Kepada Yth /To No.

Rekening/Account Number : 131-00-0407957-2

1310321 Nama Produk/Product Name : Tab Mandiri
IYUS
SRIYANTO
SETIAWAN Valuta/Currency : Indonesia Rupiah
Jl.
Komp.
SriaAyu
GBANo.
I Blok
21 Cno.28 Periode/Period : 02/02/18 s/d 15/07/18
RT 003 RW 013 Cabang/Branch : KCP Bandung Martadinata
Kec. Bojongsoang No. Kartu/Card Number : 4617002586320482
Bojongsoang BANDUNG 40286 No. NPWP/NPWP Number : 24.372.169.4-444.000

2586320482

HALAMAN : 1

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

Saldo Pemindahan 5,863,300.00

02/02 02/02 Tarik ATM - S1AWKHHO /1490 /ATM-MIKO MALL 2,500,000.00 D 3,363,300.00
25/02 25/02 - 01467289 /00007261728 20,375,897.00 23,739,197.00
26/02 26/02 Tarik ATM - S1AD13J6 /3112 /ATM-SUMBERSARI 1,000,000.00 D 22,739,197.00
27/02 27/02 Tarik ATM - HAQ1HWJ /312 /ATM-KOPO 2,500,000.00 D 20,239,197.00
28/02 28/02 Tarik ATM - - 0157514/00007134527 2,000,000.00 D 18,239,197.00
28/02 28/02 Biaya Adm - 4,000.00 D 18,235,197.00
28/02 28/02 Biaya Saldo Minimum - 6,500.00 D 18,228,697.00
28/02 28/02 Bunga - 2,050.00 18,230,747.00
01/03 01/03 Tarik ATM - S1AWKC0H /2877 /ATM-MTF-HOLIS 2,000,000.00 D 16,230,747.00
01/03 01/03 Tarik ATM - S1AWKC0H /2877 /ATM-MTF-HOLIS 1,500,000.00 D 14,730,747.00
01/03 01/03 ATMB trf Debit - S1AN16ES /1001 /ATB-0000200000000 1,600,000.00 D 13,130,747.00
03/03 03/03 ATMB trf Debit - 6,500.00 D 13,124,247.00
04/03 06/03 Tarik ATM - S1AD13J6 /3305 /ATM-KIARACONDONG1 2,500,000.00 D 10,624,247.00
05/03 05/03 - 01575145 /00007134527 13,125,769.00 23,750,016.00
07/03 07/03 Tarik ATM - M2ER3468 /3305 /ATM-RS BOROMEUOS 2,000,000.00 D 21,750,016.00
09/03 09/03 Tarik ATM - S1AD13J6 /3305 /ATM-SUMBERSARI 2,500,000.00 D 19,250,016.00
10/03 10/03 Tarik ATM - S1AD13JP /3148 /ATM-PETA 1,500,000.00 D 17,750,016.00
12/03 12/03 Tarik ATM - S1AN16ET /7939 /ATM-PB 34-15149 1,500,000.00 D 16,250,016.00
12/03 12/03 Tarik ATM - S1AN16ET /7939 /ATM-PB 34-15149 1,500,000.00 D 14,750,016.00
13/03 13/03 Tarik ATM - RA12HY23I /0954 /ATM-SPBU METRO /V 2,000,000.00 D 12,750,016.00
14/03 14/03 Tarik ATM - S1AWKC0H /2876 /ATM-MIKO MALL 2,500,000.00 D 10,250,016.00
15/03 15/03 Tarik ATM - S1AWKC0H /2877 /ATM-MTF-BATUNUNGGAL 1,500,000.00 D 11,750,016.00
25/03 25/03 - 01467289 /00007261728 20,475,980.00 32,225,996.00
27/03 27/03 Tarik Tunai - YBS 15,000,000.00 D 17,225,996.00
31/03 31/03 Biaya Adm - 4,000.00 D 17,221,996.00
31/03 31/03 Biaya Saldo Minimum - 6,500.00 D 17,215,496.00
31/03 31/03 Bunga - 1,957.00 17,213,539.00
 Kepada Yth /To No. Rekening/Account Number : 131-00-0407957-2
1310321 Nama Produk/Product Name : Tab Mandiri
IYUS
SRIYANTO
SETIAWAN Valuta/Currency : Indonesia Rupiah
Jl.
Komp.
SriaAyu
GBANo.
I Blok
21 Cno.28 Periode/Period : 02/02/18 s/d 15/07/18
RT 003 RW 013 Cabang/Branch : KCP Bandung Martadinata
Kec. Bojongsoang No. Kartu/Card Number : 4617002586320482
Bojongsoang BANDUNG 40286 No. NPWP/NPWP Number : 24.372.169.4-444.000

2586320482

HALAMAN : 2

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

01/04 Saldo Pemindahan 16,235,893.00

01/04 01/04 Tarik ATM - S1AN16ES /3187 /ATM-JAMSOSTEK 2,500,000.00 D 13,735,893.00
01/04 01/04 Tarik ATM - S1ANKMJO /6383 /ATM-YOMART JL JKT 2,500,000.00 D 11,235,893.00
02/04 02/04 Tarik ATM - S1AW16EH /7130 /ATM-BORMA ANTPN 2,500,000.00 D 8,735,893.00
03/04 03/04 Tarik ATM - RA12HY000 /3236 /ATM-SPBU METRO 1,500,000.00 D 7,235,893.00
03/04 03/04 Tarik ATM - S1AW16EH /7130 /ATM-BORMA ANTPN 1,000,000.00 D 6,235,893.00
04/04 04/04 Tarik ATM - RA12HY23I /0999 /ATM-SPBU METRO 1,000,000.00 D 5,235,893.00
04/04 04/04 Tarik ATM - RA12HY23I /0999 /ATM-SPBU METRO 1,500,000.00 D 3,735,893.00
05/04 05/04 - 67260633 /0000982548 /VAP- 13,225,876.00 16,961,769.00
07/04 07/04 Tarik Tunai - YBS 15,000,000.00 D 1,961,769.00
09/04 09/04 Tarik ATM - RA12HY23I /0954 /ATM-SPBU METRO 1,000,000.00 D 961,769.00
17/04 17/04 Tarik ATM - S1AD13J6 /3305 /ATM-SUMBERSARI 500,000.00 D 461,769.00
25/04 25/04 - 01467289 /00007261728 20,275,880.00 D 20,737,649.00
26/04 26/04 Tarik ATM - S1AW16EH /7130 /ATM-BORMA ANTPN 1,500,000.00 D 19,237,649.00
26/04 26/04 Tarik Tunai - YBS 10,000,000.00 D 9,237,649.00
27/04 27/04 Tarik ATM - 36003704 /0000506681 /VAP- 1,000,000.00 D 8,237,649.00
27/04 27/04 Tarik ATM - S1AW16EH /7130 /ATM-BORMA ANTPN 700,000.00 D 7,537,649.00
28/04 28/04 Setor Tunai - YBS 1,500,000.00 9,037,649.00
28/04 28/04 Tarik ATM - S1AW10U9 /2667 /ATM-RS ST YUSUP 2,500,000.00 D 6,537,649.00
29/04 29/04 Tarik ATM - 94009414 /0000431521 /VAP-GRIYA 2,000,000.00 D 4,537,649.00
30/04 30/04 Biaya Adm - 4,000.00 D 4,533,649.00
30/04 30/04 Biaya Saldo Minimum - 6,500.00 D 4,527,149.00
30/04 30/04 Bunga - 5,730.00 4,532,879.00
01/05 01/05 Tarik ATM - 67122674 /0000290499 /VAP- KIARACONDONG2 1,000,000.00 D 3,532,879.00
03/05 03/05 Tarik ATM - 36000046 /0000329683 /VAP- ATM BEC 1,000,000.00 D 2,532,879.00
04/05 04/05 Tarik ATM - S1AW2365 /2645 /ATM-RS ST YUSUP 500,000.00 D 2,032,879.00
05/05 05/05 - 67260633 /0000982548 /VAP- 13,150,890.00 15,183,769.00
05/05 05/05 Tarik ATM - 36000046 /0000329683 /VAP- 2,000,000.00 D 13,183,769.00
06/05 06/05 Tarik ATM - S1AN16ES /3298 /ATM-JAMSOSTEK 1,500,000.00 D 14,683,769.00
08/05 08/05 Tarik ATM - S1AD1BHC /3208 /ATM-GIANT-SUCI 1,000,000.00 D 13,683,769.00
09/05 09/05 Tarik Tunai - YBS 5,000,000.00 D 8,683,769.00
 Kepada Yth /To No. Rekening/Account Number : 131-00-0407957-2
1310321 Nama Produk/Product Name : Tab Mandiri
IYUS
SRIYANTO
SETIAWAN Valuta/Currency : Indonesia Rupiah
Jl.
Komp.
SriaAyu
GBANo.
I Blok
21 Cno.28 Periode/Period : 02/02/18 s/d 15/07/18
RT 003 RW 013 Cabang/Branch : KCP Bandung Martadinata
Kec. Bojongsoang No. Kartu/Card Number : 4617002586320482
Bojongsoang BANDUNG 40286 No. NPWP/NPWP Number : 24.372.169.4-444.000

