LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Tanggal Laporan : 17/04/24

Kepada Yth. / To : Statement Date

HASNA RAIZA DARIZKI Periode Transaksi : 01/03/24 - 31/03/24

Transaction Periode

KP PAKU,Rt.4/3,BOGOR LEUWISADENG BOGOR

No. Rekening : 227401000385568 Unit Kerja : KCP LEUWILIANG

Account No Business Unit

Nama Produk : BritAma Bisnis Alamat Unit Kerja : Jl.Raya Leuwiliang No.15-16
Product Name Business Unit Address Kec.Leuwiliang Kab.Bogor

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/03/24 11:04:51 5326595014799600#654440918830#NBMB#TRFLA 8888020 6,500.00 0.00 7,158,669.00

01/03/24 11:04:51 5326595014799600#654440918830#NBMB#TRFLA 8888020 1,000,000.00 0.00 6,158,669.00

01/03/24 15:27:09 BFST6820969730 NBMB:CENAIDJA 8888322 2,500.00 0.00 6,156,169.00

01/03/24 15:27:09 BFST6820969730 NBMB:CENAIDJA 8888322 495,000.00 0.00 5,661,169.00

01/03/24 18:54:00 NP 08551 000032177 0888152 251,200.00 0.00 5,409,969.00

02/03/24 06:01:52 BRIVA1362700125905320NBMBTokopedia 8888095 112,728.00 0.00 5,297,241.00

02/03/24 07:07:44 BFST7175237674 NBMB:CENAIDJA 8888510 2,500.00 0.00 5,294,741.00

02/03/24 07:07:44 BFST7175237674 NBMB:CENAIDJA 8888510 5,000,000.00 0.00 294,741.00

03/03/24 12:37:16 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888410 90,000.00 0.00 204,741.00

06/03/24 06:52:59 BFST227401000385568HASNA RAIZA :SBJKIDJA 8888696 0.00 50,000.00 254,741.00

06/03/24 07:22:58 PRTT532659501479960007337943#10230607 0852637 54,000.00 0.00 200,741.00

06/03/24 07:22:58 PRTT532659501479960007337943#10230607 0852637 65,500.00 0.00 135,241.00

06/03/24 10:12:24 Top Up Gopay+62857xxxx289 via BRImo 8888590 1,000.00 0.00 134,241.00

06/03/24 10:12:24 Top Up Gopay+62857xxxx289 via BRImo 8888590 30,000.00 0.00 104,241.00

07/03/24 21:01:32 IBIZ JAYATI DELAPAN TO HASNA RAIZA DARIZ 8890405 0.00 2,800,000.00 2,904,241.00

07/03/24 21:56:07 Top Up Gopay+62857xxxx289 via BRImo 8888524 1,000.00 0.00 2,903,241.00

07/03/24 21:56:07 Top Up Gopay+62857xxxx289 via BRImo 8888524 30,000.00 0.00 2,873,241.00

07/03/24 22:36:46 BFST0055891443 NBMB:SBJKIDJA 8888523 2,500.00 0.00 2,870,741.00

07/03/24 22:36:46 BFST0055891443 NBMB:SBJKIDJA 8888523 1,500,000.00 0.00 1,370,741.00

07/03/24 23:10:14 Beli Token PLN 14356104357 via BRImo 8888161 3,000.00 0.00 1,367,741.00

07/03/24 23:10:14 Beli Token PLN 14356104357 via BRImo 8888161 200,000.00 0.00 1,167,741.00

04/17/2024 09:52:04
 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

08/03/24 17:36:56 Top Up Gopay+62857xxxx289 via BRImo 8888106 1,000.00 0.00 1,166,741.00

08/03/24 17:36:56 Top Up Gopay+62857xxxx289 via BRImo 8888106 315,000.00 0.00 851,741.00

08/03/24 18:55:16 Top Up Gopay+62857xxxx289 via BRImo 8888450 1,000.00 0.00 850,741.00

