LAPORAN BUKTI PENGELUARAN UANG

BHAKSOS PADANG - SUMATRA BARAT

TGL
3/10/2009
3/10/2009

NO.
BPU

1
2
3
4
5
6
7

KETERANGAN
Drop dari bu Andreas
beli buku tulis 1 bh
Fotocopy blanko BPU 10 lbr
Fotocopy form resep obat baksos
Isi BBM R 1392 LB untuk perjalanan ke GVA
Biaya muatan R 1392 LB perjalanan ke GVA
Makan malam supir dan kernet (perjalanan dari GVA)
Plastik 1 rol 100x0.4x25 (dibayar cash oleh ME)

DEBET
(Rp)
2,000,000

42,000
2,042,000

saldo per 3/10/09

2,042,000

4/10/2009

1
2
3
4

Saldo per 3/10/09

Fotocopy form resep obat baksos 500 lbr
Fotocopy form resep obat baksos 500 lbr
Makan pagi supir dan kernet (perjalanan dari GVA)
Pembelian Pulsa

1,719,500

150,000
1,869,500

Saldo per 4/10/09

1,869,500

5/10/2009

1
2
3
4

Saldo per 4/10/09

Isi BBM 55.3 ltr @ 4500 (perjalanan Clp-Jkt)
Makan malam supir & kernet perjalanan Clp-Jkt
Pembayaran tol gol.I
Biaya timbangan dan parkir (mel)

1,594,500

1,594,500
Saldo per 5/10/09
1,594,500

6/10/2009

1
2
3
4
5
6

Saldo per 5/10/09

Fotocopy papan nama perjalanan
Fotocopy tanda terima bantuan baksos
Fotocopy form kas bon supir
Ongkos supir ke GVA
Pembayaran pintu tol
Kas dari Jakarta untuk keperluan supir (pak Bambang)

1,283,000

100,000
1,383,000

Saldo per 6/10/09

1,383,000

7/10/2009

Saldo per 6/10/09

Pembelian BBM 40 ltr @ 4500 untuk perjalanan Jakarta-Cilacap

1,284,500

Makan malam supir & kernet perjalanan Jakarta-Cilacap

Pembayaran pintu tol golongan I
Pembelian BBM 16.66 ltr @ 4500 perjalanan Jakarta-Cilacap
Pembelian makan siang supir dan kernet perjalanan Jakarta-Cil;acap
1,284,500
saldo per 7/10/09
1,284,500

8/10/2009

1
2
3
4
5

Saldo per 7/10/09

pembelian lakban
Kantong sayur
Plastik klip 4x6
Plastik klip 5x8
Plastik klip 7x10

973,500
36,000
55,000
45,000
75,000
125,000
1,309,500

Saldo per 8/10/09

1,309,500

10/10/2009

saldo per 8/10/09

Ongkos supir R 1392 LB 2 hr kerja (baksos Tasik)

973,500
973,500

Saldo per 10/10/09

973,500

12/10/2009

1
2
3

Saldo per 10/10/09

ongkos supir ke jakarta 4 hari kerja
Ongkos kenek ke jakarta 4 hari kerja
Fotocopy nota-nota

823,500

823,500
saldo per 12/10/09
823,500

15/10/09

sldo per 12/10/09

Kas bon Pak Nana (supir yang brangkat ke Padang)

443,100
443,100

Saldo per 15/10/09

443,100

21/10/09

saldo per 15/10/09

Pembelian Jaring 3 kg

243,100
243,100

Saldo per 21/10/09

243,100

24/10/09

Saldo per 21/10/09

drop dari bu Andreas
fotocopy resep
fotocopy resep
Plastik bola putih

93,100
500,000

593,100

saldo per 24/10/09

593,100
26/10/09

Saldo per 24/10/09

Pembelian 1 buah seilhecter kertas
Fotocopy nota-nota baksos Padang

303,100

303,100
Saldo per 26/10/09
303,100

28/10/09

Saldo per 26/10/09

Fotocopy nota-nota baksos balikpapan
Pembelian voucher tronik simpati u/ HP mba Rina di Padang
Pembayaran hutang ke mba Mia u/ ongkos supir ke Padang