2586320482

HALAMAN : 3

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

11/05 Saldo Pemindahan 8,683,769.00

11/05 11/05 Tarik ATM - CC8887654 /0000500001 /VAP-GIANT -PASTEUR 1,000,000.00 D 7,683,769.00
12/05 12/05 ATMB trf Debit - 67003244 /0000634575 /VAP- 567,349.00 D 7,116,420.00
13/05 13/05 ATMB trf Debit - 94009414 /0000560870 678,598.00 D 6,437,822.00
15/05 15/05 ATMB trf Debit - 36000801 /0000916296 /VAP- 258,900.00 D 6,178,922.00
16/05 16/05 ATMB trf Debit - 67001774 /0000957110 /VAP- 214,000.00 D 5,964,922.00
17/05 17/05 VE POS SA - 94009414 /0000431521 /VAP-LOTTE MART 167,100.00 D 5,797,822.00
18/05 18/05 ATMB trf Debit - 36000801 /0000621936 /VAP- 270,000.00 D 5,527,822.00
18/05 18/05 Tarik ATM - S1AD1BHC /3110 /ATM-GIANT-SUCI 1,500,000.00 D 4,027,822.00
20/05 20/05 VE POS SA - CC889416 /0000500232 /VAP-GIANT -SUCI 262,245.00 D 3,765,577.00
21/05 21/05 Tarik ATM - S1AD1BHC /3208 /ATM-GIANT-SUCI 500,000.00 D 3,265,577.00
21/05 21/05 Tarik ATM - 94009412 /0000325682 /VAP-LOTTE MART 1,000,000.00 2,265,577.00
22/05 22/05 Tarik ATM - S1AD1BHC /3297 /ATM-GIANT-SUCI 100,000.00 D 2,165,577.00
22/05 22/05 ATMB trf Debit - 33000626 /0000543938 /VAP- 260,100.00 D 1,905,477.00
22/05 22/05 Tarik ATM - S1AN16ES /3386 /ATM-JAMSOSTEK 500,000.00 D 1,405,477.00
24/05 24/05 ATMB trf Debit - /00006008762 3308976 545,879.00 D 859,598.00
25/05 25/05 - S1AW2365 /2645 20,400,450.00 21,260,048.00
25/05 25/05 - 67260633 /0000982548 /VAP- 4,000.00 D 21,256,048.00
26/05 26/05 Tarik ATM - 67154482 /00003997000 /VAP- ATM SUKAATI 579,000.00 D 20,677,048.00
26/05 26/05 Tarik ATM - S1AN16ES /3476 /ATM-JAMSOSTEK 500,000.00 D 20,177,048.00
27/05 27/05 Tarik ATM - 94009412 /0000327028 /VAP-LOTTE MART 1,200,000.00 18,977,048.00
27/05 27/05 Tarik ATM - S1AN16ES /3476 /ATM-JAMSOSTEK 500,000.00 D 18,477,048.00
28/05 28/05 Setor Tunai - YBS 5,000,000.00 23,477,048.00
31/05 31/05 Biaya Adm - 4,000.00 D 23,473,048.00
31/05 31/05 Biaya Saldo Minimum - 6,500.00 23,466,548.00
31/05 31/05 Bunga - 8,954.00 D 23,475,502.00
01/06 01/06 Tarik ATM - 500,000.00 D 22,975,502.00
04/06 04/06 Transfer ATM - 1,000,000.00 D 21,975,502.00
05/06 05/06 - 67194165 /0000197210 13,220,650.00 35,196,152.00
09/06 09/06 Tarik ATM - 1,500,000.00 D 33,696,152.00
11/06 11/06 Tarik ATM - S1AW15YP /3891 /ATM-BEC 1,000,000.00 D 32,696,152.00
 Kepada Yth /To No. Rekening/Account Number : 131-00-0407957-2
1310321 Nama Produk/Product Name : Tab Mandiri
IYUS
SRIYANTO
SETIAWAN Valuta/Currency : Indonesia Rupiah
Jl.
Komp.
SriaAyu
GBANo.
I Blok
21 Cno.28 Periode/Period : 02/02/18 s/d 15/07/18
RT 003 RW 013 Cabang/Branch : KCP Bandung Martadinata
Kec. Bojongsoang No. Kartu/Card Number : 4617002586320482
Bojongsoang BANDUNG 40286 No. NPWP/NPWP Number : 24.372.169.4-444.000

