Gaji Des 2016

PEMERINTAH PROPINSI DKI JAKARTA
BADAN KEPEGAWAIAN DAERAH
DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

BULAN : DESEMBER TAHUN : 2016
Page 1 of 952
SKPD: DINAS KESEHATAN
UKPD: DINAS KESEHATAN
NAMA PEGAWAI PENGHASILAN POTONGAN
NO STW
TG.LAHIR / NPWP JUAN GAPOK T.J.U TUNJAB TUNRAS POTRAS POTLAIN HASBER
N.I.P / N.R.K JIWA TUNRI T.P.P TUNFUNG TUNPPH IURAN WAJIB TABPERUM
STAPEG/KOJAB/GOL TUNAK JUMLAH BULAT JUMKOT POTPPH JUMPOT
R KOESMEDI PRIHARTO
1 07-08-1958/698910031411000 1 4,862,300 0 3,250,000 144,840 0 0
195808071987031007/125484 0 486,230 0 0 0 534,853 10,000 8,198,600
PNS/000000/IVC 2 0 0 83 8,743,453 0 544,853
KHAFIFAH ANY
2 03-06-1960/575728365034000 1 4,713,800 0 2,025,000 217,260 0 0
196006031989032001/123292 1 471,380 0 0 0 527,945 10,000 6,983,800
PNS/100000/IVC 3 94,276 0 29 7,521,745 0 537,945
YULIDAR NUR ADINDA

3 14-07-1960/057495350009000 1 4,811,900 0 1,260,000 72,420 0 0
196007141986102001/122723 0 0 0 0 0 481,190 10,000 5,653,200
PNS/703000/IVB 1 0 0 70 6,144,390 0 491,190
WIDYASTUTI
4 29-06-1964/122527845412999 1 4,522,500 0 1,260,000 289,680 0 0
196406291989122001/126954 2 452,250 0 0 0 515,565 10,000 6,179,800
PNS/704000/IVB 4 180,900 0 35 6,705,365 0 525,565
CHANDRAWATI
5 02-07-1963/692229248074000 1 4,339,000 0 1,260,000 72,420 0 0
196307021989022001/120810 0 0 0 0 0 433,900 10,000 5,227,600
PNS/701000/IVA 1 0 0 80 5,671,500 0 443,900
MARIA MARGARETHA KT
6 03-07-1968/570506360017000 1 4,078,100 0 1,260,000 289,680 0 0
196807031994032010/158433 2 407,810 0 0 0 464,903 10,000 5,723,900
PNS/702000/IVA 4 163,124 0 89 6,198,803 0 474,903
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Page 2 of 952
NO STW
EEN HERYANI BSC
7 10-03-1960/080887334013000 1 4,475,700 0 1,260,000 72,420 0 0
196003101986032003/115555 0 0 0 0 0 447,570 10,000 5,350,600
PNS/500000/IVA 1 0 0 50 5,808,170 0 457,570
DESI PRIYANTHY
8 02-12-1965/058828369014000 1 4,078,100 0 540,000 289,680 0 0
196512021994032006/118305 2 407,810 0 0 0 464,903 10,000 5,003,900
PNS/701100/IVA 4 163,124 0 89 5,478,803 0 474,903
KRISTY WATHINI
9 22-11-1963/675092035019000 1 4,078,100 0 540,000 217,260 0 0
196311221993032003/125650 1 407,810 0 0 0 456,747 10,000 4,858,000
PNS/703200/IVA 3 81,562 0 15 5,324,747 0 466,747
WAHYU RENGGANI
10 15-01-1967/584240444086000 1 4,078,100 0 540,000 289,680 0 0
196701151994032004/157537 2 407,810 0 0 0 464,903 10,000 5,003,900
PNS/703300/IVA 4 163,124 0 89 5,478,803 0 474,903
ENDANG MURDIATI
11 05-05-1965/675091946013000 0 4,206,500 0 540,000 72,420 0 0
196505051992022001/120645 0 0 0 0 0 420,650 10,000 4,388,300
PNS/704100/IVA 1 0 0 30 4,818,950 0 430,650
AYATULLOH
12 27-04-1964/486887714035000 1 4,035,800 0 540,000 289,680 0 0
196404271987031007/110446 2 403,580 0 0 0 460,081 7,000 4,963,500
PNS/500200/IIID 4 161,432 0 89 5,430,581 0 467,081
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Page 3 of 952
NO STW
GAFAR HARTATIYANTO
13 12-06-1975/591981147432000 1 3,350,600 0 540,000 144,840 0 0
197506122006041003/164928 1 0 0 0 0 341,761 7,000 3,753,700
PNS/702200/IIID 2 67,012 0 9 4,102,461 0 348,761
DWI OKTAVIA HANDAYANI

14 02-10-1973/493831036008000 1 3,565,000 0 540,000 72,420 0 0
197310022006042014/165397 0 0 0 0 0 356,500 7,000 3,814,000
PNS/704200/IIID 1 0 0 80 4,177,500 0 363,500
TARIPAR PANJAITAN
15 15-09-1960/678450404086000 1 4,035,800 0 540,000 289,680 0 0
196009151987031007/110596 2 403,580 0 0 0 460,081 7,000 4,963,500
PNS/500400/IIID 4 161,432 0 89 5,430,581 0 467,081
NUNIT PUJIATI
16 04-01-1966/581802618009000 1 4,035,800 0 540,000 72,420 0 0
196601041990032006/122561 0 0 0 0 0 403,580 7,000 4,237,700
PNS/500100/IIID 1 0 0 60 4,648,280 0 410,580
NIKENSARI
17 27-03-1973/584949978005000 1 3,565,000 0 540,000 289,680 0 0
197303272006042021/165400 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/701200/IIID 4 142,600 0 30 4,893,810 0 413,410
DICKY ALSADIK
18 21-06-1977/092320894404000 1 3,350,600 0 540,000 72,420 0 0
197706212006041021/165514 0 0 0 0 0 335,060 7,000 3,621,000
PNS/701300/IIID 1 0 0 40 3,963,060 0 342,060
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Page 4 of 952
NO STW
PURWADI
19 04-04-1973/497448571412000 1 3,528,100 0 540,000 289,680 0 0
197304041993031006/122346 2 352,810 0 0 0 402,203 7,000 4,442,600
PNS/703100/IIIC 4 141,124 0 89 4,851,803 0 409,203
NUNIEK RIA SUNDARI

20 26-07-1980/675696744001000 0 2,839,700 0 540,000 72,420 0 0
198007262011012006/181259 0 0 0 0 0 283,970 7,000 3,161,200
PNS/500300/IIIC 1 0 0 50 3,452,170 0 290,970
WISNU EKO PRASETYO

21 01-05-1982/247400641411000 1 2,839,700 0 540,000 217,260 0 0
198205012011011008/180240 1 283,970 0 0 0 318,046 7,000 3,612,700
PNS/704300/IIIC 3 56,794 0 22 3,937,746 0 325,046
HELUDI WAHYU ARSO

22 31-12-1975/096442884018000 1 3,084,200 0 540,000 289,680 0 0
197512312006041074/165456 2 308,420 0 0 0 351,598 7,000 3,987,100
PNS/702100/IIIB 4 123,368 0 30 4,345,698 0 358,598
AZMY R
23 22-10-1959/188282898009000 1 4,665,000 190,000 0 144,840 0 0
195910221988121001/119094 0 466,500 0 0 0 513,150 10,000 4,943,200
PNS/798011/IVB 2 0 190,000 10 5,466,350 0 523,150
DARWIN
24 28-10-1961/471392878017000 1 4,339,000 190,000 0 217,260 0 0
196110281985031007/070691 1 433,900 0 0 0 485,968 10,000 4,771,000
PNS/798011/IVA 3 86,780 190,000 28 5,266,968 0 495,968
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Page 5 of 952
NO STW
PRATIWI
25 08-12-1961/485506646412000 1 4,339,000 190,000 0 144,840 0 0
196112081989012001/117888 0 433,900 0 0 0 477,290 10,000 4,620,500
PNS/798011/IVA 2 0 190,000 50 5,107,790 0 487,290
DIDI NURDIAN ABADI

26 30-01-1960/366377661015000 1 4,339,000 190,000 0 217,260 0 0
196001301989111001/118457 1 433,900 0 0 0 485,968 10,000 4,771,000
PNS/798011/IVA 3 86,780 190,000 28 5,266,968 0 495,968
ISKANDAR MULIA
27 11-02-1961/076002443021000 1 4,339,000 190,000 0 217,260 0 0
196102111989031004/157549 1 433,900 0 0 0 485,968 10,000 4,771,000
PNS/798011/IVA 3 86,780 190,000 28 5,266,968 0 495,968
OKTOVINA RANTE
28 17-10-1966/485506620005000 1 3,832,800 190,000 0 289,680 0 0
196610171997032001/157593 2 383,280 0 0 0 436,939 10,000 4,402,200
PNS/798011/IVA 4 153,312 190,000 67 4,849,139 0 446,939
MURNI HAYATI
29 17-11-1959/087771002003000 1 4,475,700 190,000 0 144,840 0 0
195911171988022001/158229 1 0 0 0 0 456,521 10,000 4,433,600
PNS/798011/IVA 2 89,514 190,000 67 4,900,121 0 466,521
ETRINA ERIAWATI
30 13-10-1964/372059360017000 1 4,078,100 190,000 0 289,680 0 0
196410131994032004/164491 2 407,810 0 0 0 464,903 10,000 4,653,900
PNS/798011/IVA 4 163,124 190,000 89 5,128,803 0 474,903
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Page 6 of 952
NO STW
MURNI L.NAIBAHO
31 20-10-1973/594859928031000 1 3,602,400 190,000 0 289,680 0 0
197310202002122004/165128 2 360,240 0 0 0 410,673 10,000 4,165,800
PNS/798011/IVA 4 144,096 190,000 57 4,586,473 0 420,673
SRI PUJI WAHYUNI

32 04-11-1970/697638260077000 1 3,715,800 190,000 0 72,420 0 0
197011042002122002/165159 0 0 0 0 0 371,580 10,000 3,596,700
PNS/798011/IVA 1 0 190,000 60 3,978,280 0 381,580
IRMA SUFRIANI
33 08-10-1969/096700299036999 1 3,715,800 190,000 0 289,680 0 0
196910082002122001/165182 2 371,580 0 0 0 423,601 10,000 4,282,100
PNS/798011/IVA 4 148,632 190,000 9 4,715,701 0 433,601
LISA NATALIA
34 23-12-1968/null 1 3,832,800 190,000 0 217,260 0 0
196812232006042002/191422 1 383,280 0 0 0 429,273 10,000 4,260,800
PNS/798981/IVA 3 76,656 190,000 77 4,700,073 0 439,273
SRI RACHMAWATI
35 11-10-1970/258955814008000 0 3,456,200 185,000 0 72,420 0 0
197010112002122003/189130 0 0 0 0 0 345,620 7,000 3,361,000
PNS/798012/IIID 1 0 185,000 0 3,713,620 0 352,620
REFNI DUMESTY
36 14-01-1972/787061373412000 1 3,565,000 185,000 0 289,680 0 0
197201141999032002/165551 2 356,500 0 0 0 406,410 7,000 4,125,400
PNS/798011/IIID 4 142,600 185,000 30 4,538,810 0 413,410
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Page 7 of 952
NO STW
LUSI WIDIASTUTI
37 30-05-1974/076634013035001 1 3,456,200 0 0 289,680 0 0
197405302006042016/165604 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
MARINI
38 08-05-1975/592379515008000 1 3,350,600 0 0 289,680 0 0
197505082006042001/174765 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
SOFYAN
39 04-05-1959/584240410407000 1 4,429,300 185,000 0 217,260 0 0
195905041981021003/116438 1 442,930 0 0 0 496,081 7,000 4,860,000
PNS/798011/IIID 3 88,586 185,000 5 5,363,081 0 503,081
IDA KURNIAWATI
40 11-07-1970/250980364009000 1 3,912,600 185,000 0 72,420 0 0
197007111992032007/117384 0 0 0 0 0 391,260 7,000 3,771,800
PNS/798011/IIID 1 0 185,000 40 4,170,060 0 398,260
PUSPITA DWI PUTRANTI

41 11-08-1973/486887573016000 1 3,565,000 185,000 0 289,680 0 0
197308111999032006/157589 2 356,500 0 0 0 406,410 7,000 4,125,400
PNS/798012/IIID 4 142,600 185,000 30 4,538,810 0 413,410
NOVI PRIYANTI UTAMI

42 20-11-1975/574410288035000 1 3,248,300 185,000 0 289,680 0 0
197511202006042005/164873 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
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Page 8 of 952
NO STW
KOMARUNISA
43 22-01-1975/687181727045000 1 3,248,300 185,000 0 289,680 0 0
197501222006042011/164941 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
ARIEF WAHYUDHY
44 27-02-1980/672506573404000 1 3,248,300 185,000 0 289,680 0 0
198002272006041006/165035 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
RETNO ISAWITRI
45 23-03-1967/472590777003000 0 4,162,900 185,000 0 144,840 0 0
196703231990032001/165080 0 416,290 0 0 0 457,919 7,000 4,444,200
PNS/798011/IIID 2 0 185,000 89 4,909,119 0 464,919
RITA ANGGRAINI
46 30-06-1973/675091599013000 1 3,456,200 185,000 0 289,680 0 0
197306302006042019/165470 2 345,620 0 0 0 394,006 7,000 4,013,800
PNS/798011/IIID 4 138,248 185,000 58 4,414,806 0 401,006
PARLYNRAP DEMAK
47 24-02-1971/688632736008000 1 3,677,300 185,000 0 217,260 0 0
197102242000031006/168902 1 367,730 0 0 0 411,857 7,000 4,102,000
PNS/798011/IIID 3 73,546 185,000 21 4,520,857 0 418,857
ERNAWATI SITEPU
48 01-01-1972/462873753005000 1 3,565,000 185,000 0 72,420 0 0
197201011997032006/182764 0 0 0 0 0 356,500 7,000 3,459,000
PNS/798012/IIID 1 0 185,000 80 3,822,500 0 363,500
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Page 9 of 952
NO STW
CHARTINI
49 14-08-1966/null 1 3,912,600 0 0 72,420 0 0
196608141989022002/115623 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820341/IIID 1 0 0 40 4,485,060 0 398,260
MUJIRAH
50 15-11-1966/485621395005000 1 3,912,600 0 0 72,420 0 0
196611151989022001/115626 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820341/IIID 1 0 0 40 4,485,060 0 398,260
SUPRIYATI
51 03-09-1968/242689750412001 1 3,793,100 0 0 217,260 0 0
196809031991032003/116286 1 379,310 0 600,000 0 424,827 7,000 4,633,800
PNS/820307/IIID 3 75,862 0 95 5,065,627 0 431,827
SYAFRUDIN
52 28-02-1960/596884346418000 1 4,162,900 185,000 0 289,680 0 0
196002281978081001/157885 2 416,290 0 0 0 474,570 7,000 4,738,900
PNS/798022/IIID 4 166,516 185,000 84 5,220,470 0 481,570
ZEBA EVOLUSI
53 31-01-1965/590722088004000 0 3,315,900 185,000 0 72,420 0 0
196501312007012007/168371 0 0 0 0 0 331,590 7,000 3,234,800
PNS/798011/IIIC 1 0 185,000 70 3,573,390 0 338,590
RADEN ACHMAD SIGIT

54 24-01-1968/594111411024000 1 3,214,700 185,000 0 289,680 0 0
196801242007011020/168416 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798011/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
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Page 10 of 952
NO STW
REITA KARTIKA
55 24-06-1967/674192349064000 0 3,315,900 185,000 0 72,420 0 0
196706242007012019/168763 0 0 0 0 0 331,590 7,000 3,234,800
PNS/798011/IIIC 1 0 185,000 70 3,573,390 0 338,590
ADE MARGARETHA L.T

56 08-12-1985/893144907071000 0 2,929,100 185,000 0 72,420 0 0
198512082010012032/178788 0 0 0 0 0 292,910 7,000 2,886,700
PNS/000008/IIIC 1 0 185,000 90 3,186,610 0 299,910
RAMDAN TIAR
57 04-06-1984/895361343017000 0 2,810,200 0 0 72,420 0 0
198406042010011029/178835 0 0 0 750,000 0 281,020 7,000 3,344,600
PNS/820103/IIIC 1 0 0 0 3,632,620 0 288,020
AGUNG PRASETYO
58 23-09-1984/360903413418000 1 2,839,700 185,000 0 289,680 0 0
198409232011011004/181886 2 283,970 0 0 0 323,725 7,000 3,381,300
PNS/798011/IIIC 4 113,588 185,000 87 3,712,025 0 330,725
NORARITA
59 24-03-1973/691679807213000 1 3,528,100 185,000 0 72,420 0 0
197303241992012001/189131 0 0 0 0 0 352,810 7,000 3,425,800
PNS/798012/IIIC 1 0 185,000 90 3,785,610 0 359,810
INTAN KUSUMAWATI
60 11-07-1977/null 1 3,315,900 185,000 0 72,420 0 0
197707111997032002/191159 0 0 0 0 0 331,590 7,000 3,234,800
PNS/798981/IIIC 1 0 185,000 70 3,573,390 0 338,590
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Page 11 of 952
NO STW
HOTMAIDA
61 19-01-1967/678450339432000 1 3,639,200 185,000 0 72,420 0 0
196701191990032001/115646 0 0 0 0 0 363,920 7,000 3,525,700
PNS/798012/IIIC 1 0 185,000 0 3,896,620 0 370,920
ECEP SETYADI
62 02-09-1964/497299123036000 1 3,872,000 185,000 0 289,680 0 0
196409021986031008/118020 2 387,200 0 0 0 441,408 7,000 4,440,400
PNS/798011/IIIC 4 154,880 185,000 48 4,888,808 0 448,408
EKO SULISTYOWATI
63 26-01-1970/599574761407000 1 3,753,800 185,000 0 217,260 0 0
197001261992032002/120859 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798011/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
EMI YULIANI
64 05-07-1968/472590579407000 1 3,639,200 185,000 0 217,260 0 0
196807051991032014/157863 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798011/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
BAMBANG YULIARTO
65 05-07-1959/null 1 3,994,000 0 0 217,260 0 0
195907051989011002/162360 1 399,400 0 309,430 0 447,328 7,000 4,545,700
PNS/850101/IIIC 3 79,880 0 58 5,000,028 0 454,328
ELISABETH DUALEMBANG
66 11-06-1959/476448386005000 1 3,528,100 0 0 217,260 0 0
195906111995032001/162644 1 352,810 0 350,000 0 395,147 7,000 4,116,600
PNS/860114/IIIC 3 70,562 0 15 4,518,747 0 402,147
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PRATAMA KURNIA DEWI
67 29-10-1972/682841614013000 1 3,315,900 185,000 0 289,680 0 0
197210292006042016/165261 2 331,590 0 0 0 378,012 7,000 3,869,800
PNS/798011/IIIC 4 132,636 185,000 6 4,254,812 0 385,012
DYAH EKO JUDIHARTANTI

68 17-08-1971/499801793016000 1 3,315,900 185,000 0 289,680 0 0
197108172006042044/165464 2 331,590 0 0 0 378,012 7,000 3,869,800
PNS/798011/IIIC 4 132,636 185,000 6 4,254,812 0 385,012
FIENA FITHRIAH
69 14-03-1973/186845038017000 1 3,214,700 185,000 0 289,680 0 0
197303142006042018/165494 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798011/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
RATNA SARI
70 22-04-1978/281256164013001 1 3,214,700 185,000 0 289,680 0 0
197804222006042025/165502 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798011/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
TRESIA ARTHATI
71 20-01-1972/784087068017000 1 3,315,900 185,000 0 289,680 0 0
197201202006042013/165517 2 331,590 0 0 0 378,012 7,000 3,869,800
PNS/798011/IIIC 4 132,636 185,000 6 4,254,812 0 385,012
ASEP RAKHMAT
72 15-12-1970/070279732426000 1 3,214,700 185,000 0 217,260 0 0
197012152007011024/168383 1 321,470 0 0 0 360,046 7,000 3,635,700
PNS/798011/IIIC 3 64,294 185,000 22 4,002,746 0 367,046
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INDA MUTIARA
73 17-04-1968/694236985016000 0 3,315,900 185,000 0 217,260 0 0
196804172007012029/168500 1 331,590 0 0 0 371,380 7,000 3,737,700
PNS/798011/IIIC 3 66,318 185,000 12 4,116,080 0 378,380
VERRY ADRIAN
74 12-04-1980/688519230432000 0 2,929,100 0 0 72,420 0 0
198004122010011032/178838 0 0 0 325,000 0 292,910 7,000 3,026,700
PNS/820107/IIIC 1 0 0 90 3,326,610 0 299,910
ACHMAD DIMASPUTRANTO
75 13-10-1985/350356200432000 1 2,839,700 0 0 217,260 0 0
198510132011011013/180207 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820103/IIIC 3 56,794 0 22 4,147,746 0 325,046
LISTIANI
76 25-05-1981/872033717009000 0 2,839,700 185,000 0 72,420 0 0
198105252011012015/180666 0 0 0 0 0 283,970 7,000 2,806,200
PNS/798011/IIIC 1 0 185,000 50 3,097,170 0 290,970
HARI SULISTIYONO
77 02-11-1983/242242113005000 1 2,839,700 0 0 289,680 0 0
198311022011011007/181045 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
DWI RATNA PUSPITASARI

78 27-05-1984/143571487331000 1 3,021,300 185,000 0 72,420 0 0
198405272008032001/184459 0 0 0 0 0 302,130 7,000 2,969,600
PNS/798011/IIIC 1 0 185,000 10 3,278,730 0 309,130
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MUNAWAR ABDUL HAJI
79 07-04-1984/162683890942000 0 2,929,100 185,000 0 72,420 0 0
198404072010011021/189125 0 0 0 0 0 292,910 7,000 2,886,700
PNS/798012/IIIC 1 0 185,000 90 3,186,610 0 299,910
YENNY SUWITO
80 01-01-1971/76144195023000 0 2,839,700 185,000 0 72,420 0 0
197101012011012002/189149 0 0 0 0 0 283,970 7,000 2,806,200
PNS/798981/IIIC 1 0 185,000 50 3,097,170 0 290,970
CISILIA TYAS IKASARI

81 29-10-1984/null 1 2,839,700 185,000 0 72,420 0 0
198410292011012005/191160 0 0 0 0 0 283,970 7,000 2,806,200
PNS/798981/IIIC 1 0 185,000 50 3,097,170 0 290,970
SHANTY LUMINTARI
82 12-10-1964/296949662017000 1 3,872,000 185,000 0 72,420 0 0
196410121989012001/115659 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798011/IIIC 1 0 185,000 80 4,129,500 0 394,200
PIARAWAN ZEGA
83 06-01-1977/784146292412000 1 3,315,900 0 0 289,680 0 0
197701061997031001/125080 2 331,590 0 500,000 0 378,012 7,000 4,184,800
PNS/820312/IIIC 4 132,636 0 6 4,569,812 0 385,012
DEBBIE VALONDAS
84 07-12-1974/245707476412000 1 3,420,300 185,000 0 289,680 0 0
197412071997032001/125540 2 342,030 0 0 0 389,914 7,000 3,977,000
PNS/798011/IIIC 4 136,812 185,000 92 4,373,914 0 396,914
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WARYANTO
85 14-09-1963/697285054403000 1 4,119,700 185,000 0 217,260 0 0
196309141986031007/158142 1 411,970 0 0 0 461,406 7,000 4,548,000
PNS/798012/IIIC 3 82,394 185,000 82 5,016,406 0 468,406
RABIATUN NADZIR
86 28-07-1965/289144933077000 0 3,872,000 185,000 0 72,420 0 0
196507281989032005/158223 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798011/IIIC 1 0 185,000 80 4,129,500 0 394,200
CARISSA GRANI
87 26-07-1984/261520761411000 1 2,839,700 0 0 289,680 0 0
198407262011012018/181233 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820607/IIIC 4 113,588 0 87 3,852,025 0 330,725
AR DJOKO TRIANTO
88 04-05-1959/485506307407700 1 4,249,500 185,000 0 144,840 0 0
195905041981051001/072115 0 424,950 0 0 0 467,445 7,000 4,529,900
PNS/798022/IIIC 2 0 185,000 55 5,004,345 0 474,445
WARDI
89 12-05-1959/485506166002000 1 4,249,500 185,000 0 217,260 0 0
195905121981071001/072270 1 424,950 0 0 0 475,944 7,000 4,678,800
PNS/798022/IIIC 3 84,990 185,000 44 5,161,744 0 482,944
SURANY
90 25-11-1963/584476824036000 1 3,994,000 185,000 0 144,840 0 0
196311251984012001/084544 0 399,400 0 0 0 439,340 7,000 4,276,900
PNS/798022/IIIC 2 0 185,000 0 4,723,240 0 446,340
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NO STW
AUDREY MARIA IB
91 27-05-1964/573282423017000 1 3,753,800 185,000 0 144,840 0 0
196403311993032002/123154 0 375,380 0 0 0 412,918 7,000 4,039,200
PNS/798011/IIIC 2 0 185,000 98 4,459,118 0 419,918
SITI RASMINAH
92 04-07-1963/492255179434000 1 3,639,200 185,000 0 217,260 0 0
196307041991032007/157959 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798022/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
ZAENAL ABIDIN
93 22-02-1967/485506216045000 1 3,639,200 185,000 0 289,680 0 0
196702221991031005/157969 2 363,920 0 0 0 414,868 7,000 4,201,500
PNS/798012/IIIC 4 145,568 185,000 0 4,623,368 0 421,868
WIEN ANDRIANI
94 08-04-1970/594048027029000 1 3,384,900 185,000 0 217,260 0 0
197004081992032002/168894 1 338,490 0 0 0 379,108 7,000 3,807,300
PNS/798022/IIIB 3 67,698 185,000 60 4,193,408 0 386,108
HANAWATI
95 11-08-1965/776667529086000 1 3,181,300 185,000 0 72,420 0 0
196508111996032001/119202 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
SUMIATI
96 12-02-1973/676578503403000 1 3,181,300 185,000 0 72,420 0 0
197302121996032004/121076 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
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NO STW
AGUS ATENG SETIAWAN
97 08-08-1969/497311720086000 1 3,281,500 185,000 0 289,680 0 0
196908081995031003/122336 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
YASLINA
98 12-08-1971/null 1 3,281,500 185,000 0 72,420 0 0
197108121997032004/123408 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798011/IIIB 1 0 185,000 30 3,538,950 0 335,150
SUSILO
99 04-06-1973/670735323432000 1 3,281,500 185,000 0 289,680 0 0
197306041998031009/125456 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
RISMANA ADJI
100 13-10-1974/787061266416000 1 3,281,500 185,000 0 289,680 0 0
197410131998031004/125587 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
ZITTA ARITONANG O
101 24-05-1971/581424660045000 0 2,385,975 185,000 0 72,420 0 0
197105241997031003/128523 0 0 0 0 0 238,597 7,000 2,397,800
PNS/999910/IIIB 1 0 185,000 2 2,643,397 0 245,597
ANTIK RACHMAWATI P
102 08-11-1972/575785373048000 1 3,281,500 185,000 0 289,680 0 0
197211081997032006/158029 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
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NO STW
MERYA DERITA
103 14-04-1976/095704847042000 0 3,181,300 185,000 0 72,420 0 0
197604141999032003/158303 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
ASTARI MAYANG
104 11-08-1981/null 1 2,990,000 185,000 0 144,840 0 0
198108112006042012/164833 0 299,000 0 0 0 328,900 7,000 3,283,000
PNS/798981/IIIB 2 0 185,000 60 3,618,900 0 335,900
HILDA ROYARIND
105 20-08-1973/790729081407000 1 3,281,500 185,000 0 289,680 0 0
197308202007012016/168730 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798012/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
DARA INDRI YUNITA

106 11-08-1983/895536217407000 1 2,898,700 185,000 0 217,260 0 0
198308112006042005/174730 1 289,870 0 0 0 324,654 7,000 3,317,200
PNS/798011/IIIB 3 57,974 185,000 50 3,648,854 0 331,654
EKA FERDIYUS SUPATMO

107 06-02-1986/349198358009000 0 2,810,200 185,000 0 72,420 0 0
198602062010011016/177555 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
RETNO HARIYANTI
108 19-03-1981/777014770432001 0 2,810,200 185,000 0 72,420 0 0
198103192010012019/179006 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
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ARIF PURWIADI
109 13-05-1978/579742859002000 1 2,724,400 185,000 0 289,680 0 0
197805132011011008/180662 2 272,440 0 0 0 310,581 7,000 3,263,000
PNS/798011/IIIB 4 108,976 185,000 85 3,580,581 0 317,581
RIA NOVIANTY
110 14-11-1980/474094109027000 1 2,724,400 185,000 0 289,680 0 0
198011142011012010/181629 2 272,440 0 0 0 310,581 7,000 3,263,000
PNS/798011/IIIB 4 108,976 185,000 85 3,580,581 0 317,581
BK SRI SUHADAH
111 10-10-1977/475899605912000 1 2,898,700 185,000 0 217,260 0 0
197710102005012020/183028 1 289,870 0 0 0 324,654 7,000 3,317,200
PNS/798011/IIIB 3 57,974 185,000 50 3,648,854 0 331,654
NOVA SETIANIE
112 26-06-1986/154570121105000 1 2,810,200 185,000 0 217,260 0 0
198606262009042012/183131 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798011/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
LAKSMI ARIEFANI D
113 28-03-1973/194947644034000 1 3,384,900 185,000 0 289,680 0 0
197303281992032003/123240 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
ERDI KOMARA
114 21-11-1974/578128332434000 1 3,281,500 185,000 0 289,680 0 0
197411211998031002/125630 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
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ERWINTA
115 28-12-1972/246956403411000 1 3,281,500 185,000 0 289,680 0 0
197212281998032007/125647 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798012/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
SAPTO NUGROHO
116 07-10-1972/485506075034000 1 3,281,500 185,000 0 289,680 0 0
197210071997031006/157836 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
FENDRIK JEKSI AFRIZON

117 02-02-1973/283548048004000 1 3,384,900 185,000 0 144,840 0 0
197302021992011001/164624 0 338,490 0 0 0 372,339 7,000 3,673,900
PNS/798011/IIIB 2 0 185,000 9 4,053,239 0 379,339
ASMIDA MARIANI
118 09-04-1972/680337938017000 1 3,384,900 185,000 0 289,680 0 0
197204091992032008/165521 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798981/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
ERNA RACHMAWATI
119 26-08-1971/492816558721000 1 3,491,500 185,000 0 289,680 0 0
197108261994012001/182705 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798012/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
TRIWULAN
120 19-10-1959/484576129075000 1 4,077,000 185,000 0 217,260 0 0
195910191980022001/067653 1 407,700 0 0 0 456,624 7,000 4,504,900
PNS/798022/IIIB 3 81,540 185,000 24 4,968,524 0 463,624
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SUMIARSIH
121 27-01-1962/485506364412000 1 3,952,600 185,000 0 72,420 0 0
196201271982112001/077022 0 0 0 0 0 395,260 7,000 3,807,800
PNS/798022/IIIB 1 0 185,000 40 4,210,060 0 402,260
R PURSITA
122 02-04-1965/486887649403000 0 3,714,900 185,000 0 72,420 0 0
196504021987032003/110259 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
GUNAWAN ACHIR DARMO

123 05-04-1966/170224844018000 1 3,714,900 185,000 0 289,680 0 0
196604051987031005/110515 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
I NYOMAN JUENA
124 06-06-1965/486887656017000 1 3,714,900 185,000 0 217,260 0 0
196506061987031004/110587 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
HERU BOEDI HARYANTO

125 02-10-1962/692229743001000 1 3,714,900 185,000 0 144,840 0 0
196210021987031004/110760 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
BUNYAMIN
126 10-04-1965/593897051027000 1 3,714,900 185,000 0 217,260 0 0
196504101987121003/111219 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
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NO STW
SJAMSUL ARAHMAN
127 03-09-1963/889456489035000 1 3,491,500 185,000 0 144,840 0 0
196309031990031003/114838 0 349,150 0 0 0 384,065 7,000 3,779,500
PNS/798022/IIIB 2 0 185,000 75 4,170,565 0 391,065
HENDRADI KHUMARGA
128 23-12-1963/null 1 3,831,900 0 0 144,840 0 0
196312231990121001/115759 0 383,190 0 309,430 0 421,509 7,000 4,240,900
PNS/850101/IIIB 2 0 0 49 4,669,409 0 428,509
SUMARNI
129 22-10-1962/485506703042000 1 3,491,500 185,000 0 217,260 0 0
196210221991032006/116201 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798012/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
MOHAMAD SOLEH
130 23-06-1969/772079760404000 1 3,384,900 185,000 0 289,680 0 0
196906231992031004/117860 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798022/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
MALIAH
131 14-06-1973/778956391013000 1 3,384,900 185,000 0 289,680 0 0
197306141995032001/120181 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798012/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
DESTRI SUSKURNIA R
132 25-12-1970/485506729403000 1 3,491,500 185,000 0 217,260 0 0
197012251991032009/120287 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798011/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
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SUGIYANTO
133 15-07-1975/268949161412000 1 3,181,300 185,000 0 289,680 0 0
197507151997031003/122355 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
SAJUN TUNOM
134 01-06-1976/680015294412000 1 3,181,300 185,000 0 217,260 0 0
197606011997032003/123146 1 318,130 0 0 0 356,305 7,000 3,602,100
PNS/798011/IIIB 3 63,626 185,000 89 3,965,405 0 363,305
UTTAMI AMALLIYAH
135 05-10-1971/676142045027000 1 3,491,500 185,000 0 289,680 0 0
197110051991032002/123272 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798012/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
SAEFUL MUSLIMIN
136 29-05-1973/593836463407000 1 3,281,500 185,000 0 217,260 0 0
197305291995031001/123399 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798011/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
RAMARIA SIRAIT
137 16-02-1967/776667537411000 1 3,281,500 185,000 0 217,260 0 0
196702161994032001/124389 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798022/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
DJUHRI
138 08-09-1961/485506596402000 1 3,601,400 185,000 0 217,260 0 0
196109081989031011/157827 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
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ENNY SURHARYANTI
139 09-11-1964/485506315407000 1 3,491,500 185,000 0 217,260 0 0
196411091990032003/157853 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798022/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
DEDE ERNAWATI
140 30-01-1965/485506604451000 0 3,831,900 185,000 0 217,260 0 0
196501301985032003/157936 2 0 0 0 0 398,517 7,000 3,982,000
PNS/798022/IIIB 3 153,276 185,000 81 4,387,517 0 405,517
YUNI CUPTIANA
141 11-06-1961/485506240036000 1 3,952,600 185,000 0 72,420 0 0
196106111982032005/158090 0 0 0 0 0 395,260 7,000 3,807,800
PNS/798022/IIIB 1 0 185,000 40 4,210,060 0 402,260
SARIFAH
142 18-06-1962/485506448412000 1 3,831,900 185,000 0 217,260 0 0
196206181984032006/158225 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SATINI
143 27-10-1963/472590645005000 1 3,831,900 185,000 0 144,840 0 0
196310271984032006/158245 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
WIDATI CHUSNIYAH
144 05-01-1959/472590660005000 1 3,952,600 185,000 0 144,840 0 0
195901051982032003/158247 0 395,260 0 0 0 434,786 7,000 4,236,000
PNS/798022/IIIB 2 0 185,000 86 4,677,786 0 441,786
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ELSINTA SARAGIH
145 14-09-1966/253065809028000 1 3,491,500 185,000 0 217,260 0 0
196609141990032004/158610 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798012/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
SULISTIOWATI
146 17-10-1975/142014646412999 1 3,181,300 185,000 0 289,680 0 0
197510172000032004/161530 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
LAILI NUR HIDAYATI

147 05-01-1974/576617302028000 1 3,384,900 185,000 0 72,420 0 0
197401051993022002/161771 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798011/IIIB 1 0 185,000 70 3,642,390 0 345,490
M NURDIN
148 11-01-1965/245371034042000 1 3,714,900 185,000 0 144,840 0 0
196501111987031004/162210 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
SITI INDRIYANI
149 11-09-1977/789752995064000 0 3,084,200 185,000 0 72,420 0 0
197709112008012021/172178 0 0 0 0 0 308,420 7,000 3,026,200
PNS/798022/IIIB 1 0 185,000 0 3,341,620 0 315,420
MUTIAH
150 22-09-1980/697598035036000 0 2,810,200 185,000 0 72,420 0 0
198009222010012021/177606 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
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VISI GITA NURLAINI
151 06-12-1977/698907193045000 0 2,810,200 185,000 0 289,680 0 0
197712062010012009/179130 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798011/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
INGGARI WATI
152 23-08-1975/576617104412000 1 3,148,300 185,000 0 217,260 0 0
197508232000122002/161517 1 314,830 0 0 0 352,609 7,000 3,568,800
PNS/798011/IIIA 3 62,966 185,000 53 3,928,409 0 359,609
ROSE SHIRLEY PANJAITAN

153 12-04-1959/null 0 3,349,800 185,000 0 72,420 0 0
null/162406 0 0 0 0 0 334,980 7,000 3,265,300
PNS/798981/IIIA 1 0 185,000 60 3,607,280 0 341,980
DERA LISMAJATI DEWI

154 11-05-1972/688855121005999 1 3,148,300 185,000 0 72,420 0 0
197205111992032005/165347 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798011/IIIA 1 0 185,000 10 3,405,730 0 321,830
ARIE MEUTIA NADA

155 26-01-1982/096550249061000 0 2,868,700 185,000 0 72,420 0 0
198201262007012008/168508 0 0 0 0 0 286,870 7,000 2,832,300
PNS/798011/IIIA 1 0 185,000 50 3,126,170 0 293,870
LISA UBAI SULISTIANI

156 21-01-1985/692182454015999 0 2,613,800 185,000 0 144,840 0 0
198501212010012029/178400 0 261,380 0 0 0 287,518 7,000 2,910,600
PNS/798011/IIIA 2 0 185,000 98 3,205,118 0 294,518
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SYAIFUL ANWAR
157 30-10-1973/495140568036000 1 2,959,000 185,000 0 289,680 0 0
197310301999031003/161624 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798011/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
JUNI ASTATY NAINGGOLAN

158 30-06-1982/485605539086000 1 2,781,100 185,000 0 289,680 0 0
198206302006042005/164984 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798011/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
DESY MERY DORSANTI

159 12-12-1973/675091912016000 1 3,148,300 185,000 0 289,680 0 0
197312121994032003/165113 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798981/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
AHIJRAH RAMADHANTI
160 23-07-1980/789920105017000 0 2,959,000 185,000 0 217,260 0 0
198007232008012019/171210 2 0 0 0 0 307,736 7,000 3,164,900
PNS/798011/IIIA 3 118,360 185,000 16 3,479,636 0 314,736
SIFIK
161 15-06-1980/870394707086000 0 2,781,100 185,000 0 72,420 0 0
198006152008011022/174613 0 0 0 0 0 278,110 7,000 2,753,500
PNS/798011/IIIA 1 0 185,000 90 3,038,610 0 285,110
NAYA RACHMIYANA
162 10-12-1987/346051428006000 1 2,613,800 185,000 0 217,260 0 0
198712102010012020/177379 1 261,380 0 0 0 292,745 7,000 3,030,000
PNS/798012/IIIA 3 52,276 185,000 29 3,329,745 0 299,745
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ADRI AKHYANI
163 18-10-1981/095755245042000 1 2,534,000 185,000 0 289,680 0 0
198110182011011007/180905 2 253,400 0 0 0 288,876 7,000 3,067,600
PNS/798011/IIIA 4 101,360 185,000 36 3,363,476 0 295,876
RIZKI SIMA
164 18-11-1984/364139816412000 1 2,534,000 185,000 0 217,260 0 0
198411182011011009/181422 1 253,400 0 0 0 283,808 7,000 2,949,600
PNS/798011/IIIA 3 50,680 185,000 68 3,240,408 0 290,808
NOVIANA ROSELA
165 04-06-1981/688780857008000 0 2,534,000 185,000 0 72,420 0 0
198106042011012013/181558 0 0 0 0 0 253,400 7,000 2,531,100
PNS/798012/IIIA 1 0 185,000 80 2,791,500 0 260,400
DONA MEUTHIA ARORA

166 11-11-1984/155470990201000 1 2,781,100 185,000 0 289,680 0 0
198411112006042009/182507 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798012/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
NILAM WINDA AMELIA W

167 27-03-1987/149936882201000 1 2,696,200 185,000 0 289,680 0 0
198703272008032001/182766 2 269,620 0 0 0 307,366 7,000 3,234,000
PNS/798012/IIIA 4 107,848 185,000 18 3,548,366 0 314,366
NUR'AINI MAULINAWATI
168 04-02-1980/784533978655000 1 2,781,100 185,000 0 72,420 0 0
198002042005012008/183134 0 0 0 0 0 278,110 7,000 2,753,500
PNS/798012/IIIA 1 0 185,000 90 3,038,610 0 285,110
21/12/2016

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NO STW
PUTRA AJAR SATATA
169 18-08-1975/484576087412000 1 3,052,200 185,000 0 289,680 0 0
197508181997031002/121571 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798011/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
ENDI
170 25-03-1973/476448378407000 1 3,052,200 0 0 289,680 0 0
197303251997031002/123101 2 305,220 0 275,000 0 347,950 7,000 3,689,300
PNS/860113/IIIA 4 122,088 0 62 4,044,250 0 354,950
WIJI SARAWATI
171 15-10-1977/497508754017000 1 2,959,000 185,000 0 289,680 0 0
197710151998032001/125848 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798011/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
HIDAYAT
172 31-12-1967/485506208005000 1 3,148,300 185,000 0 217,260 0 0
196712311994031069/157558 1 314,830 0 0 0 352,609 7,000 3,568,800
PNS/798022/IIIA 3 62,966 185,000 53 3,928,409 0 359,609
BUDI SURYANI
173 14-07-1973/472590942411000 1 2,959,000 185,000 0 289,680 0 0
197307141998032005/157785 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798022/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
BUDI SULISTIYONO
174 13-07-1968/284906989015000 0 3,052,200 185,000 0 72,420 0 0
196807131996031003/157848 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798022/IIIA 1 0 185,000 0 3,309,620 0 312,220
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NO STW
AAN ARYANTI
175 08-11-1976/244607800402000 1 3,052,200 185,000 0 144,840 0 0
197611082000122001/161552 0 305,220 0 0 0 335,742 7,000 3,344,600
PNS/798011/IIIA 2 0 185,000 82 3,687,342 0 342,742
TRINARSIH
176 18-01-1974/472590900411000 1 3,052,200 185,000 0 144,840 0 0
197401181997032002/161629 0 305,220 0 0 0 335,742 7,000 3,344,600
PNS/798012/IIIA 2 0 185,000 82 3,687,342 0 342,742
NIKEN SULISTIORINI
177 13-10-1980/694940636085000 1 2,868,700 185,000 0 289,680 0 0
198010132007012007/168390 2 286,870 0 0 0 327,031 7,000 3,411,000
PNS/798012/IIIA 4 114,748 185,000 33 3,745,031 0 334,031
TEGUH SANTOSO
178 20-10-1970/676141953024000 1 2,868,700 185,000 0 217,260 0 0
197010202007011028/168558 1 286,870 0 0 0 321,294 7,000 3,287,000
PNS/798012/IIIA 3 57,374 185,000 90 3,615,294 0 328,294
RATNA UTAMI
179 06-04-1968/null 1 3,115,700 180,000 0 72,420 0 0
null/162243 0 0 0 0 0 311,570 5,000 3,051,600
PNS/798981/IID 1 0 180,000 50 3,368,170 0 316,570
YULYANTI
180 05-07-1976/678116443016000 1 2,838,900 180,000 0 289,680 0 0
197607052006042023/165570 2 283,890 0 0 0 323,634 5,000 3,377,400
PNS/798981/IID 4 113,556 180,000 8 3,706,034 0 328,634
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NO STW
DEDI HARI PRABOWO
181 16-07-1987/364114736412000 0 2,431,200 180,000 0 72,420 0 0
198707162011011017/181392 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798012/IID 1 0 180,000 0 2,683,620 0 248,120
ADI PURWO IRIANTO

182 05-06-1988/355011412407000 1 2,431,200 180,000 0 217,260 0 0
198806052011011006/181413 1 243,120 0 0 0 272,294 5,000 2,843,000
PNS/798011/IID 3 48,624 180,000 90 3,120,294 0 277,294
MUHAMAD YUSUF
183 11-11-1989/694318650017000 1 2,431,200 180,000 0 217,260 0 0
198911112011011006/181544 1 243,120 0 0 0 272,294 5,000 2,843,000
PNS/798011/IID 3 48,624 180,000 90 3,120,294 0 277,294
SUHESTI RIAMAYA
184 11-11-1985/495877102014000 1 2,431,200 180,000 0 289,680 0 0
198511112011012022/181765 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798012/IID 4 97,248 180,000 8 3,241,256 0 282,156
MUHAMAD GUFRON
185 14-05-1978/159631530942000 1 2,586,700 180,000 0 217,260 0 0
197805142008041001/183049 1 258,670 0 0 0 289,710 5,000 2,999,700
PNS/798012/IID 3 51,734 180,000 46 3,294,410 0 294,710
NI WAYAN SUARTINI
186 10-10-1982/075342600921001 1 2,507,800 180,000 0 144,840 0 0
198210102009032006/183301 0 250,780 0 0 0 275,858 5,000 2,802,600
PNS/798011/IID 2 0 180,000 38 3,083,458 0 280,858
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Page 32 of 952
NO STW
NIA HAFLI MARDANY
187 13-07-1987/698892551204000 1 2,431,200 180,000 0 72,420 0 0
198707132011012001/189858 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798981/IID 1 0 180,000 0 2,683,620 0 248,120
NOVALYANTI LESTARIA
188 29-10-1982/null 1 2,507,800 180,000 0 289,680 0 0
198210292009032012/191156 2 250,780 0 0 0 285,889 5,000 3,037,700
PNS/798981/IID 4 100,312 180,000 17 3,328,589 0 290,889
RACHMAN SLAMET S
189 28-06-1974/260481015009000 1 2,928,300 180,000 0 289,680 0 0
197406282000031001/161529 2 292,830 0 0 0 333,826 5,000 3,469,200
PNS/798981/IID 4 117,132 180,000 84 3,808,026 0 338,826
NENI HERLINA RAFIDA

190 28-02-1973/696669092411000 1 2,559,900 180,000 0 289,680 0 0
197302282006042030/174732 2 255,990 0 0 0 291,828 5,000 3,091,200
PNS/798011/IIC 4 102,396 180,000 62 3,388,028 0 296,828
EMMY DESIMAWATI
191 31-12-1982/452341373127000 1 2,332,500 180,000 0 217,260 0 0
198212312011012009/189868 1 233,250 0 0 0 261,240 5,000 2,743,500
PNS/798981/IIC 3 46,650 180,000 80 3,009,740 0 266,240
ATURUT YANSEN
192 10-05-1976/255552267045000 1 2,809,500 0 0 289,680 0 0
197605101997031006/130917 2 280,950 0 240,000 0 320,283 5,000 3,407,300
PNS/830225/IIC 4 112,380 0 73 3,732,583 0 325,283
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Page 33 of 952
NO STW
RAHMAWATI
193 21-04-1988/null 1 2,169,500 180,000 0 72,420 0 0
198804212010012010/191162 0 0 0 0 0 216,950 5,000 2,200,000
PNS/798981/IIB 1 0 180,000 30 2,421,950 0 221,950
KUAT SUPRIYANTO
194 27-05-1977/784321796086000 1 2,456,000 180,000 0 289,680 0 0
197705272007011022/179645 2 245,600 0 0 0 279,984 5,000 2,984,600
PNS/798022/IIB 4 98,240 180,000 64 3,269,584 0 284,984
JUMADI
195 29-01-1967/485506182031000 1 2,586,100 180,000 0 144,840 0 0
196701291993011001/116884 0 258,610 0 0 0 284,471 5,000 2,880,100
PNS/798041/IIA 2 0 180,000 21 3,169,571 0 289,471
JHON DAVID MAFIE

196 24-06-1975/254634686024000 1 3,019,800 180,000 0 144,840 0 0
null/157884 0 301,980 0 0 0 332,178 5,000 3,309,500
PNS/798022/IIA 2 0 180,000 58 3,646,678 0 337,178
FADLINA
197 30-01-1985/595991043402000 0 2,048,480 185,000 0 72,420 0 0
198501302011011007/181036 0 0 0 0 0 204,848 7,000 2,094,100
CPNS/798981/IIIB 1 0 185,000 48 2,305,948 0 211,848
21/12/2016

Page 34 of 952
NO STW
661,666,455 29,390,000 19,675,000 38,599,860 0 0
TOTAL 47,051,090 0 7,983,860 0 72,182,660 1,412,000 743,889,900
13,109,508 29,390,000 8,787 817,484,560 0 73,594,660
JAKARTA,
MENGETAHUI
KEPALA : DINAS KESEHATAN
21/12/2016

Page 35 of 952
UKPD: LABORATORIUM KESEHATAN DAERAH
NO STW
ENDRA MURYANTO
1 20-01-1964/676242795008000 1 4,384,400 0 1,260,000 289,680 0 0
196401201991031004/115683 2 438,440 0 0 0 499,821 10,000 6,038,100
PNS/000000/IVB 4 175,376 0 25 6,547,921 0 509,821
TITIS SUMADIANA
2 27-12-1969/579333659403000 1 3,677,300 0 540,000 72,420 0 0
196912271997032002/158295 0 0 0 0 0 367,730 7,000 3,915,000
PNS/500100/IIID 1 0 0 10 4,289,730 0 374,730
MHD ANIS
3 21-03-1965/676242704028000 1 4,078,100 0 0 217,260 0 0
196503211994011001/123379 2 0 0 1,200,000 0 424,122 10,000 5,224,400
PNS/820122/IVA 3 163,124 0 38 5,658,522 0 434,122
WATINI
4 21-01-1961/676742761432000 1 4,294,000 185,000 0 144,840 0 0
196101211983032006/128423 0 429,400 0 0 0 472,340 7,000 4,573,900
PNS/798011/IIID 2 0 185,000 0 5,053,240 0 479,340
TARTI WIDYANINGSIH
5 20-09-1968/245477427008000 1 3,912,600 0 0 289,680 0 0
196809201992032001/164701 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/830223/IIID 4 156,504 0 92 5,250,136 0 453,036
SITI HAJAR
6 15-09-1972/676242746005000 1 3,420,300 0 0 289,680 0 0
197209151994032004/164767 2 342,030 0 300,000 0 389,914 7,000 4,092,000
PNS/830222/IIIC 4 136,812 0 92 4,488,914 0 396,914
21/12/2016

Page 36 of 952
NO STW
HASFIAH FATTAH
7 18-03-1976/245575105001000 1 3,214,700 185,000 0 289,680 0 0
197603182006042016/165483 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798011/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
SOFIYANTI
8 19-08-1976/478580392002000 1 2,990,000 0 0 289,680 0 0
197608192000032002/162152 2 299,000 0 300,000 0 340,860 7,000 3,650,500
PNS/830222/IIIB 4 119,600 0 80 3,998,360 0 347,860
SITI MUSTORIAH
9 15-08-1967/575786520435000 0 3,714,900 185,000 0 72,420 0 0
196708151987032007/110474 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
SRI MULYANINGSIH
10 10-07-1977/676242712017000 1 2,990,000 185,000 0 289,680 0 0
197707102008012031/175340 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
ERNAWATI
11 30-10-1968/593785793451000 1 2,868,700 185,000 0 217,260 0 0
196810302014012002/183169 1 286,870 0 0 0 321,294 7,000 3,287,000
PNS/798012/IIIA 3 57,374 185,000 90 3,615,294 0 328,294
DIAN WAHYUNI
12 28-11-1974/695046631412000 1 2,781,100 0 0 217,260 0 0
197411282008012013/179856 2 0 0 300,000 0 289,234 7,000 3,113,400
PNS/830222/IIIA 3 111,244 0 30 3,409,634 0 296,234
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Page 37 of 952
NO STW
PRADANI ASRININGPURI
13 26-01-1977/477149348412000 1 2,752,300 180,000 0 72,420 0 0
197701262000032002/161535 0 0 0 0 0 275,230 5,000 2,724,500
PNS/798012/IID 1 0 180,000 10 3,004,730 0 280,230
YUYUN PURNAMASARI
14 21-06-1981/676242738045000 1 2,668,200 180,000 0 289,680 0 0
198106212008012024/175339 2 266,820 0 0 0 304,174 5,000 3,202,300
PNS/798012/IID 4 106,728 180,000 46 3,511,474 0 309,174
DWI ARIYANTI
15 25-02-1974/682871447013000 1 2,507,800 0 0 144,840 0 0
197402252009022001/183298 0 250,780 0 240,000 0 275,858 5,000 2,862,600
PNS/830225/IID 2 0 0 38 3,143,458 0 280,858
50,254,400 1,285,000 1,800,000 3,186,480 0 0

TOTAL 3,325,070 0 2,840,000 0 5,485,438 105,000 58,376,200
1,274,950 1,285,000 738 63,966,638 0 5,590,438
JAKARTA,
MENGETAHUI
21/12/2016

Page 38 of 952
UKPD: PUSAT PELAYANAN KESEHATAN PEGAWAI
NO STW
RITA SRI MARYATINA
1 08-03-1962/080887425013000 1 4,665,000 0 1,260,000 72,420 0 0
196203081988032004/111599 0 0 0 0 0 466,500 10,000 5,521,000
PNS/000000/IVB 1 0 0 80 5,997,500 0 476,500
SUHARDI
2 03-09-1961/269789954061000 0 4,162,900 0 540,000 72,420 0 0
196109031989011001/115617 0 0 0 0 0 416,290 7,000 4,352,100
PNS/500100/IIID 1 0 0 70 4,775,390 0 423,290
GUSNETI
3 12-08-1963/240973495072000 1 5,068,000 0 0 289,680 0 0
196308121987112001/118156 2 506,800 0 1,400,000 0 577,752 10,000 6,879,500
PNS/820601/IVD 4 202,720 0 52 7,467,252 0 587,752
LILIANI
4 13-06-1965/075945907048001 1 4,913,200 0 0 217,260 0 0
196506131989102002/164431 1 491,320 0 1,400,000 0 550,278 10,000 6,559,800
PNS/820601/IVD 3 98,264 0 34 7,120,078 0 560,278
KARTINI HANAH SUBADA

5 29-06-1959/485506422027000 0 4,862,300 0 0 72,420 0 0
195906291990022001/157922 0 0 0 1,400,000 0 486,230 10,000 5,838,500
PNS/820101/IVC 1 0 0 10 6,334,730 0 496,230
NOVITA T
6 01-11-1965/471394536015000 1 4,430,400 0 0 217,260 0 0
196511011993032006/122481 1 443,040 0 1,200,000 0 496,204 10,000 5,873,200
PNS/820602/IVC 3 88,608 0 96 6,379,404 0 506,204
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Page 39 of 952
NO STW
AZIZAH
7 29-02-1964/471394478001000 0 4,569,900 0 0 72,420 0 0
196402291992032002/122923 0 0 0 1,200,000 0 456,990 10,000 5,375,400
PNS/820602/IVC 1 0 0 70 5,842,390 0 466,990
YASMIN MUCHTAR
8 15-06-1966/093222743411000 1 4,430,400 0 0 217,260 0 0
196606151993032008/158261 1 443,040 0 1,200,000 0 496,204 10,000 5,873,200
PNS/820602/IVC 3 88,608 0 96 6,379,404 0 506,204
DALLER RODICKS R
9 10-10-1961/684304785432000 1 4,713,800 0 0 144,840 0 0
196110101989031009/158453 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820102/IVC 2 0 0 98 6,530,118 0 528,518
MOHAMAD NASRUN
10 03-06-1961/584240378411000 1 4,862,300 0 0 144,840 0 0
196106031987091001/162194 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820102/IVC 2 0 0 83 6,693,453 0 544,853
KURNIANTO AMIEN
11 27-09-1962/672506615019000 1 4,522,500 0 0 144,840 0 0
196109271989101001/120724 0 452,250 0 750,000 0 497,475 10,000 5,362,200
PNS/820103/IVB 2 0 0 85 5,869,675 0 507,475
ERDA HUSNI
12 14-03-1957/059528042024000 1 4,963,400 0 0 72,420 0 0
195703141983112001/113623 0 0 0 1,200,000 0 496,340 10,000 5,729,500
PNS/820102/IVB 1 0 0 20 6,235,840 0 506,340
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Page 40 of 952
NO STW
RR.WIWIK WIDAJANTI
13 13-03-1965/246888937451000 1 4,522,500 0 0 144,840 0 0
196503131989112001/119095 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
RINDA PUSPITA I
14 30-01-1967/244882742451000 1 4,384,400 0 0 217,260 0 0
196701301992032004/120308 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
RR YULIANI HENDRASWARI
15 31-03-1968/471394494002000 1 4,250,600 0 0 289,680 0 0
196803311994032006/125482 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
EDWINA
16 04-10-1960/584240469407000 1 4,811,900 0 0 144,840 0 0
196010041987012002/125757 0 481,190 0 1,200,000 0 529,309 10,000 6,098,700
PNS/820602/IVB 2 0 0 79 6,638,009 0 539,309
LAKSMI BANAWATI
17 05-06-1959/246921712016000 0 4,665,000 0 0 72,420 0 0
195906051988032004/157596 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820102/IVB 1 0 0 80 5,937,500 0 476,500
KUNDAP OM KAUNANG
18 05-09-1961/787236207036000 1 4,522,500 0 0 144,840 0 0
196109051989032003/158158 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820102/IVB 2 0 0 85 6,319,675 0 507,475
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Page 41 of 952
NO STW
RR.RATNA YUARITA.S
19 26-12-1957/684304728002000 1 4,963,400 0 0 72,420 0 0
195712261983112001/164586 0 0 0 1,200,000 0 496,340 10,000 5,729,500
PNS/820602/IVB 1 0 0 20 6,235,840 0 506,340
AGUSTINA SAMPURNI
20 04-08-1965/471394387035000 1 4,339,000 0 0 144,840 0 0
196508041986032011/107423 0 433,900 0 850,000 0 477,290 10,000 5,280,500
PNS/820350/IVA 2 0 0 50 5,767,790 0 487,290
RIFI ARANTI
21 02-10-1967/null 1 3,953,600 0 0 72,420 0 0
196710021993032005/118321 0 0 0 1,200,000 0 395,360 10,000 4,820,700
PNS/820602/IVA 1 0 0 40 5,226,060 0 405,360
TILA CHISTIALA
22 13-04-1964/243240330411000 1 4,078,100 0 0 72,420 0 0
196404131993032001/118405 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
REVI SRI YANTI

23 16-12-1966/null 0 4,078,100 0 0 72,420 0 0
196612161993022002/120336 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
LINDAWATI
24 23-03-1968/471394403013000 1 4,078,100 0 0 217,260 0 0
196803231993022001/123345 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
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Page 42 of 952
NO STW
TRINI HARTATI
25 27-07-1967/471394502031000 0 4,078,100 0 0 72,420 0 0
196707271993022001/157804 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
EKA YUNIARTI SIREGAR

26 01-06-1966/null 1 4,078,100 0 0 72,420 0 0
196606011993012001/164505 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
ATIEK WIJAYANTI
27 21-01-1980/478230881024999 1 3,385,700 0 0 72,420 0 0
198001212006042020/180051 0 0 0 1,200,000 0 338,570 10,000 4,309,600
PNS/820102/IVA 1 0 0 50 4,658,170 0 348,570
SM HASAN ASHARI
28 31-12-1958/684304710432000 1 4,616,600 0 0 217,260 0 0
195812311981031131/071793 1 461,660 0 500,000 0 517,059 10,000 5,360,800
PNS/820312/IVA 3 92,332 0 7 5,887,859 0 527,059
AYU WIDOWATI
29 02-07-1968/755819760017000 1 3,793,100 0 0 72,420 0 0
196807021993122001/118890 0 0 0 750,000 0 379,310 7,000 4,229,300
PNS/820603/IIID 1 0 0 90 4,615,610 0 386,310
EDDYNAS NURDIN
30 05-10-1962/699660163411000 1 4,162,900 0 0 289,680 0 0
196210051989101001/157180 2 416,290 0 750,000 0 474,570 7,000 5,303,900
PNS/820103/IIID 4 166,516 0 84 5,785,470 0 481,570
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Page 43 of 952
NO STW
SRI ELVIATI
31 23-02-1969/471394239005000 1 3,677,300 0 0 289,680 0 0
196902231996032001/157926 2 367,730 0 500,000 0 419,212 7,000 4,555,600
PNS/820312/IIID 4 147,092 0 10 4,981,812 0 426,212
EFI MUNARTI
32 14-02-1967/471394411003000 1 3,793,100 0 0 289,680 0 0
196702141999032002/164599 2 379,310 0 750,000 0 432,413 7,000 4,924,500
PNS/820103/IIID 4 151,724 0 99 5,363,913 0 439,413
SRI NURDIATI
33 09-04-1962/471394288008000 1 4,294,000 0 0 72,420 0 0
196204091983032004/084134 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/830223/IIID 1 0 0 80 4,866,500 0 436,400
TATI NURMALA
34 31-12-1963/471394304002000 1 4,035,800 0 0 144,840 0 0
196312311989032055/118302 0 403,580 0 1,150,000 0 443,938 7,000 5,283,300
PNS/900910/IIID 2 0 0 18 5,734,238 0 450,938
ROCHAYATIE
35 24-01-1961/471394338077000 0 4,429,300 0 0 72,420 0 0
196101241981122004/074026 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
IKA RUSTIKA
36 07-11-1959/471394353003000 1 4,294,000 0 0 72,420 0 0
195911071983032005/078821 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
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NO STW
TINNA SIAGIAN
37 18-05-1960/471394270005000 1 4,294,000 0 0 144,840 0 0
196005181983032004/079462 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
EMAWATI
38 31-12-1959/471394189002000 1 4,035,800 0 0 72,420 0 0
195912311988032013/111821 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/830223/IIID 1 0 0 60 4,608,280 0 410,580
OYAH MUHAYAH
39 07-05-1966/471394296003000 1 4,294,000 0 0 144,840 0 0
196605071989022001/114332 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
TRI KARTIKA
40 25-10-1967/471394205008000 1 3,912,600 0 0 217,260 0 0
196710251989032009/122258 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820621/IIID 3 78,252 0 39 5,099,411 0 445,211
NURUL HUDA
41 23-02-1972/471394247005000 1 3,793,100 0 0 217,260 0 0
197202231991012003/164434 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820341/IIID 3 75,862 0 95 4,965,627 0 431,827
IRNAWATY RASYID
42 03-09-1971/441557063043000 1 3,315,900 0 0 72,420 0 0
197109032006042022/165762 0 0 0 325,000 0 331,590 7,000 3,374,800
PNS/820107/IIIC 1 0 0 70 3,713,390 0 338,590
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NO STW
DESRIA BACHTIAR
43 09-12-1962/899446223_451000 1 3,994,000 0 0 217,260 0 0
196212091984082001/115620 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820131/IIIC 3 79,880 0 88 5,190,628 0 454,328
NINI WARSINI
44 13-12-1969/471394155031000 1 3,639,200 0 0 217,260 0 0
196912131991032004/164461 1 363,920 0 600,000 0 407,590 7,000 4,478,600
PNS/820346/IIIC 3 72,784 0 26 4,893,190 0 414,590
HAZIM FADHLI
45 16-02-1978/null 1 3,116,500 0 0 289,680 0 0
197802162006041006/164972 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
TJATUR SETIJO NUGROHO

46 31-08-1966/059566729015000 0 3,116,500 0 0 217,260 0 0
196608312008011004/170063 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
SALY RINA PATTIKAWA

47 14-08-1981/363427949003000 1 2,839,700 0 0 289,680 0 0
198108142011012004/181243 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
WIDOWATY
48 16-08-1967/471394692013000 1 3,639,200 0 0 144,840 0 0
196708161994032002/120739 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820384/IIIC 2 0 0 52 4,648,012 0 407,312
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NO STW
SITI HAWA SINAGA
49 01-06-1968/245262860451000 1 3,528,100 0 0 289,680 0 0
196806011996032004/122441 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820312/IIIC 4 141,124 0 89 4,811,803 0 409,203
KARDIN
50 24-02-1975/259755403432000 1 3,315,900 0 0 289,680 0 0
197502241997031003/123522 2 331,590 0 600,000 0 378,012 7,000 4,284,800
PNS/820307/IIIC 4 132,636 0 6 4,669,812 0 385,012
DASIH WIDIYATI
51 21-12-1970/471394213045000 0 3,639,200 0 0 72,420 0 0
197012211990112001/130935 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820621/IIIC 1 0 0 0 4,211,620 0 370,920
LINTANG WULANSARI
52 09-01-1987/582260121017000 1 2,641,200 185,000 0 217,260 0 0
198701092014032005/183666 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/800200/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
RATIH CATUR SHOLIHAH

53 16-09-1986/546663139532000 1 2,641,200 185,000 0 217,260 0 0
198609162014032002/183706 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
STEVANY ANGELIA
54 12-09-1988/713120319017000 1 2,641,200 185,000 0 217,260 0 0
198809122014032002/183743 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/800100/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
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NO STW
FIDRIANIE RAMADHONA
55 31-05-1985/782208524403000 0 2,641,200 185,000 0 72,420 0 0
198505312014032003/183781 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
HELEN NURLELA E H
56 03-10-1977/356361758005000 1 3,084,200 0 0 289,680 0 0
197710031998032002/125820 2 308,420 0 600,000 0 351,598 7,000 4,047,100
PNS/820307/IIIB 4 123,368 0 30 4,405,698 0 358,598
SUDIYATI
57 29-03-1968/182626358034000 0 3,384,900 0 0 72,420 0 0
196803291995032002/119082 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
WASILAH
58 17-03-1975/362776064418000 0 3,181,300 0 0 72,420 0 0
197503171997032003/123376 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
RAUDATUN NADYA
59 19-07-1972/575785340015000 1 3,281,500 185,000 0 289,680 0 0
197207191997032003/124933 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798012/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
IVA RICHWANA
60 04-03-1981/682860168003000 1 2,898,700 0 0 289,680 0 0
198103042006042008/179886 2 289,870 0 265,000 0 330,451 7,000 3,521,800
PNS/900071/IIIB 4 115,948 0 53 3,859,251 0 337,451
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Page 48 of 952
NO STW
ISNAINI
61 02-02-1959/471394734024000 0 4,205,400 185,000 0 72,420 0 0
195902021975032001/053254 0 0 0 0 0 420,540 7,000 4,035,300
PNS/798022/IIIB 1 0 185,000 20 4,462,840 0 427,540
FRANSISCA CD NINIK K
62 01-02-1960/471394742002000 1 3,831,900 185,000 0 144,840 0 0
196002011983122001/079669 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
ESTER WILIANI
63 17-03-1967/485506679005000 0 3,714,900 185,000 0 72,420 0 0
196703171988032008/111176 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
RACHMAT
64 21-12-1962/471394718035000 1 3,601,400 185,000 0 217,260 0 0
196212211988031002/111624 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
IBRAHIM
65 10-12-1962/471394676071000 1 3,491,500 185,000 0 289,680 0 0
196212101990091001/114685 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
HERI PRAPTANTO
66 18-12-1969/091255448086000 1 3,181,300 0 0 217,260 0 0
196912181999031003/157921 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820385/IIIB 3 63,626 0 89 4,045,405 0 363,305
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NO STW
AGNES PRIMA LESTARI
67 21-04-1974/471394122005000 1 3,181,300 0 0 289,680 0 0
197404211997032005/157933 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
SAMINO
68 13-09-1972/778797407009000 1 3,181,300 0 0 289,680 0 0
197209131999031006/158302 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820385/IIIB 4 127,252 0 6 4,181,368 0 369,668
SAHALA H PANJAITAN
69 23-04-1965/899446264435000 1 3,491,500 185,000 0 289,680 0 0
196504231991031005/161593 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
FIRA MAYA TUSILA

70 07-12-1982/474494317517001 1 2,898,700 0 0 289,680 0 0
198212072005012008/180127 2 289,870 0 265,000 0 330,451 7,000 3,521,800
PNS/820342/IIIB 4 115,948 0 53 3,859,251 0 337,451
SARIPUDIN
71 09-01-1962/471394668012000 1 3,491,500 185,000 0 289,680 0 0
196201091987031005/110209 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
DIAH SARI KOMARA

72 02-04-1974/471394106027000 0 3,148,300 185,000 0 144,840 0 0
197404021995032002/119083 1 0 0 0 0 321,126 7,000 3,213,000
PNS/798011/IIIA 2 62,966 185,000 20 3,541,126 0 328,126
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NO STW
NASTIUR DEWI MANURUNG
73 02-10-1974/471394114407000 1 3,052,200 0 0 289,680 0 0
197410021999032006/157981 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
ATIK SUBEKTI
74 12-03-1974/471394130005000 1 3,349,800 0 0 289,680 0 0
197403121995032001/119138 2 334,980 0 265,000 0 381,877 7,000 3,984,600
PNS/820313/IIIA 4 133,992 0 25 4,373,477 0 388,877
AGUS MARSIDIK
75 16-08-1964/471394866014000 1 3,052,200 185,000 0 289,680 0 0
196408161997031001/121569 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798022/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
MILA RIANTI
76 10-11-1976/454526108407999 1 3,052,200 0 0 144,840 0 0
197611101997032002/162625 1 0 0 265,000 0 311,324 7,000 3,204,800
PNS/820313/IIIA 2 61,044 0 40 3,523,124 0 318,324
MARIANUS SONI
77 01-07-1974/294877121086000 1 3,148,300 0 0 289,680 0 0
197407011995031003/162654 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820622/IIIA 4 125,932 0 64 4,143,806 0 365,906
RATNA WILIS
78 04-02-1964/485506695013000 1 3,455,300 185,000 0 144,840 0 0
196402041988032005/164605 0 345,530 0 0 0 380,083 7,000 3,743,600
PNS/798022/IIIA 2 0 185,000 13 4,130,683 0 387,083
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NO STW
AYU FRIDASARI
79 10-02-1987/264691783451000 1 2,507,800 180,000 0 72,420 0 0
198702102010012003/185532 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798022/IID 1 0 180,000 60 2,760,280 0 255,780
ADAWIYAH BR SELIAN
80 30-11-1982/471394098023000 1 2,640,600 0 0 72,420 0 0
198211302000122001/164484 0 0 0 240,000 0 264,060 5,000 2,684,000
PNS/820314/IIC 1 0 0 40 2,953,060 0 269,060
ISMANTORO
81 05-06-1961/593921992003000 1 3,147,600 180,000 0 289,680 0 0
196106051984031011/083188 2 314,760 0 0 0 358,826 5,000 3,694,200
PNS/798041/IIB 4 125,904 180,000 82 4,058,026 0 363,826
ADI PURWANTO
82 21-10-1968/471394080036000 1 2,695,500 180,000 0 217,260 0 0
196810211994031002/118243 1 269,550 0 0 0 301,896 5,000 3,109,400
PNS/798041/IIB 3 53,910 180,000 76 3,416,296 0 306,896
SUMIYATI
83 09-12-1960/778797340432000 0 2,751,600 180,000 0 72,420 0 0
196012091987032002/109280 0 0 0 0 0 275,160 5,000 2,723,900
PNS/798042/IIA 1 0 180,000 40 3,004,060 0 280,160
ABDURAKHMAN
84 08-12-1959/null 1 2,307,200 175,000 0 144,840 0 0
195912081992021001/116484 0 230,720 0 0 0 253,792 3,000 2,601,000
PNS/798042/IC 2 0 175,000 32 2,857,792 0 256,792
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NO STW
314,897,700 3,670,000 1,800,000 14,701,260 0 0
TOTAL 19,936,460 0 46,980,000 0 33,935,231 655,000 371,917,700
4,518,312 3,670,000 4,199 406,507,931 0 34,590,231
JAKARTA,
MENGETAHUI
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Page 53 of 952
UKPD: AKADEMI KEPERAWATAN JAYAKARTA
NO STW
ZURAIDAH
1 02-07-1964/692167315013000 1 4,339,000 0 1,260,000 72,420 0 0
196407021988022001/112519 0 0 0 0 0 433,900 10,000 5,227,600
PNS/000000/IVA 1 0 0 80 5,671,500 0 443,900
JAJANG RAHMAT SOLIHIN

2 09-01-1975/699660254403000 1 3,281,500 0 540,000 217,260 0 0
197501091998031003/125855 2 0 0 0 0 341,276 7,000 3,821,800
PNS/500100/IIIB 3 131,260 0 56 4,170,076 0 348,276
NASRUL EFFENDY
3 05-04-1957/240948968411000 1 4,762,000 0 0 144,840 0 0
195704051981031011/071836 0 476,200 0 900,000 0 523,820 10,000 5,749,300
PNS/860703/IVA 2 0 0 80 6,283,120 0 533,820
SUKARMAN
4 04-11-1954/497448423031000 1 4,762,000 0 0 144,840 0 0
195411041983031004/078973 0 476,200 0 900,000 0 523,820 10,000 5,749,300
PNS/860703/IVA 2 0 0 80 6,283,120 0 533,820
TITIN MAGDALENA
5 05-03-1955/497448464009000 1 4,762,000 0 0 72,420 0 0
195503051975092001/104572 0 0 0 900,000 0 476,200 10,000 5,248,300
PNS/860703/IVA 1 0 0 80 5,734,500 0 486,200
LUCYANEL ARLYM
6 16-02-1978/null 1 3,248,300 185,000 0 72,420 0 0
197802162007012005/182761 0 0 0 0 0 324,830 7,000 3,173,900
PNS/798012/IIID 1 0 185,000 10 3,505,730 0 331,830
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NO STW
ROSFARITA
7 14-06-1961/096694351036000 1 4,035,800 185,000 0 144,840 0 0
196106141990032002/115624 0 403,580 0 0 0 443,938 7,000 4,318,300
PNS/798022/IIID 2 0 185,000 18 4,769,238 0 450,938
HARTANTO
8 19-03-1972/675617625015000 0 3,315,900 0 0 72,420 0 0
197203192007011013/168413 0 0 0 700,000 0 331,590 7,000 3,749,800
PNS/860705/IIIC 1 0 0 70 4,088,390 0 338,590
SUSI YULIAWATI
9 20-07-1972/497448613412000 1 3,528,100 0 0 289,680 0 0
197207201995032003/123382 2 352,810 0 700,000 0 402,203 7,000 4,602,600
PNS/860705/IIIC 4 141,124 0 89 5,011,803 0 409,203
BEBEN SAIFUL BAHRI

