/24 09:57:55 AXIS 083196539229NBMB5221840933085681 8888508 25,000.00 0.00 128,241.00

ESB:NBMB:0100703C:647018032054

04/20/2024 03:42:30 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

11/02/24 18:48:33 NBMB TRI WAHYU HIDA TO JALALUDIN ASSUYUT 8888540 100,000.00 0.00 28,241.00
ESB:NBMB:0001500F:647175872135

14/02/24 23:59:59 083196539229|3SMS|10/02/2024-10/02/2024 DDY402 1,500.00 0.00 26,741.00

16/02/24 00:00:00 Monthly Fee ATM 2,500.00 0.00 24,241.00

16/02/24 23:59:59 Admin Fee 5,500.00 0.00 18,741.00

17/02/24 08:35:48 601301125319594400170500 9854565 0.00 550,000.00 568,741.00

17/02/24 08:37:47 601301125319594400170500 9854565 0.00 200,000.00 768,741.00

17/02/24 09:44:13 BFST0472021344 NBMB:CENAIDJA 8888354 2,500.00 0.00 766,241.00

20240217BRINIDJA010O0208682560
ESB:NBMB:0008G00F:649205040171

17/02/24 09:44:13 BFST0472021344 NBMB:CENAIDJA 8888354 600,000.00 0.00 166,241.00

20240217BRINIDJA010O0208682560
ESB:NBMB:0008G00F:649205040171

18/02/24 23:59:59 083196539229|1SMS|11/02/2024-11/02/2024 DDY402 500.00 0.00 165,741.00

20/02/24 13:24:52 601301125319594400170502 9854573 0.00 400,000.00 565,741.00

20/02/24 19:26:19 EDC SIPAN TO TRI WAHYU HIDAY 0852531 0.00 100,000.00 665,741.00
FROM376501022342536 TO667601042700536EDC

20/02/24 19:27:05 ATMSTRPRM 08888 000563296 0472021344 8888461 6,500.00 0.00 659,241.00
ESB:NBMB:0005T00F:650576563296

20/02/24 19:27:05 ATMSTRPRM 08888 000563296 0472021344 8888461 600,000.00 0.00 59,241.00
ESB:NBMB:0005T00F:650576563296

20/02/24 20:02:02 DANA20240220016543480982SUGIYANTO 0371858 0.00 150,000.00 209,241.00

WS_OB;20240220016543480982;72133
ESB:T:0371858:S:0371892:WSOB

20/02/24 23:20:41 DANA20240220016539078282SUGIYANTO 0371870 0.00 150,000.00 359,241.00

WS_OB;20240220016539078282;72133
ESB:T:0371870:S:0371892:WSOB

20/02/24 23:46:01 601301125319594400780753 9854628 0.00 300,000.00 659,241.00

20/02/24 23:47:14 ATMSTRPRM 08888 000447911 0472021344 8888009 6,500.00 0.00 652,741.00
ESB:NBMB:0005T00F:650661447911

20/02/24 23:47:14 ATMSTRPRM 08888 000447911 0472021344 8888009 600,000.00 0.00 52,741.00
ESB:NBMB:0005T00F:650661447911

22/02/24 23:59:59 083196539229|3SMS|17/02/2024-17/02/2024 DDY402 1,500.00 0.00 51,241.00

24/02/24 13:01:42 BFST667601042700536NIMAS AYU PU:CENAIDJA 8888652 0.00 500,000.00 551,241.00

20240224CENAIDJA010O0247798123
ESB:BFST:0008N:20240224FASTIDJA010261286

24/02/24 13:12:40 WBNKSTOR667601023561531TO667601042700536 0888121 0.00 700,000.00 1,251,241.00

ESB:WBNK:0303A00F:506647828132

24/02/24 13:13:48 BFST0472021344 NBMB:CENAIDJA 8888290 2,500.00 0.00 1,248,741.00

20240224BRINIDJA010O0201445359
ESB:NBMB:0008G00F:652037709183

04/20/2024 03:42:30 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

24/02/24 13:13:48 BFST0472021344 NBMB:CENAIDJA 8888290 1,200,000.00 0.00 48,741.00

20240224BRINIDJA010O0201445359
ESB:NBMB:0008G00F:652037709183

26/02/24 23:59:59 083196539229|7SMS|20/02/2024-20/02/2024 DDY402 3,500.00 0.00 45,241.00

28/02/24 18:45:21 EDC SIPAN TO TRI WAHYU HIDAY 0852531 0.00 600,000.00 645,241.00
FROM376501022342536 TO667601042700536EDC

28/02/24 18:46:02 ATMSTRPRM 08888 000074181 0472021344 8888382 6,500.00 0.00 638,741.00
ESB:NBMB:0005T00F:653698074181

28/02/24 18:46:02 ATMSTRPRM 08888 000074181 0472021344 8888382 600,000.00 0.00 38,741.00
ESB:NBMB:0005T00F:653698074181

29/02/24 18:08:01 601301125319594400570105 9854512 0.00 3,900,000.00 3,938,741.00

29/02/24 18:09:45 601301125319594400570105 9854512 0.00 2,350,000.00 6,288,741.00

29/02/24 18:16:27 601301125319594400861564 9854649 0.00 1,000,000.00 7,288,741.00

29/02/24 18:28:07 BFST7211754607 NBMB:BSMDIDJA 8888401 2,500.00 0.00 7,286,241.00

20240229BRINIDJA010O0234002964
ESB:NBMB:0008G00F:654123444532

29/02/24 18:28:07 BFST7211754607 NBMB:BSMDIDJA 8888401 6,800,000.00 0.00 486,241.00

20240229BRINIDJA010O0234002964
ESB:NBMB:0008G00F:654123444532

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

1,869,241.00 12,683,000.00 11,300,000.00 486,241.00

Terbilang / In Words

EMPAT RATUS DELAPAN PULUH ENAM RIBU DUA RATUS EMPAT PULUH SATU RUPIAH
FOUR HUNDRED EIGHTY SIX THOUSAND TWO HUNDRED FORTY ONE 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

04/20/2024 03:42:30 PM