Nomor :

Lampiran : 1 (satu) berkas

Kepada
Yth, Kepala Bagian Perekonomian dan SDA
Sekretariat Daerah Kab. Lingga
di-
Tempat

Dengan Hormat

Bersama ini kami sampaikan laporan penyaluran bahan bakar minyak tanah, minyak
solar dan pertalite priode tanggal sampai dengan 2023, dengan laporan
sebagai berikut:

1. Rekap Laporan Pembelian BBM Minyak Tanah, Soalr dan Pertalite

2. Potocopy Surat Rekomendasi Pembeliaan Minyak Tanah, Solar
dan Fertalite dari instansi terkait
3. Potocopy Bukti Pembelian BBM Minyak Tanah, Solar dan Pertalite;
4. Laporan Penyaluran BBM Jenis Minyak Solar
5. Laporan Penyaluran Pangkalan Jenis Minyak Tanah ke Penjual Minyak Tanah
6. Potocopy Suarat Rekomendasi Penjual Minyak Tanah dari Kecamatan
7. Laporan Penyaluran Penjual Minyak Tanah

Demikian laporan inin kami sampaikan, atas perhatian dan kerjsamanya diucapkan
terimakasih.

perwakilan kelompok konsumen pengguna Desa Selayar

( SYARIFAH NURHASANAH )
LAMPIRAN I

REKAPITULASI PEMBELIAN BBM PRIODE SAMPAI DENGAN 2023

NO JENIS BBM PENYALUR VOLUME KETERANGAN

1 MINYAK TANAH PT. SINAR SINGKEP ABADI
2 MINYAK SOLAR PT. SINAR SINGKEP SEJAHTERA
3 MINYAK FERTALIE PT. SINAR SINGKEP CEMERLANG

DIKETAHUI: DIBUAT:
DESA SELAYAR PERWAKILAN KELOMPOK KONSUMEN
PENGGUNA DESA SELAYAR

( MISKAR HIDAYAT ) ( SYARIFAH NURHASANAH )

 2023

OMPOK KONSUMEN
LAMPIRAN II

LAPORAN PENYALURAN MINYAK SOLAR

NO NAMA NO. SURAT REKOMENDASI VOLUME

1 BAHTIAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
2 ROMZI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
3 DIDI SARDI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
4 ROSLAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
5 JUNIZAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
6 HERMAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
7 RAFA'I 523.83 / /DKP-CDKPLG/REKOMBBM/2023
8 JANG RIO 523.83 / /DKP-CDKPLG/REKOMBBM/2023
9 KADAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
10 KHAIDIR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
11 SYAMSURIAL 523.83 / /DKP-CDKPLG/REKOMBBM/2023
12 JUPRIANTONO 523.83 / /DKP-CDKPLG/REKOMBBM/2023
13 HASAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
14 IRWAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
15 SURYA 523.83 / /DKP-CDKPLG/REKOMBBM/2023
16 SAIFUL ISAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
17 RONI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
18 BAHARI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
19 ZAKARIA 523.83 / /DKP-CDKPLG/REKOMBBM/2023
20 ABD. GAFAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
21 AMRI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
22 ALI PAKAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
23 IMRAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
24 HELMI ARDIANS 523.83 / /DKP-CDKPLG/REKOMBBM/2023
25 MAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
26 MAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
27 SYAMSIR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
28 SUHERMAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
29 MUSRIFANA 523.83 / /DKP-CDKPLG/REKOMBBM/2023
30 RONI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
31 ZUMADI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
32 SUPARMAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
33 JUNI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
34 HARIYANTO 523.83 / /DKP-CDKPLG/REKOMBBM/2023
35 RIZON 523.83 / /DKP-CDKPLG/REKOMBBM/2023
36 AZMI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
37 SAPRI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
38 JOHAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
39 BUDILLAH 523.83 / /DKP-CDKPLG/REKOMBBM/2023
40 SINAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
41 RONIDI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
42 AZLAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
43 FADILAH 523.83 / /DKP-CDKPLG/REKOMBBM/2023
44 BAGUS 523.83 / /DKP-CDKPLG/REKOMBBM/2023
45 MUSLIADI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
46 RAZIMAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
47 MISKAR HIDAYAT 523.83 / /DKP-CDKPLG/REKOMBBM/2023
48 DAYAT 523.83 / /DKP-CDKPLG/REKOMBBM/2023
49 SUDIANTORO 523.83 / /DKP-CDKPLG/REKOMBBM/2023
50 TARMIZI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
51 RAHMAT HIDAYAT 523.83 / /DKP-CDKPLG/REKOMBBM/2023
52 NAHARUDDIN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
53 BASAR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
54 SUDARDI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
55 BUDI MANSYUR 523.83 / /DKP-CDKPLG/REKOMBBM/2023
56 MURWANTO 523.83 / /DKP-CDKPLG/REKOMBBM/2023
57 ROSLAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
58 SUPARMAN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
59 AZMI 523.83 / /DKP-CDKPLG/REKOMBBM/2023
60 IZHAM 523.83 / /DKP-CDKPLG/REKOMBBM/2023
61 NASRUN 523.83 / /DKP-CDKPLG/REKOMBBM/2023
62 BASRAH 523.83 / /DKP-CDKPLG/REKOMBBM/2023
63 DARMANSYAH 523.83 / /DKP-CDKPLG/REKOMBBM/2023
64 JUPRI 523.83 / /DKP-CDKPLG/REKOMBBM/2023