10 30-11-1971/252783303436000 1 3,528,100 0 0 289,680 0 0
197111301995031001/123383 2 352,810 0 375,000 0 402,203 7,000 4,277,600
PNS/860708/IIIC 4 141,124 0 89 4,686,803 0 409,203
MARIATUN RAKHMAN
11 31-08-1959/497448480411000 1 4,383,300 0 0 72,420 0 0
195908311981052001/071851 0 0 0 700,000 0 438,330 7,000 4,710,400
PNS/860705/IIIC 1 0 0 10 5,155,730 0 445,330
DYAH SYAHRENI
12 24-05-1970/498765015009000 1 3,872,000 0 0 289,680 0 0
197005241994032002/162350 2 387,200 0 700,000 0 441,408 7,000 4,955,400
PNS/860705/IIIC 4 154,880 0 48 5,403,808 0 448,408
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NO STW
HAYATI
13 20-07-1967/141546044407001 1 3,639,200 0 0 72,420 0 0
196707201994032005/164608 0 0 0 700,000 0 363,920 7,000 4,040,700
PNS/860705/IIIC 1 0 0 0 4,411,620 0 370,920
LILIS KASADI
14 21-05-1967/570506329432000 1 3,528,100 185,000 0 144,840 0 0
196705211990032003/114644 0 352,810 0 0 0 388,091 7,000 3,815,700
PNS/798012/IIIC 2 0 185,000 41 4,210,791 0 395,091
SRI ENDANG MULYATUTI

15 29-05-1965/497448597009000 1 3,994,000 185,000 0 72,420 0 0
196505291989032006/114070 0 0 0 0 0 399,400 7,000 3,845,100
PNS/798011/IIIC 1 0 185,000 80 4,251,500 0 406,400
PANCANINGSIH
16 09-06-1972/360090443009000 0 3,281,500 0 0 72,420 0 0
197206091995032002/119137 0 0 0 375,000 0 328,150 7,000 3,393,800
PNS/860708/IIIB 1 0 0 30 3,728,950 0 335,150
IDAH
17 07-10-1973/343160974412000 1 3,281,500 0 0 289,680 0 0
197310071995032002/120188 2 328,150 0 375,000 0 374,091 7,000 4,024,500
PNS/860708/IIIB 4 131,260 0 1 4,405,591 0 381,091
ANDY EKA WULANDHARY

18 26-07-1980/354643389015000 1 2,810,200 185,000 0 289,680 0 0
198007262010012022/180058 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798022/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
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NO STW
IDA SRIHASTUTI
19 26-09-1976/493247985009000 0 3,181,300 185,000 0 72,420 0 0
197609261999032006/130265 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798022/IIIB 1 0 185,000 10 3,438,730 0 325,130
CHOESNIATI FARIDA
20 04-04-1975/498765072411000 1 3,281,500 185,000 0 289,680 0 0
197504041995032002/120344 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
DIAN ANDRIANI
21 02-09-1971/498765031005000 1 3,384,900 0 0 72,420 0 0
197109021993032002/122347 0 0 0 375,000 0 338,490 7,000 3,486,900
PNS/860708/IIIB 1 0 0 70 3,832,390 0 345,490
FITRI ASTUTI
22 25-11-1971/498765056017000 1 3,281,500 185,000 0 217,260 0 0
197111251994032003/157928 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798011/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
AI SITI SUTILAH
23 12-04-1973/267327393412000 1 3,148,300 0 0 72,420 0 0
197304121995032001/120220 0 0 0 375,000 0 314,830 7,000 3,273,900
PNS/860708/IIIA 1 0 0 10 3,595,730 0 321,830
MUGIYANTO
24 02-11-1975/498765098009000 1 3,148,300 185,000 0 289,680 0 0
197511021995031002/123352 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
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NO STW
IIS NISMAWATI
25 11-07-1981/498765148009000 0 2,959,000 185,000 0 289,680 0 0
198107112008012027/170079 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
SRI PURWANTI
26 16-05-1975/570508432009000 1 3,052,200 185,000 0 289,680 0 0
197505161997032001/123375 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
PUJI LESTARIANI
27 01-04-1978/493247852009000 1 2,868,700 185,000 0 289,680 0 0
197804012000032003/161567 2 286,870 0 0 0 327,031 7,000 3,411,000
PNS/798022/IIIA 4 114,748 185,000 33 3,745,031 0 334,031
SULI SILFIKA
28 26-10-1983/498812429005000 1 2,507,800 180,000 0 289,680 0 0
198310262010012035/178371 2 250,780 0 0 0 285,889 5,000 3,037,700
PNS/798022/IID 4 100,312 180,000 17 3,328,589 0 290,889
SURIANI
29 30-12-1970/676598691432000 1 2,838,900 180,000 0 217,260 0 0
197012301996032001/122904 1 283,890 0 0 0 317,956 5,000 3,253,900
PNS/798022/IID 3 56,778 180,000 28 3,576,856 0 322,956
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Page 58 of 952
NO STW
102,004,900 2,580,000 1,800,000 5,214,240 0 0
TOTAL 5,804,570 0 8,075,000 0 10,945,659 211,000 115,970,600
1,647,164 2,580,000 1,385 127,127,259 0 11,156,659
JAKARTA,
MENGETAHUI
21/12/2016

Page 59 of 952
UKPD: UNIT PELAYANAN AMBULANS GAWAT DARURAT
NO STW
ERIZON SAFARI
1 27-03-1972/280645193034000 1 3,565,000 0 1,260,000 289,680 0 0
197203272002121004/165160 2 356,500 0 0 0 406,410 7,000 5,200,400
PNS/000000/IIID 4 142,600 0 30 5,613,810 0 413,410
SRI HERWANTI
2 11-08-1963/695993766407001 1 4,035,800 0 540,000 217,260 0 0
196308111987032004/110378 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
AMIR FATAH
3 23-03-1965/092508910432000 1 4,162,900 185,000 0 289,680 0 0
196503231985031005/088398 2 416,290 0 0 0 474,570 7,000 4,738,900
PNS/798011/IIID 4 166,516 185,000 84 5,220,470 0 481,570
KELVIN EVALINE RIUPASSA

4 30-07-1979/059976993042000 0 2,839,700 185,000 0 72,420 0 0
197907302011012006/180213 0 0 0 0 0 283,970 7,000 2,806,200
PNS/798011/IIIC 1 0 185,000 50 3,097,170 0 290,970
LIA WINARTI
5 18-10-1981/262272610045000 1 2,839,700 185,000 0 72,420 0 0
198110182011012007/180669 0 0 0 0 0 283,970 7,000 2,806,200
PNS/798011/IIIC 1 0 185,000 50 3,097,170 0 290,970
RENTA HATIURAN
6 14-11-1963/665512729407000 1 3,831,900 185,000 0 217,260 0 0
196311141982032001/161696 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
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UKPD: UNIT PELAYANAN AMBULANS GAWAT DARURAT
NO STW
RIZKA UTAMI
7 04-09-1983/383016383004000 1 2,534,000 185,000 0 289,680 0 0
198309042011012010/181508 2 253,400 0 0 0 288,876 7,000 3,067,600
PNS/798011/IIIA 4 101,360 185,000 36 3,363,476 0 295,876
DENDI ANDRIATNA
8 09-07-1977/778864793435000 1 2,752,300 180,000 0 289,680 0 0
197707092007011021/168391 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798011/IID 4 110,092 180,000 60 3,607,362 0 318,762
PRIYO SANTOSO
9 12-12-1979/778864827044000 1 2,752,300 180,000 0 289,680 0 0
197912122007011018/168411 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798012/IID 4 110,092 180,000 60 3,607,362 0 318,762
29,313,600 1,285,000 1,800,000 2,027,760 0 0

TOTAL 2,363,420 0 0 0 3,246,501 59,000 34,272,800
788,014 1,285,000 507 37,578,301 0 3,305,501
JAKARTA,
MENGETAHUI
21/12/2016

Page 61 of 952
UKPD: RUMAH SAKIT UMUM DAERAH PASAR MINGGU
NO STW
THEODORA CAROLINE
1 27-11-1958/180154098024000 1 4,862,300 0 2,025,000 72,420 0 0
195811271987032003/158156 0 0 0 0 0 486,230 10,000 6,463,500
PNS/000000/IVC 1 0 0 10 6,959,730 0 496,230
LUSINDYAH ROSWARINI
2 15-06-1963/247755556002000 1 4,713,800 0 1,260,000 217,260 0 0
196306151990122001/165197 1 471,380 0 0 0 527,945 10,000 6,218,800
PNS/200000/IVC 3 94,276 0 29 6,756,745 0 537,945
WIWIEK HERYTHA
3 26-12-1962/485506380412000 1 4,522,500 0 1,260,000 144,840 0 0
196212261991022001/157627 0 452,250 0 0 0 497,475 10,000 5,872,200
PNS/100000/IVB 2 0 0 85 6,379,675 0 507,475
JHON SIHAR T M
4 06-12-1961/075924332042000 1 4,665,000 0 980,000 217,260 0 0
196112061987091001/120934 1 466,500 0 0 0 522,480 10,000 5,889,600
PNS/200100/IVB 3 93,300 0 20 6,422,080 0 532,480
NETRY LISTRIANI
5 06-11-1961/294879010003000 1 4,665,000 0 980,000 144,840 0 0
196111061987012001/123172 0 466,500 0 0 0 513,150 10,000 5,733,200
PNS/200200/IVB 2 0 0 10 6,256,350 0 523,150
BRATA MANGGALA
6 01-11-1965/354989931017000 1 4,250,600 0 980,000 289,680 0 0
196511011993031006/125884 2 425,060 0 0 0 484,568 10,000 5,620,800
PNS/100300/IVB 4 170,024 0 4 6,115,368 0 494,568
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NO STW
BALQIS RAHMAH
7 17-05-1973/478205594001000 1 3,715,800 0 980,000 289,680 0 0
197305172002122003/165173 2 371,580 0 0 0 423,601 10,000 5,072,100
PNS/100200/IVA 4 148,632 0 9 5,505,701 0 433,601
YEN BASTIAN SANJAYA

8 17-09-1965/293929279001000 1 4,078,100 0 980,000 289,680 0 0
196509171993111001/158104 2 407,810 0 0 0 464,903 10,000 5,443,900
PNS/100100/IVA 4 163,124 0 89 5,918,803 0 474,903
SARIANI SINAGA
9 28-12-1960/680015286006000 1 4,616,600 0 980,000 217,260 0 0
196012281981122003/074776 1 461,660 0 0 0 517,059 10,000 5,840,800
PNS/200300/IVA 3 92,332 0 7 6,367,859 0 527,059
YULIA SRI BONO W

10 22-05-1965/787061217411000 1 4,339,000 0 0 217,260 0 0
196505221989122001/118236 1 433,900 0 1,200,000 0 485,968 10,000 5,781,000
PNS/820602/IVA 3 86,780 0 28 6,276,968 0 495,968
YULFIATRY YUBHAR
11 14-09-1968/485506521412000 1 3,912,600 185,000 0 289,680 0 0
196809141991032009/162643 2 391,260 0 0 0 446,036 7,000 4,482,100
PNS/805600/IIID 4 156,504 185,000 92 4,935,136 0 453,036
MARIJANTY LEARNY VERA

12 06-02-1970/256789892432000 1 3,677,300 0 0 72,420 0 0
197002062000042001/181910 0 0 0 750,000 0 367,730 7,000 4,125,000
PNS/820103/IIID 1 0 0 10 4,499,730 0 374,730
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NO STW
MURSIDA SYARIFUDDIN K
13 05-07-1975/360167423412000 1 3,456,200 185,000 0 217,260 0 0
197507052002122010/189869 1 345,620 0 0 0 387,094 7,000 3,879,200
PNS/798981/IIID 3 69,124 185,000 90 4,273,294 0 394,094
JIHAN ROSITA
14 12-04-1978/485603930064000 1 3,248,300 0 0 72,420 0 0
197804122006042004/164875 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
ERDIYAN ASTATO
15 27-07-1980/260823984004000 0 3,248,300 0 0 72,420 0 0
198007272006041008/164990 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
MEGADIANTY MOKOGINTA
16 12-12-1976/778829895412000 1 3,149,100 185,000 0 289,680 0 0
197612122005012014/184469 2 314,910 0 0 0 358,997 7,000 3,698,700
PNS/798011/IIID 4 125,964 185,000 43 4,064,697 0 365,997
NATASHA N.P. MANURUNG

17 27-08-1969/259830388124000 1 3,639,200 0 0 289,680 0 0
196908271999032004/180171 2 363,920 0 750,000 0 414,868 7,000 4,766,500
PNS/820603/IIIC 4 145,568 0 0 5,188,368 0 421,868
NUNUK MEGAWATI
18 07-10-1966/581146982411000 0 3,420,300 0 0 72,420 0 0
196610071997032002/122902 0 0 0 1,150,000 0 342,030 7,000 4,293,700
PNS/900910/IIIC 1 0 0 10 4,642,730 0 349,030
21/12/2016

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NO STW
RATNASARI KURNIASIH
19 31-03-1975/572101707015000 1 3,315,900 0 0 72,420 0 0
197503312006042015/165506 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820103/IIIC 1 0 0 70 4,138,390 0 338,590
PUSPITANINGRUM
20 01-03-1984/363414152412000 1 2,839,700 185,000 0 217,260 0 0
198403012011012018/181046 1 283,970 0 0 0 318,046 7,000 3,257,700
PNS/798011/IIIC 3 56,794 185,000 22 3,582,746 0 325,046
BRAM PARINGKOAN
21 10-02-1972/159144518821000 1 3,528,100 185,000 0 289,680 0 0
197202102000121005/184461 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798011/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
SUSILO HARTONO
22 19-09-1962/576768857403000 1 3,872,000 0 0 144,840 0 0
196209191989031010/118464 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/900080/IIIC 2 0 0 80 4,904,120 0 432,920
ANIMAH
23 04-02-1968/672094430009000 1 3,420,300 0 0 289,680 0 0
196802041997032002/123415 2 342,030 0 600,000 0 389,914 7,000 4,392,000
PNS/820307/IIIC 4 136,812 0 92 4,788,914 0 396,914
ARIEF WIDIYANTO
24 09-11-1967/787061290411000 1 3,281,500 185,000 0 289,680 0 0
196711091991031006/116214 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/801100/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
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NO STW
ASEP SAEPULLAH
25 17-09-1967/787061274435000 1 3,491,500 185,000 0 289,680 0 0
196709111990031007/116627 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798011/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
ASTRI WIDIYANI
26 23-05-1985/590799037003000 1 2,456,700 185,000 0 217,260 0 0
198505232015042001/185347 1 245,670 0 0 0 275,150 7,000 2,871,700
PNS/798981/IIIA 3 49,134 185,000 86 3,153,850 0 282,150
ROSALINA HARFEENI
27 21-12-1985/262746761009000 1 2,456,700 185,000 0 144,840 0 0
198512212015042001/185373 0 245,670 0 0 0 270,237 7,000 2,755,000
PNS/798981/IIIA 2 0 185,000 27 3,032,237 0 277,237
MUSALMA
28 24-12-1970/140803834017000 0 3,247,500 185,000 0 72,420 0 0
197012242000122001/165423 0 0 0 0 0 324,750 7,000 3,173,200
PNS/798011/IIIA 1 0 185,000 30 3,504,950 0 331,750
FAJAR TRIYONO
29 27-05-1983/576637698451000 1 2,431,200 0 0 72,420 0 0
198305272011011017/180893 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
ADE IRAWATI
30 11-11-1981/490725157017000 1 2,431,200 0 0 289,680 0 0
198011112011012007/180902 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
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NO STW
RUKIATUN NISA
31 17-03-1986/null 1 2,507,800 180,000 0 144,840 0 0
198603172009042004/189961 0 250,780 0 0 0 275,858 5,000 2,802,600
PNS/798981/IID 2 0 180,000 38 3,083,458 0 280,858
DIDIK KISHARWADI
32 16-05-1982/572584993002000 1 2,668,200 0 0 217,260 0 0
198205162008011021/179160 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820314/IID 3 53,364 0 94 3,445,738 0 303,838
ILHAMSYAH
33 30-11-1986/789964210411000 1 2,192,300 180,000 0 72,420 0 0
198611302015041002/185082 0 0 0 0 0 219,230 5,000 2,220,500
PNS/798981/IIC 1 0 180,000 10 2,444,730 0 224,230
MILAD RAUSHAN FIKRI

34 10-11-1989/787109347436000 1 2,192,300 180,000 0 217,260 0 0
198911102015041001/185093 1 219,230 0 0 0 245,537 5,000 2,602,100
PNS/798981/IIC 3 43,846 180,000 1 2,852,637 0 250,537
FEBRINA DEWIYANTI
35 03-02-1990/678036864048000 1 2,192,300 180,000 0 217,260 0 0
199002032015042002/185402 2 0 0 0 0 227,999 5,000 2,444,300
PNS/798981/IIC 3 87,692 180,000 47 2,677,299 0 232,999
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NO STW
120,705,200 2,570,000 10,425,000 6,735,060 0 0
TOTAL 8,886,950 0 7,920,000 0 13,187,464 261,000 146,077,600
2,282,562 2,570,000 1,292 159,526,064 0 13,448,464
JAKARTA,
MENGETAHUI
21/12/2016

Page 68 of 952
UKPD: SUKU DINAS KESEHATAN KOTA ADM JAKARTA PUSAT
NO STW
YUDITHA ENDAH P
1 06-09-1962/075825190015001 1 4,250,600 0 1,260,000 144,840 0 0
196209061993032004/123034 0 425,060 0 0 0 467,566 10,000 5,603,000
PNS/000000/IVB 2 0 0 66 6,080,566 0 477,566
RITA MAGDALENA
2 03-10-1965/699456125061000 1 3,953,600 0 540,000 289,680 0 0
196510031998032002/168925 2 395,360 0 0 0 450,710 10,000 4,876,100
PNS/700100/IVA 4 158,144 0 26 5,336,810 0 460,710
MYRNA KANTJANA N
3 30-05-1964/242158871013000 0 4,339,000 0 540,000 72,420 0 0
196405301989112001/125106 0 0 0 0 0 433,900 10,000 4,507,600
PNS/700400/IVA 1 0 0 80 4,951,500 0 443,900
KRISTIANI DWI HASTUTI

4 01-09-1966/141074385412001 1 4,206,500 0 540,000 217,260 0 0
196609011992122001/125633 1 420,650 0 0 0 471,128 10,000 4,987,500
PNS/700200/IVA 3 84,130 0 88 5,468,628 0 481,128
RAHIMAH FAJARIAH
5 24-06-1962/476045612027000 1 4,035,800 0 540,000 217,260 0 0
196206241986032007/105363 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
SRI ISTINI
6 18-12-1961/774349674005000 1 4,162,900 0 540,000 72,420 0 0
196112181987032004/110205 0 0 0 0 0 416,290 7,000 4,352,100
PNS/700300/IIID 1 0 0 70 4,775,390 0 423,290
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NO STW
BARLINA
7 03-11-1962/481490506024000 1 4,522,500 0 0 217,260 0 0
196211031989022001/158441 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820102/IVB 3 90,450 0 60 6,482,520 0 516,520
JOHANA TATAUNG
8 17-03-1959/093236271451000 1 4,206,500 190,000 0 217,260 0 0
195903171991032002/120873 1 420,650 0 0 0 471,128 10,000 4,637,500
PNS/798981/IVA 3 84,130 190,000 88 5,118,628 0 481,128
ANIK SULFIYAH
9 24-10-1965/571708510006000 1 4,206,500 190,000 0 72,420 0 0
196510241992032004/158270 0 0 0 0 0 420,650 10,000 4,038,300
PNS/798011/IVA 1 0 190,000 30 4,468,950 0 430,650
AGUSTINA
10 01-08-1971/252125885071000 1 3,715,800 190,000 0 217,260 0 0
197108012002122004/164720 1 371,580 0 0 0 416,169 10,000 4,142,800
PNS/798011/IVA 3 74,316 190,000 13 4,568,969 0 426,169
DWI HANDAYANI
11 19-05-1971/684436835003000 1 3,677,300 190,000 0 289,680 0 0
197105192000122002/165426 2 367,730 0 0 0 419,212 10,000 4,242,600
PNS/798011/IVA 4 147,092 190,000 10 4,671,812 0 429,212
GRACE ADRIANI
12 11-04-1972/776991242432000 0 3,565,000 185,000 0 144,840 0 0
197204112002122002/165171 1 0 0 0 0 363,630 7,000 3,595,600
PNS/798011/IIID 2 71,300 185,000 90 3,966,230 0 370,630
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NO STW
HAMBIAR
13 17-12-1960/245361548435000 1 4,035,800 185,000 0 289,680 0 0
196012171987031004/110526 2 403,580 0 0 0 460,081 7,000 4,608,500
PNS/798012/IIID 4 161,432 185,000 89 5,075,581 0 467,081
SUPRIYATNA
14 12-11-1963/594071599023000 0 4,035,800 185,000 0 72,420 0 0
196311121987031005/110689 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798011/IIID 1 0 185,000 60 4,293,280 0 410,580
HENNY FRISKA SIJABAT

15 11-02-1976/684337843008000 0 3,350,600 185,000 0 72,420 0 0
197602112006042003/165058 0 0 0 0 0 335,060 7,000 3,266,000
PNS/798011/IIID 1 0 185,000 40 3,608,060 0 342,060
LAURA TRIWINDAWATI
16 15-08-1969/null 1 3,565,000 185,000 0 72,420 0 0
196908152002122004/165124 0 0 0 0 0 356,500 7,000 3,459,000
PNS/798011/IIID 1 0 185,000 80 3,822,500 0 363,500
IRVIENY RUMONDANG S
17 28-10-1972/584156152024000 1 3,456,200 185,000 0 72,420 0 0
197210282006042029/165467 0 0 0 0 0 345,620 7,000 3,361,000
PNS/798011/IIID 1 0 185,000 0 3,713,620 0 352,620
SITI MASKANAH
18 02-12-1960/697675866086000 1 4,429,300 185,000 0 72,420 0 0
196012021981022002/086751 0 0 0 0 0 442,930 7,000 4,236,800
PNS/798012/IIID 1 0 185,000 10 4,686,730 0 449,930
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NO STW
RAHAYU NURJANAH BSC
19 12-11-1965/258695956003000 0 4,162,900 185,000 0 217,260 0 0
196511121987032006/110310 2 0 0 0 0 432,941 7,000 4,291,800
PNS/798011/IIID 3 166,516 185,000 65 4,731,741 0 439,941
ELFIRAYANI
20 26-01-1965/684889710411000 1 4,162,900 185,000 0 217,260 0 0
196501261987032008/122718 1 416,290 0 0 0 466,244 7,000 4,591,500
PNS/798011/IIID 3 83,258 185,000 36 5,064,744 0 473,244
DURYATI ENGKON
21 04-11-1960/262432305024000 1 4,429,300 185,000 0 144,840 0 0
196011041981122001/073919 0 442,930 0 0 0 487,223 7,000 4,707,900
PNS/798011/IIID 2 0 185,000 53 5,202,123 0 494,223
SUMARNO
22 06-08-1969/678449307008000 1 3,528,100 185,000 0 217,260 0 0
196908061992031006/117529 1 352,810 0 0 0 395,147 7,000 3,951,600
PNS/798011/IIIC 3 70,562 185,000 15 4,353,747 0 402,147
ANDI WIRADENI
23 03-05-1983/693010746432000 1 2,839,700 185,000 0 72,420 0 0
198305032011011010/180224 0 0 0 0 0 283,970 7,000 2,806,200
PNS/000008/IIIC 1 0 185,000 50 3,097,170 0 290,970
INDAH RAKSI PADMASARI

24 09-04-1978/584155915061000 1 3,116,500 185,000 0 289,680 0 0
197804092006042006/164838 2 311,650 0 0 0 355,281 7,000 3,665,300
PNS/798012/IIIC 4 124,660 185,000 91 4,027,581 0 362,281
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NO STW
INDAH RACHMAWATI
25 22-07-1971/676142243024000 1 3,315,900 185,000 0 144,840 0 0
197107222006042016/165462 1 0 0 0 0 338,221 7,000 3,366,900
PNS/798011/IIIC 2 66,318 185,000 63 3,712,121 0 345,221
IRMA WULAN ARSTITIANTY

26 14-06-1969/670392919013000 1 3,315,900 185,000 0 289,680 0 0
196906142007012029/168361 2 331,590 0 0 0 378,012 7,000 3,869,800
PNS/798011/IIIC 4 132,636 185,000 6 4,254,812 0 385,012
EVAN SETIAWAN
27 31-10-1986/363442773432000 1 2,839,700 185,000 0 217,260 0 0
198610312011011013/181257 1 283,970 0 0 0 318,046 7,000 3,257,700
PNS/798011/IIIC 3 56,794 185,000 22 3,582,746 0 325,046
DESLIANA WULANSARI
28 30-12-1983/881064430013000 0 2,839,700 185,000 0 217,260 0 0
198312302011012015/181895 2 0 0 0 0 295,328 7,000 3,053,300
PNS/798011/IIIC 3 113,588 185,000 80 3,355,628 0 302,328
USYE USFITA
29 14-10-1963/692095243402000 1 3,994,000 185,000 0 72,420 0 0
196310141987032005/158128 0 0 0 0 0 399,400 7,000 3,845,100
PNS/798012/IIIC 1 0 185,000 80 4,251,500 0 406,400
SUMARNI
30 12-06-1967/697621233451000 1 4,119,700 0 0 144,840 0 0
196706121987032001/110523 0 411,970 0 500,000 0 453,167 7,000 4,716,400
PNS/820312/IIIC 2 0 0 57 5,176,567 0 460,167
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NO STW
DWIRIZKY
31 10-07-1969/249927294435001 0 3,753,800 185,000 0 72,420 0 0
196907101989022001/113521 0 0 0 0 0 375,380 7,000 3,628,900
PNS/798012/IIIC 1 0 185,000 60 4,011,280 0 382,380
ALFIATIN
32 30-09-1966/684436843407000 1 3,639,200 185,000 0 72,420 0 0
196609301990032004/157795 0 0 0 0 0 363,920 7,000 3,525,700
PNS/798011/IIIC 1 0 185,000 0 3,896,620 0 370,920
VERA RENI TRIANINGSIH

33 25-02-1983/261979496124000 1 2,810,200 185,000 0 72,420 0 0
198302252010012010/189126 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
HOLISOH
34 19-01-1975/258455740024000 1 3,181,300 185,000 0 289,680 0 0
197501191996032003/122349 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
EVARIANTI HUTAPEA
35 28-08-1972/695097071005000 1 3,281,500 185,000 0 217,260 0 0
197208281997032002/125316 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798011/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
ERI HERYANTI
36 04-08-1974/095698155042000 1 3,281,500 0 0 289,680 0 0
197408041994012001/164756 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820342/IIIB 4 131,260 0 1 4,295,591 0 381,091
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NO STW
MUKTI SAWITRI
37 01-12-1971/593836521027000 1 3,384,900 0 0 72,420 0 0
197112011995032002/165126 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820325/IIIB 1 0 0 70 3,722,390 0 345,490
MERRY DHIANA
38 20-03-1959/257132787407000 1 4,077,000 185,000 0 217,260 0 0
195903201980032002/068349 1 407,700 0 0 0 456,624 7,000 4,504,900
PNS/798022/IIIB 3 81,540 185,000 24 4,968,524 0 463,624
YUDI GUNAWAN
39 07-07-1969/684436918435000 1 3,181,300 185,000 0 289,680 0 0
196907071996031003/120937 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798022/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
ALI SURAHMAN
40 18-09-1972/684394323412000 1 3,281,500 185,000 0 217,260 0 0
197209181995031001/123444 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798012/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
SRI ENDANG SUGIARTI

41 18-12-1958/594071573008000 1 4,205,400 185,000 0 72,420 0 0
195812181978032002/157559 0 0 0 0 0 420,540 7,000 4,035,300
PNS/798022/IIIB 1 0 185,000 20 4,462,840 0 427,540
ENDANG SETYOWATI
42 10-05-1960/246513816008000 1 3,831,900 185,000 0 72,420 0 0
196005101985042001/158224 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798022/IIIB 1 0 185,000 70 4,089,390 0 390,190
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NO STW
CUHAENDI
43 21-08-1963/242676138435000 1 3,831,900 185,000 0 289,680 0 0
196308211984031003/158250 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
GUNA PRATIWI
44 02-09-1968/488250846307000 1 3,491,500 185,000 0 217,260 0 0
196809021990032007/182814 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798022/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
SRI INDARINI
45 11-03-1974/256619646043000 1 2,959,000 185,000 0 72,420 0 0
197403111998032005/125678 0 0 0 0 0 295,900 7,000 2,913,600
PNS/798011/IIIA 1 0 185,000 80 3,216,500 0 302,900
SYAMSUDIN
46 02-03-1963/594071565412000 1 3,564,100 185,000 0 217,260 0 0
196303021985031012/087556 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
SURIPTO
47 07-09-1972/684436900435000 1 3,148,300 185,000 0 289,680 0 0
197209071994031003/118844 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798011/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
SORIPADA SIREGAR
48 01-01-1974/593783400024000 1 3,148,300 185,000 0 289,680 0 0
197401011996031003/122293 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798011/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
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NO STW
ROMELAN
49 10-07-1975/244554747028000 1 2,959,000 185,000 0 289,680 0 0
197507101998031004/157814 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798011/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
TRIPUSWADI
50 22-06-1963/778885418432000 1 3,247,500 185,000 0 144,840 0 0
196306221992031002/157869 0 324,750 0 0 0 357,225 7,000 3,537,900
PNS/798022/IIIA 2 0 185,000 35 3,902,125 0 364,225
MARIO XIMENES VARELA

51 12-04-1968/090051442023000 0 3,148,300 185,000 0 72,420 0 0
196804121995031007/157986 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798011/IIIA 1 0 185,000 10 3,405,730 0 321,830
RISALATI
52 15-01-1977/692229677023000 1 3,052,200 0 0 217,260 0 0
197701152001012001/161550 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820325/IIIA 3 61,044 0 22 3,900,746 0 348,846
HELLEN NORA SHANTI

53 20-10-1976/246270805403000 0 3,052,200 185,000 0 72,420 0 0
197610202000032006/162290 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798012/IIIA 1 0 185,000 0 3,309,620 0 312,220
HERLY RIMAWATY SINAGA

54 24-05-1972/684436926009000 1 3,148,300 185,000 0 289,680 0 0
197205241994032005/164568 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
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NO STW
POPPI ARIFAH RATNAWATI
55 21-01-1987/778900829003000 0 2,406,000 180,000 0 72,420 0 0
198701212010012020/178822 0 0 0 0 0 240,600 5,000 2,412,900
PNS/798012/IID 1 0 180,000 80 2,658,500 0 245,600
MELYNDA SULFIANA
56 18-03-1988/358109908005000 0 2,431,200 180,000 0 72,420 0 0
198803182011012005/189129 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798022/IID 1 0 180,000 0 2,683,620 0 248,120
DELIA AMRITA
57 10-12-1975/149085227102000 1 3,020,600 180,000 0 289,680 0 0
197512102007012005/183129 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798012/IID 4 120,824 180,000 84 3,913,248 0 349,348
D BUSTANUDIN JAYA
58 15-02-1961/596282616416000 1 3,020,600 180,000 0 289,680 0 0
196102151991031004/116376 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798022/IID 4 120,824 180,000 84 3,913,248 0 349,348
NANANG SUPRIADI
59 09-03-1960/678450040416000 1 3,180,500 180,000 0 144,840 0 0
196003091985031008/087448 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
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NO STW
209,098,000 8,875,000 3,960,000 10,356,060 0 0
TOTAL 12,121,340 0 2,495,000 0 22,467,709 430,000 227,468,400
3,457,842 8,875,000 2,867 250,366,109 0 22,897,709
JAKARTA,
MENGETAHUI
21/12/2016

Page 79 of 952
UKPD: SUKU DINAS KESEHATAN KAB ADM KEPULAUAN SERIBU
NO STW
MIRSAD
1 26-09-1969/245267216048000 1 3,565,000 0 980,000 289,680 0 0
196909262002121003/165184 2 356,500 0 0 0 406,410 7,000 4,920,400
PNS/000000/IIID 4 142,600 0 30 5,333,810 0 413,410
RADEN TATOK RIFAI

2 06-02-1963/261533905048000 1 4,339,000 0 540,000 144,840 0 0
196302061989031007/118270 0 433,900 0 0 0 477,290 10,000 4,970,500
PNS/700300/IVA 2 0 0 50 5,457,790 0 487,290
AGUS ARIYANTO
3 21-01-1982/782587158507000 1 3,248,300 0 540,000 289,680 0 0
198201212006041008/164874 2 324,830 0 0 0 370,306 7,000 4,155,500
PNS/700200/IIID 4 129,932 0 64 4,532,806 0 377,306
SUDIGDO
4 30-05-1972/251963427040201 1 3,565,000 0 540,000 289,680 0 0
197205302006041011/165486 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/700100/IIID 4 142,600 0 30 4,893,810 0 413,410
WIKANDONO
5 05-05-1968/678702416036000 0 3,912,600 0 540,000 217,260 0 0
196805051991031007/117071 1 391,260 0 0 0 438,211 7,000 4,694,200
PNS/500100/IIID 3 78,252 0 39 5,139,411 0 445,211
IRFAN ASTAMA HARAHAP

6 05-11-1982/355973504045000 0 2,929,100 0 0 289,680 0 0
198211052010011027/178791 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
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NO STW
SULUNG MULIA PUTRA
7 06-12-1983/363423609451000 1 2,839,700 0 0 144,840 0 0
198312062011011012/180232 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820103/IIIC 2 0 0 57 4,018,567 0 319,367
BONNIE MEDANA
8 10-11-1985/363453325045000 0 2,839,700 0 0 72,420 0 0
198511102011011012/180236 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
ANASRI
9 05-12-1964/672506532432000 1 3,872,000 185,000 0 217,260 0 0
196412051986021002/107403 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798011/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
MUHAMMAD RUDI AR
10 09-08-1970/140526377003000 1 3,281,500 185,000 0 289,680 0 0
197008091995031002/120194 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
HILMAN
11 09-05-1964/672506490034000 1 3,714,900 185,000 0 289,680 0 0
196405091987031008/110438 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
HURIYATI
12 16-12-1979/672506581008000 1 2,959,000 185,000 0 289,680 0 0
197912161999032002/170043 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
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NO STW
WAHYUDI
13 05-07-1978/712584168044000 1 2,959,000 185,000 0 289,680 0 0
197807052007011016/168431 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
SUPRIYANTO
14 04-04-1966/782587125435000 1 3,052,200 185,000 0 217,260 0 0
196604041996031004/120969 1 305,220 0 0 0 341,846 7,000 3,471,900
PNS/798011/IIIA 3 61,044 185,000 22 3,820,746 0 348,846
HOLILAH
15 25-01-1983/258228675044000 1 2,668,200 180,000 0 217,260 0 0
198301252008012012/174673 1 266,820 0 0 0 298,838 5,000 3,081,900
PNS/798012/IID 3 53,364 180,000 94 3,385,738 0 303,838
ACHMAD FADLI
16 24-09-1980/782587166044000 1 2,752,300 180,000 0 289,680 0 0
198009242008011017/171209 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798011/IID 4 110,092 180,000 60 3,607,362 0 318,762
NANO SUMARNO
17 24-07-1978/251167144004000 1 2,838,900 180,000 0 289,680 0 0
197807242008011017/171225 2 283,890 0 0 0 323,634 5,000 3,377,400
PNS/798012/IID 4 113,556 180,000 8 3,706,034 0 328,634
HAWARI BUDIYANTI
18 16-12-1981/258525385044000 0 2,381,100 180,000 0 72,420 0 0
198112162008012018/172457 0 0 0 0 0 238,110 5,000 2,390,500
PNS/798022/IIB 1 0 180,000 90 2,633,610 0 243,110
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NO STW
SUNARTI
19 25-01-1980/871689204044000 1 2,381,100 180,000 0 217,260 0 0
198001252008012019/174683 1 238,110 0 0 0 266,683 5,000 2,792,500
PNS/798022/IIB 3 47,622 180,000 91 3,064,183 0 271,683
60,098,600 2,010,000 3,140,000 4,417,620 0 0

TOTAL 5,487,780 0 2,250,000 0 6,717,659 126,000 72,151,600
1,590,242 2,010,000 1,017 78,995,259 0 6,843,659
JAKARTA,
MENGETAHUI
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Page 83 of 952
UKPD: RUMAH SAKIT UMUM DAERAH KAB. ADM P. SERIBU
NO STW
MA'MUN
1 13-08-1967/061835229014000 1 3,953,600 0 1,260,000 289,680 0 0
196708131998031007/162684 2 395,360 0 0 0 450,710 10,000 5,596,100
PNS/000000/IVA 4 158,144 0 26 6,056,810 0 460,710
YUDDY
2 07-02-1968/576617138403000 1 3,912,600 0 540,000 289,680 0 0
196802071992031003/121019 2 391,260 0 0 0 446,036 7,000 4,837,100
PNS/500100/IIID 4 156,504 0 92 5,290,136 0 453,036
GHAMAL AHMAD
3 28-12-1983/244803151432000 1 2,810,200 0 540,000 72,420 0 0
198312282010011018/178864 0 0 0 0 0 281,020 7,000 3,134,600
PNS/700200/IIIC 1 0 0 0 3,422,620 0 288,020
DONNY ALPHA EDISON

4 25-07-1987/703588780411000 0 2,641,200 185,000 0 72,420 0 0
198707252014031001/183599 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SURYA IRIANTO
5 26-01-1964/676572605432000 1 3,831,900 0 0 144,840 0 0
196401261985031004/100711 0 383,190 0 265,000 0 421,509 7,000 4,196,500
PNS/820325/IIIB 2 0 0 79 4,625,009 0 428,509
FITRAN AMANSYAH
6 16-06-1985/705807170413000 1 2,641,200 185,000 0 72,420 0 0
198506162014031001/183620 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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NO STW
JOHAN SALIM
7 07-01-1987/705272458435000 1 2,641,200 185,000 0 144,840 0 0
198701072014031005/183652 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
VINO HARZADY
8 19-10-1985/158986851322000 1 2,641,200 185,000 0 289,680 0 0
198510192014031003/183760 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
YOGIE DWI NUGROHO

9 01-08-1986/463196154414000 1 2,641,200 185,000 0 217,260 0 0
198608012014031001/183766 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
AQUILANDO DAVID MARIO

10 07-09-1986/548461623435000 1 2,641,200 185,000 0 144,840 0 0
198609072014031001/183772 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
ISMAN SATRIA P
11 20-09-1971/672506433432000 1 3,148,300 185,000 0 289,680 0 0
197109201998031007/125475 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
ERWIN RAMLAN NASUTION

12 21-06-1978/245227293403000 1 2,959,000 185,000 0 289,680 0 0
197806212008011016/171203 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
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NO STW
ASQIATUL BAROROH
13 03-04-1973/688967777041000 1 2,781,100 0 0 289,680 0 0
197304032006042002/182765 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820313/IIIA 4 111,244 0 11 3,725,145 0 324,045
SUGIARTO
14 15-08-1966/699233649013000 1 3,564,100 185,000 0 217,260 0 0
196608151987031010/110444 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798011/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
JONREKDY SIR
15 14-07-1964/576636179432000 1 3,349,800 0 0 72,420 0 0
196407141991031006/127160 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820313/IIIA 1 0 0 60 3,687,280 0 341,980
EKA YUDI PUTRI

16 28-03-1988/346423403435000 1 2,507,800 0 0 72,420 0 0
198803282010012015/179113 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
MAKHMUDIN
17 16-06-1973/670550268403000 1 3,020,600 0 0 289,680 0 0
197306161997031004/123582 2 302,060 0 240,000 0 344,348 5,000 3,623,900
PNS/820326/IID 4 120,824 0 84 3,973,248 0 349,348
SRI WIYANTO
18 03-07-1974/096544879407000 1 2,752,300 180,000 0 217,260 0 0
197407032006041016/165477 1 275,230 0 0 0 308,257 5,000 3,166,600
PNS/798011/IID 3 55,046 180,000 21 3,479,857 0 313,257
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NO STW
RIYANTO
19 21-12-1981/579198755009000 1 2,668,200 180,000 0 217,260 0 0
198112212008011010/171233 1 266,820 0 0 0 298,838 5,000 3,081,900
PNS/798012/IID 3 53,364 180,000 94 3,385,738 0 303,838
SITI HANUNI NURINDA

20 12-10-1988/744827601044000 1 2,507,800 180,000 0 217,260 0 0
198810122010012006/185829 1 250,780 0 0 0 280,873 5,000 2,920,200
PNS/798022/IID 3 50,156 180,000 77 3,206,073 0 285,873
AGUNG TRI WIBOWO

21 08-08-1988/724664206005000 1 2,261,300 180,000 0 144,840 0 0
198808082014031004/183351 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
FIFI IRNAWATI
22 15-11-1987/705377141524000 0 2,261,300 180,000 0 72,420 0 0
198711152014032004/183865 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
KHAIRENISA NAILA
23 05-07-1988/452084643414000 1 2,261,300 180,000 0 217,260 0 0
198807052014032002/183958 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
REVONSKI GAMA SOFISTO

24 17-09-1988/778417055404000 0 2,261,300 180,000 0 72,420 0 0
198809172014031002/184137 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
SEFTIAN HARYADI
25 17-09-1989/723349924044000 0 2,261,300 180,000 0 72,420 0 0
198909172014031003/184198 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ZENI FATHUL ULUM

26 28-06-1991/984564096322000 0 2,261,300 180,000 0 72,420 0 0
199106282014031002/184313 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
AKMEILIS
27 30-09-1977/780005252017000 0 2,559,900 180,000 0 72,420 0 0
197709302008012020/171345 0 0 0 0 0 255,990 5,000 2,551,400
PNS/798011/IIC 1 0 180,000 70 2,812,390 0 260,990
ADAM DWI RHAMDHANI

28 26-08-1978/260529334009000 1 2,559,900 180,000 0 289,680 0 0
197808262008011020/171348 2 255,990 0 0 0 291,828 5,000 3,091,200
PNS/798022/IIC 4 102,396 180,000 62 3,388,028 0 296,828
78,302,100 3,645,000 2,340,000 4,924,560 0 0

TOTAL 5,274,680 0 1,275,000 0 8,490,367 173,000 88,426,200
1,326,950 3,645,000 1,277 97,089,567 0 8,663,367
JAKARTA,
MENGETAHUI
21/12/2016

Page 88 of 952
UKPD: SUKU DINAS KESEHATAN KOTA ADM JAKARTA UTARA
NO STW
MUHAMAD HELMI
1 05-05-1967/672506466014000 1 3,793,100 0 1,260,000 289,680 0 0
196705051999031003/161598 2 379,310 0 0 0 432,413 7,000 5,434,500
PNS/000000/IIID 4 151,724 0 99 5,873,913 0 439,413
HESTIA SUSHARTANTI
2 31-10-1967/497299230451000 1 4,078,100 0 540,000 217,260 0 0
196710311994032004/120583 1 407,810 0 0 0 456,747 10,000 4,858,000
PNS/700400/IVA 3 81,562 0 15 5,324,747 0 466,747
NADRA MARLINA
3 11-03-1975/590566740005000 1 3,602,400 0 540,000 217,260 0 0
197503112002122004/165127 1 360,240 0 0 0 403,468 10,000 4,378,500
PNS/700300/IVA 3 72,048 0 20 4,791,968 0 413,468
DIAN ANGGRAINY
4 11-04-1973/593951247024000 1 3,248,300 0 540,000 289,680 0 0
197304112006042015/165292 2 324,830 0 0 0 370,306 7,000 4,155,500
PNS/700200/IIID 4 129,932 0 64 4,532,806 0 377,306
SURIA NOOR
5 08-06-1967/476045653024000 1 3,639,200 0 540,000 289,680 0 0
196706081990031004/157796 2 363,920 0 0 0 414,868 7,000 4,556,500
PNS/500100/IIIC 4 145,568 0 0 4,978,368 0 421,868
ATIKA
6 31-01-1967/076628981086999 1 3,214,700 0 540,000 289,680 0 0
196701312007012016/168404 2 321,470 0 0 0 366,475 7,000 4,121,000
PNS/700100/IIIC 4 128,588 0 37 4,494,475 0 373,475
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NO STW
KUSNAIDI
7 03-07-1965/172432981027000 0 3,953,600 190,000 0 72,420 0 0
196507031995011001/161637 0 0 0 0 0 395,360 10,000 3,810,700
PNS/798011/IVA 1 0 190,000 40 4,216,060 0 405,360
KASAN
8 06-09-1963/257623132045000 1 4,162,900 185,000 0 217,260 0 0
196309061985031010/075518 1 416,290 0 0 0 466,244 7,000 4,591,500
PNS/798011/IIID 3 83,258 185,000 36 5,064,744 0 473,244
SITI NURYANAH
9 19-06-1966/694707761407000 1 4,035,800 185,000 0 72,420 0 0
196606191987032005/110412 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798012/IIID 1 0 185,000 60 4,293,280 0 410,580
AGUS SUPRIYATNO
10 31-08-1967/771021805402000 0 4,035,800 185,000 0 72,420 0 0
196708311987031001/110490 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798012/IIID 1 0 185,000 60 4,293,280 0 410,580
ABU SANTOSO
11 16-02-1966/359823721432000 1 4,035,800 185,000 0 217,260 0 0
196602161989031004/114234 1 403,580 0 0 0 452,009 7,000 4,463,400
PNS/798011/IIID 3 80,716 185,000 53 4,922,409 0 459,009
SAMANDA HUTAJULU
12 18-10-1968/075939959042999 1 3,912,600 185,000 0 289,680 0 0
196810181992032004/162230 2 391,260 0 0 0 446,036 7,000 4,482,100
PNS/798011/IIID 4 156,504 185,000 92 4,935,136 0 453,036
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NO STW
YURIA IPAN PENONA KALA
13 17-01-1980/577203656024000 1 3,248,300 185,000 0 289,680 0 0
198001172005012003/182714 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
CARLA WUWUNGAN
14 01-06-1977/274601202075001 1 3,214,700 0 0 289,680 0 0
197706012007012022/168381 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
TIURLINA SIJABAT
15 29-04-1968/798621322003000 1 3,753,800 185,000 0 217,260 0 0
196804291989032004/128279 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798012/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
IMAM RAHMADI
16 05-12-1980/258921857432000 1 3,116,500 0 0 144,840 0 0
198012052006041008/164855 0 311,650 0 0 0 342,815 7,000 3,223,200
PNS/000008/IIIC 2 0 0 25 3,573,015 0 349,815
YUNITA TAMBUNAN
17 01-07-1977/null 1 3,214,700 0 0 289,680 0 0
197707012006042028/165466 2 321,470 0 0 0 366,475 7,000 3,581,000
PNS/000008/IIIC 4 128,588 0 37 3,954,475 0 373,475
ROSVITA NUR AINI

18 25-06-1980/590511234043000 1 2,929,100 185,000 0 217,260 0 0
198006252010012025/178892 1 292,910 0 0 0 328,059 7,000 3,347,800
PNS/798011/IIIC 3 58,582 185,000 7 3,682,859 0 335,059
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NO STW
IDA KADE SUASTIKA
19 21-06-1960/292219755003000 1 3,872,000 185,000 0 217,260 0 0
196006211987011001/109306 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798012/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
IRMA SANTI SUMELUNG

20 01-10-1966/770393742045000 1 3,872,000 185,000 0 144,840 0 0
196610011989032009/120493 0 387,200 0 0 0 425,920 7,000 4,156,200
PNS/798012/IIIC 2 0 185,000 80 4,589,120 0 432,920
TRIS WELEMBUNTU
21 06-04-1965/254750193048000 0 3,872,000 185,000 0 72,420 0 0
196504061989102001/121698 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798012/IIIC 1 0 185,000 80 4,129,500 0 394,200
ERNA PURNAMASARI
22 19-10-1962/247244957432000 1 3,994,000 185,000 0 72,420 0 0
196210191989032002/157771 0 0 0 0 0 399,400 7,000 3,845,100
PNS/798012/IIIC 1 0 185,000 80 4,251,500 0 406,400
HENNI SARI DEWI

23 12-02-1973/251266128003000 1 3,528,100 185,000 0 289,680 0 0
197302121992032003/162615 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798012/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
SYAMSUMARNI
24 01-01-1967/257795765045000 1 3,528,100 185,000 0 289,680 0 0
196701011995022001/162676 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798012/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
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NO STW
RUSWANDI
25 07-01-1965/257649095045000 1 3,872,000 185,000 0 217,260 0 0
196501071989031004/114233 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798012/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
PUTRI WARDHANI
26 04-05-1987/345812564045000 0 2,810,200 185,000 0 72,420 0 0
198705042010012028/177505 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
INDAH DWI WAHYUNI

27 19-02-1985/481859767006000 1 2,810,200 185,000 0 217,260 0 0
198502192010012031/177601 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
ALOYSIA MENIEK
28 09-06-1981/493514079009000 1 2,810,200 185,000 0 217,260 0 0
198106092010012027/177718 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
ARDINA DWI UTARI

29 20-02-1988/441953767008000 1 2,641,200 185,000 0 72,420 0 0
198802202014032003/183558 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SRI FAJARIYAH
30 02-07-1959/297790503904800 1 3,491,500 185,000 0 72,420 0 0
195907021991032001/117166 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798012/IIIB 1 0 185,000 30 3,748,950 0 356,150
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NO STW
FIFI SISWANTO
31 22-04-1969/null 1 3,491,500 185,000 0 289,680 0 0
196904221994032003/123217 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798981/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
EKO SUSANTI
32 29-07-1973/770263721045000 0 3,181,300 185,000 0 72,420 0 0
197307291997032003/125092 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
MARLINDA
33 03-03-1973/784146466008000 1 3,384,900 185,000 0 289,680 0 0
197303031993032006/125496 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
IRA MIDHAWATI
34 17-05-1976/360789317435000 1 3,181,300 185,000 0 72,420 0 0
197605171999032005/158187 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
SLAMET RIYADI
35 15-09-1979/269959458412000 1 2,990,000 185,000 0 289,680 0 0
197909152000031003/161534 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798011/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
VICKTOR
36 11-03-1981/null 0 2,810,200 0 0 72,420 0 0
198103112010011024/178846 0 0 0 0 0 281,020 7,000 2,594,600
PNS/000007/IIIB 1 0 0 0 2,882,620 0 288,020
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NO STW
SITI NURHASANAH
37 28-11-1976/342644382009000 1 3,181,300 185,000 0 217,260 0 0
197611281997032002/123586 1 318,130 0 0 0 356,305 7,000 3,602,100
PNS/798011/IIIB 3 63,626 185,000 89 3,965,405 0 363,305
SYARIFAH FATUM AL
38 22-09-1965/699767794042999 1 3,714,900 185,000 0 217,260 0 0
196509221990032003/162990 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798012/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
LISNAWATI
39 29-10-1959/095693610042000 0 4,077,000 185,000 0 72,420 0 0
195910291981102001/073778 0 0 0 0 0 407,700 7,000 3,919,800
PNS/798012/IIIB 1 0 185,000 80 4,334,500 0 414,700
SAYONO
40 10-11-1964/244700217407000 1 3,601,400 185,000 0 289,680 0 0
196411101985031008/075531 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
ASEP SOLEH
41 17-08-1961/342773042045000 1 3,831,900 185,000 0 217,260 0 0
196108171985031014/087476 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SUHARNI
42 11-12-1963/263022733045000 0 3,831,900 185,000 0 144,840 0 0
196312111985032006/101232 1 0 0 0 0 390,853 7,000 3,840,600
PNS/798022/IIIB 2 76,638 185,000 75 4,238,453 0 397,853
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NO STW
SANYONO
43 01-01-1965/244453387008000 1 3,714,900 185,000 0 144,840 0 0
196501011986031021/108402 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
ROHAYATI
44 22-12-1965/256403213045001 1 3,714,900 185,000 0 289,680 0 0
196512221987032004/110373 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
IYUS SYAHRUDIN
45 05-06-1966/258344233048000 1 3,714,900 185,000 0 217,260 0 0
196606051987031005/110532 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SUTOPO
46 20-09-1965/260753975407000 1 3,601,400 185,000 0 144,840 0 0
196509201988011002/111825 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798022/IIIB 2 0 185,000 74 4,291,454 0 403,154
NURDIANA
47 29-11-1966/258210400048000 0 3,601,400 185,000 0 72,420 0 0
196611291989032004/113691 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
SUMANTO
48 24-12-1965/254386840048000 1 3,491,500 185,000 0 217,260 0 0
196512241991031006/116554 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798022/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
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NO STW
INTI SUSI ADRIYANI
49 27-11-1961/257795708048000 0 3,384,900 185,000 0 72,420 0 0
196111271995032001/119108 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798012/IIIB 1 0 185,000 70 3,642,390 0 345,490
SIMON HARIANJA
50 20-05-1959/096390869006000 1 3,831,900 185,000 0 72,420 0 0
195905201982031010/120830 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798022/IIIB 1 0 185,000 70 4,089,390 0 390,190
MARLINA
51 29-10-1968/259456143045000 1 3,491,500 185,000 0 289,680 0 0
196810291990032004/125593 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798011/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
JUMIATI
52 10-08-1973/784146425006000 1 3,384,900 185,000 0 289,680 0 0
197308101993032007/125640 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
MINAR SITANGGANG
53 20-05-1973/359747961045000 1 3,384,900 185,000 0 289,680 0 0
197305201993032005/157478 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798012/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
NOOR SJAMAN
54 03-08-1968/258165679048000 0 3,491,500 185,000 0 289,680 0 0
196808031990011001/157792 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
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NO STW
ADE MAESAROH
55 27-05-1970/699915088045999 1 3,384,900 185,000 0 72,420 0 0
197005271992032006/164331 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798022/IIIB 1 0 185,000 70 3,642,390 0 345,490
JULYADI
56 11-03-1969/359786605044000 1 2,959,000 185,000 0 289,680 0 0
196903111998031005/125554 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
RUSMINA IRAWATY
57 26-04-1978/258619170045000 1 2,868,700 185,000 0 289,680 0 0
197804262006042024/165594 2 286,870 0 0 0 327,031 7,000 3,411,000
PNS/798011/IIIA 4 114,748 185,000 33 3,745,031 0 334,031
RUSMINI REJEB
58 09-02-1974/687108985045000 1 2,959,000 185,000 0 289,680 0 0
197402092000122003/169818 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798012/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
ANITA PRISKA
59 04-04-1975/075771725045000 1 3,148,300 185,000 0 289,680 0 0
197504041995032003/119091 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798011/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
SITI MUNAWAROH
60 01-06-1968/672379039_006000 1 3,349,800 185,000 0 289,680 0 0
196806011990032007/158188 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798012/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
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NO STW
AGUNG ANGGORO
61 27-07-1976/240470989411000 1 3,052,200 185,000 0 289,680 0 0
197607272000031003/161528 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
KAMARUDIN
62 04-03-1977/253232698047000 1 2,928,300 180,000 0 289,680 0 0
197703041997031004/123274 2 292,830 0 0 0 333,826 5,000 3,469,200
PNS/798012/IID 4 117,132 180,000 84 3,808,026 0 338,826
DIAN ARISTYANA
63 17-11-1982/684318652045000 1 2,431,200 180,000 0 289,680 0 0
198211172011012014/181845 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798012/IID 4 97,248 180,000 8 3,241,256 0 282,156
ERNA YUSNITA
64 12-03-1976/158249136811000 1 2,507,800 180,000 0 289,680 0 0
197603122009032002/182627 2 250,780 0 0 0 285,889 5,000 3,037,700
PNS/798012/IID 4 100,312 180,000 17 3,328,589 0 290,889
SARIWA
65 05-12-1972/257795971045000 1 3,115,700 180,000 0 289,680 0 0
197212051992122002/165156 2 311,570 0 0 0 355,189 5,000 3,661,400
PNS/798022/IID 4 124,628 180,000 11 4,021,589 0 360,189
RESHA ADITYA
66 26-01-1991/705034569513000 0 2,261,300 180,000 0 72,420 0 0
199101262014032003/184131 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
KAROLINA DEWI
67 20-10-1975/359760964024000 1 2,898,000 180,000 0 289,680 0 0
197510201995032002/123518 2 289,800 0 0 0 330,372 5,000 3,438,100
PNS/798022/IIC 4 115,920 180,000 72 3,773,472 0 335,372
228,241,300 10,520,000 3,960,000 13,904,640 0 0

TOTAL 16,586,110 0 750,000 0 24,988,888 466,000 253,571,900
5,061,670 10,520,000 3,068 279,026,788 0 25,454,888
JAKARTA,
MENGETAHUI
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Page 100 of 952
UKPD: SUKU DINAS KESEHATAN KOTA ADM JAKARTA BARAT
NO STW
R DEWI SATIASARI S
1 28-12-1967/485506539005000 1 4,384,400 0 1,260,000 72,420 0 0
196712281992122002/122700 0 0 0 0 0 438,440 10,000 5,268,400
PNS/000000/IVB 1 0 0 20 5,716,840 0 448,440
ZAYANAH
2 11-01-1969/770306470031000 1 3,715,800 0 540,000 72,420 0 0
196901112002122001/165170 0 0 0 0 0 371,580 10,000 3,946,700
PNS/700400/IVA 1 0 0 60 4,328,280 0 381,580
LIA SUMARTI
3 18-10-1973/485506497027000 1 3,565,000 0 540,000 289,680 0 0
197310182000032003/158064 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/700300/IIID 4 142,600 0 30 4,893,810 0 413,410
NISMA HIDDIN
4 27-01-1968/774264584008000 1 3,420,300 0 540,000 217,260 0 0
196801272007012011/168407 1 342,030 0 0 0 383,073 7,000 4,198,000
PNS/700100/IIIC 3 68,406 0 77 4,588,073 0 390,073
ILMI TRI INDIARTO

5 29-01-1982/346421571019000 0 2,929,100 0 540,000 289,680 0 0
198201292010011013/177804 2 292,910 0 0 0 333,917 7,000 3,828,000
PNS/700200/IIIC 4 117,164 0 63 4,168,917 0 340,917
MARJONI HUTABARAT
6 30-06-1968/472590835402000 1 3,639,200 0 540,000 217,260 0 0
196806301991031007/158125 1 363,920 0 0 0 407,590 7,000 4,418,600
PNS/500100/IIIC 3 72,784 0 26 4,833,190 0 414,590
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NO STW
M C GINA MARINGKA
7 04-10-1966/null 1 3,953,600 190,000 0 289,680 0 0
196610041993032004/123175 2 395,360 0 0 0 450,710 10,000 4,526,100
PNS/798981/IVA 4 158,144 190,000 26 4,986,810 0 460,710
EVA NOVIYANTI
8 17-11-1970/484023783085000 0 3,793,100 0 0 72,420 0 0
197011171990032003/120651 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820341/IIID 1 0 0 90 4,365,610 0 386,310
ADRIA
9 31-08-1964/096531900061000 1 4,035,800 185,000 0 144,840 0 0
196408311992032002/122919 0 403,580 0 0 0 443,938 7,000 4,318,300
PNS/798011/IIID 2 0 185,000 18 4,769,238 0 450,938
TUMIRAH
10 06-04-1961/472590736036000 1 4,162,900 185,000 0 72,420 0 0
196104061984012001/158262 0 0 0 0 0 416,290 7,000 3,997,100
PNS/798011/IIID 1 0 185,000 70 4,420,390 0 423,290
ALAWIYAH UMAR
11 04-04-1970/247510720086000 1 3,565,000 185,000 0 144,840 0 0
197004042006042018/165450 0 356,500 0 0 0 392,150 7,000 3,852,200
PNS/798011/IIID 2 0 185,000 10 4,251,350 0 399,150
ANDRI PRANANINGRUM
12 03-10-1971/679769760913000 1 3,565,000 185,000 0 72,420 0 0
197110032002122005/189123 0 0 0 0 0 356,500 7,000 3,459,000
PNS/798012/IIID 1 0 185,000 80 3,822,500 0 363,500
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NO STW
SUZI WINDAYANI
13 28-03-1982/870755832331000 1 2,929,100 185,000 0 289,680 0 0
198203282009032006/183127 2 292,910 0 0 0 333,917 7,000 3,473,000
PNS/798011/IIIC 4 117,164 185,000 63 3,813,917 0 340,917
NI GUSTI AYU KOMANG S

14 15-12-1967/497311852031000 1 3,753,800 185,000 0 72,420 0 0
196712151988012001/118089 0 0 0 0 0 375,380 7,000 3,628,900
PNS/798011/IIIC 1 0 185,000 60 4,011,280 0 382,380
ROHILAH
15 01-05-1971/091954891402001 1 3,639,200 0 0 72,420 0 0
197105011991032002/120961 0 0 0 265,000 0 363,920 7,000 3,605,700
PNS/820342/IIIC 1 0 0 0 3,976,620 0 370,920
BESTRIYANI ARISTYAWATI
16 08-04-1985/362043564416000 0 2,839,700 0 0 72,420 0 0
198504082011012021/180238 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
WIKE WIDIASTUTI DAELY

17 29-06-1984/490054970121000 1 2,929,100 185,000 0 144,840 0 0
198406292010012035/184467 0 292,910 0 0 0 322,201 7,000 3,222,700
PNS/798011/IIIC 2 0 185,000 51 3,551,901 0 329,201
ELVI RAMADHANI
18 11-05-1987/364519256125000 1 2,839,700 185,000 0 217,260 0 0
198705112011012023/185531 1 283,970 0 0 0 318,046 7,000 3,257,700
PNS/798012/IIIC 3 56,794 185,000 22 3,582,746 0 325,046
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NO STW
RORO EKA AGUSTINI
19 16-08-1963/682843339013000 1 3,994,000 185,000 0 217,260 0 0
196308161988012002/164499 1 399,400 0 0 0 447,328 7,000 4,421,300
PNS/798012/IIIC 3 79,880 185,000 88 4,875,628 0 454,328
WUHGINI
20 06-06-1973/774188320085999 1 3,420,300 0 0 289,680 0 0
197306061994032006/118596 2 342,030 0 600,000 0 389,914 7,000 4,392,000
PNS/820322/IIIC 4 136,812 0 92 4,788,914 0 396,914
ANDI KURNIADI
21 28-09-1978/244772711045000 1 3,214,700 185,000 0 289,680 0 0
197809282007011016/168529 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/000008/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
NIVITA AGISTA PURI

22 16-08-1979/475746103085000 0 2,810,200 185,000 0 72,420 0 0
197908162010012020/177738 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
RINI HASTUTI
23 21-05-1979/093221869411999 0 2,810,200 185,000 0 289,680 0 0
197905212010012016/178831 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798011/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
DANTI HARYUNI
24 10-11-1974/699737961034999 1 3,181,300 185,000 0 72,420 0 0
197411101999032005/128519 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
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NO STW
DIAN ARMAINI
25 28-05-1973/497312082045000 1 3,281,500 185,000 0 72,420 0 0
197305281997032001/162516 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798012/IIIB 1 0 185,000 30 3,538,950 0 335,150
HASMIATI
26 20-12-1972/154755615701000 1 3,384,900 185,000 0 289,680 0 0
197212201993022001/182816 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
EVVI OKTARINA HELZA

27 17-10-1978/478348899203000 1 2,990,000 185,000 0 289,680 0 0
197810172003122006/168875 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798011/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
SJAIFULLAH
28 03-08-1959/497312686035000 1 4,077,000 185,000 0 217,260 0 0
195908031977051001/060457 1 407,700 0 0 0 456,624 7,000 4,504,900
PNS/798022/IIIB 3 81,540 185,000 24 4,968,524 0 463,624
TATA RAMALI
29 21-06-1959/497299495451000 1 3,714,900 185,000 0 289,680 0 0
195906211986031012/107481 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798012/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SUMIRATI
30 09-10-1965/497312363085000 1 3,714,900 185,000 0 144,840 0 0
196510091987032005/110556 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
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NO STW
SULARDI
31 27-11-1962/574410338451000 1 3,714,900 185,000 0 289,680 0 0
196211271987031003/110611 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798012/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
BAMBANG HERMANTO
32 11-08-1963/476080643416000 0 3,714,900 185,000 0 72,420 0 0
196308111987031009/110703 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
HERU SUSANTO
33 25-02-1967/491198941402000 1 3,601,400 185,000 0 289,680 0 0
196702251988031003/111205 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798022/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
FRANS SIHASALE
34 15-07-1960/497311779086000 1 3,491,500 185,000 0 289,680 0 0
196607151990031006/115845 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798011/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
NI KOMANG ALIT.C
35 13-04-1966/175948298003001 1 3,714,900 0 0 217,260 0 0
196604131987032006/118400 1 371,490 0 265,000 0 416,068 7,000 4,219,900
PNS/820342/IIIB 3 74,298 0 20 4,642,968 0 423,068
ETI SUPRIATI
36 30-01-1970/247082217416000 1 3,491,500 0 0 289,680 0 0
197001301997032009/123510 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820313/IIIB 4 139,660 0 41 4,535,031 0 405,031
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NO STW
SRI HARIYANI
37 01-03-1971/497312629451000 1 3,491,500 0 0 289,680 0 0
197103011993102001/125218 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820325/IIIB 4 139,660 0 41 4,535,031 0 405,031
MIRSA KHOMALIA
38 24-10-1966/null 0 3,714,900 0 0 72,420 0 0
null/125737 0 0 0 183,000 0 371,490 7,000 3,591,900
PNS/850102/IIIB 1 0 0 70 3,970,390 0 378,490
ENI KASMINI
39 04-05-1978/692167323451000 0 3,084,200 0 0 72,420 0 0
197805041998032001/125821 0 0 0 600,000 0 308,420 7,000 3,441,200
PNS/820307/IIIB 1 0 0 0 3,756,620 0 315,420
MAGDALENA
40 13-01-1966/476768593002000 1 3,384,900 185,000 0 289,680 0 0
196601131992032004/157619 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798022/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
MAURENE SUZAN WOREK

41 13-09-1966/476080809034000 1 3,491,500 185,000 0 217,260 0 0
196609131987032003/157628 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798022/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
TIOMSI SAGALA
42 12-08-1959/476080692034000 1 3,952,600 185,000 0 217,260 0 0
195908121982032014/157634 1 395,260 0 0 0 442,691 7,000 4,379,500
PNS/798022/IIIB 3 79,052 185,000 19 4,829,191 0 449,691
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NO STW
LUTHFI
43 05-10-1959/476080864020000 1 3,831,900 185,000 0 289,680 0 0
195910051982031018/157932 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798012/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
REHULINA BR.PINEM
44 01-06-1961/476080767086000 1 3,714,900 185,000 0 144,840 0 0
196106011986032007/157946 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
FARIDA ARYANI
45 20-09-1960/476080668033000 1 3,952,600 185,000 0 72,420 0 0
196009201983032003/158246 0 0 0 0 0 395,260 7,000 3,807,800
PNS/798022/IIIB 1 0 185,000 40 4,210,060 0 402,260
ENDANG TRI RAHAYU

46 23-09-1976/682694591085001 0 2,781,100 0 0 72,420 0 0
197609232008012026/172864 0 0 0 300,000 0 278,110 7,000 2,868,500
PNS/820352/IIIA 1 0 0 90 3,153,610 0 285,110
YENI LISTYAWATI
47 11-04-1986/158249474811000 1 2,613,800 185,000 0 72,420 0 0
198604112011012020/189132 0 0 0 0 0 261,380 7,000 2,602,900
PNS/798012/IIIA 1 0 185,000 60 2,871,280 0 268,380
RATNA ANDRIYANI
48 07-10-1968/771242559036000 1 3,455,300 185,000 0 217,260 0 0
196810071991032007/119100 1 345,530 0 0 0 386,993 7,000 3,878,300
PNS/798012/IIIA 3 69,106 185,000 97 4,272,293 0 393,993
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NO STW
SOLICHIN
49 16-10-1972/570199760033000 1 3,148,300 185,000 0 289,680 0 0
197210161999031004/161571 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
EUIS SRI REJEKI

50 25-12-1981/695233403407000 1 2,668,200 180,000 0 289,680 0 0
198112252007012016/168399 2 266,820 0 0 0 304,174 5,000 3,202,300
PNS/798012/IID 4 106,728 180,000 46 3,511,474 0 309,174
YOESI WANACITRA SATAR

51 05-06-1980/684593494034000 1 2,668,200 180,000 0 289,680 0 0
198006052008011033/170064 2 266,820 0 0 0 304,174 5,000 3,202,300
PNS/798012/IID 4 106,728 180,000 46 3,511,474 0 309,174
RIZKA NURHAYATI
52 22-06-1988/345929681411000 0 2,507,800 180,000 0 144,840 0 0
198806222010012015/178713 0 250,780 0 0 0 275,858 5,000 2,802,600
PNS/798012/IID 2 0 180,000 38 3,083,458 0 280,858
YULI MURTININGSIH
53 17-07-1978/495140592042000 1 3,020,600 0 0 72,420 0 0
197807171998032003/157910 0 0 0 265,000 0 302,060 5,000 3,051,000
PNS/820132/IID 1 0 0 40 3,358,060 0 307,060
WIDIYASTUTI HANDAYANI
54 01-06-1980/893913228034000 1 2,668,200 0 0 289,680 0 0
198006012008012041/179159 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
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NO STW
IKMAL KHALQIAH
55 25-06-1981/478756109034000 1 2,431,200 180,000 0 289,680 0 0
198106252011012007/180952 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798012/IID 4 97,248 180,000 8 3,241,256 0 282,156
HAPIDOH
56 27-06-1989/972685069047000 0 2,431,200 0 0 72,420 0 0
198906272011012012/180961 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
BAMBANG HENDRA
57 08-08-1982/784268971034000 0 2,431,200 180,000 0 72,420 0 0
198208082011011012/181858 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798012/IID 1 0 180,000 0 2,683,620 0 248,120
FAISAL
58 18-10-1972/null 0 3,020,600 180,000 0 72,420 0 0
197210181997031003/123306 0 0 0 0 0 302,060 5,000 2,966,000
PNS/798981/IID 1 0 180,000 40 3,273,060 0 307,060
SARMIN
59 14-06-1961/472590926416000 1 3,315,100 180,000 0 144,840 0 0
196106141983031015/157825 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798011/IID 2 0 180,000 11 3,971,461 0 369,661
SUKANTA
60 07-01-1967/476768650031000 1 2,898,000 180,000 0 217,260 0 0
196701071991031010/116349 2 0 0 0 0 301,392 5,000 3,104,800
PNS/798041/IIC 3 115,920 180,000 12 3,411,192 0 306,392
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NO STW
JAROT H
61 31-07-1965/null 1 3,246,700 180,000 0 72,420 0 0
196507311988031002/116236 0 0 0 0 0 324,670 5,000 3,169,500
PNS/798981/IIB 1 0 180,000 50 3,499,170 0 329,670
ROHMAT
62 01-03-1963/null 1 2,586,100 180,000 0 144,840 0 0
196303011991121001/116211 0 258,610 0 0 0 284,471 5,000 2,880,100
PNS/798042/IIA 2 0 180,000 21 3,169,571 0 289,471
ALDILA ROSALINA
63 27-02-1983/676021256606000 0 2,048,480 185,000 0 217,260 0 0
198302272010012027/178720 1 204,848 0 0 0 229,429 7,000 2,460,200
CPNS/798981/IIIB 3 40,969 185,000 72 2,696,629 0 236,429
208,541,880 8,095,000 3,960,000 11,514,780 0 0

TOTAL 13,250,518 0 4,738,000 0 22,546,098 424,000 230,801,400
3,668,719 8,095,000 2,601 253,771,498 0 22,970,098
JAKARTA,
MENGETAHUI
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UKPD: SUKU DINAS KESEHATAN KOTA ADM JAKARTA SELATAN
NO STW
HENNY F FACHRUDIN
1 25-12-1959/676444854016000 1 4,522,500 0 1,260,000 72,420 0 0
195912251989012001/122921 0 0 0 0 0 452,250 10,000 5,392,700
PNS/000000/IVB 1 0 0 30 5,854,950 0 462,250
FATMIATY
2 05-04-1964/495140378416000 1 4,384,400 0 540,000 72,420 0 0
196404051992032002/121000 0 0 0 0 0 438,440 10,000 4,548,400
PNS/700400/IVB 1 0 0 20 4,996,840 0 448,440
UMMUL KHAIRI
3 27-08-1963/492331319009000 1 3,953,600 0 540,000 217,260 0 0
196308271996032001/127143 1 395,360 0 0 0 442,803 10,000 4,732,500
PNS/700200/IVA 3 79,072 0 11 5,185,303 0 452,803
NURIL ASTUTI
4 20-06-1966/141301267412001 1 4,206,500 0 540,000 217,260 0 0
196606201990092001/158948 1 420,650 0 0 0 471,128 10,000 4,987,500
PNS/500100/IVA 3 84,130 0 88 5,468,628 0 481,128
OCTOVIANA CAROLIMA S
5 26-10-1974/770174928407000 1 3,214,700 0 540,000 289,680 0 0
197410262006042020/165297 2 321,470 0 0 0 366,475 7,000 4,121,000
PNS/700100/IIIC 4 128,588 0 37 4,494,475 0 373,475
SARI ULFA NARDIA