299,300

299,300
299,300

CREDIT
(Rp)
2,000
1,000
62,500
170,000
30,000
15,000
42,000
322,500
1,719,500
2,042,000

55,000
55,000
15,000
150,000
275,000
1,594,500
1,869,500

250,000
30,000
6,500
25,000
311,500
1,283,000
1,594,500

1,000
3,000
1,000
75,000
18,500
98,500
1,284,500
1,383,000

180,000

14,000
20,000
75,000
22,000
311,000
973,500
1,284,500

36,000
55,000
45,000
75,000
125,000
336,000
973,500
1,309,500

150,000
150,000
823,500
973,500

300,000
80,000
400
380,400
443,100
823,500

200,000
200,000
243,100
443,100

150,000
150,000
93,100
243,100

55,000
115,000
120,000
290,000

303,100
593,100

500
3,300
3,800
299,300
303,100

500
26,000
250,000
276,500
22,800
299,300

LAPORAN BUKTI PENGELUARAN UANG

BHAKSOS PADANG - SUMATRA BARAT

TGL
25/10/2009
28/10/2009

NO.
BPU

KETERANGAN
Drop via Asih
Belanja Sayur :
Bawang perai/ muncang sledri
5 kg cabai merah @ 32000
50 kg kentang @ 5000
50 kg lobak/ kol @1700
1 kg lengkuas
1/4 kg daun limau/ jeruk
1/2 kg serai
11 1/2 kg wortel @ 5000

DEBET
(Rp)
4,000,000

4,000,000
saldo per 28/10/2009
4,000,000

29/10/2009

saldo per 28/10/2009

Beli 1 kaleng tahu ( 130 bh )
Beli 10 butir kelapa @ 1000

3,410,000

3,410,000
saldo per 29/10/2009
3,410,000

30/10/2009

saldo per 29/10/2009

Belanja :
Daun singkong 6x1000
Cabe rawit 1/2 kgx 18000
1/2 kg jahe
6 bh welok
10 ikat kangkung x 1000
4 ikat bayam x 1500
5 tumpuk telor x 24000
5 batang tempe besar x 9000

3,296,000

3,296,000
saldo per 30/10/2009
3,296,000

31/10/2009

saldo per 30/10/2009

Belanja :
2 kg kerupuk @ 15000
1/2 kg cabai merah
1/2 kg bawang merah
10 ikat kangkung x 1000
telor 2 tumpuk x 24000
bumbu dapur

3,092,000

3,092,000
saldo per 31/10/2009
3,092,000

1/11/2009

saldo per 31/10/2009

Belanja :
kangkung 10 ikat x 1000
3 butir kelapa x 1000
1/2 kg buncis
10 ikat daun singkong
4 kantong nangka
cabe merah 1 kg
2 tumpuk telor x 24000

2,979,000

2,979,000
saldo per 1/11/2009
2,979,000
saldo per 1/11/2009
Bon bu. Ira 1/11/2009
Saldo akhir per 1/11/2009

2,865,500

2,865,500

CREDIT
(Rp)

25,000
160,000
250,000
85,000
6,000
5,000
1,500
57,500
590,000
3,410,000
4,000,000

104,000
10,000
114,000
3,296,000
3,410,000

6,000
9,000
6,000
2,000
10,000
6,000
120,000
45,000
204,000
3,092,000
3,296,000

30,000
16,000
4,000
10,000
48,000
5,000

113,000
2,979,000
3,092,000

10,000
3,000
2,500
10,000
4,000
32,000
4,000
48,000
113,500
2,865,500
2,979,000

150,000
2,715,500
2,865,500

SEMENTARA PER TGL 31 OKT 2009

TGL PR

Perk

Qty

Sat

KETERANGAN

Harga Bersih

Beli obat di Indofarma Global

01-Oct-09

60
40
30
20

01-Oct-09

30 box

01-Oct-09

02-Oct-09

01-Oct-09
03-Oct-09

03-Oct-09

20
5
20
20
10
3
3
30
20
100
20
24
3

box
box
box
box

box
pot
box
box
pot
Q
Q
box
box
bh
box
bh
pot

14
24
10
50
14
1
6
1
3
24
2 box
20 box
20 box
1

03-Oct-09
5 psg
5 psg
20 bh
20

Asam Mefenamat
Tramadol 50 mg Tab
Piroxicam 10 mg
Piroxicam 20 mg

12,700
16,456
9,000
12,601

Beli Obat di Indofarma

ranitidine 150 mg

18,182

Beli Obat di Apotik Andita

Alpara
Antalgin
Salbutamal 2 mg
Ambroxol 30 mg
Antasida doen
Citocetin
OBH trasal
Piroxicam 10 mg
PK
Rivanol 100 ml
Bufacaryl
Catrimoxsasol 60 ml
Aminophyline 200 mg
Beli Obat di Apotik Andita
Ambroxol syr
Etamol Syr
Bevalex
Erla TT
Etagesic
Lakto B
Salicyl talk
Dulcolax
Aletol
Guanisrep Syp
beli obat di Indofarma
Tramadol 50 mg/ml
Beli Obat di PT. Enseval Putera
Cefotaxime 1 gr
Ceftriaxone 1 gr