DIKETAHUI:
DESA SELAYAR

( MISKAR HIDAYAT )
TTD KETERANGAN
DIBUAT:
PERWAKILAN KELOMPOK KONSUMEN
PENGGUNA DESA SELAYAR

( SYARIFAH NURHASANAH )
LAMPIRAN II

LAPORAN PENYALURAN PANGKALAN MINYAK TANAH

NO NAMA SURAT REKOMENDASI WILAYAH LAYANAN VOLUME

1 AFANDI Sebilik RT 04 RW 02
2 NASRUN Tg. Dua RT 01 RW 01
3 KADAR Tg. Dua RT 01 RW 02
4 ANITA Selayar RT 05 RW 02
5 ZUMADI Tg. Dua RT 01 RW 02
6 YATI Selayar RT 02 RW 01
JUMLAH

DIKETAHUI: DIBUAT:
DESA SELAYAR PERWAKILAN KELOMPOK KONS
PENGGUNA DESA SELAYAR

( MISKAR HIDAYAT ) ( SYARIFAH NURHASANAH )

 TTD KETERANGAN

RWAKILAN KELOMPOK KONSUMEN

NGGUNA DESA SELAYAR

YARIFAH NURHASANAH )
LAMPIRAN IV

LAPORAN PENJUAL MINYAK TANAH

NO NAMA NOMOR KK TGL PENYALURAN VOLUME

1 NURAINI 2104081609190001 15,79 LITER
2 SAHARI 2104010401080158 15,79 LITER
3 JUHARI 2104010401080141 15,79 LITER
4 SUADI 2104010401080027 15,79 LITER
5 MAR 2104010401080083 15,79 LITER
6 MAR 2104010401080101 15,79 LITER
7 AHMAD 2104010401080108 15,79 LITER
8 KADAR 2104010401080110 15,79 LITER
9 HERMAN 2104010401080120 15,79 LITER
10 ZAURAH 2104010401080124 15,79 LITER
11 KHAIDIR 2104010401080127 15,79 LITER
12 TENGKU YUSRI 2104010401080133 15,79 LITER
13 SITI HAWA 2104010401080138 15,79 LITER
14 MAWARDI 2104010401080146 15,79 LITER
15 HAMID 2104010401080158 15,79 LITER
16 ALI PAKAR 2104010401080192 15,79 LITER
17 JAMALUDIN 2104010401080196 15,79 LITER
18 DURANI 2104010401080199 15,79 LITER
19 NASRUN 2104010401080201 15,79 LITER
20 ARAFIK 2104010401080204 15,79 LITER
21 ZUMADI 2104010401080206 15,79 LITER
22 RAFA'I 2104010401080209 15,79 LITER
23 SYAIFUL LIZAN 2104010401080217 15,79 LITER
24 DIDI SARDI 2104010401080230 15,79 LITER
25 BAHTIAR 2104020708090004 15,79 LITER
26 IMRAN 2104020708090006 15,79 LITER
27 KAMARUDIN 2104021402080003 15,79 LITER
28 HERMAN 2104022703120001 15,79 LITER
29 SAKDIAH 2104022712110004 15,79 LITER
30 AMRI 2104022904090008 15,79 LITER
31 JANG RIO 2104022911100001 15,79 LITER
32 IRWAN 2104040803170001 15,79 LITER
33 JIPRIANTONO 2104080204180001 15,79 LITER
34 SURYA 2104080207150001 15,79 LITER
35 MASDARIA 2104080508140001 15,79 LITER
36 HELMI ARDIANSAH 2104080704140001 15,79 LITER
37 HANDRA WIYADI 2104081003160001 15,79 LITER
38 ASNAH 2104081203210001 15,79 LITER
39 MAZWINATI 2104081206130001 15,79 LITER
40 AWI 2104081510180005 15,79 LITER
41 HALIMAH 2104081702210001 15,79 LITER
42 DESY KURNIAWAN 2104081802160001 15,79 LITER
43 WAHYUDI APRIANDA 2104081803210002 15,79 LITER
44 MARZUKI 2104082001160001 15,79 LITER
45 AMIRUDIN 2104082504170001 15,79 LITER
46 NURAINI 2104082607210002 15,79 LITER
47 INDRA 2104082906150002 15,79 LITER
48 USMAN 2104020503090005 15,79 LITER
49 KAMARUL ZAMAN 2104082211190002 15,79 LITER
50 ZAKARIA 2104081202190002 15,79 LITER
51 JULIA NOPITASARI 2104080601160003 15,79 LITER
52 ZAINUDDIN 2104020201080188 15,79 LITER
53 AZMAN 2104020201080193 15,79 LITER
54 AZUAN 2104020201080216 15,79 LITER
55 AZWAR 2104020201080223 15,79 LITER
56 OLUSNA 2104020201080225 15,79 LITER