6 14-11-1979/347005100411000 1 2,929,100 0 540,000 72,420 0 0
197911142010012024/179692 0 0 0 0 0 292,910 7,000 3,241,700
PNS/700300/IIIC 1 0 0 90 3,541,610 0 299,910
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NO STW
SRI ANGGRAINI
7 06-02-1968/245045513411000 1 4,078,100 190,000 0 217,260 0 0
196802061993032002/158473 1 407,810 0 0 0 456,747 10,000 4,508,000
PNS/798011/IVA 3 81,562 190,000 15 4,974,747 0 466,747
MULYADI
8 27-11-1968/484576053029000 1 4,078,100 190,000 0 289,680 0 0
196811271988031002/111166 2 407,810 0 0 0 464,903 10,000 4,653,900
PNS/798011/IVA 4 163,124 190,000 89 5,128,803 0 474,903
C.MONICA P HUTABARAT
9 17-11-1968/095415998017000 1 4,078,100 190,000 0 72,420 0 0
196811171993022001/122528 0 0 0 0 0 407,810 10,000 3,922,800
PNS/798011/IVA 1 0 190,000 90 4,340,610 0 417,810
SUSI DARYANTI
10 14-04-1965/488596370411000 1 4,035,800 185,000 0 217,260 0 0
196504141987032010/110683 1 403,580 0 0 0 452,009 7,000 4,463,400
PNS/798012/IIID 3 80,716 185,000 53 4,922,409 0 459,009
JULIATI
11 04-07-1964/241099886412001 1 4,294,000 185,000 0 144,840 0 0
196407041984032005/121029 0 429,400 0 0 0 472,340 7,000 4,573,900
PNS/798012/IIID 2 0 185,000 0 5,053,240 0 479,340
TUTIK RETNANINGSIH
12 18-03-1971/676472285411000 1 3,565,000 185,000 0 289,680 0 0
197103182002122002/164703 2 356,500 0 0 0 406,410 7,000 4,125,400
PNS/798011/IIID 4 142,600 185,000 30 4,538,810 0 413,410
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NO STW
NURWIRAH VERLIYANTI
13 13-11-1973/675091730412000 1 3,456,200 185,000 0 72,420 0 0
197311132006042016/165492 0 0 0 0 0 345,620 7,000 3,361,000
PNS/798011/IIID 1 0 185,000 0 3,713,620 0 352,620
TRISNO JAWOTO
14 01-01-1966/171197494016000 1 4,294,000 185,000 0 289,680 0 0
196601011987031013/110645 2 429,400 0 0 0 489,516 7,000 4,873,400
PNS/798012/IIID 4 171,760 185,000 76 5,369,916 0 496,516
SITI SUWANTI
15 22-12-1965/096485933019001 1 3,912,600 185,000 0 217,260 0 0
196512221991032002/118081 1 391,260 0 0 0 438,211 7,000 4,339,200
PNS/798012/IIID 3 78,252 185,000 39 4,784,411 0 445,211
SRI HIDAYANI
16 14-12-1974/792090151017000 1 3,116,500 0 0 217,260 0 0
197412142008012015/172979 2 0 0 750,000 0 324,116 7,000 3,877,400
PNS/820123/IIIC 3 124,660 0 96 4,208,516 0 331,116
SYAFRUDIN AZHAR
17 11-03-1963/null 1 3,994,000 185,000 0 144,840 0 0
196303111984031002/082811 0 399,400 0 0 0 439,340 7,000 4,276,900
PNS/798981/IIIC 2 0 185,000 0 4,723,240 0 446,340
MASFIAH HN
18 15-10-1959/359937760019000 0 3,753,800 185,000 0 144,840 0 0
195910151985092002/104432 1 0 0 0 0 382,887 7,000 3,768,900
PNS/798012/IIIC 2 75,076 185,000 71 4,158,787 0 389,887
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NO STW
RETNO POPPY P
19 25-02-1966/null 1 3,753,800 185,000 0 72,420 0 0
196602251994032001/158334 0 0 0 0 0 375,380 7,000 3,628,900
PNS/798981/IIIC 1 0 185,000 60 4,011,280 0 382,380
NANDANA PIA RALALITA

20 10-01-1982/593769615403000 0 2,929,100 185,000 0 144,840 0 0
198201102010012025/178928 0 292,910 0 0 0 322,201 7,000 3,222,700
PNS/798011/IIIC 2 0 185,000 51 3,551,901 0 329,201
INDRA
21 26-12-1978/742333206009000 1 2,839,700 185,000 0 217,260 0 0
197812262011011007/181007 1 283,970 0 0 0 318,046 7,000 3,257,700
PNS/798011/IIIC 3 56,794 185,000 22 3,582,746 0 325,046
REDINA ANGGIAPUTRI
22 24-11-1981/694322405015000 1 2,839,700 185,000 0 144,840 0 0
198111242011012012/181237 0 283,970 0 0 0 312,367 7,000 3,134,200
PNS/798011/IIIC 2 0 185,000 57 3,453,567 0 319,367
RUKIAH
23 15-09-1966/578128340015000 1 3,872,000 185,000 0 144,840 0 0
196609151987032013/116165 1 0 0 0 0 394,944 7,000 3,877,400
PNS/798012/IIIC 2 77,440 185,000 64 4,279,344 0 401,944
EVI RENI HASIBUAN

24 28-06-1966/787061258411000 1 3,639,200 185,000 0 217,260 0 0
196606281991032001/164566 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798012/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
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NO STW
ARIS MUNANDAR
25 20-05-1967/677795874416000 1 4,119,700 185,000 0 289,680 0 0
196705201987031001/110436 2 411,970 0 0 0 469,645 7,000 4,694,500
PNS/798012/IIIC 4 164,788 185,000 7 5,171,145 0 476,645
ROSDELIMA LUBIS
26 19-07-1960/787061241411000 1 4,249,500 185,000 0 217,260 0 0
196007191981032003/115919 1 424,950 0 0 0 475,944 7,000 4,678,800
PNS/798012/IIIC 3 84,990 185,000 44 5,161,744 0 482,944
SULIS KADARWATI
27 29-03-1970/584611826012999 1 3,639,200 185,000 0 217,260 0 0
197003291994032001/162631 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798011/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
KARINA ARVIANTI
28 02-06-1987/343776878019000 1 2,810,200 185,000 0 144,840 0 0
198706022010012028/177552 0 281,020 0 0 0 309,122 7,000 3,105,000
PNS/798012/IIIB 2 0 185,000 62 3,421,122 0 316,122
AHMAD WAHYUDI
29 27-08-1978/893833962017000 1 2,810,200 0 0 289,680 0 0
197808272010011022/178716 2 281,020 0 325,000 0 320,362 7,000 3,491,000
PNS/820107/IIIB 4 112,408 0 54 3,818,362 0 327,362
PRAYUDHI SATRIA
30 04-12-1981/664190907061000 0 2,641,200 185,000 0 72,420 0 0
198112042014031001/183694 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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NO STW
RAHMADHINI
31 08-05-1988/701063836001000 1 2,641,200 185,000 0 217,260 0 0
198805082014032005/183798 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
DEWIYANA
32 10-09-1982/244655031008000 0 2,990,000 185,000 0 72,420 0 0
198209102006042038/165099 0 0 0 0 0 299,000 7,000 2,941,500
PNS/798011/IIIB 1 0 185,000 80 3,247,500 0 306,000
EVY ROSITA J N
33 24-01-1977/791268410013000 1 3,181,300 185,000 0 289,680 0 0
197701241997032003/123405 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
HERRY SANTOSO
34 30-12-1969/570508424412000 1 3,281,500 185,000 0 217,260 0 0
196912301997031004/161670 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798012/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
APRIMAYANTI
35 04-04-1974/499801579005000 0 3,384,900 185,000 0 72,420 0 0
197404041994032003/120646 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798012/IIIB 1 0 185,000 70 3,642,390 0 345,490
YUSUF SAPTEDJA
36 06-01-1973/243470887005000 1 3,181,300 185,000 0 289,680 0 0
197301061997031003/123002 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798012/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
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NO STW
ENDANG Y
37 16-09-1967/676404148061000 1 3,491,500 185,000 0 72,420 0 0
196709161990032004/123049 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
AGUS KOMARUDIN
38 07-08-1971/246470280434000 1 3,181,300 185,000 0 289,680 0 0
197108171997031007/123308 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798022/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
PRIHASTRI INDRAWATI
39 18-11-1968/576617112015000 1 3,601,400 185,000 0 72,420 0 0
196811181989032002/123330 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798012/IIIB 1 0 185,000 20 3,858,840 0 367,140
NURFALAH
40 02-09-1974/748568318005000 1 3,281,500 185,000 0 289,680 0 0
197409021995032001/123384 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
YETTY ROSLINA SINAGA

41 19-09-1972/576617310018000 1 3,384,900 0 0 289,680 0 0
197209191993032006/161660 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
FITRIYATI
42 10-04-1969/787061340017000 1 3,491,500 185,000 0 289,680 0 0
196904101990122001/164675 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
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NO STW
IRWAN
43 06-08-1976/578453433017000 1 2,868,700 185,000 0 289,680 0 0
197608062000031003/161714 2 286,870 0 0 0 327,031 7,000 3,411,000
PNS/798011/IIIA 4 114,748 185,000 33 3,745,031 0 334,031
ZULMAINAR
44 12-03-1970/787061423411000 1 3,052,200 185,000 0 72,420 0 0
197003121997032006/161776 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798012/IIIA 1 0 185,000 0 3,309,620 0 312,220
IDA ROYANI NABABAN

45 09-05-1976/599925625421000 1 2,959,000 185,000 0 289,680 0 0
197605092006042004/189146 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798981/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
SUKARNO M NUR A
46 03-12-1974/494613466412000 1 3,052,200 185,000 0 289,680 0 0
197412031996031001/122425 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798011/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
SUHAENI HAMZAH
47 05-04-1975/741072144069000 1 3,052,200 185,000 0 72,420 0 0
197504052000122003/165105 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798022/IIIA 1 0 185,000 0 3,309,620 0 312,220
T.R.E NAZMUDIN
48 27-09-1965/285715090013000 1 3,349,800 185,000 0 217,260 0 0
196509271991031012/158429 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798022/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
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NO STW
ELIS KANTIAH
49 27-10-1974/675091672403000 1 2,959,000 185,000 0 144,840 0 0
197410271999032001/158598 1 0 0 0 0 301,818 7,000 3,039,300
PNS/798011/IIIA 2 59,180 185,000 98 3,348,118 0 308,818
SATIBI
50 12-05-1973/776827263017000 1 3,148,300 185,000 0 289,680 0 0
197305121994031005/162725 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798011/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
NINA QURNIATI
51 09-08-1987/897326633013000 0 2,507,800 180,000 0 72,420 0 0
198708092010012027/178983 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798012/IID 1 0 180,000 60 2,760,280 0 255,780
ASTI YUNIASIH
52 04-06-1975/584332795017000 1 2,668,200 180,000 0 217,260 0 0
197506042008012020/179945 1 266,820 0 0 0 298,838 5,000 3,081,900
PNS/798012/IID 3 53,364 180,000 94 3,385,738 0 303,838
YAYAN RISNADI
53 02-08-1981/697715647017000 1 2,668,200 0 0 289,680 0 0
198108022008011010/171204 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
DIAN MAYASARI
54 14-09-1986/363388711044000 1 2,431,200 180,000 0 72,420 0 0
198609142011012019/180894 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798012/IID 1 0 180,000 0 2,683,620 0 248,120
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NO STW
APFIA ROSVITA BUDIATI
55 13-11-1987/893023002017000 1 2,431,200 0 0 144,840 0 0
198711132011012018/180974 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
ETI MARYATI
56 02-09-1981/590743902009000 1 2,431,200 0 0 289,680 0 0
198109022011012014/181210 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
ADI SULISTIONO
57 02-09-1981/545153959403000 1 2,431,200 180,000 0 289,680 0 0
198109022011011007/181226 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798012/IID 4 97,248 180,000 8 3,241,256 0 282,156
LIA AMALIA
58 06-06-1984/364167718045000 1 2,431,200 0 0 289,680 0 0
198406062011012018/181847 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
TRYAS SAPTORINI
59 20-09-1987/584574271504000 1 2,586,700 180,000 0 72,420 0 0
198709202009032006/184465 0 0 0 0 0 258,670 5,000 2,575,500
PNS/798012/IID 1 0 180,000 50 2,839,170 0 263,670
BAIQ ADE MAYASARI

60 31-03-1988/159211614913000 1 2,406,000 180,000 0 289,680 0 0
198803312010012017/184468 2 240,600 0 0 0 274,284 5,000 2,933,300
PNS/798012/IID 4 96,240 180,000 64 3,212,584 0 279,284
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NO STW
GUSTI AYU PUTU EKA
61 13-01-1982/090763244031000 1 2,668,200 0 0 289,680 0 0
198201132008012020/179852 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
SALMA NUSAIBA
62 02-12-1989/708578166505000 0 2,261,300 180,000 0 72,420 0 0
198912022014032005/184191 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SRI WAHYUNINGSIH
63 16-11-1985/169632353412000 1 2,261,300 180,000 0 72,420 0 0
198511162014032004/184225 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NOVITIKA WAHYU
64 05-11-1990/703030700525000 0 2,261,300 180,000 0 72,420 0 0
199011052014032003/184062 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SRI HERNIYATI
65 17-09-1984/346150808411000 0 2,406,000 0 0 217,260 0 0
198409172010012030/178971 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IIC 3 48,120 0 92 3,152,072 0 274,472
RIMANELAWATY S
66 20-12-1973/494615248085000 0 2,780,400 0 0 144,840 0 0
197312201998032004/125582 1 0 0 240,000 0 283,600 5,000 2,932,300
PNS/820355/IIB 2 55,608 0 52 3,220,900 0 288,600
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WAGIMAN
67 15-09-1962/794727453014000 1 2,613,200 180,000 0 72,420 0 0
196209151992021001/116424 0 0 0 0 0 261,320 5,000 2,599,300
PNS/798041/IIB 1 0 180,000 0 2,865,620 0 266,320
215,788,800 9,400,000 3,960,000 12,528,660 0 0

TOTAL 13,704,680 0 3,020,000 0 23,361,722 456,000 238,711,000
4,123,890 9,400,000 2,692 262,528,722 0 23,817,722
JAKARTA,
MENGETAHUI
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UKPD: SUKU DINAS KESEHATAN KOTA ADM JAKARTA TIMUR
NO STW
IWAN KURNIAWAN
1 14-01-1968/087851705024000 1 4,250,600 0 1,260,000 217,260 0 0
196801141993121001/123285 1 425,060 0 0 0 476,067 10,000 5,751,900
PNS/000000/IVB 3 85,012 0 35 6,237,967 0 486,067
SITI RASMA SANTRI BUANA

2 18-07-1963/584240519412000 0 4,713,800 0 540,000 72,420 0 0
196307181989112001/117654 0 0 0 0 0 471,380 10,000 4,844,900
PNS/500100/IVC 1 0 0 60 5,326,280 0 481,380
DOMDOM KAROLINA
3 18-04-1959/672099819001000 0 4,762,000 0 540,000 72,420 0 0
195904181981112003/073140 0 0 0 0 0 476,200 10,000 4,888,300
PNS/700100/IVA 1 0 0 80 5,374,500 0 486,200
MHD.BAL'AN KAMALI
4 27-04-1980/497299446024000 1 3,248,300 0 540,000 144,840 0 0
198004272005021002/168853 0 324,830 0 0 0 357,313 7,000 3,893,700
PNS/700400/IIID 2 0 0 43 4,258,013 0 364,313
DEBBY PERMATASARI
5 18-12-1982/346098536432000 1 2,929,100 0 540,000 217,260 0 0
198212182010012018/178880 1 292,910 0 0 0 328,059 7,000 3,702,800
PNS/700300/IIIC 3 58,582 0 7 4,037,859 0 335,059
MUHAMAD NUR RAHMAT

6 08-08-1979/280974494017000 1 2,929,100 0 540,000 217,260 0 0
197908082010011016/179693 1 292,910 0 0 0 328,059 7,000 3,702,800
PNS/700200/IIIC 3 58,582 0 7 4,037,859 0 335,059
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NO STW
DORTY NUMPUNG
7 30-12-1958/672506557045000 1 4,616,600 190,000 0 217,260 0 0
195812301981022002/109954 1 461,660 0 0 0 517,059 10,000 5,050,800
PNS/798011/IVA 3 92,332 190,000 7 5,577,859 0 527,059
DARNIS
8 12-01-1968/697154326432000 1 3,456,200 185,000 0 289,680 0 0
196801122007011050/168384 2 345,620 0 0 0 394,006 7,000 4,013,800
PNS/798011/IIID 4 138,248 185,000 58 4,414,806 0 401,006
AAN NURHASANAH
9 02-09-1960/251533311008000 1 4,429,300 185,000 0 289,680 0 0
196009021981032003/071690 2 442,930 0 0 0 504,940 7,000 5,012,200
PNS/798011/IIID 4 177,172 185,000 58 5,524,140 0 511,940
KAMIDA MANURUNG
10 07-04-1975/094728797009001 1 3,565,000 185,000 0 217,260 0 0
197504071994032001/120905 1 356,500 0 0 0 399,280 7,000 3,988,800
PNS/798011/IIID 3 71,300 185,000 20 4,395,080 0 406,280
RIAMA PURBA
11 23-10-1965/699533071432000 1 4,035,800 185,000 0 72,420 0 0
196510231989032002/122785 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798011/IIID 1 0 185,000 60 4,293,280 0 410,580
MELIA FERIA
12 07-12-1962/678449240003000 1 3,912,600 185,000 0 289,680 0 0
196212071993122001/157382 2 391,260 0 0 0 446,036 7,000 4,482,100
PNS/798011/IIID 4 156,504 185,000 92 4,935,136 0 453,036
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OVI NORFIANA
13 27-11-1975/475486783004000 1 3,248,300 185,000 0 289,680 0 0
197511272006042014/164970 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
HAYFA HUSAEN
14 28-01-1978/259338887043000 1 3,248,300 185,000 0 289,680 0 0
197801282006042007/165004 2 324,830 0 0 0 370,306 7,000 3,800,500
PNS/798011/IIID 4 129,932 185,000 64 4,177,806 0 377,306
WAYAN SUWASTINI
15 23-11-1969/575785969003000 1 3,248,300 0 0 72,420 0 0
196911232005012010/165731 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
DYAN SULISTYORINI
16 31-10-1970/581424694001000 1 3,565,000 185,000 0 289,680 0 0
197010312000032002/165732 2 356,500 0 0 0 406,410 7,000 4,125,400
PNS/798011/IIID 4 142,600 185,000 30 4,538,810 0 413,410
YULIA MULIATY
17 25-07-1983/896100062009000 1 2,929,100 185,000 0 289,680 0 0
198307252010012038/179773 2 292,910 0 0 0 333,917 7,000 3,473,000
PNS/798011/IIIC 4 117,164 185,000 63 3,813,917 0 340,917
LENI MURTIYOWATI
18 06-02-1978/584550000001000 1 3,214,700 185,000 0 289,680 0 0
197802061998032001/128492 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798011/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
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NO STW
SUSI APRIYANTI
19 20-04-1978/481066769403000 1 3,214,700 185,000 0 289,680 0 0
197804201998032001/157637 2 321,470 0 0 0 366,475 7,000 3,766,000
PNS/798012/IIIC 4 128,588 185,000 37 4,139,475 0 373,475
ENDANG SRI
20 15-10-1976/346148786006000 0 2,929,100 185,000 0 289,680 0 0
197610152010012007/178409 2 292,910 0 0 0 333,917 7,000 3,473,000
PNS/798981/IIIC 4 117,164 185,000 63 3,813,917 0 340,917
DINA NURDJANNAH
21 19-01-1980/262228182432000 1 2,929,100 0 0 217,260 0 0
198001192010012018/178443 2 0 0 325,000 0 304,626 7,000 3,276,900
PNS/820107/IIIC 3 117,164 0 2 3,588,526 0 311,626
JHONSON HOTSAR
22 04-06-1980/262687262003000 1 2,839,700 0 0 289,680 0 0
198006042011011008/181250 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
SOLICHATUN
23 13-10-1973/254776511008000 0 3,528,100 185,000 0 72,420 0 0
197310131995032001/120253 0 0 0 0 0 352,810 7,000 3,425,800
PNS/798011/IIIC 1 0 185,000 90 3,785,610 0 359,810
MUNAJAM
24 30-08-1963/179496849005000 1 3,639,200 185,000 0 144,840 0 0
196308301994031007/157534 0 363,920 0 0 0 400,312 7,000 3,925,700
PNS/798012/IIIC 2 0 185,000 52 4,333,012 0 407,312
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ERNAWATI LUBIS
25 14-01-1969/584950042005000 1 3,528,100 185,000 0 289,680 0 0
196901141995032002/162417 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798011/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
WAHYUDI
26 21-12-1963/697162709432000 1 3,753,800 185,000 0 144,840 0 0
196312211985011004/086048 0 375,380 0 0 0 412,918 7,000 4,039,200
PNS/798011/IIIC 2 0 185,000 98 4,459,118 0 419,918
TIEN PRIHATINI
27 31-03-1965/476648225002000 1 3,994,000 185,000 0 144,840 0 0
196505311985032004/088265 0 399,400 0 0 0 439,340 7,000 4,276,900
PNS/798011/IIIC 2 0 185,000 0 4,723,240 0 446,340
IDA RAMIDA
28 10-01-1967/059842328005000 1 3,753,800 185,000 0 217,260 0 0
196701101989032005/115304 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798012/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
ARIF SYAIFUL HAQ

29 19-04-1988/705415065009000 1 2,641,200 185,000 0 217,260 0 0
198804192014031002/183561 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
RASYID MUFLIH MALIS

30 15-10-1988/584947030006000 0 2,641,200 185,000 0 72,420 0 0
198810152014031006/183799 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798011/IIIB 1 0 185,000 0 2,898,620 0 271,120
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NO STW
SYARI WINARTI
31 17-02-1976/584950141403000 1 3,084,200 185,000 0 217,260 0 0
197602171998032003/125689 1 308,420 0 0 0 345,430 7,000 3,504,200
PNS/798011/IIIB 3 61,684 185,000 66 3,856,630 0 352,430
SRI AGUSTINA
32 09-08-1968/472590603407000 1 3,601,400 185,000 0 72,420 0 0
196808091989032015/157828 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
RANI SULASTRI
33 12-02-1976/685845562009000 1 3,181,300 185,000 0 289,680 0 0
197602122000122001/161551 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
SUPARNO
34 21-11-1962/096375662006000 1 3,384,900 0 0 217,260 0 0
196211211993031001/122628 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820313/IIIB 3 67,698 0 60 4,273,408 0 386,108
PURWANTI AGUSTINI
35 07-08-1972/240158964034000 1 3,281,500 185,000 0 217,260 0 0
197208071997032003/123243 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798012/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
METY
36 09-05-1970/359934528008000 1 3,281,500 185,000 0 217,260 0 0
197005091998032007/128493 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798012/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
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NO STW
NURMIATI
37 12-09-1973/683120810005000 1 3,384,900 185,000 0 72,420 0 0
197309121993022003/164753 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798011/IIIB 1 0 185,000 70 3,642,390 0 345,490
YULIDAR EWI
38 26-07-1981/494426281412000 1 2,990,000 185,000 0 72,420 0 0
198107262003122002/169293 0 0 0 0 0 299,000 7,000 2,941,500
PNS/798012/IIIB 1 0 185,000 80 3,247,500 0 306,000
Y TRINIYATI
39 07-06-1959/451896070008000 1 4,077,000 185,000 0 144,840 0 0
195906071985032002/071023 0 407,700 0 0 0 448,470 7,000 4,359,100
PNS/798012/IIIB 2 0 185,000 30 4,814,570 0 455,470
SITI FARIDA
40 22-09-1959/584950991009000 1 4,077,000 185,000 0 72,420 0 0
195909221981032012/071598 0 0 0 0 0 407,700 7,000 3,919,800
PNS/798022/IIIB 1 0 185,000 80 4,334,500 0 414,700
KUSMIATI
41 30-12-1961/183768910005000 1 3,831,900 185,000 0 217,260 0 0
196112301985092001/104421 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798012/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SRI HERAWATI
42 10-06-1960/575786249008000 1 3,491,500 185,000 0 289,680 0 0
196006101987032002/110807 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
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NO STW
SUPRONO
43 23-09-1971/676598063005000 1 3,384,900 185,000 0 289,680 0 0
197109231992031002/117618 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
RUDI AVIANTO
44 19-05-1963/676597990412000 1 3,714,900 185,000 0 144,840 0 0
196305191986031007/118607 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
SUSI ASWIYARTI
45 12-08-1971/260825799403000 0 3,281,500 185,000 0 72,420 0 0
197108121995032001/120171 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798012/IIIB 1 0 185,000 30 3,538,950 0 335,150
WAGIMIN
46 08-07-1964/255147498003000 1 3,601,400 185,000 0 217,260 0 0
196709041989031005/123099 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
RIKA EURINARTI
47 06-04-1974/141072926412001 1 3,384,900 0 0 72,420 0 0
197404061993022001/125153 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
EDI BASRIANTO
48 15-03-1963/485500174407000 1 3,714,900 185,000 0 289,680 0 0
196303151987031016/157887 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
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NO STW
YENI YUNIZAR
49 08-06-1964/571708585006000 1 3,831,900 185,000 0 144,840 0 0
196406081985032008/157937 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798041/IIIB 2 0 185,000 79 4,545,009 0 428,509
N NIA KURNIASIH
50 14-09-1967/493374748006000 0 3,491,500 185,000 0 72,420 0 0
196709141991032006/157964 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
SRI SUTARTI
51 31-10-1961/575786710432000 1 3,952,600 185,000 0 144,840 0 0
196110311980022001/164748 0 395,260 0 0 0 434,786 7,000 4,236,000
PNS/798022/IIIB 2 0 185,000 86 4,677,786 0 441,786
EFRI YANTI
52 11-12-1982/477637771202000 1 2,781,100 185,000 0 72,420 0 0
198212112005012009/171094 0 0 0 0 0 278,110 7,000 2,753,500
PNS/798012/IIIA 1 0 185,000 90 3,038,610 0 285,110
SUSIATI
53 15-11-1959/774281752436000 1 3,148,300 0 0 217,260 0 0
195911151995032001/120256 1 314,830 0 300,000 0 352,609 7,000 3,683,800
PNS/820452/IIIA 3 62,966 0 53 4,043,409 0 359,609
SUKADI
54 12-03-1974/792440703006000 1 2,959,000 185,000 0 217,260 0 0
197403121999031009/157158 1 295,900 0 0 0 331,408 7,000 3,378,000
PNS/798011/IIIA 3 59,180 185,000 68 3,716,408 0 338,408
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NO STW
IRA KURNIATY
55 20-08-1973/240179572045001 1 3,052,200 185,000 0 217,260 0 0
197308201993022002/157816 1 305,220 0 0 0 341,846 7,000 3,471,900
PNS/798011/IIIA 3 61,044 185,000 22 3,820,746 0 348,846
EDY PRIYANTO
56 06-03-1977/575786421045000 1 2,959,000 185,000 0 289,680 0 0
197703061999031006/128513 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798011/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
HARMIYANI
57 19-01-1974/584950026023000 1 2,781,100 185,000 0 289,680 0 0
197401192006042003/165047 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798011/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
JANITA RISTIANTI
58 03-01-1982/685945669009000 1 2,868,700 185,000 0 289,680 0 0
198201032007012010/168438 2 286,870 0 0 0 327,031 7,000 3,411,000
PNS/798012/IIIA 4 114,748 185,000 33 3,745,031 0 334,031
LAREN VERINA
59 30-07-1988/346093321432000 0 2,613,800 185,000 0 72,420 0 0
198807302010012017/178159 0 0 0 0 0 261,380 7,000 2,602,900
PNS/798011/IIIA 1 0 185,000 60 2,871,280 0 268,380
HOTMA ULINA C.
60 11-10-1984/749882940009000 1 2,613,800 185,000 0 72,420 0 0
198410112009032010/189862 0 0 0 0 0 261,380 7,000 2,602,900
PNS/798981/IIIA 1 0 185,000 60 2,871,280 0 268,380
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NO STW
AMBUN SURI
61 19-10-1972/751248188448000 0 3,148,300 185,000 0 72,420 0 0
197210191998052001/125471 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798012/IIIA 1 0 185,000 10 3,405,730 0 321,830
CUCU WAYAMAH
62 13-01-1976/267548295412000 1 2,959,000 185,000 0 72,420 0 0
197601131998032002/125686 0 0 0 0 0 295,900 7,000 2,913,600
PNS/798011/IIIA 1 0 185,000 80 3,216,500 0 302,900
SABAR HARIYANTO
63 28-06-1977/262424021412000 1 2,668,200 180,000 0 289,680 0 0
197706282006041008/164994 2 266,820 0 0 0 304,174 5,000 3,202,300
PNS/798012/IID 4 106,728 180,000 46 3,511,474 0 309,174
DARWONO
64 08-09-1981/794866004009000 1 2,752,300 180,000 0 289,680 0 0
198109082008011014/171231 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798012/IID 4 110,092 180,000 60 3,607,362 0 318,762
AGUS SYA'RONI NASHIR

65 05-09-1981/469618128407000 1 2,431,200 0 0 217,260 0 0
198109052011011007/181427 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
MOCHAMAD FAJAR
66 14-05-1988/453976110024000 1 2,261,300 180,000 0 217,260 0 0
198805142014031004/184019 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
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NO STW
HERY IRWANTO
67 02-06-1973/590516894006000 1 2,723,700 180,000 0 289,680 0 0
197306021998031005/125835 2 272,370 0 0 0 310,501 5,000 3,259,200
PNS/798011/IIC 4 108,948 180,000 3 3,574,701 0 315,501
SITI RUSMIATI
68 08-09-1978/774277867009000 1 2,613,200 180,000 0 217,260 0 0
197809082007012019/167907 1 261,320 0 0 0 292,678 5,000 3,026,400
PNS/798022/IIB 3 52,264 180,000 34 3,324,078 0 297,678
227,053,900 10,155,000 3,960,000 13,180,440 0 0

TOTAL 16,286,840 0 2,895,000 0 24,753,168 476,000 252,496,400
4,191,112 10,155,000 3,276 277,725,568 0 25,229,168
JAKARTA,
MENGETAHUI
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SKPD: DINAS KESEHATAN (PARAMEDIS)
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN GAMBIR
NO STW
IGA RUSMALA DEWI
1 24-07-1966/699626289017000 1 4,078,100 0 980,000 72,420 0 0
196607241993012001/130263 0 0 0 0 0 407,810 10,000 4,712,800
PNS/000000/IVA 1 0 0 90 5,130,610 0 417,810
SITI KUSMIYATI
2 27-07-1975/485506554411000 1 3,456,200 0 540,000 217,260 0 0
197507271997032001/121306 1 345,620 0 0 0 387,094 7,000 4,234,200
PNS/500100/IIID 3 69,124 0 90 4,628,294 0 394,094
INDRAWATY
3 26-01-1961/067896126005000 1 4,430,400 0 0 144,840 0 0
196101261987012001/125768 0 443,040 0 1,200,000 0 487,344 10,000 5,721,000
PNS/820602/IVC 2 0 0 64 6,218,344 0 497,344
LAMIRIN
4 23-02-1960/171553811027000 1 4,384,400 0 0 289,680 0 0
196002231991021001/120901 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
ERI YUNARTI
5 13-12-1960/247423460072000 1 4,522,500 0 0 217,260 0 0
196012131989022001/125764 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820122/IVB 3 90,450 0 60 6,482,520 0 516,520
AFLI CHAIRANI
6 16-07-1963/575786306407000 0 4,206,500 0 0 144,840 0 0
196307161991012001/122278 1 0 0 1,200,000 0 429,063 10,000 5,196,500
PNS/820102/IVA 2 84,130 0 93 5,635,563 0 439,063
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NO STW
HASLINDA
7 14-09-1969/488714411028000 1 4,078,100 0 0 217,260 0 0
196909141992032006/122348 1 407,810 0 850,000 0 456,747 10,000 5,168,000
PNS/820306/IVA 3 81,562 0 15 5,634,747 0 466,747
ESTY SOEKSMARTI.A
8 20-02-1957/678449224015000 1 4,475,700 0 0 144,840 0 0
195702201989032001/122571 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820602/IVA 2 0 0 17 6,268,127 0 502,327
RATNA WIDURI
9 06-05-1970/697576510025000 1 3,832,800 0 0 72,420 0 0
197005062001122001/164420 0 0 0 1,200,000 0 383,280 10,000 4,712,000
PNS/820102/IVA 1 0 0 60 5,105,280 0 393,280
DIENA KUMALASARI
10 28-02-1979/893136465002000 1 3,248,300 0 0 289,680 0 0
197902282005012016/174753 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
MARYAMAH
11 12-05-1961/796320430402000 1 4,568,800 0 0 144,840 0 0
196105121981122003/074129 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
SRI DIYATI
12 04-03-1965/244608949451000 0 3,793,100 0 0 72,420 0 0
196503041990032007/115459 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820312/IIID 1 0 0 90 4,365,610 0 386,310
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NO STW
SRI NURSIYAH
13 07-07-1960/486570161024000 0 4,294,000 0 0 72,420 0 0
196007071982022010/073845 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
MARIANA
14 14-08-1961/778912352008000 1 4,162,900 0 0 144,840 0 0
196108141985032008/104471 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820312/IIID 2 0 0 89 5,224,119 0 464,919
HENY MONTOLALU
15 16-10-1961/593825813048000 1 4,294,000 0 0 144,840 0 0
196110161983022002/130930 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
REYNA LEVINA MAZHARDY

16 30-07-1986/363459587001000 1 2,839,700 0 0 72,420 0 0
198607302011012013/180989 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
LADY VALIANT SIMBOLON

17 30-05-1983/363659574071000 1 2,839,700 0 0 144,840 0 0
198305302011012014/180214 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820103/IIIC 2 0 0 57 4,018,567 0 319,367
VICTORIA DIAN
18 14-10-1985/356678722028000 1 2,839,700 0 0 217,260 0 0
198510142011012011/181025 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820123/IIIC 3 56,794 0 22 4,147,746 0 325,046
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NO STW
DERIZ
19 23-10-1985/363428830045000 1 2,839,700 0 0 289,680 0 0
198510232011012019/181241 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
PUSPITAWATI
20 04-05-1964/593958218451000 1 3,639,200 0 0 289,680 0 0
196405041991032002/115934 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820312/IIIC 4 145,568 0 0 4,938,368 0 421,868
FARHATON
21 09-01-1971/678450024028000 1 3,420,300 0 0 217,260 0 0
197101091998032002/125795 1 342,030 0 500,000 0 383,073 7,000 4,158,000
PNS/820312/IIIC 3 68,406 0 77 4,548,073 0 390,073
EFI AGUSTINA
22 03-08-1970/723436408004000 0 3,315,900 0 0 72,420 0 0
197008031996032002/120962 0 0 0 500,000 0 331,590 7,000 3,549,800
PNS/820621/IIIC 1 0 0 70 3,888,390 0 338,590
SRI YOSMERI
23 06-09-1973/252891908432001 1 3,420,300 0 0 289,680 0 0
197309061998032003/125469 2 342,030 0 265,000 0 389,914 7,000 4,057,000
PNS/820313/IIIC 4 136,812 0 92 4,453,914 0 396,914
ARRASYID
24 13-04-1986/706172699432000 1 2,641,200 185,000 0 144,840 0 0
198604132014031002/183564 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
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Page 139 of 952
NO STW
AYU ANINDHITA
25 17-10-1988/094414661001000 0 2,641,200 185,000 0 72,420 0 0
198810172014032006/183571 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
GRACE CHRISTINE
26 26-12-1988/705559474027000 0 2,641,200 185,000 0 72,420 0 0
198812262014032002/183630 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NYIMAS RODIAH
27 24-02-1982/706528841072000 1 2,641,200 185,000 0 217,260 0 0
198202242014032001/183692 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
TITIN ALIYAH
28 26-04-1976/678450032005000 1 3,181,300 185,000 0 144,840 0 0
197604262000122002/161555 0 318,130 0 0 0 349,943 7,000 3,472,400
PNS/798012/IIIB 2 0 185,000 73 3,829,343 0 356,943
TITIN HERAWATI
29 05-06-1968/485621213435000 1 3,491,500 0 0 72,420 0 0
196806051990032004/118067 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820313/IIIB 1 0 0 30 3,828,950 0 356,150
SRI MULYATI
30 18-09-1962/697262863432001 1 3,491,500 0 0 217,260 0 0
196209181994032001/157877 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
21/12/2016

Page 140 of 952
NO STW
SITI KHOMARIYAH
31 15-07-1972/692167240044000 1 3,384,900 0 0 289,680 0 0
197207151993022002/162618 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
BERKA OMPUSUNGGU
32 12-03-1961/697576569407000 1 3,831,900 185,000 0 144,840 0 0
196103121984031011/083050 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
NURUL FITRIANI
33 11-01-1967/486570153036000 0 3,714,900 185,000 0 72,420 0 0
196701111987032003/110517 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
DYAH WAHJUNINGSIH
34 18-02-1971/361794332407000 1 3,491,500 0 0 72,420 0 0
197102181991022001/162663 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
ZAFAR AHMAD
35 01-12-1962/688553544416000 1 3,148,300 185,000 0 289,680 0 0
196212011991031004/116379 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
DESIANA
36 29-12-1976/775686645403000 0 2,781,100 0 0 72,420 0 0
197612292006042005/174728 0 0 0 265,000 0 278,110 7,000 2,833,500
PNS/820313/IIIA 1 0 0 90 3,118,610 0 285,110
21/12/2016

Page 141 of 952
NO STW
SUPRIYADI
37 10-01-1969/null 1 3,247,500 0 0 289,680 0 0
196901101992031004/117528 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820325/IIIA 4 129,900 0 85 4,256,915 0 377,215
FLORIDA SITI N
38 12-07-1972/341564698435000 1 3,052,200 0 0 289,680 0 0
197207131996032003/121667 2 305,220 0 240,000 0 347,950 7,000 3,654,300
PNS/820343/IIIA 4 122,088 0 62 4,009,250 0 354,950
SISKA KARMA GIANTI

39 25-02-1983/257129569412000 1 2,668,200 0 0 289,680 0 0
198302252008012012/171668 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820133/IID 4 106,728 0 46 3,571,474 0 309,174
TANTRI DANIAWATY
40 06-08-1983/778825497005000 1 2,668,200 0 0 217,260 0 0
198308062008012013/173575 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/830225/IID 3 53,364 0 94 3,445,738 0 303,838
YESSY TIOMAS ELFRIDA.P

41 17-11-1983/881755052016000 1 2,668,200 0 0 217,260 0 0
198311172006042006/174751 1 266,820 0 265,000 0 298,838 5,000 3,166,900
PNS/820342/IID 3 53,364 0 94 3,470,738 0 303,838
RIDWAN GINANJAR
42 06-11-1983/368371191412000 1 2,431,200 180,000 0 289,680 0 0
198306112011011016/180977 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/000007/IID 4 97,248 180,000 8 3,241,256 0 282,156
21/12/2016

Page 142 of 952
NO STW
IGA VITA RIYANTI
43 24-08-1992/703717348531000 0 2,261,300 180,000 0 72,420 0 0
199208242014032002/183910 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IRMA MUTIARA SARI

44 24-09-1991/703778993404000 0 2,261,300 180,000 0 72,420 0 0
199109242014032002/183933 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NURAINI YUSTIAMALIA
45 17-01-1989/579752569402000 0 2,261,300 180,000 0 72,420 0 0
198901172014032002/184067 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SUFI AIROH
46 06-10-1989/705572410407000 0 2,261,300 180,000 0 72,420 0 0
198910062014032005/184443 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SRI ULINA BR S
47 05-10-1980/443603386085000 1 2,559,900 180,000 0 289,680 0 0
198010052008012027/174540 2 255,990 0 0 0 291,828 5,000 3,091,200
PNS/798022/IIC 4 102,396 180,000 62 3,388,028 0 296,828
RISKA SUSANTI
48 29-03-1980/771248259402000 1 2,381,100 0 0 289,680 0 0
198003292008012021/171767 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820314/IIB 4 95,244 0 11 3,244,145 0 276,445
21/12/2016

Page 143 of 952
NO STW
ZULFA DEVINA
49 10-05-1982/778791913009000 0 2,381,100 0 0 72,420 0 0
198205102008012026/172516 0 0 0 240,000 0 238,110 5,000 2,450,500
PNS/820133/IIB 1 0 0 90 2,693,610 0 243,110
NOVA LIANDA
50 04-05-1981/593958192029000 0 2,381,100 0 0 144,840 0 0
198105042008012027/170109 1 0 0 240,000 0 242,872 5,000 2,565,700
PNS/820133/IIB 2 47,622 0 10 2,813,572 0 247,872
RINI NOVIA
51 18-02-1985/261543813029000 1 2,381,100 0 0 289,680 0 0
198502182008012004/173196 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820133/IIB 4 95,244 0 11 3,244,145 0 276,445
CHRISTINA YULIASTUTI
52 28-07-1970/692167257029000 0 2,381,100 0 0 72,420 0 0
197007282008012013/173525 0 0 0 240,000 0 238,110 5,000 2,450,500
PNS/820343/IIB 1 0 0 90 2,693,610 0 243,110
NENI ANGGRAINI
53 24-11-1975/692167232074000 0 2,284,400 180,000 0 72,420 0 0
197511242008012012/172604 0 0 0 0 0 228,440 5,000 2,303,400
PNS/798022/IIA 1 0 180,000 20 2,536,840 0 233,440
21/12/2016

Page 144 of 952
NO STW
170,592,500 2,740,000 1,520,000 8,980,080 0 0
TOTAL 10,699,810 0 19,840,000 0 18,373,113 365,000 198,075,800
2,438,922 2,740,000 2,601 216,813,913 0 18,738,113
JAKARTA,
MENGETAHUI
KEPALA : DINAS KESEHATAN (PARAMEDIS)
21/12/2016

Page 145 of 952
UKPD: PUSKESMAS KELURAHAN DURI PULO KEC. GAMBIR JAKPUS
NO STW
NUSLINA YENDRI
1 19-09-1962/875296352072000 1 4,475,700 0 0 289,680 0 0
196209191988122001/122716 2 447,570 0 1,200,000 0 510,229 10,000 6,071,800
PNS/820602/IVA 4 179,028 0 51 6,592,029 0 520,229
4,475,700 0 0 289,680 0 0
TOTAL 447,570 0 1,200,000 0 510,229 10,000 6,071,800
179,028 0 51 6,592,029 0 520,229
JAKARTA,
MENGETAHUI
21/12/2016

Page 146 of 952
UKPD: PUSKESMAS KEL.PETOJO UTARA KEC. GAMBIR JAK PUS
NO STW
ADE FIRMANA
1 13-04-1968/670647122432000 1 4,078,100 0 0 289,680 0 0
196804131993122001/125796 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
4,078,100 0 0 289,680 0 0
TOTAL 407,810 0 1,200,000 0 464,903 10,000 5,663,900
163,124 0 89 6,138,803 0 474,903
JAKARTA,
MENGETAHUI
21/12/2016

Page 147 of 952
UKPD: PESKESMAS KEL. PETOJO SELATAN KEC.GAMBIR JAKPUS
NO STW
DEUIS NURHAYATI
1 11-03-1960/681013611027000 1 3,420,300 0 0 144,840 0 0
196003112006042005/168844 0 342,030 0 750,000 0 376,233 7,000 4,274,000
PNS/820103/IIIC 2 0 0 63 4,657,233 0 383,233
3,420,300 0 0 144,840 0 0
TOTAL 342,030 0 750,000 0 376,233 7,000 4,274,000
0 0 63 4,657,233 0 383,233
JAKARTA,
MENGETAHUI
21/12/2016

Page 148 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN SAWAH BESAR
NO STW
SITI AINUN DWIYANTI
1 27-10-1967/676142102024000 1 3,315,900 0 980,000 289,680 0 0
196710272007012022/168402 2 331,590 0 0 0 378,012 7,000 4,664,800
PNS/000000/IIIC 4 132,636 0 6 5,049,812 0 385,012
MARSINA SIAHAAN
2 08-04-1965/678450354435000 0 4,162,900 0 540,000 72,420 0 0
196504081984032001/083314 0 0 0 0 0 416,290 7,000 4,352,100
PNS/500100/IIID 1 0 0 70 4,775,390 0 423,290
LILLY BUDIHARTO
3 04-03-1964/076480649032000 1 4,713,800 0 0 72,420 0 0
196403041990032004/117836 0 0 0 1,200,000 0 471,380 10,000 5,504,900
PNS/820102/IVC 1 0 0 60 5,986,280 0 481,380
RITA DAHLINI
4 12-09-1959/778866475045000 1 4,568,800 0 0 144,840 0 0
195909121981052001/071745 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
E AHMAD KOSASIH
5 02-04-1959/null 1 4,035,800 0 0 217,260 0 0
195904021987031002/110211 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820324/IIID 3 80,716 0 53 5,237,409 0 459,009
SUMARNI BR SEMBIRING
6 23-04-1963/_89519867013000 1 4,162,900 0 0 144,840 0 0
196304231986032009/110302 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820131/IIID 2 0 0 89 5,224,119 0 464,919
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Page 149 of 952
NO STW
SURYATI
7 28-11-1969/725206015001000 0 3,315,900 0 0 72,420 0 0
196911282007012015/168360 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820103/IIIC 1 0 0 70 4,138,390 0 338,590
TINTANIE PADMASARI
8 14-03-1968/261483606041000 1 3,420,300 0 0 144,840 0 0
196803142006042018/165459 0 342,030 0 750,000 0 376,233 7,000 4,274,000
PNS/820103/IIIC 2 0 0 63 4,657,233 0 383,233
PUTRI DESSI RAHMAWATI

9 01-12-1982/346191828412000 1 2,929,100 0 0 72,420 0 0
198212012010012033/178715 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
TRI HANDAYANI
10 10-10-1984/342738770001000 0 2,839,700 0 0 72,420 0 0
198410102011012026/181040 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820123/IIIC 1 0 0 50 3,662,170 0 290,970
EGINA KETAREN
11 29-05-1981/098944077121000 1 2,839,700 0 0 217,260 0 0
198105292011012008/181246 1 283,970 0 325,000 0 318,046 7,000 3,397,700
PNS/820607/IIIC 3 56,794 0 22 3,722,746 0 325,046
RASMIYATI
12 02-11-1963/073004467432001 1 4,119,700 0 0 217,260 0 0
196311021983032004/079021 1 411,970 0 500,000 0 461,406 7,000 4,863,000
PNS/820621/IIIC 3 82,394 0 82 5,331,406 0 468,406
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NO STW
KARTINAH
13 05-07-1961/776644361042000 1 4,249,500 0 0 217,260 0 0
196107051981032001/071698 1 424,950 0 500,000 0 475,944 7,000 4,993,800
PNS/820312/IIIC 3 84,990 0 44 5,476,744 0 482,944
KANDI SANTI AJI

14 21-09-1979/345818041412000 1 2,810,200 185,000 0 217,260 0 0
197909212010012021/177431 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798011/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
NI MADE DESY INDRAYANI

15 04-12-1985/706122421731000 0 2,641,200 185,000 0 72,420 0 0
198512042014032001/183683 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SUPROBO
16 06-01-1960/095278099015000 1 4,077,000 0 0 72,420 0 0
196001061980081001/162261 0 0 0 265,000 0 407,700 7,000 3,999,800
PNS/820622/IIIB 1 0 0 80 4,414,500 0 414,700
BUDIARTI SUKARTINAH
17 15-01-1960/256818931024000 1 3,714,900 185,000 0 289,680 0 0
196001151986032002/107486 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
UTENG SUTIANA
18 07-02-1959/775710361451000 1 3,714,900 185,000 0 217,260 0 0
195902071986031004/108417 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
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NO STW
NANA EKA ADRIANA
19 05-07-1964/778818732433000 1 3,714,900 185,000 0 217,260 0 0
196407051987031006/110455 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
TRI MINDARTI
20 18-06-1968/776644387432000 1 3,714,900 185,000 0 217,260 0 0
196806181987032002/110525 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
BAHTIAR EFFENDI
21 15-11-1965/778866467077000 1 3,714,900 185,000 0 144,840 0 0
196511151987031007/110609 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
YULIA
22 17-07-1966/692107816027000 1 3,601,400 0 0 72,420 0 0
196607171988032005/111708 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/830224/IIIB 1 0 0 20 3,938,840 0 367,140
DYAH ASTRI CATUR

23 20-08-1983/245725288435000 0 2,781,100 0 0 72,420 0 0
198308202006042007/164965 0 0 0 240,000 0 278,110 7,000 2,808,500
PNS/820343/IIIA 1 0 0 90 3,093,610 0 285,110
MISRI LALYNA SARI

24 03-03-1978/142526078412001 1 2,928,300 0 0 289,680 0 0
197803032000122002/161519 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820355/IID 4 117,132 0 84 3,868,026 0 338,826
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NO STW
MUHAMAD LATIF MAHFUD
25 24-01-1980/778818773031000 1 2,668,200 0 0 217,260 0 0
198001242006041004/164938 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820314/IID 3 53,364 0 94 3,445,738 0 303,838
SRI WATI
26 19-10-1985/677902256001000 1 2,431,200 0 0 217,260 0 0
198510192011012014/180976 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
RATNANING DYAH ASTUTI

27 18-01-1984/363595729005000 1 2,431,200 0 0 72,420 0 0
198401182011012011/181856 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
IRWAN YUNANTO
28 29-06-1976/778818765412000 1 2,928,300 0 0 289,680 0 0
197606292000031001/161563 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820326/IID 4 117,132 0 84 3,868,026 0 338,826
BERTUA HELMINA
29 31-01-1979/251452504008001 1 2,752,300 0 0 289,680 0 0
197901312007012012/168514 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
SRI WULANDARI
30 11-03-1982/882408420024000 0 2,406,000 0 0 72,420 0 0
198203112010012021/178345 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IIC 1 0 0 80 2,718,500 0 245,600
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NO STW
OKTAVIANA NUGRAHENI
31 06-10-1991/703325639531000 0 2,261,300 180,000 0 72,420 0 0
199110062014032002/184086 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
103,966,200 1,475,000 1,520,000 5,069,400 0 0

TOTAL 6,580,560 0 9,475,000 0 11,185,826 204,000 118,009,500
1,311,568 1,475,000 1,598 129,399,326 0 11,389,826
JAKARTA,
MENGETAHUI
21/12/2016

Page 154 of 952
UKPD: RUMAH SAKIT UMUM KELAS D SAWAH BESAR
NO STW
SUZY FREUD
1 07-12-1965/593836653043000 1 4,569,900 0 980,000 289,680 0 0
196512071990112001/125721 2 456,990 0 0 0 520,968 10,000 5,948,400
PNS/000000/IVC 4 182,796 0 2 6,479,368 0 530,968
IDA CHORIDAH
2 07-11-1965/575786801002000 1 3,994,000 0 540,000 72,420 0 0
196511071988032003/111799 0 0 0 0 0 399,400 7,000 4,200,100
PNS/500100/IIIC 1 0 0 80 4,606,500 0 406,400
DESSY ARYANI
3 22-12-1976/485604367006000 1 3,116,500 0 540,000 289,680 0 0
197612222006042006/165034 2 311,650 0 0 0 355,281 7,000 4,020,300
PNS/700100/IIIC 4 124,660 0 91 4,382,581 0 362,281
DINI UTAMI NINGRUM

4 28-10-1987/476296975013000 0 2,724,400 0 540,000 72,420 0 0
198710282011012014/181042 0 0 0 0 0 272,440 7,000 3,057,400
PNS/700200/IIIB 1 0 0 20 3,336,840 0 279,440
MIANNA SIBUEA
5 09-07-1960/289203317008000 1 4,162,900 0 0 144,840 0 0
196007091984122003/162709 0 416,290 0 600,000 0 457,919 7,000 4,859,200
PNS/820307/IIID 2 0 0 89 5,324,119 0 464,919
LASMAWATI
6 12-04-1966/778866483034000 1 3,912,600 0 0 289,680 0 0
196604121989032007/120315 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820341/IIID 4 156,504 0 92 5,250,136 0 453,036
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Page 155 of 952
NO STW
NURBETI
7 19-04-1965/090570672027000 1 3,420,300 0 0 72,420 0 0
196504191998032002/125873 0 0 0 300,000 0 342,030 7,000 3,443,700
PNS/820309/IIIC 1 0 0 10 3,792,730 0 349,030
MARTIANA BR SEMBIRING
8 26-03-1968/257397588005001 1 3,639,200 0 0 289,680 0 0
196803261994032007/120332 2 363,920 0 300,000 0 414,868 7,000 4,316,500
PNS/820309/IIIC 4 145,568 0 0 4,738,368 0 421,868
AGNES YULIANA KARTINI

9 25-08-1971/778818757024000 1 3,639,200 0 0 289,680 0 0
197108251991032002/123331 2 363,920 0 600,000 0 414,868 7,000 4,616,500
PNS/820346/IIIC 4 145,568 0 0 5,038,368 0 421,868
GITA RAHMATIKA
10 04-12-1988/703794586009000 0 2,641,200 185,000 0 72,420 0 0
198812042014032002/183629 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ILMIDA HUSNIANA
11 22-06-1989/242954394003000 1 2,641,200 185,000 0 72,420 0 0
198906222014032001/183640 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RINI JULIYANTI
12 29-07-1986/146364963086000 1 2,641,200 185,000 0 289,680 0 0
198607292014032002/183714 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
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NO STW
DONA MARIANI
13 29-06-1970/778818740416000 1 3,181,300 0 0 289,680 0 0
197006292000032003/161569 2 318,130 0 300,000 0 362,668 7,000 3,846,700
PNS/820309/IIIB 4 127,252 0 6 4,216,368 0 369,668
ELISABETH APRIYENNI
14 03-04-1988/547432914128000 0 2,641,200 185,000 0 72,420 0 0
198804032014032005/183607 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
FADHILLA RATNA MEUTIA

15 10-01-1986/546623133323000 0 2,641,200 185,000 0 72,420 0 0
198601102014032004/183611 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RILA RIVANDA
16 27-02-1988/705812899201000 1 2,641,200 185,000 0 217,260 0 0
198802272014032002/183712 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ASTIN ANGGERIANI
17 04-09-1986/155709009311000 1 2,810,200 185,000 0 72,420 0 0
198609042008042001/189120 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
DWI ESTI DAMAYANI

18 21-06-1963/784619942407000 1 4,077,000 185,000 0 144,840 0 0
196306211984032002/083378 0 407,700 0 0 0 448,470 7,000 4,359,100
PNS/798011/IIIB 2 0 185,000 30 4,814,570 0 455,470
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NO STW
EHA SHOHIHAH
19 02-10-1988/703975607426000 0 2,261,300 180,000 0 72,420 0 0
198810022014032002/183825 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
AFRIDA NURUL FADLILAH

20 27-03-1991/708471032524000 0 2,261,300 180,000 0 72,420 0 0
199103272014032002/183345 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DESTI TIARA PUTRI

21 09-12-1989/706571163531000 0 2,261,300 180,000 0 72,420 0 0
198912092014032001/183499 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IFAL MAULANA
22 21-09-1989/705399467035000 0 2,261,300 180,000 0 72,420 0 0
198909212014031003/183909 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
METHA ZETTIARA
23 29-06-1991/667910814426000 0 2,261,300 180,000 0 72,420 0 0
199106292014032007/184009 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
70,401,200 2,380,000 2,600,000 3,476,160 0 0
TOTAL 3,558,100 0 2,600,000 0 7,500,008 154,000 78,402,800
1,040,820 2,380,000 528 86,056,808 0 7,654,008
JAKARTA,
MENGETAHUI
21/12/2016

Page 159 of 952
UKPD: PUSKESMAS KEL. MANGGA DUA SELATAN KEC SAWAH BESAR
NO STW
NURHASRUL
1 18-05-1959/070499942023000 1 4,384,400 0 0 289,680 0 0
195905181991031002/123479 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
4,384,400 0 0 289,680 0 0
TOTAL 438,440 0 1,200,000 0 499,821 10,000 5,978,100
175,376 0 25 6,487,921 0 509,821
JAKARTA,
MENGETAHUI
21/12/2016

Page 160 of 952
UKPD: PUSKESMAS KEL. KARTINI KEC. SAWAH BESAR
NO STW
I GUSTI AYU ARIWATI
1 20-02-1966/486643802075999 1 3,420,300 0 0 72,420 0 0
196602202006042003/165482 0 0 0 750,000 0 342,030 7,000 3,893,700
PNS/820103/IIIC 1 0 0 10 4,242,730 0 349,030
3,420,300 0 0 72,420 0 0
TOTAL 0 0 750,000 0 342,030 7,000 3,893,700
0 0 10 4,242,730 0 349,030
JAKARTA,
MENGETAHUI
21/12/2016

Page 161 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN KEMAYORAN
NO STW
LINDAWATI
1 30-10-1967/495140337036000 1 4,384,400 0 980,000 289,680 0 0
196710301992032006/120940 2 438,440 0 0 0 499,821 10,000 5,758,100
PNS/000000/IVB 4 175,376 0 25 6,267,921 0 509,821
IKA QURAESYIN
2 04-03-1965/590560249001000 1 3,315,900 0 540,000 144,840 0 0
196503042000032001/161544 0 331,590 0 0 0 364,749 7,000 3,960,600
PNS/500100/IIIC 2 0 0 19 4,332,349 0 371,749
YUN INDAWATI PASARIBU

3 20-06-1962/594064040027000 1 4,713,800 0 0 72,420 0 0
196206201989012002/124932 0 0 0 1,200,000 0 471,380 10,000 5,504,900
PNS/820102/IVC 1 0 0 60 5,986,280 0 481,380
WATI LIMANTO
4 27-06-1960/054200811023000 0 4,713,800 0 0 72,420 0 0
196006271989022002/162683 0 0 0 1,400,000 0 471,380 10,000 5,704,900
PNS/820601/IVC 1 0 0 60 6,186,280 0 481,380
MADALI
5 12-04-1967/584155931006000 0 4,250,600 0 0 144,840 0 0
196704121994021001/125098 1 0 0 1,200,000 0 433,561 10,000 5,236,900
PNS/820602/IVB 2 85,012 0 9 5,680,461 0 443,561
MARYOSO
6 29-03-1961/584155949407000 1 4,616,600 0 0 144,840 0 0
196103291982011004/076925 0 461,660 0 850,000 0 507,826 10,000 5,555,300
PNS/820306/IVA 2 0 0 26 6,073,126 0 517,826
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NO STW
MAIDA SITORUS
7 14-08-1960/289133084027000 1 4,294,000 0 0 144,840 0 0
196008141982122001/120734 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820341/IIID 2 0 0 0 5,368,240 0 479,340
LISRONITA PANJAITAN
8 10-01-1963/584155774027000 1 4,162,900 0 0 72,420 0 0
196301101985022001/161780 0 0 0 600,000 0 416,290 7,000 4,412,100
PNS/820307/IIID 1 0 0 70 4,835,390 0 423,290
MARLENI PARAPAT
9 06-08-1966/475487039008000 1 3,565,000 0 0 217,260 0 0
196608062007012021/168379 1 356,500 0 750,000 0 399,280 7,000 4,553,800
PNS/820103/IIID 3 71,300 0 20 4,960,080 0 406,280
SRI YULI ASTUTI

10 04-04-1963/584156111005000 1 3,677,300 0 0 217,260 0 0
196304041995032002/119126 1 367,730 0 500,000 0 411,857 7,000 4,417,000
PNS/820312/IIID 3 73,546 0 21 4,835,857 0 418,857
NINING MULYANINGSIH
11 14-06-1969/697614279027000 1 4,429,300 0 0 217,260 0 0
196106141981112001/125718 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820341/IIID 3 88,586 0 5 5,678,081 0 503,081
ROSPITA SIBARANI
12 16-07-1959/584156095045000 1 4,294,000 0 0 72,420 0 0
195907161982112001/162297 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
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NO STW
DEWI SRIASIH
13 01-01-1969/584155741048000 1 3,528,100 0 0 72,420 0 0
196911111992032005/123015 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
MARIANI
14 24-12-1965/259713774407000 1 3,872,000 185,000 0 217,260 0 0
196512241988012002/111962 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798012/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
SUJIYANTINAH
15 09-01-1968/584155857048000 1 3,753,800 185,000 0 72,420 0 0
196801091990032002/114684 0 0 0 0 0 375,380 7,000 3,628,900
PNS/798012/IIIC 1 0 185,000 60 4,011,280 0 382,380
SRI ANITA MULIA

16 18-10-1979/243655560407000 1 2,929,100 0 0 144,840 0 0
197910182010012015/178686 0 292,910 0 750,000 0 322,201 7,000 3,787,700
PNS/820103/IIIC 2 0 0 51 4,116,901 0 329,201
MICHAEL WIJAYA KOSASIH

17 28-05-1981/258605450412000 0 2,929,100 0 0 289,680 0 0
198105282010011024/178800 2 292,910 0 0 0 333,917 7,000 3,288,000
PNS/000008/IIIC 4 117,164 0 63 3,628,917 0 340,917
SUGIANTO
18 17-02-1966/584155832435000 1 3,872,000 0 0 289,680 0 0
196602171987031005/110560 2 387,200 0 240,000 0 441,408 7,000 4,495,400
PNS/860116/IIIC 4 154,880 0 48 4,943,808 0 448,408
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NO STW
NUNIEK SUPRIHATIN
19 06-02-1963/584156145027000 0 3,994,000 0 0 144,840 0 0
196302061985032009/158232 1 0 0 500,000 0 407,388 7,000 4,304,400
PNS/830223/IIIC 2 79,880 0 68 4,718,788 0 414,388
BERTY ASIAH
20 08-10-1984/705438281311000 1 2,641,200 185,000 0 289,680 0 0
198410082014032004/183575 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
FENTY YULIANTY
21 26-07-1985/461670063444000 0 2,641,200 185,000 0 72,420 0 0
198507262014032003/183616 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NI PUTU YULIYANA DEWI

22 30-06-1986/466689494908000 0 2,641,200 185,000 0 72,420 0 0
198606302014032003/183684 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SUSY INDRAYANI TAUFIK

23 14-08-1982/576984710508000 1 2,641,200 185,000 0 72,420 0 0
198208142014032003/183747 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ANGELINA PUTRI
24 24-12-1987/984918110541000 1 2,641,200 185,000 0 217,260 0 0
198712242014032004/183770 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
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Page 165 of 952
NO STW
CINDY PRATIWI
25 14-07-1987/687018390451000 1 2,641,200 185,000 0 217,260 0 0
198707142014032008/183774 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
EKASAKTI
26 01-10-1984/090051020023000 1 2,641,200 185,000 0 72,420 0 0
198410012014031002/184353 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SITI MUBAROKAH
27 17-12-1983/895361053017000 1 2,810,200 185,000 0 289,680 0 0
198312172010012028/177926 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798012/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
FITRI WIDYANINGRUM
28 21-01-1984/363427196027000 1 2,724,400 0 0 217,260 0 0
198401212011012009/181029 1 272,440 0 325,000 0 305,132 7,000 3,281,500
PNS/820124/IIIB 3 54,488 0 44 3,593,632 0 312,132
SUDI RAHARDJO
29 12-05-1963/261537351024000 1 3,831,900 185,000 0 217,260 0 0
196305121985031005/103667 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SISTIYANI
30 13-07-1963/181773169027006 1 3,831,900 185,000 0 217,260 0 0
196307131985032007/105368 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
21/12/2016

Page 166 of 952
NO STW
AGUS SURYANINGRAHAYU
31 25-08-1967/584155733027000 1 3,714,900 185,000 0 72,420 0 0
196708251987032006/110102 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
SUMARTINI
32 03-01-1967/584156012¿027000 1 3,714,900 185,000 0 144,840 0 0
196701031987032002/110457 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
ASEP
33 26-10-1966/584155881435000 1 3,714,900 185,000 0 289,680 0 0
196610261987031004/110458 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798012/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SUYATI
34 26-07-1966/594064032407000 1 3,714,900 185,000 0 217,260 0 0
196607261987032008/110610 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
MUGIARTI
35 21-12-1964/584155956027000 1 3,714,900 185,000 0 72,420 0 0
196412211987032006/110959 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
TUTI SUHAENAWATI
36 12-04-1966/584155865048000 1 3,601,400 185,000 0 217,260 0 0
196604121988012003/114102 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798012/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
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NO STW
WODJO SUMEDI
37 15-09-1962/584156038027000 1 3,281,500 185,000 0 217,260 0 0
196209151991031007/116377 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798022/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
ESTI SUJATNINGSIH
38 20-01-1980/685463770009000 1 2,868,700 0 0 289,680 0 0
198001202000032002/161572 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/830224/IIIA 4 114,748 0 33 3,825,031 0 334,031
PRIYONO
39 23-10-1964/584063984027000 1 3,148,300 185,000 0 289,680 0 0
196410231991031008/116362 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
NURHIDAYATI
40 07-07-1965/584156087004000 1 3,349,800 0 0 217,260 0 0
196507071991032008/116401 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820313/IIIA 3 66,996 0 41 4,234,077 0 382,177
EVITAWATI
41 25-03-1973/451352009027000 1 3,148,300 0 0 217,260 0 0
197303251994032006/118813 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820622/IIIA 3 62,966 0 53 4,008,409 0 359,609
IFI HENDROWATY
42 12-12-1969/790751408034000 1 3,148,300 185,000 0 144,840 0 0
196912121994032010/122941 0 314,830 0 0 0 346,313 7,000 3,439,700
PNS/798022/IIIA 2 0 185,000 43 3,793,013 0 353,313
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Page 168 of 952
NO STW
HEDDY POLMA
43 24-06-1976/359914850027000 1 2,959,000 0 0 289,680 0 0
197606241998032003/125839 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
YULIARTI ABDI
44 26-07-1976/176883254024000 1 2,868,700 0 0 289,680 0 0
197607262000122002/161522 2 286,870 0 240,000 0 327,031 7,000 3,466,000
PNS/820133/IIIA 4 114,748 0 33 3,800,031 0 334,031
KUSMIATI
45 02-02-1977/584155923027000 1 2,838,900 0 0 217,260 0 0
197702021998032003/157375 2 0 0 240,000 0 295,245 5,000 3,109,500
PNS/820314/IID 3 113,556 0 29 3,409,745 0 300,245
SRI RETNO KANARSIH

46 28-07-1977/594064016017000 1 2,752,300 180,000 0 289,680 0 0
197707282000122001/164386 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798012/IID 4 110,092 180,000 60 3,607,362 0 318,762
CHRISTINA DYAH
47 15-02-1984/571180793009000 1 2,406,000 180,000 0 217,260 0 0
198402152010012032/178980 1 240,600 0 0 0 269,472 5,000 2,817,600
PNS/798022/IIC 3 48,120 180,000 92 3,092,072 0 274,472
DEWANTI NURUL AINI

48 23-10-1989/703025155543000 0 2,261,300 180,000 0 72,420 0 0
198910232014032002/183507 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
JAYANTI INDRA VURI
49 17-09-1990/703235309545000 0 2,261,300 180,000 0 72,420 0 0
199009172014032003/183946 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RATNA PRATAMI FAUZI

50 04-08-1992/705888196411000 0 2,261,300 180,000 0 72,420 0 0
199208042014032002/184123 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RETNO PALUPI
51 15-01-1987/450366117412000 0 2,261,300 180,000 0 72,420 0 0
198701152014032003/184133 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
EDWARD LUMBANRAJA
52 10-02-1984/784290785407000 1 2,332,500 0 0 217,260 0 0
198402102011011012/180897 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
EKYTINIA DWIAN PALUPI

53 21-06-1986/363427451432999 1 2,332,500 0 0 217,260 0 0
198606212011012024/181225 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
DWI PURNAMASARI
54 02-09-1986/680856689071000 0 2,332,500 0 0 72,420 0 0
198609022011012019/181843 0 0 0 240,000 0 233,250 5,000 2,406,700
PNS/820314/IIC 1 0 0 30 2,644,950 0 238,250
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NO STW
KARPI
55 05-02-1965/584155766001000 1 3,180,500 180,000 0 217,260 0 0
196502051985032004/100016 1 318,050 0 0 0 356,216 5,000 3,598,300
PNS/798041/IIC 3 63,610 180,000 96 3,959,516 0 361,216
181,151,400 5,145,000 1,520,000 9,704,280 0 0

TOTAL 11,552,920 0 12,575,000 0 19,555,182 378,000 204,565,400
2,847,632 5,145,000 2,350 224,498,582 0 19,933,182
JAKARTA,
MENGETAHUI
21/12/2016

Page 171 of 952
UKPD: RUMAH SAKIT UMUM KELAS D KEMAYORAN
NO STW
ANI SRI W
1 19-09-1960/575786546432000 1 4,206,500 0 980,000 217,260 0 0
196009191991032001/122665 1 420,650 0 0 0 471,128 10,000 5,427,500
PNS/000000/IVA 3 84,130 0 88 5,908,628 0 481,128
JUDIAWATI
2 26-06-1961/065512576071999 1 4,206,500 0 540,000 144,840 0 0
196106261991032003/125738 0 420,650 0 0 0 462,715 10,000 4,839,300
PNS/700200/IVA 2 0 0 25 5,312,015 0 472,715
EDISON SAHPUTRA
3 18-01-1976/180150708027000 1 2,929,100 0 540,000 289,680 0 0
197601182010011009/178901 2 292,910 0 0 0 333,917 7,000 3,828,000
PNS/700100/IIIC 4 117,164 0 63 4,168,917 0 340,917
WANSARIA BANCIN
4 10-11-1975/699737979034999 0 3,639,200 0 540,000 72,420 0 0
197511101996032002/121118 0 0 0 0 0 363,920 7,000 3,880,700
PNS/500100/IIIC 1 0 0 0 4,251,620 0 370,920
CESILIA WURYASTUTI
5 29-09-1962/246083083043000 0 4,522,500 0 0 72,420 0 0
196209291989102002/129040 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
SUCI ARISISWANTY
6 27-10-1983/363518192407000 1 2,839,700 0 0 144,840 0 0
198310272011012015/181244 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820603/IIIC 2 0 0 57 4,018,567 0 319,367
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Page 172 of 952
NO STW
SUTINAH
7 20-03-1962/584156137048000 1 3,994,000 0 0 144,840 0 0
196203201984032001/083834 0 399,400 0 500,000 0 439,340 7,000 4,591,900
PNS/820312/IIIC 2 0 0 0 5,038,240 0 446,340
NURHANIFAH TAMAD
8 31-08-1989/545494809521000 0 2,641,200 185,000 0 72,420 0 0
198908312014032007/183690 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
FRIMA SUSILAWATI
9 12-01-1987/153188065203000 1 2,810,200 185,000 0 217,260 0 0
198701122010012015/189119 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
DIANA HANDAYANI
10 01-03-1968/372138321027000 1 3,601,400 185,000 0 289,680 0 0
196803011988032004/111189 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
NIAR GUSNIARTIANI
11 25-08-1966/584155790435000 1 3,491,500 185,000 0 72,420 0 0
196608251991032003/116396 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
MUH. BILAL
12 08-10-1964/584155964433000 1 3,491,500 185,000 0 144,840 0 0
196410081991031004/116402 0 349,150 0 0 0 384,065 7,000 3,779,500
PNS/798011/IIIB 2 0 185,000 75 4,170,565 0 391,065
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NO STW
NGADINI
13 31-07-1966/584155972027000 1 2,959,000 185,000 0 72,420 0 0
196607311998032002/157805 0 0 0 0 0 295,900 7,000 2,913,600
PNS/798022/IIIA 1 0 185,000 80 3,216,500 0 302,900
SRI WARATNANINGSIH
14 22-07-1988/898044961407000 0 2,507,800 0 0 72,420 0 0
198807222010012006/178968 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
MARGARETH OKTAVIANI
15 01-10-1988/null 1 2,431,200 180,000 0 144,840 0 0
198810012011012005/189141 0 243,120 0 0 0 267,432 5,000 2,726,800
PNS/798981/IID 2 0 180,000 72 2,999,232 0 272,432
INDRIYANI ALDILA HASBI

16 23-05-1987/165495201323000 1 2,507,800 180,000 0 72,420 0 0
198705232010012005/189133 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798022/IID 1 0 180,000 60 2,760,280 0 255,780
52,779,100 1,470,000 2,600,000 2,245,020 0 0

TOTAL 3,051,010 0 2,690,000 0 5,623,165 115,000 59,499,300
401,554 1,470,000 781 65,237,465 0 5,738,165
JAKARTA,
MENGETAHUI
21/12/2016

Page 174 of 952
UKPD: PUSKESMAS KEL. KEBON KOSONG KEC. KEMAYORAN
NO STW
DEWI YULIARTI
1 05-07-1980/675696405001000 1 3,248,300 0 0 217,260 0 0
198007052006042018/164898 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820103/IIID 3 64,966 0 53 4,605,409 0 370,809
ATY SARASWATI
2 24-10-1973/593946296027000 1 3,350,600 0 0 289,680 0 0
197310242006042011/165496 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
6,598,900 0 0 506,940 0 0
TOTAL 659,890 0 1,500,000 0 745,777 14,000 8,705,000
198,990 0 57 9,464,777 0 759,777
JAKARTA,
MENGETAHUI
21/12/2016

Page 175 of 952
UKPD: PUSKESMAS KEL. SERDANG KEC. KEMAYORAN JAKPUS
NO STW
FLOREN BR GINTING
1 23-04-1961/087852398043000 1 4,862,300 0 0 72,420 0 0
196104231987092001/162214 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820602/IVC 1 0 0 10 6,134,730 0 496,230
4,862,300 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 486,230 10,000 5,638,500
0 0 10 6,134,730 0 496,230
JAKARTA,
MENGETAHUI
21/12/2016

Page 176 of 952
UKPD: PUSKESMAS KEL. HARAPAN MULIA KEC. KEMAYORAN
NO STW
NURUL INAYAH
1 26-03-1975/584155980015000 0 3,116,500 0 0 72,420 0 0
197503262006042002/164955 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
3,116,500 0 0 72,420 0 0
TOTAL 0 0 750,000 0 311,650 7,000 3,620,300
0 0 30 3,938,950 0 318,650
JAKARTA,
MENGETAHUI
21/12/2016

Page 177 of 952
UKPD: PUSKESMAS KEL. CAMPAKA BARU KEC. KEMAYORAN
NO STW
SYAMSINAR HARAHAP
1 26-10-1959/076344514027000 1 3,715,800 0 0 144,840 0 0
195910262001122001/165202 0 371,580 0 1,200,000 0 408,738 10,000 5,013,500
PNS/820102/IVA 2 0 0 18 5,432,238 0 418,738
3,715,800 0 0 144,840 0 0
TOTAL 371,580 0 1,200,000 0 408,738 10,000 5,013,500
0 0 18 5,432,238 0 418,738
JAKARTA,
MENGETAHUI
21/12/2016

Page 178 of 952
UKPD: PUSKESMAS KEL. SUMUR BATU KEC. KEMAYORAN
NO STW
SRI SEKUNDANI I
1 23-10-1964/584156004043000 0 3,912,600 0 0 72,420 0 0
196410231993122001/121064 0 0 0 750,000 0 391,260 7,000 4,336,800
PNS/820603/IIID 1 0 0 40 4,735,060 0 398,260
3,912,600 0 0 72,420 0 0
TOTAL 0 0 750,000 0 391,260 7,000 4,336,800
0 0 40 4,735,060 0 398,260
JAKARTA,
MENGETAHUI
21/12/2016

