Form-12-13 Kartu Piutang Bulan Juli 2017

Form -12
Keputusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
KARTU PENGAWASAN PIUTANG
Nama Pelanggan : FINANCE ADIRA

Unit Kerja Pelanggan :
Nomor PKS : 27/Penjualan IX/6/0116
Masa Laku PKS : 01-01-2016 sd 31-12-2018
Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

30-05-2016 2,435,127 2,435,127
1 2,435,127
2 2,435,127
3 2,435,127
4 2,435,127
5 2,435,127
6 2,435,127
7 2,435,127
8 2,435,127
9 2,435,127
10 2,435,127
11 2,435,127
12 2,435,127
13 2,435,127
14 2,435,127
15 2,435,127
16 2,435,127
17 2,435,127
18 2,435,127 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 2,435,127 0 2,435,127 43,832,286
AE/AM
HELGA POPPY
Nippos. 971304762
*) Dibuat harian oleh AE/AM

Form -12
eputusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : : FINANCE FIF

Nomor PKS : 03Penjualan IX/6/0115
Masa Laku PKS : 02-01-2015 sd 01-01-2017

30-05-2016 3,131,700 3,131,700
1 3,131,700
2 3,131,700
3 20,550 3,152,250
4 27,050 3,179,300
5 3,179,300
6 288,000 3,467,300
7 3,467,300
8 3,467,300
9 3,467,300
10 1,010,110 4,477,410
11 407,200 4,884,610
12 41,100 4,925,710
13 18,140 4,943,850
14 16140 4,943,850
15 248,000 5,191,850
16 5,191,850
17 5,191,850
18 68150 3,049,466 2,170,434
19 75,650 2,246,084
20 28050 2,274,134
21 209,640 2,483,774
22 2,483,774
23 2,483,774
24 178,380 2,662,154
25 78830 2,662,154
26 2,662,154
27 448,350 3,110,504
28 337,700 92,436 3,355,768
29 444,550 3,800,318
30 3,800,318
31 178,641 3,978,959
dst
JUMLAH 3,131,700 4,124,231 3141902 112,700,433
AE/AM
HELGA POPPY
Nippos. 971304762

Form -12
Nama Pelanggan : FINANCE SUZUKI

Unit Kerja Pelanggan : FINANCE SUZUKI
Nomor PKS : 1398/PTK/SP/PENJUALAN/3/0315
Masa Laku PKS : 06-03-2015 SD 05-03-2017

30-05-2016 613,360 613,360
1 613,360
2 613,360
3 613,360
4 613,360
5 613,360
6 613,360
7 613,360
8 613,360
9 613,360
10 25,640 639,000
11 639,000
12 639,000
13 639,000
14 12,050 651,050
15 651,050
16 651,050
17 651,050
18 15,140 666,190
19 666,190
20 91,380 757,570
21 78,700 836,270
22 836,270
23 836,270
24 836,270
25 836,270
26 26,190 862,460
27 862,460
28 34,050 613,360 283,150
29 283,150
30 283,150
31 283,150
dst
JUMLAH 613360 283150 613360 20422620
AE/AM
HELGA POPPY
Nippos. 971304762

Form -12
an Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : SUMMIT OTO FINANCE

Nomor PKS : 100/DIRRATKET/0416
Masa Laku PKS : 28-4-2016

30-05-2016 32,050 32,050
1 32,050
2 32,050
3 32,050
4 32,050
5 32,050
6 32,050
7 32,050
8 32,050
9 32,050
10 32,050
11 32,050
12 32,050
13 32,050
14 32,050
15 32,050
16 32,050
17 137,740 169,790
18 169,790
19 169,790
20 169,790
21 34,050 203,840
22 203,840
23 203,840
24 203,840
25 32,050 171,790
26 171,790
27 171,790
28 27,050 198,840
29 198,840
30 198,840
31 198,840
dst 198,840
JUMLAH 32050 198840 32050 3548940
AE/AM
Err:522
Err:522

Form -12
an Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : FINANCE BAF

Nomor PKS : 111/DIRUT/0812
Masa Laku PKS : 7/31/2012

30-05-2016 228,750 228,750
1 228,750
2 228,750
3 228,750
4 228,750
5 228,750 0
6 140,000 140,000
7 140,000
8 123,150 263,150
9 263,150
10 263,150
11 263,150
12 263,150
13 263,150
14 263,150
15 263,150
16 263,150
17 27,050 290,200
18 290,200
19 290,200
20 290,200
21 27,050 317,250
22 3,500 320,750
23 320,750
24 320,750
25 320,750
26 320,750
27 320,750
28 320,750
29 320,750
30 320,750
31 320,750
dst
JUMLAH 228,750 320,750 228,750 8,477,650
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : FINANCE NSS/NSC

