KERTAS KERJA MONITORING DAN EVALUASI

Nama Sekolah : SDN BESUK II

Cabang Dinas : Bantaran
Aspek Monev : Pengelolaan Keuangan Dana BOS dan BOSDA T.A. 2018
Tanggal Monev : 8 Desember 2018
Periode Monev : Juli s/d September 2018
Pemeriksa : .................................

1. Tujuan :
Untuk mengurangi atau menghindari masalah yang berhubungan dengan penyalahgunaan
wewenang, kebocoran, pemborosan, pungutan liar dan bentuk penyimpangan lainnya.

2. Data Umum :
a. Jumlah murid = 103 orang L = 63 orang P = 40 orang
b. Jumlah guru terdiri dari :
- PNS = 6 orang L = 2 orang P = 4 orang
- NON PNS = 6 orang L = 4 orang P = 2 orang
c. Jumlah alokasi dana :
1. Bank : BANK JATIM
2. Nomor Rekening : 0132831581
3. Dana BOS periode Juli s/d September 2018 : Rp 16.960.000,-
4. Saldo Kas/ Bank sebesar : Rp 9.774.100,- / Rp 436.150,19

3. Realisasi Penggunaan Dana BOS :

PAGU/
TANGGAL URAIAN
NO TRIWULAN ANGGARAN REALISASI SISA
PENCAIRAN PENGELUARAN
Rp
1 III 03/10/2018 Belanja Pegawai 2.100.000 2.100.000 -
Belanja Barang 10.655.082,40 10.555.000 100.082,40
dan Jasa
Belanja Modal 14.079.100 14.078.500 600
4. Realisasi Dana BOSDA :
TANGGAL KEGIATAN/ Jumlah Guru Yang
NO PAGU REALISASI KET.
PENCAIRAN URAIAN Menerima

N I H I L

5. Realisasi Dana BOS Sumber Dana dari APBD :

TANGGAL KEGIATAN/ Jumlah Guru
NO PAGU REALISASI KET.
PENCAIRAN URAIAN Yang Menerima
1
2

6. Temuan :
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8. Tanggapan :
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CATATAN :
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Probolinggo, ............... 2018

INSPEKTORAT
Mengetahui dan menyetujui KABUPATEN PROBOLINGGO
Kepala SDN Besuk II Petugas Monev

SETIONO, S.Pd .............................................

NIP. 19690601 199605 1 001
 SURAT PERNYATAAN

Yang bertanda tangan di bawah ini :

Nama : SETIONO, S.Pd

Jabatan : Kepala SDN Besuk II

Dengan ini menyatakan bahwa :

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Demikian Surat Pernyataan ini saya buat dengan sebenarnya tanpa paksaan dari pihak
manapun, apabila di kemudian hari saya terbukti membuat pernyataan palsu maka saya bersedia
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Probolinggo, .................2018
Kepala SDN Besuk II

SETIONO, S.Pd
NIP. 19690601 199605 1 001