Page 179 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN SENEN
NO STW
JHON ERDAL
1 08-02-1961/690229877013000 1 4,522,500 0 980,000 144,840 0 0
196102081990011001/158445 0 452,250 0 0 0 497,475 10,000 5,592,200
PNS/000000/IVB 2 0 0 85 6,099,675 0 507,475
NINING EKAWATI
2 19-12-1963/678450396008000 1 4,035,800 0 540,000 289,680 0 0
196312191986032004/107738 2 403,580 0 0 0 460,081 7,000 4,963,500
PNS/500100/IIID 4 161,432 0 89 5,430,581 0 467,081
YULI HARTATI
3 17-07-1958/180153728075000 1 4,862,300 0 0 144,840 0 0
195807171987102001/120764 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820102/IVC 2 0 0 83 6,693,453 0 544,853
ANNA HASNAINI
4 24-10-1964/180153975024000 1 4,713,800 0 0 289,680 0 0
196410241989112002/158285 2 471,380 0 1,200,000 0 537,373 10,000 6,316,100
PNS/820102/IVC 4 188,552 0 61 6,863,473 0 547,373
DASIYEM
5 24-09-1957/593836679432000 1 4,811,900 0 0 72,420 0 0
195709241980032004/122572 0 0 0 850,000 0 481,190 10,000 5,243,200
PNS/820306/IVB 1 0 0 70 5,734,390 0 491,190
ZINNITA MUTHALIB
6 12-09-1962/180149718027000 1 4,522,500 0 0 72,420 0 0
196209121990102001/158099 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820102/IVB 1 0 0 30 5,794,950 0 462,250
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NO STW
ERIKA SIRINGO RINGO
7 08-11-1957/774000244086000 1 4,035,800 0 0 144,840 0 0
195711081990112001/115972 0 403,580 0 600,000 0 443,938 7,000 4,733,300
PNS/820307/IIID 2 0 0 18 5,184,238 0 450,938
APRILLINA MARIANI
8 04-04-1968/593836570016000 1 3,912,600 0 0 289,680 0 0
196804041993122001/165786 2 391,260 0 750,000 0 446,036 7,000 5,047,100
PNS/820103/IIID 4 156,504 0 92 5,500,136 0 453,036
IRMINA ENDAH SETIYORINI

9 24-11-1970/887960623023000 1 3,793,100 0 0 289,680 0 0
197011241993032004/183029 2 379,310 0 600,000 0 432,413 7,000 4,774,500
PNS/820307/IIID 4 151,724 0 99 5,213,913 0 439,413
TIODOR DAMANIK
10 17-05-1961/593836380435000 1 3,677,300 0 0 144,840 0 0
196105171995032001/120317 0 367,730 0 600,000 0 404,503 7,000 4,378,400
PNS/820307/IIID 2 0 0 33 4,789,903 0 411,503
RISTEN SIMANJORANG
11 16-04-1964/076138882023000 1 4,162,900 0 0 144,840 0 0
196404161985032008/087077 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820621/IIID 2 0 0 89 5,224,119 0 464,919
ZULFAWARNI
12 21-11-1960/593836430036000 1 3,912,600 0 0 144,840 0 0
196011211989032002/114179 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820341/IIID 2 0 0 86 4,948,786 0 437,386
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NO STW
MARLINA PARDOSI
13 23-07-1960/593836406451000 1 3,912,600 0 0 144,840 0 0
196007221989032001/114182 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820341/IIID 2 0 0 86 4,948,786 0 437,386
SUMARNI
14 26-06-1969/593836489009000 1 3,793,100 0 0 217,260 0 0
196906261991032007/116370 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820312/IIID 3 75,862 0 95 4,965,627 0 431,827
NURMADIAH
15 16-10-1959/593836661407000 1 4,568,800 0 0 144,840 0 0
195910161979042001/122575 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820341/IIID 2 0 0 48 5,670,568 0 509,568
MINAT RIANG GEA

16 16-01-1969/076138015023000 0 3,793,100 0 0 217,260 0 0
196901161991032001/157379 2 0 0 500,000 0 394,482 7,000 4,260,700
PNS/820341/IIID 3 151,724 0 98 4,662,182 0 401,482
MURNIATY
17 22-09-1965/593836455071000 1 4,429,300 0 0 289,680 0 0
196509221986032009/162460 2 442,930 0 500,000 0 504,940 7,000 5,327,200
PNS/820312/IIID 4 177,172 0 58 5,839,140 0 511,940
ISNI NURLIYATI
18 20-04-1973/593836703407000 1 3,793,100 0 0 289,680 0 0
197304201992032003/162628 2 379,310 0 500,000 0 432,413 7,000 4,674,500
PNS/820341/IIID 4 151,724 0 99 5,113,913 0 439,413
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NO STW
ERMA HANDAYANI
19 12-06-1980/357756501404000 1 2,929,100 0 0 289,680 0 0
198006122010012033/179738 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
YUMNA ASMITA
20 01-12-1977/778833095045000 1 3,116,500 0 0 289,680 0 0
197712012005022002/179894 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820603/IIIC 4 124,660 0 91 4,592,581 0 362,281
YUYUN WAHYUNINGSIH
21 30-05-1982/595486218407000 1 2,839,700 0 0 289,680 0 0
198205302011012008/181017 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
ANI SULISTYORINI
22 15-02-1982/363484460432000 1 2,839,700 0 0 144,840 0 0
198202152011012008/181231 0 283,970 0 325,000 0 312,367 7,000 3,274,200
PNS/820607/IIIC 2 0 0 57 3,593,567 0 319,367
RODOULI GIRSANG
23 31-07-1970/593836539451000 1 3,528,100 0 0 289,680 0 0
197007311996032002/121123 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820324/IIIC 4 141,124 0 89 4,811,803 0 409,203
MARTINI TUMANGGOR
24 06-03-1974/684394307432000 1 3,420,300 0 0 289,680 0 0
197403061998032005/125502 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
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NO STW
DIAN SUWANDARI
25 19-06-1964/593836562086000 1 3,872,000 0 0 72,420 0 0
196406191986032005/107461 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
FITRI LESTARI
26 19-03-1985/462223348432000 1 2,641,200 185,000 0 144,840 0 0
198503192014032001/183621 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
SANDRA AVIN NOVIYANTI

27 17-11-1988/551678618432000 1 2,641,200 185,000 0 217,260 0 0
198811172014032002/183727 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
LIESTHIA FIDELIA
28 24-04-1989/545571648432000 0 2,641,200 185,000 0 144,840 0 0
198904242014032005/183786 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
ANITA PANJAITAN
29 31-12-1976/593836604436000 1 3,181,300 0 0 289,680 0 0
197610111996032001/121669 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
THERESIA PANGEMANAN
30 13-05-1972/096160569016000 1 3,384,900 0 0 217,260 0 0
197205131992032004/158500 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820132/IIIB 3 67,698 0 60 4,273,408 0 386,108
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NO STW
ERNA ZAINAH
31 22-01-1963/247015993001003 1 3,831,900 185,000 0 217,260 0 0
196301221985032003/102932 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
ASEP RAHMAT
32 05-08-1963/593836422027000 1 3,714,900 185,000 0 217,260 0 0
196308051986031022/108325 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
TRI RAHAYU
33 26-03-1963/593836554027000 0 3,714,900 185,000 0 72,420 0 0
196303261986032002/109920 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
HELLY WAHYUNI
34 22-01-1962/593836646407000 1 3,714,900 185,000 0 217,260 0 0
196201221987032002/110461 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
WELLY
35 30-09-1967/593836547008000 0 3,601,400 185,000 0 144,840 0 0
196709301989032003/113695 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798011/IIIB 2 0 185,000 74 4,291,454 0 403,154
SAMINAH
36 21-07-1965/593836497435000 1 3,714,900 185,000 0 217,260 0 0
196507211986032007/157881 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
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NO STW
INDRAYANTI ZEGA
37 22-07-1974/593836612005000 1 3,384,900 0 0 144,840 0 0
197407221993032001/164602 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820342/IIIB 2 0 0 9 4,133,239 0 379,339
IDA WARSARI
38 13-04-1965/774000269404000 1 3,455,300 185,000 0 289,680 0 0
196504131985032004/088385 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798011/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
PRATIWI AMBARTAKARI
39 06-07-1966/null 1 3,564,100 185,000 0 72,420 0 0
196607061986032008/107532 0 0 0 0 0 356,410 7,000 3,458,200
PNS/798981/IIIA 1 0 185,000 90 3,821,610 0 363,410
KUSMANTO
40 04-01-1969/778865642045000 0 3,247,500 0 0 72,420 0 0
196901041992031010/117527 0 0 0 265,000 0 324,750 7,000 3,253,200
PNS/820325/IIIA 1 0 0 30 3,584,950 0 331,750
RINI SARTIKA
41 10-11-1977/593836596024000 1 2,868,700 0 0 289,680 0 0
197711102000032002/161536 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/830224/IIIA 4 114,748 0 33 3,825,031 0 334,031
WIDYANINGSIH
42 30-04-1982/684394331006000 1 2,668,200 0 0 289,680 0 0
198204302006042011/164960 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
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NO STW
DESWITA SINULINGGA
43 31-12-1975/090044546023000 1 2,640,600 0 0 217,260 0 0
197512312007012084/168522 1 264,060 0 240,000 0 295,747 5,000 3,114,000
PNS/820314/IID 3 52,812 0 15 3,414,747 0 300,747
INDRIYANTI N.
44 09-10-1980/774008379008000 1 2,668,200 0 0 289,680 0 0
198010092008012019/171200 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
ARTHA RIA MANULANG

45 13-09-1981/678449489432000 0 2,668,200 0 0 72,420 0 0
198109132008012017/174636 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820314/IID 1 0 0 0 2,980,620 0 271,820
NURHIKMAH
46 15-08-1981/774244164432000 1 2,431,200 0 0 289,680 0 0
198108152011012010/180938 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
SANTI CANDRAWATI
47 28-07-1982/491577581005000 1 2,431,200 0 0 72,420 0 0
198207282011012010/181202 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
DESI IKA FADILLAWATI

48 07-12-1983/688769686005000 0 2,431,200 0 0 72,420 0 0
198312072011012011/181854 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
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NO STW
RAHIMI OKTAVIANA
49 06-10-1979/468439898005000 1 2,838,900 0 0 144,840 0 0
197910062008012005/182779 0 283,890 0 240,000 0 312,279 5,000 3,190,400
PNS/820343/IID 2 0 0 49 3,507,679 0 317,279
EVI LESTARI NAULI

50 19-05-1980/692144355024000 1 2,640,600 0 0 72,420 0 0
198005192007012015/168496 0 0 0 240,000 0 264,060 5,000 2,684,000
PNS/820343/IID 1 0 0 40 2,953,060 0 269,060
NENG LIA YULIANTI

51 07-12-1982/480117175023001 1 2,752,300 0 0 289,680 0 0
198212072007012011/168524 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/830225/IID 4 110,092 0 60 3,667,362 0 318,762
ARLIKA RAHAYU
52 27-04-1988/667206478407000 0 2,261,300 180,000 0 72,420 0 0
198804272014032006/183433 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
FESTI LISDIANA
53 01-08-1990/666032214421000 0 2,261,300 180,000 0 72,420 0 0
199008012014032001/183863 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LUH AYU ANGGRENI

54 21-01-1990/445540214432000 0 2,261,300 180,000 0 144,840 0 0
199001212014032002/183989 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
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NO STW
SHELLY MARSELIN
55 01-03-1992/169744877445000 0 2,261,300 180,000 0 72,420 0 0
199203012014032003/184206 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MEILINAH
56 30-05-1973/593958200403000 0 2,284,400 0 0 72,420 0 0
197305302008012006/174198 0 0 0 240,000 0 228,440 5,000 2,363,400
PNS/820343/IIB 1 0 0 20 2,596,840 0 233,440
IKAH RATIKAH
57 16-04-1978/543215925018000 1 2,456,000 0 0 72,420 0 0
197804162008012001/182811 0 0 0 240,000 0 245,600 5,000 2,517,900
PNS/820623/IIB 1 0 0 80 2,768,500 0 250,600
191,057,900 2,755,000 1,520,000 10,428,480 0 0

TOTAL 14,183,640 0 19,280,000 0 20,836,333 382,000 221,131,700
3,121,916 2,755,000 3,097 242,350,033 0 21,218,333
JAKARTA,
MENGETAHUI
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UKPD: PUSKESMAS KEL. KWITANG KEC.SENEN JAKPUS
NO STW
SOMARA DORMAWATI
1 04-09-1976/773598958023000 1 3,350,600 0 0 72,420 0 0
197609042006042013/180151 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
3,350,600 0 0 72,420 0 0
TOTAL 0 0 750,000 0 335,060 7,000 3,831,000
0 0 40 4,173,060 0 342,060
JAKARTA,
MENGETAHUI
21/12/2016

Page 190 of 952
UKPD: PUSKESMAS KEL. KENARI KEC.SENEN JAKPUS
NO STW
KASTURI YULI S
1 26-07-1960/245644513407000 1 4,665,000 0 0 144,840 0 0
196007261988121001/120762 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVB 2 0 0 10 6,476,350 0 523,150
4,665,000 0 0 144,840 0 0
TOTAL 466,500 0 1,200,000 0 513,150 10,000 5,953,200
0 0 10 6,476,350 0 523,150
JAKARTA,
MENGETAHUI
21/12/2016

Page 191 of 952
UKPD: PUSKESMAS KEL.KRAMAT KEC.SENEN JAKPUS
NO STW
LINA KUSNADI
1 29-05-1969/250944295024001 1 3,315,900 0 0 289,680 0 0
196905292007012023/168502 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
3,315,900 0 0 289,680 0 0
TOTAL 331,590 0 750,000 0 378,012 7,000 4,434,800
132,636 0 6 4,819,812 0 385,012
JAKARTA,
MENGETAHUI
21/12/2016

Page 192 of 952
UKPD: PUSKEMAS KEL.PASEBAN KEC.SENEN JAKPUS
NO STW
JEFFERSON BINSAR H.S.
1 26-03-1966/090530163027000 1 3,754,700 0 0 217,260 0 0
196603262002121002/165086 1 375,470 0 1,200,000 0 420,526 10,000 5,192,000
PNS/820102/IVB 3 75,094 0 2 5,622,526 0 430,526
TRI HANDAYANI
2 15-04-1979/593836414407000 0 2,990,000 0 0 72,420 0 0
197904152006042003/165040 0 0 0 0 0 299,000 7,000 2,756,500
PNS/000008/IIIB 1 0 0 80 3,062,500 0 306,000
6,744,700 0 0 289,680 0 0
TOTAL 375,470 0 1,200,000 0 719,526 17,000 7,948,500
75,094 0 82 8,685,026 0 736,526
JAKARTA,
MENGETAHUI
21/12/2016

Page 193 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CEMPAKA PUTIH
NO STW
ATI SUKMANINGSIH
1 26-03-1960/488867755043000 0 4,963,400 0 980,000 217,260 0 0
196003261984092001/109956 1 496,340 0 0 0 555,900 10,000 6,190,400
PNS/000000/IVB 3 99,268 0 32 6,756,300 0 565,900
APRILYANI
2 23-04-1964/093200186451001 1 4,162,900 0 540,000 217,260 0 0
196404231988032004/120200 1 416,290 0 0 0 466,244 7,000 4,946,500
PNS/500100/IIID 3 83,258 0 36 5,419,744 0 473,244
YUSMAINI
3 12-10-1960/140527946024000 1 5,068,000 0 0 144,840 0 0
196010121987122001/118646 0 506,800 0 1,400,000 0 557,480 10,000 6,552,200
PNS/820601/IVD 2 0 0 40 7,119,680 0 567,480
SUNARTI KASMALI
4 03-08-1962/475271136075000 1 4,384,400 0 0 144,840 0 0
196208031992032002/122674 0 438,440 0 1,200,000 0 482,284 10,000 5,675,400
PNS/820602/IVB 2 0 0 4 6,167,684 0 492,284
SITI RUKHANA
5 24-03-1966/676142441024000 1 4,206,500 0 0 289,680 0 0
196603241989022001/118512 2 420,650 0 850,000 0 479,541 10,000 5,445,600
PNS/820306/IVA 4 168,260 0 51 5,935,141 0 489,541
ERIKA NARULITA
6 10-09-1965/697552792027000 1 4,206,500 0 0 72,420 0 0
196509101992032008/123311 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820602/IVA 1 0 0 30 5,478,950 0 430,650
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NO STW
RINI DWI PUTRANTI
7 21-04-1968/676142409015000 1 3,953,600 0 0 289,680 0 0
196804211994032007/158437 2 395,360 0 1,200,000 0 450,710 10,000 5,536,100
PNS/820602/IVA 4 158,144 0 26 5,996,810 0 460,710
SRI MURTININGSIH
8 29-03-1966/489175653017000 1 3,912,600 0 0 217,260 0 0
196603291988022003/111506 1 391,260 0 600,000 0 438,211 7,000 4,754,200
PNS/820307/IIID 3 78,252 0 39 5,199,411 0 445,211
ATI TURMAN YETY

9 12-10-1964/676142334048000 1 4,162,900 0 0 144,840 0 0
196410121985012001/114427 0 416,290 0 850,000 0 457,919 7,000 5,109,200
PNS/820306/IIID 2 0 0 89 5,574,119 0 464,919
WENNY BR SARAGIH
10 26-07-1960/676142110407000 1 4,429,300 0 0 72,420 0 0
196007261981022001/115492 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
MUNJIYATI
11 22-04-1962/676142169412000 1 4,294,000 0 0 72,420 0 0
196204221983022001/117579 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
I GUSTI AYU ARIANING

12 28-12-1959/676142417024000 1 4,162,900 0 0 72,420 0 0
195912311985032045/118594 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820341/IIID 1 0 0 70 4,735,390 0 423,290
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NO STW
DWI PAWITRA WULAN
13 20-06-1984/248797557404000 1 2,810,200 0 0 289,680 0 0
198406202010012038/179737 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
RODIAH PULUNGAN
14 06-08-1972/691170591027000 1 3,420,300 0 0 289,680 0 0
197208061998032005/162508 2 342,030 0 600,000 0 389,914 7,000 4,392,000
PNS/820307/IIIC 4 136,812 0 92 4,788,914 0 396,914
ELIA RAHMAWATI
15 02-03-1975/672149598001000 0 3,214,700 0 0 72,420 0 0
197503022006042025/165276 0 0 0 325,000 0 321,470 7,000 3,283,700
PNS/820107/IIIC 1 0 0 50 3,612,170 0 328,470
SHINTA DWI OCTAVIA

16 02-10-1984/245267364013999 1 2,929,100 0 0 217,260 0 0
198410022010012031/179694 1 292,910 0 325,000 0 328,059 7,000 3,487,800
PNS/820107/IIIC 3 58,582 0 7 3,822,859 0 335,059
DENY HIDAYAT
17 27-04-1981/582193819407000 1 2,839,700 0 0 289,680 0 0
198104272011011009/181012 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820124/IIIC 4 113,588 0 87 3,852,025 0 330,725
DODY HERLIYANTO
18 16-10-1968/676142201048000 1 3,753,800 0 0 217,260 0 0
196810161989031004/115724 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820621/IIIC 3 75,076 0 9 4,921,525 0 427,425
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NO STW
SAAMIH
19 21-10-1968/247764624009000 1 3,639,200 0 0 217,260 0 0
196810211991032003/116350 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
ETTY MERLI SIAHAAN

20 30-12-1971/676142342024000 1 3,639,200 0 0 289,680 0 0
197112121991032002/125679 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
INU HARYO HARIMURTI

21 16-12-1986/712753755027000 0 2,641,200 185,000 0 72,420 0 0
198612162014031002/183645 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SITI RUNTIAH
22 23-06-1970/256774100003000 0 3,384,900 0 0 72,420 0 0
197006231993032006/130748 0 0 0 240,000 0 338,490 7,000 3,351,900
PNS/820623/IIIB 1 0 0 70 3,697,390 0 345,490
ELISABED MAITIMU
23 05-12-1971/788047363834000 1 3,384,900 0 0 72,420 0 0
197112051997032009/174760 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820354/IIIB 1 0 0 70 3,722,390 0 345,490
ADANG WIDJAYA
24 04-10-1961/676142094024000 1 3,714,900 0 0 144,840 0 0
196110041987031005/110758 0 371,490 0 265,000 0 408,639 7,000 4,080,600
PNS/900011/IIIB 2 0 0 9 4,496,239 0 415,639
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NO STW
MUCHNIAR MR
25 05-12-1969/676141997432000 1 3,601,400 0 0 217,260 0 0
196912051989032002/115522 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820342/IIIB 3 72,028 0 28 4,515,856 0 410,356
ANI
26 08-10-1967/676142367407000 1 3,491,500 185,000 0 72,420 0 0
196710081991032006/116351 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
HARIYATI
27 21-10-1969/676142433024000 1 3,491,500 0 0 72,420 0 0
196910211991032003/116677 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820313/IIIB 1 0 0 30 3,828,950 0 356,150
SUT0YO
28 10-06-1965/593783459435000 1 3,714,900 185,000 0 144,840 0 0
196506101986031012/157880 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
RENIWITA SINAGA
29 25-11-1980/676142250002000 1 2,781,100 0 0 72,420 0 0
198011252005022002/165531 0 0 0 265,000 0 278,110 7,000 2,833,500
PNS/820313/IIIA 1 0 0 90 3,118,610 0 285,110
SARPINAH
30 24-09-1981/676141989005000 1 2,781,100 0 0 217,260 0 0
198109242008012020/174306 1 278,110 0 300,000 0 311,483 7,000 3,313,700
PNS/820309/IIIA 3 55,622 0 91 3,632,183 0 318,483
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NO STW
FITRI AWALIAH
31 05-02-1980/087819330003000 1 2,781,100 185,000 0 289,680 0 0
198002052007012023/175336 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798012/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
ELY NOFIYANTI
32 01-11-1984/571764190008000 0 2,534,000 185,000 0 72,420 0 0
198411012011012020/181824 0 0 0 0 0 253,400 7,000 2,531,100
PNS/798012/IIIA 1 0 185,000 80 2,791,500 0 260,400
RIDA LAKSANA
33 27-10-1975/151954898723000 1 2,868,700 0 0 72,420 0 0
197510272006042018/183008 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/820313/IIIA 1 0 0 50 3,206,170 0 293,870
DEWI NURHAYATI
34 01-12-1980/676142052003000 0 2,752,300 0 0 72,420 0 0
198012012008012023/170090 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820314/IID 1 0 0 10 3,064,730 0 280,230
LIRA ARI SUSANTI

35 06-05-1982/676142292005000 1 2,752,300 0 0 217,260 0 0
198205062008012015/171201 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820343/IID 3 55,046 0 21 3,539,857 0 313,257
DIAN SUSANDRA DEWI

36 15-12-1982/264786245001000 0 2,668,200 0 0 72,420 0 0
198212152008012017/174581 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820343/IID 1 0 0 0 2,980,620 0 271,820
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NO STW
FENI MUSYAROFAH
37 11-05-1986/363425737407000 0 2,431,200 0 0 72,420 0 0
198605112011012019/181208 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
LATIFAH
38 19-09-1983/676142078412000 1 2,752,300 0 0 289,680 0 0
198309192008012015/169952 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/830225/IID 4 110,092 0 60 3,667,362 0 318,762
ELIDA
39 26-06-1983/872036066411000 1 2,559,900 0 0 217,260 0 0
198306262008012020/173904 1 255,990 0 240,000 0 286,708 5,000 3,032,700
PNS/820343/IIC 3 51,198 0 60 3,324,408 0 291,708
DWI RATNA RACHMAWATI

40 24-03-1986/894487057407000 1 2,332,500 0 0 144,840 0 0
198603242011012018/180981 0 233,250 0 240,000 0 256,575 5,000 2,689,100
PNS/820314/IIC 2 0 0 85 2,950,675 0 261,575
DESAK GEDE KRISNA

41 13-09-1990/715527081903000 0 2,261,300 180,000 0 72,420 0 0
199009132014032003/183494 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MARIA SETIAWATI
42 06-10-1991/715461547435000 0 2,261,300 180,000 0 72,420 0 0
199110062014032001/183999 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
M. HARTATI
43 17-05-1971/676142318045000 1 2,356,400 0 0 144,840 0 0
197105172008012009/169951 0 235,640 0 220,000 0 259,204 5,000 2,692,700
PNS/820134/IIB 2 0 0 24 2,956,904 0 264,204
144,452,100 1,285,000 1,520,000 6,807,480 0 0

TOTAL 8,719,260 0 16,655,000 0 15,492,850 299,000 165,405,900
1,757,230 1,285,000 1,680 181,197,750 0 15,791,850
JAKARTA,
MENGETAHUI
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Page 201 of 952
UKPD: RUMAH SAKIT UMUM KELAS D CEMPAKA PUTIH
NO STW
RR DEWI ROOSSITA A
1 09-09-1962/598602746016000 1 4,339,000 0 980,000 144,840 0 0
196209091990032001/118939 0 433,900 0 0 0 477,290 10,000 5,410,500
PNS/000000/IVA 2 0 0 50 5,897,790 0 487,290
ELMITA BR GINTING
2 08-04-1968/584476832416000 0 3,832,800 0 540,000 217,260 0 0
196804081997032004/123501 1 383,280 0 0 0 429,273 10,000 4,610,800
PNS/700200/IVA 3 76,656 0 77 5,050,073 0 439,273
MUHAMAD ASIYANA
3 13-02-1966/755163771435000 1 4,162,900 0 540,000 217,260 0 0
196602131986031004/107604 1 416,290 0 0 0 466,244 7,000 4,946,500
PNS/500100/IIID 3 83,258 0 36 5,419,744 0 473,244
WIDA GUSLIANTI
4 24-08-1977/593836471001000 1 3,214,700 0 540,000 217,260 0 0
197708242006042023/165478 1 321,470 0 0 0 360,046 7,000 3,990,700
PNS/700100/IIIC 3 64,294 0 22 4,357,746 0 367,046
SRI RAHMAYANI
5 17-01-1964/070500442023000 1 4,522,500 0 0 144,840 0 0
196401171990032002/119008 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
UUN ULIAH
6 25-06-1957/087798773003000 1 4,963,400 0 0 72,420 0 0
195706251981072001/072306 0 0 0 850,000 0 496,340 10,000 5,379,500
PNS/820306/IVB 1 0 0 20 5,885,840 0 506,340
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NO STW
SRI WAHYUNI
7 24-02-1964/477890370407000 1 4,522,500 0 0 217,260 0 0
196402241989012001/122720 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820602/IVB 3 90,450 0 60 6,482,520 0 516,520
SUCIATI
8 06-05-1967/778843896024000 1 3,872,000 0 0 72,420 0 0
196705061987032004/122417 0 0 0 600,000 0 387,200 7,000 4,150,300
PNS/820307/IIIC 1 0 0 80 4,544,500 0 394,200
IWAN SETIAWAN
9 15-12-1968/778843888433000 1 3,528,100 0 0 217,260 0 0
196812151995031002/120286 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820312/IIIC 3 70,562 0 15 4,668,747 0 402,147
ROSMAWATI
10 06-10-1962/256775131003000 1 3,872,000 0 0 144,840 0 0
196410061989032004/123266 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/820353/IIIC 2 0 0 80 4,904,120 0 432,920
KUSTININGSIH
11 15-12-1968/676142193001000 1 3,639,200 0 0 217,260 0 0
196812151991032006/116385 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820621/IIIC 3 72,784 0 26 4,793,190 0 414,590
DIANA WIDYASANTI
12 14-03-1985/362622904432000 1 2,641,200 185,000 0 144,840 0 0
198503142014032001/183594 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
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NO STW
MUTIARA ROSELIN
13 16-09-1984/354874430432000 0 2,641,200 185,000 0 72,420 0 0
198409162014032001/184404 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
AMRINA ROSYADA
14 16-03-1988/712685445043000 1 2,641,200 185,000 0 217,260 0 0
198803162014032003/183553 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
CHRISTA FATIMA
15 06-02-1986/699546289432000 1 2,641,200 185,000 0 289,680 0 0
198602062014032001/183579 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
MIRA ALHAFIIZAH
16 01-04-1988/712685924418000 1 2,641,200 185,000 0 289,680 0 0
198804012014032006/183676 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
I GUSTI AYU PUTRI RINTA

17 24-08-1982/676247893902000 1 2,898,700 0 0 72,420 0 0
198208242005012011/182564 0 0 0 265,000 0 289,870 7,000 2,939,300
PNS/820342/IIIB 1 0 0 50 3,236,170 0 296,870
SRI WAHYUNI
18 20-11-1964/245915814024000 0 3,601,400 185,000 0 72,420 0 0
196411201988032004/111174 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
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NO STW
EMMELIANA SITOMPUL
19 24-10-1962/676142011432000 1 3,601,400 0 0 217,260 0 0
196210241988032003/131722 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820313/IIIB 3 72,028 0 28 4,515,856 0 410,356
SUPRIYATIN
20 05-04-1971/697552867024000 1 3,349,800 185,000 0 217,260 0 0
197104051991032004/128481 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798011/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
SYARIP HIDAYAT
21 03-05-1961/778843870024000 1 3,213,800 180,000 0 217,260 0 0
196105031985011003/084510 1 321,380 0 0 0 359,945 5,000 3,631,800
PNS/798022/IID 3 64,276 180,000 29 3,996,745 0 364,945
LIN YULIYATI
22 14-02-1979/676142375018000 1 2,752,300 0 0 289,680 0 0
197902142008012012/172330 2 275,230 0 1,150,000 0 313,762 5,000 4,258,600
PNS/900912/IID 4 110,092 0 60 4,577,362 0 318,762
WETNI WIDAYATI
23 30-05-1988/714340221024000 1 2,261,300 180,000 0 72,420 0 0
198805302014032008/184282 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DEDI SUPRIYADI
24 07-07-1978/877235747003000 1 2,640,600 0 0 217,260 0 0
197807072007011024/168561 1 264,060 0 240,000 0 295,747 5,000 3,114,000
PNS/820386/IIC 3 52,812 0 15 3,414,747 0 300,747
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Page 205 of 952
NO STW
RITTA WIJIASTUTI
25 05-02-1991/703736504405000 0 2,261,300 180,000 0 72,420 0 0
199102052014032004/184163 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ADI SAKTIONO
26 01-10-1968/174704692044000 1 3,180,500 180,000 0 144,840 0 0
196810011989031006/114298 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798031/IIC 2 0 180,000 65 3,823,455 0 354,855
NINING HERNANINGSIH
27 18-06-1983/676142284005000 1 2,456,000 0 0 289,680 0 0
198306182008012018/174456 2 245,600 0 220,000 0 279,984 5,000 3,024,600
PNS/820315/IIB 4 98,240 0 64 3,309,584 0 284,984
WIRDANINGSIH
28 26-01-1982/676142276017000 1 2,381,100 180,000 0 289,680 0 0
198201262008012014/174460 2 238,110 0 0 0 271,445 5,000 2,907,700
PNS/798011/IIB 4 95,244 180,000 11 3,184,145 0 276,445
RATIH JUANITA
29 02-06-1985/676142144412000 1 2,284,400 0 0 217,260 0 0
198506022008012006/175338 1 228,440 0 240,000 0 255,852 5,000 2,755,000
PNS/830225/IIB 3 45,688 0 64 3,015,852 0 260,852
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NO STW
94,557,700 2,195,000 2,600,000 5,286,660 0 0
TOTAL 7,205,840 0 7,730,000 0 10,309,096 200,000 110,394,800
1,327,500 2,195,000 1,196 120,903,896 0 10,509,096
JAKARTA,
MENGETAHUI
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Page 207 of 952
UKPD: PUSKESMAS KEL.RAWASARI KEC.CEMPAKA PUTIH
NO STW
IVO NOVITA SALIM
1 24-11-1973/676142326008000 1 3,116,500 0 0 217,260 0 0
197311242006042003/164849 1 311,650 0 325,000 0 349,048 7,000 3,676,700
PNS/820107/IIIC 3 62,330 0 8 4,032,748 0 356,048
3,116,500 0 0 217,260 0 0
TOTAL 311,650 0 325,000 0 349,048 7,000 3,676,700
62,330 0 8 4,032,748 0 356,048
JAKARTA,
MENGETAHUI
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Page 208 of 952
UKPD: PKM KEL.CEMPAKA PUTIH BARAT KEC.CEMPAKA PUTIH
NO STW
EVA LELY HERAWATY
1 13-10-1976/486976335426000 1 3,350,600 0 0 72,420 0 0
197610132007012006/179887 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
3,350,600 0 0 72,420 0 0
TOTAL 0 0 750,000 0 335,060 7,000 3,831,000
0 0 40 4,173,060 0 342,060
JAKARTA,
MENGETAHUI
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Page 209 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN MENTENG
NO STW
ALAMAS HIDAYATI
1 18-09-1967/073012031435001 1 4,078,100 0 980,000 217,260 0 0
196709181993032007/122740 1 407,810 0 0 0 456,747 10,000 5,298,000
PNS/000000/IVA 3 81,562 0 15 5,764,747 0 466,747
LEGIYO
2 30-03-1964/572101749412000 1 3,872,000 0 540,000 217,260 0 0
196403301987031004/110623 1 387,200 0 0 0 433,664 7,000 4,653,300
PNS/500100/IIIC 3 77,440 0 64 5,093,964 0 440,664
KHOFIYATUL ASMAK
3 05-03-1960/694255381019000 1 4,862,300 0 0 144,840 0 0
196003051987032003/122890 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820602/IVC 2 0 0 83 6,693,453 0 544,853
EMI YENI
4 15-09-1961/593836398001000 1 4,862,300 0 0 72,420 0 0
196109151988032003/122526 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820122/IVC 1 0 0 10 6,134,730 0 496,230
TAGOR SIBARANI
5 19-03-1958/692229701017000 1 4,522,500 0 0 289,680 0 0
195803191990101002/125794 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820102/IVB 4 180,900 0 35 6,645,365 0 525,565
PRIHATIN WIBOWATI
6 07-11-1963/692229206435000 1 4,206,500 0 0 144,840 0 0
196311071986032005/107729 0 420,650 0 600,000 0 462,715 10,000 4,899,300
PNS/820307/IVA 2 0 0 25 5,372,015 0 472,715
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Page 210 of 952
NO STW
SYLVIA NURZA
7 19-05-1961/692229685024000 1 4,206,500 0 0 217,260 0 0
196105191992022001/127138 2 0 0 1,200,000 0 437,476 10,000 5,344,600
PNS/820602/IVA 3 168,260 0 56 5,792,076 0 447,476
NANI KHAIRANY
8 13-03-1971/096453154015000 1 3,953,600 190,000 0 72,420 0 0
197103131999032002/162211 0 0 0 0 0 395,360 10,000 3,810,700
PNS/798012/IVA 1 0 190,000 40 4,216,060 0 405,360
ERWANTO
9 20-03-1966/593912322024000 1 4,035,800 185,000 0 217,260 0 0
196603201987031006/110521 1 403,580 0 0 0 452,009 7,000 4,463,400
PNS/798011/IIID 3 80,716 185,000 53 4,922,409 0 459,009
NURANI BACHRI
10 05-11-1961/183268960003000 1 4,294,000 0 0 289,680 0 0
196111051982012001/122719 2 429,400 0 600,000 0 489,516 7,000 5,288,400
PNS/820307/IIID 4 171,760 0 76 5,784,916 0 496,516
KARDIANI
11 05-12-1967/692229693412000 1 3,793,100 0 0 72,420 0 0
196712051990032003/125831 0 0 0 600,000 0 379,310 7,000 4,079,300
PNS/820307/IIID 1 0 0 90 4,465,610 0 386,310
RR. DEWI SUCI RUKMINI

12 04-04-1971/096517321061000 1 3,456,200 0 0 144,840 0 0
197104042006042028/165622 1 0 0 750,000 0 352,532 7,000 4,060,700
PNS/820103/IIID 2 69,124 0 68 4,420,232 0 359,532
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NO STW
HERLINDA
13 12-08-1972/474117744201000 1 3,456,200 0 0 144,840 0 0
197208122005012009/173107 0 345,620 0 1,200,000 0 380,182 7,000 4,759,500
PNS/820602/IIID 2 0 0 22 5,146,682 0 387,182
SALMAWATI
14 11-12-1964/692229230071000 1 3,912,600 0 0 289,680 0 0
196412111989012001/125303 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820353/IIID 4 156,504 0 92 5,250,136 0 453,036
N DEWI PANGESTU
15 17-03-1968/697610228435000 1 3,753,800 185,000 0 144,840 0 0
196803171989032006/113741 1 0 0 0 0 382,887 7,000 3,768,900
PNS/798012/IIIC 2 75,076 185,000 71 4,158,787 0 389,887
DESLINA
16 25-12-1980/245590930403999 0 2,929,100 0 0 72,420 0 0
198012252010012034/179700 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
DEWI SURTIKANTI
17 15-11-1979/363510280432000 1 2,839,700 0 0 289,680 0 0
197911152011012006/180999 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
RICHA FIRMADONA
18 15-07-1986/090083338023000 1 2,839,700 0 0 217,260 0 0
198607152011012023/181247 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
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Page 212 of 952
NO STW
BERLIAN SITUMEANG
19 06-06-1979/259485345127000 1 2,839,700 0 0 289,680 0 0
197906062005022001/182609 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
SUPRIYATNA
20 14-12-1963/692229198403000 1 3,753,800 0 0 217,260 0 0
196312141988031004/111175 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820131/IIIC 3 75,076 0 9 4,921,525 0 427,425
NIRWANI NUNZEN
21 01-11-1963/692229255018000 1 3,639,200 185,000 0 217,260 0 0
196311011991032004/116621 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798011/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
SAPTI MARDAYANI
22 16-10-1979/894509603404000 1 2,810,200 185,000 0 289,680 0 0
197910162010012018/177385 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798012/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
IRA SUSANTI HARYOSO

23 18-04-1987/981559412411000 0 2,641,200 185,000 0 72,420 0 0
198704182014032003/183647 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
YANDA NUR
24 27-07-1988/700900210412000 1 2,641,200 185,000 0 72,420 0 0
198807272014032004/183765 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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Page 213 of 952
NO STW
RINA KURNIAWATI
25 20-04-1981/242577682005000 1 2,641,200 185,000 0 144,840 0 0
198104202014032002/183802 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
RATIH MAULINA DEWI

26 21-12-1984/705750404412000 0 2,641,200 185,000 0 72,420 0 0
198412212014032001/184423 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ZIDNIE P. PRIMAWATI
27 10-08-1981/null 1 2,990,000 185,000 0 289,680 0 0
198108102006042021/164916 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798981/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
YOYO ALFIO ANWAR

28 15-10-1964/692229669404000 1 3,831,900 185,000 0 289,680 0 0
196410151985031006/087457 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
HARYATI
29 12-03-1967/774142962435000 1 3,601,400 185,000 0 217,260 0 0
196703121988032008/111187 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
YEYET SITI ROHAYATI

30 26-02-1969/248913220403000 0 3,491,500 185,000 0 72,420 0 0
196902261991032001/116209 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
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Page 214 of 952
NO STW
AMET SLAMET
31 08-07-1962/774142939451000 1 3,676,400 185,000 0 217,260 0 0
196207081984031006/082985 1 367,640 0 0 0 411,756 7,000 4,101,100
PNS/798022/IIIA 3 73,528 185,000 28 4,519,856 0 418,756
DWI WAHYUNINGSIH
32 17-11-1967/692229735403000 1 3,455,300 0 0 289,680 0 0
196711171988032004/111188 2 345,530 0 265,000 0 393,904 7,000 4,092,900
PNS/820132/IIIA 4 138,212 0 82 4,493,804 0 400,904
PONSINAH
33 07-08-1973/574744488009000 0 3,148,300 185,000 0 72,420 0 0
197308071995032002/119133 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798012/IIIA 1 0 185,000 10 3,405,730 0 321,830
CHOIRUL ROZI
34 16-09-1976/692229719008000 1 2,868,700 0 0 289,680 0 0
197609162000121003/161524 2 286,870 0 300,000 0 327,031 7,000 3,526,000
PNS/820323/IIIA 4 114,748 0 33 3,860,031 0 334,031
WIDJIATMI
35 07-10-1981/247198070407000 1 2,868,700 0 0 289,680 0 0
198110072000032001/161537 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/830224/IIIA 4 114,748 0 33 3,825,031 0 334,031
YUNIAR ELFRIDA
36 04-12-1960/473279107100500 1 3,564,100 0 0 72,420 0 0
196012041986022003/162931 0 0 0 265,000 0 356,410 7,000 3,538,200
PNS/820313/IIIA 1 0 0 90 3,901,610 0 363,410
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Page 215 of 952
NO STW
MURTAQIYATUL ULFAH
37 05-01-1985/893592667407000 1 2,507,800 0 0 289,680 0 0
198501052010012036/178327 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
ERMA INDRIATI
38 04-10-1984/470425695002000 1 2,431,200 0 0 217,260 0 0
198410042011012017/181223 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
SRI RAWATI TIOLINA S

39 26-06-1970/260559463071000 0 2,928,300 0 0 72,420 0 0
197006261996032004/122463 0 0 0 240,000 0 292,830 5,000 2,942,900
PNS/820133/IID 1 0 0 10 3,240,730 0 297,830
NINIK MARWATI
40 08-09-1974/258376946024000 1 3,020,600 0 0 72,420 0 0
197409081995032001/123208 0 0 0 240,000 0 302,060 5,000 3,026,000
PNS/820623/IID 1 0 0 40 3,333,060 0 307,060
FITRIA
41 17-02-1976/090748377031000 1 2,481,800 0 0 289,680 0 0
197602172008012016/170099 2 248,180 0 240,000 0 282,925 5,000 3,071,100
PNS/820343/IIC 4 99,272 0 93 3,359,025 0 287,925
NURUL WIDYA PRATIWI

42 18-03-1990/668593643544000 0 2,261,300 180,000 0 72,420 0 0
199003182014032003/184081 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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Page 216 of 952
NO STW
RIZKA ARTANTI
43 22-03-1991/667032312531000 0 2,261,300 180,000 0 72,420 0 0
199103222014032001/184165 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SHERLLY ANGGRAINI
44 11-08-1990/702541277505000 0 2,261,300 180,000 0 72,420 0 0
199008112014032004/184207 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SELFI MAGDALENA
45 30-09-1981/248397168009000 1 2,332,500 0 0 217,260 0 0
198109302011012009/180900 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
GUN WAHYUNI
46 17-12-1982/480918994005000 1 2,332,500 180,000 0 289,680 0 0
198212172011012012/181426 2 233,250 0 0 0 265,905 5,000 2,857,900
PNS/798022/IIC 4 93,300 180,000 75 3,128,805 0 270,905
AMELIA AGNES
47 04-08-1987/253869069432000 1 2,261,300 180,000 0 144,840 0 0
198708042014032004/183380 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
MAIMUN
48 07-09-1980/697610244039000 1 2,640,600 180,000 0 217,260 0 0
198009072007012023/168394 1 264,060 0 0 0 295,747 5,000 3,054,000
PNS/798022/IIC 3 52,812 180,000 15 3,354,747 0 300,747
21/12/2016

Page 217 of 952
NO STW
156,698,500 3,860,000 1,520,000 8,762,820 0 0
TOTAL 9,888,360 0 15,085,000 0 16,941,944 333,000 181,374,700
2,832,690 3,860,000 2,274 198,649,644 0 17,274,944
JAKARTA,
MENGETAHUI
21/12/2016

Page 218 of 952
UKPD: PUSKESMAS KEL.GONDANGDIA KEC.MENTENG JAKPUS
NO STW
RATNA PUSPITA SARI
1 09-03-1972/254710817008000 1 3,084,200 0 0 72,420 0 0
197203092006042018/165484 0 0 0 325,000 0 308,420 7,000 3,166,200
PNS/820107/IIIB 1 0 0 0 3,481,620 0 315,420
3,084,200 0 0 72,420 0 0
TOTAL 0 0 325,000 0 308,420 7,000 3,166,200
0 0 0 3,481,620 0 315,420
JAKARTA,
MENGETAHUI
21/12/2016

Page 219 of 952
UKPD: PUSKESMAS KEL.PEGANGSAAN KEC.MENTENG JAKPUS
NO STW
SOFIA AGUSTINA
1 18-08-1959/247168255416000 1 4,250,600 0 0 72,420 0 0
195908181993022001/161635 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
4,250,600 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 425,060 10,000 5,088,000
0 0 40 5,523,060 0 435,060
JAKARTA,
MENGETAHUI
21/12/2016

Page 220 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN TANAH ABANG
NO STW
HENNI BARIAH
1 02-02-1961/676572746009000 1 4,475,700 0 980,000 144,840 0 0
196102021987122002/122858 0 447,570 0 0 0 492,327 10,000 5,545,800
PNS/000000/IVA 2 0 0 17 6,048,127 0 502,327
LISMANTO
2 02-06-1963/486887698402000 1 4,294,000 0 540,000 289,680 0 0
196306021989031007/114124 2 429,400 0 0 0 489,516 7,000 5,228,400
PNS/500100/IIID 4 171,760 0 76 5,724,916 0 496,516
ASNIATI
3 02-08-1961/678449232005000 1 5,068,000 0 0 217,260 0 0
196108021987012002/125716 1 506,800 0 1,400,000 0 567,616 10,000 6,715,900
PNS/820601/IVD 3 101,360 0 96 7,293,516 0 577,616
LISYA ANGGRIANA ZAHAR

4 27-10-1959/383084753024999 1 4,665,000 0 0 144,840 0 0
195910271987032001/128484 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVB 2 0 0 10 6,476,350 0 523,150
WARISAN PANDAPOTAN K
5 22-06-1968/584240527411000 1 3,832,800 190,000 0 217,260 0 0
196806222000031004/164446 1 383,280 0 0 0 429,273 10,000 4,260,800
PNS/798012/IVA 3 76,656 190,000 77 4,700,073 0 439,273
FITRIA JUSRI
6 14-04-1976/678449265416000 1 3,350,600 0 0 289,680 0 0
197604142006042030/165491 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
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NO STW
AFTADI ULIMLA
7 11-08-1960/678449323072000 1 4,162,900 0 0 217,260 0 0
196008111984021001/083037 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820312/IIID 3 83,258 0 36 5,379,744 0 473,244
IIS ISNA ASARO

8 12-09-1960/678449539402000 1 4,294,000 0 0 144,840 0 0
196009121982012006/076672 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
FRIDA NAIBAHO
9 11-11-1959/678449372029000 1 4,294,000 0 0 289,680 0 0
195911111983032007/078982 2 429,400 0 500,000 0 489,516 7,000 5,188,400
PNS/820324/IIID 4 171,760 0 76 5,684,916 0 496,516
NURHEMI NURDIN
10 23-03-1959/678449547451000 1 4,294,000 0 0 72,420 0 0
195903231984012001/081526 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SRI RAHAYU
11 20-08-1960/684370208435000 1 4,294,000 0 0 217,260 0 0
196008201983032010/113210 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820131/IIID 3 85,880 0 88 5,526,628 0 487,928
DEVI NAFTALIA
12 07-12-1982/485607469072000 1 3,116,500 0 0 72,420 0 0
198212072006042020/165098 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
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NO STW
DWI MAISA MAWARTI
13 05-05-1982/251717880001999 1 2,929,100 0 0 217,260 0 0
198205052010012039/178991 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
SURTI AMBUN SIPAYUNG

14 22-09-1964/678449299435000 1 3,753,800 0 0 144,840 0 0
196409221992032004/117651 0 375,380 0 500,000 0 412,918 7,000 4,354,200
PNS/820312/IIIC 2 0 0 98 4,774,118 0 419,918
UNUNG NURONY
15 12-12-1958/678449414407000 1 4,249,500 185,000 0 217,260 0 0
195812121980091002/068524 1 424,950 0 0 0 475,944 7,000 4,678,800
PNS/798022/IIIC 3 84,990 185,000 44 5,161,744 0 482,944
MARYONO
16 19-06-1959/173089152072000 1 4,249,500 0 0 217,260 0 0
195906191981121002/076630 1 424,950 0 500,000 0 475,944 7,000 4,993,800
PNS/820312/IIIC 3 84,990 0 44 5,476,744 0 482,944
SUMARDI
17 22-02-1965/678449315411000 1 3,872,000 0 0 217,260 0 0
196502221987031004/110460 1 387,200 0 500,000 0 433,664 7,000 4,613,300
PNS/820312/IIIC 3 77,440 0 64 5,053,964 0 440,664
YUNI IANAH
18 01-06-1961/697676641018000 1 3,994,000 0 0 144,840 0 0
196106011985012003/115718 0 399,400 0 500,000 0 439,340 7,000 4,591,900
PNS/820621/IIIC 2 0 0 0 5,038,240 0 446,340
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Page 223 of 952
NO STW
FARIDAH ABDURAHMAN
19 19-09-1959/697676682451000 1 4,249,500 0 0 72,420 0 0
195909191980112003/122924 0 0 0 500,000 0 424,950 7,000 4,390,000
PNS/820312/IIIC 1 0 0 30 4,821,950 0 431,950
AMALIA FIKI
20 07-10-1986/552650350412000 0 2,641,200 185,000 0 72,420 0 0
198610072014032005/183552 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
FINAN SETIANTO SANTANA

21 25-03-1983/349913863024000 1 2,641,200 185,000 0 217,260 0 0
198303252014031001/183619 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
LADY MARGARETHA
22 15-02-1985/253032080412000 0 2,641,200 185,000 0 72,420 0 0
198502152014032003/183661 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798011/IIIB 1 0 185,000 0 2,898,620 0 271,120
NINA ZULVIYANTI
23 19-01-1985/543858872412000 1 2,641,200 185,000 0 72,420 0 0
198501192014032001/183685 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SRI REZEKI SIBARANI

24 02-08-1987/704464114412000 1 2,641,200 185,000 0 72,420 0 0
198708022014032006/183741 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

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NO STW
TRI YUNITA
25 14-06-1987/705311728412000 0 2,641,200 185,000 0 72,420 0 0
198706142014032005/183753 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
TOTON SULAEMAN
26 19-12-1962/778868240434000 1 3,831,900 185,000 0 217,260 0 0
196212191985031005/103694 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
LISPERIA SIAHAAN
27 12-05-1959/697676633028000 1 3,831,900 185,000 0 72,420 0 0
195905121985032004/107233 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798022/IIIB 1 0 185,000 70 4,089,390 0 390,190
NURHAYATI
28 23-09-1964/697675882072000 1 3,491,500 0 0 289,680 0 0
196409231990032001/118867 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
YAYAN SURYANA
29 27-09-1971/684370216072000 1 3,281,500 185,000 0 289,680 0 0
197109271994031008/120766 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
YULIATI FAIZAH
30 22-07-1972/678449430072000 1 3,020,600 0 0 289,680 0 0
197207221998032010/125530 2 302,060 0 265,000 0 344,348 7,000 3,646,900
PNS/820325/IIIA 4 120,824 0 84 3,998,248 0 351,348
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NO STW
DEWI ANGGRAENI
31 05-09-1983/678449497085000 1 2,781,100 185,000 0 72,420 0 0
198309052006042013/164980 0 0 0 0 0 278,110 7,000 2,753,500
PNS/798011/IIIA 1 0 185,000 90 3,038,610 0 285,110
AZNIAR RIZA
32 11-02-1969/697675825435000 1 3,455,300 0 0 72,420 0 0
196902111989032002/157789 0 0 0 265,000 0 345,530 7,000 3,440,200
PNS/820313/IIIA 1 0 0 10 3,792,730 0 352,530
HERMANTO
33 13-06-1964/678449554411000 1 3,020,600 180,000 0 144,840 0 0
196406131991031005/116489 0 302,060 0 0 0 332,266 5,000 3,310,300
PNS/798022/IID 2 0 180,000 66 3,647,566 0 337,266
SAEPUROHMAN
34 14-06-1972/678449448072000 1 3,020,600 180,000 0 289,680 0 0
197206141994031005/122375 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798011/IID 4 120,824 180,000 84 3,913,248 0 349,348
ESIH SUKAESIH
35 05-07-1959/678449463013000 1 3,638,200 0 0 144,840 0 0
195907051981032005/086765 0 363,820 0 240,000 0 400,202 5,000 3,981,700
PNS/820343/IID 2 0 0 42 4,386,902 0 405,202
EVITA YULVANIDA
36 09-09-1976/340117779072000 1 2,723,700 0 0 289,680 0 0
197609092008012024/170089 2 272,370 0 240,000 0 310,501 5,000 3,319,200
PNS/820314/IIC 4 108,948 0 3 3,634,701 0 315,501
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Page 226 of 952
NO STW
AYU PERMATA SARI
37 14-11-1987/346172711072000 0 2,406,000 0 0 72,420 0 0
198711142010012029/179108 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IIC 1 0 0 80 2,718,500 0 245,600
MURI MAHMUDIN
38 05-10-1988/715225512028000 1 2,261,300 180,000 0 217,260 0 0
198810052014031001/184038 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
TIA UTAMININGRUM
39 16-11-1989/972329171407000 1 2,261,300 180,000 0 144,840 0 0
198911162014032005/184250 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
SRI MURNIATI
40 21-12-1975/250856010240000 1 2,640,600 0 0 289,680 0 0
197512212007012021/168490 2 264,060 0 240,000 0 301,028 5,000 3,234,000
PNS/820314/IIC 4 105,624 0 64 3,540,028 0 306,028
NUNUNG MUSTIKA SARI

41 04-02-1984/494147986019000 1 2,332,500 0 0 217,260 0 0
198402042011012009/181855 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
INDAH FITRIANI SARI

42 27-09-1976/697676658001000 0 2,284,400 0 0 72,420 0 0
197609272008012014/179167 0 0 0 220,000 0 228,440 5,000 2,343,400
PNS/830226/IIB 1 0 0 20 2,576,840 0 233,440
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Page 227 of 952
NO STW
LINDA SUHANAH
43 26-06-1966/262666050072000 1 3,051,400 180,000 0 72,420 0 0
196606261985032002/087242 0 0 0 0 0 305,140 5,000 2,993,700
PNS/798041/IIB 1 0 180,000 20 3,303,840 0 310,140
LELI KURNIANI
44 29-09-1976/358379246009000 1 2,430,600 0 0 217,260 0 0
197609292008012021/171395 1 243,060 0 240,000 0 272,227 5,000 2,902,400
PNS/820343/IIA 3 48,612 0 95 3,179,627 0 277,227
149,051,100 3,125,000 1,520,000 7,604,100 0 0

TOTAL 10,637,500 0 12,305,000 0 16,181,633 296,000 169,894,800
2,127,790 3,125,000 1,943 186,372,433 0 16,477,633
JAKARTA,
MENGETAHUI
21/12/2016

Page 228 of 952
UKPD: RUMAH SAKIT UMUM KELAS D TANAH ABANG
NO STW
ALIFIANTI LESTARI
1 14-07-1968/594678047411000 1 4,206,500 0 980,000 217,260 0 0
196807141992122001/120839 1 420,650 0 0 0 471,128 10,000 5,427,500
PNS/000000/IVA 3 84,130 0 88 5,908,628 0 481,128
DEHLAH
2 28-12-1967/488073362402000 1 3,912,600 0 540,000 72,420 0 0
196712281989022002/115647 0 0 0 0 0 391,260 7,000 4,126,800
PNS/700200/IIID 1 0 0 40 4,525,060 0 398,260
RIZA ROSITA
3 05-08-1973/493248538407000 0 3,315,900 0 540,000 72,420 0 0
197308051999032008/157813 0 0 0 0 0 331,590 7,000 3,589,800
PNS/500100/IIIC 1 0 0 70 3,928,390 0 338,590
SUSI SALWATI
4 19-06-1974/594732018085000 1 3,214,700 0 540,000 72,420 0 0
197406192007012003/174750 0 0 0 0 0 321,470 7,000 3,498,700
PNS/700100/IIIC 1 0 0 50 3,827,170 0 328,470
AVY PERMATA SARI

5 14-05-1968/581251568013000 1 3,953,600 190,000 0 289,680 0 0
196805141994022002/174711 2 395,360 0 0 0 450,710 10,000 4,526,100
PNS/798011/IVA 4 158,144 190,000 26 4,986,810 0 460,710
SONDANG ELITA S
6 17-01-1962/686621756017000 1 4,162,900 185,000 0 144,840 0 0
196201171985032005/157640 0 416,290 0 0 0 457,919 7,000 4,444,200
PNS/798022/IIID 2 0 185,000 89 4,909,119 0 464,919
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Page 229 of 952
NO STW
SRI DJUNIARTI
7 02-06-1977/697675874061000 1 3,214,700 0 0 217,260 0 0
197706022007012024/168747 1 321,470 0 750,000 0 360,046 7,000 4,200,700
PNS/820123/IIIC 3 64,294 0 22 4,567,746 0 367,046
SRI YANTI
8 04-12-1960/476768668031000 1 4,119,700 0 0 144,840 0 0
196012041981072001/162944 0 411,970 0 500,000 0 453,167 7,000 4,716,400
PNS/820312/IIIC 2 0 0 57 5,176,567 0 460,167
VINCA NAMPASNEA
9 10-11-1969/678682766034000 0 3,601,400 185,000 0 72,420 0 0
196911101988032001/111220 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
JONATAN
10 20-03-1966/593896986031000 0 3,491,500 185,000 0 72,420 0 0
196603201991031007/122584 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
RIRIN TRI WAHYUNI

11 07-01-1977/493247969048000 1 3,052,200 0 0 217,260 0 0
197701071998032003/125625 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
ROSIHAN ANWAR
12 22-10-1961/684533664028000 1 3,315,100 180,000 0 144,840 0 0
196110221985031004/106773 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
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Page 230 of 952
NO STW
ADHA CITYA ORIANA
13 30-06-1991/559095740027000 0 2,261,300 180,000 0 72,420 0 0
199106302014032003/183338 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798011/IIC 1 0 180,000 10 2,513,730 0 231,130
SITI ROMELAH
14 07-05-1983/799600127014000 1 2,332,500 180,000 0 217,260 0 0
198307052011012019/180979 1 233,250 0 0 0 261,240 5,000 2,743,500
PNS/798012/IIC 3 46,650 180,000 80 3,009,740 0 266,240
ABDUL LATIF
15 07-08-1969/545893257411000 1 2,898,000 180,000 0 217,260 0 0
196908071991031011/116210 1 289,800 0 0 0 324,576 5,000 3,313,500
PNS/798022/IIC 3 57,960 180,000 56 3,643,076 0 329,576
DESMAWATI B
16 11-01-1971/null 1 2,381,100 0 0 217,260 0 0
197101112007012027/168753 1 238,110 0 240,000 0 266,683 5,000 2,852,500
PNS/830225/IIB 3 47,622 0 91 3,124,183 0 271,683
53,433,700 1,465,000 2,600,000 2,462,280 0 0

TOTAL 3,363,630 0 1,755,000 0 5,731,716 108,000 59,760,500
519,844 1,465,000 762 65,600,216 0 5,839,716
JAKARTA,
MENGETAHUI
21/12/2016

Page 231 of 952
UKPD: PUSKESMAS KEL.KAMPUNG BALI KEC.MENTENG JAKPUS
NO STW
MARTHA INATURA
1 19-10-1964/245308408008000 1 3,832,800 0 0 72,420 0 0
196410192001122001/164593 0 0 0 1,200,000 0 383,280 10,000 4,712,000
PNS/820102/IVA 1 0 0 60 5,105,280 0 393,280
3,832,800 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 383,280 10,000 4,712,000
0 0 60 5,105,280 0 393,280
JAKARTA,
MENGETAHUI
21/12/2016

Page 232 of 952
UKPD: PUSKESMAS KEL.PETAMBURAN KEC.TANAH ABANG
NO STW
ROSMIYATI
1 10-05-1967/594897282086000 1 3,715,800 0 0 217,260 0 0
196705102002122002/164778 1 371,580 0 1,200,000 0 416,169 10,000 5,152,800
PNS/820102/IVA 3 74,316 0 13 5,578,969 0 426,169
DWI SULISTYO W
2 04-01-1980/678449257001000 0 3,248,300 0 0 72,420 0 0
198001042006042011/164813 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
6,964,100 0 0 289,680 0 0
TOTAL 371,580 0 1,950,000 0 740,999 17,000 8,891,700
74,316 0 23 9,649,699 0 757,999
JAKARTA,
MENGETAHUI
21/12/2016

Page 233 of 952
UKPD: PUSKESMAS KEL.BENDUNGAN HILIR KEC TANAH ABANG
NO STW
SERI
1 23-05-1966/096775820072001 1 4,384,400 0 0 289,680 0 0
196605231992032001/120195 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
4,384,400 0 0 289,680 0 0
TOTAL 438,440 0 1,200,000 0 499,821 10,000 5,978,100
175,376 0 25 6,487,921 0 509,821
JAKARTA,
MENGETAHUI
21/12/2016

Page 234 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN JOHAR BARU
NO STW
ISSABAN WIDODO
1 23-12-1964/676141971407000 1 4,035,800 0 540,000 144,840 0 0
196412231986031009/107606 0 403,580 0 0 0 443,938 7,000 4,673,300
PNS/500100/IIID 2 0 0 18 5,124,238 0 450,938
GUSTI AYU KUSUMAWATI

2 30-10-1967/675744288008000 1 4,430,400 0 0 217,260 0 0
196710301993122001/158354 1 443,040 0 1,200,000 0 496,204 10,000 5,873,200
PNS/820602/IVC 3 88,608 0 96 6,379,404 0 506,204
LEONARDUS NAPITUPULU
3 13-05-1960/248344012009000 1 4,250,600 0 0 289,680 0 0
196005131993031002/123135 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820122/IVB 4 170,024 0 4 6,335,368 0 494,568
KATARINA RO
4 27-08-1967/null 0 4,250,600 0 0 72,420 0 0
196708271993122002/125353 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
MARUDUT LINGGA
5 12-09-1958/058066457026000 1 4,665,000 0 0 144,840 0 0
195809121987031005/125666 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820102/IVB 2 0 0 10 6,476,350 0 523,150
RODLI SANY LUMBAN

6 22-05-1965/240329987043001 1 4,384,400 0 0 217,260 0 0
196505221991032003/128478 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
21/12/2016

Page 235 of 952
NO STW
YUSMANIAR
7 28-08-1957/684304694027000 1 4,963,400 0 0 72,420 0 0
195708281984102002/122046 0 0 0 1,200,000 0 496,340 10,000 5,729,500
PNS/820102/IVB 1 0 0 20 6,235,840 0 506,340
BALKISWATI
8 25-07-1962/247365158435000 1 4,475,700 0 0 144,840 0 0
196207251982122002/078477 1 0 0 850,000 0 456,521 10,000 5,093,600
PNS/820306/IVA 2 89,514 0 67 5,560,121 0 466,521
PUJIASTUTI
9 25-04-1959/593783376008000 1 4,339,000 0 0 144,840 0 0
195904251986032011/112382 0 433,900 0 850,000 0 477,290 10,000 5,280,500
PNS/820306/IVA 2 0 0 50 5,767,790 0 487,290
ZULFA
10 28-11-1965/697661551027000 1 4,206,500 0 0 289,680 0 0
196511281992022001/124399 2 420,650 0 1,200,000 0 479,541 10,000 5,795,600
PNS/820602/IVA 4 168,260 0 51 6,285,141 0 489,541
SUPADI
11 02-07-1963/069573996024000 1 4,294,000 185,000 0 289,680 0 0
196307021983031005/162739 2 429,400 0 0 0 489,516 7,000 4,873,400
PNS/798022/IIID 4 171,760 185,000 76 5,369,916 0 496,516
ELINDA SITANGGANG
12 21-02-1965/243529146435000 1 3,793,100 0 0 217,260 0 0
196502211991032004/116189 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820312/IIID 3 75,862 0 95 4,965,627 0 431,827
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NO STW
YUSTINA KURNIATI
13 06-07-1969/247114606008000 1 3,793,100 0 0 217,260 0 0
196907061991032010/118377 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820312/IIID 3 75,862 0 95 4,965,627 0 431,827
LINDA
14 30-07-1969/180147704028000 1 3,420,300 0 0 289,680 0 0
196907302006042007/165281 2 342,030 0 750,000 0 389,914 7,000 4,542,000
PNS/820103/IIIC 4 136,812 0 92 4,938,914 0 396,914
YOHANA ANJAR ROSARI

15 29-08-1980/346114739024000 1 2,929,100 0 0 289,680 0 0
198008292010012019/178894 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
ARFIANITA RACHMAN
16 21-08-1986/363472663024000 1 2,839,700 0 0 289,680 0 0
198608212011012019/181227 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820607/IIIC 4 113,588 0 87 3,852,025 0 330,725
ERFI BR.MANULLANG
17 21-05-1962/null 1 3,528,100 0 0 217,260 0 0
196205211992032004/117969 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820312/IIIC 3 70,562 0 15 4,668,747 0 402,147
LENA MORITA BR
18 05-12-1970/076139641023000 1 3,639,200 0 0 289,680 0 0
197012051994032005/128480 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820324/IIIC 4 145,568 0 0 4,938,368 0 421,868
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NO STW
FEBRINA SINTARI
19 22-02-1989/640305769024000 1 2,641,200 185,000 0 72,420 0 0
198902222014032006/183614 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
FITRIA RAMDHITABUDI
20 26-05-1984/890056153432000 0 2,641,200 185,000 0 72,420 0 0
198405262014032003/183623 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
LILI WILDHANI PULUNGAN

21 22-06-1988/548353002122000 1 2,641,200 185,000 0 289,680 0 0
198806222014032003/183663 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
MULAT WENING ASTUTI

22 12-05-1985/705932788407000 1 2,641,200 185,000 0 72,420 0 0
198505122014032002/183681 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ITA AINY ULFAH

23 14-09-1984/462975558412000 1 2,641,200 185,000 0 289,680 0 0
198409142014032003/183784 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
LILI ROHILI
24 03-08-1969/681013603027000 0 3,281,500 0 0 72,420 0 0
196908031995031002/119128 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
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NO STW
SUSILOWATI
25 11-09-1975/359911344432000 1 3,384,900 0 0 289,680 0 0
197509111998032004/125760 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
TJUT NURADJIDAH
26 14-02-1970/880827240024000 1 3,384,900 0 0 72,420 0 0
197002141992032003/165432 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820622/IIIB 1 0 0 70 3,722,390 0 345,490
WIDIYATNO SUDRAJAT
27 31-12-1962/245945589407000 1 3,831,900 185,000 0 144,840 0 0
196212311985111007/104418 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
TAUFIK HIDAYAT
28 19-08-1959/681013587071000 1 3,714,900 185,000 0 217,260 0 0
195908191987031008/110465 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
NURHAYATI
29 13-03-1966/697661536008000 0 3,601,400 185,000 0 72,420 0 0
196603131989032007/113743 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798012/IIIB 1 0 185,000 20 3,858,840 0 367,140
HERNI SYAHFITRI
30 24-02-1966/593783392407000 1 3,714,900 185,000 0 72,420 0 0
196602241987032001/157237 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
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NO STW
LISNA NENGSIH
31 22-12-1979/251418620024000 1 2,868,700 0 0 72,420 0 0
197912222006042014/168893 0 0 0 240,000 0 286,870 7,000 2,887,300
PNS/820343/IIIA 1 0 0 50 3,181,170 0 293,870
MUTHOLIP
32 17-08-1970/687434027024000 1 3,349,800 0 0 289,680 0 0
197008171991031007/116352 2 334,980 0 265,000 0 381,877 7,000 3,984,600
PNS/820313/IIIA 4 133,992 0 25 4,373,477 0 388,877
ELVI MARDIYANTI
33 01-03-1975/778830554407000 1 2,781,100 0 0 289,680 0 0
197503012005012011/165524 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820342/IIIA 4 111,244 0 11 3,725,145 0 324,045
SYACHRONI
34 09-10-1962/076137397023000 1 3,564,100 185,000 0 217,260 0 0
196210091987031007/110539 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
ROCHYATI
35 08-03-1965/250845765024000 1 3,247,500 0 0 144,840 0 0
196403081992032005/117968 1 0 0 240,000 0 331,245 7,000 3,359,100
PNS/820314/IIIA 2 64,950 0 55 3,697,345 0 338,245
DEWI SHINTA HANDAYANI

36 07-05-1982/697598415009000 1 2,507,800 0 0 289,680 0 0
198205072010012041/178825 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
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NO STW
IIS LESTARIYATI
37 05-01-1983/683019855009000 1 2,431,200 0 0 72,420 0 0
198301052011012014/181220 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
DILI DWI HARYANTI

38 20-07-1988/350941027002000 1 2,431,200 0 0 217,260 0 0
198807202011012012/181833 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
NUR INDAH
39 26-11-1969/181868514023000 1 2,838,900 0 0 289,680 0 0
196911261998032003/125759 2 283,890 0 240,000 0 323,634 5,000 3,437,400
PNS/820133/IID 4 113,556 0 8 3,766,034 0 328,634
WAHYUNINGSIH
40 08-02-1981/594413767077000 1 2,752,300 0 0 144,840 0 0
198102082007012012/168398 1 0 0 240,000 0 280,734 5,000 2,906,500
PNS/820314/IID 2 55,046 0 48 3,192,234 0 285,734
RONNY JULIANDITA
41 11-07-1990/705674976023000 0 2,261,300 180,000 0 72,420 0 0
199007112014031001/184176 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DASMAD
42 04-08-1969/684337884009000 1 3,083,400 0 0 217,260 0 0
196908041991031007/116429 1 308,340 0 240,000 0 345,340 5,000 3,560,400
PNS/820314/IIC 3 61,668 0 72 3,910,740 0 350,340
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NO STW
SUHRO
43 04-08-1960/681013595024000 1 3,180,500 180,000 0 144,840 0 0
196008041985031007/087591 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
MURTININGSIH
44 16-04-1960/null 1 3,051,400 180,000 0 144,840 0 0
196004161986122002/108969 0 305,140 0 0 0 335,654 5,000 3,340,800
PNS/798041/IIB 2 0 180,000 74 3,681,454 0 340,654
150,707,600 2,575,000 540,000 8,183,460 0 0

TOTAL 10,155,060 0 17,170,000 0 16,355,548 317,000 175,353,400
2,692,936 2,575,000 1,892 192,025,948 0 16,672,548
JAKARTA,
MENGETAHUI
21/12/2016

Page 242 of 952
UKPD: RUMAH SAKIT UMUM KELAS D JOHOR BARU
NO STW
WENINGTYAS
1 24-05-1972/259803435016000 1 3,565,000 0 980,000 72,420 0 0
197205242006042016/165463 0 0 0 0 0 356,500 7,000 4,254,000
PNS/000000/IIID 1 0 0 80 4,617,500 0 363,500
SERI WIDIANI
2 23-07-1967/485506471072000 1 4,078,100 0 540,000 289,680 0 0
196707231993032003/158271 2 407,810 0 0 0 464,903 10,000 5,003,900
PNS/700200/IVA 4 163,124 0 89 5,478,803 0 474,903
DUMAULI
3 17-02-1974/774331128432000 1 3,420,300 0 540,000 217,260 0 0
197402171997032002/123242 1 342,030 0 0 0 383,073 7,000 4,198,000
PNS/500100/IIIC 3 68,406 0 77 4,588,073 0 390,073
BUDI WIBOWO
4 28-03-1977/485604599411000 1 3,420,300 0 540,000 289,680 0 0
197703282006041017/165301 2 342,030 0 0 0 389,914 7,000 4,332,000
PNS/700100/IIIC 4 136,812 0 92 4,728,914 0 396,914
DYAH ARIANI
5 08-08-1968/346713746024000 1 3,953,600 0 0 72,420 0 0
196808081998032003/179777 0 0 0 1,200,000 0 395,360 10,000 4,820,700
PNS/820602/IVA 1 0 0 40 5,226,060 0 405,360
ASTINI
6 18-04-1963/593783442005000 1 3,912,600 0 0 72,420 0 0
196304181988122001/112138 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820621/IIID 1 0 0 40 4,485,060 0 398,260
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Page 243 of 952
NO STW
TAUFIK ANWAR HIDAYAT
7 23-02-1964/null 1 3,456,200 0 0 217,260 0 0
196402232007011005/168761 1 345,620 0 750,000 0 387,094 7,000 4,444,200
PNS/820103/IIID 3 69,124 0 90 4,838,294 0 394,094
ECHA FASHICHAH
8 12-05-1971/684337830045000 1 3,639,200 0 0 72,420 0 0
197105121991032008/157843 0 0 0 600,000 0 363,920 7,000 3,940,700
PNS/820307/IIIC 1 0 0 0 4,311,620 0 370,920
YANTO
9 30-05-1965/688449349451000 1 3,872,000 185,000 0 289,680 0 0
196505301987101001/110688 2 387,200 0 0 0 441,408 7,000 4,440,400
PNS/798011/IIIC 4 154,880 185,000 48 4,888,808 0 448,408
YULIANIS
10 21-07-1966/684337793003000 1 3,491,500 0 0 217,260 0 0
196607211990032005/125743 1 349,150 0 300,000 0 391,048 7,000 4,029,700
PNS/820309/IIIB 3 69,830 0 8 4,427,748 0 398,048
FINA SAFIRA
11 07-01-1974/250346616024001 1 3,084,200 0 0 217,260 0 0
197401071992122001/180156 1 308,420 0 265,000 0 345,430 7,000 3,584,200
PNS/820342/IIIB 3 61,684 0 66 3,936,630 0 352,430
MARLINA
12 04-05-1983/362224834024000 1 2,724,400 185,000 0 217,260 0 0
198305042011012012/181039 1 272,440 0 0 0 305,132 7,000 3,141,500
PNS/798022/IIIB 3 54,488 185,000 44 3,453,632 0 312,132
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Page 244 of 952
NO STW
MARFUATUS SAADAH
13 30-10-1984/893350264436000 1 2,641,200 185,000 0 72,420 0 0
198410302014032003/183670 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIA MAUDISA
14 23-11-1984/359624558407000 0 2,641,200 185,000 0 72,420 0 0
198411232014032001/183710 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SONDANG NOVAITA
15 19-09-1984/null 1 2,641,200 185,000 0 72,420 0 0
198409192014032002/183738 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DARMADJI
16 11-11-1959/593785785435000 1 3,831,900 185,000 0 289,680 0 0
195911111985031013/100015 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
ERNI WAHYUNINGSIH
17 28-02-1968/593783426024000 1 3,601,400 185,000 0 289,680 0 0
196802281988032003/111167 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
WASIS BUDIHARTONO
18 05-11-1969/242639797407000 1 3,384,900 0 0 289,680 0 0
196911051992031008/118003 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820325/IIIB 4 135,396 0 12 4,413,478 0 392,878
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Page 245 of 952
NO STW
FATIMAH
19 01-09-1960/778830562001000 0 3,148,300 185,000 0 72,420 0 0
196009011994032001/120767 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798011/IIIA 1 0 185,000 10 3,405,730 0 321,830
SARI WULAN DARI

20 05-11-1985/898045075407000 1 2,507,800 0 0 217,260 0 0
198511052010012037/178970 1 250,780 0 240,000 0 280,873 5,000 2,980,200
PNS/820343/IID 3 50,156 0 77 3,266,073 0 285,873
WIWIK LESTARI P
21 25-08-1970/684337892008000 1 3,115,700 0 0 72,420 0 0
197008251996032005/122338 0 0 0 240,000 0 311,570 5,000 3,111,600
PNS/820355/IID 1 0 0 50 3,428,170 0 316,570
LITA LESTARI
22 31-03-1987/494334956005000 1 2,431,200 0 0 217,260 0 0
198703312011012013/180911 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
MUJI HANDAYANI
23 12-10-1988/703220301528000 1 2,261,300 180,000 0 72,420 0 0
198810122014032003/184037 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MARETA WULAN
24 09-03-1991/542974043517000 0 2,261,300 180,000 0 72,420 0 0
199103092014032002/184389 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
FIFI ELVIRA JAMRI
25 25-08-1991/705825198024000 0 2,261,300 180,000 0 72,420 0 0
199108252014032003/183864 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
79,346,100 2,020,000 2,600,000 4,127,940 0 0