155,583
11,165
13,156

Beli di Apt. Tiga Berlian

abu
Beli Obat di Rotama
Kruk S
kruk M
Mitela
Arm sling S,M,L

175,000
6,500
20,000

12
12
12
40

Elastis Vergan 3
elastis Vergan 4
Elastis Vergan 6
Masker Karet

04-Oct-09

40
20
3
40
30
20
40
5
5
2
1
10
5

box
box
pot
box
box
box
box
pot
pot
pot
pot
pot
pot

05-Oct-09

8
2
8
7
1
5
1
1

box
box
dus
dus

05-Oct-09
05-Oct-09
05-Oct-09

bh
bh

05-Oct-09

6,500
7,500
10,000
20,000

Beli Obat di Apt. Andita

Caviplex
Captopril 25 mg
GG
Flucadex
Piroxicam 20 mg
Primadex Forte
Sakaneuron
Vitamin B Complex
Vitamin B1
Sultan fenosin
Papaverin
Paracetamol
Prednison
Cash
Tolak angin Cair
Antangin
Antangin cair
Tolak angin
AC. Sulfat (Tawas)
Kaporit
Pompa shimizu jet pump 250 W/220
Filter Air Handal
Sewa Truk untuk angkut Tenda

16,000
13,000
14,000
16,000
165,000
18,000

Beli di Toko naga plastik

06-Oct-09

40 pak

Kertas Minyak

07-Oct-09

10 pak
40 pak

Toko Naga Plastik

Gelas Plastik
Kertas Minyak

2 pak
07-Oct-09

5 pak
10 pak

07-Oct-09

2
5
10
20
2
3
10

Q
box
box
box
Q
Q
box

13,000

Toko kantong Plastik Mayang

Sendok bebek

95,000

Caterlent SML
Xitrol

19,112
25,850

Beli obat di Apotek Andita

Omeroxol Syr
B complek
Tramadol
Sakaneuron
Etaflusin
Univit Syr

Etabion

07-Oct-09

5 box
30 box

Dexametazon
Cimetidin

2
1
1
5
1
4
1
1
10
5
20

Beli obat di Rotama

Spuit 3 cc TR
Spuit 10 cc TR
Spuit 5 cc TR
Sensi M
Alkohol 70%
Iodine
Infusion set makro @ 50
Infusion set mikro @ 50
Mask karet
mask tali
Aqua 25 ml

box
box
box
box
Q/25
btl
box
box
box
bx
fls

85,000
145,000
120,000
32,000
10,000
45,000

22,500
2,500

08-Oct-09

5 pak

sendok bebek

95,000

08-Oct-09

4 dus

Beli di toko Jaya Plastik SVG

Sarung tangan PL

19,500

2 pot
15 amp

Diazepam 2 mg (kembali 1 pot )

Diazepam Inj Isi

115,000
10,000

10-Oct-09

1 bh
1 bh

Beli di Toko Elektrika

senter cosmos u/ dr. Agung @ 4 bh
Ketel Tresiau

6 box

Beli di Apotik Andita

Cimetidin

13/10/09

4
40
20
10

Q
box
box
dosin

19/10/09
10
50
50
20
10
50
20
200
4
20
5
19/10/09

4 box

40,000
75,000

Beli di apotek andita

Univit Syrup
Bufacaryl
Cefadroxil
Salicyl Talk
Beli di apotek andita
Salicyl
Caviplex
vitamin
Cifadroxil
Hydrocortison
Sakaneuron
Captopril 25
Guanin Syr
Antasida Syr
Loperamit
Univit Syr
Easy Touch Glucose

13,500
25,000
16,500
68,000

72,500

19/10/09

50 lmbr
47 lmbr
10 lmbr

20/10/09

100 lmbr

23/10/09

1
1
1
1

200
200
200

Fotocopy form survey

200

x
x
x
x

Pulsa Elektrik simpati 50 rb untuk dr. Agung

Pulsa Elektrik simpati 20 rb untuk Hengki
Pulsa Elektrik simpati 50 rb untuk Lian
Pulsa Elektrik simpati 100 rb untuk Siau Ing

box
box
box
tube
box

Beli di apotek andita

Saka neuron
Alpara
Hydrocortison Salep
Mazol Salep
Ranitidine Tablet

24/10/09
40
30
5
100
20

Fc. HVS A4 Form Survey

Fc. HVS F4 Surat Jalan Walubi
Fc. HVS F4 Pengiriman Obat

26/10/09

Beli Minuman & Snack u/ Sukarelawan Padang

26/10/09

Ongkos Transport 4 org Tmg-Jkt

26-Oct-09

05-Oct-09
05-Oct-09
06-Oct-09
08-Oct-09
20/10/09
25-Oct-09

Uang saku Tmg 6 Org x 19 hari x@ 30.000 pulang

Terima Transfer dari Walubi Jkt

50,000,000

Transfer bu Erna u/ op baksos padang

Transfer Pak Bily u/ op baksos padang
Transfer Pak Bily u/ Dr.Agung
Drop kas Intan u/ baksos Padang
Transfer Tan Tjie Lian u/ op. baksos Padang
Transfer Margaret u/ op. baksos Padang
Rina ke Padang ( Tunai ) u/ Belanja dapur
Tiket Bis 6 orang Clp - Jkt
55,000
Tiket Bis 5 orang Tmg - Jkt