2586320482

HALAMAN : 4

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

11/06 Saldo Pemindahan 32,696,152.00

12/06 12/06 ATMB trf Debit - S1AW15YP /7258 /ATB-0000200000000 1,278,990.00 D 31,417,162.00
12/06 12/06 Tarik Tunai YBS 10,000,000.00 D 21,417,162.00
13/06 13/06 VE POS SA - 82055201 /0000698545 /VAP-RAJA SUNDA 850,000.00 D 20,567,162.00
14/06 14/06 Setor tunai - YBS 5,000,000.00 25,567,162.00
16/06 16/06 ATMB trf Debit - S1AW15YP /7258 /ATB-0000200000000 500,000.00 D 25,067,162.00
19/06 19/06 ATMB trf Debit - 6,500.00 D 25,060,662.00
20/06 20/06 Tarik ATM - S1ANA64B /2891 /ATM-BEC 500,000.00 D 24,560,662.00
22/06 22/06 PRMA DR Transf - S1AW15YP /7316 /PRM- 1,500,000.00 D 23,060,662.00
22/06 22/06 PRMA DR Transf - 6,500.00 D 23,054,162.00
24/06 24/06 - 21462223 /0000206860 /VAP- 293,300.00 D 22,760,862.00
24/06 24/06 Transfer - 1,800,000.00 D 20,960,862.00
25/06 25/06 - S1AW2365 /2645 20,400,450.00 41,361,312.00
26/06 26/06 - MONTHLY CARD CHARGE 0004097662455372052 4,000.00 D 41,357,312.00
26/06 26/06 Tarik ATM - S1AN16ES /3588 /ATM-JAMSOSTEK 650,000.00 D 40,707,312.00
27/06 27/06 Tarik ATM - S1AN16ES /3582 /ATM-JAMSOSTEK 1,000,000.00 D 39,707,312.00
27/06 27/06 Transfer SMS - DARI GALANG 750,000.00 40,457,312.00
28/06 28/06 Setor tunai - YBS 3,500,000.00 43,957,312.00
28/06 28/06 - 45025863 /0000039277 /VAP- 232,500.00 D 43,724,812.00
29/06 29/06 PRMA DR Transf - S1AW15YP /7706 /PRM 600,000.00 D 43,124,812.00
29/06 29/06 PRMA DR Transf - 6,500.00 D 43,118,312.00
29/06 29/06 Tarik ATM - S1AN16ES /3586 /ATM-JAMSOSTEK 800,000.00 D 42,318,312.00
30/06 30/06 Biaya Adm - 4,000.00 D 42,314,312.00
30/06 30/06 Biaya Saldo Minimum - 6,500.00 42,307,812.00
30/06 30/06 Bunga - 8,954.00 D 42,298,858.00
01/07 01/07 - 67194165 /0000197210 /VAP- 232,846.00 D 42,066,012.00
02/07 02/07 Tarik ATM - S1AW10U9 /2796 /ATM-RS ST YUSUP 1,500,000.00 D 40,566,012.00
03/07 03/07 Tarik ATM - S1AW13UB /6720 /ATM-BTM 1,000,000.00 D 41,566,012.00
05/07 05/07 - 67194165 /0000197210 13,475,000.00 55,041,012.00
05/07 05/07 Tarik ATM - S1AD1BHC /3405 /ATM-GIANT-SUCI 1,000,000.00 D 54,041,012.00
06/07 06/07 Tarik ATM - S1ADK30Z /8878 /ATM-SPBU LASWI 700,000.00 D 53,341,012.00
 Kepada Yth /To No. Rekening/Account Number : 131-00-0407957-2
1310321 Nama Produk/Product Name : Tab Mandiri
IYUS
SRIYANTO
SETIAWAN Valuta/Currency : Indonesia Rupiah
Jl.
Komp.
SriaAyu
GBANo.
I Blok
21 Cno.28 Periode/Period : 02/02/18 s/d 15/07/18
RT 003 RW 013 Cabang/Branch : KCP Bandung Martadinata
Kec. Bojongsoang No. Kartu/Card Number : 4617002586320482
Bojongsoang BANDUNG 40286 No. NPWP/NPWP Number : 24.372.169.4-444.000

2586320482

HALAMAN : 5

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

06/07 Saldo Pemindahan 53,341,012.00

07/07 07/07 Tarik Tunai YBS 20,000,000.00 D 33,341,012.00
08/07 08/07 Tarik ATM - 1,500,000.00 D 31,841,012.00
10/07 10/07 Transfer ATM - 1,250,000.00 D 30,591,012.00
11/07 11/07 Tarik ATM - S1AN16ES /3772 /ATM-JAMSOSTEK 1,000,000.00 D 29,591,012.00
12/07 12/07 Tarik ATM - S1AN16ES /3773 /ATM-JAMSOSTEK 1,000,000.00 D 28,591,012.00
13/07 13/07 Tarik ATM - S1ANKMJO /6383 /ATM-A-YANI 1,000,000.00 D 27,591,012.00
14/07 14/07 Tarik ATM - S1ANKMJO /6384 /ATM-A-YANI 1,000,000.00 D 26,591,012.00
15/07 15/07 - DEVIDEN CO 201,250,000.00 227,841,012.00
15/07 15/07 Tarik Tunai YBS 200,000,000.00 D 27,841,012.00
15/07 15/07 ATMB trf Debit - S1AW15YP /9221 /ATB-0000200000000 400,000.00 D 27,441,012.00

Mutasi Kredit : 369,059,793.00 21

Mutasi Debit : 677,540,554.00 104
Saldo Akhir : 27,441,012.00

Biaya Administrasi : Rp 12,500.00

(RP 2,500.00 per halaman)

* END OF REPORT *

Status Biaya Statement Nasabah : ACCEPTED

000
 13291 Nama Produk/Product Name : Tab Mandiri
IYUS SETIAWAN Valuta/Currency : Indonesia Rupiah
GG.H.HASAN I NO.220 Periode/Period : 1/01/15 s/d 15/06/15
RT 004 RW 007 Cabang/Branch : KCP Bandung Pasar Anyar
Babakan Ciparay No. Kartu/Card Number : 4097662455372052
Babakan Ciparay BANDUNG 40223 No. NPWP/NPWP Number : -

2455372052

HALAMAN : 6

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

11/02 Saldo Pemindahan (1,250,000.00)

13/02 13/02 Tarik ATM - S1AW13UB /6470 /ATM-BTM 1,250,000.00 D (1,250,000.00)
13/02 13/02 Tarik ATM - S1AW13UB /6471 /ATM-BTM 1,250,000.00 D (2,500,000.00)
13/02 13/02 Setor tunai - YBS 6,000,000.00 3,500,000.00
13/02 13/02 Transfer ATM - DARI DEDEN 600,000.00 4,100,000.00
13/02 13/02 - 45026701 /0000954144 /VAP- 100,000.00 D 4,000,000.00
13/02 13/02 - MONTHLY CARD CHARGE 0004097662455372052 4,000.00 D 3,996,000.00
14/02 14/02 Tarif Link - 0000054030 /7301961476 /TLK-0010000000002 100,000.00 D 3,896,000.00
14/02 14/02 Tarif Link - 0000054030 /7301961476 /TLK-0010000000002 7,500.00 D 3,888,500.00
14/02 14/02 Transfer ATM - DARI LINA MELIANI 1,000,000.00 4,888,500.00
15/02 15/02 Tarik ATM - S1ADK30Z /8878 /ATM-SPBU LASWI 1,000,000.00 D 3,888,500.00
15/02 15/02 Transfer ATM - DARI ARIF KUSNADI 750,000.00 4,638,500.00
15/02 15/02 Transfer ATM - DARI HERMAN 800,000.00 5,438,500.00
26/04 26/04 PRMA SA CSH WD - S1G998300Z /3011 /PRM-BANK CENTRA 1,000,000.00 D 4,438,500.00
26/04 26/04 PRMA SA CSH WD - S1G998300Z /3011 /PRM-BANK CENTRA 7,500.00 D 4,431,000.00
27/04 27/04 Tarik ATM - S1AW13UB /6536 /ATM-BTM 500,000.00 D 3,931,000.00
29/04 29/04 Transfer - 500,000.00 D 3,431,000.00
30/04 30/04 Biaya Adm - 10,000.00 D 3,421,000.00
30/04 30/04 Bunga - 12,240.31 3,433,240.31
01/05 01/05 Tarik ATM - S1AW13UB /6720 /ATM-BTM 500,000.00 D 2,933,240.31
02/05 02/05 Transfer ATM - DARI FERY 1,200,000.00 D 1,733,240.31
02/05 02/05 Tarik ATM - S1AN16ES /4023 /ATM-JAMSOSTEK 500,000.00 D 1,233,240.31
03/05 03/05 Transfer - 600,000.00 D 633,240.31
03/05 03/05 Setor tunai - YBS 3,000,000.00 3,633,240.31
03/05 03/05 Transfer ATM - DARI SEPTIAN 1,000,000.00 4,633,240.31
04/05 04/05 Tarik ATM - S1AW10U9 /2905 /ATM-RS ST YUSUP 500,000.00 D 4,133,240.31
04/05 04/05 - 99162160 /1621643108 /IBB-138.32.236. 350,000.00 D 3,783,240.31
04/05 04/05 Transfer ATM - DARI RAHMAWATI 650,000.00 4,433,240.31
05/05 05/05 Tarik ATM - S1AN16ES /4247 /ATM-JAMSOSTEK 500,000.00 D 3,933,240.31
05/05 05/05 Transfer ATM - DARI ANTON 700,000.00 4,633,240.31
05/05 05/05 Transfer - 500,000.00 D 4,133,240.31
 Kepada Yth /To No. Rekening/Account Number : 132-00-1467425-4
13291 Nama Produk/Product Name : Tab Mandiri
IYUS SETIAWAN Valuta/Currency : Indonesia Rupiah
GG.H.HASAN I NO.220 Periode/Period : 1/01/15 s/d 15/06/15
RT 004 RW 007 Cabang/Branch : KCP Bandung Pasar Anyar
Babakan Ciparay No. Kartu/Card Number : 4097662455372052
Babakan Ciparay BANDUNG 40223 No. NPWP/NPWP Number : -