57 ZAINAL 2104020201080226 15,79 LITER
58 SABIRIN 2104020201080232 15,79 LITER
59 M.YANI 2104020201080236 15,79 LITER
60 MUHAMMAD PANDI 2104020201080244 15,79 LITER
61 BAHAR 2104020201080249 15,79 LITER
62 NURHAJA 2104020201080252 15,79 LITER
63 JURIAH 2104020201080253 15,79 LITER
64 M.NOR 2104020201080254 15,79 LITER
65 BUDIMAN 2104020201080004 15,79 LITER
66 ABD KAHAR 2104020201080009 15,79 LITER
67 YUSTAR 2104020201080013 15,79 LITER
68 ROSLAN 2104020201080024 15,79 LITER
69 BUJANG S 2104020201080026 15,79 LITER
70 ABD JALIL 2104020201080029 15,79 LITER
71 FIRMANDAUS 2104020201080032 15,79 LITER
72 HASAN 2104020201080035 15,79 LITER
73 WASIR 2104020201080038 15,79 LITER
74 AZZUMAR 2104020201080042 15,79 LITER
75 RASMADI 2104020201080049 15,79 LITER
76 HAIFANI 2104020201080056 15,79 LITER
77 ZAHARI 2104020201080060 15,79 LITER
78 BORHAN 2104020201080064 15,79 LITER
79 ZULKIFLI 2104020201080066 15,79 LITER
80 RONI 2104020201080236 15,79 LITER
81 ISMAIL 2104020305110002 15,79 LITER
82 CIPRIZAL 2104020306090001 15,79 LITER
83 RUBIAH 2104020708090002 15,79 LITER
84 SAPWAR JASMADI 2104021012090001 15,79 LITER
85 USMAN 2104022904090002 15,79 LITER
86 AUZAR 2104022907080007 15,79 LITER
 87 RUZI 2104031202160001 15,79 LITER
88 OBOT 2104052205090003 15,79 LITER
89 SAPAURI 2104080511140001 15,79 LITER
90 BORHAN 2104080609210001 15,79 LITER
91 M.RIZAL APRIADA 2104080611190001 15,79 LITER
92 MURNI 2104080912140001 15,79 LITER
93 ERZI NURWANTO 2104081102190001 15,79 LITER
94 KARTINI 2104081510180006 15,79 LITER
95 MARAMI 2104081510180005 15,79 LITER
96 RIAN FRIATAMA 2104081702210002 15,79 LITER
97 MUHAIMIN 2104081806200001 15,79 LITER
98 JOHANES SAPUTRADI 2104081806200001 15,79 LITER
99 MAIMUNAH 2104082212150001 15,79 LITER
100 JUNIZAR 2104082410180003 15,79 LITER
101 LILI SURYANI 2104083007210002 15,79 LITER
102 ROMZI 2104020301080052 15,79 LITER
103 JASNIPAR 2104020301080069 15,79 LITER
104 ABD GAFAR 2104020301080166 15,79 LITER
105 SAHNILA 2104020301080232 15,79 LITER
106 ABD RAHMAN 2104020301080238 15,79 LITER
107 KASMAWATI 2104020301080243 15,79 LITER
108 BAHTIAR 2104020301080247 15,79 LITER
109 MUHAMMAD AMOR 2104020301080253 15,79 LITER
110 YUNAN 2104020301080255 15,79 LITER
111 BAHTIAR 2104020301080263 15,79 LITER
112 ANUAR 2104020301080276 15,79 LITER
113 M.DAUD 2104020301080280 15,79 LITER
114 ANUAR 2104020301080286 15,79 LITER
115 SAKDIAH 2104020401080002 15,79 LITER
116 BAHARI 2104020401080004 15,79 LITER
117 PATIMAH 2104020401080016 15,79 LITER
118 KHAIRUDDIN 2104020401080020 15,79 LITER
119 RAZALI 2104020401080023 15,79 LITER
120 ZAINAB 2104020401080027 15,79 LITER
121 SUPARTO 2104020401080029 15,79 LITER
122 YULIANTO 2104020401080034 15,79 LITER
123 BAHARUN 2104020401080046 15,79 LITER
124 JIPRIZAL 2104020401080049 15,79 LITER
125 SUARDI 2104020503090003 15,79 LITER
126 SARMAWI 2104020510090006 15,79 LITER
127 AMRAN 2104021112070018 15,79 LITER
128 ZAURAH 2104021304110001 15,79 LITER
129 ASPARIZAL 2104021908100002 15,79 LITER