TOTAL PENGELUARAN 25/10/09

50,000,000
20,843,379

13/10/09
13/10/09
26-Oct-09

Transfer bu And kepada Rusidi untuk operasional baksos Padang

Transfer bu And kepada Tan Tjie Lian untuk operasional baksos Padang
Transfer Toto Wlb

31/10/09

Transfer bu and kepada Agung Bagus u/ oprasional baksos Padang

Total Pengeluaran 31/10/09

K
762,000
658,240
270,000
252,020

Keterangan
atm bca 19/10/09
atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12

545,460 atm bca 19/10/15

740,000
375,000
180,000
240,000
300,000
255,000
405,000
270,000
220,000
133,500
240,000
48,000
210,000

atm bca 19/10/09

atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12
atm bca 19/10/13
atm bca 19/10/14
atm bca 19/10/15
atm bca 19/10/16
atm bca 19/10/17
atm bca 19/10/18
atm bca 19/10/19
atm bca 19/10/20
atm bca 19/10/21

150,000
280,000
1,152,000
125,000
100,000
115,000
81,000
74,000
585,000
360,000
311,166
223,300
263,120
590,000 cash
875,000
875,000
130,000
400,000

atm bca 19/10/09

atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12

78,000
90,000
120,000
800,000

atm bca 19/10/13

atm bca 19/10/14
atm bca 19/10/15
atm bca 19/10/16

1,000,000
200,000
90,000
880,000
360,000
600,000
760,000
90,000
100,000
85,000
95,000
400,000
225,000

atm bca 19/10/09

atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12
atm bca 19/10/13
atm bca 19/10/14
atm bca 19/10/15
atm bca 19/10/16
atm bca 19/10/17
atm bca 19/10/18
atm bca 19/10/19
atm bca 19/10/20
atm bca 19/10/21

128,000
26,000
112,000
112,000
165,000
90,000
1,175,000
2,750,000
350,000

LNS CASH
LNS CASH
LNS CASH
LNS CASH
LNS CASH
LNS CASH
atm bca 5/10/09
atm bca 5/10/10
cash

520,000 cash
45,000 cash
520,000 cash

190,000 cash
76,448
206,800
275,000
90,000
120,000
380,000
240,000
480,000
150,000

atm bca 19/10/09

atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12
atm bca 19/10/13
atm bca 19/10/14
atm bca 19/10/15

110,000 atm bca 19/10/16

360,000 atm bca 19/10/17
170,000
145,000
120,000
160,000
250,000
180,000
400,000
700,000
200,000
112,500
50,000

atm bca 19/10/09

atm bca 19/10/10
atm bca 19/10/11
atm bca 19/10/12
atm bca 19/10/13
atm bca 19/10/14
atm bca 19/10/15
atm bca 19/10/16
atm bca 19/10/17
atm bca 19/10/18
atm bca 19/10/19

475,000 cash

78,000 cash
230,000 cash
150,000 cash

40,000 cash
75,000 cash

72,000

640,000
480,000
1,360,000
135,000

atm bca
atm bca
atm bca
atm bca

135,000
1,250,000
825,000
1,360,000
500,000
950,000
200,000
600,000
500,000
200,000
800,000

atm bca 25/10/09

atm bca 25/10/10
atm bca 25/10/11
atm bca 25/10/12
atm bca 25/10/13
atm bca 25/10/14
atm bca 25/10/15
atm bca 25/10/16
atm bca 25/10/17
atm bca 25/10/18
atm bca 25/10/19

290,000

10,000 cash
9,400 cash
2,000 cash
20,000 cash
52,000
22,000
52,000
100,000

cash
cash
cash
cash

760,000
1,110,000
275,000
250,000
300,000
45,425
315,000
3,420,000

1,000,000
1,500,000
2,000,000
10,000,000
2,000,000
2,000,000
4,000,000
330,000

atm bca
atm bca
atm bca
cash
atm bca
atm bca
tunai
tunai
tunai

70,843,379

200,000 Kas Mie

800,000 Kas Mie
400,000 Kas Mie
10,000,000 atm bca 31/10/09

82,243,379