2455372052

HALAMAN : 7

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

05/05 Saldo Pemindahan 4,733,240.31

06/05 06/05 Transfer ATM - DARI EDWIN 600,000.00 4,733,240.31
06/05 06/05 Transfer ATM - DARI ANISA 800,000.00 5,533,240.31
06/05 06/05 Transfer - 550,000.00 D 4,983,240.31
07/05 07/05 Tarik ATM - S1AW13UB /6844 /ATM-BTM 500,000.00 D 4,483,240.31
07/05 07/05 Transfer - 1,000,000.00 D 3,483,240.31
07/05 07/05 Transfer SMS - OSCAR 350,000.00 3,833,240.31
08/05 08/05 - 67122674 /0000290499 /VAP- 116,434.00 D 3,716,806.00
08/05 08/05 - 36000046 /0000329683 /VAP- 211,000.00 D 3,505,806.00
09/05 09/05 Transfer - 600,000.00 D 2,905,806.00
09/05 09/05 ATMB trf Debit - S1AW15YP /2569 /ATB-0000200000000 485,000.00 D 2,420,806.00
09/05 09/05 ATMB trf Debit - 6,500.00 D 2,414,306.00
10/05 10/05 Transfer ATM - KE SARAH MILAWATI 600,000.00 D 1,814,306.00
11/05 11/05 Tarik ATM - S1AW13UB /7026 /ATM-BTM 1,000,000.00 D 814,306.00
11/05 11/05 - 99161970 /1619753702 /IBB-114.6.70.65 330,000.00 D 484,306.00
11/05 11/05 Transfer ATM - DARI YANTO 650,000.00 1,134,306.00
12/05 12/05 Setor Tunai - YBS 4,000,000.00 5,134,306.00
12/05 12/05 VE POS SA - CI883024 /0000787746 /VAP-DELUXE LOTT 342,322.00 D 4,791,984.00
12/05 12/05 Transfer - 350,000.00 D 4,441,984.00
13/05 13/05 Transfer ATM - DARI HENDRI 450,000.00 4,891,984.00
13/05 13/05 Transfer ATM - DARI ALEX 650,000.00 5,541,984.00
13/05 13/05 Transfer - 500,000.00 D 5,041,984.00
14/05 14/05 - 67001774 /0000954212 /VAP- 210,000.00 D 4,831,984.00
14/05 14/05 Tarik ATM - S1AW10U9 /3116 /ATM-RS ST YUSUP 400,000.00 D 4,431,984.00
15/05 15/05 Transfer ATM - 625,000.00 D 3,806,984.00
15/05 15/05 - 67260566 /0000389463 /VAP- 113,750.00 D 3,693,234.00
16/05 16/05 Transfer ATM - DARI WIWI WINARNI 825,000.00 4,518,234.00
16/05 16/05 Tarik ATM - S1AW13UB /7190 /ATM-BTM 1,000,000.00 D 3,518,234.00
17/05 17/05 Transfer ATM - DARI HARIS 780,000.00 4,298,234.00
17/05 17/05 Transfer ATM - DARI TEJA 830,000.00 D 5,128,234.00
18/05 18/05 Tarik ATM - S1AW10U9 /3228 /ATM-RS ST YUSUP 750,000.00 D 4,378,234.00
 Kepada Yth /To No. Rekening/Account Number : 132-00-1467425-4
13291 Nama Produk/Product Name : Tab Mandiri
IYUS SETIAWAN Valuta/Currency : Indonesia Rupiah
GG.H.HASAN I NO.220 Periode/Period : 1/01/15 s/d 15/06/15
RT 004 RW 007 Cabang/Branch : KCP Bandung Pasar Anyar
Babakan Ciparay No. Kartu/Card Number : 4097662455372052
Babakan Ciparay BANDUNG 40223 No. NPWP/NPWP Number : -

2455372052

HALAMAN : 8

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

18/05 Saldo Pemindahan 3,728,234.00

19/05 19/05 Transfer - 650,000.00 D 3,728,234.00
19/05 19/05 Setor Tunai - YBS 3,500,000.00 7,228,234.00
20/05 20/05 Tarik ATM - S1AW13UB /7306 /ATM-BTM 500,000.00 D 6,728,234.00
20/05 20/05 Transfer - 400,000.00 D 6,328,234.00
21/05 21/05 VE POS SA - CI883024 /0000787746 /VAP-DELUXE LOTT 265,000.00 D 6,063,234.00
24/05 24/05 - MONTHLY CARD CHARGE 0004097662455372052 4,000.00 D 6,059,234.00
24/05 24/05 Tarik ATM - S1AW13UB /7452 /ATM-BTM 1,000,000.00 D 5,059,234.00
25/05 25/05 Transfer ATM - DARI FARHAN 925,000.00 D 4,134,234.00
25/05 25/05 Transfer - 500,000.00 D 3,634,234.00
25/05 25/05 Transfer SMS - AJIE 485,000.00 4,119,234.00
26/05 26/05 Tarik ATM - S1AN16ES /4405 /ATM-JAMSOSTEK 1,000,000.00 D 3,119,234.00
26/05 26/05 Tarik ATM - S1AN16ES /4406 /ATM-JAMSOSTEK 1,000,000.00 D 2,119,234.00
27/05 27/05 Setor Tunai - YBS 3,500,000.00 D (1,380,766.00)
27/05 27/05 PRMA DR Transf - S1AW1CTW /9967 /PRM-BDG PB 34.4 655,000.00 D (2,035,766.00)
27/05 27/05 PRMA DR Transf - S1AW1CTW /9967 /PRM-BDG PB 34.4 6,500.00 D (2,042,266.00)
27/05 27/05 - 67134087 /0000862361 /VAP- 262,000.00 D (2,304,266.00)
28/05 28/05 Transfer ATM - DARI KIKY 730,000.00 D (3,034,266.00)
28/05 28/05 Transfer - 450,000.00 D (3,484,266.00)
28/05 28/05 Tarik ATM - S1AD1BHC /3078 /ATM-GIANT-SUCI 500,000.00 D (3,984,266.00)
29/05 29/05 Transfer ATM - DARI ARYA 630,000.00 (3,354,266.00)
29/05 29/05 Transfer ATM - DARI PRAYOGA 585,000.00 (2,769,266.00)
30/05 30/05 Transfer - 435,000.00 D (3,204,266.00)
30/05 30/05 Tarik ATM - S1AW13UB /7623 /ATM-BTM 500,000.00 D (3,704,266.00)
31/05 31/05 Transfer ATM - DARI LUKY 620,000.00 (3,084,266.00)
31/05 31/05 Biaya Adm - 10,000.00 D (3,094,266.00)
31/05 31/05 Bunga - 8,548.70 (3,085,717.30)
01/06 01/06 Tarik ATM - S1AW13UB /3105 /ATM-BTM 500,000.00 D (3,585,717.30)
02/06 02/06 Tarik ATM - S1AW13UB /3106 /ATM-BTM 500,000.00 D (4,085,717.30)
02/06 02/06 Transfer - 600,000.00 D (4,685,717.30)
03/06 03/06 Setor Tunai - YBS 4,000,000.00 (685,717.30)
 Kepada Yth /To No. Rekening/Account Number : 132-00-1467425-4
13291 Nama Produk/Product Name : Tab Mandiri
IYUS SETIAWAN Valuta/Currency : Indonesia Rupiah
GG.H.HASAN I NO.220 Periode/Period : 1/01/15 s/d 15/06/15
RT 004 RW 007 Cabang/Branch : KCP Bandung Pasar Anyar
Babakan Ciparay No. Kartu/Card Number : 4097662455372052
Babakan Ciparay BANDUNG 40223 No. NPWP/NPWP Number : -