Nomor PKS : 239/NSC/FIN/II/2012

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 1,632,780 1,632,780 0
11 0
12 84,000 84,000 0
13 0
14 0
15 0
16 0
17 20,550 20,550
18 209,500 230,050
19 320,500 550,550
20 200,200 750,750
21 283,100 1,033,850
22 45,280 1,079,130
23 1,079,130
24 1,079,130
25 1,079,130 0
26 0
27 43,100 43,100
28 43,100
29 43,100
30 43,100
31 43,100
dst
JUMLAH 0 2839010 2795910 6038640
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : KPP PRATAMA

Nomor PKS : 42/PENJUALAN IX/6/0914
Masa Laku PKS : 01-09-2014 sd 31-08-2016

30-05-2016 13,782,615 13,782,615
1 13,782,615
2 13,782,615
3 310,100 14,092,715
4 59,100 14,151,815
5 591,539 14,743,354
6 65,650 13,506,963 1,302,041
7 95,700 1,397,741
8 1,397,741
9 1,397,741
10 126,790 1,524,531
11 152,350 1,676,881
12 820,800 2,497,681
13 1,328,300 3,825,981
14 1,595,250 5,421,231
15 5,421,231
16 5,421,231
17 327,500 5,748,731
18 motor 596,150 6,344,881
sgo&motor ibu
19 5,818,790 4,343,140 7,820,531
agung
20 alianyang
yogi 337,570 337,570 7,820,531
21 1,112,250 8,932,781
22 2,363,550 11,296,331
23 11,296,331
24 1,324,450 12,620,781
25 2,780,600 15,401,381
26 1,477,000 16,878,381
27 1,237,480 18,115,861
28 300,000 18,415,861
29 18,415,861
30 18,415,861
31 391,550 18,807,411
dst
JUMLAH 13782615 23212469 18187673 311951275
AE/AM
Err:522
Err:522

Form -12
usan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : BANK MANDIRI

Nomor PKS : IX BJM/2809/2012

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
Err:522
Err:522

Form -12
putusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : BANK KALBAR

Nomor PKS :
Masa Laku PKS :

30-05-2016 1,693,530 1,693,530
1 1,693,530
2 1,693,530
3 43,280 1,736,810
4 134,840 1,871,650
5 78,200 1,693,530 256,320
6 78,200 334,520
7 40,100 374,620
8 374,620
9 374,620
10 19,550 394,170
11 99,750 493,920
12 22,640 516,560
13 19,550 536,110
14 19,550 555,660
15 555,660
16 555,660
17 19550 653,410
18 39,100 692,510
19 97,750 790,260
20 790,260
21 105,290 895,550
22 895,550
23 895,550
24 69,300 964,850
25 19,550 984,400
26 84,200 1,068,600
27 65,650 1,134,250
28 39100 1,199,900
29 1,199,900
30 1,199,900
31 1,199,900
dst
JUMLAH 1693530 1095150 1693530 28576280
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan BANK SYARIAH MANDIRI

Nomor PKS :
Masa Laku PKS :

30-05-2016 682,620 682,620
1 682,620
2 682,620
3 682,620
4 22,640 705,260
5 705,260
6 20,550 725,810
7 725,810
8 725,810
9 725,810
10 725,810
11 725,810
12 25,550 751,360
13 72,240 823,600
14 20,550 357,880 486,270
15 486,270
16 486,270
17 486,270
18 324,740 161,530
19 20,550 182,080
20 182,080
21 42,190 224,270
22 224,270
23 224,270
24 224,270
25 224,270
26 22,640 246,910
27 20,550 267,460
28 25,550 293,010
29 293,010
30 293,010
31 27,050 320,060
dst
JUMLAH 682620 320060 682620 15376400
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan KEJAKSAAN NEGERI

Nomor PKS :
Masa Laku PKS :

30-05-2016 1,626,180 1,626,180
1 1,626,180
2 1,626,180
3 1,626,180
4 98,000 1,724,180
5 59,650 1,783,830
6 29,000 1,626,180 186,650
7 18,000 204,650
8 204,650
9 204,650
10 204,650
11 107,500 312,150
12 312,150
13 11,050 323,200
14 323,200
15 323,200
16 323,200
17 323,200
18 62,000 385,200
19 46,500 431,700
20 431,700
21 431,700
22 31,000 462,700
23 462,700
24 15,500 478,200
25 167,000 645,200
26 99,050 744,250
27 111,500 855,750
28 855,750
29 855,750
30 855,750
31 855,750
dst
JUMLAH 1626180 855750 1626180 22010380
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan ASKES