08/03/24 18:55:16 Top Up Gopay+62857xxxx289 via BRImo 8888450 60,000.00 0.00 790,741.00

10/03/24 06:42:06 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888034 110,000.00 0.00 680,741.00

10/03/24 09:42:54 532659501479960000051875 9850871 100,000.00 0.00 580,741.00

10/03/24 09:44:38 532659501479960000051875 9850871 200,000.00 0.00 380,741.00

10/03/24 09:45:44 532659501479960000051875 9850871 100,000.00 0.00 280,741.00

10/03/24 11:17:51 Top Up Gopay+62857xxxx289 via BRImo 8888193 1,000.00 0.00 279,741.00

10/03/24 11:17:51 Top Up Gopay+62857xxxx289 via BRImo 8888193 50,000.00 0.00 229,741.00

10/03/24 18:23:26 IBIZ JAYATI DELAPAN TO HASNA RAIZA DARIZ 8890410 0.00 2,700,000.00 2,929,741.00

11/03/24 16:29:50 Top Up Shopee 0882xxxx957 wXXXXXXXXXXXXXXX 8888018 201,000.00 0.00 2,728,741.00
via BRImo

11/03/24 16:54:35 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888148 100,000.00 0.00 2,628,741.00

11/03/24 17:13:56 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888526 20,000.00 0.00 2,608,741.00

12/03/24 18:00:22 Top Up Gopay+62857xxxx289 via BRImo 8888564 1,000.00 0.00 2,607,741.00

12/03/24 18:00:22 Top Up Gopay+62857xxxx289 via BRImo 8888564 50,000.00 0.00 2,557,741.00

12/03/24 18:03:15 Top Up OVO 0812xxxx229 DE** SA*** via BRImo 8888091 300,000.00 0.00 2,257,741.00

12/03/24 19:04:38 Top Up OVO 0857xxxx289 HA**A RA** via BRImo 8888338 50,000.00 0.00 2,207,741.00

12/03/24 19:53:43 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888399 165,000.00 0.00 2,042,741.00

13/03/24 09:26:04 Top Up Shopee 0882xxxx957 wXXXXXXXXXXXXXXX 8888322 251,000.00 0.00 1,791,741.00
via BRImo

13/03/24 15:56:54 Top Up DANA 0856xxxx473 GILXXX SE via BRImo 8888473 200,000.00 0.00 1,591,741.00

13/03/24 19:21:22 Top Up DANA 0856xxxx473 GILXXX SE via BRImo 8888516 100,000.00 0.00 1,491,741.00

14/03/24 09:11:59 Top Up Gopay+62857xxxx289 via BRImo 8888554 1,000.00 0.00 1,490,741.00

14/03/24 09:11:59 Top Up Gopay+62857xxxx289 via BRImo 8888554 50,000.00 0.00 1,440,741.00

14/03/24 12:35:55 Top Up Gopay+62857xxxx289 via BRImo 8888339 1,000.00 0.00 1,439,741.00

14/03/24 12:35:55 Top Up Gopay+62857xxxx289 via BRImo 8888339 50,000.00 0.00 1,389,741.00

14/03/24 16:21:51 Top Up Gopay+62857xxxx289 via BRImo 8888602 1,000.00 0.00 1,388,741.00

14/03/24 16:21:51 Top Up Gopay+62857xxxx289 via BRImo 8888602 20,000.00 0.00 1,368,741.00

14/03/24 17:22:22 BFST0055891443 NBMB:SBJKIDJA 8888220 2,500.00 0.00 1,366,241.00

14/03/24 17:22:22 BFST0055891443 NBMB:SBJKIDJA 8888220 170,000.00 0.00 1,196,241.00

04/17/2024 09:52:04
 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

15/03/24 13:43:43 DANA20240315016772602507GILANGSEPTAP 0371876 0.00 300,000.00 1,496,241.00

15/03/24 17:18:43 Bayar QRIS 8888126 197,400.00 0.00 1,298,841.00

16/03/24 15:55:56 Transfer Ke KAMSUDIN via BRImo 8888050 35,000.00 0.00 1,263,841.00