130 AGUS SALEM 2104022102080001 15,79 LITER
131 SYAFUAN SUMANTRI 2104022208110001 15,79 LITER
132 TIRTA ARI SAPAWARDI 2104022312100001 15,79 LITER
133 MAHERA 2104022904090003 15,79 LITER
134 HADIYAH 2104023003090005 15,79 LITER
135 ASMIRA DARDI 2104023105100001 15,79 LITER
136 SYAMSIR 2104032211130004 15,79 LITER
137 DEWI KURIATI 2104040708170002 15,79 LITER
138 SARIPAN 2104052308110001 15,79 LITER
139 SUHERMAN 2104080408150001 15,79 LITER
140 ASNA 2104080802180001 15,79 LITER
141 RAJLI 2104080805200003 15,79 LITER
142 SUPIA RATNASARI 2104080806200001 15,79 LITER
143 SULAIMAN 2104081302200001 15,79 LITER
144 MAIHA 2104081510180003 15,79 LITER
145 M.NAZRI 2104082207210001 15,79 LITER
146 ISBAR 2104082509130002 15,79 LITER
147 SAHRUL NIZAM 2104082903170001 15,79 LITER
148 MUSRIPANA 2104082906150001 15,79 LITER
149 ALMAH 2104083010140001 15,79 LITER
150 JUN 2104101510190001 15,79 LITER
151 BEJO SAMPURNO 2104023112100001 15,79 LITER
152 ROKI BENI SAPUTRA 2104013112180002 15,79 LITER
153 ARMAN 2104020201080055 15,79 LITER
154 SUPARMAN 2104020201080070 15,79 LITER
155 NAHARUDDIN 2104020201080077 15,79 LITER
156 AZLAN 2104020201080085 15,79 LITER
157 APANDI 2104020201080097 15,79 LITER
158 BAGUS 2104020201080105 15,79 LITER
159 JOHAN 2104020201080107 15,79 LITER
160 DARMAWAN 2104020201080114 15,79 LITER
161 JUNI 2104020201080118 15,79 LITER
162 SAPIRI 2104020201080122 15,79 LITER
163 MARDIANA 2104020201080133 15,79 LITER
164 BUKRI 2104020201080136 15,79 LITER
165 BUDILLAH 2104020201080144 15,79 LITER
166 SUDARDI 2104020201080150 15,79 LITER
167 BASAR 2104020201080163 15,79 LITER
168 ABD GAFAR 2104020201080166 15,79 LITER
169 RIZON 2104020201080171 15,79 LITER
170 SAHARI 2104020201080176 15,79 LITER
171 SADI 2104020201080178 15,79 LITER
172 TARMIZI 2104020201080181 15,79 LITER
173 MISKAR HIDAYAT 2104020204090001 15,79 LITER
174 RAHMAD HIDAYAT 2104020206100001 15,79 LITER
175 BAHAGIA 2104020221208002 15,79 LITER
176 AZRAI 2104020212080001 15,79 LITER
177 PINGKI ARDIANSYAH 2104021204120003 15,79 LITER
178 PATARANI 2104022109110001 15,79 LITER
179 BANAZOL 2104022304090009 15,79 LITER
180 RAHMAH 2104022304090008 15,79 LITER
181 BASNIAN 2104022304090006 15,79 LITER
182 IRNAWATI 2104080211210001 15,79 LITER
183 FIKRI KRISNIADI 2104080221215002 15,79 LITER
184 NORMAH 2104080080520002 15,79 LITER
185 UMAR 2104080811190001 15,79 LITER
186 YUSNITA 2104081006200001 15,79 LITER
187 HARIYANTO 2104081202140001 15,79 LITER
188 RUSLAN 2104081206150001 15,79 LITER
189 BUDI MANYSUR 2104081302130001 15,79 LITER
190 MASRI 2104081407140001 15,79 LITER
191 RONI 2104081510180008 15,79 LITER
192 DAYAT 2104081809130001 15,79 LITER
193 SUDIANTORO 2104082105150001 15,79 LITER
194 RAUZAN FIKRI 2104082210190001 15,79 LITER
195 RENO ADE PUTRA 2104082303210001 15,79 LITER
196 DJUAL 2104082401220001 15,79 LITER
197 PATIMAH 2104083112190002 15,79 LITER
198 ZULKIFLI 2104012208110002 15,79 LITER
199 IBRAHIM 2104020101080012 15,79 LITER