Nomor PKS :
Masa Laku PKS :

30-05-2016 708,000 708,000
1 708,000
2 708,000
3 708,000
4 708,000
5 708,000
6 708,000
7 708,000
8 377,800 1,085,800
9 1,085,800
10 1,085,800
11 1,085,800
12 915,500 2,001,300
13 1,963,900 3,965,200
14 3,965,200
15 3,965,200
16 3,965,200
17 20,550 3,985,750
18 708,000 3,277,750
19 3,277,750
20 733,300 4,011,050
21 4,011,050
22 4,011,050
23 4,011,050
24 4,011,050
25 4,011,050
26 4,011,050
27 4,011,050
28 323,150 4,334,200
29 4,334,200
30 4,334,200
31 4,334,200
dst
JUMLAH 708000 4334200 708000 87835750
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan RUBN

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
Err:522
Err:522
Form -12
utusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan PEGADAIAN

Nomor PKS :
Masa Laku PKS :

30-05-2016 271,950 271,950
1 271,950
2 271,950
3 24,640 296,590
4 296,590
5 271,950 24,640
6 24,640
7 24,640
8 42,050 66,690
9 66,690
10 42,050 108,740
11 62,600 171,340
12 171,340
13 171,340
14 171,340
15 84,100 255,440
16 255,440
17 255,440
18 255,440
19 9,550 264,990
20 42,050 307,040
21 307,040
22 307,040
23 307,040
24 307,040
25 42,050 349,090
26 349,090
27 60,600 409,690
28 409,690
29 409,690
30 409,690
31 409,690
dst
JUMLAH 271950 409,690 271,950 7979010
AE/AM
Err:522
Err:522
Form -12
san Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : KPPN

Nomor PKS :
Masa Laku PKS :

30-05-2016 584,300 584,300
1 584,300
2 584,300
3 584,300
4 584,300
5 584,300
6 584,300
7 125,950 710,250
8 710,250
9 710,250
10 710,250
11 64,250 584,300 190,200
12 190,200
13 190,200
14 190,200
15 190,200
16 190,200
17 190,200
18 76,300 266,500
19 266,500
20 266,500
21 266,500
22 266,500
23 266,500
24 71,150 337,650
25 337,650
26 337,650
27 337,650
28 337,650
29 337,650
30 337,650
31 145,450 483,100
dst
JUMLAH 584300 483100 584300 12708150
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan KANTOR PELAYANAN KEKAYAAN NEGARA DAN LELANG

Nomor PKS :
Masa Laku PKS :

30-05-2016 2,659,290 2,659,290
1 2,659,290
2 2,659,290
3 108,250 2,767,540
4 255,650 3,023,190
5 87,250 3,110,440
6 172,400 3,282,840
7 206,000 3,488,840
8 3,488,840
9 3,488,840
10 32,100 3,520,940
11 9,550 3,530,490
12 156,700 3,687,190
13 3,687,190
14 93,850 3,781,040
15 3,781,040
16 3,781,040
17 9,050 3,790,090
18 720,040 4,510,130
19 78,200 4,588,330
20 9,050 4,597,380
21 29,650 4,627,030
22 4,627,030
23 4,627,030
24 36,700 4,663,730
25 80,400 4,744,130
26 4,744,130
27 197,840 4,941,970
28 4,941,970
29 4,941,970
30 4,941,970
31 4,941,970
dst
JUMLAH 2659290 2282680 0 126626190
AE/AM
Err:522
Err:522

Form -12
tusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan : JIWASRAYA

Nomor PKS :
Masa Laku PKS :
Tanggal Saldo awal Penambahan Pelunasan Saldo Akhir keterangan RK

30-05-2016 2,830,200 2,830,200
1 2,830,200
2 2,830,200
3 2,830,200
4 2,830,200
5 2,830,200
6 2,830,200 0
7 0
8 0
9 0
10 0
11 56,000 56,000
12 56,000
13 74,400 130,400
14 130,400
15 130,400
16 130,400
17 130,400
18 130,400
19 130,400
20 130,400
21 130,400
22 130,400
23 130,400
24 892,000 1,022,400
25 1,022,400
26 738,600 1,761,000
27 1,761,000
28 333,750 2,094,750
29 2,094,750
30 2,094,750
31 2,094,750
dst
JUMLAH 2830200 2094750 2830200 32473400
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : BCA SW

Nomor PKS :
Masa Laku PKS :

