DAFTAR TAGIHAN

Tanggal
Nomor
Kepada Yth.

:
:
:

KENDAL, 29 OKTOBER 2014

07/ADIRA/X/14/PKL
PT. ADIRA DINAMIKA MULTI FINANCE, TBK.
CABANG PEKALONGAN

Dengan hormat
Berikut kami sampaikan tagihan untuk pembuatan Akta Fidusia beserta pengurusan Pendaftaran Sertifikat
Jaminan Fidusia dengan perincian sebagai berikut :
NO

DEBITUR

NO
AKTA

PERJANJIAN
PEMBIAYAAN

MUHAMMAD TEGUH PURNOMO

2121

0408.14.115955

RUDI FIRMANSYAH

2122

0408.14.115830

SUSWATI

2123

0408.14.115788

SAMURI

2124

0408.14.115747

NUR SAFAROH

2125

0408.14.115746

MISTARI

2126

0408.14.115753

WISNU HARMANTO

2127

0408.14.115853

IMAM BUDIYANTO

2128

0408.14.115792

RUDY RUDOLLOF

2129

0408.14.115794

10

NASOCHA

2130

0408.14.115851

11

NASIHIN

2131

0408.14.115793

12

SRI ASTUTIK

2132

0408.14.115790

13

TRISWATI

2133

0408.14.115854

14

DIDI DARMADI

2134

0408.14.115909

15

FARIKHAH

2135

0408.14.115906

16

YAYUK ANGGRAENI

2136

0408.14.116016

17

MULUDI

2137

0408.14.115917

18

TULARSIH

2138

0408.14.115938

19

DAIM

2139

0408.14.115654

20

ISWADI

2140

0408.14.115806

21

KHOIRUL RIZIQIN

2141

0408.14.115805

22

DARYUNI

2142

0408.14.115811

23

WAHYUONO

2143

0408.14.115796

24

KHUMAIDI

2144

0408.14.115813

25

AGUS TAMPRIN

2145

0408.14.115847

26

KARIM

2146

0408.14.115863

27

ABDUR ROZAK

2147

0408.14.115594

NILAI
JAMINAN

12.851.9
98
9.018.0
00
10.319.9
99
15.000.0
00
11.970.0
00
12.792.0
00
15.289.9
99
13.300.0
00
19.381.9
99
22.183.9
96
36.569.9
96
19.424.9
99
21.945.0
00
17.184.9
98
14.374.9
99
17.464.9
99
20.824.9
99
20.369.9
99
19.269.9
98
14.349.9
98
23.449.9
98
14.574.9
98
7.150.0
00
14.231.9
99
8.730.0
00
9.479.9
99
7.824.0

BIAYA

Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp

28

NAYOKO

2148

0408.14.115604

29

ASEP SUMARNO

2149

0408.14.115795

30

IMAM SYAMSUDIN

2150

0408.14.115779

31

IMAM PURWANDI

2151

0408.14.115776

32

NINIK ELIYAH

2152

0408.14.115701

33

HENDRI SETIAWAN

2153

0408.14.115799

34

DANURI

2154

0408.14.115941

35

KAMAL

2155

0408.14.116046

36

SUGENG SUCIPTO

2156

0408.14.116012

37

KUSTONO

2157

0408.14.115996

38

KAWIT

2158

0408.14.115879

39

KARDANI

2159

0408.14.115844

40

NUR ROKHIM

2160

0408.14.116040

41

JOKO PRASETYO

42

SURINTO

43

ZAENAB

44

DEWI DATIK

45

KUROSIYAH

46

BARUDIN

47

ABIDIN

48

MUSRI HEWETI

49

SUTRISNO

50

SALIMAN BOWO

51

DANIPAH

52

IRWINDA KUSMAYA

53

TASBARI

216
1
216
2
216
3
216
4
216
5
216
6
216
7
216
8
216
9
217
0
217
1
217
2
217
3

0408.14.1160
36
0408.14.1160
68
0408.14.1159
93
0408.14.1159
67
0408.14.1159
61
0408.14.1159
25
0408.14.1159
52
0408.14.1159
48
0408.14.1159
20
0408.14.1158
82
0408.14.1158
73
0408.14.1159
78
0408.14.1160
83

00
12.239.9
99
20.299.9
98
6.600.0
00
7.700.0
00
17.399.9
99
14.039.9
99
13.164.0
00
8.279.9
99
23.999.9
98
8.760.0
00
26.075.0
00
14.850.0
00
9.295.9
99
9.666.
000
18.564.
999
23.624.
996
22.925.
000
10.709.
999
16.559.
774
6.899.
999
21.887.
996
20.124.
993
16.559.
999
17.479.
999
11.220.
000
8.424.
000

TOTAL

150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
150.000,00
Rp
7.950.000,00

Pembayaran mohon ditransfer ke

:
Bank BCA
Nomor Rekening
:
8030184638
Nama
:
PRASTOWO HENDARSANTO
Demikian atas perhatian dan kerjasamanya kami ucapkan terima kasih.
2