TOTAL 4,330,420 0 4,600,000 0 8,498,632 169,000 89,667,800
1,309,856 2,020,000 1,116 98,335,432 0 8,667,632
JAKARTA,
MENGETAHUI
21/12/2016

Page 247 of 952
UKPD: PUSKESMAS KEL.JOHAR BARU KEC.JOHAR BARU
NO STW
BUDIARSINTA
1 10-07-1981/346065410009000 0 2,929,100 0 0 144,840 0 0
198107102010012024/178723 1 0 0 750,000 0 298,768 7,000 3,576,800
PNS/820103/IIIC 2 58,582 0 46 3,882,568 0 305,768
2,929,100 0 0 144,840 0 0
TOTAL 0 0 750,000 0 298,768 7,000 3,576,800
58,582 0 46 3,882,568 0 305,768
JAKARTA,
MENGETAHUI
21/12/2016

Page 248 of 952
UKPD: PUSKESMAS KEL.KAMPUNG RAWA KEC.JOHAR BARU
NO STW
CARLA SANIT
1 31-01-1962/687434001023000 1 4,522,500 0 0 72,420 0 0
196201311989022003/125767 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820102/IVB 1 0 0 30 5,794,950 0 462,250
4,522,500 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 452,250 10,000 5,332,700
0 0 30 5,794,950 0 462,250
JAKARTA,
MENGETAHUI
21/12/2016

Page 249 of 952
UKPD: PUSKESMAS KEL.GALUR KEC. JOHAR BARU JAKPUS
NO STW
FITRI DAMAYANTI
1 02-11-1973/180153108024000 1 3,315,900 0 0 289,680 0 0
197311022006042018/165490 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
3,315,900 0 0 289,680 0 0
TOTAL 331,590 0 750,000 0 378,012 7,000 4,434,800
132,636 0 6 4,819,812 0 385,012
JAKARTA,
MENGETAHUI
21/12/2016

Page 250 of 952
UKPD: PUSKESMAS KEL.TANAH TINGGI KEC.JOHAR BARU JAKPUS
NO STW
YOHANNES PETRUS K O
1 28-07-1960/071778518027000 0 4,339,000 0 0 72,420 0 0
196007281990121001/120682 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820102/IVA 1 0 0 80 5,611,500 0 443,900
4,339,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 433,900 10,000 5,167,600
0 0 80 5,611,500 0 443,900
JAKARTA,
MENGETAHUI
21/12/2016

Page 251 of 952
UKPD: PUSKESMAS KECAMATAN KEPULAUAN SERIBU UTARA
NO STW
EDWIN NASLI
1 24-11-1969/643038763017000 1 3,832,800 0 980,000 72,420 0 0
196911241997031005/161791 0 0 0 0 0 383,280 10,000 4,492,000
PNS/000000/IVA 1 0 0 60 4,885,280 0 393,280
MANGISI SIRAIT
2 06-10-1965/486887680404000 0 3,953,600 0 540,000 72,420 0 0
196510061990031009/115635 0 0 0 0 0 395,360 10,000 4,160,700
PNS/500100/IVA 1 0 0 40 4,566,060 0 405,360
SUSILOWATI
3 23-02-1962/null 1 4,429,300 185,000 0 72,420 0 0
196202231981122001/076995 0 0 0 0 0 442,930 7,000 4,236,800
PNS/798011/IIID 1 0 185,000 10 4,686,730 0 449,930
MURYATI
4 12-04-1968/782587109044000 1 3,528,100 0 0 217,260 0 0
196804121991032009/115836 1 352,810 0 265,000 0 395,147 7,000 4,031,600
PNS/820313/IIIC 3 70,562 0 15 4,433,747 0 402,147
A. RHYZA VERTANDO
5 04-01-1990/549211118323000 1 2,641,200 185,000 0 144,840 0 0
199001042014031004/183541 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
AULIA NOVARIZA FAHMAN

6 10-11-1988/703918151416000 1 2,641,200 185,000 0 217,260 0 0
198811102014031003/183570 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
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Page 252 of 952
NO STW
R. AA KOESOEMA WIJAYA
7 25-07-1986/543541411522000 1 2,641,200 185,000 0 289,680 0 0
198607252014031003/183698 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
RAHMAD YULIANTO
8 08-07-1982/153045836307000 1 2,641,200 185,000 0 144,840 0 0
198207082014031003/183702 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798011/IIIB 2 0 185,000 72 3,235,232 0 297,532
ROBIN ANDRIYANTO
9 07-09-1985/154562714703000 1 2,641,200 185,000 0 144,840 0 0
198509072014031002/183718 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
MIRSAL PICASSO
10 30-03-1985/163887482101000 0 2,641,200 185,000 0 72,420 0 0
198503302014031003/184398 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
BUDI SETIAWAN
11 20-04-1984/795595354416000 1 2,641,200 185,000 0 144,840 0 0
198404202014031003/184342 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
DORIS CHANDRAWATI
12 04-09-1970/699535811002000 0 2,990,000 185,000 0 72,420 0 0
197009042014122002/184476 0 0 0 0 0 299,000 7,000 2,941,500
PNS/798012/IIIB 1 0 185,000 80 3,247,500 0 306,000
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Page 253 of 952
NO STW
ERY KUSTINI
13 15-11-1977/552565954016000 1 2,898,700 185,000 0 289,680 0 0
197711152014122001/184480 2 289,870 0 0 0 330,451 7,000 3,441,800
PNS/798012/IIIB 4 115,948 185,000 53 3,779,251 0 337,451
VERA MARISA
14 20-07-1973/545136889005000 0 2,810,200 185,000 0 217,260 0 0
197307202014122003/184481 2 0 0 0 0 292,260 7,000 3,025,700
PNS/798012/IIIB 3 112,408 185,000 92 3,324,960 0 299,260
AMNI RIFDANIA
15 24-11-1979/576616965061000 1 2,810,200 185,000 0 289,680 0 0
197911242014122002/184483 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/798012/IIIB 4 112,408 185,000 54 3,678,362 0 327,362
WENNY ICHWANIAH
16 02-11-1975/278412176034001 1 2,990,000 185,000 0 289,680 0 0
197511022014122002/184484 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
MAULUDIN
17 15-05-1970/096627484045000 1 2,990,000 185,000 0 289,680 0 0
197005152014121002/184486 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
TRI LUSMANTORO
18 20-01-1974/697691715027000 1 2,990,000 185,000 0 289,680 0 0
197401202014121002/184487 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
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NO STW
NOVITA SUPRAPTO WATI
19 19-11-1973/784146359002000 1 2,898,700 185,000 0 289,680 0 0
197311192014122001/184488 2 289,870 0 0 0 330,451 7,000 3,441,800
PNS/798012/IIIB 4 115,948 185,000 53 3,779,251 0 337,451
M. NURALIM
20 28-08-1980/260508395044000 1 2,868,700 185,000 0 217,260 0 0
198008282008011030/171205 1 286,870 0 0 0 321,294 7,000 3,287,000
PNS/798011/IIIA 3 57,374 185,000 90 3,615,294 0 328,294
MAHRUJAH
21 17-04-1970/782587208044000 1 3,349,800 185,000 0 217,260 0 0
197004171991032004/115749 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798981/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
RITA SAHARA
22 17-06-1977/264525627044000 1 2,868,700 0 0 72,420 0 0
197706172000032001/162404 0 0 0 240,000 0 286,870 7,000 2,887,300
PNS/820314/IIIA 1 0 0 50 3,181,170 0 293,870
DAHLIA
23 01-09-1980/345842504044000 1 2,752,300 0 0 289,680 0 0
198009012008012024/173802 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
HIKMAYANI
24 07-08-1981/782580823044000 1 2,752,300 0 0 289,680 0 0
198108072008012019/173803 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
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Page 255 of 952
NO STW
IKA PUSPITA SARI
25 06-11-1981/264694068044000 0 2,668,200 0 0 72,420 0 0
198111062008012014/174668 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820314/IID 1 0 0 0 2,980,620 0 271,820
MULYANI
26 31-12-1966/253670913044999 1 3,213,800 180,000 0 72,420 0 0
196612311987032036/110534 0 0 0 0 0 321,380 5,000 3,139,900
PNS/798022/IID 1 0 180,000 60 3,466,280 0 326,380
HANITA
27 15-09-1979/259882736044000 1 2,752,300 0 0 289,680 0 0
197909152008012027/171208 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
SARIF HIDAYAT
28 01-03-1980/782587091044000 1 2,752,300 180,000 0 289,680 0 0
198003012008011026/171211 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798011/IID 4 110,092 180,000 60 3,607,362 0 318,762
ELIYAH
29 11-09-1983/688967769044000 1 2,752,300 180,000 0 289,680 0 0
198309112005012002/174768 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798012/IID 4 110,092 180,000 60 3,607,362 0 318,762
MARIANAH
30 02-05-1979/340243203044000 1 2,752,300 0 0 289,680 0 0
197905022008012035/170065 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
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Page 256 of 952
NO STW
AHMAD GHOZALI
31 18-07-1981/259883312044000 1 2,640,600 180,000 0 289,680 0 0
198107182008011027/172349 2 264,060 0 0 0 301,028 5,000 3,174,000
PNS/798011/IIC 4 105,624 180,000 64 3,480,028 0 306,028
AGUSTIN RETNA
32 17-08-1991/703283846532000 0 2,261,300 180,000 0 72,420 0 0
199108172014032004/183359 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
AGUSTINA RATNANING
33 01-08-1993/667218150532000 0 2,261,300 180,000 0 72,420 0 0
199308012014032001/183360 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
CHANDRA YOGA ADITAMA

34 28-03-1992/982888646154000 0 2,261,300 180,000 0 72,420 0 0
199203282014031001/183471 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ROSIANA ALFA RISQI

35 31-03-1990/461079618532000 0 2,261,300 180,000 0 72,420 0 0
199003312014032005/184178 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ZEN LIYUNTIQ ARIFIN

36 18-05-1989/542487103647000 0 2,261,300 180,000 0 72,420 0 0
198905182014031006/184312 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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Page 257 of 952
NO STW
JUNAIDI
37 17-01-1974/872587117044000 1 2,723,700 180,000 0 289,680 0 0
197401171998031005/125709 2 272,370 0 0 0 310,501 5,000 3,259,200
PNS/798011/IIC 4 108,948 180,000 3 3,574,701 0 315,501
LIDIYA
38 14-04-1971/262320658044000 1 2,613,200 0 0 289,680 0 0
197104141998032005/125707 2 261,320 0 240,000 0 297,904 5,000 3,205,900
PNS/820314/IIB 4 104,528 0 76 3,508,804 0 302,904
RATU JUWITA
39 09-01-1983/756886271044000 1 2,456,000 0 0 217,260 0 0
198301092007012003/168388 1 245,600 0 240,000 0 275,072 5,000 2,928,000
PNS/820623/IIB 3 49,120 0 92 3,208,072 0 280,072
110,833,000 5,130,000 1,520,000 7,459,260 0 0

TOTAL 7,011,870 0 2,185,000 0 12,004,247 245,000 124,089,500
2,197,688 5,130,000 1,929 136,338,747 0 12,249,247
JAKARTA,
MENGETAHUI
21/12/2016

Page 258 of 952
UKPD: PUSKESMAS KEL.PULAU HARAPAN KEP.SERIBU
NO STW
SRI RATNA WIRDASARI
1 29-07-1979/299614418044000 1 2,868,700 185,000 0 217,260 0 0
197907292008012019/171765 1 286,870 0 0 0 321,294 7,000 3,287,000
PNS/798011/IIIA 3 57,374 185,000 90 3,615,294 0 328,294
2,868,700 185,000 0 217,260 0 0

TOTAL 286,870 0 0 0 321,294 7,000 3,287,000
57,374 185,000 90 3,615,294 0 328,294
JAKARTA,
MENGETAHUI
21/12/2016

Page 259 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEP.SERIBU SELATAN
NO STW
SYUKUR PELIANUS T
1 15-11-1970/091784306402000 1 3,565,000 0 980,000 217,260 0 0
197011152002121002/165172 1 356,500 0 0 0 399,280 7,000 4,783,800
PNS/000000/IIID 3 71,300 0 20 5,190,080 0 406,280
SIDARTAWAN
2 11-12-1975/699834305418000 1 3,639,200 0 540,000 289,680 0 0
197512111995031001/120714 2 363,920 0 0 0 414,868 7,000 4,556,500
PNS/500100/IIIC 4 145,568 0 0 4,978,368 0 421,868
SUNARTI
3 20-03-1969/672503835944000 1 3,639,200 0 0 72,420 0 0
196903201991032005/115760 0 0 0 265,000 0 363,920 7,000 3,605,700
PNS/820342/IIIC 1 0 0 0 3,976,620 0 370,920
BUDIMAN
4 05-10-1973/672504115044000 1 3,528,100 0 0 289,680 0 0
197310051993031004/118012 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820312/IIIC 4 141,124 0 89 4,811,803 0 409,203
SASTRONI PURBA
5 09-08-1985/706077153429000 1 2,641,200 185,000 0 144,840 0 0
198508092014031004/183729 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
MARCO JUDIKA HUTAGAOL

6 15-03-1988/549985760117000 1 2,641,200 185,000 0 144,840 0 0
198803152014031005/183668 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
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Page 260 of 952
NO STW
SUPRAPTO
7 13-11-1986/706306057532000 0 2,641,200 185,000 0 72,420 0 0
198611132014031001/183745 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
TEUKU RAHMAD SAZALI

8 29-03-1986/168387181101000 1 2,641,200 185,000 0 144,840 0 0
198603292014031003/183750 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
FARHANNUDDIN
9 12-12-1982/252421532008000 1 2,641,200 185,000 0 289,680 0 0
198212122014031001/183779 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
ANGGORO KARLANI
10 17-12-1974/579198680432000 1 2,898,700 185,000 0 289,680 0 0
197412172014121004/184473 2 289,870 0 0 0 330,451 7,000 3,441,800
PNS/798012/IIIB 4 115,948 185,000 53 3,779,251 0 337,451
VICTOR APRYANTO
11 15-04-1982/882352073008000 1 2,898,700 185,000 0 217,260 0 0
198204152014121001/184474 1 289,870 0 0 0 324,654 7,000 3,317,200
PNS/798012/IIIB 3 57,974 185,000 50 3,648,854 0 331,654
MIRA AFIA
12 01-11-1981/097155048034999 1 2,898,700 185,000 0 72,420 0 0
198111012014122002/184475 0 0 0 0 0 289,870 7,000 2,859,300
PNS/798012/IIIB 1 0 185,000 50 3,156,170 0 296,870
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Page 261 of 952
NO STW
SELLY YULIANA SENDI M.
13 05-08-1977/675717813009000 1 2,898,700 185,000 0 289,680 0 0
197708052014122001/184477 2 289,870 0 0 0 330,451 7,000 3,441,800
PNS/798012/IIIB 4 115,948 185,000 53 3,779,251 0 337,451
AGUNG DEWANTO
14 27-06-1973/698915667009000 1 2,990,000 185,000 0 289,680 0 0
197306272014121001/184478 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
LIS UNTARI SUMARLINA

15 29-03-1972/780183315003000 1 2,898,700 185,000 0 289,680 0 0
197203292014122002/184479 2 289,870 0 0 0 330,451 7,000 3,441,800
PNS/798012/IIIB 4 115,948 185,000 53 3,779,251 0 337,451
ASRI YUNITA
16 05-06-1974/778975805024000 0 2,898,700 185,000 0 217,260 0 0
197406052014122002/184485 2 0 0 0 0 301,464 7,000 3,108,500
PNS/798012/IIIB 3 115,948 185,000 56 3,416,964 0 308,464
ELY ALMISRIH
17 19-07-1968/244462412044000 1 3,714,900 185,000 0 72,420 0 0
196807191987032002/110510 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
RAHMAWATI
18 27-06-1978/672504123044000 0 3,181,300 0 0 72,420 0 0
197806271997032001/122410 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
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Page 262 of 952
NO STW
IGNATIUS DENDY
19 19-07-1986/706139540424000 0 2,641,200 185,000 0 72,420 0 0
198607192014031004/183637 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798011/IIIB 1 0 185,000 0 2,898,620 0 271,120
NURRIZHAL AMAR
20 01-07-1988/545232142429000 0 2,641,200 185,000 0 72,420 0 0
198807012014031003/183691 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
YOHANES ARIS HARDONO

21 25-03-1985/880881321941000 1 2,641,200 185,000 0 217,260 0 0
198503252014031002/183767 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SABAR MENANTI SIBURIAN

22 29-09-1973/667293955008000 0 2,990,000 185,000 0 72,420 0 0
197309292014121001/184482 0 0 0 0 0 299,000 7,000 2,941,500
PNS/798012/IIIB 1 0 185,000 80 3,247,500 0 306,000
SAHIDAH
23 05-01-1970/699834388044000 1 3,148,300 0 0 217,260 0 0
197001051994032006/122263 1 314,830 0 240,000 0 352,609 7,000 3,623,800
PNS/820314/IIIA 3 62,966 0 53 3,983,409 0 359,609
JAYANAH
24 02-02-1975/699834347044000 1 3,052,200 0 0 289,680 0 0
197502021997032002/122413 2 305,220 0 240,000 0 347,950 7,000 3,654,300
PNS/820314/IIIA 4 122,088 0 62 4,009,250 0 354,950
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Page 263 of 952
NO STW
AMINAH BIN MURTADO
25 07-11-1959/450788526044000 1 3,911,600 185,000 0 72,420 0 0
195911071975032001/047822 0 0 0 0 0 391,160 7,000 3,770,900
PNS/798022/IIIA 1 0 185,000 40 4,169,060 0 398,160
AGUS MA'MUN
26 12-08-1964/672504099044000 1 3,349,800 185,000 0 217,260 0 0
196408121987031008/110370 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798022/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
MAYASOPAH
27 13-12-1979/250528650044000 0 2,752,300 0 0 72,420 0 0
197912132008012024/171700 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820314/IID 1 0 0 10 3,064,730 0 280,230
FITHRIYAH
28 01-08-1980/672503943004000 1 2,838,900 180,000 0 289,680 0 0
198008012006042043/165668 2 283,890 0 0 0 323,634 5,000 3,377,400
PNS/798012/IID 4 113,556 180,000 8 3,706,034 0 328,634
JUNAENAH
29 02-02-1980/672646676044000 1 2,668,200 0 0 289,680 0 0
198002022007012023/168393 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
LINDAWATI
30 07-05-1981/699834412044000 1 2,752,300 0 0 217,260 0 0
198105072008012016/172342 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820314/IID 3 55,046 0 21 3,539,857 0 313,257
21/12/2016

Page 264 of 952
NO STW
JAJUL KAROMI
31 17-07-1986/726676422044000 1 2,507,800 180,000 0 72,420 0 0
198607172010011003/189127 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798022/IID 1 0 180,000 60 2,760,280 0 255,780
JUBAEDAH
32 07-10-1976/672504107044000 1 2,928,300 0 0 289,680 0 0
197610071997032002/122411 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
SALIWAH
33 10-04-1975/672503950044000 1 2,928,300 0 0 289,680 0 0
197505101997032002/122412 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
MUDAWAROH
34 02-06-1974/672503968044000 1 2,838,900 180,000 0 289,680 0 0
197406021998032006/125708 2 283,890 0 0 0 323,634 5,000 3,377,400
PNS/798011/IID 4 113,556 180,000 8 3,706,034 0 328,634
ELI SUSILAWATI
35 28-10-1976/699834404044000 0 2,481,800 0 0 72,420 0 0
197610282008012025/172458 0 0 0 240,000 0 248,180 5,000 2,541,100
PNS/820314/IIC 1 0 0 60 2,794,280 0 253,180
FRANSISCA SILVIANITA
36 15-05-1990/704520501544000 1 2,261,300 180,000 0 144,840 0 0
199005152014032006/183875 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
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Page 265 of 952
NO STW
HENDRI TRI YULIANTO
37 12-07-1992/700638364525000 0 2,261,300 180,000 0 72,420 0 0
199207122014031001/183900 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RIMA IDA
38 05-04-1989/707968046412000 0 2,261,300 180,000 0 72,420 0 0
198904052014032004/184150 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
USWATUN KHASANAKH
39 10-10-1988/705709400522000 1 2,261,300 180,000 0 144,840 0 0
198810102014032005/184265 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
SUNARTI
40 12-10-1974/699834354044000 1 2,559,900 0 0 289,680 0 0
197410122007012032/169419 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820314/IIC 4 102,396 0 62 3,448,028 0 296,828
SAFRAWI
41 06-04-1979/699834370044000 1 2,559,900 0 0 289,680 0 0
197904062007011021/175335 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820314/IIC 4 102,396 0 62 3,448,028 0 296,828
TEDY RIA ATMAJA

42 13-01-1987/788686566323000 0 2,261,300 180,000 0 72,420 0 0
198701132014031005/184244 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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Page 266 of 952
NO STW
JAMALUDIN
43 09-12-1980/753536929044000 1 2,381,100 180,000 0 289,680 0 0
198012092007011009/168418 2 238,110 0 0 0 271,445 5,000 2,907,700
PNS/798011/IIB 4 95,244 180,000 11 3,184,145 0 276,445
SODIKIN
44 13-01-1973/699834289044000 0 2,059,400 175,000 0 72,420 0 0
197301132009041001/179238 0 0 0 0 0 205,940 3,000 2,097,900
PNS/798032/ID 1 0 175,000 20 2,306,840 0 208,940
ANIS ANSORI
45 05-04-1976/699834578044000 0 1,975,800 175,000 0 72,420 0 0
197604052009041002/175083 0 0 0 0 0 197,580 3,000 2,022,700
PNS/798032/ID 1 0 175,000 60 2,223,280 0 200,580
126,770,800 5,485,000 1,520,000 8,111,040 0 0

TOTAL 7,705,180 0 3,430,000 0 13,680,892 273,000 141,403,100
2,333,066 5,485,000 1,906 155,356,992 0 13,953,892
JAKARTA,
MENGETAHUI
21/12/2016

Page 267 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PENJARINGAN
NO STW
FLORIDA MASNIARI
1 07-02-1972/871845244017000 1 3,953,600 0 980,000 289,680 0 0
197202072000122001/164479 2 395,360 0 0 0 450,710 10,000 5,316,100
PNS/000000/IVA 4 158,144 0 26 5,776,810 0 460,710
SEFARINI MURNI ASTUTI

2 22-09-1967/497448548045000 1 4,035,800 0 540,000 217,260 0 0
196709221987032003/110133 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
TJITRA WULANDARI JASA

3 07-04-1957/341569218039000 1 5,392,200 0 0 144,840 0 0
195704071982032005/083802 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820601/IVD 2 0 0 82 7,476,342 0 603,142
MARIANI DJOJOMARGONO
4 27-12-1963/688897529041000 1 4,250,600 0 0 144,840 0 0
196312271994032004/123471 0 425,060 0 1,200,000 0 467,566 10,000 5,543,000
PNS/820602/IVB 2 0 0 66 6,020,566 0 477,566
SRI DEWI HAYANI

5 18-04-1968/676598998432000 1 3,793,100 185,000 0 217,260 0 0
196804181999032003/162726 1 379,310 0 0 0 424,827 7,000 4,218,800
PNS/798011/IIID 3 75,862 185,000 95 4,650,627 0 431,827
NURMAYA SITUMORANG
6 14-09-1973/575490073005000 1 3,565,000 0 0 217,260 0 0
197309141997032005/125418 1 356,500 0 500,000 0 399,280 7,000 4,303,800
PNS/820312/IIID 3 71,300 0 20 4,710,080 0 406,280
21/12/2016

Page 268 of 952
NO STW
DEWI KARTIKAWATI
7 19-09-1959/091807719416000 1 4,568,800 0 0 144,840 0 0
195909191981032006/071915 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
SRI DANARTI
8 07-10-1960/172007056034000 1 4,162,900 0 0 144,840 0 0
196010071985022001/086049 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820341/IIID 2 0 0 89 5,224,119 0 464,919
DWI SUJADIR
9 20-06-1977/684339088044000 1 2,929,100 0 0 289,680 0 0
197706202010011017/178937 2 292,910 0 325,000 0 333,917 7,000 3,613,000
PNS/820107/IIIC 4 117,164 0 63 3,953,917 0 340,917
JULIANA
10 02-07-1980/null 0 3,116,500 0 0 72,420 0 0
198007022006042007/164861 0 0 0 0 0 311,650 7,000 2,870,300
PNS/000008/IIIC 1 0 0 30 3,188,950 0 318,650
ANNISA IRAWATI
11 11-10-1981/485604128033000 0 3,116,500 0 0 72,420 0 0
198110112006042014/164879 0 0 0 0 0 311,650 7,000 2,870,300
PNS/000008/IIIC 1 0 0 30 3,188,950 0 318,650
NIKEN HARLISEPTIANI
12 15-09-1982/247470693432000 0 2,839,700 0 0 72,420 0 0
198209152011012009/180231 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
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NO STW
SUSANTI
13 09-09-1979/491305942042000 1 2,839,700 0 0 72,420 0 0
197909092011012016/180664 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
MEDINDIA FEROLITA
14 07-02-1984/595123928047000 1 2,839,700 0 0 217,260 0 0
198402072011012010/181022 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820123/IIIC 3 56,794 0 22 4,147,746 0 325,046
MYRNA ELLANI
15 28-01-1983/696953462043000 1 2,839,700 0 0 217,260 0 0
198301282011012005/181238 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
NURAINI MAYA SAWITRI

16 17-04-1980/347676074423000 0 2,839,700 0 0 72,420 0 0
198004172011012008/181262 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
DWI OKTIANO
17 29-10-1984/575236294002000 1 2,839,700 0 0 289,680 0 0
198410292011011006/181865 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
SYAHRONI
18 10-01-1972/262473382044000 1 3,420,300 0 0 72,420 0 0
197201101997031005/123577 0 0 0 265,000 0 342,030 7,000 3,408,700
PNS/820325/IIIC 1 0 0 10 3,757,730 0 349,030
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NO STW
LAMHOT SIHOMBING
19 01-05-1963/253538797002000 1 3,420,300 0 0 144,840 0 0
196305011997032001/125349 0 342,030 0 265,000 0 376,233 7,000 3,789,000
PNS/820313/IIIC 2 0 0 63 4,172,233 0 383,233
DEDE PERMANA
20 29-01-1967/692797194451000 1 3,753,800 0 0 289,680 0 0
196701291989031005/114554 2 375,380 0 265,000 0 427,933 7,000 4,399,100
PNS/820354/IIIC 4 150,152 0 21 4,834,033 0 434,933
ZULYADI
21 25-12-1964/699926333041000 1 3,753,800 0 0 217,260 0 0
196412251988021002/116588 1 375,380 0 265,000 0 420,425 7,000 4,259,100
PNS/820325/IIIC 3 75,076 0 9 4,686,525 0 427,425
PUDJI RAHAYU
22 04-07-1971/349886507045000 1 3,420,300 0 0 217,260 0 0
197107041994032002/118709 1 342,030 0 265,000 0 383,073 7,000 3,923,000
PNS/830224/IIIC 3 68,406 0 77 4,313,073 0 390,073
JIMMY E SIHOMBING
23 13-10-1976/358603116047000 1 3,315,900 0 0 289,680 0 0
197610131996032002/121042 2 331,590 0 265,000 0 378,012 7,000 3,949,800
PNS/820313/IIIC 4 132,636 0 6 4,334,812 0 385,012
ADAM RAZI MADAKUSUMA

24 23-11-1986/660799099407000 0 2,641,200 185,000 0 72,420 0 0
198611232014031003/183542 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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NO STW
MULIA SURYANDARI
25 12-10-1983/706149549524000 1 2,641,200 185,000 0 217,260 0 0
198310122014032002/183682 2 0 0 0 0 274,684 7,000 2,867,500
PNS/798012/IIIB 3 105,648 185,000 76 3,149,184 0 281,684
ROY OKTO MARADONA

26 23-10-1986/451762769005000 0 2,641,200 185,000 0 72,420 0 0
198610232014031003/183723 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
FIDYA YUSLINA FUADY

27 09-06-1988/546755091505000 1 2,641,200 185,000 0 72,420 0 0
198806092014032002/183618 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DARMAWAN
28 17-03-1963/253135875033000 0 3,831,900 185,000 0 217,260 0 0
196303171985031005/088093 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
AKHMAD FAUZI
29 02-02-1964/698800380085000 1 3,714,900 185,000 0 217,260 0 0
196402021987031007/110509 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SUSI ZURAEDAH
30 17-11-1964/699926275041000 1 3,714,900 185,000 0 217,260 0 0
196411171987032007/110570 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
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NO STW
KEMALA LUZIA
31 03-08-1966/256901596047999 1 3,601,400 185,000 0 72,420 0 0
196608031989032005/113486 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
TITIK SUPRIASTUTI
32 04-01-1961/776576415034000 0 3,831,900 0 0 144,840 0 0
196101041988032005/116194 0 383,190 0 265,000 0 421,509 7,000 4,196,500
PNS/820342/IIIB 2 0 0 79 4,625,009 0 428,509
DIANA
33 02-02-1967/771631793435000 0 3,384,900 0 0 217,260 0 0
196702021992032011/118093 2 0 0 265,000 0 352,029 7,000 3,643,600
PNS/820313/IIIB 3 135,396 0 73 4,002,629 0 359,029
LINDA
34 05-08-1968/473334639034999 0 3,491,500 0 0 72,420 0 0
196808051990032004/120633 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
MERRYANI PURBA
35 01-05-1978/257692574432000 1 3,181,300 0 0 289,680 0 0
197805011997032002/123261 2 318,130 0 300,000 0 362,668 7,000 3,846,700
PNS/820309/IIIB 4 127,252 0 6 4,216,368 0 369,668
RISMAWATY T
36 26-11-1974/872036942005000 0 3,281,500 0 0 217,260 0 0
197411261997032002/123265 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820132/IIIB 3 65,630 0 88 4,157,628 0 374,528
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NO STW
SENTIAR NAPITUPULU
37 15-09-1967/254840291003000 0 3,181,300 0 0 289,680 0 0
196709151997032002/123761 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820132/IIIB 4 127,252 0 6 4,181,368 0 369,668
MESRY TEKLA LIMBONG

38 05-01-1970/257969923041000 1 3,491,500 0 0 289,680 0 0
197001051991032005/128509 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820313/IIIB 4 139,660 0 41 4,535,031 0 405,031
TRIYULIARSIH
39 20-07-1971/688897495042000 1 3,384,900 0 0 217,260 0 0
197107201993032005/157862 2 0 0 265,000 0 352,029 7,000 3,643,600
PNS/820622/IIIB 3 135,396 0 73 4,002,629 0 359,029
MARTINUS SERAN BEREK

40 02-03-1978/254508831047000 1 3,084,200 0 0 217,260 0 0
197803021998031005/157897 1 308,420 0 265,000 0 345,430 7,000 3,584,200
PNS/820313/IIIB 3 61,684 0 66 3,936,630 0 352,430
PRATIWI KESUMA
41 15-10-1988/467274262122000 0 2,641,200 185,000 0 72,420 0 0
198810152014032003/184415 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
AGUS SUTOPAMUNGKAS
42 21-01-1981/349755769034000 0 2,868,700 0 0 72,420 0 0
198101212008011014/171770 0 0 0 240,000 0 286,870 7,000 2,887,300
PNS/820314/IIIA 1 0 0 50 3,181,170 0 293,870
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NO STW
BASRIL
43 05-09-1960/254011448451000 1 3,676,400 0 0 217,260 0 0
196009051990011001/158181 1 367,640 0 325,000 0 411,756 7,000 4,241,100
PNS/820607/IIIA 3 73,528 0 28 4,659,856 0 418,756
NURDIN
44 23-09-1974/349755363085000 1 3,052,200 0 0 289,680 0 0
197409231997031002/124383 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820622/IIIA 4 122,088 0 62 4,034,250 0 354,950
SUSNIA YOSNANI
45 19-09-1965/788337483045000 0 3,247,500 0 0 217,260 0 0
196509191992032006/130911 1 324,750 0 500,000 0 363,720 7,000 3,983,800
PNS/820341/IIIA 3 64,950 0 60 4,354,520 0 370,720
JUMRIAH
46 03-02-1976/095696993042000 1 2,959,000 0 0 289,680 0 0
197602032007012015/168417 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/820314/IIIA 4 118,360 0 86 3,903,026 0 344,326
HARYATI
47 27-09-1982/363425125045000 0 2,534,000 0 0 72,420 0 0
198209272011012013/180980 0 0 0 240,000 0 253,400 7,000 2,586,100
PNS/820314/IIIA 1 0 0 80 2,846,500 0 260,400
NOVI SILVIANA RAHAYU

48 09-11-1983/697659225043000 1 2,534,000 0 0 217,260 0 0
198311092011012010/181424 1 253,400 0 300,000 0 283,808 7,000 3,064,600
PNS/820309/IIIA 3 50,680 0 68 3,355,408 0 290,808
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NO STW
YUYUN WAHYUNI
49 12-07-1982/491319935006000 1 2,534,000 0 0 289,680 0 0
198207122011012022/181852 2 253,400 0 240,000 0 288,876 7,000 3,122,600
PNS/820314/IIIA 4 101,360 0 36 3,418,476 0 295,876
JELITA LINGGA
50 10-04-1965/782611586048000 1 3,148,300 185,000 0 144,840 0 0
196404191995032002/120669 0 314,830 0 0 0 346,313 7,000 3,439,700
PNS/798011/IIIA 2 0 185,000 43 3,793,013 0 353,313
DORDIONISIA
51 11-05-1968/699926259041000 0 3,148,300 185,000 0 72,420 0 0
196805111994032005/120768 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798012/IIIA 1 0 185,000 10 3,405,730 0 321,830
DWI RIAWATI
52 14-05-1966/791896756407000 1 3,052,200 0 0 217,260 0 0
196605141997032002/123275 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820342/IIIA 3 61,044 0 22 3,900,746 0 348,846
RITA SARI KAREL

53 14-03-1972/360775233407000 1 3,052,200 0 0 144,840 0 0
197203141996032002/125670 0 305,220 0 240,000 0 335,742 7,000 3,399,600
PNS/820314/IIIA 2 0 0 82 3,742,342 0 342,742
DEMAK LUMBAN GAOL

54 03-09-1968/258337039036000 1 3,349,800 0 0 289,680 0 0
196809031991032004/158423 2 334,980 0 265,000 0 381,877 7,000 3,984,600
PNS/820313/IIIA 4 133,992 0 25 4,373,477 0 388,877
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NO STW
NURUL AMALIA
55 04-06-1982/784336786033000 1 2,868,700 0 0 217,260 0 0
198206042007012012/168515 1 286,870 0 240,000 0 321,294 7,000 3,342,000
PNS/820314/IIIA 3 57,374 0 90 3,670,294 0 328,294
YUSTI CHRISTIANA
56 09-08-1988/346157928009000 1 2,406,000 180,000 0 217,260 0 0
198808092010012017/178292 1 240,600 0 0 0 269,472 5,000 2,817,600
PNS/798012/IID 3 48,120 180,000 92 3,092,072 0 274,472
ASNIAR
57 28-09-1988/893926220045000 1 2,261,300 180,000 0 217,260 0 0
198809282014032002/183439 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
DESI PRABANDANI
58 21-12-1987/703890343532000 0 2,261,300 180,000 0 72,420 0 0
198712212014032002/183496 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IFA DEVI PRAMAJA

59 13-12-1988/706723871626000 0 2,261,300 180,000 0 72,420 0 0
198812132014032004/183908 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SANTI YANUARTI UTAMI

60 13-01-1989/542920756045000 0 2,261,300 180,000 0 72,420 0 0
198901132014032005/184193 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
IMAM PUJIONO
61 15-11-1985/700674120501000 1 2,261,300 180,000 0 144,840 0 0
198511152014031001/183919 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
WAKHIDATUR ROHMAH
62 01-01-1991/703644609532000 0 2,261,300 180,000 0 217,260 0 0
199101012014032006/184278 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
ATMA
63 21-01-1961/253171698034000 1 3,180,500 180,000 0 144,840 0 0
196101211985031005/070616 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
KULIDI
64 03-06-1965/784310328034000 1 2,898,000 180,000 0 289,680 0 0
196506031991031006/116434 2 289,800 0 0 0 330,372 5,000 3,438,100
PNS/798041/IIC 4 115,920 180,000 72 3,773,472 0 335,372
PULUNG
65 16-07-1959/258388701034000 1 2,838,200 180,000 0 144,840 0 0
195907161985031012/100149 0 283,820 0 0 0 312,202 5,000 3,129,700
PNS/798041/IIA 2 0 180,000 42 3,446,902 0 317,202
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NO STW
206,304,600 4,020,000 1,520,000 11,659,620 0 0
TOTAL 14,572,860 0 16,295,000 0 22,419,497 444,000 234,829,200
3,317,652 4,020,000 2,965 257,692,697 0 22,863,497
JAKARTA,
MENGETAHUI
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UKPD: PUSKESMAS KEL. KAMAL MUARA KEC.PENJARINGAN JAKUT
NO STW
INDRA DHARMA
1 04-01-1961/053697322047000 1 5,068,000 0 0 289,680 0 0
196101041988031006/162652 2 506,800 0 1,400,000 0 577,752 10,000 6,879,500
PNS/820101/IVD 4 202,720 0 52 7,467,252 0 587,752
5,068,000 0 0 289,680 0 0
TOTAL 506,800 0 1,400,000 0 577,752 10,000 6,879,500
202,720 0 52 7,467,252 0 587,752
JAKARTA,
MENGETAHUI
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Page 280 of 952
UKPD: PUSKESMAS KEL.PENJARINGAN KEC.PENJARINGAN JAKUT
NO STW
WIDYANINGSIH
1 18-01-1958/052577830072999 1 4,522,500 0 0 72,420 0 0
195801181988022001/115804 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
4,522,500 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 452,250 10,000 5,332,700
0 0 30 5,794,950 0 462,250
JAKARTA,
MENGETAHUI
21/12/2016

Page 281 of 952
UKPD: PUSKESMAS KEL.PLUIT KEC.PENJARINGAN JAKUT
NO STW
FILMA ESPIN
1 09-09-1959/782638225047000 1 4,713,800 0 0 217,260 0 0
195909091989032002/119054 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
4,713,800 0 0 217,260 0 0
TOTAL 471,380 0 1,200,000 0 527,945 10,000 6,158,800
94,276 0 29 6,696,745 0 537,945
JAKARTA,
MENGETAHUI
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Page 282 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN TANJUNG PRIOK
NO STW
YUDI DIMYATI
1 26-08-1977/173405762024000 1 3,248,300 0 980,000 289,680 0 0
197708262006041006/164820 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
SUYOTO
2 10-02-1966/677889073412000 1 4,035,800 0 540,000 217,260 0 0
196602101987031005/110626 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
MERY
3 18-12-1959/092503994043001 1 4,713,800 0 0 144,840 0 0
195912181989022001/118344 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
CATHARINA ANGRAINI W
4 24-06-1964/180174138043000 0 4,569,900 0 0 217,260 0 0
196406241992032005/120338 1 456,990 0 1,200,000 0 511,828 10,000 6,013,800
PNS/820602/IVC 3 91,398 0 80 6,535,628 0 521,828
FINCE
5 16-10-1961/588831925027000 1 4,384,400 0 0 217,260 0 0
196110161991022001/180148 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820122/IVB 3 87,688 0 64 6,327,852 0 501,052
YESSIE SHAHARANI
6 08-05-1974/491886990416000 1 3,492,400 0 0 289,680 0 0
197405082003122003/171649 2 349,240 0 1,200,000 0 398,133 10,000 5,062,900
PNS/820602/IVA 4 139,696 0 17 5,471,033 0 408,133
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NO STW
ARTIKA TAMBUNAN
7 25-07-1975/095750121042000 1 3,350,600 0 0 72,420 0 0
197507252006042028/165512 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
SUPANTO KUSTRIYONO
8 10-06-1973/276582111042000 1 3,456,200 0 0 289,680 0 0
197306102006041023/165749 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
PATRICIA SAMMA
9 12-07-1970/256171471001000 0 3,248,300 0 0 72,420 0 0
197007122007012028/168367 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
INNA ROSDYASARI
10 04-05-1976/477785703626000 1 3,350,600 0 0 72,420 0 0
197605042007012014/180160 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
SITI ZURIAH
11 03-03-1967/356504399048999 1 3,912,600 0 0 72,420 0 0
196703031989032007/117193 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820341/IIID 1 0 0 40 4,485,060 0 398,260
ELIS MULYATI
12 02-10-1959/792780462045000 1 4,162,900 0 0 72,420 0 0
195910021985032005/070466 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820312/IIID 1 0 0 70 4,735,390 0 423,290
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NO STW
YOHANA RITA SAYULIANA
13 01-07-1959/359752334048000 1 4,294,000 0 0 72,420 0 0
195907011985032002/101704 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
MERIATY
14 19-09-1963/364134821407000 0 4,035,800 0 0 72,420 0 0
196305191986022001/107331 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820621/IIID 1 0 0 60 4,608,280 0 410,580
TRI PUDJI ASTUTI

15 26-05-1962/689242527048000 1 4,294,000 0 0 72,420 0 0
196205261982032003/116723 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
HIKMAH YANTI ARIF

16 05-04-1981/697255644407000 1 2,929,100 0 0 289,680 0 0
198104052010012031/178447 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
SRI WAHYUNI
17 07-12-1981/695096313005999 1 2,929,100 185,000 0 289,680 0 0
198112072010012023/178836 2 292,910 0 0 0 333,917 7,000 3,473,000
PNS/798012/IIIC 4 117,164 185,000 63 3,813,917 0 340,917
RAHMATIAH
18 15-05-1962/698813797045000 1 3,753,800 185,000 0 217,260 0 0
196205151989032004/114093 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798022/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
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NO STW
EDWARD PARLINDUNGAN
19 01-04-1973/689528065435000 1 3,420,300 0 0 289,680 0 0
197304011998031007/125720 2 342,030 0 265,000 0 389,914 7,000 4,057,000
PNS/820313/IIIC 4 136,812 0 92 4,453,914 0 396,914
LUCY VICTORIA
20 03-05-1980/363409863435000 1 2,839,700 0 0 289,680 0 0
198005032011012008/181252 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820607/IIIC 4 113,588 0 87 3,852,025 0 330,725
HENNY ENIKE S.L

21 07-09-1958/260823554048000 1 3,753,800 0 0 217,260 0 0
195809071996032001/122421 1 375,380 0 600,000 0 420,425 7,000 4,594,100
PNS/820307/IIIC 3 75,076 0 9 5,021,525 0 427,425
LESTINA PURBA
22 26-06-1968/680337946435000 1 3,639,200 0 0 217,260 0 0
196806261991032007/125111 1 363,920 0 265,000 0 407,590 7,000 4,143,600
PNS/820313/IIIC 3 72,784 0 26 4,558,190 0 414,590
YUSTINA FARIATI
23 05-01-1972/798560561003000 1 3,528,100 0 0 289,680 0 0
197201051993022001/162623 2 352,810 0 265,000 0 402,203 7,000 4,167,600
PNS/820342/IIIC 4 141,124 0 89 4,576,803 0 409,203
HERNING SUPROBOWATI
24 13-05-1965/259728293048000 1 3,872,000 0 0 144,840 0 0
196503021988032006/115281 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/820341/IIIC 2 0 0 80 4,904,120 0 432,920
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NO STW
SUMADI
25 09-01-1970/246496569435000 1 3,528,100 0 0 289,680 0 0
197001091992031004/117615 2 352,810 0 265,000 0 402,203 7,000 4,167,600
PNS/820325/IIIC 4 141,124 0 89 4,576,803 0 409,203
SITI ROKHANI
26 01-11-1969/095750113042000 1 3,753,800 0 0 217,260 0 0
196911011989112001/130909 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820621/IIIC 3 75,076 0 9 4,921,525 0 427,425
MEYLIN TIANUR
27 27-05-1968/240157610042001 1 3,753,800 0 0 144,840 0 0
196805271988122001/162752 1 0 0 500,000 0 382,887 7,000 4,083,900
PNS/820341/IIIC 2 75,076 0 71 4,473,787 0 389,887
SAPRIL
28 27-06-1968/257151209048000 1 3,639,200 0 0 144,840 0 0
196806271990031004/168874 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820312/IIIC 2 0 0 52 4,648,012 0 407,312
RAHESTI PRATIWI
29 19-05-1986/710226523411000 0 2,641,200 185,000 0 72,420 0 0
198605192014032003/183701 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ROSALIA PURBANDARI
30 07-09-1988/453630667505000 1 2,641,200 185,000 0 72,420 0 0
198809072014032001/183719 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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SINTHANIA KARUNIA
31 07-12-1985/448476564432000 1 2,641,200 185,000 0 217,260 0 0
198512072014032001/183806 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
BANDRANEF
32 02-08-1964/095694931042000 1 3,601,400 185,000 0 289,680 0 0
196408021988021002/114367 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
CITRAWATI
33 24-11-1987/724586730043000 1 2,641,200 185,000 0 217,260 0 0
198711242014032003/183582 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
RAHMAT AJI PRAMONO

34 23-05-1987/661769851045000 1 2,641,200 185,000 0 217,260 0 0
198705232014031005/183703 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ARIS TRI WIDIANTO

35 18-09-1981/095692992042000 1 2,898,700 0 0 289,680 0 0
198109182006041007/164983 2 289,870 0 265,000 0 330,451 7,000 3,521,800
PNS/820313/IIIB 4 115,948 0 53 3,859,251 0 337,451
SUPARNI
36 12-06-1962/329752052048000 1 3,714,900 185,000 0 72,420 0 0
196206121986032009/107747 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
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ALMIDA
37 27-01-1962/258982545048000 1 3,714,900 185,000 0 144,840 0 0
196201271987032007/110411 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
ERNISITA SIPAYUNG
38 06-10-1963/359636479048000 1 3,601,400 185,000 0 72,420 0 0
196310061988032003/111215 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
DALIS
39 14-05-1967/259669026045000 1 3,601,400 185,000 0 144,840 0 0
196705141989031008/113601 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798022/IIIB 2 0 185,000 74 4,291,454 0 403,154
KARMALINA BR SINAGA
40 04-02-1962/268639911412000 1 3,601,400 0 0 217,260 0 0
196202041989112001/114598 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820313/IIIB 3 72,028 0 28 4,515,856 0 410,356
LILIS SEPTIANI
41 11-09-1966/095727780042000 1 3,491,500 0 0 217,260 0 0
196609111991032006/121043 1 349,150 0 240,000 0 391,048 7,000 3,969,700
PNS/820314/IIIB 3 69,830 0 8 4,367,748 0 398,048
SITI ROHAYAH
42 03-10-1960/359756558045000 0 3,181,300 0 0 217,260 0 0
196010031996032001/121697 2 0 0 265,000 0 330,855 7,000 3,453,000
PNS/820342/IIIB 3 127,252 0 43 3,790,855 0 337,855
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SARINIP GANDA SIMBOLON
43 11-03-1974/359749736045000 1 3,181,300 0 0 72,420 0 0
197403111997032002/123335 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820132/IIIB 1 0 0 10 3,518,730 0 325,130
LESTARI
44 28-12-1971/257969659045000 1 3,384,900 0 0 289,680 0 0
null/123452 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
REMI KRISTINA S
45 14-08-1969/095727780042000 1 3,384,900 0 0 289,680 0 0
196908141992032003/124071 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
SUDINAR SIAGIAN
46 13-04-1963/095713137042000 1 3,831,900 185,000 0 289,680 0 0
196304131984032005/125410 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
EVYLIANA TARIGAN
47 22-04-1971/440739597005000 1 3,281,500 0 0 72,420 0 0
197104111994022001/125580 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
UBARIYANI
48 05-07-1968/095710885042000 1 3,384,900 0 0 289,680 0 0
196807051993032007/125732 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820132/IIIB 4 135,396 0 12 4,413,478 0 392,878
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FARIDA
49 10-07-1971/347191538045000 0 3,384,900 0 0 72,420 0 0
197107101992012001/162503 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
LASMARIA MANURUNG
50 07-06-1969/893908400003000 1 3,384,900 0 0 144,840 0 0
196906071992032007/162641 1 0 0 265,000 0 345,259 7,000 3,510,200
PNS/820342/IIIB 2 67,698 0 21 3,862,459 0 352,259
KAATJE SETIA WIESMA P

51 25-01-1966/256665530002000 1 3,714,900 185,000 0 217,260 0 0
196601251987032004/162667 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SUMADIYA
52 16-01-1962/345140735048000 1 3,714,900 185,000 0 144,840 0 0
196201161987031005/110652 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
K. LIA DWIYANTHI
53 11-08-1973/257907253008000 1 3,148,300 0 0 289,680 0 0
197308111995032001/161730 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/830224/IIIA 4 125,932 0 64 4,143,806 0 365,906
RAHMAWATI
54 03-12-1983/361157498045000 1 2,781,100 0 0 217,260 0 0
198312032008012007/171396 1 278,110 0 300,000 0 311,483 7,000 3,313,700
PNS/820309/IIIA 3 55,622 0 91 3,632,183 0 318,483
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NO STW
ROSARIA WISNU WARDANI
55 30-08-1984/497663039008000 1 2,534,000 0 0 72,420 0 0
198408302011012011/180955 0 0 0 240,000 0 253,400 7,000 2,586,100
PNS/820314/IIIA 1 0 0 80 2,846,500 0 260,400
SETIO TIYAS WULANDARI

56 08-05-1984/790701510045000 0 2,534,000 0 0 72,420 0 0
198405082011012013/181219 0 0 0 300,000 0 253,400 7,000 2,646,100
PNS/820309/IIIA 1 0 0 80 2,906,500 0 260,400
DEDEH JUHARIYAH
57 20-06-1975/704907518048000 1 3,052,200 0 0 289,680 0 0
197506201996032001/122329 2 305,220 0 300,000 0 347,950 7,000 3,714,300
PNS/830222/IIIA 4 122,088 0 62 4,069,250 0 354,950
DWI SULISTYAWATI
58 11-08-1973/382929768045999 1 2,959,000 0 0 217,260 0 0
197308111998032003/127162 1 295,900 0 240,000 0 331,408 7,000 3,433,000
PNS/820623/IIIA 3 59,180 0 68 3,771,408 0 338,408
RAKHMAN HIDAYANTO
59 04-02-1972/347486219044000 1 3,148,300 0 0 289,680 0 0
197202041997031002/162269 2 314,830 0 183,000 0 358,906 7,000 3,695,900
PNS/850102/IIIA 4 125,932 0 64 4,061,806 0 365,906
NUR FATIMAH
60 28-09-1983/261422984045000 1 2,668,200 0 0 289,680 0 0
198309282008012013/172827 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
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NO STW
EVALINA HUTASOIT
61 20-08-1986/594262511412000 1 2,406,000 0 0 217,260 0 0
198608202010012040/179012 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IID 3 48,120 0 92 3,152,072 0 274,472
BERTUA KRISTA
62 10-12-1982/770527752127000 1 2,586,700 0 0 72,420 0 0
198212102005022001/171651 0 0 0 240,000 0 258,670 5,000 2,635,500
PNS/820314/IID 1 0 0 50 2,899,170 0 263,670
PUJI LESTARI
63 23-11-1988/346137912009000 1 2,406,000 0 0 217,260 0 0
198811232010012008/178974 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IID 3 48,120 0 92 3,152,072 0 274,472
ENY HASTUTI
64 20-02-1988/893896860004000 0 2,431,200 0 0 72,420 0 0
198802202011012023/180941 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
NUR AFRILIANTI MARDIANI

65 25-04-1984/590390480045000 0 2,431,200 0 0 72,420 0 0
198404252011012018/181221 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
SRI WAHYUNI
66 29-06-1966/260753975407999 0 3,315,100 0 0 72,420 0 0
196606291988012001/111634 0 0 0 240,000 0 331,510 5,000 3,291,100
PNS/820326/IID 1 0 0 90 3,627,610 0 336,510
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NO STW
TUTI HERAWATI
67 13-08-1975/256759374048000 1 3,020,600 0 0 289,680 0 0
197508131998032003/125713 2 302,060 0 240,000 0 344,348 5,000 3,623,900
PNS/820314/IID 4 120,824 0 84 3,973,248 0 349,348
TUTI SUGIHARTI
68 31-08-1976/686020496045000 1 2,752,300 0 0 289,680 0 0
197608312007012013/168510 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
SARIANNA MUAWARROH
69 05-10-1992/169279411507000 0 2,261,300 180,000 0 72,420 0 0
199210052014032001/184196 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
PUJI RAHMAWATI
70 03-10-1971/680337953432000 1 2,898,000 0 0 217,260 0 0
197110031997032002/124975 1 289,800 0 240,000 0 324,576 5,000 3,373,500
PNS/820355/IIC 3 57,960 0 56 3,703,076 0 329,576
NUR ZULIANI.S
71 22-07-1989/578032971006000 0 2,332,500 0 0 72,420 0 0
198907222011012008/180983 0 0 0 240,000 0 233,250 5,000 2,406,700
PNS/820314/IIC 1 0 0 30 2,644,950 0 238,250
BUNGA GUSTIANI
72 17-08-1986/692067895027000 1 2,481,800 0 0 144,840 0 0
198608172008012006/175328 0 248,180 0 240,000 0 272,998 5,000 2,836,900
PNS/820133/IIC 2 0 0 78 3,114,898 0 277,998
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SUGIYAH
73 08-08-1962/257962043048000 0 2,838,200 180,000 0 72,420 0 0
196208081985032008/100049 0 0 0 0 0 283,820 5,000 2,801,800
PNS/798041/IIA 1 0 180,000 0 3,090,620 0 288,820
NANIK
74 18-09-1960/095696399042000 1 2,838,200 180,000 0 144,840 0 0
196009181985032003/088122 0 283,820 0 0 0 312,202 5,000 3,129,700
PNS/798041/IIA 2 0 180,000 42 3,446,902 0 317,202
242,975,700 3,315,000 1,520,000 13,397,700 0 0

TOTAL 15,629,630 0 22,633,000 0 26,278,252 500,000 276,873,700
4,177,386 3,315,000 3,536 303,651,952 0 26,778,252
JAKARTA,
MENGETAHUI
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Page 295 of 952
UKPD: RUMAH SAKIT UMUM KELAS D TANJUNG PRIOK
NO STW
TONY WIBOWO HARIANTO
1 06-02-1962/058821182029000 1 4,522,500 0 980,000 144,840 0 0
196202061989031011/158171 0 452,250 0 0 0 497,475 10,000 5,592,200
PNS/000000/IVB 2 0 0 85 6,099,675 0 507,475
ATI NIRWANAWATI
2 23-02-1962/572117760016000 1 4,475,700 0 540,000 144,840 0 0
196202231985012001/157681 0 447,570 0 0 0 492,327 10,000 5,105,800
PNS/700200/IVA 2 0 0 17 5,608,127 0 502,327
JULIET M. N. PIETER
3 18-07-1970/180202095024000 1 3,565,000 0 540,000 289,680 0 0
197007182002122005/165164 2 356,500 0 0 0 406,410 10,000 4,477,400
PNS/700100/IVA 4 142,600 0 30 4,893,810 0 416,410
NURHAYATI
4 15-08-1970/582127296045000 1 3,753,800 0 540,000 289,680 0 0
197008151989032003/113575 2 375,380 0 0 0 427,933 7,000 4,674,100
PNS/500100/IIIC 4 150,152 0 21 5,109,033 0 434,933
TEDDY DWINANTO
5 12-06-1960/359913159412000 1 4,206,500 0 0 144,840 0 0
196006121991021001/118000 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820102/IVA 2 0 0 25 5,972,015 0 472,715
ROSPITA HELENA SITORUS

6 28-01-1961/087781308003000 1 4,475,700 0 0 144,840 0 0
196101281988022001/120727 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
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NO STW
RINDRIYANTI
7 30-03-1959/694746298045000 0 4,568,800 0 0 72,420 0 0
195903301981072001/071968 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
ANISAH
8 24-12-1965/257213702045000 1 3,912,600 0 0 144,840 0 0
196512241988032012/117751 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820341/IIID 2 0 0 86 4,948,786 0 437,386
TORANG PURBA
9 05-01-1970/579929449005000 1 3,639,200 0 0 72,420 0 0
197001051991031005/116371 0 0 0 265,000 0 363,920 7,000 3,605,700
PNS/820622/IIIC 1 0 0 0 3,976,620 0 370,920
JERDIMAN PANDAPOTAN
10 30-03-1970/254497076048000 0 3,639,200 185,000 0 289,680 0 0
197003301991031005/120655 2 363,920 0 0 0 414,868 7,000 4,201,500
PNS/798022/IIIC 4 145,568 185,000 0 4,623,368 0 421,868
NUNIEK INGGRIYANI
11 17-11-1980/260412408048000 1 2,839,700 185,000 0 289,680 0 0
198011172011012004/181030 2 283,970 0 0 0 323,725 7,000 3,381,300
PNS/798012/IIIC 4 113,588 185,000 87 3,712,025 0 330,725
AIDA FITRIYANI
12 29-09-1976/360779300048000 1 3,315,900 0 0 289,680 0 0
197609291996032001/123152 2 331,590 0 300,000 0 378,012 7,000 3,984,800
PNS/820309/IIIC 4 132,636 0 6 4,369,812 0 385,012
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NO STW
ROSDELINA PURBA
13 15-08-1970/289570392002000 1 3,420,300 0 0 289,680 0 0
197008151994032007/162978 2 342,030 0 265,000 0 389,914 7,000 4,057,000
PNS/820354/IIIC 4 136,812 0 92 4,453,914 0 396,914
IRMA RAHAYUNINGSIH
14 28-11-1984/253696363048000 1 2,810,200 185,000 0 217,260 0 0
198411282010012028/177391 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798011/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
ORIANTI
15 01-09-1979/099096455112000 1 2,990,000 0 0 72,420 0 0
197909012000032001/182781 0 0 0 300,000 0 299,000 7,000 3,056,500
PNS/820309/IIIB 1 0 0 80 3,362,500 0 306,000
SUBIYARTO
16 19-02-1965/778492173048000 1 3,714,900 185,000 0 289,680 0 0
196502191985031006/075529 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SULIFAH
17 18-08-1971/095692430042000 1 3,384,900 0 0 72,420 0 0
197108181992022001/123289 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
ARISTYA DIAN FITRASARI

18 18-07-1982/359810587048000 1 2,752,300 0 0 289,680 0 0
198207182007012012/168370 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
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NO STW
RAHMAT EKO MULYADI
19 11-04-1972/262507791048000 0 2,752,300 0 0 289,680 0 0
197204112008011018/172346 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/900012/IID 4 110,092 0 60 3,667,362 0 318,762
VICRI RAJIEV
20 06-01-1989/356238253003000 1 2,332,500 180,000 0 217,260 0 0
198901062011011007/180931 1 233,250 0 0 0 261,240 5,000 2,743,500
PNS/798022/IIC 3 46,650 180,000 80 3,009,740 0 266,240
71,072,000 920,000 2,600,000 4,055,520 0 0

TOTAL 5,648,910 0 5,275,000 0 7,801,386 149,000 82,915,000
1,292,990 920,000 966 90,865,386 0 7,950,386
JAKARTA,
MENGETAHUI
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UKPD: PUSKESMAS KEL. SUNTER JAYA KEC.TANJUNG PRIOK
NO STW
DEWI INDAH IRIANTI
1 02-02-1976/null 1 3,116,500 0 0 289,680 0 0
197602022006042003/164823 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
3,116,500 0 0 289,680 0 0
TOTAL 311,650 0 0 0 355,281 7,000 3,480,300
124,660 0 91 3,842,581 0 362,281
JAKARTA,
MENGETAHUI
21/12/2016

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UKPD: PUSKESMAS KEL.PAPANGGO KEC.TANJUNG PRIOK
NO STW
YUNITA SETIAWATI
1 02-04-1959/071063655044000 1 5,392,200 0 0 144,840 0 0
195904021983112001/111816 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820101/IVD 2 0 0 82 7,476,342 0 603,142
5,392,200 0 0 144,840 0 0
TOTAL 539,220 0 1,400,000 0 593,142 10,000 6,873,200
0 0 82 7,476,342 0 603,142
JAKARTA,
MENGETAHUI
21/12/2016

Page 301 of 952
UKPD: PUSKESMAS KEL.SUNGAI BAMBU KEC.TANJUNG PRIOK
NO STW
SHANTY
1 20-06-1970/251443222048000 1 3,456,200 0 0 289,680 0 0
197006202007012031/168373 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
3,456,200 0 0 289,680 0 0
TOTAL 345,620 0 750,000 0 394,006 7,000 4,578,800
138,248 0 58 4,979,806 0 401,006
JAKARTA,
MENGETAHUI
21/12/2016

Page 302 of 952
UKPD: PUSKESMAS KEL.KEBON BAWANG KEC.TANJUNG PRIOK
NO STW
SRI MULYANTI
1 07-01-1966/095697280042000 1 4,384,400 0 0 289,680 0 0
196601071991032006/128243 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820102/IVB 4 175,376 0 25 6,487,921 0 509,821
T.YOVIANA YULYAN
2 04-07-1961/258420579008999 1 4,250,600 0 0 217,260 0 0
196107041993022001/162707 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820602/IVB 3 85,012 0 35 6,177,967 0 486,067
EKA DEWI WULANDARI

3 21-03-1977/680998176024000 1 3,350,600 0 0 217,260 0 0
197703212006042021/165576 1 335,060 0 750,000 0 375,267 7,000 4,337,700
PNS/820103/IIID 3 67,012 0 35 4,719,967 0 382,267
11,985,600 0 0 724,200 0 0
TOTAL 1,198,560 0 3,150,000 0 1,351,155 27,000 16,007,700
327,400 0 95 17,385,855 0 1,378,155
JAKARTA,
MENGETAHUI
21/12/2016

Page 303 of 952
UKPD: PUSKESMAS KEL.TANJUNG PRIOK KEC.TANJUNG PRIOK
NO STW
MONIKA SILITONGA
1 20-08-1962/068264134042000 1 4,713,800 0 0 217,260 0 0
196208201989012004/117920 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
4,713,800 0 0 217,260 0 0
TOTAL 471,380 0 1,200,000 0 527,945 10,000 6,158,800
94,276 0 29 6,696,745 0 537,945
JAKARTA,
MENGETAHUI
21/12/2016

Page 304 of 952
UKPD: PUSKESMAS KEL.SUNTER AGUNG KEC.TANJUNG PRIOK
NO STW
SRI SUSILOWATI W
1 10-12-1961/250344140048000 1 4,384,400 0 0 217,260 0 0
196112101991012001/123258 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820102/IVB 3 87,688 0 64 6,327,852 0 501,052
4,384,400 0 0 217,260 0 0
TOTAL 438,440 0 1,200,000 0 491,052 10,000 5,826,800
87,688 0 64 6,327,852 0 501,052
JAKARTA,
MENGETAHUI
21/12/2016

Page 305 of 952
UKPD: PUSKESMAS KEL.WARAKAS KEC.TANJUNG PRIOK
NO STW
NINUK ISMA SAFITRI
1 11-12-1967/092640036432000 1 4,250,600 0 0 289,680 0 0
196712111993022001/162415 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
4,250,600 0 0 289,680 0 0
TOTAL 425,060 0 1,200,000 0 484,568 10,000 5,840,800
170,024 0 4 6,335,368 0 494,568
JAKARTA,
MENGETAHUI
21/12/2016

Page 306 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN KOJA
NO STW
LYSBETH REGINA
1 24-03-1975/068268184045001 1 3,248,300 0 980,000 217,260 0 0
197503242006042004/164829 1 324,830 0 0 0 363,809 7,000 4,464,600
PNS/000000/IIID 3 64,966 0 53 4,835,409 0 370,809
VALENTINA KARTIKA K
2 19-05-1971/491575692005000 1 3,565,000 0 540,000 289,680 0 0
197105191997032003/123211 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/500100/IIID 4 142,600 0 30 4,893,810 0 413,410
JULIETTA TANTRI
3 28-07-1964/092513019043001 1 4,713,800 0 0 217,260 0 0
196407281990032003/118010 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820102/IVC 3 94,276 0 29 6,696,745 0 537,945
YENI SUSANTO
4 07-07-1964/075993725043000 1 4,713,800 0 0 144,840 0 0
196407071990032003/157234 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
ISNARIANI
5 08-02-1963/null 1 4,616,600 0 0 72,420 0 0
196302081987112001/158022 0 0 0 1,200,000 0 461,660 10,000 5,417,400
PNS/820102/IVA 1 0 0 40 5,889,060 0 471,660
ASSIEFAH AR
6 30-12-1960/075993899045000 1 4,762,000 0 0 217,260 0 0
196012301981122001/073171 1 476,200 0 850,000 0 533,344 10,000 5,857,400
PNS/820306/IVA 3 95,240 0 44 6,400,744 0 543,344
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Page 307 of 952
NO STW
SRI WIGATI
7 18-07-1963/244449484045000 0 4,035,800 185,000 0 72,420 0 0
196307181987032004/110804 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798011/IIID 1 0 185,000 60 4,293,280 0 410,580
SITI OSFAN
8 06-12-1959/259558443045000 1 4,429,300 185,000 0 144,840 0 0
195912061980032002/109953 0 442,930 0 0 0 487,223 7,000 4,707,900
PNS/798012/IIID 2 0 185,000 53 5,202,123 0 494,223
FITRINA FADILAH
9 29-12-1969/249220948003001 1 3,565,000 0 0 217,260 0 0
196912292006042013/165295 1 356,500 0 750,000 0 399,280 7,000 4,553,800
PNS/820103/IIID 3 71,300 0 20 4,960,080 0 406,280
AGUSTINI
10 30-06-1963/696750439045000 1 3,912,600 0 0 72,420 0 0
196306301988122001/114224 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
MURSINAH
11 10-12-1961/258344555045000 1 4,429,300 0 0 144,840 0 0
196112101981032002/071926 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
N LILIS LISNAWATI
12 23-03-1963/090546714027000 1 4,294,000 0 0 72,420 0 0
196303231982112001/109948 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
21/12/2016

Page 308 of 952
NO STW
JUNIWARTI
13 25-06-1964/698788726045000 1 3,912,600 0 0 217,260 0 0
196406251989032005/114572 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820131/IIID 3 78,252 0 39 5,099,411 0 445,211
PONISIH
14 04-04-1963/770261889045000 1 4,162,900 0 0 289,680 0 0
196304041985022002/158235 2 416,290 0 500,000 0 474,570 7,000 5,053,900
PNS/820353/IIID 4 166,516 0 84 5,535,470 0 481,570
SUTRISNO
15 05-07-1965/254031347045000 1 3,872,000 185,000 0 217,260 0 0
196507051987031025/110655 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798022/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
NURHAYATI
16 11-04-1967/775432412435000 1 3,528,100 0 0 72,420 0 0
196704111992032008/122827 0 0 0 300,000 0 352,810 7,000 3,540,800
PNS/820309/IIIC 1 0 0 90 3,900,610 0 359,810
ZULVIA OKTANIDA SYARIF

17 07-10-1979/485604326002000 1 3,116,500 0 0 289,680 0 0
197910072006042010/164998 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
LUSIA DEWI K.W.B SIRAIT

18 04-02-1983/689935294435000 1 2,929,100 0 0 144,840 0 0
198302042010012032/178913 0 292,910 0 325,000 0 322,201 7,000 3,362,700
PNS/820107/IIIC 2 0 0 51 3,691,901 0 329,201
21/12/2016

Page 309 of 952
NO STW
ANITA YULIASARI
19 31-07-1983/363547050407000 1 2,839,700 0 0 289,680 0 0
198307312011012011/180228 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820107/IIIC 4 113,588 0 87 3,852,025 0 330,725
TANTRI TURSINA
20 09-11-1983/695233452003000 1 2,839,700 0 0 289,680 0 0
198311092011012008/180991 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
IDA ROSIDAH
21 04-10-1980/773089610045000 1 3,116,500 0 0 144,840 0 0
198010042003122007/182789 0 311,650 0 500,000 0 342,815 7,000 3,723,200
PNS/820312/IIIC 2 0 0 25 4,073,015 0 349,815
EMELYA
22 09-11-1963/877274233002000 1 3,872,000 0 0 144,840 0 0
196311091987032006/111150 0 387,200 0 265,000 0 425,920 7,000 4,236,200
PNS/820622/IIIC 2 0 0 80 4,669,120 0 432,920
TUTI AMBARWATI
23 12-03-1964/265403949045000 1 3,639,200 0 0 217,260 0 0
196403121991032005/117192 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
SITI ULFAH
24 23-09-1972/770393262045000 1 3,639,200 0 0 289,680 0 0
197209231991032002/123635 2 363,920 0 265,000 0 414,868 7,000 4,281,500
PNS/820342/IIIC 4 145,568 0 0 4,703,368 0 421,868
21/12/2016

Page 310 of 952
NO STW
YULIANTI
25 16-07-1973/255676215045000 1 3,528,100 0 0 289,680 0 0
197307161993032004/125608 2 352,810 0 265,000 0 402,203 7,000 4,167,600
PNS/820342/IIIC 4 141,124 0 89 4,576,803 0 409,203
NURMALA MEILASARI
26 24-05-1985/595538604005000 0 2,810,200 185,000 0 72,420 0 0
198505242010012038/177468 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
SUNARTO
27 12-06-1966/254277650043000 1 3,601,400 185,000 0 72,420 0 0
196606121988011003/124070 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
VINNARIA ASTUTY
28 30-04-1983/346132301432000 1 2,810,200 0 0 217,260 0 0
198304302010012043/178990 1 281,020 0 325,000 0 314,742 7,000 3,368,000
PNS/820107/IIIB 3 56,204 0 58 3,689,742 0 321,742
INDAH BHARATA DEWI

29 03-08-1981/570723999003000 0 2,724,400 185,000 0 72,420 0 0
198108032011012006/181004 0 0 0 0 0 272,440 7,000 2,702,400
PNS/798012/IIIB 1 0 185,000 20 2,981,840 0 279,440
DINA ARIYANI
30 15-03-1986/794600213617000 1 2,641,200 185,000 0 217,260 0 0
198603152014032003/183596 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 311 of 952
NO STW
ASMAN SITORUS
31 13-11-1969/256814872045000 1 3,281,500 0 0 289,680 0 0
196911131997031004/125070 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
NURUL HIDAYAH
32 07-02-1981/770261261045000 1 2,898,700 0 0 289,680 0 0
198102072006042012/164966 2 289,870 0 265,000 0 330,451 7,000 3,521,800
PNS/820342/IIIB 4 115,948 0 53 3,859,251 0 337,451
SUMIATI MISKUN
33 05-05-1965/258438134403000 1 3,714,900 185,000 0 144,840 0 0
196505051987032011/110680 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
AGUS PRIYONO
34 16-08-1965/443091004043000 1 3,601,400 185,000 0 217,260 0 0
196508161988031007/111214 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
IRMA FARIATI
35 16-12-1968/359730587045000 0 3,601,400 185,000 0 72,420 0 0
196812161988032003/111217 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
MUHAMMAD CHOZALI
36 01-01-1966/694744749045000 1 3,601,400 185,000 0 217,260 0 0
196601011988031046/111318 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
21/12/2016

Page 312 of 952
NO STW
WEDIA
37 27-02-1960/251132742048000 1 4,077,000 185,000 0 72,420 0 0
196002271985082001/115682 0 0 0 0 0 407,700 7,000 3,919,800
PNS/798022/IIIB 1 0 185,000 80 4,334,500 0 414,700
RODIANTONO
38 03-12-1973/252924741045000 1 3,281,500 0 0 72,420 0 0
197312031994031007/118494 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820325/IIIB 1 0 0 30 3,618,950 0 335,150
AHMAD SIROJUL HUDA

39 17-08-1964/171573637045000 1 3,831,900 0 0 144,840 0 0
196408171985011004/120806 0 383,190 0 265,000 0 421,509 7,000 4,196,500
PNS/820622/IIIB 2 0 0 79 4,625,009 0 428,509
MARWANI
40 05-07-1961/265881185045000 1 3,181,300 0 0 144,840 0 0
196107051996032001/121675 0 318,130 0 265,000 0 349,943 7,000 3,552,400
PNS/820342/IIIB 2 0 0 73 3,909,343 0 356,943
SORTAERLINA S
41 18-03-1978/359015567045000 1 3,181,300 0 0 289,680 0 0
197803181997032002/122956 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
SURINI
42 15-09-1971/359758091045000 1 3,491,500 0 0 289,680 0 0
197109151991032005/123290 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
21/12/2016

Page 313 of 952
NO STW
MARGARETHA R.LETLORA
43 01-03-1971/258191907432001 1 3,491,500 0 0 217,260 0 0
197103011991032011/164372 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
TITIN SRI HARTINAH

44 17-09-1973/359781598048000 0 3,384,900 0 0 217,260 0 0
197309171993032006/165096 2 0 0 265,000 0 352,029 7,000 3,643,600
PNS/820342/IIIB 3 135,396 0 73 4,002,629 0 359,029
SRI PURWANI
45 26-08-1976/695957571432000 1 2,959,000 0 0 289,680 0 0
197608261998032003/125702 2 295,900 0 300,000 0 337,326 7,000 3,618,700
PNS/820309/IIIA 4 118,360 0 86 3,963,026 0 344,326
SUPRIYATIN
46 21-06-1972/694866740045000 1 2,959,000 0 0 144,840 0 0
197206212006042019/165638 0 295,900 0 240,000 0 325,490 7,000 3,307,300
PNS/820314/IIIA 2 0 0 50 3,639,790 0 332,490
HILDA MARTINA
47 17-03-1982/359758950045000 1 2,781,100 0 0 289,680 0 0
198203172008012024/171552 2 278,110 0 240,000 0 317,045 7,000 3,376,100
PNS/820343/IIIA 4 111,244 0 11 3,700,145 0 324,045
NOVI EKASARI
48 28-11-1979/343288668048000 1 2,781,100 0 0 217,260 0 0
197911282008012018/175327 1 278,110 0 240,000 0 311,483 7,000 3,253,700
PNS/820343/IIIA 3 55,622 0 91 3,572,183 0 318,483
21/12/2016

Page 314 of 952
NO STW
CHICHI UTARI
49 19-05-1977/698788700006000 1 3,052,200 0 0 217,260 0 0
197705191997032002/123020 1 305,220 0 240,000 0 341,846 7,000 3,526,900
PNS/830225/IIIA 3 61,044 0 22 3,875,746 0 348,846
LAMBOK DANNA ULI