2455372052

HALAMAN : 9

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

03/06 Saldo Pemindahan (1,455,717.30)

03/06 03/06 Transfer ATM - DARI JOHAN 770,000.00 (1,455,717.30)
04/06 04/06 Tarik ATM - S1AW13UB /3218 /ATM-BTM 500,000.00 D (1,955,717.30)
04/06 04/06 Transfer ATM - DARI BUDI 615,000.00 (1,340,717.30)
05/06 05/06 Transfer ATM - DARI DADAN 580,000.00 (760,717.30)
05/06 05/06 Transfer - 550,000.00 D (1,310,717.30)
06/06 06/06 Tarik ATM - S1AW13UB /3356 /ATM-BTM 500,000.00 D (1,810,717.30)
06/06 06/06 Transfer ATM - DARI IMAM 475,000.00 (1,335,717.30)
07/06 07/06 VE POS SA - CT047640 /0000766183 /VAP-YOGYA 287,300.00 D (1,623,017.30)
07/06 07/06 Transfer ATM - DARI ERWIN 615,000.00 (1,008,017.30)
08/06 08/06 Transfer ATM - DARI MUFTI 540,000.00 (468,017.30)
08/06 08/06 Tarik ATM - S1AD1BHC /3125 /ATM-GIANT-SUCI 500,000.00 D (968,017.30)
10/06 10/06 Transfer ATM - DARI ARIF 20,000.00 (948,017.30)
10/06 10/06 Transfer ATM - DARI SYAIFUL 10,000.00 (938,017.30)
11/06 11/06 ATMB trf Debit - S1AW15YP /2569 /ATB-0000200000000 515,000.00 D (1,453,017.30)
11/06 11/06 ATMB trf Debit - 6,500.00 D (1,459,517.30)
12/06 12/06 Transfer - 375,000.00 D (1,834,517.30)
14/06 14/06 Setor Tunai - YBS 13,500,000.00 11,665,482.70
14/0614/0414/06 Transfer ATM - DARI FERDI 515,000.00 12,180,482.70
15/06 15/06 Tarik ATM - S1AD1BHC /3308 /ATM-GIANT-SUCI 500,000.00 D 11,680,482.70
16/06 16/06 VE POS SA - CC889416 /0000500305 /VAP-GIANT-SUCI 376,250.00 D 11,304,232.70
16/06 16/06 Transfer ATM - DARI MERY 550,000.00 11,854,232.70
17/06 17/06 Transfer ATM - DARI DODI 425,000.00 12,279,232.70
17/06 17/06 Transfer ATM - DARI WAHYU 615,000.00 12,894,232.70
18/06 18/06 Tarik ATM - S1AW13UB /3708 /ATM-BTM 500,000.00 D 12,394,232.70
19/06 19/06 VE POS SA - 94009414 /0000560905 /VAP-GRIYA 336,825.00 D 12,057,407.70
19/06 19/06 Transfer ATM - DARI ADITYA 445,000.00 12,502,407.70
20/06 20/06 Tarik ATM - S1AW13UB /3862 /ATM-BTM 500,000.00 D 12,002,407.70
20/06 20/06 Transfer ATM - DARI HARIS 410,000.00 12,412,407.70
21/06 21/06 Transfer ATM - DARI GENTA 15,000,000.00 27,412,407.70
21/06 21/06 Transfer - 575,000.00 D 26,837,407.70
22/06 22/06 Tarik ATM - S1AW13UB /4053 /ATM-BTM 1,500,000.00 D 25,337,407.70
 Kepada Yth /To No. Rekening/Account Number : 1300004109925
13291 Nama Produk/Product Name : Tab Mandiri
IYUS
IMAMSETIAWAN
GOZHALI Valuta/Currency : Indonesia Rupiah
Jl.
Jl. SriaAyu
Sri Ayu No. 21 Periode/Period : 1/01/16 s/d 15/01/16
RT 005 RW 008 Cabang/Branch : KCP Bandung Buah Batu
Kec. Regol No. Kartu/Card Number : 4617002586320482
Regol BANDUNG 40252 No. NPWP/NPWP Number : -

2455372052

HALAMAN : 10

Tgl. Tgl.Val Rincian Transaksi / No. Referensi Debet / Kredit Saldo

Date Val.Date Description / Reference No. Debet / Credit Balance

22/01 Saldo Pemindahan 25,333,407.70

22/01 22/01 - MONTHLY CARD CHARGE 000 4617002586320482 4,000.00 D 25,333,407.70
23/01 23/01 Transfer ATM - DARI RENDRA 4,000,000.00 29,333,407.70
23/01 23/01 Tarik ATM - S1AW13UB /4286 /ATM-BTM 600,000.00 D 28,733,407.70
23/01 23/01 Transfer SMS - GURUH 14,000,000.00 42,733,407.70
23/01 23/01 Setor Tunai - YBS 4,000,000.00 46,733,407.70
24/01 24/01 Tarik ATM - S1AW13UB /4308 /ATM-BTM 700,000.00 D 46,033,407.70
24/01 24/01 Biaya Adm - 10,000.00 D 46,023,407.70
24/01 24/01 Bunga - 13,848.70 46,037,256.40
25/01 25/01 Transfer ATM - DARI RONALD 447,000.00 46,484,256.40
25/01 25/01 Tarik ATM - S1AW13UB 3047 /ATM-BTM 1,000,000.00 D 45,484,256.40
25/01 25/01 Transfer ATM - KE MUKHLIS 480,000.00 D 45,004,256.40
26/01 26/01 Setor Tunai - YBS 25,000,000.00 70,004,256.40
26/01 26/01 Transfer ATM - DARI ANDRI 74,000,000.00 144,004,256.40
26/01 26/01 Tarik ATM - S1AW13UB 3047 /ATM-BTM 1,000,000.00 D 143,004,256.40

Mutasi Kredit : 288,284,077.71 108

Mutasi Debit : 121,499,554.00 206
Saldo Akhir : 143,004,256.40

Biaya Administrasi : Rp 25,000.00

(RP 2,500.00 per halaman)

* END OF REPORT *

Status Biaya Statement Nasabah : ACCEPTED

000
1234567890 aAiIlLbcdefg Calibri
1234567890 aAiIlLbcdefg Arial Unicode
1234567890 aAiIlLbcdefg simsun
1234567890 aAiIlLbcdefg gulim l
1234567890 aAiIlLbcdefg kalinga 1
1234567890 aAiIlLbcdefg lao 0
1234567890 aAiIlLbcdefg dotum a
1234567890 aAiIlLbcdefg ms pgothic 2
1234567890 aAiIlLbcdefg ms gothic i
1234567890 aAiIlLbcdefg I
1234567890 aAiIlLbcdefg g
1234567890 aAiIlLbcdefg 3
Kepada Yth /To
13291
IMAM ROZALI,ST.MT
Jl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252

2455372052
No. Rekening/Account : 130-00-0410992-5
Nama Produk/Product : Tab Mandiri
Valuta/Currency : Indonesia Rupiah
Periode/Period : 1/01/16 s/d 15/01/16
Cabang/Branch : KCP Bandung Buah Ba
No. Kartu/Card : 4617002586320482
No. NPWP/NPWP : -
00-0410992-5
Mandiri
nesia Rupiah
/16 s/d 15/01/16
Bandung Buah Batu
002586320482
 Kepada Yth /To
13291
IIMAM ROZALI,ST.MT
JJl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252

2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.