200 SITI PATIMAH 2104020101080013 15,79 LITER
201 SUDIN 2104020101080020 15,79 LITER
202 BUHARI 2104020101080023 15,79 LITER
203 ASMAR 2104020101080035 15,79 LITER
204 RIDWAN 2104020101080039 15,79 LITER
205 MUHAMMAD NASIR 2104020101080041 15,79 LITER
206 FADILAH 2104020101080058 15,79 LITER
207 JANAH 2104020101080061 15,79 LITER
208 BAKAR 2104020101080067 15,79 LITER
209 HASANAH 2104020101080069 15,79 LITER
210 ABDULLAH 2104020101080081 15,79 LITER
211 ZAMRI 2104020101080096 15,79 LITER
212 RAHMAN 2104020101080097 15,79 LITER
213 ROSNI 2104020101080004 15,79 LITER
214 ASMAWI 2104020101080011 15,79 LITER
215 ALPIAN 2104020101080013 15,79 LITER
216 AUZAR DAEM 2104020101080021 15,79 LITER
217 ABD KADIR 2104020101080023 15,79 LITER
218 RONIDI 2104020101080027 15,79 LITER
219 MUHTAR 2104020101080030 15,79 LITER
220 JURIZAL 2104020101080033 15,79 LITER
221 AZAM 2104020101080035 15,79 LITER
222 SAPRI 2104020101080038 15,79 LITER
223 JUPRI 2104020101080044 15,79 LITER
224 RAMLI 2104020101080051 15,79 LITER
225 IZAMAN 2104020206100002 15,79 LITER
226 MARYAMAH 2104020301080079 15,79 LITER
227 BASRAH 2104020305110001 15,79 LITER
228 AMIRUDIN 2104020401120001 15,79 LITER
229 RAFI'AH 2104020403090001 15,79 LITER
230 YATI 2104020403090002 15,79 LITER
231 RAJEMAH 2104020708090003 15,79 LITER
232 JUNAIDI 2104020708090005 15,79 LITER
233 JUNAIDY 2104021104120001 15,79 LITER
234 RAHIMIN 2104021411100003 15,79 LITER
235 DAHNIAR 2104021712070031 15,79 LITER
236 ABD KARIM 2104021908110002 15,79 LITER
237 SAKDIAH 2104021911100002 15,79 LITER
238 SUKUR 2104022105120001 15,79 LITER
239 MUSLIADI 2104022207090002 15,79 LITER
240 ROSLAN 2104022304090002 15,79 LITER
241 JUL HERMAN 2104022304090006 15,79 LITER
242 HAULAH 2104022610100001 15,79 LITER
243 M BAFADAL 2104022701090001 15,79 LITER
244 IS HARYANTO 2104022708120002 15,79 LITER
245 AZMI 2104023112070194 15,79 LITER
246 ABD HAMID 2104023112070198 15,79 LITER
247 RIDWAN 2104031228070189 15,79 LITER
248 SITI BERMA 2104041212070180 15,79 LITER
249 RAHIMAH 2104080205180001 15,79 LITER
250 AMIR 2104080306200001 15,79 LITER
251 RAZIMAN 2104080408150002 15,79 LITER
252 PATIMAH 2104080602180001 15,79 LITER
253 AISAH 2104080805200001 15,79 LITER
254 BAHARUDIN 2104080807150001 15,79 LITER
255 ALEK 2104081012190001 15,79 LITER
256 DARMASYAH 2104081108150001 15,79 LITER
257 KARMATUTI 2104081208170001 15,79 LITER
258 MURWANTO 2104081302130002 15,79 LITER
259 RAMLAH 2104081310170001 15,79 LITER
260 ASIAH 2104081310170003 15,79 LITER
261 AGUS SUARDI 2104081402130001 15,79 LITER
262 NASIAH 2104081510180002 15,79 LITER
263 SISWANTO 2104081711150001 15,79 LITER
264 ZULKIFLI 2104081805150001 15,79 LITER
265 BUDI HARDI 2104082603140001 15,79 LITER
266 CHANDRA 2104082603180001 15,79 LITER
267 NEKA HENDI 2104082803130001 15,79 LITER
268 ZAINIPAH 2104083112190001 15,79 LITER
269 JUNIZAR 2104020708090009 15,79 LITER
270 SUKARDI 2104082212210001 15,79 LITER
271 JUNAIDA 2104082607170001 15,79 LITER
JUMLAH 4279,09

