DAFTAR PENERIMAAN

BANTUAN TRANSPORT AKSEPTOR PELAYANAN KB MKJP …….

KECAMATAN ............................
BULAN ……………… 2018

JUMLAH PPH Pasal 21 PENERIMAAN

NO NAMA AKSEPTOR BANTUAN TRANSPORT TANDA TANGAN
PENERIMAAN (6%) BERSIH
1 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 1

2 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 2

3 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 3

4 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 4

5 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 5

6 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 6

7 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 7

8 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 8

9 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 9

10 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 10

11 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 11

12 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 12

13 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 13

14 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 14

15 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 15

16 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 16

17 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 17

18 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 18

19 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 19

20 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 20

 JML DIPINDAHKAN 20 akseptor x Rp 40,000.00 Rp 800,000.00 Rp 48,000.00 Rp 752,000.00

JUMLAH PPH Pasal 21 PENERIMAAN

NO NAMA AKSEPTOR BANTUAN TRANSPORT TANDA TANGAN
PENERIMAAN (6%) BERSIH
JML PINDAHAN 20 akseptor x Rp 40,000.00 Rp 800,000.00 Rp 48,000.00 Rp 752,000.00

21 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 21

22 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 22

23 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 23

24 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 24

25 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 25

26 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 26

27 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 27

28 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 28

29 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 29

30 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 30

31 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 31

32 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 32

33 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 33

34 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 34

35 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 35

36 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 36

37 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 37

38 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 38

39 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 39

40 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 40

41 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 41

42 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 42

 JML DIPINDAHKAN 42 akseptor x Rp 40,000.00 Rp 1,680,000.00 Rp 100,800.00 Rp 1,579,200.00

JUMLAH PPH Pasal 21 PENERIMAAN

NO NAMA AKSEPTOR BANTUAN TRANSPORT TANDA TANGAN
PENERIMAAN (6%) BERSIH

JML PINDAHAN 42 akseptor x Rp 40,000.00 Rp 1,680,000.00 Rp 100,800.00 Rp 1,579,200.00

43 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 43

44 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 44

45 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 45

46 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 46

47 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 47

48 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 48

49 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 49

50 1 akseptor x Rp 40,000.00 Rp 40,000.00 Rp 2,400.00 Rp 37,600.00 50

Jumlah 50 akseptor x Rp 40,000.00 Rp 2,000,000.00 Rp 120,000.00 Rp 1,880,000.00

Cilacap, 2018
Koordinator PLKB Kec. …………….

……………………………….
NIP.
 DAFTAR PENERIMAAN
DUKUNGAN PENGGERAKAN PELAYANAN KB MKJP ……
KECAMATAN ............................
BULAN ……………… 2018

JUMLAH PPH Pasal 21 PENERIMAAN

NO NAMA PPKBD HONOR PENGGERAKAN TANDA TANGAN
PENERIMAAN (6%) BERSIH

1 5 akseptor x Rp 80,000.00 Rp 400,000.00 Rp 24,000.00 Rp 376,000.00 1

2 5 akseptor x Rp 80,000.00 Rp 400,000.00 Rp 24,000.00 Rp 376,000.00 2

3 4 akseptor x Rp 80,000.00 Rp 320,000.00 Rp 19,200.00 Rp 300,800.00 3

4 6 akseptor x Rp 80,000.00 Rp 480,000.00 Rp 28,800.00 Rp 451,200.00 4

5 8 akseptor x Rp 80,000.00 Rp 640,000.00 Rp 38,400.00 Rp 601,600.00 5

6 4 akseptor x Rp 80,000.00 Rp 320,000.00 Rp 19,200.00 Rp 300,800.00 6

7 4 akseptor x Rp 80,000.00 Rp 320,000.00 Rp 19,200.00 Rp 300,800.00 7

8 5 akseptor x Rp 80,000.00 Rp 400,000.00 Rp 24,000.00 Rp 376,000.00 8

9 4 akseptor x Rp 80,000.00 Rp 320,000.00 Rp 19,200.00 Rp 300,800.00 9

10 5 akseptor x Rp 80,000.00 Rp 400,000.00 Rp 24,000.00 Rp 376,000.00 10

Jumlah 50 akseptor x Rp 80,000.00 Rp 4,000,000.00 Rp 240,000.00 Rp 3,760,000.00

Cilacap, 2018
Koordinator PLKB Kec. …………….

……………………………….
NIP.
 DAFTAR AKSEPTOR PELAYANAN KB MKJP …….
KECAMATAN .............................
BULAN ………..….. 2018

TANGGAL
NO NAMA PPKBD NAMA AKSEPTOR ALAMAT
PELAYANAN

10

11

12

13

14

15

dst.

50.

Cilacap, 2018
Koordinator PLKB Kec. ...............

………………..…………………..
NIP.