50 27-02-1974/254497076048000 1 3,052,200 0 0 72,420 0 0
197402271997032001/123066 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/830224/IIIA 1 0 0 0 3,389,620 0 312,220
IDA ROMINA
51 18-08-1975/770392892432000 1 3,052,200 0 0 217,260 0 0
197508181997032002/123463 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820622/IIIA 3 61,044 0 22 3,900,746 0 348,846
YESI SUPRIYATI
52 01-01-1977/342835659045000 1 3,052,200 0 0 289,680 0 0
197701011997032002/125094 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
LIYA WIJAYANTI
53 16-04-1978/585164585045001 0 3,052,200 0 0 72,420 0 0
197804161998032003/125756 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
JIRECH SIREGAR
54 07-09-1967/258339209045000 0 3,115,700 0 0 144,840 0 0
196709071996031003/121696 0 311,570 0 240,000 0 342,727 5,000 3,464,400
PNS/820314/IID 2 0 0 17 3,812,127 0 347,727
21/12/2016

Page 315 of 952
NO STW
AKHMAD YANI
55 01-10-1972/581099975045000 1 2,838,900 0 0 289,680 0 0
197210012007011029/168517 2 283,890 0 240,000 0 323,634 5,000 3,437,400
PNS/820314/IID 4 113,556 0 8 3,766,034 0 328,634
ATIQAH ULFAH
56 21-02-1987/346061369045000 0 2,507,800 0 0 72,420 0 0
198702212010012033/178710 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
YULI FITRIYANI
57 15-07-1984/691190664045000 1 2,431,200 0 0 289,680 0 0
198407152011012020/180904 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
SUNARTI
58 15-07-1982/096613435045999 0 2,431,200 0 0 217,260 0 0
198207152011012013/180954 2 0 0 240,000 0 252,844 5,000 2,727,900
PNS/820314/IID 3 97,248 0 36 2,985,744 0 257,844
GEBYAR AYU RATIH

59 30-04-1983/363441445045000 1 2,431,200 0 0 217,260 0 0
198304302011012011/181218 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
ARI SUSANTI
60 06-04-1989/705037091042000 0 2,261,300 180,000 0 72,420 0 0
198904062014032004/183418 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 316 of 952
NO STW
INTAN TRIASMARA
61 03-12-1990/733039648522000 0 2,261,300 180,000 0 144,840 0 0
199012032014032003/183928 1 0 0 0 0 230,652 5,000 2,395,800
PNS/798022/IIC 2 45,226 180,000 86 2,631,452 0 235,652
IQBAL HAKIKI
62 28-03-1986/671130554009000 0 2,261,300 180,000 0 72,420 0 0
198603282014031003/183929 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SHELA ISMAYLIA
63 05-05-1981/251852604045000 1 2,640,600 180,000 0 144,840 0 0
198105052007012029/168520 0 264,060 0 0 0 290,466 5,000 2,934,100
PNS/798022/IIC 2 0 180,000 66 3,229,566 0 295,466
ALDHI TRI BUDHI

64 16-04-1987/null 0 2,048,480 185,000 0 72,420 0 0
198704162014031001/184322 0 0 0 0 0 204,848 7,000 2,094,100
CPNS/798981/IIIB 1 0 185,000 48 2,305,948 0 211,848
212,458,880 3,125,000 1,520,000 11,659,620 0 0

TOTAL 14,871,520 0 17,665,000 0 23,073,589 440,000 241,194,900
3,405,636 3,125,000 2,833 264,708,489 0 23,513,589
JAKARTA,
MENGETAHUI
21/12/2016

Page 317 of 952
UKPD: PUSKESMAS KEL.KOJA KEC.KOJA JAKUT
NO STW
ENDANG SULISTYANI
1 22-08-1975/485604219027000 1 3,248,300 0 0 289,680 0 0
197508222006042004/164949 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 318 of 952
UKPD: PUSKESMAS KEL.LAGOA KEC.KOJA JAKUT
NO STW
IRENE YULIA W
1 16-07-1959/770261881045000 1 4,162,900 185,000 0 72,420 0 0
195907161987022002/117161 0 0 0 0 0 416,290 7,000 3,997,100
PNS/798011/IIID 1 0 185,000 70 4,420,390 0 423,290
4,162,900 185,000 0 72,420 0 0

TOTAL 0 0 0 0 416,290 7,000 3,997,100
0 185,000 70 4,420,390 0 423,290
JAKARTA,
MENGETAHUI
21/12/2016

Page 319 of 952
UKPD: PUSKESMAS KEL TUGU UTARA KEC.KOJA JAKUT
NO STW
NETTY SIAGIAN
1 02-11-1961/242511129407000 1 4,713,800 0 0 144,840 0 0
196111021989022002/118372 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
4,713,800 0 0 144,840 0 0
TOTAL 471,380 0 1,200,000 0 518,518 10,000 6,001,600
0 0 98 6,530,118 0 528,518
JAKARTA,
MENGETAHUI
21/12/2016

Page 320 of 952
UKPD: RUMAH SAKIT UMUM KELAS D TUGU
NO STW
NAILAH
1 21-10-1977/688633155033000 1 3,350,600 0 980,000 144,840 0 0
197710212006042025/165510 0 335,060 0 0 0 368,566 7,000 4,435,000
PNS/000000/IIID 2 0 0 66 4,810,566 0 375,566
DIENCE MEIDIANA M.D

2 10-05-1965/040379109024000 1 3,715,800 0 540,000 217,260 0 0
196505102002122001/165081 1 371,580 0 0 0 416,169 10,000 4,492,800
PNS/700100/IVA 3 74,316 0 13 4,918,969 0 426,169
NORA SIALLAGAN
3 25-09-1965/050317735941000 1 3,953,600 0 540,000 72,420 0 0
196509251996032002/165417 0 0 0 0 0 395,360 10,000 4,160,700
PNS/700200/IVA 1 0 0 40 4,566,060 0 405,360
JUMIATI NINGRUM R
4 31-07-1970/593836620027000 0 3,793,100 0 540,000 144,840 0 0
197007311991032006/116365 1 0 0 0 0 386,896 7,000 4,160,000
PNS/500100/IIID 2 75,862 0 94 4,553,896 0 393,896
UDUR HELMINA S
5 23-11-1958/067943258043001 1 4,762,000 0 0 144,840 0 0
195811231981102001/072484 0 476,200 0 600,000 0 523,820 10,000 5,449,300
PNS/820307/IVA 2 0 0 80 5,983,120 0 533,820
INDRA GUNAWAN
6 26-05-1974/260488499048000 1 3,456,200 0 0 289,680 0 0
197405262006041015/165630 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
21/12/2016

Page 321 of 952
NO STW
TINI KARTINI
7 04-06-1964/784386989043000 1 3,912,600 0 0 144,840 0 0
196406041988122001/114366 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
LILY MUZDALIFAH
8 29-03-1960/696751270045000 1 4,568,800 0 0 144,840 0 0
196003291981032005/071934 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820341/IIID 2 0 0 48 5,670,568 0 509,568
SUYANTI
9 02-05-1960/260989264045000 1 4,568,800 0 0 72,420 0 0
196005021983032008/079719 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
DELMAWARNI
10 22-08-1961/059014951045001 1 4,294,000 0 0 72,420 0 0
196108221983032009/084346 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
YANTINA RENTAULI S
11 13-01-1967/071279178045999 1 3,912,600 0 0 217,260 0 0
196701131988032003/125204 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820312/IIID 3 78,252 0 39 5,099,411 0 445,211
NURHAYATI
12 11-02-1979/095669750042000 1 3,214,700 0 0 289,680 0 0
197902112007012011/168433 2 321,470 0 325,000 0 366,475 7,000 3,906,000
PNS/820124/IIIC 4 128,588 0 37 4,279,475 0 373,475
21/12/2016

Page 322 of 952
NO STW
RENY FEBRIANA
13 23-02-1975/692038631435000 0 3,420,300 0 0 72,420 0 0
197502231997032004/123612 0 0 0 1,150,000 0 342,030 7,000 4,293,700
PNS/900911/IIIC 1 0 0 10 4,642,730 0 349,030
MIMIK HANDAYANI
14 18-05-1966/694867573045000 1 3,528,100 0 0 217,260 0 0
196605181992032004/117835 1 352,810 0 600,000 0 395,147 7,000 4,366,600
PNS/820307/IIIC 3 70,562 0 15 4,768,747 0 402,147
INDRI HENING
15 14-12-1986/710228214412000 1 2,641,200 185,000 0 217,260 0 0
198612142014032004/183644 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MERLYN DATU KARAMANG

16 22-02-1985/550678106438000 1 2,641,200 185,000 0 217,260 0 0
198502222014032003/183674 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SINTA DEWI MORITA

17 02-07-1984/641891379048000 0 2,641,200 185,000 0 72,420 0 0
198407022014032003/183735 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
EKA SUSILAWATI
18 09-05-1971/359795507045000 0 3,491,500 0 0 289,680 0 0
197105091991032001/120715 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
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Page 323 of 952
NO STW
LOIDE SORMIN
19 18-10-1969/360176432407000 1 3,181,300 0 0 289,680 0 0
196910181997032002/123587 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
SUNTIYANI
20 14-03-1966/359784808407000 1 3,601,400 0 0 217,260 0 0
196603141989032007/124397 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820313/IIIB 3 72,028 0 28 4,515,856 0 410,356
NURAINI SITORUS
21 21-10-1978/254108475045000 1 2,959,000 0 0 289,680 0 0
197810211998032002/125859 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
ISMAIL SALEH
22 16-11-1982/363430281008000 1 2,431,200 0 0 289,680 0 0
198211162011011012/181203 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
RINA KOMALASARI
23 14-09-1976/544210008045000 1 2,640,600 0 0 144,840 0 0
197609142008012018/172846 0 264,060 0 240,000 0 290,466 5,000 2,994,100
PNS/820343/IIC 2 0 0 66 3,289,566 0 295,466
21/12/2016

Page 324 of 952
NO STW
80,679,800 555,000 2,600,000 4,272,780 0 0
TOTAL 5,800,880 0 7,465,000 0 8,770,665 166,000 93,663,800
1,226,024 555,000 981 102,600,465 0 8,936,665
JAKARTA,
MENGETAHUI
21/12/2016

Page 325 of 952
UKPD: PUSKESMAS KEL.YUGU SELATAN KEC.KOJA JAKUT
NO STW
SENDY OKTAVIANTI
1 26-10-1980/485604177043000 1 3,248,300 0 0 289,680 0 0
198010262006042008/164922 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 326 of 952
UKPD: PUSKESMAS KELURAHAN RAWA BADAK UTARA
NO STW
DAHLIA RODIA
1 08-10-1965/180160293027000 1 3,873,000 0 0 289,680 0 0
196510082002122002/164737 2 387,300 0 1,200,000 0 441,522 10,000 5,453,400
PNS/820102/IVB 4 154,920 0 22 5,904,922 0 451,522
3,873,000 0 0 289,680 0 0
TOTAL 387,300 0 1,200,000 0 441,522 10,000 5,453,400
154,920 0 22 5,904,922 0 451,522
JAKARTA,
MENGETAHUI
21/12/2016

Page 327 of 952
UKPD: PUSKESMAS KEL.RAWA BADAK SELATAN
NO STW
ROMAULI VERANICA
1 18-08-1977/244523213043000 1 3,248,300 0 0 289,680 0 0
197708182006042006/165041 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 328 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CILINCING
NO STW
LENY ARIYANI
1 26-11-1971/213348984045000 1 3,350,600 0 980,000 217,260 0 0
197111262003122003/165130 1 335,060 0 0 0 375,267 7,000 4,567,700
PNS/000000/IIID 3 67,012 0 35 4,949,967 0 382,267
NUR RAHMAWATI
2 01-03-1963/245138961008000 1 3,872,000 0 540,000 144,840 0 0
196303011987032008/110605 0 387,200 0 0 0 425,920 7,000 4,511,200
PNS/500100/IIIC 2 0 0 80 4,944,120 0 432,920
SYAMSIAR KURNIATI LUBIS

3 17-05-1957/063963029045000 1 4,665,000 0 0 144,840 0 0
195705171987012001/120816 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVC 2 0 0 10 6,476,350 0 523,150
RAIHAL FADJRI
4 17-03-1961/774235758004000 1 3,565,000 0 0 217,260 0 0
196103172007012003/168377 1 356,500 0 750,000 0 399,280 7,000 4,553,800
PNS/820103/IIID 3 71,300 0 20 4,960,080 0 406,280
SUHOKUSUMA PANGESTU
5 29-11-1960/770394559045000 0 3,456,200 0 0 144,840 0 0
196011292006041012/168897 1 0 0 750,000 0 352,532 7,000 4,060,700
PNS/820103/IIID 2 69,124 0 68 4,420,232 0 359,532
MAKDALENA SIANTURI
6 13-08-1964/096629068045000 1 4,035,800 0 0 72,420 0 0
196408131987032006/118272 0 0 0 600,000 0 403,580 7,000 4,297,700
PNS/820307/IIID 1 0 0 60 4,708,280 0 410,580
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Page 329 of 952
NO STW
JAYA SEMBIRING
7 23-06-1971/784059909432000 1 3,565,000 0 0 289,680 0 0
197106231998031005/128482 2 356,500 0 500,000 0 406,410 7,000 4,440,400
PNS/830223/IIID 4 142,600 0 30 4,853,810 0 413,410
M. SRI WAHYUNI
8 31-10-1961/180162604048000 1 3,565,000 0 0 289,680 0 0
196110312007012001/168375 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
OETAMI LESTARI
9 22-03-1959/095788196045001 1 4,568,800 0 0 72,420 0 0
195903221981032001/071811 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
NURHIDJRAWATI
10 02-07-1960/475228417043000 1 4,429,300 0 0 144,840 0 0
196006021981032004/071895 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
KARNAENI
11 05-10-1960/770261329045000 1 4,429,300 0 0 72,420 0 0
196010051981032005/072188 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
SIMON SUKRI
12 02-04-1961/756182333045000 1 4,429,300 0 0 289,680 0 0
196204021981121001/074835 2 442,930 0 500,000 0 504,940 7,000 5,327,200
PNS/820312/IIID 4 177,172 0 58 5,839,140 0 511,940
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Page 330 of 952
NO STW
RUMANDANG BATUBARA
13 03-07-1959/775361066045000 1 4,035,800 0 0 72,420 0 0
195907031983032004/079338 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
CAHAYA BR SURBAKTI
14 29-01-1966/581110400045000 0 4,294,000 0 0 217,260 0 0
196601291988032004/112732 2 0 0 500,000 0 446,576 7,000 4,729,500
PNS/820312/IIID 3 171,760 0 56 5,183,076 0 453,576
SRI SUSWIANI
15 26-08-1966/694728304045999 1 4,035,800 0 0 217,260 0 0
196608261986032002/117118 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820621/IIID 3 80,716 0 53 5,237,409 0 459,009
SUTARTI
16 28-03-1967/252924741045001 1 3,912,600 0 0 289,680 0 0
196703281988032003/117919 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820312/IIID 4 156,504 0 92 5,250,136 0 453,036
IDAH MAULIDAH
17 13-07-1965/257938209407000 0 3,912,600 0 0 144,840 0 0
196507131987032005/162203 1 0 0 500,000 0 399,085 7,000 4,229,700
PNS/820621/IIID 2 78,252 0 93 4,635,785 0 406,085
IRAH SUMIRAH
18 14-09-1963/683142160006000 1 3,912,600 0 0 217,260 0 0
196309141988032002/162647 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820312/IIID 3 78,252 0 39 5,099,411 0 445,211
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Page 331 of 952
NO STW
APRILIA MAYA PUTRI S.
19 06-04-1983/269980826002000 1 2,839,700 0 0 217,260 0 0
198304062011012012/180668 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820103/IIIC 3 56,794 0 22 4,147,746 0 325,046
NOVIANTY
20 19-06-1980/363443664045000 1 2,839,700 0 0 289,680 0 0
198006192011012005/181229 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820607/IIIC 4 113,588 0 87 3,852,025 0 330,725
ROCHMI AMIRUDIN
21 05-10-1961/770393130045000 0 4,249,500 0 0 144,840 0 0
196110051981122003/074816 0 424,950 0 500,000 0 467,445 7,000 4,844,900
PNS/820312/IIIC 2 0 0 55 5,319,345 0 474,445
MUCHDITA PERANGIN-
22 31-05-1959/670579242047000 1 4,383,300 0 0 144,840 0 0
195905311992031002/117628 0 438,330 0 300,000 0 482,163 7,000 4,777,400
PNS/820323/IIIC 2 0 0 93 5,266,563 0 489,163
SUTARNI SRI NASTITI

23 06-05-1975/174306027045001 1 3,315,900 0 0 289,680 0 0
197505061996032002/121992 2 331,590 0 265,000 0 378,012 7,000 3,949,800
PNS/820622/IIIC 4 132,636 0 6 4,334,812 0 385,012
MEINI MANURUNG
24 30-04-1960/066628652006001 1 3,315,900 0 0 144,840 0 0
196004301996032001/122304 0 331,590 0 265,000 0 364,749 7,000 3,685,600
PNS/820313/IIIC 2 0 0 19 4,057,349 0 371,749
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Page 332 of 952
NO STW
CAROLINE MEGA ROSARI
25 21-11-1982/892125444045000 1 2,641,200 185,000 0 72,420 0 0
198211212014032001/183576 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DWI RAHAYU MANDASARI

26 18-11-1988/704518174045000 1 2,641,200 185,000 0 289,680 0 0
198811182014032005/183601 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
SHELLA JULIET
27 21-01-1988/706145273432000 0 2,641,200 185,000 0 72,420 0 0
198801212014032003/183732 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
VICTOR IGNATIUS
28 09-05-1987/974356966407000 0 2,641,200 185,000 0 72,420 0 0
198705092014031002/183757 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
PUTRI AIR PRAWITASARI

29 23-07-1985/705560324435000 0 2,641,200 185,000 0 72,420 0 0
198507232014032001/184419 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SRI SETYASTUTI
30 24-09-1980/706584117435000 1 2,641,200 185,000 0 144,840 0 0
198009242014032002/184442 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
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Page 333 of 952
NO STW
YUDHA PUSPA HANDINI
31 30-12-1981/485607485045000 1 2,990,000 0 0 144,840 0 0
198112302006042021/165100 0 299,000 0 0 0 328,900 7,000 3,098,000
PNS/000008/IIIB 2 0 0 60 3,433,900 0 335,900
AJENG SUKMAWATI
32 15-11-1982/341064723045000 0 2,810,200 185,000 0 72,420 0 0
198211152010012021/178438 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
DINI WAHYUDINI
33 05-08-1984/264085739043000 1 2,810,200 0 0 289,680 0 0
198408052010012040/178859 2 281,020 0 0 0 320,362 7,000 3,166,000
PNS/000008/IIIB 4 112,408 0 54 3,493,362 0 327,362
SRI SUPENI
34 23-03-1970/261986772047000 1 3,181,300 0 0 144,840 0 0
197003231997032005/123137 0 318,130 0 265,000 0 349,943 7,000 3,552,400
PNS/820313/IIIB 2 0 0 73 3,909,343 0 356,943
NURMAYANI
35 30-06-1972/581099447048000 1 3,181,300 0 0 217,260 0 0
197206301996032002/123150 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820342/IIIB 3 63,626 0 89 4,045,405 0 363,305
ANNA MUHRONI NST

36 25-12-1969/359920832045000 1 3,384,900 0 0 289,680 0 0
196912251993032009/125435 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
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Page 334 of 952
NO STW
LASTI MANURUNG
37 13-04-1973/772333662006000 1 3,281,500 0 0 289,680 0 0
197304131998032006/125826 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
ZULFIANARA
38 21-05-1963/470682402901000 1 3,601,400 185,000 0 72,420 0 0
196305211989032008/173183 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
DJAENAB SRIDANI
39 02-03-1968/683776678407000 1 3,084,200 0 0 217,260 0 0
196803021998032001/127163 1 308,420 0 265,000 0 345,430 7,000 3,584,200
PNS/820342/IIIB 3 61,684 0 66 3,936,630 0 352,430
ROJIKIN
40 08-02-1963/694867136045000 1 3,601,400 185,000 0 289,680 0 0
196302081985031012/075571 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
SURADI
41 28-06-1966/258890813435000 1 3,831,900 185,000 0 217,260 0 0
196606281986031003/108441 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
DERMIATI
42 30-11-1962/694819244045000 1 3,714,900 185,000 0 289,680 0 0
196211301986102002/108880 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
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Page 335 of 952
NO STW
NASRUDDIN
43 21-04-1966/581802576045000 1 3,601,400 185,000 0 144,840 0 0
196604211989031007/113576 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798022/IIIB 2 0 185,000 74 4,291,454 0 403,154
DIAH SINTA RUKMI

44 19-03-1965/258880855006000 1 3,491,500 185,000 0 289,680 0 0
196503191991032003/116408 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798022/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
CARTIS
45 28-12-1970/359838422045000 1 3,491,500 0 0 289,680 0 0
197012281991032004/120679 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
AAH KUSRIAH
46 06-07-1969/262030612435000 1 3,491,500 0 0 72,420 0 0
196907061990122001/120681 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
MARIA PURBA
47 14-08-1967/258152410045000 1 3,084,200 0 0 144,840 0 0
196708141996032003/122330 0 308,420 0 265,000 0 339,262 7,000 3,456,200
PNS/820342/IIIB 2 0 0 2 3,802,462 0 346,262
INA CAHYA MAULINA

48 05-03-1978/674172614045000 0 3,181,300 0 0 72,420 0 0
197803051997032001/123009 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820622/IIIB 1 0 0 10 3,518,730 0 325,130
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Page 336 of 952
NO STW
RUFINA DHOE
49 30-08-1960/770392603045000 1 3,601,400 0 0 289,680 0 0
196008301997032001/123269 2 360,140 0 300,000 0 410,559 7,000 4,277,800
PNS/820309/IIIB 4 144,056 0 83 4,695,359 0 417,559
ROLAND SITINJAK
50 16-01-1973/774053920006000 1 3,384,900 0 0 289,680 0 0
197301161992032002/123343 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
ETY EKOWATI
51 13-10-1973/674172648045000 1 3,491,500 0 0 289,680 0 0
197310131998032004/125804 2 349,150 0 300,000 0 398,031 7,000 4,165,000
PNS/820309/IIIB 4 139,660 0 41 4,570,031 0 405,031
UMI ROHMIYATUN
52 27-12-1966/694867128045000 1 3,601,400 0 0 72,420 0 0
196612271989032005/158394 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
MARDIAH
53 23-06-1988/346164585005000 0 2,613,800 0 0 72,420 0 0
198806232010012018/178324 0 0 0 240,000 0 261,380 7,000 2,657,900
PNS/820343/IIIA 1 0 0 60 2,926,280 0 268,380
ROSIANNA ULI SRI RM

54 19-01-1975/350696324407000 0 3,148,300 0 0 72,420 0 0
197501191998032002/158647 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820313/IIIA 1 0 0 10 3,485,730 0 321,830
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NO STW
MAR'ATUN SHOLIKHAH
55 01-04-1984/096384417006000 1 2,781,100 0 0 217,260 0 0
198404122006042011/164958 1 278,110 0 265,000 0 311,483 7,000 3,278,700
PNS/820342/IIIA 3 55,622 0 91 3,597,183 0 318,483
SRI PURWATI
56 01-04-1978/250900586045001 1 2,868,700 0 0 289,680 0 0
197804012007012023/168489 2 286,870 0 240,000 0 327,031 7,000 3,466,000
PNS/820314/IIIA 4 114,748 0 33 3,800,031 0 334,031
LIA PRASETYAWATI
57 05-08-1981/784142390045000 1 2,868,700 0 0 217,260 0 0
198108052008012024/171229 1 286,870 0 240,000 0 321,294 7,000 3,342,000
PNS/820314/IIIA 3 57,374 0 90 3,670,294 0 328,294
SRIMULYANI
58 30-05-1981/784142382407000 1 2,781,100 0 0 289,680 0 0
198105302008012020/171234 2 278,110 0 240,000 0 317,045 7,000 3,376,100
PNS/820133/IIIA 4 111,244 0 11 3,700,145 0 324,045
MARIA CATHARINA
59 25-04-1979/360166516009000 1 2,781,100 0 0 289,680 0 0
197904252008012024/171397 2 278,110 0 240,000 0 317,045 7,000 3,376,100
PNS/820314/IIIA 4 111,244 0 11 3,700,145 0 324,045
SRI PURWAYANTI
60 18-09-1981/268877438045000 0 2,781,100 0 0 72,420 0 0
198109182008012025/172331 0 0 0 240,000 0 278,110 7,000 2,808,500
PNS/820343/IIIA 1 0 0 90 3,093,610 0 285,110
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NO STW
MURSYIDA DEWI TARENI
61 03-09-1985/495945594005000 1 2,613,800 0 0 289,680 0 0
198509032010012036/177739 2 261,380 0 240,000 0 297,973 7,000 3,204,500
PNS/820343/IIIA 4 104,552 0 61 3,509,473 0 304,973
DWI ISWANDARI
62 10-05-1983/688967405435000 1 2,781,100 0 0 289,680 0 0
198305102005012003/182760 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820313/IIIA 4 111,244 0 11 3,725,145 0 324,045
ZAENAL ABIDIN
63 04-04-1963/756844429045000 1 2,928,300 185,000 0 289,680 0 0
196304041985031015/075530 2 292,830 0 0 0 333,826 7,000 3,472,200
PNS/798022/IIIA 4 117,132 185,000 84 3,813,026 0 340,826
ZAETUN
64 27-12-1960/694746355045000 0 3,792,100 185,000 0 144,840 0 0
196012271982052002/076561 0 379,210 0 0 0 417,131 7,000 4,077,100
PNS/798022/IIIA 2 0 185,000 81 4,501,231 0 424,131
TIRAUN L.TOBING
65 15-05-1963/360231526435000 1 3,455,300 0 0 217,260 0 0
196305151988032004/118491 1 345,530 0 265,000 0 386,993 7,000 3,958,300
PNS/820313/IIIA 3 69,106 0 97 4,352,293 0 393,993
HARTINAH WIYANTI
66 28-08-1970/695106393005000 0 3,148,300 0 0 72,420 0 0
197008281997032006/123299 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820354/IIIA 1 0 0 10 3,485,730 0 321,830
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NO STW
WURIACI
67 24-12-1977/365553510435000 1 2,959,000 0 0 289,680 0 0
197712241998032003/127161 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/820314/IIIA 4 118,360 0 86 3,903,026 0 344,326
LINE MANALU
68 16-01-1966/772333670045000 1 3,455,300 0 0 289,680 0 0
196601161991032007/158123 2 345,530 0 265,000 0 393,904 7,000 4,092,900
PNS/820313/IIIA 4 138,212 0 82 4,493,804 0 400,904
YUMIERMALINDA
69 22-06-1973/258687482407000 1 3,247,500 0 0 144,840 0 0
197306221993022002/162674 1 0 0 265,000 0 331,245 7,000 3,384,100
PNS/820342/IIIA 2 64,950 0 55 3,722,345 0 338,245
TUTI HERAWATI
70 23-06-1978/674028840045000 1 2,752,300 0 0 217,260 0 0
197806232006042019/165364 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820343/IID 3 55,046 0 21 3,539,857 0 313,257
TRISMAWATI
71 20-01-1982/264167206045000 0 2,668,200 0 0 72,420 0 0
198201202008012026/170102 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820314/IID 1 0 0 0 2,980,620 0 271,820
MARYANA DWIYEKTI
72 02-03-1985/585643778006000 1 2,431,200 0 0 289,680 0 0
198503022011012016/180984 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
21/12/2016

Page 340 of 952
NO STW
DINA LESTARI ANGGRAINI
73 19-09-1983/363391475006000 1 2,431,200 0 0 289,680 0 0
198309192011012014/181207 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
MAMAT SLAMET
74 09-07-1970/264786708041000 1 3,213,800 0 0 217,260 0 0
197007091992031005/117621 1 321,380 0 240,000 0 359,945 5,000 3,691,800
PNS/820326/IID 3 64,276 0 29 4,056,745 0 364,945
MUHAMAD DURI
75 31-12-1965/756077731045000 1 3,020,600 180,000 0 144,840 0 0
196512311991031078/116480 0 302,060 0 0 0 332,266 5,000 3,310,300
PNS/798022/IID 2 0 180,000 66 3,647,566 0 337,266
DIYANAH
76 25-01-1979/784146102045000 1 2,481,800 0 0 289,680 0 0
197901252008012021/172828 2 248,180 0 240,000 0 282,925 5,000 3,071,100
PNS/820314/IIC 4 99,272 0 93 3,359,025 0 287,925
ASEP SUHENDRO
77 30-09-1987/440891216543000 1 2,261,300 180,000 0 217,260 0 0
198709302014031005/183438 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798011/IIC 3 45,226 180,000 49 2,929,965 0 258,265
BINTI ROSHADA
78 17-12-1990/705227387647000 1 2,261,300 180,000 0 217,260 0 0
199012172014032005/183460 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
21/12/2016

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NO STW
DANANG WIDIA TAMA
79 21-03-1991/981858939432000 0 2,261,300 180,000 0 72,420 0 0
199103212014031002/183480 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
HAYATI ISTIQOMAH
80 19-03-1990/694326877045000 1 2,261,300 180,000 0 72,420 0 0
199003192014032005/183897 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SITI SUSANTI
81 15-04-1992/727220360048000 0 2,261,300 180,000 0 72,420 0 0
199204152014032002/184217 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
YENI KUSNADI
82 30-03-1987/787268598421000 0 2,261,300 180,000 0 72,420 0 0
198703302014032004/184292 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MA'MUN
83 07-08-1962/443694393006000 1 3,384,000 180,000 0 144,840 0 0
196208071985111001/103509 0 338,400 0 0 0 372,240 5,000 3,670,000
PNS/798041/IIC 2 0 180,000 0 4,047,240 0 377,240
HOLILLAH
84 05-06-1968/353109192045000 0 3,083,400 180,000 0 72,420 0 0
196806051987032003/110487 0 0 0 0 0 308,340 5,000 3,022,500
PNS/798022/IIC 1 0 180,000 20 3,335,840 0 313,340
21/12/2016

Page 342 of 952
NO STW
UJANG TARNA
85 28-02-1962/772333654435000 1 2,898,000 180,000 0 144,840 0 0
196202281991031007/116620 0 289,800 0 0 0 318,780 5,000 3,188,900
PNS/798022/IIC 2 0 180,000 40 3,512,680 0 323,780
275,656,600 4,575,000 1,520,000 15,859,980 0 0

TOTAL 18,993,770 0 20,685,000 0 29,954,357 566,000 311,667,000
4,893,384 4,575,000 3,623 342,187,357 0 30,520,357
JAKARTA,
MENGETAHUI
21/12/2016

Page 343 of 952
UKPD: RUMAH SAKIT UMUM KELAS D CILINCING
NO STW
NETTY SIAHAAN
1 24-04-1961/250805256003000 1 4,665,000 0 980,000 72,420 0 0
196104241987112001/127822 0 0 0 0 0 466,500 10,000 5,241,000
PNS/000000/IVB 1 0 0 80 5,717,500 0 476,500
CUT YULIZA IRAWANI

2 15-07-1966/489660951121000 1 4,384,400 0 540,000 217,260 0 0
196607151991032007/125483 1 438,440 0 0 0 491,052 10,000 5,166,800
PNS/700200/IVB 3 87,688 0 64 5,667,852 0 501,052
MUSTOMI
3 18-04-1964/672506680045000 0 4,206,500 0 540,000 217,260 0 0
196404181986031010/107484 1 420,650 0 0 0 471,128 10,000 4,987,500
PNS/500100/IVA 3 84,130 0 88 5,468,628 0 481,128
DWIAN ANDHIKA
4 07-11-1983/896100641001000 0 2,929,100 0 540,000 72,420 0 0
198311072010011021/179714 0 0 0 0 0 292,910 7,000 3,241,700
PNS/700100/IIIC 1 0 0 90 3,541,610 0 299,910
RIKI TSAN
5 12-12-1962/248473803435000 1 4,475,700 0 0 217,260 0 0
196212121988121002/162195 1 447,570 0 1,200,000 0 501,278 10,000 5,918,800
PNS/820102/IVA 3 89,514 0 34 6,430,078 0 511,278
LAYLI RAHMAWATI
6 09-07-1977/697610061008000 1 3,248,300 0 0 289,680 0 0
197707092006042003/182826 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
21/12/2016

Page 344 of 952
NO STW
PURNAMA SARAGI
7 19-08-1962/253687255048000 1 4,162,900 0 0 217,260 0 0
196208191985022002/123286 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820324/IIID 3 83,258 0 36 5,379,744 0 473,244
HAMIDAH RAHMAWATI
8 05-06-1981/259304392045000 1 3,214,700 0 0 217,260 0 0
198106052008012026/171774 1 321,470 0 750,000 0 360,046 7,000 4,200,700
PNS/820123/IIIC 3 64,294 0 22 4,567,746 0 367,046
SAPTI AGUTINI
9 07-08-1960/359911971407000 1 4,119,700 0 0 72,420 0 0
196008071985032005/115708 0 0 0 500,000 0 411,970 7,000 4,273,200
PNS/820353/IIIC 1 0 0 50 4,692,170 0 418,970
NOVIANDRI CAHYADI
10 24-11-1987/548935949045000 1 2,641,200 185,000 0 144,840 0 0
198711242014031003/184409 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798981/IIIB 2 0 185,000 72 3,235,232 0 297,532
HERU ANGKOSO
11 01-04-1987/550284848432000 1 2,641,200 185,000 0 72,420 0 0
198704012014031004/183634 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798981/IIIB 1 0 185,000 0 2,898,620 0 271,120
DIAN KHAIRUNNISA
12 24-10-1979/362980054045000 1 2,810,200 0 0 72,420 0 0
197910242006042003/165753 0 0 0 300,000 0 281,020 7,000 2,894,600
PNS/820309/IIIB 1 0 0 0 3,182,620 0 288,020
21/12/2016

Page 345 of 952
NO STW
JUMIYA
13 27-07-1963/257587758045000 1 3,714,900 185,000 0 289,680 0 0
196307271987031008/110379 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
YUSNANI
14 14-12-1964/471393116045999 1 3,714,900 185,000 0 72,420 0 0
196412141987032004/110491 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
INSUPIANI
15 03-12-1962/253585277045000 1 3,714,900 185,000 0 289,680 0 0
196212031987032008/162303 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SRI NARYUTI
16 18-04-1964/344890918045000 1 3,384,900 0 0 217,260 0 0
196404181993032003/164358 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820342/IIIB 3 67,698 0 60 4,273,408 0 386,108
MEI DUMARIA PURBA

17 16-05-1975/350583217045000 1 3,052,200 0 0 217,260 0 0
197505161997032002/123140 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/830224/IIIA 3 61,044 0 22 3,900,746 0 348,846
ENGGUMGUMIH
18 08-08-1974/353261217408000 1 3,052,200 0 0 289,680 0 0
197408081997032002/123466 2 305,220 0 240,000 0 347,950 7,000 3,654,300
PNS/820314/IIIA 4 122,088 0 62 4,009,250 0 354,950
21/12/2016

Page 346 of 952
NO STW
YENI YUSNITA LBN
19 23-12-1973/360109938006000 1 3,148,300 0 0 217,260 0 0
197312231998032005/128490 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820313/IIIA 3 62,966 0 53 4,008,409 0 359,609
ALEK SUBAGYO
20 06-10-1977/784145906045000 1 2,668,200 0 0 289,680 0 0
197710062008011020/171235 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
DESERAWATI
21 18-12-1968/674172622045000 1 2,928,300 0 0 144,840 0 0
196812181996032005/122414 0 292,830 0 240,000 0 322,113 5,000 3,278,900
PNS/820133/IID 2 0 0 43 3,606,013 0 327,113
ULUS KOMARTONO
22 15-06-1968/174428300043000 1 3,280,700 180,000 0 217,260 0 0
196806151987031001/110531 1 328,070 0 0 0 367,438 5,000 3,699,300
PNS/798022/IIC 3 65,614 180,000 94 4,071,738 0 372,438
SUGIADI
23 07-10-1961/737676874045000 1 2,507,100 180,000 0 144,840 0 0
196110071992021001/116685 0 250,710 0 0 0 275,781 5,000 2,801,900
PNS/798042/IIA 2 0 180,000 31 3,082,681 0 280,781
21/12/2016

Page 347 of 952
NO STW
78,665,500 1,285,000 2,600,000 4,272,780 0 0
TOTAL 5,778,540 0 5,515,000 0 8,576,611 165,000 90,698,500
1,322,146 1,285,000 1,145 99,440,111 0 8,741,611
JAKARTA,
MENGETAHUI
21/12/2016

Page 348 of 952
UKPD: PUSKESMAS KEL.KALIBARU KEC.CILINCING JAKUT
NO STW
SRI KUSMENI
1 02-07-1959/887908317003000 0 4,665,000 0 0 72,420 0 0
195907021987012002/115379 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820602/IVB 1 0 0 80 5,937,500 0 476,500
4,665,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 466,500 10,000 5,461,000
0 0 80 5,937,500 0 476,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 349 of 952
UKPD: PUSKESMAS KEL.CILINCING KEC. CILINCING JAKUT
NO STW
P PANGONDIAN L TOBING
1 27-04-1963/661721734008000 0 4,384,400 0 0 217,260 0 0
196304271992031004/125787 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
LESTI HARNI
2 17-04-1974/095802500043001 1 3,602,400 0 0 289,680 0 0
197404172006042031/165605 2 360,240 0 750,000 0 410,673 10,000 4,725,800
PNS/820603/IVA 4 144,096 0 57 5,146,473 0 420,673
SULISTRIYANTO
3 15-07-1960/180186546003000 1 4,119,700 0 0 144,840 0 0
196007151987091001/164405 0 411,970 0 750,000 0 453,167 7,000 4,966,400
PNS/820103/IIIC 2 0 0 57 5,426,567 0 460,167
12,106,500 0 0 651,780 0 0
TOTAL 1,210,650 0 2,700,000 0 1,354,892 27,000 15,519,000
231,784 0 178 16,900,892 0 1,381,892
JAKARTA,
MENGETAHUI
21/12/2016

Page 350 of 952
UKPD: PUSKESMAS KEL.SEMPER BARAT KEC.CILINCING
NO STW
MASHURI DJAMAL
1 24-10-1965/772333688013000 1 4,162,900 185,000 0 289,680 0 0
196510241988031003/111824 2 416,290 0 0 0 474,570 7,000 4,738,900
PNS/798011/IIID 4 166,516 185,000 84 5,220,470 0 481,570
4,162,900 185,000 0 289,680 0 0

TOTAL 416,290 0 0 0 474,570 7,000 4,738,900
166,516 185,000 84 5,220,470 0 481,570
JAKARTA,
MENGETAHUI
21/12/2016

Page 351 of 952
UKPD: PUSKESMAS KEL. SUKAPURA KEC.CILINCING
NO STW
SRIWIDIANI
1 24-08-1975/243445137044000 1 3,350,600 0 0 289,680 0 0
197508242006042026/165499 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
3,350,600 0 0 289,680 0 0
TOTAL 335,060 0 750,000 0 381,968 7,000 4,470,400
134,024 0 4 4,859,368 0 388,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 352 of 952
UKPD: PUSKESMAS KEL.ROROTAN KEC.CILINCING
NO STW
SITI MAIMUNAH
1 25-08-1975/674171848045000 1 3,248,300 0 0 217,260 0 0
197508252006042027/165509 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820103/IIID 3 64,966 0 53 4,605,409 0 370,809
3,248,300 0 0 217,260 0 0
TOTAL 324,830 0 750,000 0 363,809 7,000 4,234,600
64,966 0 53 4,605,409 0 370,809
JAKARTA,
MENGETAHUI
21/12/2016

Page 353 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.PADEMANGAN BARAT
NO STW
DARA PAHLARINI
1 10-11-1965/684618291001000 0 4,206,500 0 980,000 72,420 0 0
196511101992022001/123514 0 0 0 0 0 420,650 10,000 4,828,300
PNS/000000/IVA 1 0 0 30 5,258,950 0 430,650
YANTI NOVIYANTI SRI P

2 14-11-1969/493374706006000 1 3,565,000 0 540,000 289,680 0 0
196911141999032004/158072 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/500100/IIID 4 142,600 0 30 4,893,810 0 413,410
T MERRY CHATERINA
3 31-12-1957/182781880032000 0 4,862,300 0 0 72,420 0 0
195712311988032005/120818 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820102/IVC 1 0 0 10 6,134,730 0 496,230
CATHARINA YETTY H
4 16-04-1967/679150938048999 1 4,250,600 0 0 72,420 0 0
196704161993122001/162201 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
IDAH SARI
5 20-04-1964/359736535407000 1 4,035,800 185,000 0 144,840 0 0
196404201987122001/111030 0 403,580 0 0 0 443,938 7,000 4,318,300
PNS/798012/IIID 2 0 185,000 18 4,769,238 0 450,938
RISDA JULIA GINTING

6 31-07-1972/182284208045000 1 3,248,300 0 0 72,420 0 0
197207312007012006/182812 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820603/IIID 1 0 0 10 4,070,730 0 331,830
21/12/2016

Page 354 of 952
NO STW
ENDANG SRI WINARMI
7 07-07-1959/096625686045000 0 4,294,000 0 0 72,420 0 0
195907071982112001/078648 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
NENI ROSNAENI
8 14-03-1959/262948763048000 1 4,294,000 0 0 72,420 0 0
195903141983122002/081644 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
DEDI SUPRIADI
9 10-10-1965/259497568044000 1 4,035,800 0 0 144,840 0 0
196510101986021009/106040 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820324/IIID 2 0 0 18 5,084,238 0 450,938
IIS DANI SWARA

10 10-02-1961/699780581048000 1 4,035,800 0 0 217,260 0 0
196102101987031012/110681 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
NETTY BR PURBA
11 18-08-1959/488703836048999 1 4,568,800 0 0 144,840 0 0
195908181978092001/116589 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820621/IIID 2 0 0 48 5,670,568 0 509,568
BUDIYATI
12 04-05-1966/096625637045000 1 3,528,100 0 0 289,680 0 0
196605041992032009/117914 2 352,810 0 300,000 0 402,203 7,000 4,202,600
PNS/820309/IIIC 4 141,124 0 89 4,611,803 0 409,203
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NO STW
NURFARIDAH
13 01-09-1982/095730628042000 0 2,929,100 0 0 72,420 0 0
198209012010012022/178441 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
NIKEN SUSILOWATI
14 22-07-1981/144847365043000 1 2,929,100 0 0 289,680 0 0
198107222010012026/178876 2 292,910 0 325,000 0 333,917 7,000 3,613,000
PNS/820107/IIIC 4 117,164 0 63 3,953,917 0 340,917
ENDAH ISMU KARDINAH

15 08-06-1985/574410718005000 1 2,839,700 0 0 289,680 0 0
198506082011012015/181024 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
ERY SUHAERLINAH
16 12-01-1969/248286049416001 1 3,753,800 0 0 72,420 0 0
196901121988032002/117750 0 0 0 265,000 0 375,380 7,000 3,708,900
PNS/820342/IIIC 1 0 0 60 4,091,280 0 382,380
JONRI TOMSON
17 01-04-1968/256878513041000 1 3,528,100 185,000 0 289,680 0 0
196804011993031012/120596 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798011/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
YUNITA WULANDARI
18 01-06-1985/346166135009000 0 2,810,200 185,000 0 72,420 0 0
198506012010012038/177603 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
21/12/2016

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NO STW
VICKY DANIS ILMANSYAH
19 26-10-1988/547020107501000 1 2,641,200 185,000 0 72,420 0 0
198810262014031002/183808 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
JUNAIDA
20 26-06-1964/699780573044000 0 3,714,900 185,000 0 72,420 0 0
196406261987032009/110492 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
KAMIJA
21 26-12-1963/360984157048000 1 3,714,900 185,000 0 217,260 0 0
196312261987031003/110654 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
RINA SARI
22 17-03-1967/888790588000088 0 3,601,400 185,000 0 72,420 0 0
196703171988032007/111823 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798012/IIIB 1 0 185,000 20 3,858,840 0 367,140
WASIYAT
23 19-07-1959/269873881412000 1 3,831,900 185,000 0 289,680 0 0
195907191985031003/120828 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
RUSI MULYANA
24 31-03-1973/095729539042000 0 3,384,900 0 0 217,260 0 0
197303311993022002/123287 2 0 0 265,000 0 352,029 7,000 3,643,600
PNS/820342/IIIB 3 135,396 0 73 4,002,629 0 359,029
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NO STW
LISTANI SITANGGANG
25 12-11-1970/null 1 3,384,900 0 0 72,420 0 0
197011121992032005/125351 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820132/IIIB 1 0 0 70 3,722,390 0 345,490
MARIA FRANSISKA
26 05-03-1979/260586987403000 1 3,084,200 0 0 72,420 0 0
197903051999032002/164440 0 0 0 265,000 0 308,420 7,000 3,106,200
PNS/820132/IIIB 1 0 0 0 3,421,620 0 315,420
MOKTHI
27 07-08-1973/095699138042000 0 2,868,700 0 0 144,840 0 0
197308072007011035/168395 0 286,870 0 265,000 0 315,557 7,000 3,242,900
PNS/820313/IIIA 2 0 0 47 3,565,457 0 322,557
FRANSISCA HERAWATY
28 11-09-1977/259501542432000 0 2,868,700 0 0 72,420 0 0
197709112007012016/168425 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/820313/IIIA 1 0 0 50 3,206,170 0 293,870
INDAH YULIA
29 06-07-1979/258338177045000 1 2,868,700 0 0 289,680 0 0
197907062006042027/165574 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820342/IIIA 4 114,748 0 33 3,825,031 0 334,031
IDA TRININGTYAS
30 17-02-1978/694868175045000 0 2,781,100 0 0 72,420 0 0
197802172008012026/170103 0 0 0 265,000 0 278,110 7,000 2,833,500
PNS/820313/IIIA 1 0 0 90 3,118,610 0 285,110
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Page 358 of 952
NO STW
ELLY SILVANA
31 03-07-1986/346094188009000 0 2,613,800 0 0 72,420 0 0
198607032010012032/178712 0 0 0 240,000 0 261,380 7,000 2,657,900
PNS/820343/IIIA 1 0 0 60 2,926,280 0 268,380
AYU FITRI ASTUTI

32 12-06-1988/363443086006000 0 2,534,000 0 0 72,420 0 0
198806122011012021/180945 0 0 0 240,000 0 253,400 7,000 2,586,100
PNS/820314/IIIA 1 0 0 80 2,846,500 0 260,400
ELY ELFIANA
33 31-05-1975/260412762045000 1 3,148,300 0 0 289,680 0 0
197505311995032001/120158 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820622/IIIA 4 125,932 0 64 4,143,806 0 365,906
TETI KOMALAWATI OOM R

34 25-11-1970/259458990045000 1 3,148,300 0 0 217,260 0 0
197011251995032002/122611 1 314,830 0 300,000 0 352,609 7,000 3,683,800
PNS/820309/IIIA 3 62,966 0 53 4,043,409 0 359,609
MAWATI SIAHAN
35 18-03-1966/372163865009000 0 3,052,200 0 0 72,420 0 0
196603181997032001/125103 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
RESMI DIAN LESTARI

36 12-12-1976/261010060045000 0 2,752,300 0 0 72,420 0 0
197612122007012028/168389 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820355/IID 1 0 0 10 3,064,730 0 280,230
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NO STW
SITI RACHMAWATI
37 07-10-1985/492300587006000 1 2,431,200 0 0 72,420 0 0
198510072011012017/181835 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
R. SRI SOBARIAH
38 28-10-1976/682907852017000 1 2,752,300 180,000 0 289,680 0 0
197610282000122005/164589 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798012/IID 4 110,092 180,000 60 3,607,362 0 318,762
SITI MAESYAROH
39 13-09-1992/641784194045000 0 2,261,300 180,000 0 72,420 0 0
199209132014032001/184212 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MEGA SARI ANGGRAENY

40 08-01-1978/770263713045000 0 2,481,800 0 0 144,840 0 0
197801082008012019/175329 1 0 0 240,000 0 253,143 5,000 2,658,200
PNS/820314/IIC 2 49,636 0 67 2,916,343 0 258,143
SUWARSIH
41 01-08-1962/695935312432001 1 3,180,500 180,000 0 144,840 0 0
196108011985032002/070877 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
SUKAEDI
42 11-11-1968/258910926045000 1 3,051,400 180,000 0 144,840 0 0
196811111991031006/116433 0 305,140 0 0 0 335,654 5,000 3,340,800
PNS/798011/IIB 2 0 180,000 74 3,681,454 0 340,654
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NO STW
SUHENDAR
43 06-07-1982/458508199451000 1 2,284,400 0 0 217,260 0 0
198207062008011014/182715 1 228,440 0 240,000 0 255,852 5,000 2,755,000
PNS/820623/IIB 3 45,688 0 64 3,015,852 0 260,852
142,152,300 2,200,000 1,520,000 6,300,540 0 0

TOTAL 6,391,560 0 12,165,000 0 15,015,213 294,000 157,030,600
1,608,348 2,200,000 2,065 172,339,813 0 15,309,213
JAKARTA,
MENGETAHUI
21/12/2016

Page 361 of 952
UKPD: RUMAH SAKIT UMUM KELAS D PADEMANGAN
NO STW
SITI RACHMI
1 06-11-1959/776821068048000 1 4,339,000 0 980,000 72,420 0 0
195911061989112001/122370 0 0 0 0 0 433,900 10,000 4,947,600
PNS/000000/IVA 1 0 0 80 5,391,500 0 443,900
RACHMAYANTI
2 13-08-1963/784114720015000 0 3,953,600 0 540,000 72,420 0 0
196308131998032002/164159 0 0 0 0 0 395,360 10,000 4,160,700
PNS/700100/IVA 1 0 0 40 4,566,060 0 405,360
MELVINAWATI KRISTINA N
3 11-05-1974/075787408014000 1 3,315,900 0 540,000 217,260 0 0
197405111996032002/122386 2 0 0 0 0 344,853 7,000 3,854,000
PNS/500100/IIIC 3 132,636 0 57 4,205,853 0 351,853
HASRI WARDANI
4 27-01-1977/182999870031000 0 3,181,300 0 540,000 72,420 0 0
197701271997032001/122362 0 0 0 0 0 318,130 7,000 3,468,600
PNS/700200/IIIB 1 0 0 10 3,793,730 0 325,130
ARNEFI
5 16-11-1964/261024871407000 1 4,522,500 0 0 217,260 0 0
196411161990122001/120322 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820602/IVB 3 90,450 0 60 6,482,520 0 516,520
I NYOMAN SUARTANU
6 02-02-1962/680866753432000 1 4,206,500 190,000 0 144,840 0 0
196202021992031006/120807 0 420,650 0 0 0 462,715 10,000 4,489,300
PNS/798011/IVA 2 0 190,000 25 4,962,015 0 472,715
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Page 362 of 952
NO STW
LELA DWI SARY
7 26-02-1971/null 1 3,248,300 0 0 72,420 0 0
197102262006042002/164796 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
CINDARWATI MEGA
8 30-07-1987/705826907017000 1 2,641,200 185,000 0 289,680 0 0
198707302014032002/183580 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
SANTHY PAYUNG
9 23-04-1982/970676185922000 0 2,641,200 185,000 0 72,420 0 0
198204232014032002/183728 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIYATI CHANDIYANTARI
10 29-06-1984/262882228045999 1 2,641,200 185,000 0 289,680 0 0
198406292014032002/183803 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
SILVIANA
11 19-06-1981/696750801045000 1 2,641,200 185,000 0 72,420 0 0
198106192014032002/183734 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
IKAH ROPIKAH
12 10-11-1972/095698627042000 1 3,384,900 0 0 289,680 0 0
197211101992032004/162629 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
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Page 363 of 952
NO STW
BERLIANA BUTAR BUTAR
13 14-06-1974/361517824451000 1 3,281,500 0 0 289,680 0 0
197406141998032008/164732 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820325/IIIB 4 131,260 0 1 4,295,591 0 381,091
MULYATI
14 07-01-1960/003109493044000 1 3,831,900 185,000 0 144,840 0 0
196001071981052001/114671 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798011/IIIB 2 0 185,000 79 4,545,009 0 428,509
ANIK MASITA
15 30-12-1972/092599984407000 1 3,384,900 0 0 289,680 0 0
197212301992032003/158466 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
HERU BUDIONO
16 13-04-1959/260360557416000 1 3,952,600 185,000 0 217,260 0 0
195904131983031010/162636 1 395,260 0 0 0 442,691 7,000 4,379,500
PNS/798022/IIIB 3 79,052 185,000 19 4,829,191 0 449,691
ANISSA ZAITUN
17 31-08-1974/572117786005000 1 3,052,200 185,000 0 289,680 0 0
197408311996032002/121999 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
ILAH KARMILAH
18 29-06-1979/733700561404000 0 2,752,300 0 0 289,680 0 0
197906292006042016/165305 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
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NO STW
DWI WAHYU OKTARIANA
19 05-10-1984/363433574044000 1 2,431,200 180,000 0 289,680 0 0
198410052011012016/180895 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798011/IID 4 97,248 180,000 8 3,241,256 0 282,156
ADI SURYA WIJAYA

20 27-02-1989/441757846445000 0 2,261,300 180,000 0 72,420 0 0
198902272014031003/183341 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798012/IIC 1 0 180,000 10 2,513,730 0 231,130
YUSNIA GULFA MAHARANI

21 05-11-1987/703605295045000 0 2,261,300 180,000 0 72,420 0 0
198711052014032001/184308 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NOVY RUSTININGSIH
22 05-11-1969/254984081048000 0 2,559,900 180,000 0 72,420 0 0
196911052007012033/179783 0 0 0 0 0 255,990 5,000 2,551,400
PNS/798011/IIC 1 0 180,000 70 2,812,390 0 260,990
70,485,900 2,205,000 2,600,000 3,910,680 0 0

TOTAL 4,008,290 0 2,985,000 0 7,573,905 156,000 79,710,600
1,244,914 2,205,000 721 87,440,505 0 7,729,905
JAKARTA,
MENGETAHUI
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Page 365 of 952
UKPD: PUSKESMAS KEL.PADEMANGAN BARAT KEC.PADEMANGAN BRT
NO STW
MIMIN KRISTANU
1 22-04-1960/061864088048000 1 5,173,400 0 0 144,840 0 0
196004221984102002/118011 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820602/IVC 2 0 0 94 7,035,674 0 579,074
TJHIN FARIANA
2 17-05-1966/066959735026999 0 3,456,200 0 0 217,260 0 0
196605172007012026/168415 1 345,620 0 750,000 0 387,094 7,000 4,444,200
PNS/820103/IIID 3 69,124 0 90 4,838,294 0 394,094
8,629,600 0 0 362,100 0 0
TOTAL 862,960 0 1,950,000 0 956,168 17,000 10,900,800
69,124 0 184 11,873,968 0 973,168
JAKARTA,
MENGETAHUI
21/12/2016

Page 366 of 952
UKPD: PUSKESMAS KEL.PADEMANGAN TIMUR KEC. PDMNGAN BART
NO STW
MARIA ANGELA BIEKE B
1 28-04-1968/359986494048000 1 4,078,100 0 0 289,680 0 0
196804281994032007/120820 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
4,078,100 0 0 289,680 0 0
TOTAL 407,810 0 1,200,000 0 464,903 10,000 5,663,900
163,124 0 89 6,138,803 0 474,903
JAKARTA,
MENGETAHUI
21/12/2016

Page 367 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC. KELAPA GADING
NO STW
DINI INDRAWATI
1 06-05-1969/244102372008000 1 3,832,800 0 980,000 217,260 0 0
196905062000122003/162981 1 383,280 0 0 0 429,273 10,000 5,050,800
PNS/000000/IVA 3 76,656 0 77 5,490,073 0 439,273
SRI WIYATI
2 06-01-1960/575786900008000 1 4,294,000 0 540,000 289,680 0 0
196001061984032003/083425 2 429,400 0 0 0 489,516 7,000 5,228,400
PNS/500100/IIID 4 171,760 0 76 5,724,916 0 496,516
LILIANAWATI
3 05-11-1960/064178791625000 1 5,068,000 0 0 144,840 0 0
196011051987032002/158311 0 506,800 0 1,200,000 0 557,480 10,000 6,352,200
PNS/820102/IVD 2 0 0 40 6,919,680 0 567,480
LIES ANGRIANI
4 06-06-1962/253154959407000 1 4,475,700 0 0 217,260 0 0
196206061988022002/116193 1 447,570 0 1,200,000 0 501,278 10,000 5,918,800
PNS/820602/IVA 3 89,514 0 34 6,430,078 0 511,278
JUWAIDAH
5 22-09-1959/784146300407000 1 4,035,800 0 0 217,260 0 0
195909221992032001/117781 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820341/IIID 3 80,716 0 53 5,237,409 0 459,009
LAELI MIFTAKHUL JANNAH

6 03-05-1974/887974889045000 1 3,753,800 0 0 289,680 0 0
197405031993012001/179880 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820341/IIID 4 150,152 0 21 5,069,033 0 434,933
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Page 368 of 952
NO STW
RACHMAWATI
7 07-03-1959/784146185407000 0 4,429,300 0 0 217,260 0 0
195903071981032005/071910 2 0 0 500,000 0 460,647 7,000 4,856,100
PNS/820312/IIID 3 177,172 0 15 5,323,747 0 467,647
SULASTRI
8 04-11-1960/253459747045001 1 4,294,000 0 0 72,420 0 0
196011041981072001/071923 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
RAHMAWATI
9 23-05-1969/784146417005000 1 3,793,100 0 0 72,420 0 0
196905231990032001/164481 0 0 0 600,000 0 379,310 7,000 4,079,300
PNS/820307/IIID 1 0 0 90 4,465,610 0 386,310
AGUS PURNOMO
10 06-08-1963/784059897435000 1 3,872,000 185,000 0 217,260 0 0
196308061987031011/110508 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798011/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
IKA RENY RETNOWATI

11 22-03-1985/346045701045000 1 2,929,100 0 0 217,260 0 0
198503222010012031/178393 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
MEGAWATI SIHOMBING
12 04-02-1964/784114738008000 1 3,528,100 0 0 217,260 0 0
196402041992032004/124434 1 352,810 0 600,000 0 395,147 7,000 4,366,600
PNS/820307/IIIC 3 70,562 0 15 4,768,747 0 402,147
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Page 369 of 952
NO STW
ARIYANI A. HAMID
13 27-01-1966/784146433045000 1 3,315,900 0 0 217,260 0 0
196601272000122002/164587 1 331,590 0 300,000 0 371,380 7,000 3,852,700
PNS/820309/IIIC 3 66,318 0 12 4,231,080 0 378,380
TRIMULYHUTASOIT
14 21-04-1964/784146177042000 1 3,639,200 0 0 72,420 0 0
196404211990032003/118342 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
DESDA YETTI
15 08-12-1968/784114712003000 1 3,639,200 0 0 72,420 0 0
196812081991032008/118367 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820621/IIIC 1 0 0 0 4,211,620 0 370,920
AGUSTINA HELFRIDA D
16 17-08-1972/298007782003000 1 3,528,100 0 0 289,680 0 0
197208171992032007/123309 2 352,810 0 265,000 0 402,203 7,000 4,167,600
PNS/820342/IIIC 4 141,124 0 89 4,576,803 0 409,203
IHSAN PANJI SANTIKO

17 25-11-1987/452987977407000 1 2,641,200 185,000 0 289,680 0 0
198711252014031002/183638 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
NOVY ERLIANA
18 26-09-1985/356057182531000 1 2,641,200 185,000 0 72,420 0 0
198509262014032004/183688 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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NO STW
RENDI DWI HERZA
19 07-01-1987/703836932432000 1 2,641,200 185,000 0 217,260 0 0
198701072014031004/183707 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SRI RAHMAWATI
20 14-10-1983/542520531435999 1 2,641,200 185,000 0 217,260 0 0
198310142014032002/183739 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
BAMBANG NUGROHO
21 13-11-1987/460926314048000 0 2,641,200 185,000 0 72,420 0 0
198711132014031004/183773 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIZKA WULANDARI
22 16-10-1986/705308286432000 0 2,641,200 185,000 0 72,420 0 0
198610162014032004/183804 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MARISMAULI SIBARANI
23 03-05-1971/784146409043000 1 3,281,500 0 0 289,680 0 0
197105031997032002/125313 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
FARMANITA SAHARA
24 15-03-1983/486937857803000 1 2,990,000 0 0 72,420 0 0
198303152006042026/180162 0 0 0 265,000 0 299,000 7,000 3,021,500
PNS/820313/IIIB 1 0 0 80 3,327,500 0 306,000
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NO STW
ENI UTAMI
25 26-08-1960/244451050407000 1 3,831,900 185,000 0 72,420 0 0
196008261984032004/082776 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798012/IIIB 1 0 185,000 70 4,089,390 0 390,190
SUPRIYATNO
26 21-04-1962/777391988407000 1 3,831,900 185,000 0 217,260 0 0
196204211985031011/088200 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798012/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
DWI PANGASTUTI
27 29-08-1968/784114761407001 0 3,714,900 185,000 0 72,420 0 0
196808291987032002/110410 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
ROSMAWATY HASIBUAN
28 12-10-1959/784145922043000 1 3,491,500 0 0 217,260 0 0
195910121990032002/114426 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
ABDUL GOSA PANJAITAN

29 12-12-1958/360145445045000 1 3,491,500 0 0 217,260 0 0
195812121990031002/114652 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820325/IIIB 3 69,830 0 8 4,392,748 0 398,048
PUJIANI
30 20-04-1970/784146342435000 1 3,384,900 185,000 0 289,680 0 0
197004201992032005/117690 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798012/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
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NO STW
DYAN SHOFA MAADDIN
31 17-12-1974/784146144045000 0 3,181,300 0 0 72,420 0 0
197412171996032001/121001 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/830224/IIIB 1 0 0 10 3,518,730 0 325,130
ROSTINA SIAHAAN
32 29-03-1972/258096866027000 1 3,384,900 0 0 144,840 0 0
197203291996032002/122491 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820132/IIIB 2 0 0 9 4,133,239 0 379,339
HERLINA SIMBOLON
33 20-04-1971/784146334006000 1 3,181,300 0 0 289,680 0 0
197104201997032007/123216 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820132/IIIB 4 127,252 0 6 4,181,368 0 369,668
LINDA NOVIANTI
34 06-11-1971/784145849003000 1 3,181,300 0 0 289,680 0 0
197111061997032003/125223 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
DAHLIA ROYANI S
35 09-08-1968/784146482006000 1 3,281,500 0 0 289,680 0 0
196808091995032002/125495 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
MONIKA NAINGGOLAN
36 30-07-1969/677449233407000 1 3,384,900 185,000 0 289,680 0 0
196907301992032005/157927 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798012/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
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NO STW
LENTIARA LBNSIANTAR
37 25-11-1963/784146201407000 1 3,601,400 0 0 289,680 0 0
196311251988032006/158340 2 360,140 0 265,000 0 410,559 7,000 4,242,800
PNS/820325/IIIB 4 144,056 0 83 4,660,359 0 417,559
ELMI ORNELIA UMBOH

38 10-05-1970/784146276432000 1 3,384,900 0 0 72,420 0 0
197005101996032004/162651 0 0 0 300,000 0 338,490 7,000 3,411,900
PNS/820352/IIIB 1 0 0 70 3,757,390 0 345,490
ROZANA
39 05-02-1962/784145872048000 1 3,601,400 0 0 72,420 0 0
196202051989122001/165186 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
LENTI DORMINA
40 11-04-1964/784146110045000 1 3,491,500 0 0 217,260 0 0
196404111991032002/116318 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
CITRA DEWI
41 16-10-1980/258095397045000 0 2,868,700 0 0 72,420 0 0
198010162008012024/170066 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/820313/IIIA 1 0 0 50 3,206,170 0 293,870
LYA YULIARSIH
42 29-07-1978/268878501045000 0 2,868,700 0 0 72,420 0 0
197807292008012018/171901 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/820313/IIIA 1 0 0 50 3,206,170 0 293,870
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NO STW
YENI YULIANI
43 18-02-1980/261682959044000 1 2,781,100 0 0 289,680 0 0
198002182008012017/172459 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820313/IIIA 4 111,244 0 11 3,725,145 0 324,045
ERLI MARTINI
44 02-11-1982/154898142311000 1 2,868,700 0 0 72,420 0 0
198211022008012004/183299 0 0 0 240,000 0 286,870 7,000 2,887,300
PNS/820343/IIIA 1 0 0 50 3,181,170 0 293,870
NEVY CHATRI BB
45 21-12-1972/258324730043000 0 3,052,200 0 0 72,420 0 0
197212211997032002/123636 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820342/IIIA 1 0 0 0 3,389,620 0 312,220
ROMIANDESINTA S
46 14-02-1978/784142424432000 1 3,052,200 0 0 72,420 0 0
197802141997032002/124920 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
YUSNIAR SIALLAGAN
47 05-01-1970/255165169048000 1 3,052,200 185,000 0 289,680 0 0
197001051997031003/158626 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798011/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
MEGI DEWI ANGGRAENY

48 08-01-1978/784146169045000 1 2,959,000 0 0 289,680 0 0
197801081998032001/161651 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/820314/IIIA 4 118,360 0 86 3,903,026 0 344,326
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NO STW
DAHLIANA SARI
49 13-10-1969/268775327045000 1 3,349,800 0 0 72,420 0 0
196910131990032003/162650 0 0 0 240,000 0 334,980 7,000 3,320,300
PNS/820314/IIIA 1 0 0 60 3,662,280 0 341,980
SITI KHOTIJAH
50 04-03-1983/251903597048000 1 2,781,100 0 0 289,680 0 0
198303042007012006/168779 2 278,110 0 240,000 0 317,045 7,000 3,376,100
PNS/820343/IIIA 4 111,244 0 11 3,700,145 0 324,045
ROHATI
51 21-01-1981/269364444048000 1 2,781,100 0 0 289,680 0 0
198101212007012007/168781 2 278,110 0 240,000 0 317,045 7,000 3,376,100
PNS/820343/IIIA 4 111,244 0 11 3,700,145 0 324,045
IKLIMAH
52 05-06-1964/784059875045000 1 3,792,100 185,000 0 217,260 0 0
196406051987032007/110488 1 379,210 0 0 0 424,715 7,000 4,217,700
PNS/798011/IIIA 3 75,842 185,000 3 4,649,415 0 431,715
INA FADHILAH
53 22-03-1983/346102452041000 0 2,406,000 0 0 72,420 0 0
198303222010012021/178927 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IID 1 0 0 80 2,718,500 0 245,600
EKO WAHYUONO
54 06-08-1980/360134589045000 1 2,668,200 0 0 217,260 0 0
198008062008011024/171558 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/900072/IID 3 53,364 0 94 3,445,738 0 303,838
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NO STW
HUSNIYATI LUTFHIYAH
55 10-11-1984/577243249407000 1 2,431,200 0 0 144,840 0 0
198411102011012022/180957 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
KUSMIATI
56 10-01-1963/258091347004000 1 3,315,100 180,000 0 144,840 0 0
196301101985112001/108434 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
MUSONEP
57 10-11-1968/174610501043000 1 3,213,800 180,000 0 289,680 0 0
196811101991031010/125225 2 321,380 0 0 0 366,373 5,000 3,762,100
PNS/798022/IID 4 128,552 180,000 61 4,133,473 0 371,373
AULIA IKRAR OKA RINANDA

58 28-10-1990/557943305521000 0 2,261,300 180,000 0 72,420 0 0
199010282014032001/183444 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DWI SUSANTI
59 07-05-1992/705253847521000 0 2,261,300 180,000 0 72,420 0 0
199205072014032002/183816 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IRMA BUDI LESTARI

60 21-10-1992/705301620518000 0 2,261,300 180,000 0 72,420 0 0
199210212014032001/183932 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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NO STW
NURCAHYA ANITA DESI
61 04-12-1992/704823418521000 0 2,261,300 180,000 0 72,420 0 0
199212042014032002/184069 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SABRINA KALSUM
62 18-11-1992/704163880005000 0 2,261,300 180,000 0 72,420 0 0
199211182014032001/184188 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SADITA
63 25-05-1960/784142630043000 1 3,180,500 180,000 0 144,840 0 0
196005251985031009/075594 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798022/IIC 2 0 180,000 65 3,823,455 0 354,855
204,696,000 4,030,000 1,520,000 10,935,420 0 0

TOTAL 12,450,040 0 14,640,000 0 22,056,716 428,000 229,210,100
3,421,230 4,030,000 2,126 251,694,816 0 22,484,716
JAKARTA,
MENGETAHUI
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Page 378 of 952
UKPD: PUSKESMAS KEL. KELAPA GADING TIMUR KEC. KLP GADING
NO STW
CAMELIA CITRA
1 30-01-1963/244164786043001 1 4,522,500 0 0 217,260 0 0
196301301990112002/125663 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820102/IVB 3 90,450 0 60 6,482,520 0 516,520
VERA ANDALUCYA
2 15-09-1967/485506661003000 1 3,912,600 0 0 72,420 0 0
196709151993022002/125715 0 0 0 750,000 0 391,260 7,000 4,336,800
PNS/820603/IIID 1 0 0 40 4,735,060 0 398,260
8,435,100 0 0 289,680 0 0
TOTAL 452,250 0 1,950,000 0 897,780 17,000 10,302,800
90,450 0 100 11,217,580 0 914,780
JAKARTA,
MENGETAHUI
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Page 379 of 952
UKPD: PUSKESMAS KEL. PEGANGSAAN DUA KEC.KELAPA GDG
NO STW
CANDANI
1 31-10-1960/581048295043000 0 4,384,400 0 0 72,420 0 0
196010311992122001/125326 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
4,384,400 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 438,440 10,000 5,208,400
0 0 20 5,656,840 0 448,440
JAKARTA,
MENGETAHUI
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Page 380 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CENGKARENG
NO STW
NURMARI WAHYU HAPSARI
1 08-01-1964/497299198416000 1 4,339,000 0 980,000 289,680 0 0
196401081989102002/162164 2 433,900 0 0 0 494,646 10,000 5,711,500
PNS/000000/IVA 4 173,560 0 6 6,216,146 0 504,646
ABDUL MAJID
2 20-06-1965/171640501034000 1 4,035,800 0 540,000 217,260 0 0
196506201987031007/110431 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
LYNNA ANGGRAINI P
3 11-01-1976/069880813086999 1 3,456,200 0 0 289,680 0 0
197601112006042031/165500 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820603/IIID 4 138,248 0 58 4,979,806 0 401,006
YUNINGSIH
4 12-06-1960/674031588085000 1 4,429,300 0 0 72,420 0 0
196006121981052001/072330 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
DEDI GURDI
5 23-02-1967/254409790416000 1 4,035,800 0 0 217,260 0 0
196702231990031004/122272 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
EVI OKTAVIA
6 20-06-1975/257866111416000 1 3,565,000 0 0 289,680 0 0
197506201997032005/157235 2 356,500 0 500,000 0 406,410 7,000 4,440,400
PNS/820312/IIID 4 142,600 0 30 4,853,810 0 413,410
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NO STW
JOJOR HOTMAIDA
7 12-05-1963/483282752058000 1 3,677,300 0 0 289,680 0 0
196305121995032001/162969 2 367,730 0 500,000 0 419,212 7,000 4,555,600
PNS/820312/IIID 4 147,092 0 10 4,981,812 0 426,212
CHOFIFAH
8 01-01-1960/253919898034999 1 4,429,300 0 0 144,840 0 0
196001011981032015/071799 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
MAMI
9 10-04-1960/091956268402000 0 4,568,800 0 0 72,420 0 0
196004101981072001/072232 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
ERNA GERNASIH
10 13-09-1960/141788034034000 1 4,568,800 0 0 144,840 0 0
196009131981082001/072514 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820341/IIID 2 0 0 48 5,670,568 0 509,568
SURATMI
11 14-02-1959/585980733402000 1 4,294,000 0 0 72,420 0 0
195902141981072001/105358 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SUPRIYANTI
12 29-09-1959/572960847034000 1 4,429,300 0 0 144,840 0 0
195909291981032014/111164 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
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NO STW
FATMAWATI
13 28-12-1960/093219764411000 1 4,162,900 0 0 217,260 0 0
196012281985012001/113515 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/900010/IIID 3 83,258 0 36 5,379,744 0 473,244
SABARITA BR SEBAYANG
14 15-03-1963/581285202085000 1 3,793,100 0 0 289,680 0 0
196303151990032006/114808 2 379,310 0 500,000 0 432,413 7,000 4,674,500
PNS/820341/IIID 4 151,724 0 99 5,113,913 0 439,413
YENTI FATMA
15 24-05-1963/493255350034000 1 4,162,900 0 0 144,840 0 0
196305241984012001/120924 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820341/IIID 2 0 0 89 5,224,119 0 464,919
TITI AMALIA
16 16-10-1983/247154636416000 1 2,839,700 0 0 289,680 0 0
198310162011012010/180211 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
ADISA SWASTIKA
17 23-11-1981/091915405402001 1 2,839,700 0 0 289,680 0 0
198111232011012008/181006 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
ELOK NUZULLIA
18 09-08-1979/667945695416000 1 2,839,700 0 0 289,680 0 0
197908092011012003/181861 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
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NO STW
EVELYN HOTMA
19 17-02-1984/573347341122000 1 2,929,100 185,000 0 217,260 0 0
198402172009032014/183005 1 292,910 0 0 0 328,059 7,000 3,347,800
PNS/798011/IIIC 3 58,582 185,000 7 3,682,859 0 335,059
RITA HARTATI
20 21-04-1960/699554754034000 1 3,639,200 0 0 217,260 0 0
196004211993032002/120358 1 363,920 0 265,000 0 407,590 7,000 4,143,600
PNS/820313/IIIC 3 72,784 0 26 4,558,190 0 414,590
PATRA ALAM KATILI