DUSUN/TW/RT

(____________________)
TTD KETERANGAN
PENJUAL MINYAK TANAH

(____________________)
LAMPIRAN II

LAPORAN PENYALURAN PANGKALAN MINYAK TANAH

NO NAMA SURAT REKOMENDASI WILAYAH LAYANAN VOLUME

1 AFANDI Sebilik RT 04 RW 02
2 NASRUN Tg. Dua RT 01 RW 01
3 ANITA Selayar RT 05 RW 02
4 ZUMADI Tg. Dua RT 01 RW 02
5 YATI Selayar RT 02 RW 01
JUMLAH

DIKETAHUI: DIBUAT:
DESA SELAYAR PERWAKILAN KELOMPOK KONSUMEN
PENGGUNA DESA SELAYAR

( MISKAR HIDAYAT ) ( SYARIFAH NURHASANAH )

 TTD KETERANGAN

RWAKILAN KELOMPOK KONSUMEN

NGGUNA DESA SELAYAR

YARIFAH NURHASANAH )
LAMPIRAN IV

LAPORAN PENJUAL MINYAK TANAH

NO NAMA NOMOR KK TGL PENYALURAN VOLUME

1 NURAINI 2104081609190001 14 LITER
2 SAHARI 2104010401080158 14 LITER
3 JUHARI 2104010401080141 14 LITER
4 SUADI 2104010401080027 14 LITER
5 MAR 2104010401080083 14 LITER
6 MAR 2104010401080101 14 LITER
7 AHMAD 2104010401080108 14 LITER
8 KADAR 2104010401080110 14 LITER
9 HERMAN 2104010401080120 14 LITER
10 ZAURAH 2104010401080124 14 LITER
11 KHAIDIR 2104010401080127 14 LITER
12 TENGKU YUSRI 2104010401080133 14 LITER
13 SITI HAWA 2104010401080138 14 LITER
14 MAWARDI 2104010401080146 14 LITER
15 HAMID 2104010401080158 14 LITER
16 ALI PAKAR 2104010401080192 14 LITER
17 JAMALUDIN 2104010401080196 14 LITER
18 DURANI 2104010401080199 14 LITER
19 NASRUN 2104010401080201 14 LITER
20 ARAFIK 2104010401080204 14 LITER
21 ZUMADI 2104010401080206 14 LITER
22 RAFA'I 2104010401080209 14 LITER
23 SYAIFUL LIZAN 2104010401080217 14 LITER
24 DIDI SARDI 2104010401080230 14 LITER
25 BAHTIAR 2104020708090004 14 LITER
26 IMRAN 2104020708090006 14 LITER
27 KAMARUDIN 2104021402080003 14 LITER
28 HERMAN 2104022703120001 14 LITER
29 SAKDIAH 2104022712110004 14 LITER
30 AMRI 2104022904090008 14 LITER
31 JANG RIO 2104022911100001 14 LITER
32 IRWAN 2104040803170001 14 LITER
33 JIPRIANTONO 2104080204180001 14 LITER
34 SURYA 2104080207150001 14 LITER
35 MASDARIA 2104080508140001 14 LITER
36 HELMI ARDIANSAH 2104080704140001 14 LITER
37 HANDRA WIYADI 2104081003160001 14 LITER
38 ASNAH 2104081203210001 14 LITER
39 MAZWINATI 2104081206130001 14 LITER
40 AWI 2104081510180005 14 LITER
41 HALIMAH 2104081702210001 14 LITER
42 DESY KURNIAWAN 2104081802160001 14 LITER
43 WAHYUDI APRIANDA 2104081803210002 14 LITER
44 MARZUKI 2104082001160001 14 LITER
45 AMIRUDIN 2104082504170001 14 LITER
46 NURAINI 2104082607210002 14 LITER
47 INDRA 2104082906150002 14 LITER
48 USMAN 2104020503090005 14 LITER
49 KAMARUL ZAMAN 2104082211190002 14 LITER
50 ZAKARIA 2104081202190002 14 LITER
51 JULIA NOPITASARI 2104080601160003 14 LITER
52 ZAINUDDIN 2104020201080188 14 LITER
53 AZMAN 2104020201080193 14 LITER
54 AZUAN 2104020201080216 14 LITER
55 AZWAR 2104020201080223 14 LITER
56 OLUSNA 2104020201080225 14 LITER
57 ZAINAL 2104020201080226 14 LITER
58 SABIRIN 2104020201080232 14 LITER
59 M.YANI 2104020201080236 14 LITER
60 MUHAMMAD PANDI 2104020201080244 14 LITER
61 BAHAR 2104020201080249 14 LITER
62 NURHAJA 2104020201080252 14 LITER
63 JURIAH 2104020201080253 14 LITER
64 M.NOR 2104020201080254 14 LITER
65 BUDIMAN 2104020201080004 14 LITER
66 ABD KAHAR 2104020201080009 14 LITER
67 YUSTAR 2104020201080013 14 LITER
68 ROSLAN 2104020201080024 14 LITER
69 BUJANG S 2104020201080026 14 LITER
70 ABD JALIL 2104020201080029 14 LITER
71 FIRMANDAUS 2104020201080032 14 LITER
72 HASAN 2104020201080035 14 LITER
73 WASIR 2104020201080038 14 LITER
74 AZZUMAR 2104020201080042 14 LITER
75 RASMADI 2104020201080049 14 LITER
76 HAIFANI 2104020201080056 14 LITER
77 ZAHARI 2104020201080060 14 LITER
78 BORHAN 2104020201080064 14 LITER
79 ZULKIFLI 2104020201080066 14 LITER
80 RONI 2104020201080236 14 LITER
81 ISMAIL 2104020305110002 14 LITER
82 CIPRIZAL 2104020306090001 14 LITER