30-05-2016 3,469,468 3,469,468
1 3,469,468
2 3,469,468
3 3,469,468
4 3,469,468
5 3,469,468
6 3,469,468
7 3,469,468
8 454,100 3,923,568
9 3,923,568
10 3,923,568
11 376,050 79,008 4,220,610
12 4,220,610
13 104,000 4,324,610
14 180,000 4,504,610
15 177,050 4,681,660
16 4,681,660
17 4,681,660
18 4,681,660
19 3,152,954 1,528,706
20 88,000 1,616,706
21 1,616,706
22 1,616,706
23 1,616,706
24 1,616,706
25 1,616,706
26 360,000 1,976,706
27 1,976,706
28 314,100 2,290,806
29 2,290,806
30 2,290,806
31 2,290,806
dst
JUMLAH 3469468 2053300 3231962 99869106
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : Pengadilan Negeri

Nomor PKS :
Masa Laku PKS :

30-05-2016 3,588,570 3,588,570
1 3,588,570
2 3,588,570
3 3,588,570
4 30,600 3,619,170
5 3,619,170
6 155,850 3,775,020
7 3,775,020
8 3,775,020
9 3,775,020
10 19,550 3,794,570
11 12,050 3,806,620
12 3,806,620
13 94,250 3,900,870
14 3,900,870
15 3,900,870
16 3,900,870
17 74,650 3,975,520
18 19,550 3,995,070
19 3,995,070
20 3,995,070
21 3,995,070
22 3,995,070
23 3,995,070
24 3,995,070
25 154,850 4,149,920
26 4,149,920
27 80,700 4,230,620
28 4,230,620
29 19,550 4,250,170
30 4,250,170
31 4,250,170
dst
JUMLAH 3588570 661600 0 125156590
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan LAPAS SINGKAWANG

Nomor PKS :
Masa Laku PKS :

30-05-2016 1,441,200 1,441,200
1 1,441,200
2 1,441,200
3 1,441,200
4 20,550 1,461,750
5 189,150 1,650,900
6 1,650,900
7 1,650,900
8 1,650,900
9 1,650,900
10 1,650,900
11 1,650,900
12 203,150 1,854,050
13 81,800 1,935,850
14 1,935,850
15 1,935,850
16 1,935,850
17 1,935,850
18 1,441,200 494,650
19 211,250 705,900
20 705,900
21 19,550 725,450
22 725,450
23 725,450
24 57,600 783,050
25 783,050
26 783,050
27 783,050
28 783,050
29 783,050
30 783,050
31 101,850 884,900
dst
JUMLAH 1441200 884900 1441200 40765200
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : WAHANA VISI INDONESIA

Nomor PKS :
Masa Laku PKS :

30-05-2016 3,304,725 3,304,725
1 3,304,725
2 3,304,725
3 3,304,725
4 29,140 3,333,865
5 3,333,865
6 3,333,865
7 3,333,865
8 3,333,865
9 3,333,865
10 3,333,865
11 3,333,865
12 3,333,865
13 3,333,865
14 3,333,865
15 3,333,865
16 3,333,865
17 3,333,865
18 27,050 3,360,915
19 3,360,915
20 3,360,915
21 3,360,915
22 3,360,915
23 3,360,915
24 29,140 3,390,055
25 111,880 3,278,175
26 3,278,175
27 25,550 3,303,725
28 3,303,725
29 3,303,725
30 3,303,725
31 3,303,725
dst
JUMLAH 3304725 110880 111880 106523530
AE/AM
Err:522
Err:522
Form -12
Nama Pelanggan BPR PANCA ARTHA GRAHA

Nomor PKS :
Masa Laku PKS :

30-05-2016 587,730 587,730
1 587,730
2 587,730
3 587,730
4 587,730
5 587,730
6 587,730
7 587,730
8 587,730
9 587,730
10 587,730
11 587,730
12 587,730
13 587,730
14 587,730
15 587,730
16 587,730
17 587,730
18 587,730
19 587,730
20 587,730
21 587,730
22 587,730
23 587,730
24 587,730
25 587,730
26 587,730
27 587,730
28 587,730
29 587,730
30 587,730
31 587,730
dst
JUMLAH 587730 0 0 18807360
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan RUMAH SAKIT JIWA KALBAR