16/03/24 17:24:15 5326595014799600000098505523 0888290 7,500.00 0.00 1,256,341.00

16/03/24 17:24:15 5326595014799600000098505523 0888290 250,000.00 0.00 1,006,341.00

16/03/24 21:21:10 Top Up Gopay+62857xxxx289 via BRImo 8888194 1,000.00 0.00 1,005,341.00

16/03/24 21:21:10 Top Up Gopay+62857xxxx289 via BRImo 8888194 20,000.00 0.00 985,341.00

17/03/24 15:49:31 IBIZ JAYATI DELAPAN TO HASNA RAIZA DARIZ 8890403 0.00 2,500,000.00 3,485,341.00

17/03/24 20:54:31 DANA20240317016796289407GILANGSEPTAP 0371877 0.00 150,000.00 3,635,341.00

17/03/24 22:21:37 Top Up Gopay+62857xxxx289 via BRImo 8888553 1,000.00 0.00 3,634,341.00

17/03/24 22:21:37 Top Up Gopay+62857xxxx289 via BRImo 8888553 20,000.00 0.00 3,614,341.00

18/03/24 11:54:23 Beli Token PLN 14356104357 via BRImo 8888540 3,000.00 0.00 3,611,341.00

18/03/24 11:54:23 Beli Token PLN 14356104357 via BRImo 8888540 200,000.00 0.00 3,411,341.00

18/03/24 14:00:14 BRIVA1362700128552401NBMBTokopedia 8888082 86,923.00 0.00 3,324,418.00

18/03/24 16:27:45 BFST0055891443 NBMB:SBJKIDJA 8888417 2,500.00 0.00 3,321,918.00

18/03/24 16:27:45 BFST0055891443 NBMB:SBJKIDJA 8888417 220,000.00 0.00 3,101,918.00

18/03/24 19:02:22 Top Up Gopay+62857xxxx289 via BRImo 8888514 1,000.00 0.00 3,100,918.00

18/03/24 19:02:22 Top Up Gopay+62857xxxx289 via BRImo 8888514 50,000.00 0.00 3,050,918.00

18/03/24 21:58:10 Top Up Shopee 0857xxxx289 hXXXXXXXXXX8 via 8888405 450,000.00 0.00 2,600,918.00
BRImo

19/03/24 15:49:48 Top Up OVO 0857xxxx289 HA**A RA** via BRImo 8888536 100,000.00 0.00 2,500,918.00

19/03/24 17:10:29 5326595014799600000099170299 0888299 7,500.00 0.00 2,493,418.00

19/03/24 17:10:29 5326595014799600000099170299 0888299 300,000.00 0.00 2,193,418.00

19/03/24 19:48:27 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888093 100,000.00 0.00 2,093,418.00

20/03/24 10:47:11 Beli Pulsa IM3 0857xxxx289 via BRImo 8888321 1,500.00 0.00 2,091,918.00

20/03/24 10:47:11 Beli Pulsa IM3 0857xxxx289 via BRImo 8888321 25,000.00 0.00 2,066,918.00

20/03/24 11:40:46 Top Up Shopee 0857xxxx289 hXXXXXXXXXX8 via 8888285 100,000.00 0.00 1,966,918.00
BRImo

20/03/24 12:39:24 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888457 100,000.00 0.00 1,866,918.00

20/03/24 17:34:25 Bayar QRIS 8888015 755,000.00 0.00 1,111,918.00

20/03/24 23:59:59 Interest on Account 0.00 291.00 1,112,209.00

20/03/24 23:59:59 Minimum Balance Fee 50,000.00 0.00 1,062,209.00

04/17/2024 09:52:04
 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

21/03/24 08:06:24 Top Up Gopay+62857xxxx289 via BRImo 8888068 1,000.00 0.00 1,061,209.00