83 RUBIAH 2104020708090002 14 LITER
84 SAPWAR JASMADI 2104021012090001 14 LITER
85 USMAN 2104022904090002 14 LITER
86 AUZAR 2104022907080007 14 LITER
 87 RUZI 2104031202160001 14 LITER
88 OBOT 2104052205090003 14 LITER
89 SAPAURI 2104080511140001 14 LITER
90 BORHAN 2104080609210001 14 LITER
91 M.RIZAL APRIADA 2104080611190001 14 LITER
92 MURNI 2104080912140001 14 LITER
93 ERZI NURWANTO 2104081102190001 14 LITER
94 KARTINI 2104081510180006 14 LITER
95 MARAMI 2104081510180005 14 LITER
96 RIAN FRIATAMA 2104081702210002 14 LITER
97 MUHAIMIN 2104081806200001 14 LITER
98 JOHANES SAPUTRADI 2104081806200001 14 LITER
99 MAIMUNAH 2104082212150001 14 LITER
100 JUNIZAR 2104082410180003 14 LITER
101 LILI SURYANI 2104083007210002 14 LITER
102 ROMZI 2104020301080052 14 LITER
103 JASNIPAR 2104020301080069 14 LITER
104 ABD GAFAR 2104020301080166 14 LITER
105 SAHNILA 2104020301080232 14 LITER
106 ABD RAHMAN 2104020301080238 14 LITER
107 KASMAWATI 2104020301080243 14 LITER
108 BAHTIAR 2104020301080247 14 LITER
109 MUHAMMAD AMOR 2104020301080253 14 LITER
110 YUNAN 2104020301080255 14 LITER
111 BAHTIAR 2104020301080263 14 LITER
112 ANUAR 2104020301080276 14 LITER
113 M.DAUD 2104020301080280 14 LITER
114 ANUAR 2104020301080286 14 LITER
115 SAKDIAH 2104020401080002 14 LITER
116 BAHARI 2104020401080004 14 LITER
117 PATIMAH 2104020401080016 14 LITER
118 KHAIRUDDIN 2104020401080020 14 LITER
119 RAZALI 2104020401080023 14 LITER
120 ZAINAB 2104020401080027 14 LITER
121 SUPARTO 2104020401080029 14 LITER
122 YULIANTO 2104020401080034 14 LITER
123 BAHARUN 2104020401080046 14 LITER
124 JIPRIZAL 2104020401080049 14 LITER
125 SUARDI 2104020503090003 14 LITER
126 SARMAWI 2104020510090006 14 LITER
127 AMRAN 2104021112070018 14 LITER
128 ZAURAH 2104021304110001 14 LITER
129 ASPARIZAL 2104021908100002 14 LITER
130 AGUS SALEM 2104022102080001 14 LITER
131 SYAFUAN SUMANTRI 2104022208110001 14 LITER
132 TIRTA ARI SAPAWARDI 2104022312100001 14 LITER
133 MAHERA 2104022904090003 14 LITER
134 HADIYAH 2104023003090005 14 LITER
135 ASMIRA DARDI 2104023105100001 14 LITER
136 SYAMSIR 2104032211130004 14 LITER
137 DEWI KURIATI 2104040708170002 14 LITER
138 SARIPAN 2104052308110001 14 LITER
139 SUHERMAN 2104080408150001 14 LITER
140 ASNA 2104080802180001 14 LITER
141 RAJLI 2104080805200003 14 LITER
142 SUPIA RATNASARI 2104080806200001 14 LITER
143 SULAIMAN 2104081302200001 14 LITER
144 MAIHA 2104081510180003 14 LITER
145 M.NAZRI 2104082207210001 14 LITER
146 ISBAR 2104082509130002 14 LITER
147 SAHRUL NIZAM 2104082903170001 14 LITER
148 MUSRIPANA 2104082906150001 14 LITER
149 ALMAH 2104083010140001 14 LITER
150 JUN 2104101510190001 14 LITER
151 BEJO SAMPURNO 2104023112100001 14 LITER
152 ROKI BENI SAPUTRA 2104013112180002 14 LITER
153 ARMAN 2104020201080055 14 LITER
154 SUPARMAN 2104020201080070 14 LITER
155 NAHARUDDIN 2104020201080077 14 LITER
156 AZLAN 2104020201080085 14 LITER
157 APANDI 2104020201080097 14 LITER
158 BAGUS 2104020201080105 14 LITER
159 JOHAN 2104020201080107 14 LITER
160 DARMAWAN 2104020201080114 14 LITER
161 JUNI 2104020201080118 14 LITER
162 SAPIRI 2104020201080122 14 LITER
163 MARDIANA 2104020201080133 14 LITER
164 BUKRI 2104020201080136 14 LITER
165 BUDILLAH 2104020201080144 14 LITER
166 SUDARDI 2104020201080150 14 LITER
167 BASAR 2104020201080163 14 LITER
168 ABD GAFAR 2104020201080166 14 LITER
169 RIZON 2104020201080171 14 LITER
170 SAHARI 2104020201080176 14 LITER
171 SADI 2104020201080178 14 LITER
172 TARMIZI 2104020201080181 14 LITER
173 MISKAR HIDAYAT 2104020204090001 14 LITER
174 RAHMAD HIDAYAT 2104020206100001 14 LITER
175 BAHAGIA 2104020221208002 14 LITER
176 AZRAI 2104020212080001 14 LITER
177 PINGKI ARDIANSYAH 2104021204120003 14 LITER
178 PATARANI 2104022109110001 14 LITER