Nomor PKS :
Masa Laku PKS 20 Juli 2013 - 19 Juli 2015

30-05-2016 8,356,425 8,356,425
1 8,356,425
2 8,356,425
3 8,356,425
4 8,356,425
5 8,356,425
6 8,356,425
7 8,356,425
8 8,356,425
9 8,356,425
10 8,356,425
11 8,356,425
12 8,356,425
13 8,356,425
14 8,356,425
15 8,356,425
16 8,356,425
17 8,356,425
18 8,356,425
19 5,324,369 3,032,056
20 3,032,056
21 3,032,056
22 3,032,056
23 3,032,056
24 3,032,056
25 3,032,056
26 3,032,056
27 3,032,056
28 3,032,056
29 3,032,056
30 3,032,056
31 3,032,056
dst
JUMLAH 8356425 0 5324369 198188803
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : BNI

Nomor PKS :
Masa Laku PKS 1 Agustus 2013 - 31 Juli 2015

30-05-2016 786,200 786,200
1 786,200
2 786,200
3 786,200
4 65,780 851,980
5 38,550 890,530
6 890,530
7 890,530
8 890,530
9 890,530
10 110,750 1,001,280
11 25,550 1,026,830
12 1,026,830
13 19,550 1,046,380
14 42,050 1,088,430
15 1,088,430
16 1,088,430
17 141,900 1,230,330
18 81,250 786,200 525,380
19 41,050 566,430
20 129,700 696,130
21 696,130
22 696,130
23 696,130
24 68,100 764,230
25 99,300 863,530
26 49,100 912,630
27 46,100 958,730
28 958,730
29 958,730
30 958,730
31 163,300 1,122,030
dst
JUMLAH 786200 1122030 786200 28420040
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : SINAR TERANG

Nomor PKS :
Masa Laku PKS :

30-05-2016 37,600 37,600
1 37,600
2 37,600
3 37,600
4 37,600
5 37,600
6 37,600
7 37,600
8 37,600
9 37,600
10 37,600
11 37,600
12 37,600
13 37,600
14 37,600
15 37,600
16 37,600
17 37,600
18 37,600
19 37,600
20 37,600
21 37,600
22 37,600
23 37,600
24 37,600
25 37,600 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 37600 0 37600 940000
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan CIMB NIAGA

Nomor PKS :
Masa Laku PKS

30-05-2016 1,150,830 1,150,830
1 1,150,830
2 1,150,830
3 51,780 1,202,610
4 45,280 1,247,890
5 1,247,890
6 103,470 1,150,830 200,530
7 28,050 228,580
8 228,580
9 228,580
10 22,640 251,220
11 2,076,025 2,000,285 326,960
12 22,640 349,600
13 108,290 457,890
14 457,890
15 457,890
16 457,890
17 130,750 588,640
18 22,640 611,280
19 611,280
20 69,280 680,560
21 65,100 745,660
22 745,660
23 745,660
24 745,660
25 745,660
26 43,100 788,760
27 22,640 811,400
28 24,640 836,040
29 836,040
30 836,040
31 836,040
dst
JUMLAH 1150830 2836325 3151115 21960870
AE/AM
Err:522
Err:522

Form -12
utusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011
Nama Pelanggan BANK MEGA

Nomor PKS :
Masa Laku PKS

30-05-2016 281,130 281,130
1 281,130
2 281,130
3 281,130
4 24,640 305,770
5 281,130 24,640
6 24,640
7 24,640
8 66,600 91,240
9 91,240
10 91,240
11 91,240
12 91,240
13 58,100 149,340
14 27,050 176,390
15 176,390
16 176,390
17 27,050 203,440
18 25550 203,440
19 203,440
20 203,440
21 76,600 280,040
22 280,040
23 280,040
24 41,100 321,140
25 321,140
26 45,050 366,190
27 19,550 385,740
28 72,690 458,430
29 458,430
30 458,430
31 458,430
dst
JUMLAH 281130 483980 281130 7520730
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : HYPERMART

Nomor PKS :
Masa Laku PKS

30-05-2016 4,621,340 4,621,340
1 4,621,340
2 4,621,340
3 220,480 4,841,820
4 4,841,820
5 4,841,820
6 29,550 4,871,370
7 4,583,430 9,454,800
8 9,454,800
9 9,454,800
10 9,454,800
11 9,454,800
12 9,454,800
13 59,100 9,513,900
14 9,513,900
15 9,513,900
16 9,513,900
17 130,830 9,644,730
18 9,644,730
19 9,644,730
20 185,750 9,830,480
21 9,830,480
22 9,830,480
23 9,830,480
24 261,200 10,091,680
25 10,091,680
26 10,091,680
27 10,091,680
28 10,091,680
29 10,091,680
30 10,091,680
31 48,550 10,140,230
dst
JUMLAH 4621340 5518890 0 277083350
AE/AM
Err:522
Err:522

