PEMERINTAH KOTA BALIKPAPAN

DINAS KESEHATAN
PUSKESMAS MANGGAR BARU
JL. Mulawarman RT.07 Kel. Manggar Baru Kec. Balikpapan Timur (054

DAFTAR PENERIMA UANG PEMANTAUAN JENTIK BE

TRIWULAN III ( JULI - SEPTEMBER) TAHUN 201
KELURAHAN MANGGAR BARU
NO NAMA KADER NO.NPWP RT URAIAN JUMLAH
UNIT COST JLH.RMH

1 Septiani 1 Rp 3000 162 Rp 486,000.00

2 Rusdiana 550213805721001 2 Rp 3000 135 Rp 405,000.00
3 Mutmainnah 871923306721000 3 Rp 3000 71 Rp 213,000.00
4 Samiyati 4 Rp 3000 36 Rp 108,000.00
5 Sabariah 5 Rp 3000 0 Rp -
6 Ernawati 6 Rp 3000 62 Rp 186,000.00
7 Binti Musaatin 7 Rp 3000 47 Rp 141,000.00
8 Salma 8 Rp 3000 63 Rp 189,000.00
9 Mukarroma 9 Rp 3000 0 Rp -
10 Asmawati 751013251721000 10 Rp 3000 102 Rp 306,000.00
11 Ida Safriani 895132991721000 11 Rp 3000 127 Rp 381,000.00
12 Sumarni 12 Rp 3000 115 Rp 345,000.00
13 Jubaidah 13 Rp 3000 0 Rp -
14 Hijrah 14 Rp 3000 80 Rp 240,000.00
15 Rusmini 15 Rp 3000 0 Rp -
16 St.Aminah 764210589721000 16 Rp 3000 69 Rp 207,000.00
17 Suriyani 17 Rp 3000 90 Rp 270,000.00
18 Herliwati 18 Rp 3000 97 Rp 291,000.00
19 Dian Purwanti 714270741721000 19 Rp 3000 176 Rp 528,000.00
20 Hayana 20 Rp 3000 118 Rp 354,000.00
21 Nurhana 21 Rp 3000 82 Rp 246,000.00
22 Sumiati 22 Rp 3000 62 Rp 186,000.00
23 Irawati 23 Rp 3000 0 Rp -
24 Eva Triani 24 Rp 3000 91 Rp 273,000.00
 25 Ida Laela 25 Rp 3000 74 Rp 222,000.00
26 Mawar 26 Rp 3000 81 Rp 243,000.00
27 Sumarni 777321365721000 27 Rp 3000 0 Rp -
28 Devy D 28 Rp 3000 76 Rp 228,000.00
29 Hasnawati 29 Rp 3000 0 Rp -
30 Harini 30 Rp 3000 129 Rp 387,000.00
31 R.Evi 31 Rp 3000 222 Rp 666,000.00
32 Sa'diyatul widat 32 Rp 3000 72 Rp 216,000.00

33 Rusmawati 33 Rp 3000 0 Rp -

34 Tuti Tiotor 34 Rp 3000 0 Rp -

35 Nurkaya 35 Rp 3000 0 Rp -

36 Hamsia 36 Rp 3000 60 Rp 180,000.00

37 Jubaidah 37 Rp 3000 70 Rp 210,000.00

38 Lina 38 Rp 3000 83 Rp 249,000.00

39 Martati 39 Rp 3000 241 Rp 723,000.00

40 Rosdiana 40 Rp 3000 0 Rp -

41 Rusdiana 41 Rp 3000 120 Rp 360,000.00

42 Masliyani 42 Rp 3000 71 Rp 213,000.00

43 Khusnul K 43 Rp 3000 47 Rp 141,000.00

44 Finaka 44 Rp 3000 56 Rp 168,000.00

45 Kartini 46 Rp 3000 50 Rp 150,000.00

JUMLAH 3,237 Rp 9,711,000.00

Mengetahui,
Ka. Puskesmas Manggar Baru
PPTK

dr.Karunia Nente Siti Asiah

NIP.196601212000031005 NIP.197207051998032012
A BALIKPAPAN
HATAN
NGGAR BARU
ec. Balikpapan Timur (0542)-771986

NTAUAN JENTIK BERKALA

EMBER) TAHUN 2018
GGAR BARU

PPh 21 PPh 21 JUMLAH TANDA TANGAN

5% 6% DITERIMA
Rp 29,160.00 Rp 456,840.00 1
Rp 20,250.00 Rp 384,750.00 2
Rp 10,650.00 Rp 202,350.00 3
Rp - Rp 6,480.00 Rp 101,520.00 4
Rp - Rp - 5
Rp 11,160.00 Rp 174,840.00 6
Rp 8,460.00 Rp 132,540.00 7
Rp 11,340.00 Rp 177,660.00 8
Rp - Rp - 9
Rp 15,300.00 Rp 290,700.00 10 3
Rp 19,050.00 Rp 361,950.00 11
Rp 20,700.00 Rp 324,300.00 12
Rp - Rp - 13
Rp 14,400.00 Rp 225,600.00 14
Rp - Rp - 15
Rp 10,350.00 Rp 196,650.00 16
Rp 16,200.00 Rp 253,800.00 17
Rp 17,460.00 Rp 273,540.00 18
Rp 26,400.00 Rp 501,600.00 19
Rp 21,240.00 Rp 332,760.00 20
Rp 14,760.00 Rp 231,240.00 21
Rp 11,160.00 Rp 174,840.00 22
Rp - Rp - 23
Rp 16,380.00 Rp 256,620.00 24
 Rp 13,320.00 Rp - 25
Rp 14,580.00 Rp 228,420.00 26
Rp - Rp - 27
Rp 13,680.00 Rp 214,320.00 28
Rp - Rp - 29
Rp 23,220.00 Rp 363,780.00 30
Rp 39,960.00 Rp 626,040.00 31
Rp 12,960.00 Rp 203,040.00 32
Rp - Rp - 33
Rp - Rp - 34
Rp - Rp - Rp - 35
Rp 10,800.00 Rp 169,200.00 36
Rp 12,600.00 Rp 197,400.00 37
Rp 14,940.00 Rp 234,060.00 38
Rp 43,380.00 Rp 679,620.00 39
Rp - Rp - 40
Rp 21,600.00 Rp 338,400.00 41
Rp 12,780.00 Rp 200,220.00 42
Rp 8,460.00 Rp 132,540.00 43
Rp 10,080.00 Rp 157,920.00 44
Rp 9,000.00 Rp 141,000.00 45
Rp 102,000.00 Rp 460,260.00 Rp 9,148,740.00

Balikpapan,

Bendahara Pengeluaran Pembantu

Nurdiana Isnaini
1998032012 NIP.198603112008032002