21 26-11-1961/268142579402000 0 4,249,500 0 0 72,420 0 0
196111261981032002/071059 0 0 0 500,000 0 424,950 7,000 4,390,000
PNS/820621/IIIC 1 0 0 30 4,821,950 0 431,950
MARYATUN M N
22 05-03-1960/594662199402000 1 3,994,000 0 0 217,260 0 0
196003051982032009/074833 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820312/IIIC 3 79,880 0 88 5,190,628 0 454,328
PENI
23 27-09-1965/699625000034000 1 3,753,800 0 0 217,260 0 0
196509271988032005/111431 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
FORTUNA YANTI
24 27-09-1970/246138648418000 1 3,639,200 0 0 217,260 0 0
197009271991032004/116488 1 363,920 0 265,000 0 407,590 7,000 4,143,600
PNS/820313/IIIC 3 72,784 0 26 4,558,190 0 414,590
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NO STW
HOTMIAN TAMBA
25 01-08-1960/495357527034000 1 4,119,700 0 0 72,420 0 0
195712271982032006/116927 0 0 0 500,000 0 411,970 7,000 4,273,200
PNS/820312/IIIC 1 0 0 50 4,692,170 0 418,970
SAHNAN PURBA
26 17-10-1965/775335458085000 1 3,753,800 0 0 217,260 0 0
196510171989011001/120331 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
RISMAWATI LARY M
27 10-09-1971/594512550085000 0 3,528,100 0 0 72,420 0 0
197109101993032004/120345 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
KERINAMULI BR SINURAYA
28 01-12-1959/483282745034000 1 3,753,800 0 0 144,840 0 0
195912011995032001/120420 0 375,380 0 500,000 0 412,918 7,000 4,354,200
PNS/820312/IIIC 2 0 0 98 4,774,118 0 419,918
SITI UMAYYAH
29 10-03-1966/493255574034000 1 3,639,200 0 0 289,680 0 0
196605101990032005/123474 2 363,920 0 265,000 0 414,868 7,000 4,281,500
PNS/820342/IIIC 4 145,568 0 0 4,703,368 0 421,868
SUHAENAH
30 25-02-1969/252686852034000 1 3,639,200 0 0 289,680 0 0
196902251990032003/125730 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
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Page 385 of 952
NO STW
RACHMAWATI
31 09-08-1962/783051584451000 1 4,119,700 0 0 72,420 0 0
196208091983032012/128262 0 0 0 500,000 0 411,970 7,000 4,273,200
PNS/830223/IIIC 1 0 0 50 4,692,170 0 418,970
ROSDIANA MARSAULINA
32 14-09-1971/784310468034000 0 3,639,200 0 0 72,420 0 0
197109141991032003/128811 0 0 0 265,000 0 363,920 7,000 3,605,700
PNS/820342/IIIC 1 0 0 0 3,976,620 0 370,920
CHRISTINA TALAHATU
33 03-01-1970/246663272407000 1 3,491,500 0 0 217,260 0 0
197001031993012001/162791 1 349,150 0 500,000 0 391,048 7,000 4,229,700
PNS/820341/IIIC 3 69,830 0 8 4,627,748 0 398,048
AYU MARTINOVA
34 27-03-1986/705389443416000 1 2,641,200 185,000 0 72,420 0 0
198603272014032001/183572 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MIRA WULAN SARI

35 23-08-1990/702754482416000 0 2,641,200 185,000 0 72,420 0 0
199008232014032005/183677 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ROMARTHA CHRISTINA
36 20-08-1984/705566925036000 0 2,641,200 185,000 0 72,420 0 0
198408202014032004/184430 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 386 of 952
NO STW
DESI NATALIA GINTING
37 18-12-1981/369607510005000 1 2,641,200 185,000 0 289,680 0 0
198112182014032001/184345 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
RESTANIAR
38 27-11-1974/256082835034000 1 3,281,500 185,000 0 289,680 0 0
197411271994032004/118511 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
DARYONO
39 21-01-1971/783051725451000 1 3,281,500 0 0 289,680 0 0
197101211998031006/125529 2 328,150 0 600,000 0 374,091 7,000 4,249,500
PNS/820322/IIIB 4 131,260 0 1 4,630,591 0 381,091
NURHIDAYATI
40 08-05-1977/481271849912000 1 3,181,300 0 0 144,840 0 0
197705082000032001/182706 0 318,130 0 600,000 0 349,943 7,000 3,887,400
PNS/820351/IIIB 2 0 0 73 4,244,343 0 356,943
ANDRIANI
41 02-04-1982/705334589416000 1 2,641,200 185,000 0 289,680 0 0
198204022014032001/183554 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
ARIANTI DWITYA ICHSANI

42 03-08-1987/705299071416000 0 2,641,200 185,000 0 72,420 0 0
198708032014032003/183560 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 387 of 952
NO STW
JUNITA INDAH MAYASARI
43 26-06-1988/703491522402000 0 2,641,200 185,000 0 72,420 0 0
198806262014032004/183654 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ERVIEN RITANDI EDWIN

44 07-03-1989/545738080323000 0 2,641,200 185,000 0 72,420 0 0
198903072014031003/183777 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SRI MURTINI
45 23-08-1963/258039353002001 1 3,831,900 185,000 0 144,840 0 0
196308231984022001/082814 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798012/IIIB 2 0 185,000 79 4,545,009 0 428,509
WAZIA
46 28-08-1963/699713491034000 0 3,831,900 185,000 0 72,420 0 0
196308281985092001/107373 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798011/IIIB 1 0 185,000 70 4,089,390 0 390,190
ROMDHANI
47 24-02-1964/571434745034000 1 3,714,900 185,000 0 217,260 0 0
196402241987032004/110567 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
MULYATI
48 06-06-1963/182545103034000 1 3,714,900 185,000 0 217,260 0 0
196306061987032010/110571 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
21/12/2016

Page 388 of 952
NO STW
TRISNO BUDHI
49 08-02-1968/699614250340000 1 3,281,500 185,000 0 289,680 0 0
196802081994031003/118505 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
ARIFIAH MARLIANTI P
50 19-03-1962/677994725036000 1 3,281,500 0 0 144,840 0 0
196203191995032001/119124 0 328,150 0 265,000 0 360,965 7,000 3,651,600
PNS/820132/IIIB 2 0 0 75 4,019,565 0 367,965
MARICE HALOHO
51 10-07-1967/175569464034000 1 3,281,500 0 0 144,840 0 0
196707101994032007/120664 0 328,150 0 265,000 0 360,965 7,000 3,651,600
PNS/820313/IIIB 2 0 0 75 4,019,565 0 367,965
SUSI SUSANAH
52 24-10-1966/744348195034999 1 3,491,500 0 0 217,260 0 0
196610241990032004/120848 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820342/IIIB 3 69,830 0 8 4,392,748 0 398,048
LUSI HERNAWATI
53 23-10-1969/694969932034000 1 3,281,500 0 0 72,420 0 0
196910231990032003/120865 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
SUSI TRISNAWATI
54 24-01-1971/784309841034000 0 3,384,900 0 0 72,420 0 0
197101241996032001/121035 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820325/IIIB 1 0 0 70 3,722,390 0 345,490
21/12/2016

Page 389 of 952
NO STW
BERES
55 24-06-1961/697521276034000 1 3,831,900 0 0 144,840 0 0
196106241982032003/122262 0 383,190 0 265,000 0 421,509 7,000 4,196,500
PNS/820313/IIIB 2 0 0 79 4,625,009 0 428,509
HERLINTA GINTING
56 10-09-1972/699613972034000 1 3,281,500 0 0 289,680 0 0
197209101997031004/122968 2 328,150 0 1,150,000 0 374,091 7,000 4,799,500
PNS/900911/IIIB 4 131,260 0 1 5,180,591 0 381,091
RETTA RUSMIYATI M
57 02-07-1970/695075754034999 1 3,384,900 0 0 289,680 0 0
197007021991032006/123105 2 338,490 0 500,000 0 385,878 7,000 4,255,600
PNS/820341/IIIB 4 135,396 0 12 4,648,478 0 392,878
UMI HARYATI
58 03-06-1971/784310153034000 1 3,491,500 0 0 217,260 0 0
197106031991032007/125409 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820622/IIIB 3 69,830 0 8 4,392,748 0 398,048
NURYATI SIAGIAN
59 11-02-1964/null 1 3,714,900 0 0 144,840 0 0
196402111986012001/157952 1 0 0 265,000 0 378,919 7,000 3,813,200
PNS/820313/IIIB 2 74,298 0 81 4,199,119 0 385,919
FATINA HUMARI
60 10-06-1967/076137249023000 1 3,148,300 0 0 289,680 0 0
196706101995032001/120280 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820313/IIIA 4 125,932 0 64 4,143,806 0 365,906
21/12/2016

Page 390 of 952
NO STW
DANI KUSWANDA
61 23-04-1967/672506516034000 1 3,564,100 0 0 289,680 0 0
196704231990011001/120886 2 356,410 0 265,000 0 406,307 7,000 4,204,500
PNS/820325/IIIA 4 142,564 0 53 4,617,807 0 413,307
FITRIANI
62 05-09-1978/252495189034999 1 2,752,300 0 0 289,680 0 0
197809052007012015/168387 2 275,230 0 265,000 0 313,762 5,000 3,373,600
PNS/820313/IID 4 110,092 0 60 3,692,362 0 318,762
HARTAULINA PAKPAHAN
63 25-02-1980/498878644034001 1 2,668,200 0 0 289,680 0 0
198002252007012011/168750 2 266,820 0 265,000 0 304,174 5,000 3,287,300
PNS/820313/IID 4 106,728 0 46 3,596,474 0 309,174
HEPPY GURNING
64 18-12-1979/775336027085000 1 2,752,300 0 0 289,680 0 0
197912182008012015/171202 2 275,230 0 265,000 0 313,762 5,000 3,373,600
PNS/820313/IID 4 110,092 0 60 3,692,362 0 318,762
BEKTI KUSUMAWATI
65 10-11-1981/363400235416000 1 2,431,200 0 0 289,680 0 0
198111102011012017/180901 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
ARI YULI HARTATI

66 14-07-1983/572969251416000 1 2,431,200 0 0 72,420 0 0
198307142011012013/181834 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
21/12/2016

Page 391 of 952
NO STW
ZAINAL ARIFIN
67 02-03-1963/null 1 3,419,500 0 0 144,840 0 0
196303021987031006/110562 0 341,950 0 183,000 0 376,145 5,000 3,708,200
PNS/850103/IID 2 0 0 55 4,089,345 0 381,145
SRI MULYATI
68 26-08-1966/574025078034000 1 3,419,500 180,000 0 144,840 0 0
196608261987032002/110573 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
IRAMA FAUZIAH
69 29-09-1968/245160676411000 1 3,213,800 0 0 144,840 0 0
196809291990032004/114444 0 321,380 0 240,000 0 353,518 5,000 3,561,600
PNS/820314/IID 2 0 0 98 3,920,118 0 358,518
ROSNAWATI
70 06-01-1965/786684894418000 1 3,419,500 180,000 0 144,840 0 0
196501061987032002/120957 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798012/IID 2 0 180,000 55 4,086,345 0 381,145
ERIN NURTIKA
71 25-02-1991/668969827422000 0 2,261,300 180,000 0 72,420 0 0
199102252014032002/183835 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ERI ELYDA HAFNI

72 07-10-1968/490374824034999 1 2,989,300 0 0 289,680 0 0
196810071996032005/165207 2 298,930 0 240,000 0 340,780 5,000 3,591,800
PNS/820314/IIC 4 119,572 0 98 3,937,580 0 345,780
21/12/2016

Page 392 of 952
NO STW
SRI WAHYUNI HANDAYANI
73 27-01-1993/705357325411000 0 2,261,300 180,000 0 72,420 0 0
199301272014032002/184224 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
BRIGITTA PUTRI DIAN

74 28-06-1991/464312347411000 0 2,261,300 180,000 0 72,420 0 0
199106282014032004/183462 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MARYAMIN
75 20-09-1962/784364606085000 0 3,083,400 180,000 0 289,680 0 0
196209201987011001/109965 2 308,340 0 0 0 351,507 5,000 3,628,300
PNS/798041/IIC 4 123,336 180,000 51 3,984,807 0 356,507
PAINO
76 31-12-1962/null 1 3,051,400 180,000 0 144,840 0 0
196212311985031124/086089 0 305,140 0 0 0 335,654 5,000 3,340,800
PNS/798981/IIB 2 0 180,000 74 3,681,454 0 340,654
BARSONO
77 07-06-1960/777713702451000 1 3,051,400 180,000 0 144,840 0 0
196006071985111001/108987 0 305,140 0 0 0 335,654 5,000 3,340,800
PNS/798041/IIB 2 0 180,000 74 3,681,454 0 340,654
SUGIATI
78 18-05-1959/784309890034000 1 3,213,000 180,000 0 72,420 0 0
195905181981112001/073857 0 0 0 0 0 321,300 5,000 3,139,200
PNS/798042/IIA 1 0 180,000 80 3,465,500 0 326,300
21/12/2016

Page 393 of 952
NO STW
265,422,500 4,395,000 1,520,000 14,339,160 0 0
TOTAL 18,998,570 0 22,498,000 0 28,872,457 515,000 302,092,700
4,303,676 4,395,000 3,251 331,480,157 0 29,387,457
JAKARTA,
MENGETAHUI
21/12/2016

Page 394 of 952
UKPD: PUSKESMAS KEL.CENGKARENG BRT KEC.CENGKARENG
NO STW
RIANI SUHENDA
1 09-07-1960/494614704013999 1 4,665,000 0 0 72,420 0 0
196007091987122002/118022 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820602/IVB 1 0 0 80 5,937,500 0 476,500
EVITA YUDI DHARMA

2 24-09-1974/594778045034001 1 3,116,500 0 0 144,840 0 0
197409242008012010/173197 0 311,650 0 750,000 0 342,815 7,000 3,973,200
PNS/820603/IIIC 2 0 0 25 4,323,015 0 349,815
7,781,500 0 0 217,260 0 0
TOTAL 311,650 0 1,950,000 0 809,315 17,000 9,434,200
0 0 105 10,260,515 0 826,315
JAKARTA,
MENGETAHUI
21/12/2016

Page 395 of 952
UKPD: PUSKESMAS KEL. CENGKARENG TIM KEC.CENGKARENG
NO STW
VINNA PRADEVIE M
1 05-12-1965/695044164034001 1 4,078,100 0 0 144,840 0 0
196512051993012001/125564 0 407,810 0 1,200,000 0 448,591 10,000 5,372,200
PNS/820602/IVA 2 0 0 41 5,830,791 0 458,591
4,078,100 0 0 144,840 0 0
TOTAL 407,810 0 1,200,000 0 448,591 10,000 5,372,200
0 0 41 5,830,791 0 458,591
JAKARTA,
MENGETAHUI
21/12/2016

Page 396 of 952
UKPD: PUSKESMAS KEL.KAPUK KEC.CENGKARENG
NO STW
YVONNE MARTATI
1 28-02-1957/058217720034000 1 4,862,300 0 0 144,840 0 0
195702281987102001/120852 1 0 0 1,200,000 0 495,954 10,000 5,798,500
PNS/820102/IVC 2 97,246 0 68 6,304,454 0 505,954
EMANUEL AYUB
2 14-07-1964/055426399085000 1 4,206,500 0 0 289,680 0 0
196407141992121001/123104 2 420,650 0 1,200,000 0 479,541 10,000 5,795,600
PNS/820602/IVA 4 168,260 0 51 6,285,141 0 489,541
9,068,800 0 0 434,520 0 0
TOTAL 420,650 0 2,400,000 0 975,495 20,000 11,594,100
265,506 0 119 12,589,595 0 995,495
JAKARTA,
MENGETAHUI
21/12/2016

Page 397 of 952
UKPD: PUSKESMAS KEL.DURI KOSAMBI KEC.CENGKARENG
NO STW
LIDWINA MARTIANA DEWI
1 29-03-1964/250934262034000 0 4,384,400 0 0 72,420 0 0
196403291991032001/118949 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820102/IVB 1 0 0 20 5,656,840 0 448,440
4,384,400 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 438,440 10,000 5,208,400
0 0 20 5,656,840 0 448,440
JAKARTA,
MENGETAHUI
21/12/2016

Page 398 of 952
UKPD: PUSKESMAS KEL.KEDAUNG KALIANGKE KEC CGNKARENG
NO STW
AGUS HANDIYANTO
1 26-06-1964/243436730416000 1 4,339,000 0 0 289,680 0 0
196406261989101001/120339 2 433,900 0 1,200,000 0 494,646 10,000 5,931,500
PNS/820602/IVA 4 173,560 0 6 6,436,146 0 504,646
4,339,000 0 0 289,680 0 0
TOTAL 433,900 0 1,200,000 0 494,646 10,000 5,931,500
173,560 0 6 6,436,146 0 504,646
JAKARTA,
MENGETAHUI
21/12/2016

Page 399 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.GROGOL PETAMBURAN
NO STW
MURNIASI HUTAPEA
1 07-05-1976/259113546003000 1 3,248,300 0 980,000 289,680 0 0
197605072006042006/164809 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
SOEGIHARTO
2 10-06-1964/584155840048000 1 4,035,800 0 540,000 217,260 0 0
196406101987031012/110524 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
MARIA OSMAN
3 05-04-1959/058015538036001 1 5,068,000 0 0 217,260 0 0
195904051987112001/115514 1 506,800 0 1,400,000 0 567,616 10,000 6,715,900
PNS/820101/IVD 3 101,360 0 96 7,293,516 0 577,616
ACHMAD SUYUDI
4 26-06-1962/null 1 4,475,700 0 0 289,680 0 0
196206261987021002/117760 2 447,570 0 1,200,000 0 510,229 10,000 6,071,800
PNS/820602/IVA 4 179,028 0 51 6,592,029 0 520,229
SRI NUR AINY

5 28-03-1962/495141384039000 1 3,565,000 0 0 144,840 0 0
196203282007012002/168369 0 356,500 0 750,000 0 392,150 7,000 4,417,200
PNS/820103/IIID 2 0 0 10 4,816,350 0 399,150
SUPRIJANTO
6 22-06-1964/476080726413000 1 3,677,300 185,000 0 217,260 0 0
196406221998031001/158157 1 367,730 0 0 0 411,857 7,000 4,102,000
PNS/798022/IIID 3 73,546 185,000 21 4,520,857 0 418,857
21/12/2016

Page 400 of 952
NO STW
RENY WIDI ASTUTI
7 17-05-1976/783047749411000 1 3,350,600 0 0 72,420 0 0
197605172006042031/165471 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
JENTIE
8 20-10-1968/593958234036000 0 3,456,200 0 0 72,420 0 0
196810202007012022/168408 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820103/IIID 1 0 0 0 4,278,620 0 352,620
SUMARNI
9 06-05-1963/091895722402000 1 4,162,900 0 0 217,260 0 0
196305061984032005/112351 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820341/IIID 3 83,258 0 36 5,379,744 0 473,244
LIES PERMANA
10 16-09-1959/495141301451000 1 4,429,300 0 0 144,840 0 0
195909161980022001/119099 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
J NICOLINE PALIT
11 26-09-1962/256922790451000 1 4,162,900 0 0 72,420 0 0
196209261985122002/120925 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820312/IIID 1 0 0 70 4,735,390 0 423,290
DIAH HARTANTI
12 17-07-1971/547552968036000 1 3,116,500 0 0 289,680 0 0
197107172006042020/165743 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820103/IIIC 4 124,660 0 91 4,592,581 0 362,281
21/12/2016

Page 401 of 952
NO STW
WAHYU ARI KISSANTI
13 31-08-1983/076840586416000 1 2,839,700 0 0 144,840 0 0
198308312011012009/181235 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820603/IIIC 2 0 0 57 4,018,567 0 319,367
IRUN RUNIASIH
14 10-12-1958/495140915451000 0 3,994,000 185,000 0 72,420 0 0
195812101985112001/069992 0 0 0 0 0 399,400 7,000 3,845,100
PNS/798022/IIIC 1 0 185,000 80 4,251,500 0 406,400
HENNY SYAFRIDA
15 09-08-1959/495140899412000 1 4,383,300 0 0 144,840 0 0
195908091981052001/071990 0 438,330 0 500,000 0 482,163 7,000 4,977,400
PNS/820341/IIIC 2 0 0 93 5,466,563 0 489,163
ERNIYATI
16 10-02-1962/495141285036000 1 4,119,700 0 0 72,420 0 0
196202101984022001/115461 0 0 0 500,000 0 411,970 7,000 4,273,200
PNS/820341/IIIC 1 0 0 50 4,692,170 0 418,970
BUDIASTUTI
17 05-10-1967/495140931005000 1 3,753,800 0 0 72,420 0 0
196710051989032014/118992 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820312/IIIC 1 0 0 60 4,326,280 0 382,380
YUSTINA ENDANG W
18 08-09-1967/495141327451000 1 3,753,800 0 0 217,260 0 0
196709081989122001/128818 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820341/IIIC 3 75,076 0 9 4,921,525 0 427,425
21/12/2016

Page 402 of 952
NO STW
SEPTY ZAHRAWI KIRANA
19 30-09-1981/091906230416000 0 2,810,200 0 0 289,680 0 0
198109302010012020/177807 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
MARCELLYNA URSULA AZA

20 08-04-1989/726444193402000 1 2,641,200 185,000 0 144,840 0 0
198904082014032004/183667 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
MEGAWATI NOFLIA
21 15-11-1987/705321404204000 0 2,641,200 185,000 0 72,420 0 0
198711152014032003/183672 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NININ ANGGREANI
22 06-06-1987/705107027009000 1 2,641,200 185,000 0 217,260 0 0
198706062014032004/183686 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ELLYANI TIAR NATALINA

23 04-12-1987/663065100009000 1 2,641,200 185,000 0 217,260 0 0
198712042014032005/183776 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
WULAN LIASARI
24 17-04-1984/703712513035000 1 2,641,200 185,000 0 217,260 0 0
198404172014032001/183809 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 403 of 952
NO STW
INTAN RACHMITA SARI
25 31-07-1988/552483877031000 0 2,641,200 185,000 0 72,420 0 0
198807312014032001/184381 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
KUMALASARI
26 10-09-1968/578757478085000 1 3,491,500 0 0 289,680 0 0
196809101990032004/120279 2 349,150 0 300,000 0 398,031 7,000 4,165,000
PNS/820352/IIIB 4 139,660 0 41 4,570,031 0 405,031
ESTHER DEVINA
27 19-09-1984/776635492039000 1 2,724,400 0 0 289,680 0 0
198409192011012017/180671 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820107/IIIB 4 108,976 0 85 3,720,581 0 317,581
TUNGGUL SIANTURI
28 10-11-1963/495141087415000 1 3,601,400 185,000 0 289,680 0 0
196311101989031030/113595 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
JUPRIYATNO
29 29-05-1959/495141178402000 1 3,952,600 185,000 0 217,260 0 0
195905291983031007/079111 1 395,260 0 0 0 442,691 7,000 4,379,500
PNS/798022/IIIB 3 79,052 185,000 19 4,829,191 0 449,691
ASEP TISNA SANJAYA

30 05-01-1964/495141251451000 0 3,714,900 185,000 0 217,260 0 0
196401051986031026/108988 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
21/12/2016

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NO STW
SUPRIATNA
31 01-01-1966/495141061434000 1 3,714,900 185,000 0 217,260 0 0
196601011987031012/110589 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
MAISARO
32 02-12-1965/473786861036000 1 3,714,900 185,000 0 217,260 0 0
196512021987032004/110634 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
ISWADI
33 10-08-1966/572022432416000 1 3,714,900 185,000 0 289,680 0 0
196608101987031008/110735 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
TOTO JOKO L
34 20-01-1967/774048458013000 1 3,714,900 0 0 144,840 0 0
196701201989031009/120942 0 371,490 0 265,000 0 408,639 7,000 4,080,600
PNS/820325/IIIB 2 0 0 9 4,496,239 0 415,639
DINA
35 14-07-1969/090760117031000 1 3,491,500 0 0 289,680 0 0
196907151991012002/125330 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
YAHDIAR RAHMAH
36 28-07-1968/793701855086000 1 3,601,400 0 0 72,420 0 0
196807281988112001/162805 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
21/12/2016

Page 405 of 952
NO STW
ANDRI PURNAMA
37 18-08-1978/578757486045000 1 2,868,700 0 0 289,680 0 0
197808182000031003/161702 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820622/IIIA 4 114,748 0 33 3,825,031 0 334,031
HARYATI
38 11-04-1966/495141277036000 0 3,564,100 0 0 144,840 0 0
196604111987032005/121692 1 0 0 265,000 0 363,538 7,000 3,674,700
PNS/820313/IIIA 2 71,282 0 16 4,045,238 0 370,538
SUMARTATI
39 19-10-1961/495140485407000 1 3,052,200 0 0 72,420 0 0
196110191997032001/123356 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
UUM MULYANI
40 26-02-1977/260303763085000 1 2,752,300 0 0 289,680 0 0
197702262006042018/165634 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
FEBY NILA ANGGRAINI

41 25-01-1988/896208113039000 1 2,406,000 180,000 0 217,260 0 0
198801252010012016/179109 1 240,600 0 0 0 269,472 5,000 2,817,600
PNS/798011/IID 3 48,120 180,000 92 3,092,072 0 274,472
NINING CUNINGSIH
42 21-01-1981/590332417013000 1 2,431,200 0 0 217,260 0 0
198101212011012007/180935 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
21/12/2016

Page 406 of 952
NO STW
RIA ANGGRAINI
43 10-01-1983/493835235323000 1 2,431,200 0 0 217,260 0 0
198301102011012014/180978 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
ESTER TETTY MEGAWATI

44 03-02-1987/782999791402000 0 2,431,200 0 0 217,260 0 0
198702032011012018/181840 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
HOTMAWATI PARDOSI
45 30-06-1968/473645679039000 1 3,213,800 0 0 217,260 0 0
196806301991032010/120352 1 321,380 0 240,000 0 359,945 5,000 3,691,800
PNS/820314/IID 3 64,276 0 29 4,056,745 0 364,945
NURMALA SIANIPAR
46 06-04-1975/495140634085000 1 2,838,900 0 0 289,680 0 0
197504061997032003/123547 2 283,890 0 265,000 0 323,634 5,000 3,462,400
PNS/820313/IID 4 113,556 0 8 3,791,034 0 328,634
SITI NURDIANA
47 28-08-1973/473645687031000 1 2,928,300 180,000 0 289,680 0 0
197308281997032004/125415 2 292,830 0 0 0 333,826 5,000 3,469,200
PNS/798011/IID 4 117,132 180,000 84 3,808,026 0 338,826
DEDEH SHOLIHAH
48 31-08-1988/346256670411000 0 2,406,000 180,000 0 72,420 0 0
198808312010012010/178976 0 0 0 0 0 240,600 5,000 2,412,900
PNS/798022/IIC 1 0 180,000 80 2,658,500 0 245,600
21/12/2016

Page 407 of 952
NO STW
FEBRIANA SEKAR
49 16-02-1992/705043248418000 1 2,261,300 180,000 0 144,840 0 0
199202162014032002/183859 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
ISNAINI FAHRU RAZI

50 23-08-1992/805314532416000 0 2,261,300 180,000 0 72,420 0 0
199208232014031001/183939 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
QONITA PRATIWI
51 08-10-1991/725366623034000 0 2,261,300 180,000 0 72,420 0 0
199110082014032002/184111 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ETI ROHAYATI
52 27-04-1980/252300496416000 0 2,559,900 0 0 72,420 0 0
198004272007012010/168768 0 0 0 240,000 0 255,990 5,000 2,611,400
PNS/820343/IIC 1 0 0 70 2,872,390 0 260,990
WISNU YULIANTO NUR

53 24-07-1983/260510987416000 1 2,559,900 0 0 289,680 0 0
198307242008011009/171199 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820355/IIC 4 102,396 0 62 3,448,028 0 296,828
FERNAULI
54 10-08-1973/495141459036000 1 2,809,500 180,000 0 289,680 0 0
197308101996032004/122327 2 280,950 0 0 0 320,283 5,000 3,347,300
PNS/798022/IIC 4 112,380 180,000 73 3,672,583 0 325,283
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Page 408 of 952
NO STW
SAFREDI
55 16-04-1972/495140618034000 1 2,723,700 0 0 289,680 0 0
197204161997051001/125594 2 272,370 0 240,000 0 310,501 5,000 3,319,200
PNS/820314/IIC 4 108,948 0 3 3,634,701 0 315,501
YUNI SYAHFITRI
56 27-06-1984/705502649031000 1 2,048,480 185,000 0 72,420 0 0
198406272014032001/184453 0 0 0 0 0 204,848 7,000 2,094,100
CPNS/798981/IIIB 1 0 185,000 48 2,305,948 0 211,848
180,496,780 4,035,000 1,520,000 10,573,320 0 0

TOTAL 13,062,250 0 15,000,000 0 19,676,903 366,000 207,857,100
3,210,152 4,035,000 2,501 227,900,003 0 20,042,903
JAKARTA,
MENGETAHUI
21/12/2016

Page 409 of 952
UKPD: PUSKESMAS KEL.GROGOL KEC.GROGOL PETAMBURAN
NO STW
SOFIA RAHARDJA
1 07-08-1962/051366748041000 1 4,569,900 0 0 217,260 0 0
196208071989032004/120813 1 456,990 0 1,200,000 0 511,828 10,000 6,013,800
PNS/820602/IVC 3 91,398 0 80 6,535,628 0 521,828
DIYAH TJAHYANINGRUM
2 27-03-1964/495140428416000 1 4,384,400 0 0 217,260 0 0
196403271991032003/118968 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
INDRA WIJAYA
3 04-06-1963/244076220036000 1 4,339,000 0 0 289,680 0 0
196306041989021003/118021 2 433,900 0 1,200,000 0 494,646 10,000 5,931,500
PNS/820602/IVA 4 173,560 0 6 6,436,146 0 504,646
13,293,300 0 0 724,200 0 0
TOTAL 1,329,330 0 3,600,000 0 1,497,526 30,000 17,772,100
352,646 0 150 19,299,626 0 1,527,526
JAKARTA,
MENGETAHUI
21/12/2016

Page 410 of 952
UKPD: PUSKESMAS KEL.JELAMBAR KEC.GROGOL PETAMBURAN
NO STW
RATNA NURLELY SILAEN
1 02-04-1965/578757445416000 0 4,384,400 0 0 144,840 0 0
196504021991032005/118994 1 0 0 1,200,000 0 447,208 10,000 5,359,800
PNS/820102/IVB 2 87,688 0 80 5,817,008 0 457,208
RR ANITAH SUTJI
2 01-08-1963/495140352086000 1 4,078,100 0 0 144,840 0 0
196308011994012001/123144 0 407,810 0 1,200,000 0 448,591 10,000 5,372,200
PNS/820602/IVA 2 0 0 41 5,830,791 0 458,591
8,462,500 0 0 289,680 0 0
TOTAL 407,810 0 2,400,000 0 895,799 20,000 10,732,000
87,688 0 121 11,647,799 0 915,799
JAKARTA,
MENGETAHUI
21/12/2016

Page 411 of 952
UKPD: PUSKESMAS KEL.TNJUNG DUREN UTR
NO STW
MARTHA G SIBARANI
1 07-10-1959/589562917036000 1 4,164,000 0 0 72,420 0 0
195910071991032001/115758 0 0 0 1,200,000 0 416,400 10,000 5,010,100
PNS/820102/IVC 1 0 0 80 5,436,500 0 426,400
ERIS JUNI ASTUTI

2 17-06-1966/495140394031000 1 4,384,400 0 0 289,680 0 0
196606171992122001/123237 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
8,548,400 0 0 362,100 0 0
TOTAL 438,440 0 2,400,000 0 916,221 20,000 10,988,200
175,376 0 105 11,924,421 0 936,221
JAKARTA,
MENGETAHUI
21/12/2016

Page 412 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN TAMBORA
NO STW
AHRAHAYATI WILDANY
1 28-11-1963/574410148411000 1 3,565,000 0 980,000 144,840 0 0
196311282002122001/165180 0 356,500 0 0 0 392,150 7,000 4,647,200
PNS/000000/IIID 2 0 0 10 5,046,350 0 399,150
SAULAS DONATER
2 26-01-1972/774448732405000 1 3,528,100 0 540,000 289,680 0 0
197201261992032003/180057 2 352,810 0 0 0 402,203 7,000 4,442,600
PNS/500100/IIIC 4 141,124 0 89 4,851,803 0 409,203
JAN RUSLY
3 31-03-1957/180173775033000 1 4,713,800 0 0 144,840 0 0
195703311989031002/120357 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820102/IVC 2 0 0 98 6,530,118 0 528,518
EKO SUWOKO
4 09-07-1961/573282431085000 1 4,811,900 0 0 217,260 0 0
196107091981121001/076332 1 481,190 0 850,000 0 538,932 10,000 5,907,700
PNS/820306/IVB 3 96,238 0 44 6,456,632 0 548,932
BERTINA KRISTIANI
5 18-08-1960/573282340005000 1 4,429,300 0 0 144,840 0 0
196008181981032006/072402 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
TOGI MEGAWATI
6 03-10-1959/584476956086000 1 4,294,000 0 0 72,420 0 0
195910031981072001/111841 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
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Page 413 of 952
NO STW
SUSANTI
7 04-04-1972/584476964031000 1 3,214,700 0 0 217,260 0 0
197204042006042023/165289 1 321,470 0 750,000 0 360,046 7,000 4,200,700
PNS/820103/IIIC 3 64,294 0 22 4,567,746 0 367,046
ROBIATUL ADAWIYAH
8 10-05-1983/363423625003000 1 2,839,700 0 0 289,680 0 0
198305102011012012/180665 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
RAMAYANTI
9 04-07-1983/687611764426000 1 2,839,700 0 0 289,680 0 0
198307042011012012/181015 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
ELLY DARTY
10 10-10-1964/573282365019000 1 3,315,900 0 0 144,840 0 0
196410101997032001/123448 0 331,590 0 600,000 0 364,749 7,000 4,020,600
PNS/820307/IIIC 2 0 0 19 4,392,349 0 371,749
M HAPISUDIN
11 28-08-1964/573282464403000 1 3,994,000 0 0 144,840 0 0
196408201988031006/123477 0 399,400 0 500,000 0 439,340 7,000 4,591,900
PNS/820312/IIIC 2 0 0 0 5,038,240 0 446,340
KISWANTO
12 17-08-1964/573282480085000 0 3,872,000 0 0 72,420 0 0
196408171986031017/108320 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/830223/IIIC 1 0 0 80 4,444,500 0 394,200
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Page 414 of 952
NO STW
MERRY PASARIBU
13 15-08-1964/573282530407000 1 3,420,300 0 0 289,680 0 0
196408151997032001/124884 2 342,030 0 265,000 0 389,914 7,000 4,057,000
PNS/820313/IIIC 4 136,812 0 92 4,453,914 0 396,914
RISA ROSMALIN
14 16-07-1984/688867952027000 0 2,810,200 185,000 0 72,420 0 0
198407162010012033/177510 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
D.M. GUSTI AYU SIREGAR

15 01-11-1988/705272664035000 0 2,641,200 185,000 0 72,420 0 0
198811012014032002/183583 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DIKA ISNAINI
16 22-03-1987/090843319031000 0 2,641,200 185,000 0 72,420 0 0
198703222014031002/183595 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
IRA NOLA LINGGA

17 18-11-1989/545891897112000 0 2,641,200 185,000 0 72,420 0 0
198911182014032003/183646 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
IRMA MELINA
18 05-07-1987/546336538121000 0 2,641,200 185,000 0 72,420 0 0
198707052014032001/183648 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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Page 415 of 952
NO STW
PUSPITA NOVARIANA
19 09-11-1985/705379162412000 1 2,641,200 185,000 0 72,420 0 0
198511092014032001/183695 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MELATI AGUSTINA
20 06-08-1986/090793795031000 0 2,641,200 185,000 0 72,420 0 0
198608062014032002/183790 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SUSANTY
21 03-09-1984/875726564031000 0 2,641,200 185,000 0 72,420 0 0
198409032014032004/183807 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIJADI
22 13-07-1974/584911663003000 1 2,990,000 0 0 289,680 0 0
197407131998031003/125880 2 299,000 0 300,000 0 340,860 7,000 3,650,500
PNS/820309/IIIB 4 119,600 0 80 3,998,360 0 347,860
SURATMO
23 28-05-1968/684564701024000 1 3,384,900 0 0 289,680 0 0
196805281992031007/117863 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
RUGUN HUTABARAT
24 19-08-1968/573282613034000 1 3,281,500 0 0 289,680 0 0
196808191998032001/125861 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
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Page 416 of 952
NO STW
JUNEDI
25 20-03-1965/573282373033000 1 3,714,900 185,000 0 217,260 0 0
196503201986031007/108319 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
LINDA
26 10-08-1966/576143762451000 1 3,714,900 185,000 0 72,420 0 0
196608101986032006/108488 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
CECEP SUHERMAN
27 02-11-1964/573282662033000 1 3,714,900 185,000 0 144,840 0 0
196411021987031006/110577 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
MARLON SIRAIT
28 13-07-1966/573282647034000 1 3,714,900 185,000 0 217,260 0 0
196607131987031005/111067 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
ROMA SIAHAAN
29 07-07-1966/584476782085000 1 3,601,400 185,000 0 217,260 0 0
196607071988032008/111228 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
RITA PURWANTI
30 03-12-1967/973282472009000 0 3,601,400 185,000 0 72,420 0 0
196712031988022002/111432 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
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Page 417 of 952
NO STW
RINDU SINAGA
31 19-12-1967/728446451435000 1 3,181,300 0 0 289,680 0 0
196712191997032001/123325 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
ROSINTA SIMANJUNTAK
32 21-08-1973/573282399412000 1 3,148,300 0 0 289,680 0 0
197308211997032003/123298 2 314,830 0 300,000 0 358,906 7,000 3,812,900
PNS/820323/IIIA 4 125,932 0 64 4,178,806 0 365,906
FLORIANA ARTARIA PURBA

33 21-10-1969/584476741451000 1 3,455,300 0 0 289,680 0 0
196902211989032002/162633 2 345,530 0 265,000 0 393,904 7,000 4,092,900
PNS/830224/IIIA 4 138,212 0 82 4,493,804 0 400,904
DIDIN NURYADIN
34 28-10-1973/584476881435000 1 3,148,300 0 0 289,680 0 0
197310281998031006/125860 2 314,830 0 300,000 0 358,906 7,000 3,812,900
PNS/820309/IIIA 4 125,932 0 64 4,178,806 0 365,906
DIDIN SUNARDI
35 05-03-1984/584476774085000 1 2,781,100 0 0 289,680 0 0
198403052006041003/164987 2 278,110 0 300,000 0 317,045 7,000 3,436,100
PNS/820309/IIIA 4 111,244 0 11 3,760,145 0 324,045
CHILDA LATIFA
36 14-10-1965/584476733037000 1 3,564,100 185,000 0 72,420 0 0
196510141987032003/110480 0 0 0 0 0 356,410 7,000 3,458,200
PNS/798022/IIIA 1 0 185,000 90 3,821,610 0 363,410
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Page 418 of 952
NO STW
AHMAD RIVAI
37 01-08-1965/573282639085000 1 3,564,100 185,000 0 217,260 0 0
196508011987031003/110555 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798012/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
ALIDA PURBA
38 25-05-1968/684564719034000 1 3,349,800 0 0 72,420 0 0
196805251990112002/116475 0 0 0 600,000 0 334,980 7,000 3,680,300
PNS/820307/IIIA 1 0 0 60 4,022,280 0 341,980
SUPRIYADI NINGRAT
39 02-06-1967/790796874033000 1 3,455,300 185,000 0 144,840 0 0
196706021988031004/117766 0 345,530 0 0 0 380,083 7,000 3,743,600
PNS/798022/IIIA 2 0 185,000 13 4,130,683 0 387,083
SITI WASLIAH
40 04-06-1965/576143770451000 1 3,349,800 0 0 72,420 0 0
196506041990122001/120337 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820342/IIIA 1 0 0 60 3,687,280 0 341,980
HULMAN TUMPAL P
41 14-10-1971/573282670039000 1 3,148,300 185,000 0 289,680 0 0
197110141995031001/120736 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
RITA MELFAWATY H
42 25-06-1970/584476758086000 1 3,247,500 0 0 289,680 0 0
197006251996032002/122225 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820313/IIIA 4 129,900 0 85 4,256,915 0 377,215
21/12/2016

Page 419 of 952
NO STW
DEDE SUMIATI
43 02-02-1969/695030031033000 1 3,349,800 0 0 217,260 0 0
196902021991032008/128261 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820342/IIIA 3 66,996 0 41 4,234,077 0 382,177
WATI UTAMI
44 06-01-1973/584476865034000 1 3,052,200 0 0 289,680 0 0
197301061999032004/157909 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820622/IIIA 4 122,088 0 62 4,034,250 0 354,950
TITIN NURHAYATI
45 04-01-1984/896201589033000 1 2,507,800 0 0 289,680 0 0
198401042010012032/178969 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
SUZAN OKTAVIANI
46 14-04-1977/584476873036000 1 2,668,200 0 0 217,260 0 0
197704142006042028/165612 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820343/IID 3 53,364 0 94 3,445,738 0 303,838
KARNISEM
47 21-10-1962/584476766029000 1 3,315,100 180,000 0 144,840 0 0
196210211985032002/075464 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
RENI INDAYANI
48 24-08-1982/360356745033000 1 2,752,300 0 0 289,680 0 0
198208242007012010/168512 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
21/12/2016

Page 420 of 952
NO STW
AZIIZAH WAHYUNINGTYAS
49 21-03-1992/704438944416000 0 2,261,300 180,000 0 72,420 0 0
199203212014032002/183448 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DIKNA SHAFIYYATUL SANI

50 17-08-1992/705265155416000 0 2,261,300 180,000 0 72,420 0 0
199208172014032001/183526 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DIYAN PURWASIH
51 08-07-1986/790700553402000 0 2,261,300 180,000 0 72,420 0 0
198607082014032004/183538 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NURANISAH
52 11-01-1989/458558343533000 1 2,261,300 180,000 0 72,420 0 0
198901112014032001/184068 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SETYORINI
53 21-05-1990/703214684523000 0 2,261,300 180,000 0 72,420 0 0
199005212014032002/184203 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
YOSI ZULFIKRI MULFASARI

54 14-06-1990/702928409424000 0 2,261,300 180,000 0 72,420 0 0
199006142014032004/184296 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 421 of 952
NO STW
ISTI BUDIARSIH
55 26-11-1987/343975322451000 0 2,332,500 0 0 72,420 0 0
198711262011012015/180970 0 0 0 240,000 0 233,250 5,000 2,406,700
PNS/820314/IIC 1 0 0 30 2,644,950 0 238,250
ROZALINA
56 05-09-1983/670111707019000 1 2,332,500 0 0 217,260 0 0
198309052011012011/181825 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
DWI PUTRI INGGRIANI

57 09-09-1987/null 1 2,332,500 0 0 289,680 0 0
198709092011012027/181846 2 233,250 0 240,000 0 265,905 5,000 2,917,900
PNS/820314/IIC 4 93,300 0 75 3,188,805 0 270,905
KAMIDI
58 12-01-1962/573282514416000 1 2,723,700 180,000 0 144,840 0 0
196201121992021001/116499 0 272,370 0 0 0 299,607 5,000 3,016,400
PNS/798022/IIC 2 0 180,000 97 3,321,007 0 304,607
ADANG SUTISNA
59 17-11-1976/573282506064000 1 2,809,500 0 0 289,680 0 0
197611172000121002/161557 2 280,950 0 240,000 0 320,283 5,000 3,407,300
PNS/820355/IIC 4 112,380 0 73 3,732,583 0 325,283
ROSMINARIA SINAGA
60 11-07-1960/573282654034000 1 3,180,500 180,000 0 217,260 0 0
196007111985032007/104378 1 318,050 0 0 0 356,216 5,000 3,598,300
PNS/798041/IIC 3 63,610 180,000 96 3,959,516 0 361,216
21/12/2016

Page 422 of 952
NO STW
188,173,400 4,950,000 1,520,000 10,573,320 0 0
TOTAL 12,522,850 0 12,765,000 0 20,369,315 394,000 212,740,700
2,997,002 4,950,000 2,443 233,504,015 0 20,763,315
JAKARTA,
MENGETAHUI
21/12/2016

Page 423 of 952
UKPD: PUSKESMAS KEL.KALIANYAR KE.TAMBORA JB
NO STW
A M HANDOKO
1 18-04-1960/491198867028000 1 4,475,700 0 0 144,840 0 0
196004181989011001/122323 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820602/IVA 2 0 0 17 6,268,127 0 502,327
4,475,700 0 0 144,840 0 0
TOTAL 447,570 0 1,200,000 0 492,327 10,000 5,765,800
0 0 17 6,268,127 0 502,327
JAKARTA,
MENGETAHUI
21/12/2016

Page 424 of 952
UKPD: PUSKESMAS KEL.DURIUTARA KEC.TAMBORA JB
NO STW
NURHAYATI
1 20-08-1971/584476931034000 1 3,214,700 0 0 289,680 0 0
197108202007012012/168504 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
3,214,700 0 0 289,680 0 0
TOTAL 321,470 0 750,000 0 366,475 7,000 4,331,000
128,588 0 37 4,704,475 0 373,475
JAKARTA,
MENGETAHUI
21/12/2016

Page 425 of 952
UKPD: PUSKESMAS KEL.JEMBATAN BESI KEC.TAMBORA
NO STW
VIVI SAFITRI
1 06-09-1977/694935628033000 1 3,350,600 0 0 289,680 0 0
197709062006042013/171647 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
3,350,600 0 0 289,680 0 0
TOTAL 335,060 0 750,000 0 381,968 7,000 4,470,400
134,024 0 4 4,859,368 0 388,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 426 of 952
UKPD: PUSKESMAS KEL.TAMBORA KEC.TAMBORA
NO STW
RAHMI MARISA
1 29-03-1978/899237960411000 0 2,810,200 0 0 217,260 0 0
197803292010012013/178898 1 281,020 0 750,000 0 314,742 7,000 3,793,000
PNS/820103/IIIC 3 56,204 0 58 4,114,742 0 321,742
2,810,200 0 0 217,260 0 0
TOTAL 281,020 0 750,000 0 314,742 7,000 3,793,000
56,204 0 58 4,114,742 0 321,742
JAKARTA,
MENGETAHUI
21/12/2016

Page 427 of 952
UKPD: PUSKESMAS KEL.PEKOJAN KEC.TAMBORA
NO STW
FRANCISCA
1 27-05-1960/076414598017999 1 4,522,500 0 0 144,840 0 0
196005271989012002/123129 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
4,522,500 0 0 144,840 0 0
TOTAL 452,250 0 1,200,000 0 497,475 10,000 5,812,200
0 0 85 6,319,675 0 507,475
JAKARTA,
MENGETAHUI
21/12/2016

Page 428 of 952
UKPD: PUSKESMAS KEL.ROA MALAKA KEC.TAMBORA
NO STW
YURNALIS
1 15-04-1977/584476840416000 1 3,116,500 185,000 0 289,680 0 0
197704152006041010/164952 2 311,650 0 0 0 355,281 7,000 3,665,300
PNS/798011/IIIC 4 124,660 185,000 91 4,027,581 0 362,281
3,116,500 185,000 0 289,680 0 0

TOTAL 311,650 0 0 0 355,281 7,000 3,665,300
124,660 185,000 91 4,027,581 0 362,281
JAKARTA,
MENGETAHUI
21/12/2016

Page 429 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN TAMANSARI
NO STW
HERWIN MEIFENDY
1 29-05-1968/495141343086000 1 3,350,600 0 980,000 289,680 0 0
196805292007011012/168380 2 335,060 0 0 0 381,968 7,000 4,700,400
PNS/000000/IIID 4 134,024 0 4 5,089,368 0 388,968
MUKLATUL AINIAH
2 07-03-1970/682988167002000 1 3,639,200 0 540,000 217,260 0 0
197003071990022001/122888 1 363,920 0 0 0 407,590 7,000 4,418,600
PNS/500100/IIIC 3 72,784 0 26 4,833,190 0 414,590
SUWEINO
3 17-06-1968/493817670085000 1 3,715,800 0 0 289,680 0 0
196806172002121004/165175 2 371,580 0 1,200,000 0 423,601 10,000 5,292,100
PNS/820102/IVA 4 148,632 0 9 5,725,701 0 433,601
ROSA RIA
4 27-07-1961/477788269432000 1 4,078,100 0 0 72,420 0 0
196107291993122001/123450 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
ENDANG SUHARNI
5 24-03-1959/578337768009000 1 4,429,300 0 0 144,840 0 0
195903241977032001/056018 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
TOTI WIDOWATI
6 31-01-1960/688633049402000 1 4,429,300 0 0 144,840 0 0
196001311981102002/084607 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
21/12/2016

Page 430 of 952
NO STW
ERLIN SIMAMORA
7 06-04-1968/784192759005000 1 3,793,100 0 0 289,680 0 0
196804061991032008/162418 2 379,310 0 500,000 0 432,413 7,000 4,674,500
PNS/820341/IIID 4 151,724 0 99 5,113,913 0 439,413
SITI SOPIAH
8 28-12-1969/251281697401000 1 3,528,100 0 0 289,680 0 0
196912281990072001/171104 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
DINA HERDIANA
9 26-04-1975/681810164024000 1 3,214,700 0 0 289,680 0 0
197504262007012006/183036 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
HARI SANTOSO
10 08-10-1979/477788244416000 1 3,116,500 0 0 217,260 0 0
197910082006041007/164986 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
DERIAVITA
11 21-06-1975/477788285416000 0 3,315,900 0 0 72,420 0 0
197506212006042021/165299 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820603/IIIC 1 0 0 70 4,138,390 0 338,590
YULIANI SAVITRI
12 22-07-1983/363507021411000 1 2,839,700 0 0 289,680 0 0
198307222011012010/180223 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
21/12/2016

Page 431 of 952
NO STW
NOVALINA
13 23-11-1972/688633072037000 1 3,528,100 0 0 72,420 0 0
197211231992032004/124258 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
MESRIDA SIHITE
14 11-09-1963/076490416032000 1 3,420,300 0 0 217,260 0 0
196309111997032001/125305 1 342,030 0 500,000 0 383,073 7,000 4,158,000
PNS/820312/IIIC 3 68,406 0 77 4,548,073 0 390,073
YENTI
15 20-01-1969/null 1 3,528,100 0 0 289,680 0 0
196901201992032006/162665 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820312/IIIC 4 141,124 0 89 4,811,803 0 409,203
LUCIA
16 13-12-1962/477788301412000 1 4,119,700 0 0 217,260 0 0
196212311984012007/083724 1 411,970 0 500,000 0 461,406 7,000 4,863,000
PNS/820621/IIIC 3 82,394 0 82 5,331,406 0 468,406
DARMA JULIANA S
17 10-04-1971/688632991008000 1 3,420,300 0 0 144,840 0 0
197104101997032004/123576 0 342,030 0 500,000 0 376,233 7,000 4,024,000
PNS/820312/IIIC 2 0 0 63 4,407,233 0 383,233
SENI RYEGINA
18 26-10-1981/275501104024999 1 2,929,100 0 0 289,680 0 0
198110262010012017/178824 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
21/12/2016

Page 432 of 952
NO STW
MABRURI
19 30-06-1979/096735840037000 0 2,810,200 185,000 0 72,420 0 0
197906302010011020/177530 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
ARUM PUSPITASARI
20 16-03-1985/242908937542999 1 2,641,200 185,000 0 72,420 0 0
198503162014032002/183565 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
INDAH BUDIARTI
21 27-05-1987/090823766031000 1 2,641,200 185,000 0 72,420 0 0
198705272014032003/183641 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DR. YENNI RAKHMAYANI

22 26-08-1970/485608087086999 0 2,990,000 0 0 72,420 0 0
197008262008012015/174605 0 0 0 325,000 0 299,000 7,000 3,081,500
PNS/820107/IIIB 1 0 0 80 3,387,500 0 306,000
DESTI DRASTIANA
23 07-12-1985/363447103008000 0 2,724,400 185,000 0 72,420 0 0
198512072011012012/180217 0 0 0 0 0 272,440 7,000 2,702,400
PNS/798011/IIIB 1 0 185,000 20 2,981,840 0 279,440
ANISA FEBRIYANTI RUSLI

24 04-02-1983/090794298031000 1 2,724,400 0 0 217,260 0 0
198302042011012018/181236 1 272,440 0 325,000 0 305,132 7,000 3,281,500
PNS/820607/IIIB 3 54,488 0 44 3,593,632 0 312,132
21/12/2016

Page 433 of 952
NO STW
LINA ANGGRAENI
25 28-03-1984/705382281086000 1 2,641,200 185,000 0 217,260 0 0
198403282014032006/183664 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
NUNU SUSANTI
26 27-11-1981/705338432003000 1 2,641,200 185,000 0 144,840 0 0
198111272014032002/183689 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
ROSY KUSUMA
27 06-06-1985/705274256074000 1 2,641,200 185,000 0 217,260 0 0
198506062014032003/183721 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MEIRICA ROSALINE
28 07-05-1988/668629462411000 1 2,641,200 185,000 0 217,260 0 0
198805072014032005/183788 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MOHAMAD ZAINAL
29 02-06-1967/null 1 3,601,400 0 0 289,680 0 0
196706021985031001/070449 2 360,140 0 265,000 0 410,559 7,000 4,242,800
PNS/820313/IIIB 4 144,056 0 83 4,660,359 0 417,559
SITI ALIMAH
30 20-09-1970/688632975033000 1 3,181,300 185,000 0 217,260 0 0
197009201997032002/123357 1 318,130 0 0 0 356,305 7,000 3,602,100
PNS/798011/IIIB 3 63,626 185,000 89 3,965,405 0 363,305
21/12/2016

Page 434 of 952
NO STW
MESINA SITANGGANG
31 10-06-1969/688633015416000 1 3,384,900 0 0 144,840 0 0
196906101992012001/161630 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820342/IIIB 2 0 0 9 4,133,239 0 379,339
SULAHMIYATI
32 13-07-1959/688633080022000 1 3,455,300 185,000 0 72,420 0 0
195907131985032003/070363 0 0 0 0 0 345,530 7,000 3,360,200
PNS/798022/IIIA 1 0 185,000 10 3,712,730 0 352,530
ANA ZUNAENAH
33 12-01-1972/594678096037000 1 3,247,500 0 0 217,260 0 0
197201121993122001/125324 1 324,750 0 265,000 0 363,720 7,000 3,748,800
PNS/820354/IIIA 3 64,950 0 60 4,119,520 0 370,720
FUNGLI
34 07-06-1975/688633106033000 1 2,838,900 0 0 217,260 0 0
197506072006042030/165451 1 283,890 0 240,000 0 317,956 5,000 3,313,900
PNS/820343/IID 3 56,778 0 28 3,636,856 0 322,956
ANNA RUPI KASIANTI

35 08-09-1986/577243181003000 1 2,431,200 0 0 217,260 0 0
198609082011012023/180973 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
SUHANDA
36 01-10-1964/688633122403000 1 3,419,500 180,000 0 144,840 0 0
196410011987031004/110619 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
21/12/2016

Page 435 of 952
NO STW
DANANG TRI SAPUTRO
37 11-09-1992/705314623528000 0 2,261,300 180,000 0 72,420 0 0
199209112014031002/183479 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DIAN RATNA SAPUTRI

38 31-10-1992/705302974032000 0 2,261,300 180,000 0 72,420 0 0
199210312014032001/183519 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MUGIONO
39 25-07-1981/688593375086000 1 2,559,900 0 0 289,680 0 0
198107252008011019/174660 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820314/IIC 4 102,396 0 62 3,448,028 0 296,828
RATNA SARI YULIANA

40 16-07-1990/668639768502000 0 2,261,300 180,000 0 72,420 0 0
199007162014032005/184124 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RINI SETIANI
41 15-08-1992/705278083032000 0 2,261,300 180,000 0 72,420 0 0
199208152014032001/184154 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
TRIASTUTI
42 26-08-1989/671321230416000 0 2,261,300 180,000 0 72,420 0 0
198908262014032003/184257 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 436 of 952
NO STW
HASANAH
43 18-01-1961/688633031032000 1 3,180,500 180,000 0 72,420 0 0
196101181985032003/087981 0 0 0 0 0 318,050 5,000 3,109,900
PNS/798041/IIC 1 0 180,000 30 3,432,950 0 323,050
DWI ARDIYANTI
44 26-04-1977/688633023009000 1 2,613,200 0 0 289,680 0 0
197704261999032002/162193 2 261,320 0 265,000 0 297,904 5,000 3,230,900
PNS/830224/IIB 4 104,528 0 76 3,533,804 0 302,904
SILVANY SELVIE
45 17-09-1977/700869274071000 1 2,586,100 0 0 217,260 0 0
197709171996022001/162801 1 258,610 0 240,000 0 289,643 5,000 3,059,100
PNS/820314/IIA 3 51,722 0 51 3,353,743 0 294,643
MUSANI
46 30-04-1959/688633007407000 1 2,838,200 180,000 0 217,260 0 0
195904301984101002/084297 1 283,820 0 0 0 317,878 5,000 3,253,200
PNS/798042/IIA 3 56,764 180,000 34 3,576,078 0 322,878
142,136,500 3,290,000 1,520,000 8,183,460 0 0

TOTAL 9,946,510 0 13,320,000 0 15,435,118 302,000 164,929,700
2,268,286 3,290,000 2,062 180,666,818 0 15,737,118
JAKARTA,
MENGETAHUI
21/12/2016

Page 437 of 952
UKPD: RUMAH SAKIT UMUM KELAS D TAMAN SARI
NO STW
BUDHI PRAYUDI
1 01-02-1971/240067579005000 1 3,715,800 0 980,000 289,680 0 0
197102012002121005/165168 2 371,580 0 0 0 423,601 10,000 5,072,100
PNS/000000/IVA 4 148,632 0 9 5,505,701 0 433,601
TITTA GUSNI SALIM

2 13-09-1974/675091862017000 1 3,456,200 0 540,000 289,680 0 0
197409132006042020/165324 2 345,620 0 0 0 394,006 7,000 4,368,800
PNS/700100/IIID 4 138,248 0 58 4,769,806 0 401,006
SUGENG P
3 25-01-1972/493374573006000 1 3,420,300 0 540,000 289,680 0 0
197201251994031004/118853 2 342,030 0 0 0 389,914 7,000 4,332,000
PNS/500100/IIIC 4 136,812 0 92 4,728,914 0 396,914
ACHMAD ABDU
4 02-05-1978/476080684407000 1 3,753,800 0 540,000 289,680 0 0
197805021998031007/125814 2 375,380 0 0 0 427,933 7,000 4,674,100
PNS/700200/IIIC 4 150,152 0 21 5,109,033 0 434,933
SYLVIANA MARCELLA
5 07-03-1980/485604102036000 0 3,248,300 185,000 0 72,420 0 0
198003072006042010/164877 0 0 0 0 0 324,830 7,000 3,173,900
PNS/798011/IIID 1 0 185,000 10 3,505,730 0 331,830
MYRNA MARTINUS
6 01-03-1962/null 1 4,162,900 185,000 0 72,420 0 0
196203011990022001/125739 0 0 0 0 0 416,290 7,000 3,997,100
PNS/798011/IIID 1 0 185,000 70 4,420,390 0 423,290
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NO STW
TRIYENI
7 03-08-1962/486887581037000 1 4,294,000 185,000 0 144,840 0 0
196208031983032012/158242 0 429,400 0 0 0 472,340 7,000 4,573,900
PNS/798011/IIID 2 0 185,000 0 5,053,240 0 479,340
IDA IRIANI
8 21-06-1968/574410080402000 1 3,753,800 0 0 144,840 0 0
196806211992032008/158615 0 375,380 0 265,000 0 412,918 7,000 4,119,200
PNS/820313/IIIC 2 0 0 98 4,539,118 0 419,918
AJENG PRAMESTI
9 01-12-1987/705273985402000 0 2,641,200 185,000 0 72,420 0 0
198712012014032002/183550 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DEBBY AGNURULINTANG
10 31-08-1986/096739156037000 0 2,641,200 185,000 0 72,420 0 0
198608312014032005/183585 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
TITIN KURNIA
11 19-02-1965/477788368037000 1 3,831,900 0 0 289,680 0 0
196502191985032007/070450 2 383,190 0 265,000 0 436,836 7,000 4,479,300
PNS/900011/IIIB 4 153,276 0 90 4,923,136 0 443,836
HEDDIANA NAINGGOLAN
12 10-08-1963/774142970451000 1 3,714,900 185,000 0 217,260 0 0
196308101986102002/109483 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
21/12/2016

Page 439 of 952
NO STW
RITA PANJAITAN
13 21-01-1965/182916296035000 1 3,714,900 185,000 0 144,840 0 0
196501211987032005/110448 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
GIMANTO
14 28-11-1966/593896962077000 1 3,714,900 185,000 0 144,840 0 0
196611281987031005/110726 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
JUWARNO
15 30-08-1974/578337750407000 1 3,181,300 0 0 217,260 0 0
197408301997031003/125616 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820313/IIIB 3 63,626 0 89 4,045,405 0 363,305
SUPARMINO
16 28-12-1968/245751979045000 1 3,676,400 0 0 217,260 0 0
196812261989021002/158514 1 367,640 0 265,000 0 411,756 7,000 4,181,100
PNS/820622/IIIA 3 73,528 0 28 4,599,856 0 418,756
FITRI ANDRIASARI
17 13-03-1990/705253763009000 0 2,261,300 180,000 0 72,420 0 0
199003132014032002/183871 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 440 of 952
NO STW
59,183,100 1,660,000 2,600,000 3,041,640 0 0
TOTAL 4,422,820 0 1,060,000 0 6,454,445 120,000 66,332,300
938,572 1,660,000 613 72,906,745 0 6,574,445
JAKARTA,
MENGETAHUI
21/12/2016

Page 441 of 952
UKPD: PUSKESMAS KEL.MANGGA BESAR KEC. TAMAN SARI
NO STW
TATI SRI HASTUTI
1 24-05-1965/058765729031000 1 4,522,500 0 0 72,420 0 0
196505241991032006/123817 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
4,522,500 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 452,250 10,000 5,332,700
0 0 30 5,794,950 0 462,250
JAKARTA,
MENGETAHUI
21/12/2016

Page 442 of 952
UKPD: PUSKESMAS KEL.KEAGUNGAN KEC.TAMAN SARI JAKBAR
NO STW
SALTIEL HAREFA
1 08-04-1958/180173437033000 1 4,569,900 0 0 144,840 0 0
195804081991031002/118158 0 456,990 0 1,200,000 0 502,689 10,000 5,859,100
PNS/820102/IVC 2 0 0 59 6,371,789 0 512,689
4,569,900 0 0 144,840 0 0
TOTAL 456,990 0 1,200,000 0 502,689 10,000 5,859,100
0 0 59 6,371,789 0 512,689
JAKARTA,
MENGETAHUI
21/12/2016

Page 443 of 952
UKPD: PUSKESMAS KEL.MAHPAR KEC.TAMAN SARI JAKBAR
NO STW
HANDONO SUNARYO
1 01-11-1961/087790218003000 0 4,250,600 0 0 217,260 0 0
196111011992031002/120575 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820602/IVB 3 85,012 0 35 6,177,967 0 486,067
4,250,600 0 0 217,260 0 0
TOTAL 425,060 0 1,200,000 0 476,067 10,000 5,691,900
85,012 0 35 6,177,967 0 486,067
JAKARTA,
MENGETAHUI
21/12/2016

Page 444 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN KEBON JERUK
NO STW
JUNAIDAH
1 17-07-1965/246143416008000 1 4,665,000 0 980,000 289,680 0 0
196507171992032009/162136 2 466,500 0 0 0 531,810 10,000 6,046,000
PNS/000000/IVB 4 186,600 0 30 6,587,810 0 541,810
SRI INDANI
2 28-10-1966/675092043016000 1 4,035,800 0 540,000 289,680 0 0
196610281987032007/110669 2 403,580 0 0 0 460,081 7,000 4,963,500
PNS/500100/IIID 4 161,432 0 89 5,430,581 0 467,081
PATRICIA MEGAWATI
3 28-12-1957/594721961039000 1 5,173,400 0 0 72,420 0 0
195712281983112001/114299 0 0 0 1,200,000 0 517,340 10,000 5,918,500
PNS/820602/IVC 1 0 0 20 6,445,840 0 527,340
SRI ASDIANA M.RITONGA

4 28-05-1968/776562829086000 1 3,873,000 0 0 144,840 0 0
196805282002122001/164728 0 387,300 0 1,200,000 0 426,030 10,000 5,169,200
PNS/820602/IVB 2 0 0 90 5,605,230 0 436,030
ALI M SALEH
5 29-08-1960/091253344035000 1 4,035,800 185,000 0 217,260 0 0
196008291994031003/157555 1 403,580 0 0 0 452,009 7,000 4,463,400
PNS/798022/IIID 3 80,716 185,000 53 4,922,409 0 459,009
HANDOKO
6 02-12-1967/175583814032000 1 3,565,000 0 0 289,680 0 0
196712022006041010/165511 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
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Page 445 of 952
NO STW
CICIH MURTIASIH
7 01-05-1960/245441787086000 1 4,294,000 0 0 144,840 0 0
196005011982022005/076792 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
AMBAR SISWATI
8 01-08-1959/776586844416000 1 4,429,300 0 0 144,840 0 0
195908011980032007/115290 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
M YASNI THAMZIL
9 13-07-1963/776494684411000 0 4,294,000 0 0 144,840 0 0
196307131983031014/116625 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820353/IIID 2 0 0 0 5,368,240 0 479,340
CICIH MINTARSIH
10 10-09-1971/172008542031000 0 3,793,100 0 0 72,420 0 0
197109101991032008/120881 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820341/IIID 1 0 0 90 4,365,610 0 386,310
MURYATI
11 28-05-1968/573826104086000 1 3,677,300 0 0 289,680 0 0
196805281996032002/122946 2 367,730 0 500,000 0 419,212 7,000 4,555,600
PNS/820312/IIID 4 147,092 0 10 4,981,812 0 426,212
SITI NAJMAH
12 04-06-1960/574410072416000 0 4,568,800 0 0 72,420 0 0
196006041979112001/125419 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820621/IIID 1 0 0 60 5,141,280 0 463,880
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Page 446 of 952
NO STW
RONNY PANJAITAN
13 02-04-1962/574410114451000 1 4,294,000 0 0 72,420 0 0
196204021985032016/162306 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
YOLITA
14 27-09-1971/246717177015001 1 3,116,500 0 0 217,260 0 0
197109272005022002/182813 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
SUBIYONO
15 31-12-1964/573110954031000 1 3,753,800 0 0 289,680 0 0
196401011988031022/115780 2 375,380 0 600,000 0 427,933 7,000 4,734,100
PNS/820322/IIIC 4 150,152 0 21 5,169,033 0 434,933
WITRI UTAMI
16 28-11-1969/251380739416001 1 3,214,700 0 0 217,260 0 0
196911282007012016/168432 1 321,470 0 325,000 0 360,046 7,000 3,775,700
PNS/820607/IIIC 3 64,294 0 22 4,142,746 0 367,046
ROSPITA SITUNGKIR
17 31-12-1964/684436850402000 1 3,872,000 185,000 0 289,680 0 0
196412311987032083/110127 2 387,200 0 0 0 441,408 7,000 4,440,400
PNS/798011/IIIC 4 154,880 185,000 48 4,888,808 0 448,408
BUDHI HANDI WIJAYA

18 03-02-1967/574410304402000 1 3,872,000 0 0 217,260 0 0
196702031987031002/110557 1 387,200 0 1,150,000 0 433,664 7,000 5,263,300
PNS/900910/IIIC 3 77,440 0 64 5,703,964 0 440,664
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Page 447 of 952
NO STW
FATMA HELVIDA
19 16-03-1974/573110947031000 1 3,528,100 0 0 72,420 0 0
197403161993022001/120960 0 0 0 265,000 0 352,810 7,000 3,505,800
PNS/820342/IIIC 1 0 0 90 3,865,610 0 359,810
MARYANI
20 28-01-1963/573825858416000 0 3,639,200 0 0 72,420 0 0
196301281996032001/124384 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
MIAR SUHANA
21 27-10-1968/574410270039000 1 3,753,800 0 0 144,840 0 0
196810271988122002/128470 0 375,380 0 265,000 0 412,918 7,000 4,119,200
PNS/820622/IIIC 2 0 0 98 4,539,118 0 419,918
PRIDA NITA
22 16-02-1965/574410130039000 1 3,753,800 0 0 72,420 0 0
196502161989032005/164432 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820131/IIIC 1 0 0 60 4,326,280 0 382,380
ALEXANDRA PAULA
23 04-05-1982/349118547618000 0 2,641,200 185,000 0 72,420 0 0
198205042014032003/183551 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ELVIRA KAMARROW PUTRI

24 22-09-1987/665758371034000 1 2,641,200 185,000 0 217,260 0 0
198709222014032003/183609 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
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Page 448 of 952
NO STW
SITI ZUHROH
25 28-01-1986/899177703125000 1 2,641,200 185,000 0 217,260 0 0
198601282014032003/183736 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SUCI RIAS FITRISIA

26 09-05-1988/705198000416000 1 2,641,200 185,000 0 217,260 0 0
198805092014032003/183744 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
INGGRITA WISNUWARDANI
27 25-09-1987/703915983035000 0 2,641,200 185,000 0 72,420 0 0
198709252014032001/183782 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIZKA AYU INTANY

28 23-06-1988/357082460435000 1 2,641,200 185,000 0 144,840 0 0
198806232014032003/184427 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
NANUNG ADINUR
29 22-07-1970/574410379086000 1 3,384,900 0 0 217,260 0 0
197007221992031002/117646 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820325/IIIB 3 67,698 0 60 4,273,408 0 386,108
SRIWATI BR PERANGIN
30 31-08-1972/573110939402000 1 3,181,300 0 0 289,680 0 0
197108311999032004/161797 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
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Page 449 of 952
NO STW
CITRA HARIATI
31 14-12-1976/574410197034000 1 3,181,300 0 0 289,680 0 0
197612142000032001/162191 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
SEPTI RAHMI FITRINI

32 13-09-1977/245397161035999 1 2,898,700 0 0 217,260 0 0
197709132005012005/168917 1 289,870 0 300,000 0 324,654 7,000 3,432,200
PNS/820352/IIIB 3 57,974 0 50 3,763,854 0 331,654
DEDEH HAWANGSIH
33 03-12-1958/257109819451000 1 4,205,400 0 0 72,420 0 0
195812031981102001/072822 0 0 0 265,000 0 420,540 7,000 4,115,300
PNS/820313/IIIB 1 0 0 20 4,542,840 0 427,540
HUSNI THAMRIN
34 03-01-1964/790804272035000 1 3,714,900 185,000 0 217,260 0 0
196401031986031010/108459 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
ARI PRABOWO
35 16-08-1964/574410239036000 1 3,714,900 185,000 0 289,680 0 0
196408161987031006/110637 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SUSI YULIANTI
36 10-07-1965/574410254035000 1 3,601,400 185,000 0 289,680 0 0
196507101988032011/111495 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
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Page 450 of 952
NO STW
ICHWANSYAH
37 18-11-1968/682581970035000 1 3,601,400 0 0 289,680 0 0
196811181989111001/121121 2 360,140 0 265,000 0 410,559 7,000 4,242,800
PNS/820622/IIIB 4 144,056 0 83 4,660,359 0 417,559
LESMIANNA SARAGIH
38 11-01-1969/257227033048000 1 3,181,300 0 0 72,420 0 0
196901111997032003/125201 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820342/IIIB 1 0 0 10 3,518,730 0 325,130
LENNY ANITA S
39 13-05-1975/574410122451000 1 3,181,300 0 0 289,680 0 0
197505131997032002/125213 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820354/IIIB 4 127,252 0 6 4,181,368 0 369,668
YUYUN ASHARI
40 14-07-1976/584418891086000 1 3,384,900 0 0 289,680 0 0
197606141998032001/125791 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
JAMALIAH
41 21-02-1972/262588734402000 1 3,281,500 0 0 289,680 0 0
197202211997022001/131022 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820325/IIIB 4 131,260 0 1 4,295,591 0 381,091
WENNY MEDIA W
42 16-06-1971/497298950035000 1 3,148,300 185,000 0 289,680 0 0
197106161995032003/123442 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
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Page 451 of 952
NO STW
FARID SUDRAJAT
43 03-11-1977/684477516402000 1 2,959,000 0 0 289,680 0 0
197711031998031003/125731 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
SITI MINATUN
44 12-11-1961/594512568086000 1 3,792,100 185,000 0 217,260 0 0
196111121981072001/071632 1 379,210 0 0 0 424,715 7,000 4,217,700
PNS/798022/IIIA 3 75,842 185,000 3 4,649,415 0 431,715
MARZUNANTA
45 30-03-1976/574410312086000 1 3,052,200 185,000 0 289,680 0 0
197603301997031003/125449 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
RIZKA MAFTUHA
46 01-03-1985/896204765031000 1 2,507,800 0 0 289,680 0 0
198503012010012036/178721 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
RISNA YANTI
47 26-01-1985/363415241416999 1 2,431,200 0 0 217,260 0 0
198501262011012013/180898 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
RAISA MAGDALENA
48 30-06-1989/670582170086000 0 2,431,200 0 0 72,420 0 0
198906302011012012/181212 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
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Page 452 of 952
NO STW
SURTI WAHYUNI
49 23-06-1984/594407066013000 1 2,431,200 0 0 217,260 0 0
198406232011012013/181215 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
SHEIRLY MARIANI
50 24-08-1988/355626912411000 1 2,431,200 180,000 0 144,840 0 0
198808242011012012/181844 0 243,120 0 0 0 267,432 5,000 2,726,800
PNS/000007/IID 2 0 180,000 72 2,999,232 0 272,432
HELENTINA BUTAR BUTAR

51 21-11-1981/476092556402000 1 2,431,200 0 0 217,260 0 0
198111212011012014/181848 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
MIRA SUSANTI
52 11-09-1984/790786933034000 1 2,507,800 180,000 0 289,680 0 0
198409112010012012/185529 2 250,780 0 0 0 285,889 5,000 3,037,700
PNS/798022/IID 4 100,312 180,000 17 3,328,589 0 290,889
YUSMARDIANSYAH
53 19-10-1977/793692625451000 1 2,928,300 0 0 289,680 0 0
197710192000121003/161813 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
TRI WAHYUNI
54 24-12-1979/264761875086000 1 2,752,300 0 0 289,680 0 0
197912242008012017/174654 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/830225/IID 4 110,092 0 60 3,667,362 0 318,762
21/12/2016

Page 453 of 952
NO STW
E YULIA NURSANTI
55 08-07-1980/896132073086000 1 2,668,200 0 0 289,680 0 0
198007082008012016/179851 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
AYU DIAZ ADHIYANTI