Form -12
Nama Pelanggan : IMIGRASI

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 642,590 642,590
8 642,590
9 642,590
10 642,590 0
11 3,792,370 3,792,370 0
12 5,317,720 5,317,720 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 motor ira ptk 160,005 160,005 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 9912685 9912685 1927770
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan AIA

Nomor PKS :
Masa Laku PKS :

30-05-2016 34,640 34,640
1 34,640
2 34,640
3 29,550 64,190
4 64,190
5 64,190
6 2,524,890 2,589,080
7 848,745 3,437,825
8 3,437,825
9 3,437,825
10 34,640 3,472,465
11 3,472,465
12 3,472,465
13 3,472,465
14 3,408,275 3,472,465
15 34,640 98,830
16 98,830
17 98,830
18 66,640 165,470
19 165,470
20 32,550 198,020
21 198,020
22 198,020
23 198,020
24 48,550 246,570
25 34,640 281,210
26 281,210
27 281,210
28 34,640 315,850
29 315,850
30 315,850
31 315,850
dst
JUMLAH 34640 3689485 3408275 34334480
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan : KERAMIK DINAMIS

Nomor PKS :
Masa Laku PKS :

30-05-2016 1,844,250 1,844,250
1 1,844,250
2 1,844,250
3 1,844,250
4 470,400 2,314,650
5 2,314,650
6 2,314,650
7 2,314,650
8 2,314,650
9 2,314,650
10 2,314,650
11 1,251,350 1,063,300
12 1,063,300
13 1,063,300
14 674,500 1,737,800
15 1,737,800
16 1,737,800
17 1,737,800
18 1,737,800
19 1,737,800
20 1,116,350 2,854,150
21 2,854,150
22 2,854,150
23 2,854,150
24 2,854,150
25 2,854,150
26 2,854,150
27 1,337,200 4,191,350
28 4,191,350
29 4,191,350
30 4,191,350
31 4,191,350
dst
JUMLAH 1844250 3598450 1251350 78132050
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan : SINKA SINYE AGROTAMA

Nomor PKS : 2130/Penjualan-IX/6/1013
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan : INSPEKTORAT

Unit Kerja Pelanggan
Nomor PKS :
Masa Laku PKS :

30-05-2016 107,700 107,700
1 107,700
2 107,700
3 107,700
4 107,700
5 107,700
6 107,700
7 107,700
8 107,700
9 107,700
10 107,700
11 107,700
12 107,700
13 107,700
14 107,700
15 107,700
16 107,700
17 107,700
18 28,100 78,150 57,650
19 57,650
20 57,650
21 57,650
22 57,650
23 57,650
24 57,650
25 57,650
26 644,000 701,650
27 701,650
28 701,650
29 701,650
30 701,650
31 701,650
dst
JUMLAH 107700 672100 78150 6609700
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan suzuki

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 5,687,730 5,687,730
6 5,687,730 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 5687730 5687730 5687730
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan patiware

Nomor PKS :
Masa Laku PKS :

30-05-2016 0 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0 0
dst
JUMLAH 0 0 0 0
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12

Nomor PKS :
Masa Laku PKS :

30-05-2016 978,720 978,720
1 978,720
2 978,720
3 978,720
4 978,720
5 45,100 208,400 815,420
6 815,420
7 815,420
8 815,420
9 815,420
10 815,420
11 54,100 869,520
12 869,520
13 113,200 982,720
14 577,420 405,300
15 405,300
16 405,300
17 405,300
18 56,600 461,900
19 461,900
20 461,900
21 461,900
22 461,900
23 461,900
24 461,900
25 461,900
26 461,900
27 461,900
28 461,900
29 461,900
30 461,900
31 461,900
dst
JUMLAH 978720 269000 785820 20595680
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12
Nama Pelanggan : B2P2VRP

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12

Nomor PKS :
Masa Laku PKS :

30-05-2016 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
dst
JUMLAH 0 0 0 0
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Form -12

Nomor PKS :
Masa Laku PKS :

30-05-2016 141,700 141,700
1 141,700
2 141,700
3 22,640 164,340
4 164,340
5 164,340
6 81,280 245,620
7 245,620
8 245,620
9 245,620
10 43,650 289,270
11 25,100 141,700 172,670
12 172,670
13 172,670
14 172,670
15 172,670
16 172,670
17 172,670
18 20,550 193,220
19 193,220
20 20,550 213,770
21 213,770
22 213,770
23 213,770
24 213,770
25 213,770
26 213,770
27 213,770
28 213,770
29 213,770
30 213,770
31 213,770
dst
JUMLAH 141700 213770 141700 6350240
AE/AM
WIBOWO PONCOWINOTO
Nippos. OS