21/03/24 08:06:24 Top Up Gopay+62857xxxx289 via BRImo 8888068 50,000.00 0.00 1,011,209.00

21/03/24 19:09:14 Transfer Ke ALIESA FARA DILLA via BRImo 8888474 100,000.00 0.00 911,209.00

22/03/24 15:31:09 Bayar QRIS 8888218 27,000.00 0.00 884,209.00

23/03/24 10:28:32 BFST0055891443 NBMB:SBJKIDJA 8888470 2,500.00 0.00 881,709.00

23/03/24 10:28:32 BFST0055891443 NBMB:SBJKIDJA 8888470 150,000.00 0.00 731,709.00

24/03/24 12:40:22 Beli Token PLN 14356104357 via BRImo 8888242 3,000.00 0.00 728,709.00

24/03/24 12:40:22 Beli Token PLN 14356104357 via BRImo 8888242 200,000.00 0.00 528,709.00

27/03/24 17:22:39 Transfer Ke KAMSUDIN via BRImo 8888544 15,000.00 0.00 513,709.00

28/03/24 07:12:33 Top Up Gopay+62857xxxx289 via BRImo 8888354 1,000.00 0.00 512,709.00

28/03/24 07:12:33 Top Up Gopay+62857xxxx289 via BRImo 8888354 50,000.00 0.00 462,709.00

28/03/24 14:31:21 Top Up Shopee 0858xxxx787 aXXXXXXXXX3 via 8888289 160,000.00 0.00 302,709.00
BRImo

28/03/24 14:34:30 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888206 100,000.00 0.00 202,709.00

29/03/24 11:58:52 Top Up DANA 0857xxxx289 HASXX RAI via BRImo 8888502 150,000.00 0.00 52,709.00

29/03/24 22:33:37 IBIZ JAYATI DELAPAN TO HASNA RAIZA DARIZ 8890409 0.00 320,000.00 372,709.00

29/03/24 22:34:15 Beli Token PLN 14356104357 via BRImo 8888513 3,000.00 0.00 369,709.00

29/03/24 22:34:15 Beli Token PLN 14356104357 via BRImo 8888513 200,000.00 0.00 169,709.00

30/03/24 14:42:31 Top Up Shopee 0857xxxx289 hXXXXXXXXXX8 via 8888561 30,000.00 0.00 139,709.00
BRImo

30/03/24 16:47:04 IBIZ JAYATI DELAPAN TO HASNA RAIZA DARIZ 8890407 0.00 3,000,000.00 3,139,709.00

30/03/24 20:02:09 Bayar QRIS 8888503 232,000.00 0.00 2,907,709.00

31/03/24 07:01:54 Top Up Gopay+62857xxxx289 via BRImo 8888595 1,000.00 0.00 2,906,709.00

31/03/24 07:01:54 Top Up Gopay+62857xxxx289 via BRImo 8888595 50,000.00 0.00 2,856,709.00

31/03/24 15:01:01 Top Up DANA 0882xxxx957 WINX HERX via BRImo 8888166 315,000.00 0.00 2,541,709.00

31/03/24 19:11:46 Top Up OVO 0857xxxx289 HA**A RA** via BRImo 8888388 100,000.00 0.00 2,441,709.00

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

7,165,169.00 16,543,751.00 11,820,291.00 2,441,709.00

Terbilang / In Words

DUA JUTA EMPAT RATUS EMPAT PULUH SATU RIBU TUJUH RATUS SEMBILAN RUPIAH
TWO MILLION FOUR HUNDRED FORTY ONE THOUSAND SEVEN HUNDRED NINE RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

04/17/2024 09:52:04
 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

04/17/2024 09:52:04