Saldo Pemindahan
03/11 03/11 Transfer -
03/11 03/11 Transfer -
04/11 04/11 Tarik ATM - S1AD13J6
07/11 07/11 Transfer ATM - DARI SUHARYONO
09/11 09/11 Transfer ATM - DARI YOGA HARYANT
10/11 10/11 Transfer ATM - DARI FARAH
11/11 11/11 Transfer ATM - KE HARTADI
11/11 11/11 Transfer ATM - KE RUDI SAPRUDIN D
13/11 13/11 Tarik ATM - S1AWKC0H
13/11 13/11 Tarik ATM - S1AWKC0H
14/11 14/11 Transfer -
15/11 15/11 ATMB trf Debit - S1AN16ES
15/11 15/11 ATMB trf Debit -
17/11 17/11 Setor Tunai - YBS
18/11 18/11 Tarik ATM - S1AD13J6
20/11 20/11 Tarik ATM - S1AD13JP
20/11 20/01 Transfer -
21/11 21/11 Transfer - KE ALEX SURYA
22/11 22/11 Tarik ATM - S1AN16ET
22/11 22/11 Tarik ATM - S1AN16ET
23/11 23/11 Transfer -
24/11 24/11 Setor Tunai - YBS
24/11 24/11 Transfer ATM - DARI HENDRA
25/11 25/11 Transfer ATM - DARI SUHENDAR
26/11 26/11 Tarik Tunai - YBS
27/11 27/11 Tarik ATM - S1AN16ES
27/11 27/11 - MONTHLY CARD CHA
28/11 28/11 VE POS SA - 13274200
28/11 28/11 - 01575145

Kepada Yth /To

13291
IIMAM ROZALI,ST.MT
JJl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252
 2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.

28/11 Saldo Pemindahan

29/11 29/11 Transfer ATM - KE FERDINAND
29/11 29/11 Tarik ATM - S1AN16ES
30/11 30/11 Transfer SMS - DARI AGUS RIAN
30/11 30/11 Transfer ATM - KE ANDRE HUSEN
30/11 30/11 Biaya Adm -
30/11 30/11 Bunga -
30/11 01/12 Pajak -
01/12 01/12 - 67260633
01/12 01/12 Transfer SMS - DARI ARYO
01/12 01/12 Transfer ATM - DARI YAYAT
02/12 02/12 Tarik ATM - S1ANKMJO
02/12 02/12 Transfer ATM - KE RICKY
02/12 02/12 Transfer ATM - KE HARIS
02/12 02/12 Transfer -
03/12 03/12 - 36003704
03/12 03/12 Tarik ATM - S1AW16EH
03/12 03/12 Setor Tunai - YBS
04/12 04/12 Transfer ATM - DARI HERU
04/12 04/12 Transfer SMS - DARI BAMBANG
04/12 04/12 VE POS SA - 94009414
05/12 05/12 Transfer ATM - DARI FARAH
05/12 05/12 - 67260668
06/12 06/12 Tarik Tunai - YBS
06/12 06/12 Transfer ATM - DARI RUDI SAPRUDIN
06/12 06/12 Tarik ATM - S1AW10U9
07/12 07/12 - 67122674
07/12 07/12 - 36000046
07/12 07/12 Transfer SMS - DARI PRITA
10/12 10/12 - 36003704
10/22 10/12 - 67003244

Kepada Yth /To

13291
IIMAM ROZALI,ST.MT
JJl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252

2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.
10/12 Saldo Pemindahan
12/12 12/12 Setor Tunai - YBS
13/12 13/12 - 67003244
13/12 13/12 VE POS SA - 94009414
16/12 16/12 - 36000801
16/12 16/12 - 67001774
16/12 16/12 VE POS SA - 94009414
18/12 18/12 - 36000801
18/12 18/12 Tarik ATM - S1AD1BHC
20/12 20/12 VE POS SA - CC889416
21/12 21/12 Tarik Tunai -
21/12 21/12 Setor Tunai - YBS
22/12 22/12 Tarik ATM - S1AD1BHC
22/12 22/12 - 33000626
22/12 22/12 Tarik ATM - S1AN16ES
24/12 24/12 Transfer -
25/12 25/12 Tarik ATM - S1ADJ80F
25/12 25/12 - MONTHLY CARD CHA
26/12 26/12 - 67154482
26/12 26/12 Tarik ATM - S1AN16ES
27/12 27/12 Transfer ATM - DARI IRAWAN
27/12 27/12 Tarik ATM - S1AN16ES
28/12 28/12 Setor Tunai - YBS
31/12 31/12 Biaya Adm -
31/12 31/12 Bunga -
31/12 01/01 Pajak -
01/01 01/01 Tarik ATM -
04/01 04/01 Transfer ATM - DARI PUSPASARI
07/01 07/01 Tarik Tunai - YBS
09/01 09/01 Transfer -
11/01 11/01 Tarik ATM - S1AW15YP

Kepada Yth /To

13291
IIMAM ROZALI,ST.MT
JJl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252

2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.

11/01 Saldo Pemindahan

15/01 15/01 Setor tunai - YBS
17/01 17/01 Transfer -
19/01 19/01 Transfer ATM - KE WIRAGUNA
20/01 20/01 Setor tunai - YBS
20/01 20/01 ATMB trf Debit - S1AW15YP
22/01 22/01 ATMB trf Debit -
22/01 22/01 Tarik ATM - S1ANA64B
24/01 24/01 PRMA DR Transf - S1AW15YP
24/01 24/01 PRMA DR Transf -
25/01 25/01 - 21462223
25/01 25/01 Transfer -
26/01 26/01 Transfer ATM - DARI HADIANTO
26/01 26/01 - MONTHLY CARD CHA
26/01 26/01 Transfer ATM - Dari FANY
27/01 27/01 Tarik ATM - S1AN16ES
27/01 27/01 Transfer SMS - DARI GALANG
28/01 28/01 Setor tunai - YBS
28/01 28/01 - 45025863
29/01 29/01 PRMA DR Transf - S1AW15YP
29/01 29/01 PRMA DR Transf -
29/01 29/01 Transfer SMS - KE JOHAN
30/01 30/01 Transfer ATM - KE WIDYA
30/01 30/01 Transfer ATM - KE ROSI
30/01 30/01 VE POS SA - 94009412
31/01 31/01 - 67194165
31/01 31/01 Biaya Adm -
31/01 31/01 Bunga -
31/01 01/02 Tarik ATM - Pajak
03/02 03/02 Tarik Tunai -
03/02 03/02 Transfer -

Kepada Yth /To

 13291
IMAM ROZALI,ST.MT
Jl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252

2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.