Tgl. Trx
1 0
2 0 0
3 831,270
4 1,283,670
5 6,777,169
6 3,688,840
7 6,588,565
8 1,063,700 20,233,214
9 0
10 3,120,250
11 7,320,445
12 7,609,800
13 4,125,870
14 2,680,990
15 543,790 25,401,145
16 0
17 1,067,170
18 2,134,310
19 6,719,790
20 3,243,785
21 2,083,170
22 2,443,330 17,691,555
23 0
24 3,093,170
25 3,457,220
26 3,588,930
27 3,716,810
28 1,866,420
29 464,100 17,243,041
30 0
31 1,056,391
Jumlah 80,568,955
80,568,955
PT POS INDONESIA (PERSERO)
REGIONAL IX BANJARBARU Kepada
KANTOR POS SINGKAWANG 79100 Ka. Regional IX Banjarbaru
di Banjarbaru
LAPORAN REKAPITULASI DAN HASIL REKONSILIASI PIUTANG PENDAPATAN SURATPOS, PAKETPOS DAN INLOG PELANGGAN KORPORAT
BULAN : JULI 2017
FORM-13
NO JENIS LAYANAN SALDO SALDO AGING PIUTANG
NAMA PELANGGAN NO. PKS SEGMEN PELUNASAN PENAMBAHAN
URUT Surat/Paket/Pos Int'l AWAL AKHIR sd. 3 Bln 3bln-6 bln 6 bln-9bln 9 bln-12 bln 1 thn-2 thn > 2 thn JUMLAH
1 PT. ADIRA DINAMIKA MULTIFINANCE 27/Penjualan IX/6/0116 SWASTA 2,435,127 2,435,127 - - - -
2 PT. FEDERAL INTERNATIONAL FINANCE 210/Sw/SP/Penjualan/3/0217 SWASTA 3,131,700 3,141,902 4,124,231 4,114,029 4,114,029 4,114,029
3 PT. ASURANSI JASINDO 1502/SW/SP/Penjualan/3/1216 BUMN 613,360 613,360 283,150 283,150 283,150 283,150
4 PT. SUMMIT OTO FINANCE 100/DIRRAKET/0416 SWASTA 32,050 32,050 198,840 198,840 198,840 198,840
5 PT. BUSSAN AUTO FINANCE 717/SW/SP/Penjualan/3/0616 SWASTA 228,750 228,750 320,750 320,750 320,750 320,750
6 PT. NSC - SWASTA - 2,795,910 2,839,010 43,100 43,100 43,100
7 KPP PRATAMA 980/Sw/SP/Penjualan/3/0916 PEMERINTAH 13,782,615 18,187,673 23,212,469 18,807,411 18,807,411 18,807,411
8 BANK KALBAR CAB. SKW 492/Sw/SP/Penjualan/3/0117 BUMD 1,693,530 1,693,530 1,095,150 1,095,150 1,095,150 1,095,150
9 BANK SYARIAH MANDIRI 38/Penjualan-IX/6/0216 BUMN 682,620 682,620 320,060 320,060 320,060 320,060
10 KEJAKSAAN NEGERI 2418/Penjualan-IX/6/1214 PEMERINTAH 1,626,180 1,626,180 855,750 855,750 855,750 855,750
11 BPJS KESEHATAN 492/Sw/SP/Penjualan/3/0517 BUMN 708,000 708,000 4,334,200 4,334,200 4,334,200 4,334,200
12 PEGADAIAN 1431/Sw/SP/Penjualan/3/1216 BUMN 271,950 271,950 409,690 409,690 409,690 409,690
13 KPPN 718/Sw/SP/Penjualan/3/0616 PEMERINTAH 584,300 584,300 483,100 483,100 483,100 483,100
14 KPKNL SKW 492/Sw/SP/Penjualan/3/0117 PEMERINTAH 2,659,290 - 2,282,680 4,941,970 4,941,970 4,941,970
15 JIWASRAYA 65/Regional IX/SP/Penjualan/6/011 BUMN 2,830,200 2,830,200 2,094,750 2,094,750 2,094,750 2,094,750
16 BCA CAB. SKW 734/Penjualan-IX/6/0413 SWASTA 3,469,468 3,231,962 2,053,300 2,290,806 2,290,806 2,290,806
17 PENGADILAN NEGERI SINGKAWANG 719/Sw/SP/Penjualan/3/0616 PEMERINTAH 3,588,570 - 661,600 4,250,170 4,250,170 4,250,170
18 LAPAS SKW 28/Penjualan IX/6/0115 PEMERINTAH 1,441,200 1,441,200 884,900 884,900 884,900 884,900
19 WAHANA VISI INDONESIA 50/SW/SP/Penjualan/5/0117 SWASTA 3,304,725 111,880 110,880 3,303,725 3,303,725 3,303,725
20 PT. BPR PANCA ARTHA GRAHA - SWASTA 587,730 587,730 - - - -
21 INDOSAT 1046/EOP-EOPG/PRC/14 SWASTA 8,356,425 5,324,369 - 3,032,056 3,032,056 3,032,056
22 BNI 1946 CAB SINGKAWANG 67/Reg-IX/SP/Penjualan/3/0316 BUMN 786,200 786,200 1,122,030 1,122,030 1,122,030 1,122,030
23 RUMAH SAKIT JIWA KALBAR 1406/SW/SP/Penjualan/3/1216 PEMERINTAH 37,600 37,600 - - - -
24 BRI CABANG SINGKAWANG 31/Sw/SP/Penjualan/5/0117 BUMN 1,150,830 3,151,115 2,836,325 836,040 836,040 836,040
25 BANK MEGA 60/Penjualan-IX/6/0915 SWASTA 281,130 281,130 483,980 483,980 483,980 483,980
26 HYPERMART 30/Penjualan-IX/0116 SWASTA 4,621,340 - 5,518,890 10,140,230 10,140,230 10,140,230
27 IMIGRASI - PEMERINTAH - 9,912,685 9,912,685 - - -
28 AIA 31/Penjualan-IX/6/0116 SWASTA 34,640 3,408,275 3,689,485 315,850 315,850 315,850
29 KREDIT PLUS 2378/PTK/SP/Penjualan/3/0916 SWASTA 1,844,250 1,251,350 3,598,450 4,191,350 4,191,350 4,191,350
30 INSPEKTORAT - PEMERINTAH 107,700 78,150 672,100 701,650 701,650 701,650
31 KERAMIK DINAMIS 50/Penjualan-IX/1015 SWASTA - 5,687,730 5,687,730 - - -
32 SWISS BELL SWASTA 978,720 785,820 269,000 461,900 461,900 461,900
33 JASA RAHARJA 401/Sw/SP/Penjualan/3/0417 BUMN 141,700 141,700 213,770 213,770 213,770 213,770
JUMLAH SURATPOS (A) 62,011,900 72,050,448 80,568,956 ### 70,530,407 70,530,407
1 -
2
PAKETPOS
3
dst
JUMLAH PAKETPOS (B) - - -
1 - -
2 POS INTERNASIONAL
3 (SURAT)
dst
JUMLAH POS INTERNASIONAL (SURAT) (C) - - -
1 - -
2 POS INTERNASIONAL
3 (PAKET)
dst
JUMLAH POS INTERNASIONAL (PAKET) (D) - - -
TOTAL PIUTANG PENDAPATAN UNIT REP (A+B+C+D) 62,011,900 72,050,448 80,568,956 70,530,407 70,530,407 70,530,407
Singkawang, 31 Juli 2017

