Repada Yth I To kb.

Rekening/Account ilunber 14S{0-{5662414

r4904 ilana Produk/Product l{aae 6iro Rupiah IDR{or
PTP}I XIII PERSERO KEBIJI{ LO}IG KALT Valuta/Currency Indonesia Rupiah
- T8S tSAlrIT) Periode/Period LILU|B sld 3Llt2lI6
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L0ts l$LI tlo. Kartul0ard l{unber i
Longkal i TAI{AtlGR0ffiT 76283 l{0. }lPtlF/[PTP l{unber : 01.061.131.i-7e6.006

tIAIAffAil:

Tgl. Tgl. Val Rincian Transaksi / il0. Referensi Oebst / Kredit $al do

Date Val.Date 0escription I Reference llo. Debet / Credit Balmce

Saldo Penindahan 5, e80,978.65

sIlLZ 3t/12 Biaya Adr 20,000.00 D 5,260,978.65

SULZ 3Ule Biaya Heterai 6,000.00 D 5,254,978.65

5,280,978.65
ilutasi Kredit : '00 0
llutasi Debet : e6,000.00 2
Saldo Akhir : 5,254,9?8.65

Biaya Adninistrasi : RP 5,()t}0.()o

(RP 5,000.00 per halanan)

,+,:ffiffi#i'f##t#-

.!.r.lrla Yasl":f

* EilI} OF REPORT

Status Biaya Statelent l{asabah : AECEPTED

000

FFO 01 8
 Kepada Yth / To llo. RekeninglAccount llunber 14F{0--0569838-8
14904 Hana Produk/Product l,lane Giro Rupiah I0R{or
PTPI{ )([TT PER$ERO PKS LO}IG KALI Valuta/Currency Indonesia Hupiah
BS. ilUtcCU Periode/Period LII?lr6 s/d SLllzlta
KEC, LOI{G KALI CabanglBranch KCP Tanah Grogot
Longkali TAIIA}|GR0G0T 76283 l{0. Kartu/Card llunber :
ilo. ilPflP/ilPtlP ilu$er : 0r.061.131.7{t51.000

tlfrL$lRl{: 1

Tgl. Tgl. Val Rincian Transaksi I Ho. Referensi Dehet / Kredit Saldo
Date Ual . Date Desription / Reference llo. 0ebet / Credit Balance

Saldo Perindahan It,1t8,870.60

07ILZ tT lL? Transfer - SEIIA trNStT 0All li{FA BL AGST 16 10, z$7,000.00 21,405,870.60
08/12 08/12 Transfer - lf,ER PPtl BPJS IK&BPJS PEN BL tCIP 16 29,427,731.m 50,833,601.60
lSlLZ 15/12 Transfer - RETTIF mJIsOl 2015 THR IIASRAilI 2016 79,6{0,673.00 130,474,274.60
16/12 L6lr2 - BG 176902-U8P60102399g02F000001612144710 8,430,940.00 0 122,043,334.60
IEILZ 16/12 Tarik Tunai - U( 88407FTI$R SIllAllfr,llS0HG 79,640,673.00 D 42,402,661.60
16/12 t6/t2 - gG 176901{'8P60102399S}2F00000161a144711. 19,363,t)$.m 0 23,039,618.60
t6ll2 l6/te Biaya Strt 5,000.00 D 23,034,618.60
llln 20112 Transfer - UAI{G KRJ SJi BLN t$V 2016 412,297,lli.00 {.35,331,735.60
22lLZ 22112 Tarik Tunai - CK 984176-SUIAJI 420,000,000.00 0 5,331,735.60
t

Z3ll2 23/tZ Transfer - Ptl,lB SHT l{tl{ATIAll PmS0ilGAll Hlll PTPII 9, 137 , 550.00 2{,469,285.60
23lLZ 23/12 Transfer - TKERSPIJULI,AG$I4I)H 0Pl- 0lff,mV,0Esl4 409,475,000.00 433,944,285.60
23112 23/12 Transfer - t*llG KEfiJA CiTI $.0 UEI 2016 7,872,622.00 441,816,907.60
28112 28112 Tarik Tunai - tX 984177-StflAJI 184,000,000.00 D 257,816,907.60
2gll2 28/12 Transfer - gG 177475-AilAK Ktll JAI{-DES 15. APRIL=AG t46,860,591.00 t) 1 l0,956,313.60
28112 28lLZ Transfer - BG 1.77473{Pt AGT & SEPT 20t5 95,486,160.00 0 15,470,153.60
28112 28112 Transfer - W 1774i2- 10,287,000.00 D 5, 183, 153 .60
28/tA ?lfLZ Biaya Stnt 5,000.00 D 5,178,153.60
SLlrz 3LlL2 Biaya Adn e0,000.00 0 5,158,153.60
SLILZ 3Ul2 Bunga
gl ,7?8. l8 5,249,881 . 78
stll? 3U12 Pajak 18,315.64 0 5,231,536. l*
Sllt2 3t/12 Biaya [eterai 6,000,00 t) 5,225,536. 14

1 1, 118,870.60
Hutasi Kredit : 958,229,421.18 I
ltutasi tlebet : 964,t?2,755.64 t3
Saldo Akhir : 5,225,536.1.{

Biaya,Adninistrasi r Rp 5,000.00
(RP 5,000.00 per halanan) PT Eia n k isia nd ili_tflei$ercll'b&
Community Branch Ianah Grogoi

r E}II} OF REP(}RT T

Status Biaya Statenent Nasabah : ACCEPTED

000

FFO O] B
 Kepada Yth / To hto, fiekening/Account Nunber r4s-00-0566242-6
14904 ilara ProduklProduct llaue 0iro Rupiah I8R{or
PTP]I XIII PERSIRO IUBUI{ LOilA KALI Valuta/hrrency Indonesia Rupiah
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Longkali TA}{AHGR0ffOT 76283 il0. ilPtlPlilPtlP Hunber : 0t.osl.131.7-7e6.006

tlfit.At{f,il:

Tgl. Tgl. Val Rincian Transaksi / ilo. Referensi Debet 1 Kredit Saldo
0ate Val.llate 0escriFtion / Reference ilo. /
Debet Credit Salance

Saldo Perindahan 4, 810, 100.94

3L/12 3t/tl Biaya Adl 20,000.00 D 4,790,l'00.94
SllLZ SIILZ Biaya I'leterai 6,000.00 0 4,784,100.94

4,810,100.94
l,lutasi Kredit : .00 0
ilutasi Debet : e6,000.00 2

$aldo Akhir : 4,784,100.94

Biaya Adninistrasi : Rp 5,000.00

(RP 5,000.00 per halaran)

r E$} SF REPOfiT
T

Status Biaya Statemnt l{asabah : ATCEPTEI}

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