03/02 Saldo Pemindahan

04/02 04/02 Transfer -
05/02 05/02 Tarik ATM -
05/02 05/02 Transfer ATM -
06/02 06/02 Tarik ATM - S1AN16ES
06/02 06/02 Tarik ATM - S1AN16ES
07/02 07/02 Tarik ATM - S1ANKMJO
07/02 07/02 Tarik ATM - S1ANKMJO
07/02 07/02 VE POS SA - 94007214
07/02 07/02 Transfer ATM - KE RUDI SAPRUDIN
07/02 07/02 ATMB trf Debit - S1AW15YP
08/02 08/02 ATMB trf Debit -
08/02 08/02 Tarik ATM - S1AN16ES
08/02 08/02 Transfer ATM - DARI MELINDA
09/02 09/02 VE POS SA - CC889416
09/02 09/02 VE POS SA - 82055201
09/02 09/02 - 36000801
09/02 09/02 Tarik ATM - S1ANKMJO
09/02 09/02 - 67245763
10/02 10/02 VE POS SA - CMO54904
10/02 10/02 VE POS SA - CT047640
10/02 10/02 Transfer ATM - DARI RIDWAN
10/02 10/02 Tarik ATM - S1AW10U9
11/02 11/02 Transfer ATM - DARI DENI PERDANA
11/02 11/02 - 67265104
12/02 12/02 PRMA DR Transf - S1AW15YP
12/02 12/02 PRMA DR Transf -
12/02 12/02 Transfer ATM - KE GINA NOORIA
12/02 12/02 Tarik ATM - S1AW10U9
13/02 13/02 PRMA DR Transf - S1AW15YP
13/02 13/02 PRMA DR Transf -

Kepada Yth /To

13291
IIMAM ROZALI,ST.MT
JJl. Sri Ayu No. 21
RT 005 RW 008
Kec. Regol
Regol BANDUNG 40252
 2455372052

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date Description / Reference No.

11/02 Saldo Pemindahan

13/02 13/02 Tarik ATM - S1AW13UB
13/02 13/02 Tarik ATM - S1AW13UB
13/02 13/02 Setor tunai - YBS
13/02 13/02 Transfer ATM - DARI DEDEN
13/02 13/02 - 45026701
13/02 13/02 - MONTHLY CARD CHA
14/02 14/02 Tarif Link - 0000054030
14/02 14/02 Tarif Link - 0000054030
14/02 14/02 Transfer ATM - DARI LINA MELIANI
15/02 15/02 Tarik ATM - S1ADK30Z
15/02 15/02 Transfer ATM - DARI ARIF KUSNADI
15/02 15/02 Transfer ATM - DARI HERMAN
 No. Rekening/Account Number :
Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :

Referensi Debet / Kredit

nce No. Debet / Credit

10,000,000.00 D
1,200,000.00 D
/3112/ATM-SUMBERSARI 5,000,000.00 D
SUHARYONO 5,500,000.00
YOGA HARYANTO 65,000,000.00
FARAH 70,000,000.00
ARTADI 400,000.00 D
UDI SAPRUDIN DARWIS 6,500.00 D
/2876/ATM-MTF-HOLIS 2,000,000.00 D
/2877/ATM-MTF-HOLIS 20,000,000.00 D
 150,000.00 D
/1001/ATB-0000200000000 6,000,000.00 D
6,500,000.00 D
115,000,000.00
/3305/ATM-SUMBERSARI 5,000,000.00 D
/3148/ATM-PETA 4,000,000.00 D
600,000.00 D
LEX SURYA 24,000,000.00 D
/7938/ATM-PB 34-15149 596,483.00 D
/7939/ATM-PB 34-15149 5,000,000.00 D
15,000,000.00 D
210,000,000.00
HENDRA 18,200,000.00
SUHENDAR 17,500,000.00
150,000,000.00 D
/3168/ATM-JAMSOSTEK 300,000.00 D
THLY CARD CHARGE 000461700258632 4,000.00 D
/0000/VAP-MUTIARA KIT 182,500.00 D
/0000/VAP- 157,920.00 D

No. Rekening/Account Number :

Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :
 Referensi Debet / Kredit
nce No. Debet / Credit

ERDINAND 15,000,000.00 D
/3187/ATM-JAMSOSTEK 500,000.00 D
AGUS RIAN 2,500,000.00
NDRE HUSEN 17,000,000.00 D
11,500.00 D
49,380.54
9,876.16 D
/0000/VAP- 214,375.00 D
ARYO 1,800,000.00
YAYAT 1,300,000.00
/6383/ATM-YOMART JL JKT 500,000.00 D
20,000,000.00 D
15,000,000.00 D
500,000.00 D
/0000/VAP- 273,850.00 D
/7130/ATM-BORMA ANTPN 700,000.00 D
135,000,000.00
HERU 1,400,000.00
BAMBANG 1,800,000.00
/0000/VAP-GRIYA 362,250.00 D
FARAH 2,000,000.00
/0000/VAP- 195,500.00 D
125,000,000.00 D
RUDI SAPRUDIN DARWIS 1,850,000.00
/2667/ATM-RS ST YUSUP 500,000.00 D
/0000/VAP- 116,434.00 D
/0000/VAP- 211,000.00 D
PRITA 1,650,000.00
/0000/VAP- 306,400.00 D
/0000/VAP- 126,000.00 D

No. Rekening/Account Number :

Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :

Referensi Debet / Kredit

nce No. Debet / Credit
 150,000,000.00
/0000/VAP- 218,750.00 D
/0000/VAP-GRIYA 318,425.00 D
/0000/VAP- 224,320.00 D
/0000/VAP- 214,000.00 D
/0000/VAP-LOTTE MART 167,100.00 D
/0000/VAP- 270,000.00 D
/3110/ATM-GIANT-SUCI 500,000.00 D
/0000/VAP-GIANT -SUCI 262,245.00 D
150,000,000.00 D
60,000,000.00
/3297/ATM-GIANT-SUCI 1,000,000.00 D
/0000/VAP- 2,000,000.00 D
/3386/ATM-JAMSOSTEK 500,000.00 D
50,000,000.00 D
4056 /ATM-SPBU A YANI 500,000.00 D
THLY CARD CHARGE 000409766245537 4,000.00 D
/0000/VAP- 579,000.00 D
/3476/ATM-JAMSOSTEK 500,000.00 D
IRAWAN 1,200,000.00
/3476/ATM-JAMSOSTEK 500,000.00 D
5,000,000.00
11,500.00 D
23,240.31
4,875.23 D
 2,500,000.00 D
PUSPASARI 1,000,000.00
10,000,000.00 D
115,000,000.00 D
/3891/ATM-BEC 1,000,000.00 D

No. Rekening/Account Number :

Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :

Referensi Debet / Kredit

nce No. Debet / Credit

130,000,000.00
1,400,000.00 D
IRAGUNA 850,000.00 D
5,000,000.00
 /7258/ATB-0000200000000 500,000.00 D
6,500.00 D
/2891/ATM-BEC 500,000.00 D
/7316/PRM-AM LUCKY 1,500,000.00 D
6,500.00 D
/0000/VAP- 293,300.00 D
1,800,000.00 D
HADIANTO 1,450,000.00
THLY CARD CHARGE 000409766245537 4,000.00 D
650,000.00
/3582/ATM-JAMSOSTEK 1,000,000.00 D
GALANG 750,000.00
135,000,000.00
/0000/VAP- 232,500.00 D
/7706/PRM-AM LUCKY 600,000.00 D
6,500.00 D
80,000,000.00 D
650,000.00 D
500,000.00 D
/0000/VAP-LOTTE MART 411,300.00 D
/0000/VAP- 232,846.00 D
11,500.00 D
18,240.31
3,875.25 D
100,000,000.00 D
700,000.00 D

No. Rekening/Account Number :

 Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :

Referensi Debet / Kredit

nce No. Debet / Credit

130,000,000.00 D
500,000.00 D
750,000.00 D
/3772/ATM-JAMSOSTEK 1,000,000.00 D
/3773/ATM-JAMSOSTEK 1,000,000.00 D
/6383/ATM-A-YANI 1,000,000.00 D
/6384/ATM-A-YANI 1,000,000.00 D
/0000/VAP-BORMA 283,600.00 D
UDI SAPRUDIN 11,800,000.00 D
/9221/ATB-0000200000000 400,000.00 D
6,500.00 D
 /3856/ATM-JAMSOSTEK 1,250,000.00 D
MELINDA 1,500,000.00
/0000/VAP-GIANT -SUCI 432,500.00 D
/0000/VAP-RAJA SUNDA 167,475.00 D
/0000/VAP- 200,000.00 D
/6462/ATM-A-YANI 500,000.00 D
/0000/VAP- 350,000.00 D
/0000/VAP-CHARLY 149,900.00 D
/0000/VAP-YOGYA 379,100.00 D
RIDWAN 800,000.00
/2735/ATM-RS ST YUSUP 500,000.00 D
DENI PERDANA 1,000,000.00
/0000/VAP- 325,000.00 D
/7812/PRM-AM LUCKY 450,000.00 D
6,500.00 D
INA NOORIA 350,000.00 D
/2796/ATM-RS ST YUSUP 500,000.00 D
/7908/PRM-AM LUCKY 500,000.00 D
6,500.00 D

No. Rekening/Account Number :

Nama Produk/Product Name :
Valuta/Currency :
Periode/Period :
Cabang/Branch :
No. Kartu/Card Number :
No. NPWP/NPWP Number :
 Referensi Debet / Kredit
nce No. Debet / Credit

/6470/ATM-BTM 1,250,000.00 D
/6471/ATM-BTM 1,250,000.00 D
6,000,000.00
DEDEN 600,000.00
/0000/VAP- 100,000.00 D
THLY CARD CHARGE 000409766245537 4,000.00 D
/7301/TLK-0010000000002 100,000.00 D
/7301/TLK-0010000000002 7,500.00 D
LINA MELIANI 1,000,000.00
/8878/ATM-SPBU LASWI 1,000,000.00 D
ARIF KUSNADI 750,000.00
HERMAN 800,000.00
130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-

HALAMAN : 1

Saldo
Balance

35,863,300.00
25,863,300.00
24,663,300.00
19,663,300.00
25,163,300.00
90,163,300.00
160,163,300.00
159,763,300.00
159,756,800.00
157,756,800.00
137,756,800.00
 137,606,800.00
131,606,800.00
125,106,800.00
240,106,800.00
235,106,800.00
231,106,800.00
230,506,800.00
206,506,800.00
205,910,317.00
200,910,317.00
185,910,317.00
395,910,317.00
414,110,317.00
431,610,317.00
281,610,317.00
281,310,317.00
281,306,317.00
281,123,817.00
280,965,897.00

130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-
HALAMAN : 2

Saldo
Balance

265,965,897.00
265,965,897.00
265,465,897.00
267,965,897.00
250,965,897.00
250,954,397.00
251,003,777.54
250,993,901.38
250,779,526.38
252,579,526.38
253,879,526.38
253,379,526.38
273,379,526.38
288,379,526.38
287,879,526.38
288,153,376.00
287,453,376.00
422,453,376.00
423,853,376.00
 425,653,376.00
425,291,126.00
427,291,126.00
427,095,626.00
302,095,626.00
303,945,626.00
303,445,626.00
303,329,192.00
303,118,192.00
304,768,192.00
304,461,792.00
304,335,792.00

130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-

HALAMAN : 3

Saldo
Balance
454,335,792.00
454,335,792.00
454,117,042.00
453,798,617.00
453,574,297.00
453,360,297.00
453,193,197.00
452,923,197.00
452,423,197.00
452,160,952.00
302,160,952.00
362,160,952.00
361,160,952.00
359,160,952.00
358,660,952.00
308,660,952.00
308,160,952.00
308,156,952.00
307,577,952.00
307,077,952.00
308,277,952.00
307,777,952.00
312,777,952.00
312,766,452.00
312,789,692.31
312,784,817.08
 310,284,817.08
311,284,817.08
301,284,817.08
186,284,817.08
185,284,817.08

130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-

HALAMAN : 4

Saldo
Balance

315,284,817.08
315,284,817.08
313,884,817.08
313,034,817.08
318,034,817.08
 317,534,817.08
317,528,317.08
317,028,317.08
315,528,317.08
315,521,817.08
315,228,517.08
313,428,517.08
314,878,517.08
314,874,517.08
315,524,517.08
314,524,517.08
315,274,517.08
450,274,517.08
450,042,017.08
449,442,017.08
449,435,517.08
369,435,517.08
368,785,517.08
368,285,517.08
367,874,217.08
367,641,371.08
367,629,871.08
367,648,112.00
367,644,236.00
267,644,236.00
266,944,236.00

130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-

HALAMAN : 5

Saldo
Balance

136,944,236.00
136,944,236.00
136,444,236.00
135,694,236.00
134,694,236.00
133,694,236.00
132,694,236.00
131,694,236.00
131,410,636.00
119,610,636.00
119,210,636.00
119,204,136.00
 117,954,136.00
119,454,136.00
119,021,636.00
118,854,161.00
118,654,161.00
118,154,161.00
117,804,161.00
117,654,261.00
117,275,161.00
118,075,161.00
117,575,161.00
118,575,161.00
118,250,161.00
117,800,161.00
117,793,661.00
117,443,661.00
116,943,661.00
116,443,661.00
116,437,161.00

130-00-0410992-5
Tab Mandiri
Indonesia Rupiah
1/01/16 s/d 15/01/16
KCP Bandung Buah Batu
4617002586320482
-
HALAMAN : 6

Saldo
Balance

115,187,161.00
115,187,161.00
113,937,161.00
119,937,161.00
120,537,161.00
120,437,161.00
120,433,161.00
120,333,161.00
120,325,661.00
121,325,661.00
120,325,661.00
121,075,661.00
121,875,661.00
 10,000,000.00
1,200,000.00
5,000,000.00
400,000.00
6,500.00
2,000,000.00
20,000,000.00
150,000.00
6,000,000.00
6,500,000.00
5,000,000.00
4,000,000.00
600,000.00
24,000,000.00
596,483.00
5,000,000.00
15,000,000.00
150,000,000.00
300,000.00
4,000.00
182,500.00
157,920.00
15,000,000.00
500,000.00
17,000,000.00
11,500.00
9,876.16
214,375.00
 500,000.00
20,000,000.00
15,000,000.00
500,000.00
273,850.00
700,000.00
362,250.00
195,500.00
125,000,000.00
500,000.00
116,434.00
211,000.00
306,400.00
126,000.00
218,750.00
318,425.00
224,320.00
214,000.00
167,100.00
270,000.00
500,000.00
262,245.00
150,000,000.00
1,000,000.00
2,000,000.00
500,000.00
50,000,000.00
500,000.00
 4,000.00
579,000.00
500,000.00
500,000.00
11,500.00
4,875.23
2,500,000.00
10,000,000.00
115,000,000.00
1,000,000.00
1,400,000.00
850,000.00
500,000.00
6,500.00
500,000.00
1,500,000.00
6,500.00
293,300.00
1,800,000.00
4,000.00
1,000,000.00
232,500.00
600,000.00
6,500.00
80,000,000.00
650,000.00
500,000.00
411,300.00
 232,846.00
11,500.00
3,875.25
100,000,000.00
700,000.00
130,000,000.00
500,000.00
750,000.00
1,000,000.00
1,000,000.00
1,000,000.00
1,000,000.00
283,600.00
11,800,000.00
400,000.00
6,500.00
1,250,000.00
432,500.00
167,475.00
200,000.00
500,000.00
350,000.00
149,900.00
379,100.00
500,000.00
325,000.00
450,000.00
6,500.00
 350,000.00
500,000.00
500,000.00
6,500.00
1,250,000.00
1,250,000.00
100,000.00
4,000.00
100,000.00
7,500.00
1,000,000.00
1,137,626,199.64