179 BANAZOL 2104022304090009 14 LITER
180 RAHMAH 2104022304090008 14 LITER
181 BASNIAN 2104022304090006 14 LITER
182 IRNAWATI 2104080211210001 14 LITER
183 FIKRI KRISNIADI 2104080221215002 14 LITER
184 NORMAH 2104080080520002 14 LITER
185 UMAR 2104080811190001 14 LITER
186 YUSNITA 2104081006200001 14 LITER
187 HARIYANTO 2104081202140001 14 LITER
188 RUSLAN 2104081206150001 14 LITER
189 BUDI MANYSUR 2104081302130001 14 LITER
190 MASRI 2104081407140001 14 LITER
191 RONI 2104081510180008 14 LITER
192 DAYAT 2104081809130001 14 LITER
193 SUDIANTORO 2104082105150001 14 LITER
194 RAUZAN FIKRI 2104082210190001 14 LITER
195 RENO ADE PUTRA 2104082303210001 14 LITER
196 DJUAL 2104082401220001 14 LITER
197 PATIMAH 2104083112190002 14 LITER
198 ZULKIFLI 2104012208110002 14 LITER
199 IBRAHIM 2104020101080012 14 LITER
200 SITI PATIMAH 2104020101080013 14 LITER
201 SUDIN 2104020101080020 14 LITER
202 BUHARI 2104020101080023 14 LITER
203 ASMAR 2104020101080035 14 LITER
204 RIDWAN 2104020101080039 14 LITER
205 MUHAMMAD NASIR 2104020101080041 14 LITER
206 FADILAH 2104020101080058 14 LITER
207 JANAH 2104020101080061 14 LITER
208 BAKAR 2104020101080067 14 LITER
209 HASANAH 2104020101080069 14 LITER
210 ABDULLAH 2104020101080081 14 LITER
211 ZAMRI 2104020101080096 14 LITER
212 RAHMAN 2104020101080097 14 LITER
213 ROSNI 2104020101080004 14 LITER
214 ASMAWI 2104020101080011 14 LITER
215 ALPIAN 2104020101080013 14 LITER
216 AUZAR DAEM 2104020101080021 14 LITER
217 ABD KADIR 2104020101080023 14 LITER
218 RONIDI 2104020101080027 14 LITER
219 MUHTAR 2104020101080030 14 LITER
220 JURIZAL 2104020101080033 14 LITER
221 AZAM 2104020101080035 14 LITER
222 SAPRI 2104020101080038 14 LITER
223 JUPRI 2104020101080044 14 LITER
224 RAMLI 2104020101080051 14 LITER
225 IZAMAN 2104020206100002 14 LITER
226 MARYAMAH 2104020301080079 14 LITER
227 BASRAH 2104020305110001 14 LITER
228 AMIRUDIN 2104020401120001 14 LITER
229 RAFI'AH 2104020403090001 14 LITER
230 YATI 2104020403090002 14 LITER
231 RAJEMAH 2104020708090003 14 LITER
232 JUNAIDI 2104020708090005 14 LITER
233 JUNAIDY 2104021104120001 14 LITER
234 RAHIMIN 2104021411100003 14 LITER
235 DAHNIAR 2104021712070031 14 LITER
236 ABD KARIM 2104021908110002 14 LITER
237 SAKDIAH 2104021911100002 14 LITER
238 SUKUR 2104022105120001 14 LITER
239 MUSLIADI 2104022207090002 14 LITER
240 ROSLAN 2104022304090002 14 LITER
241 JUL HERMAN 2104022304090006 14 LITER
242 HAULAH 2104022610100001 14 LITER
243 M BAFADAL 2104022701090001 14 LITER
244 IS HARYANTO 2104022708120002 14 LITER
245 AZMI 2104023112070194 14 LITER
246 ABD HAMID 2104023112070198 14 LITER
247 RIDWAN 2104031228070189 14 LITER
248 SITI BERMA 2104041212070180 14 LITER
249 RAHIMAH 2104080205180001 14 LITER
250 AMIR 2104080306200001 14 LITER
251 RAZIMAN 2104080408150002 14 LITER
252 PATIMAH 2104080602180001 14 LITER
253 AISAH 2104080805200001 14 LITER
254 BAHARUDIN 2104080807150001 14 LITER
255 ALEK 2104081012190001 14 LITER
256 DARMASYAH 2104081108150001 14 LITER
257 KARMATUTI 2104081208170001 14 LITER
258 MURWANTO 2104081302130002 14 LITER
259 RAMLAH 2104081310170001 14 LITER
260 ASIAH 2104081310170003 14 LITER
261 AGUS SUARDI 2104081402130001 14 LITER
262 NASIAH 2104081510180002 14 LITER
263 SISWANTO 2104081711150001 14 LITER
264 ZULKIFLI 2104081805150001 14 LITER
265 BUDI HARDI 2104082603140001 14 LITER
266 CHANDRA 2104082603180001 14 LITER
267 NEKA HENDI 2104082803130001 14 LITER
268 ZAINIPAH 2104083112190001 14 LITER
269 JUNIZAR 2104020708090009 14 LITER
270 SUKARDI 2104082212210001 14 LITER
271 JUNAIDA 2104082607170001 14 LITER
JUMLAH 3794

DUSUN/TW/RT

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TTD KETERANGAN
PENJUAL MINYAK TANAH

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