Kepala kantor Manajer Akuntansi, Manajer Pemasaran Account Executive,
SRI PUJIYATY SRI ASTUTI SYAHREZA BENNY PUTRA SYAHREZA BENNY PUTRA
Nippos. 981377555 Nippos. 985393830 Nippos. 994419855 Nippos. 994419855

Form-12-13 Kartu Piutang Bulan Juli 2017

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Form -12

Keputusan Direksi Nomor 88/Dirut/1111 tanggal 30 November 2011

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : FINANCE ADIRA

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : : FINANCE FIF

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : FINANCE SUZUKI

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : SUMMIT OTO FINANCE

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : FINANCE BAF

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : FINANCE NSS/NSC

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : KPP PRATAMA

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : BANK MANDIRI

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : BANK KALBAR

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan BANK SYARIAH MANDIRI

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan KEJAKSAAN NEGERI

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan ASKES

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan RUBN

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

KARTU PENGAWASAN PIUTANG

Nama Pelanggan PEGADAIAN

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

KARTU PENGAWASAN PIUTANG

Nama Pelanggan : KPPN

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK

*) Dibuat harian oleh AE/AM

KARTU PENGAWASAN PIUTANG

Nama Pelanggan KANTOR PELAYANAN KEKAYAAN NEGARA DAN LELANG

Tanggal Saldo Awal Penambahan Pelunasan Saldo Akhir keterangan RK