56 17-12-1991/543663264411000 0 2,261,300 180,000 0 72,420 0 0
199112172014032002/183446 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LINDA CHAERUNNISA
57 27-09-1988/705072320401000 1 2,261,300 180,000 0 289,680 0 0
198809272014032003/183982 2 226,130 0 0 0 257,788 5,000 2,784,800
PNS/798022/IIC 4 90,452 180,000 26 3,047,588 0 262,788
MILDA WIRAWATI
58 12-11-1988/452395643417000 0 2,261,300 180,000 0 72,420 0 0
198811122014032004/184012 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
HENNY ROGANDA
59 19-11-1977/684598790039000 1 2,640,600 0 0 289,680 0 0
197711192007012006/168420 2 264,060 0 240,000 0 301,028 5,000 3,234,000
PNS/820314/IIC 4 105,624 0 64 3,540,028 0 306,028
MAYA SAPTARIKA
60 07-01-1982/704428408402000 0 2,640,600 0 0 72,420 0 0
198201072007012009/168498 0 0 0 240,000 0 264,060 5,000 2,684,000
PNS/820343/IIC 1 0 0 40 2,953,060 0 269,060
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Page 454 of 952
NO STW
HASAN
61 09-09-1965/574410205086000 1 3,180,500 180,000 0 217,260 0 0
196509091985031005/088395 1 318,050 0 0 0 356,216 5,000 3,598,300
PNS/798041/IIC 3 63,610 180,000 96 3,959,516 0 361,216
GINEM
62 25-05-1960/574410098086000 1 3,384,000 180,000 0 144,840 0 0
196005251981072001/071394 0 338,400 0 0 0 372,240 5,000 3,670,000
PNS/798041/IIC 2 0 180,000 0 4,047,240 0 377,240
JAMILAH
63 04-04-1962/57 311 091 3 035 1 3,019,800 180,000 0 144,840 0 0
196204041981072001/071405 0 301,980 0 0 0 332,178 5,000 3,309,500
PNS/798042/IIA 2 0 180,000 58 3,646,678 0 337,178
MUHAMMAD HAFIZ
64 01-08-1981/null 1 2,048,480 185,000 0 217,260 0 0
198108012014031002/183680 1 204,848 0 0 0 229,429 7,000 2,460,200
CPNS/798981/IIIB 3 40,969 185,000 72 2,696,629 0 236,429
209,732,680 4,215,000 1,520,000 12,818,340 0 0

TOTAL 15,871,878 0 16,355,000 0 22,969,885 421,000 241,219,100
4,094,423 4,215,000 2,664 264,609,985 0 23,390,885
JAKARTA,
MENGETAHUI
21/12/2016

Page 455 of 952
UKPD: PUSKESMAS KEL.SUKABUMI SEL KEC.KBN JERUK
NO STW
ZURNIDA HARIADY
1 13-05-1959/180176703035000 1 4,862,300 0 0 72,420 0 0
195905131987032002/115636 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820102/IVC 1 0 0 10 6,134,730 0 496,230
4,862,300 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 486,230 10,000 5,638,500
0 0 10 6,134,730 0 496,230
JAKARTA,
MENGETAHUI
21/12/2016

Page 456 of 952
UKPD: PUSKESMAS KEL SUKABUMI UTARA KEC.KBN JERUK
NO STW
HIRANI KRISNAWATI
1 01-12-1960/255936270086000 0 3,565,000 0 0 72,420 0 0
196012012006042005/168845 0 0 0 750,000 0 356,500 7,000 4,024,000
PNS/820603/IIID 1 0 0 80 4,387,500 0 363,500
3,565,000 0 0 72,420 0 0
TOTAL 0 0 750,000 0 356,500 7,000 4,024,000
0 0 80 4,387,500 0 363,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 457 of 952
UKPD: PUSKESMAS KEL.KELAPADUA KEC.KBN JERUK JAKBAR
NO STW
JOHAN WIDJAJA
1 27-02-1964/059402040013000 1 4,384,400 0 0 289,680 0 0
196402271992021001/122947 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
4,384,400 0 0 289,680 0 0
TOTAL 438,440 0 1,200,000 0 499,821 10,000 5,978,100
175,376 0 25 6,487,921 0 509,821
JAKARTA,
MENGETAHUI
21/12/2016

Page 458 of 952
UKPD: PUSKESMAS KEL.DURIKEPA KEC.KEBON JERUK JAKBAR
NO STW
RIANA DWI SOVYETWATI
1 29-05-1963/null 1 4,522,500 0 0 144,840 0 0
196305291989032009/119013 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
4,522,500 0 0 144,840 0 0
TOTAL 452,250 0 1,200,000 0 497,475 10,000 5,812,200
0 0 85 6,319,675 0 507,475
JAKARTA,
MENGETAHUI
21/12/2016

Page 459 of 952
UKPD: PUSKESMAS KEL.KEBON JERUK KEC.KEBON JERUK JAKBAR
NO STW
LITA SURIANI
1 26-09-1966/694996331086000 1 4,384,400 0 0 289,680 0 0
196609261992122001/157274 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
SRI LESTARI RAHAYU

2 05-01-1961/573110921411000 0 3,601,400 185,000 0 72,420 0 0
196101051993032001/164766 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798011/IIIB 1 0 185,000 20 3,858,840 0 367,140
7,985,800 185,000 0 362,100 0 0

TOTAL 438,440 0 1,200,000 0 859,961 17,000 9,469,800
175,376 185,000 45 10,346,761 0 876,961
JAKARTA,
MENGETAHUI
21/12/2016

Page 460 of 952
UKPD: PUSKESMAS KEL. KEDOYA SELATAN
NO STW
DEWI S. SIMANJUNTAK
1 20-08-1986/363537911413000 0 2,839,700 0 0 72,420 0 0
198608202011012020/180667 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
2,839,700 0 0 72,420 0 0
TOTAL 0 0 750,000 0 283,970 7,000 3,371,200
0 0 50 3,662,170 0 290,970
JAKARTA,
MENGETAHUI
21/12/2016

Page 461 of 952
UKPD: PUSKESMAS KEL. KEDOYA UTARA
NO STW
AFRA SHAFIA
1 04-11-1976/584327670034001 1 3,315,900 0 0 289,680 0 0
197611042006042027/165489 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820603/IIIC 4 132,636 0 6 4,819,812 0 385,012
3,315,900 0 0 289,680 0 0
TOTAL 331,590 0 750,000 0 378,012 7,000 4,434,800
132,636 0 6 4,819,812 0 385,012
JAKARTA,
MENGETAHUI
21/12/2016

Page 462 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN KALIDERES
NO STW
DARUS SAHMEDI
1 24-05-1977/283118776005000 1 2,810,200 0 980,000 217,260 0 0
197705242010011016/179710 1 281,020 0 0 0 314,742 7,000 4,023,000
PNS/000000/IIIC 3 56,204 0 58 4,344,742 0 321,742
SLAMET
2 06-07-1963/495141152416000 1 4,035,800 0 540,000 217,260 0 0
196307061987031013/110718 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
YUNAH LIUS
3 14-02-1963/494615057416000 1 4,162,900 0 0 217,260 0 0
196302141989101002/161658 1 416,290 0 750,000 0 466,244 7,000 5,156,500
PNS/820103/IIID 3 83,258 0 36 5,629,744 0 473,244
RINA HANDAYANI
4 18-12-1971/494614712416000 1 3,248,300 0 0 289,680 0 0
197112182006042023/165306 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
DERMINA SIRAIT
5 05-08-1964/689864825451000 1 3,912,600 0 0 217,260 0 0
196408051991032006/116672 2 0 0 600,000 0 406,910 7,000 4,472,500
PNS/820307/IIID 3 156,504 0 46 4,886,410 0 413,910
YUSTINA DINAYU AS
6 17-11-1959/494615040416000 1 4,568,800 0 0 72,420 0 0
195911171981032007/071951 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
21/12/2016

Page 463 of 952
NO STW
PADMONO PUJANADI
7 18-07-1967/491198909418000 1 3,912,600 0 0 289,680 0 0
196707181987031002/110558 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820312/IIID 4 156,504 0 92 5,250,136 0 453,036
ESTER MAHULAE
8 13-06-1965/704115724085000 1 4,035,800 0 0 289,680 0 0
196506131987032005/116085 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820341/IIID 4 161,432 0 89 5,390,581 0 467,081
JANTO GUNAWAN
9 21-05-1965/091875559416000 1 3,753,800 0 0 289,680 0 0
196505211993021002/125579 2 375,380 0 750,000 0 427,933 7,000 4,884,100
PNS/820603/IIID 4 150,152 0 21 5,319,033 0 434,933
ROHMIATI
10 20-09-1959/699713087034000 1 4,035,800 0 0 72,420 0 0
195909021986032006/158503 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
DESI SUSANTI
11 27-01-1983/667634323035000 1 2,810,200 0 0 289,680 0 0
198301272010012026/178840 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
ARUM AMBARSARI
12 10-10-1982/699736872086000 1 2,839,700 185,000 0 217,260 0 0
198210102011012028/180230 1 283,970 0 0 0 318,046 7,000 3,257,700
PNS/000008/IIIC 3 56,794 185,000 22 3,582,746 0 325,046
21/12/2016

Page 464 of 952
NO STW
ASMARANI RY
13 11-11-1962/581285517085000 1 4,119,700 0 0 217,260 0 0
196211111982012002/076714 1 411,970 0 500,000 0 461,406 7,000 4,863,000
PNS/820341/IIIC 3 82,394 0 82 5,331,406 0 468,406
ERNA LINDA
14 01-11-1966/494614878451000 1 3,872,000 0 0 144,840 0 0
196611011987032003/110437 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/820312/IIIC 2 0 0 80 4,904,120 0 432,920
SONDANG SIMANULANG
15 25-03-1961/494615172085000 1 3,994,000 0 0 144,840 0 0
196103251990032001/114433 0 399,400 0 500,000 0 439,340 7,000 4,591,900
PNS/820312/IIIC 2 0 0 0 5,038,240 0 446,340
KOREANCE SIBATUBARA
16 04-03-1966/698604055416000 1 3,872,000 0 0 72,420 0 0
196603041987032007/117583 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820341/IIIC 1 0 0 80 4,444,500 0 394,200
SELLY ROSTAIDA H
17 23-01-1969/699563474418000 1 3,528,100 0 0 289,680 0 0
196901231997032004/123263 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820312/IIIC 4 141,124 0 89 4,811,803 0 409,203
MURNALIS
18 27-05-1961/595967654085000 1 3,639,200 0 0 144,840 0 0
196105271991032001/125568 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820341/IIIC 2 0 0 52 4,648,012 0 407,312
21/12/2016

Page 465 of 952
NO STW
SUKINI
19 28-11-1965/770335917085000 1 3,639,200 0 0 217,260 0 0
196511281990032003/125570 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
LUPIAH
20 26-11-1963/775790702402000 1 3,994,000 0 0 217,260 0 0
196301261984122002/125583 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820312/IIIC 3 79,880 0 88 5,190,628 0 454,328
ANANDA
21 12-01-1988/345892442402000 1 2,810,200 185,000 0 144,840 0 0
198801122010012021/177402 0 281,020 0 0 0 309,122 7,000 3,105,000
PNS/000008/IIIB 2 0 185,000 62 3,421,122 0 316,122
ANJUNG SEKAR ARUM

22 07-10-1988/547705707521000 0 2,641,200 185,000 0 72,420 0 0
198810072014032005/183556 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ARI DEWI NUGRAHANTI

23 01-04-1987/705101681525000 1 2,641,200 185,000 0 72,420 0 0
198704012014032004/183559 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
CINDY CLORINDA
24 03-10-1985/467517157451000 0 2,641,200 185,000 0 72,420 0 0
198510032014032002/183581 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 466 of 952
NO STW
GITA NURINA ADININGSIH
25 23-08-1985/705036754031000 1 2,641,200 185,000 0 72,420 0 0
198508232014032001/183628 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RADHIANA PURISANTI
26 30-08-1987/705475747525000 0 2,641,200 185,000 0 72,420 0 0
198708302014032003/183700 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
TIARA WIDYARINI
27 30-01-1982/244270799035001 1 2,990,000 185,000 0 144,840 0 0
198201302006042014/164821 0 299,000 0 0 0 328,900 7,000 3,283,000
PNS/798012/IIIB 2 0 185,000 60 3,618,900 0 335,900
RR.SRI SAPTARINI NJ.

28 18-07-1969/494614662085000 1 3,281,500 185,000 0 289,680 0 0
196907182006042010/165360 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
POPI EL ADITA
29 26-12-1984/363423526402000 0 2,724,400 0 0 72,420 0 0
198412262011012021/180998 0 0 0 325,000 0 272,440 7,000 2,842,400
PNS/820124/IIIB 1 0 0 20 3,121,840 0 279,440
RUSTINI
30 12-09-1967/699563482418000 1 3,601,400 0 0 217,260 0 0
196709121992032007/117691 1 360,140 0 500,000 0 403,356 7,000 4,340,500
PNS/820312/IIIB 3 72,028 0 28 4,750,856 0 410,356
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Page 467 of 952
NO STW
TRI BUANA DEWI
31 28-04-1972/464614647036000 0 3,281,500 0 0 72,420 0 0
197204281997032003/122952 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820364/IIIB 1 0 0 30 3,618,950 0 335,150
USNAYAH
32 28-08-1972/254233109451000 1 3,281,500 0 0 289,680 0 0
197208281998032008/125788 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
AAN ROCHANAH
33 12-12-1971/175421197036999 1 3,281,500 0 0 289,680 0 0
197112151998032004/125792 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
HERTININGSIH
34 22-04-1960/494615214015000 1 3,952,600 0 0 144,840 0 0
196004221982032005/079841 0 395,260 0 265,000 0 434,786 7,000 4,316,000
PNS/820342/IIIB 2 0 0 86 4,757,786 0 441,786
SURATMAN
35 05-01-1960/494615222085000 1 3,831,900 185,000 0 217,260 0 0
196001051985031013/087485 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
MESRI TAMBA
36 13-03-1960/259119295451000 0 3,714,900 185,000 0 217,260 0 0
196003131986032005/108451 2 0 0 0 0 386,349 7,000 3,872,500
PNS/798022/IIIB 3 148,596 185,000 93 4,265,849 0 393,349
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Page 468 of 952
NO STW
TIEN SRI WANTI
37 15-10-1959/695057448402000 1 3,714,900 185,000 0 144,840 0 0
195910151987032003/110585 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798012/IIIB 2 0 185,000 9 4,416,239 0 415,639
HOTNA SONTIAR
38 18-03-1963/494614969402000 1 3,952,600 185,000 0 217,260 0 0
196303181983122001/115779 1 395,260 0 0 0 442,691 7,000 4,379,500
PNS/798022/IIIB 3 79,052 185,000 19 4,829,191 0 449,691
SUHARNAN
39 16-10-1961/491199030418000 1 3,601,400 0 0 217,260 0 0
196110161988031011/116444 1 360,140 0 500,000 0 403,356 7,000 4,340,500
PNS/820324/IIIB 3 72,028 0 28 4,750,856 0 410,356
KUNDIWATI
40 07-04-1973/254738123451000 1 3,384,900 0 0 72,420 0 0
197304071993032006/118071 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
ETIN GANTINA
41 29-05-1971/484023809411000 1 3,384,900 0 0 289,680 0 0
197105291995032001/120301 2 338,490 0 500,000 0 385,878 7,000 4,255,600
PNS/820312/IIIB 4 135,396 0 12 4,648,478 0 392,878
SUMARNI
42 03-08-1971/677807265451000 1 3,491,500 0 0 72,420 0 0
197108031991032004/120956 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
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NO STW
POSMA
43 08-08-1970/494614985416000 1 3,384,900 0 0 217,260 0 0
197008081996032005/122443 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820313/IIIB 3 67,698 0 60 4,273,408 0 386,108
ROSITA SIHOMBING
44 18-09-1965/699613915034000 1 3,491,500 0 0 144,840 0 0
196509181991032003/123475 0 349,150 0 265,000 0 384,065 7,000 3,859,500
PNS/820342/IIIB 2 0 0 75 4,250,565 0 391,065
RITHA SUSILAWATI
45 01-11-1969/494614944416000 1 3,281,500 185,000 0 289,680 0 0
196911011997032003/124978 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
ROSMIDA SITOHANG
46 19-01-1972/494615156085000 1 3,384,900 0 0 289,680 0 0
197201191993032004/125109 2 338,490 0 500,000 0 385,878 7,000 4,255,600
PNS/820341/IIIB 4 135,396 0 12 4,648,478 0 392,878
LASINEM
47 17-04-1969/774513162416000 1 3,384,900 0 0 72,420 0 0
196904171993022001/125300 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
ACHMAD KHOLILUDIN
48 24-04-1976/684545288402000 1 2,959,000 0 0 289,680 0 0
197604241998031007/125789 2 295,900 0 300,000 0 337,326 7,000 3,618,700
PNS/820362/IIIA 4 118,360 0 86 3,963,026 0 344,326
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NO STW
TOUFIQURROHMAN
49 12-09-1964/783583248036000 1 3,676,400 0 0 144,840 0 0
196409121985031008/070853 0 367,640 0 265,000 0 404,404 7,000 4,042,500
PNS/820325/IIIA 2 0 0 24 4,453,904 0 411,404
MARYANCE LINA M
50 03-10-1975/256924002416000 1 3,052,200 0 0 217,260 0 0
197510031997032002/122369 1 305,220 0 240,000 0 341,846 7,000 3,526,900
PNS/820314/IIIA 3 61,044 0 22 3,875,746 0 348,846
DWI MULYONO
51 28-06-1977/494614605402000 1 2,959,000 0 0 289,680 0 0
197706281998031004/125565 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820354/IIIA 4 118,360 0 86 3,928,026 0 344,326
SHANTY BUDIANA
52 21-12-1975/494614621008000 1 2,959,000 0 0 289,680 0 0
197512211999032001/157276 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/830224/IIIA 4 118,360 0 86 3,928,026 0 344,326
LISE ASTUTI
53 02-05-1971/245459110085000 1 2,868,700 0 0 72,420 0 0
197105022005012006/165120 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/820313/IIIA 1 0 0 50 3,206,170 0 293,870
EVI RIMAHAYANI PANE

54 06-02-1973/688633163034000 1 3,247,500 0 0 217,260 0 0
197302061993032004/120866 1 324,750 0 265,000 0 363,720 7,000 3,748,800
PNS/820354/IIIA 3 64,950 0 60 4,119,520 0 370,720
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NO STW
MATALIH
55 28-05-1960/699564142085000 1 3,247,500 185,000 0 217,260 0 0
196005281985031005/088570 1 324,750 0 0 0 363,720 7,000 3,668,800
PNS/798022/IIIA 3 64,950 185,000 60 4,039,520 0 370,720
SAKTI MADONG LUBIS

56 02-06-1964/699554945086000 1 3,564,100 185,000 0 217,260 0 0
196406021987031006/110734 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
NUROCHMAN
57 06-11-1963/488714312031000 1 3,455,300 185,000 0 217,260 0 0
196311061989031005/113779 1 345,530 0 0 0 386,993 7,000 3,878,300
PNS/798022/IIIA 3 69,106 185,000 97 4,272,293 0 393,993
SITI MARPAUNG
58 17-09-1966/681803458407000 1 3,564,100 185,000 0 144,840 0 0
196609171987032004/118970 0 356,410 0 0 0 392,051 7,000 3,851,300
PNS/798022/IIIA 2 0 185,000 1 4,250,351 0 399,051
HENY MURNIYANTI
59 30-06-1975/684545270085000 1 3,052,200 185,000 0 289,680 0 0
197506301996032003/120968 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798011/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
BUDI YONO
60 02-08-1977/098186992034000 1 3,052,200 0 0 289,680 0 0
197708021997031005/123476 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
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NO STW
KHOLIDIN
61 13-10-1974/485621361411000 1 3,148,300 0 0 289,680 0 0
197410131998031005/125466 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820313/IIIA 4 125,932 0 64 4,143,806 0 365,906
IKA MAYLIYANAWATI
62 01-05-1978/072458086085999 1 3,052,200 0 0 289,680 0 0
197805011997032001/125607 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820132/IIIA 4 122,088 0 62 4,034,250 0 354,950
DIEN AZIZAH
63 05-09-1977/688633148036000 1 2,668,200 0 0 217,260 0 0
197709052006042029/165600 1 266,820 0 265,000 0 298,838 5,000 3,166,900
PNS/820342/IID 3 53,364 0 94 3,470,738 0 303,838
MINAH
64 01-10-1977/677874547418000 1 2,640,600 0 0 217,260 0 0
197710012007012014/168362 1 264,060 0 240,000 0 295,747 5,000 3,114,000
PNS/820314/IID 3 52,812 0 15 3,414,747 0 300,747
WAHYUDHI
65 27-07-1977/699560983085000 1 2,752,300 0 0 289,680 0 0
197707272008011021/173804 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
RIYA PERTIWI
66 07-08-1987/879750370416000 1 2,431,200 0 0 217,260 0 0
198708072011012027/180985 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
21/12/2016

Page 473 of 952
NO STW
JENNY EVALISDA SIANTURI
67 27-10-1975/796587376086000 1 2,928,300 0 0 289,680 0 0
197510271998032001/130823 2 292,830 0 265,000 0 333,826 5,000 3,554,200
PNS/820313/IID 4 117,132 0 84 3,893,026 0 338,826
HENDRI DELFIA
68 31-12-1973/182729889036000 0 3,020,600 0 0 217,260 0 0
197312312000122005/164726 2 0 0 240,000 0 314,142 5,000 3,279,600
PNS/820343/IID 3 120,824 0 58 3,598,742 0 319,142
ANDRI YUSTIKA
69 25-12-1979/692818800402000 1 2,640,600 0 0 289,680 0 0
197912252007011024/168557 2 264,060 0 240,000 0 301,028 5,000 3,234,000
PNS/820314/IID 4 105,624 0 64 3,540,028 0 306,028
KURNIA WIDYASARI
70 03-07-1988/771227246085000 0 2,406,000 0 0 72,420 0 0
198807032010012015/177749 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IIC 1 0 0 80 2,718,500 0 245,600
ALFAROBI MUSADAD
71 22-06-1990/669024143401000 0 2,261,300 180,000 0 72,420 0 0
199006222014031001/183373 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
YULIA SETIYANTI
72 15-07-1991/703970210416000 0 2,261,300 180,000 0 72,420 0 0
199107152014032007/184302 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 474 of 952
NO STW
DEWI ASTUTI
73 15-06-1987/891122681411000 1 2,332,500 0 0 144,840 0 0
198706152011012021/180986 0 233,250 0 240,000 0 256,575 5,000 2,689,100
PNS/820314/IIC 2 0 0 85 2,950,675 0 261,575
MANIH
74 03-06-1981/364114595085000 1 2,332,500 0 0 144,840 0 0
198106032011012011/181832 0 233,250 0 240,000 0 256,575 5,000 2,689,100
PNS/820314/IIC 2 0 0 85 2,950,675 0 261,575
EKA LUSI OKTAVIA

75 31-10-1976/160574877301000 1 2,586,100 0 0 217,260 0 0
197610312007012005/182821 1 258,610 0 240,000 0 289,643 5,000 3,059,100
PNS/820343/IIA 3 51,722 0 51 3,353,743 0 294,643
AYU WIDOROWATI
76 12-09-1972/873934426016000 0 2,284,400 0 0 72,420 0 0
197209122008012020/174575 0 0 0 240,000 0 228,440 5,000 2,363,400
PNS/820623/IIA 1 0 0 20 2,596,840 0 233,440
YUNITA ANGGRAINI
77 16-06-1984/699561080085000 1 2,284,400 0 0 217,260 0 0
198406162008012014/175337 1 228,440 0 240,000 0 255,852 5,000 2,755,000
PNS/820314/IIA 3 45,688 0 64 3,015,852 0 260,852
21/12/2016

Page 475 of 952
NO STW
248,888,000 3,875,000 1,520,000 14,846,100 0 0
TOTAL 18,420,840 0 20,140,000 0 27,202,511 509,000 284,698,600
4,716,448 3,875,000 3,723 312,410,111 0 27,711,511
JAKARTA,
MENGETAHUI
21/12/2016

Page 476 of 952
UKPD: RUMAH SAKIT UMUM KELAS D KALIDERES
NO STW
FIFY MULYANI
1 11-04-1969/705606374411000 0 3,715,800 0 980,000 72,420 0 0
196904112002122003/165166 0 0 0 0 0 371,580 10,000 4,386,700
PNS/000000/IVA 1 0 0 60 4,768,280 0 381,580
RULLY DEWI ANGGRAENI

2 08-09-1969/091229443035001 1 3,832,800 0 540,000 144,840 0 0
196909082000032005/162855 0 383,280 0 0 0 421,608 10,000 4,469,400
PNS/700200/IVA 2 0 0 88 4,901,008 0 431,608
RANSIDAH KELARA
3 13-11-1968/476080650013000 1 3,912,600 0 540,000 72,420 0 0
196811131993032004/158299 0 0 0 0 0 391,260 7,000 4,126,800
PNS/500100/IIID 1 0 0 40 4,525,060 0 398,260
MUHAMMAD KHOTIB
4 28-08-1974/695082784003000 1 3,116,500 0 540,000 289,680 0 0
197408282006041018/165597 2 311,650 0 0 0 355,281 7,000 4,020,300
PNS/700100/IIIC 4 124,660 0 91 4,382,581 0 362,281
MINARSI
5 29-05-1965/771242484034000 1 4,206,500 0 0 217,260 0 0
196505291991032010/118969 1 420,650 0 1,200,000 0 471,128 10,000 5,647,500
PNS/820602/IVA 3 84,130 0 88 6,128,628 0 481,128
DARNIWATI
6 12-09-1966/486887565036000 1 3,753,800 185,000 0 217,260 0 0
196609121989032005/118285 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798012/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
21/12/2016

Page 477 of 952
NO STW
IWA WAHYUDI FIRDAUS
7 26-05-1983/249487919402000 1 2,839,700 0 0 217,260 0 0
198305262011011006/181245 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
LUH NYOMAN SRIANI

8 09-04-1974/484272265911000 1 3,528,100 185,000 0 289,680 0 0
197404091996032004/185831 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798012/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
MAY GRIANA
9 17-10-1965/491198982402000 1 3,753,800 0 0 144,840 0 0
196510171988032008/116152 0 375,380 0 500,000 0 412,918 7,000 4,354,200
PNS/820353/IIIC 2 0 0 98 4,774,118 0 419,918
IRMA YUNITA
10 31-12-1986/892120601312000 1 2,641,200 185,000 0 289,680 0 0
198612312014032005/183649 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
RACHMAD JUNAIDI
11 26-06-1983/081463168212000 1 2,641,200 185,000 0 217,260 0 0
198306262014031003/183699 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
YAYAT SUDRAJAT
12 25-12-1974/796661114418000 1 3,181,300 0 0 289,680 0 0
197412251999031005/157335 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
21/12/2016

Page 478 of 952
NO STW
KRISNA VIALASMI
13 04-03-1984/688967512045000 1 2,696,200 185,000 0 289,680 0 0
198403042008012005/189139 2 269,620 0 0 0 307,366 7,000 3,234,000
PNS/798022/IIIA 4 107,848 185,000 18 3,548,366 0 314,366
ADE TRIANA AGUSTINI

14 26-08-1969/492554910013000 1 3,148,300 185,000 0 144,840 0 0
196908261994032003/158608 0 314,830 0 0 0 346,313 7,000 3,439,700
PNS/798011/IIIA 2 0 185,000 43 3,793,013 0 353,313
MIMIN HERMINA
15 02-09-1963/495140501416000 1 3,455,300 185,000 0 289,680 0 0
196309021985122002/113857 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798011/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
SAMSUL ARIFIN
16 20-04-1962/494615198034000 1 3,419,500 180,000 0 217,260 0 0
196204201987031006/110584 1 341,950 0 0 0 382,984 5,000 3,839,200
PNS/798011/IID 3 68,390 180,000 84 4,227,184 0 387,984
PESTAULI BUTAR-BUTAR
17 28-05-1984/null 1 2,431,200 180,000 0 72,420 0 0
198405282010012014/189142 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798981/IID 1 0 180,000 0 2,683,620 0 248,120
IBNU RAHMAD HIDAYAT

18 24-02-1981/796661213034000 1 2,559,900 180,000 0 289,680 0 0
198102242008011010/172715 2 255,990 0 0 0 291,828 5,000 3,091,200
PNS/798981/IIC 4 102,396 180,000 62 3,388,028 0 296,828
21/12/2016

Page 479 of 952
NO STW
APRILIA DYAH RAHMAWATI
19 03-04-1989/703380915525000 0 2,261,300 180,000 0 72,420 0 0
198904032014032004/183411 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
EKA ARDIANSYAH
20 19-04-1989/362653016419000 1 2,261,300 180,000 0 217,260 0 0
198904192014031003/183826 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
63,356,300 2,195,000 2,600,000 4,055,520 0 0

TOTAL 5,103,540 0 2,715,000 0 6,968,937 139,000 74,148,000
1,229,580 2,195,000 997 81,255,937 0 7,107,937
JAKARTA,
MENGETAHUI
21/12/2016

Page 480 of 952
UKPD: PUSKESMAS KEL.KAMAL KEC.KALIDERES JAKBAR
NO STW
SUGANDI
1 11-06-1957/247202252085000 1 4,384,400 0 0 144,840 0 0
195706111989031002/118403 0 438,440 0 750,000 0 482,284 10,000 5,225,400
PNS/820603/IVB 2 0 0 4 5,717,684 0 492,284
YOHANDI
2 15-02-1967/684545320086000 1 3,116,500 0 0 289,680 0 0
196702152008011011/174694 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820103/IIIC 4 124,660 0 91 4,592,581 0 362,281
7,500,900 0 0 434,520 0 0
TOTAL 750,090 0 1,500,000 0 837,565 17,000 9,455,700
124,660 0 95 10,310,265 0 854,565
JAKARTA,
MENGETAHUI
21/12/2016

Page 481 of 952
UKPD: PUSKESMAS KEL.TEGAL ALUR KEC.KALIDERES
NO STW
FONNY SANTOSO
1 23-12-1962/584448054085000 1 4,522,500 0 0 289,680 0 0
196212231989032005/120359 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820602/IVB 4 180,900 0 35 6,645,365 0 525,565
RISMAULI VERONIKA P.A.

2 30-03-1969/098148125085001 1 3,565,000 0 0 289,680 0 0
196903302002122002/165082 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
NURUL HUDIYANINGSIH
3 24-10-1967/495140584036000 0 3,528,100 0 0 72,420 0 0
196710242007012013/168378 0 0 0 750,000 0 352,810 7,000 3,990,800
PNS/820103/IIIC 1 0 0 90 4,350,610 0 359,810
11,615,600 0 0 651,780 0 0
TOTAL 808,750 0 2,700,000 0 1,274,785 24,000 14,801,000
323,500 0 155 16,099,785 0 1,298,785
JAKARTA,
MENGETAHUI
21/12/2016

Page 482 of 952
UKPD: PUSKESMAS KEL.PEGADUNGAN KEC. KALIDERES
NO STW
ELVY HEDININGRUM
1 29-03-1962/494615131034000 1 5,015,400 0 0 72,420 0 0
196203291987092001/158257 0 0 0 1,200,000 0 501,540 10,000 5,776,300
PNS/820602/IVC 1 0 0 20 6,287,840 0 511,540
SETIAWAN KUSUMA
2 19-12-1959/494614704013000 1 4,665,000 0 0 144,840 0 0
195912191987121001/118023 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVB 2 0 0 10 6,476,350 0 523,150
RULINA PAYUNG
3 22-05-1965/494614753086000 1 4,078,100 0 0 144,840 0 0
196505221994032006/125615 0 407,810 0 1,200,000 0 448,591 10,000 5,372,200
PNS/820602/IVA 2 0 0 41 5,830,791 0 458,591
ROSA JULISTINI S
4 04-07-1966/141787424085000 1 4,078,100 0 0 72,420 0 0
196607041993032005/158103 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
17,836,600 0 0 434,520 0 0
TOTAL 874,310 0 4,800,000 0 1,871,091 40,000 22,034,500
0 0 161 23,945,591 0 1,911,091
JAKARTA,
MENGETAHUI
21/12/2016

Page 483 of 952
UKPD: PUSKESMAS KEL.KALIDERES KEC.KALIDERES JAKBAR
NO STW
RATNAWATI SALIM
1 13-09-1963/076587153085000 1 4,206,500 0 0 217,260 0 0
196309131992122001/123103 1 420,650 0 1,200,000 0 471,128 10,000 5,647,500
PNS/820602/IVA 3 84,130 0 88 6,128,628 0 481,128
4,206,500 0 0 217,260 0 0
TOTAL 420,650 0 1,200,000 0 471,128 10,000 5,647,500
84,130 0 88 6,128,628 0 481,128
JAKARTA,
MENGETAHUI
21/12/2016

Page 484 of 952
UKPD: PUSKESMAS KEL. SEMANAN KEC.KALIDERES
NO STW
HENNY AUGUSTINI
1 11-08-1977/494615008402000 1 3,315,900 0 0 289,680 0 0
197708112005012012/165550 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
3,315,900 0 0 289,680 0 0
TOTAL 331,590 0 750,000 0 378,012 7,000 4,434,800
132,636 0 6 4,819,812 0 385,012
JAKARTA,
MENGETAHUI
21/12/2016

Page 485 of 952
UKPD: PUSAT KESEHATAN MASYARAKAN KECAMATAN KEMBANGAN
NO STW
YEFY ESKAR
1 02-01-1971/090050519023000 0 3,715,800 0 980,000 72,420 0 0
197101022002121002/165174 0 0 0 0 0 371,580 10,000 4,386,700
PNS/000000/IVA 1 0 0 60 4,768,280 0 381,580
TRI SUSANTI
2 08-08-1972/476080882451000 1 3,565,000 0 540,000 289,680 0 0
197208081997032005/124898 2 356,500 0 0 0 406,410 7,000 4,480,400
PNS/500100/IIID 4 142,600 0 30 4,893,810 0 413,410
BRYCE SZENDI
3 13-06-1968/070497466832000 1 4,250,600 0 0 217,260 0 0
196806131997032002/168909 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820102/IVB 3 85,012 0 35 6,177,967 0 486,067
YULMAFIRSTRI
4 28-08-1966/091277624035000 1 4,206,500 0 0 144,840 0 0
196608281991022002/120329 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820602/IVA 2 0 0 25 5,972,015 0 472,715
ETTY NURAIDA
5 16-02-1959/051838845086999 1 4,078,100 0 0 72,420 0 0
195902161993012001/123568 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
MURNIATI CHANDRA
6 05-06-1966/180181331086000 1 4,206,500 0 0 72,420 0 0
196606051991032008/162165 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820602/IVA 1 0 0 30 5,478,950 0 430,650
21/12/2016

Page 486 of 952
NO STW
DIANY LUSIA
7 04-12-1964/076646728086001 1 4,206,500 0 0 289,680 0 0
196412041989032008/158236 2 420,650 0 600,000 0 479,541 10,000 5,195,600
PNS/820351/IVA 4 168,260 0 51 5,685,141 0 489,541
MUNIFAH
8 27-04-1960/248043440013000 1 4,206,500 0 0 144,840 0 0
196004271992032002/120837 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820602/IVA 2 0 0 25 5,972,015 0 472,715
YULIUS ANTONIA
9 21-07-1964/777949819013000 1 4,035,800 0 0 217,260 0 0
196407211986031010/107485 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820324/IIID 3 80,716 0 53 5,237,409 0 459,009
BINAHAYATI
10 10-10-1975/null 1 3,350,600 0 0 289,680 0 0
197510102003122003/164735 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
RISKA NETRALINA
11 08-08-1973/471015123035999 1 3,456,200 0 0 72,420 0 0
197308082006042031/165476 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820603/IIID 1 0 0 0 4,278,620 0 352,620
NI MADE TIRTA
12 25-03-1961/091893867416001 1 3,677,300 0 0 217,260 0 0
196103251995032001/119051 1 367,730 0 500,000 0 411,857 7,000 4,417,000
PNS/820312/IIID 3 73,546 0 21 4,835,857 0 418,857
21/12/2016

Page 487 of 952
NO STW
SRI YATI MARDIYANA
13 02-01-1962/575658588416001 1 4,429,300 0 0 144,840 0 0
196201021981122001/074027 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
SRI WINARSIH
14 09-05-1959/678827841013000 1 4,294,000 0 0 72,420 0 0
195905091982032003/103303 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
MINTJE UMBUNAN
15 23-05-1960/689910826411000 1 4,568,800 0 0 217,260 0 0
196005231985122001/118557 1 456,880 0 500,000 0 511,705 7,000 5,315,700
PNS/820312/IIID 3 91,376 0 89 5,834,405 0 518,705
AMEROH
16 12-04-1967/724671037086000 1 3,912,600 0 0 144,840 0 0
196704121989032007/120380 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
RATNA PASARIBU
17 15-07-1970/292215399086000 1 3,793,100 0 0 217,260 0 0
197007151992032010/123478 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820341/IIID 3 75,862 0 95 4,965,627 0 431,827
SRIKANDI SIREGAR
18 10-11-1969/090790312031000 1 3,793,100 0 0 72,420 0 0
196911101992032005/125829 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820341/IIID 1 0 0 90 4,365,610 0 386,310
21/12/2016

Page 488 of 952
NO STW
TAYU SRI MULYANI
19 12-08-1961/172007320034000 1 4,294,000 0 0 217,260 0 0
196108121982112001/128508 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820341/IIID 3 85,880 0 88 5,526,628 0 487,928
RUKMINI
20 17-08-1970/678576232416000 1 3,793,100 0 0 217,260 0 0
197008171991012001/162220 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820341/IIID 3 75,862 0 95 4,965,627 0 431,827
ARINDA
21 21-12-1967/724848734019000 1 3,315,900 0 0 217,260 0 0
196712212007012020/168372 1 331,590 0 750,000 0 371,380 7,000 4,302,700
PNS/820103/IIIC 3 66,318 0 12 4,681,080 0 378,380
SUHARDI
22 23-03-1969/777949827086000 1 3,528,100 0 0 289,680 0 0
196903231992031005/117623 2 352,810 0 600,000 0 402,203 7,000 4,502,600
PNS/820322/IIIC 4 141,124 0 89 4,911,803 0 409,203
SAFRIDA
23 04-07-1970/694183955416000 0 3,420,300 0 0 144,840 0 0
197007041997032005/123351 1 0 0 500,000 0 348,870 7,000 3,777,700
PNS/820312/IIIC 2 68,406 0 24 4,133,570 0 355,870
MARDIYANA
24 11-05-1963/497298836416000 1 3,753,800 185,000 0 217,260 0 0
196305111994032003/162769 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798012/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
21/12/2016

Page 489 of 952
NO STW
WINDHA NURHAYATI
25 28-04-1976/499738318411001 1 3,116,500 0 0 289,680 0 0
197604282006042004/164892 2 311,650 0 325,000 0 355,281 7,000 3,805,300
PNS/820107/IIIC 4 124,660 0 91 4,167,581 0 362,281
MIRA SEKAR HADI

26 13-03-1984/142010636013999 1 2,929,100 0 0 289,680 0 0
198403132010012034/179701 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
IRMAWATI
27 02-10-1984/363454950411000 1 2,839,700 0 0 217,260 0 0
198410022011012015/180216 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820103/IIIC 3 56,794 0 22 4,147,746 0 325,046
INDRI MULYANI BUNYAMIN

28 19-09-1981/677797599416000 1 2,839,700 0 0 72,420 0 0
198109192011012008/181033 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820123/IIIC 1 0 0 50 3,662,170 0 290,970
ROCHMAWATI HARAHAP
29 29-11-1968/777776915017000 0 3,753,800 0 0 72,420 0 0
196811291992032006/117622 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820453/IIIC 1 0 0 60 4,326,280 0 382,380
SUZI ALAWIYAH
30 14-11-1969/678574583086000 1 3,639,200 0 0 72,420 0 0
196911141990032004/120351 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
21/12/2016

Page 490 of 952
NO STW
HENDRA SUTRISNO
31 18-01-1965/176133544035000 0 3,994,000 185,000 0 217,260 0 0
196501181985031004/070832 2 0 0 0 0 415,376 7,000 4,133,700
PNS/798012/IIIC 3 159,760 185,000 56 4,556,076 0 422,376
TUTI PUJI ASTUTI

32 08-05-1968/678576224416000 1 3,639,200 0 0 144,840 0 0
196805081989012003/120757 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820341/IIIC 2 0 0 52 4,648,012 0 407,312
LISDAWATI MARBUN
33 26-12-1974/695028852086000 1 3,420,300 0 0 289,680 0 0
197412261998032003/128257 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
YENI KESUMA DEWI.S

34 09-06-1974/495141442086000 1 3,420,300 0 0 289,680 0 0
197406091998032005/162622 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
DESI ASTARI
35 16-12-1986/359469137416000 1 2,641,200 185,000 0 217,260 0 0
198612162014032002/183587 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MICCA MIFTAHUL JANNAH

36 19-03-1986/704138858035000 1 2,641,200 185,000 0 72,420 0 0
198603192014032004/183675 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 491 of 952
NO STW
MEIRINA JATI ADIANITA
37 05-05-1986/250363082429000 1 2,641,200 185,000 0 289,680 0 0
198605052014032005/183789 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
IIP PARIDAH
38 01-10-1964/171584006035000 0 3,601,400 185,000 0 72,420 0 0
196410011988032003/111600 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798012/IIIB 1 0 185,000 20 3,858,840 0 367,140
AMME SIMAREMARE
39 16-06-1963/668307762042000 0 3,491,500 185,000 0 72,420 0 0
196306161993032002/120388 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
SRI RAMIATI
40 20-10-1972/684618275416000 1 3,281,500 185,000 0 289,680 0 0
197210201994032005/120758 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
NURAENI
41 17-11-1961/725619720034000 0 3,714,900 0 0 144,840 0 0
196111171987032004/122894 1 0 0 265,000 0 378,919 7,000 3,813,200
PNS/820342/IIIB 2 74,298 0 81 4,199,119 0 385,919
NI KETUT MARHAENI
42 23-09-1963/684618283416000 1 3,714,900 185,000 0 72,420 0 0
196309231986032006/125520 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
21/12/2016

Page 492 of 952
NO STW
BLANDINA
43 29-09-1959/250840766411001 1 4,077,000 185,000 0 217,260 0 0
195909291985022001/125805 1 407,700 0 0 0 456,624 7,000 4,504,900
PNS/798012/IIIB 3 81,540 185,000 24 4,968,524 0 463,624
ELLIS SILALAHI
44 14-06-1967/668425143402000 1 3,281,500 0 0 289,680 0 0
196706141998032003/125868 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
LAMTARIDA SILABAN
45 09-11-1972/705136208451000 1 2,990,000 0 0 289,680 0 0
197201091998032005/128259 2 299,000 0 265,000 0 340,860 7,000 3,615,500
PNS/820313/IIIB 4 119,600 0 80 3,963,360 0 347,860
KHULYATUN
46 17-05-1984/678576182416000 1 2,781,100 0 0 289,680 0 0
198405172006042005/164957 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820342/IIIA 4 111,244 0 11 3,725,145 0 324,045
MURNIATY ARUAN
47 30-05-1969/259316875085000 1 3,148,300 0 0 289,680 0 0
196905301995032001/119048 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820342/IIIA 4 125,932 0 64 4,143,806 0 365,906
SANTOSA
48 19-02-1977/695025874416000 1 2,959,000 0 0 289,680 0 0
197702191998031001/128258 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
21/12/2016

Page 493 of 952
NO STW
DWI ARY PUSPITARINI
49 13-10-1982/678576208416000 1 2,640,600 0 0 289,680 0 0
198210132007012007/168385 2 264,060 0 240,000 0 301,028 5,000 3,234,000
PNS/820343/IID 4 105,624 0 64 3,540,028 0 306,028
TRI NURDATININGSIH
50 22-10-1981/771050978416000 1 2,752,300 0 0 289,680 0 0
198110222008012016/170084 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
ACHMAD RIWAN
51 15-11-1971/688476340411000 1 2,928,300 180,000 0 289,680 0 0
197111151996031002/119948 2 292,830 0 0 0 333,826 5,000 3,469,200
PNS/798022/IID 4 117,132 180,000 84 3,808,026 0 338,826
TRI MURNI
52 27-04-1977/784292260086000 1 2,928,300 0 0 289,680 0 0
197704271997032003/123584 2 292,830 0 265,000 0 333,826 5,000 3,554,200
PNS/820313/IID 4 117,132 0 84 3,893,026 0 338,826
CICI WIDAYANTI
53 03-11-1976/771743994416000 1 2,928,300 0 0 72,420 0 0
197611031997032001/162156 0 0 0 240,000 0 292,830 5,000 2,942,900
PNS/820623/IID 1 0 0 10 3,240,730 0 297,830
SRI LESTARI
54 02-04-1985/678574724086000 1 2,406,000 0 0 217,260 0 0
198504022010012032/178286 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IIC 3 48,120 0 92 3,152,072 0 274,472
21/12/2016

Page 494 of 952
NO STW
ITA APRILIA ANDRIYANI
55 09-04-1991/641453147533000 1 2,261,300 180,000 0 144,840 0 0
199104092014032001/183943 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
MONIKA KUSMIA ULFA

56 08-01-1989/364159590416000 1 2,332,500 0 0 289,680 0 0
198901082011012008/181827 2 233,250 0 240,000 0 265,905 5,000 2,917,900
PNS/820314/IIC 4 93,300 0 75 3,188,805 0 270,905
TINA RACHMA WIJAYA

57 11-02-1984/680150208411000 1 2,332,500 180,000 0 217,260 0 0
198402112011012014/181860 1 233,250 0 0 0 261,240 5,000 2,743,500
PNS/798022/IIC 3 46,650 180,000 80 3,009,740 0 266,240
EVI NILA
58 28-12-1979/574410312086999 0 2,381,100 0 0 72,420 0 0
197912282008012030/174669 0 0 0 220,000 0 238,110 5,000 2,430,500
PNS/820315/IIB 1 0 0 90 2,673,610 0 243,110
MARLINAH
59 29-09-1979/890482474013000 1 2,381,100 180,000 0 217,260 0 0
197909292010012006/179407 1 238,110 0 0 0 266,683 5,000 2,792,500
PNS/798011/IIB 3 47,622 180,000 91 3,064,183 0 271,683
HASAN
60 08-05-1966/725644801086000 1 3,051,400 180,000 0 217,260 0 0
196605081991031009/116557 1 305,140 0 0 0 341,756 5,000 3,468,100
PNS/798042/IIB 3 61,028 180,000 28 3,814,856 0 346,756
21/12/2016

Page 495 of 952
NO STW
203,731,700 2,750,000 1,520,000 11,732,040 0 0
TOTAL 14,006,770 0 23,300,000 0 22,163,309 417,000 238,358,100
3,894,730 2,750,000 3,169 260,938,409 0 22,580,309
JAKARTA,
MENGETAHUI
21/12/2016

Page 496 of 952
UKPD: RUMAH SAKIT UMUM KELAS D KEMBANGAN
NO STW
IRMA RIANI
1 09-02-1962/497298810086000 1 4,665,000 0 980,000 217,260 0 0
196202091987122001/116356 1 466,500 0 0 0 522,480 10,000 5,889,600
PNS/000000/IVB 3 93,300 0 20 6,422,080 0 532,480
MUDJIMAN
2 22-07-1963/174243451045000 1 4,339,000 0 540,000 217,260 0 0
196307221985111002/105507 1 433,900 0 0 0 485,968 10,000 5,121,000
PNS/500100/IVA 3 86,780 0 28 5,616,968 0 495,968
A. API IRON
3 21-08-1966/584155717045000 1 3,116,500 0 540,000 217,260 0 0
196608212007011022/168437 1 311,650 0 0 0 349,048 7,000 3,891,700
PNS/700100/IIIC 3 62,330 0 8 4,247,748 0 356,048
ROSITA
4 13-11-1971/488073354402000 1 3,528,100 0 540,000 289,680 0 0
197111131993032004/118007 2 352,810 0 0 0 402,203 7,000 4,442,600
PNS/700200/IIIC 4 141,124 0 89 4,851,803 0 409,203
LIA WIJAYANTI
5 02-06-1961/065118622036000 0 4,862,300 0 0 72,420 0 0
196106021988012001/123763 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820602/IVC 1 0 0 10 6,134,730 0 496,230
NELSON SITINJAK
6 01-04-1964/678576257403000 1 4,569,900 0 0 289,680 0 0
196404011992031010/123553 2 456,990 0 1,200,000 0 520,968 10,000 6,168,400
PNS/820602/IVC 4 182,796 0 2 6,699,368 0 530,968
21/12/2016

Page 497 of 952
NO STW
SUNARIATI
7 28-08-1960/176727204086001 1 4,162,900 0 0 72,420 0 0
196008281984032003/082590 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820341/IIID 1 0 0 70 4,735,390 0 423,290
WASIRAN
8 01-11-1963/497312306034000 1 4,035,800 185,000 0 217,260 0 0
196311011986031004/108433 1 403,580 0 0 0 452,009 7,000 4,463,400
PNS/798011/IIID 3 80,716 185,000 53 4,922,409 0 459,009
DIAN ULAMSARI
9 24-05-1967/676242688418000 0 3,528,100 185,000 0 144,840 0 0
196705242006042009/165479 1 0 0 0 0 359,866 7,000 3,561,700
PNS/798012/IIIC 2 70,562 185,000 64 3,928,566 0 366,866
ROZA FALINDA
10 29-09-1980/084325976301000 1 2,929,100 0 0 289,680 0 0
198009292009022005/183296 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820603/IIIC 4 117,164 0 63 4,378,917 0 340,917
KUSTIATI KASIADI
11 06-02-1959/774389936451000 1 4,249,500 0 0 144,840 0 0
195912061980112006/116147 0 424,950 0 500,000 0 467,445 7,000 4,844,900
PNS/820312/IIIC 2 0 0 55 5,319,345 0 474,445
DEBORA NOVELINA
12 14-11-1985/970676607416000 1 2,641,200 185,000 0 144,840 0 0
198511142014032003/183586 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
21/12/2016

Page 498 of 952
NO STW
ESKA PERDINI SUHENDI
13 17-02-1987/543726087442000 1 2,641,200 185,000 0 144,840 0 0
198702172014032002/183610 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
PARULIAN THOMAS
14 26-10-1983/356415901031000 1 2,641,200 185,000 0 72,420 0 0
198310262014031001/183693 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
IRA HANDAYANI SIAGIAN

15 06-12-1982/704524032416000 1 2,641,200 185,000 0 72,420 0 0
198212062014032002/184382 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ROVENY
16 16-06-1989/545896623119000 0 2,641,200 185,000 0 72,420 0 0
198906162014032008/184432 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
R MASTIEK SARI ADIWATI

17 06-04-1966/784321416086000 0 3,601,400 185,000 0 72,420 0 0
196604061987032005/110621 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
JUHAERIAH
18 21-06-1973/684618317034000 0 3,181,300 0 0 72,420 0 0
197306211997032006/123027 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
21/12/2016

Page 499 of 952
NO STW
NENI WIJAYATI
19 17-09-1973/591311881416001 1 3,148,300 0 0 289,680 0 0
197309171995032003/119130 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820622/IIIA 4 125,932 0 64 4,143,806 0 365,906
JAKA MAULANA
20 17-09-1978/676025729416000 0 2,752,300 0 0 72,420 0 0
197809172008011013/170088 0 0 0 1,150,000 0 275,230 5,000 3,694,500
PNS/900912/IID 1 0 0 10 3,974,730 0 280,230
JULIA DANI PS
21 06-07-1982/678576216034000 1 2,668,200 0 0 289,680 0 0
198207062008012022/172343 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
PUTRI SEPTIANDARI
22 10-09-1989/697529840416000 0 2,431,200 0 0 72,420 0 0
198909102011012010/180912 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
RINA RAHAYU
23 17-09-1974/455996664411001 1 2,668,200 0 0 289,680 0 0
197409172006042020/168826 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
ANNISA SHOLIHAH
24 27-09-1988/705256493085000 0 2,261,300 180,000 0 72,420 0 0
198809272014032004/183407 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 500 of 952
NO STW
CENDRA SMARA KRISTI
25 02-02-1990/705256121428000 0 2,261,300 180,000 0 72,420 0 0
199002022014032005/183468 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
HENI NURYANINGSIH
26 06-06-1978/486684244085999 1 2,481,800 0 0 289,680 0 0
197806062008012031/174573 2 248,180 0 240,000 0 282,925 5,000 3,071,100
PNS/820314/IIC 4 99,272 0 93 3,359,025 0 287,925
84,647,500 1,840,000 2,600,000 4,272,780 0 0

TOTAL 4,768,180 0 6,790,000 0 9,068,907 180,000 96,943,900
1,273,432 1,840,000 915 106,192,807 0 9,248,907
JAKARTA,
MENGETAHUI
21/12/2016

Page 501 of 952
UKPD: PUSKESMAS KEL.MERUYA UTARA KEC.KEMBANGAN
NO STW
MARIA CICILIA H
1 23-06-1958/250920014086000 1 5,015,400 0 0 144,840 0 0
195806231985112003/117115 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820102/IVC 2 0 0 14 6,861,794 0 561,694
5,015,400 0 0 144,840 0 0
TOTAL 501,540 0 1,200,000 0 551,694 10,000 6,300,100
0 0 14 6,861,794 0 561,694
JAKARTA,
MENGETAHUI
21/12/2016

Page 502 of 952
UKPD: PUSKESMAS KEL. MERUYA SELATAN KEC. KEMBANGAN
NO STW
ANI RIANA BAWAIHI
1 23-12-1961/079295309411001 1 4,713,800 0 0 144,840 0 0
196112231989012001/117916 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
AGUSTINA TIKU L PARURA

2 01-08-1962/688476332416000 1 4,522,500 0 0 217,260 0 0
196208011990032006/120349 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820102/IVB 3 90,450 0 60 6,482,520 0 516,520
9,236,300 0 0 362,100 0 0
TOTAL 923,630 0 2,400,000 0 1,025,038 20,000 11,967,600
90,450 0 158 13,012,638 0 1,045,038
JAKARTA,
MENGETAHUI
21/12/2016

Page 503 of 952
UKPD: PUSKESMAS KEL.SRENGSENG KEC.KEMBANGAN JAKBAR
NO STW
YASMIN
1 24-09-1961/690229877013001 1 4,665,000 0 0 72,420 0 0
196109241988022001/157515 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820102/IVB 1 0 0 80 5,937,500 0 476,500
4,665,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 466,500 10,000 5,461,000
0 0 80 5,937,500 0 476,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 504 of 952
UKPD: PUSKESMAS KEL.JOGLO KEC.KEMBANGAN JAKBAR
NO STW
YENNIFRI
1 09-06-1965/245223235036000 1 4,384,400 0 0 144,840 0 0
196506091992032001/162973 0 438,440 0 1,200,000 0 482,284 10,000 5,675,400
PNS/820602/IVB 2 0 0 4 6,167,684 0 492,284
NIKMAH
2 25-10-1963/725595532013000 1 3,214,700 0 0 217,260 0 0
196310252007012018/168359 1 321,470 0 750,000 0 360,046 7,000 4,200,700
PNS/820103/IIIC 3 64,294 0 22 4,567,746 0 367,046
7,599,100 0 0 362,100 0 0
TOTAL 759,910 0 1,950,000 0 842,330 17,000 9,876,100
64,294 0 26 10,735,430 0 859,330
JAKARTA,
MENGETAHUI
21/12/2016

Page 505 of 952
UKPD: PUSKESMAS KEL. KEMBANGAN SELATAN
NO STW
FARAWATI T JULISBET
1 10-07-1964/498402189411001 1 4,713,800 0 0 217,260 0 0
196407101989032009/118024 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
4,713,800 0 0 217,260 0 0
TOTAL 471,380 0 1,200,000 0 527,945 10,000 6,158,800
94,276 0 29 6,696,745 0 537,945
JAKARTA,
MENGETAHUI
21/12/2016

Page 506 of 952
UKPD: PUSKESMAS KELURAHAN KEMBANGAN UTARA
NO STW
ROSMAWATI WIJAYA
1 23-06-1969/140962622085001 1 3,565,000 0 0 217,260 0 0
196906232006042006/165267 1 356,500 0 750,000 0 399,280 7,000 4,553,800
PNS/820103/IIID 3 71,300 0 20 4,960,080 0 406,280
3,565,000 0 0 217,260 0 0
TOTAL 356,500 0 750,000 0 399,280 7,000 4,553,800
71,300 0 20 4,960,080 0 406,280
JAKARTA,
MENGETAHUI
21/12/2016

Page 507 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PALMERAH
NO STW
LINDA LIDYA
1 07-07-1970/684618309411000 1 3,953,600 0 980,000 289,680 0 0
197007071999032005/162692 2 395,360 0 0 0 450,710 10,000 5,316,100
PNS/000000/IVA 4 158,144 0 26 5,776,810 0 460,710
LILIK FAUZAH
2 12-08-1964/495141236451000 1 4,035,800 0 540,000 72,420 0 0
196408121986022004/107219 0 0 0 0 0 403,580 7,000 4,237,700
PNS/500100/IIID 1 0 0 60 4,648,280 0 410,580
BIBIANA BAREK MAKING

3 05-12-1958/051336485035999 0 4,475,700 0 0 72,420 0 0
195812051980102001/124924 0 0 0 600,000 0 447,570 10,000 4,690,600
PNS/820307/IVA 1 0 0 50 5,148,170 0 457,570
DEDI SUHENDI
4 02-04-1965/492331202035000 1 4,035,800 0 0 217,260 0 0
196504021987031015/112014 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
JULITA GINTING
5 10-06-1964/699631461004000 1 3,793,100 0 0 289,680 0 0
196406101994032002/118656 2 379,310 0 500,000 0 432,413 7,000 4,674,500
PNS/820312/IIID 4 151,724 0 99 5,113,913 0 439,413
SITI LEGIARTI
6 24-02-1963/678687252031000 1 4,162,900 0 0 144,840 0 0
196302241984032008/116578 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820341/IIID 2 0 0 89 5,224,119 0 464,919
21/12/2016

Page 508 of 952
NO STW
MARNIDA
7 03-12-1958/584438626035000 1 4,568,800 0 0 72,420 0 0
195812031981032003/071762 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
SRI FATMAWATI
8 06-09-1960/695028662071000 1 4,294,000 0 0 144,840 0 0
196009061983022001/130747 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
MURSALI
9 07-06-1964/492331350086000 1 4,294,000 185,000 0 289,680 0 0
196406071988031007/157851 2 429,400 0 0 0 489,516 7,000 4,873,400
PNS/798011/IIID 4 171,760 185,000 76 5,369,916 0 496,516
ASMAIN NAKUL
10 13-11-1964/090723826031000 1 3,912,600 0 0 72,420 0 0
196411131988032002/162816 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
NATHANIA HARTONO
11 20-08-1982/null 1 3,116,500 0 0 289,680 0 0
198208202006042006/164822 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
MULA BATISWA HUTAGAOL

12 05-10-1981/581151909045000 1 2,839,700 0 0 217,260 0 0
198110052011011003/180994 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
21/12/2016

Page 509 of 952
NO STW
USWATUN HASANAH
13 12-12-1975/142356880113000 1 3,116,500 0 0 72,420 0 0
197512122007012003/182805 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820603/IIIC 1 0 0 30 3,938,950 0 318,650
ERNI JOHAN
14 31-12-1967/492331525031000 1 3,753,800 0 0 72,420 0 0
196712311989022005/162673 0 0 0 600,000 0 375,380 7,000 4,043,900
PNS/820307/IIIC 1 0 0 60 4,426,280 0 382,380
ENDANG PUJI LESTARI

15 17-03-1966/492331186416000 0 3,872,000 0 0 72,420 0 0
196603171987012002/109827 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820353/IIIC 1 0 0 80 4,444,500 0 394,200
NURILLAHIDAYATI
16 03-02-1988/345856090077000 1 2,810,200 185,000 0 217,260 0 0
198802032010012016/177517 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
AFFAN NURROCHMAN
17 14-05-1988/700473184034000 0 2,641,200 185,000 0 72,420 0 0
198805142014031003/183547 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DIAN NOVITASARI
18 05-11-1986/705345759035000 1 2,641,200 185,000 0 72,420 0 0
198611052014032003/183593 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 510 of 952
NO STW
DWI RIANASARI
19 22-04-1984/579379470036000 0 2,641,200 185,000 0 72,420 0 0
198404222014032002/183602 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RIDHAFIKA ULFA
20 06-03-1983/705197937031000 1 2,641,200 185,000 0 289,680 0 0
198303062014032001/183711 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
ERVINA ROSSA
21 20-11-1985/543138440451000 1 2,641,200 185,000 0 217,260 0 0
198511202014032002/183778 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MELLISA SONDRAMELIA
22 17-06-1988/703198028451000 1 2,641,200 185,000 0 217,260 0 0
198806172014032004/184394 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ARY NURHAYATI
23 13-11-1974/259376184402000 1 3,281,500 185,000 0 289,680 0 0
197411131994032001/125377 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798012/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
UTASSARI TAFIK HIDATRI

24 31-12-1978/777776832086000 1 2,810,200 0 0 289,680 0 0
197812312010012030/179739 2 281,020 0 325,000 0 320,362 7,000 3,491,000
PNS/820107/IIIB 4 112,408 0 54 3,818,362 0 327,362
21/12/2016

Page 511 of 952
NO STW
ARY CAPRIANTY PERMANA
25 02-01-1985/363581885441000 1 2,724,400 0 0 144,840 0 0
198501022011012017/180990 0 272,440 0 325,000 0 299,684 7,000 3,160,000
PNS/820607/IIIB 2 0 0 4 3,466,684 0 306,684
DITO PRAMONO
26 15-02-1983/263545675016000 1 2,724,400 0 0 144,840 0 0
198302152011011012/181035 0 272,440 0 325,000 0 299,684 7,000 3,160,000
PNS/820124/IIIB 2 0 0 4 3,466,684 0 306,684
NEDYA KARTIKA SARI

27 08-12-1984/696630367411999 1 2,724,400 185,000 0 144,840 0 0
198412082011012013/181254 0 272,440 0 0 0 299,684 7,000 3,020,000
PNS/798012/IIIB 2 0 185,000 4 3,326,684 0 306,684
NURIYATI
28 17-04-1964/492331434451000 1 3,601,400 0 0 72,420 0 0
196404171988012001/111229 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820325/IIIB 1 0 0 20 3,938,840 0 367,140
EVI SRIWIJAYATI
29 25-08-1964/492331731013000 1 3,714,900 0 0 72,420 0 0
196408251989022001/162772 0 0 0 265,000 0 371,490 7,000 3,673,900
PNS/820313/IIIB 1 0 0 70 4,052,390 0 378,490
UMAR FAUZI
30 06-05-1964/688560200031000 1 3,714,900 185,000 0 289,680 0 0
196405061987031007/110483 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
21/12/2016

Page 512 of 952
NO STW
PEPI RULIANDA
31 10-02-1967/492331624036000 1 3,714,900 185,000 0 289,680 0 0
196702101987031003/110572 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
PURNOMO
32 29-10-1966/492331335031000 1 3,714,900 185,000 0 289,680 0 0
196610291987031001/110588 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SUYANTI
33 24-07-1967/678688508416000 1 3,601,400 185,000 0 144,840 0 0
196707241988032014/111658 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798011/IIIB 2 0 185,000 74 4,291,454 0 403,154
KATOLISMA
34 22-03-1965/773742721086000 1 3,601,400 0 0 144,840 0 0
196503221989112001/114357 0 360,140 0 265,000 0 396,154 7,000 3,968,300
PNS/820342/IIIB 2 0 0 74 4,371,454 0 403,154
DARSINI
35 07-06-1969/497298695031000 0 3,601,400 0 0 72,420 0 0
196906071992032006/117625 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820313/IIIB 1 0 0 20 3,938,840 0 367,140
M.SAILI
36 08-08-1962/594536229031000 1 3,831,900 0 0 144,840 0 0
196308181985031006/120737 0 383,190 0 265,000 0 421,509 7,000 4,196,500
PNS/900071/IIIB 2 0 0 79 4,625,009 0 428,509
21/12/2016

Page 513 of 952
NO STW
FARDIATI
37 23-03-1961/492331376035000 1 3,714,900 185,000 0 144,840 0 0
196103231987112002/120927 1 0 0 0 0 378,919 7,000 3,733,200
PNS/798011/IIIB 2 74,298 185,000 81 4,119,119 0 385,919
ROSMAWATI ARITONANG
38 21-07-1976/678687229031000 1 3,181,300 0 0 217,260 0 0
197607211997032001/123155 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820622/IIIB 3 63,626 0 89 4,045,405 0 363,305
BETRIS
39 15-07-1967/473645661_451000 1 3,384,900 0 0 217,260 0 0
196707151991122001/123239 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820342/IIIB 3 67,698 0 60 4,273,408 0 386,108
T.BUKHARI
40 01-10-1969/492331392031000 0 3,281,500 0 0 72,420 0 0
196910011997031006/123324 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
NANI NURSIAH
41 25-09-1966/492331715031000 1 3,601,400 185,000 0 289,680 0 0
196609251989022003/161759 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798012/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
NURRIDHA
42 25-09-1974/678580606072000 1 3,281,500 185,000 0 289,680 0 0
197409251995032001/162209 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
21/12/2016

Page 514 of 952
NO STW
RESY FATIMAH
43 25-09-1970/688596063036000 1 3,384,900 0 0 217,260 0 0
197009251993032003/162763 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820313/IIIB 3 67,698 0 60 4,273,408 0 386,108
SULISTIAWATY OHNIO
44 22-09-1962/null 1 3,420,300 0 0 144,840 0 0
196209221989032003/120278 0 342,030 0 750,000 0 376,233 7,000 4,274,000
PNS/820103/IIIA 2 0 0 63 4,657,233 0 383,233
YULI ASTUTI
45 01-07-1975/594859969451000 1 3,052,200 0 0 217,260 0 0
197507011999032005/158301 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
BAREH CATUR ASTUTI

46 17-11-1980/360839427412000 1 2,781,100 0 0 289,680 0 0
198011172006042006/164988 2 278,110 0 0 0 317,045 7,000 3,136,100
PNS/000007/IIIA 4 111,244 0 11 3,460,145 0 324,045
YUYUN WAHYUNI
47 22-12-1966/182991208031000 1 3,564,100 185,000 0 217,260 0 0
196612221987032003/110638 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
SRI HANDOYO BROTO

48 22-08-1968/171586894031000 1 3,455,300 185,000 0 289,680 0 0
196808221988031001/111230 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
21/12/2016

Page 515 of 952
NO STW
MARWAN
49 11-09-1963/688560168035000 1 3,455,300 0 0 289,680 0 0
196309111988021001/115781 2 345,530 0 265,000 0 393,904 7,000 4,092,900
PNS/820325/IIIA 4 138,212 0 82 4,493,804 0 400,904
ENY SUSYNINGSIH
50 17-02-1968/688560218031000 1 3,349,800 185,000 0 289,680 0 0
196802171991032006/116409 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798012/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
NURITA SAGALA
51 12-08-1967/594859910031000 1 3,148,300 185,000 0 289,680 0 0
196708121994032006/120953 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
MURNI
52 12-12-1965/476080791031000 1 2,959,000 185,000 0 144,840 0 0
196512121998032003/125465 0 295,900 0 0 0 325,490 7,000 3,252,300
PNS/798022/IIIA 2 0 185,000 50 3,584,790 0 332,490
SITI MASITO
53 12-03-1974/492331509031000 0 3,052,200 185,000 0 72,420 0 0
197403121997032003/157608 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798012/IIIA 1 0 185,000 0 3,309,620 0 312,220
ZUFLINAINI AWAY
54 28-07-1969/476768577048000 1 3,349,800 185,000 0 72,420 0 0
196907281991032007/157962 0 0 0 0 0 334,980 7,000 3,265,300
PNS/798022/IIIA 1 0 185,000 60 3,607,280 0 341,980
21/12/2016

Page 516 of 952
NO STW
RINDU YUNITA
55 02-06-1974/777638966411000 1 3,052,200 0 0 289,680 0 0
197406022000032003/161558 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
ROSA GELUHUAR
56 10-11-1964/688560226009000 1 3,052,200 0 0 217,260 0 0
196411101997032001/162188 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
YUSNITA
57 04-09-1968/693953507702000 1 3,455,300 185,000 0 217,260 0 0
196809041988032003/180134 1 345,530 0 0 0 386,993 7,000 3,878,300
PNS/798022/IIIA 3 69,106 185,000 97 4,272,293 0 393,993
IRMA YENI
58 16-06-1981/584155758072000 1 2,752,300 0 0 289,680 0 0
198106162007012021/168358 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
KHUSNUL HIDAYAH
59 25-10-1980/776626442035000 1 2,668,200 0 0 289,680 0 0
198010252008012023/172118 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
ROSYIDIN
60 31-12-1966/176442671031000 1 3,419,500 180,000 0 144,840 0 0
196612311987031030/110743 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
21/12/2016

Page 517 of 952
NO STW
HERLINA BR SEBAYANG
61 26-04-1965/699631453035000 1 3,315,100 0 0 144,840 0 0
196504261989032013/165116 0 331,510 0 240,000 0 364,661 5,000 3,661,800
PNS/820314/IID 2 0 0 11 4,031,461 0 369,661
SOFYAN
62 08-02-1961/492331673035000 1 3,213,800 180,000 0 144,840 0 0
196102081985031009/102044 0 321,380 0 0 0 353,518 5,000 3,501,600
PNS/798022/IID 2 0 180,000 98 3,860,118 0 358,518
AULIA CAHYA WILUJENG

63 05-09-1992/708870027072000 0 2,261,300 180,000 0 72,420 0 0
199209052014032002/183443 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IMA CAHYANI
64 28-07-1992/666153143525000 0 2,261,300 180,000 0 72,420 0 0
199207282014032001/183916 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
INNA YUNI ASTRID

65 08-06-1993/703718718526000 0 2,261,300 180,000 0 72,420 0 0
199306082014032001/183926 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LISENSY DEBORA SAMBO

66 07-11-1991/706824919085000 0 2,261,300 180,000 0 72,420 0 0
199111072014032002/183984 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 518 of 952
NO STW
RISHANA CHERISH
67 26-06-1990/705482925529000 0 2,261,300 180,000 0 72,420 0 0
199006262014032005/184162 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ANAH RUSMIANAH
68 28-10-1983/697596443061000 1 2,332,500 0 0 289,680 0 0
198310282011012017/180968 2 233,250 0 240,000 0 265,905 5,000 2,917,900
PNS/820314/IIC 4 93,300 0 75 3,188,805 0 270,905
DWI LINTANG AYU SISILIA

69 06-09-1988/576642250013000 1 2,332,500 0 0 289,680 0 0
198809062011012016/181213 2 233,250 0 240,000 0 265,905 5,000 2,917,900
PNS/820314/IIC 4 93,300 0 75 3,188,805 0 270,905
YUNISTIA YUAVITA
70 05-06-1989/776158446035000 0 2,332,500 0 0 72,420 0 0
198906052011012010/181214 0 0 0 240,000 0 233,250 5,000 2,406,700
PNS/820314/IIC 1 0 0 30 2,644,950 0 238,250
ERI SUMARI
71 26-05-1959/360936819411000 0 3,490,600 0 0 72,420 0 0
195905261982032003/123013 0 0 0 240,000 0 349,060 5,000 3,449,000
PNS/820314/IIC 1 0 0 40 3,803,060 0 354,060
SITI MARYAM
72 01-04-1983/776626475031000 0 2,481,800 0 0 72,420 0 0
198304012008012015/179853 0 0 0 240,000 0 248,180 5,000 2,541,100
PNS/820314/IIC 1 0 0 60 2,794,280 0 253,180
21/12/2016

Page 519 of 952
NO STW
PURWINJANTO
73 28-05-1971/359887171451000 0 2,780,400 0 0 72,420 0 0
197105281997031002/123296 0 0 0 240,000 0 278,040 5,000 2,809,800
PNS/900012/IIB 1 0 0 20 3,092,840 0 283,040
DJAELANI
74 05-04-1960/688560192031000 1 2,838,200 180,000 0 217,260 0 0
196004051985031013/106864 1 283,820 0 0 0 317,878 5,000 3,253,200
PNS/798042/IIA 3 56,764 180,000 34 3,576,078 0 322,878
238,485,600 6,065,000 1,520,000 13,035,600 0 0

TOTAL 15,611,890 0 13,530,000 0 25,783,907 490,000 265,719,100
3,741,730 6,065,000 3,187 291,993,007 0 26,273,907
JAKARTA,
MENGETAHUI
21/12/2016

Page 520 of 952
UKPD: PUSKESMAS KEL.JATIPULO KEC.PALMERAH
NO STW
CUT NAFITRI
1 02-04-1960/076440890031001 1 4,665,000 0 0 144,840 0 0
196004021987032004/114775 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVB 2 0 0 10 6,476,350 0 523,150
MEIDESWATI BERMAWI
2 29-05-1957/076444207031000 1 4,384,400 0 0 144,840 0 0
195705291992032001/122543 0 438,440 0 1,200,000 0 482,284 10,000 5,675,400
PNS/820602/IVB 2 0 0 4 6,167,684 0 492,284
9,049,400 0 0 289,680 0 0
TOTAL 904,940 0 2,400,000 0 995,434 20,000 11,628,600
0 0 14 12,644,034 0 1,015,434
JAKARTA,
MENGETAHUI
21/12/2016

Page 521 of 952
UKPD: PUSKESMAS KEL.SLIPI KEC.PALMERAH JAKBAR
NO STW
RR WAHJU TJAHJANING M
1 27-06-1963/183119197086000 0 4,522,500 0 0 72,420 0 0
196309271989012002/122958 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
MERIANA KUSTANTI
2 22-10-1983/363414970005000 0 2,724,400 0 0 72,420 0 0
198310222011012009/180221 0 0 0 325,000 0 272,440 7,000 2,842,400
PNS/820107/IIIB 1 0 0 20 3,121,840 0 279,440
7,246,900 0 0 144,840 0 0
TOTAL 0 0 1,525,000 0 724,690 17,000 8,175,100
0 0 50 8,916,790 0 741,690
JAKARTA,
MENGETAHUI
21/12/2016

Page 522 of 952
UKPD: PUSKESMAS KEL.PALEMERAH KEC.PALMERAH JAKBAR
NO STW
ERIKA NATAHUSADA
1 17-12-1959/694359613012000 1 4,811,900 0 0 72,420 0 0
195912171985122001/122938 0 0 0 1,200,000 0 481,190 10,000 5,593,200
PNS/820602/IVB 1 0 0 70 6,084,390 0 491,190
MEDIA CYANITA
2 28-02-1980/252345111086001 1 2,810,200 0 0 217,260 0 0
198002282010012017/177770 1 281,020 0 325,000 0 314,742 7,000 3,368,000
PNS/820107/IIIB 3 56,204 0 58 3,689,742 0 321,742
7,622,100 0 0 289,680 0 0
TOTAL 281,020 0 1,525,000 0 795,932 17,000 8,961,200
56,204 0 128 9,774,132 0 812,932
JAKARTA,
MENGETAHUI
21/12/2016

Page 523 of 952
UKPD: PUSKESMAS KELURAHAN KOTA BAMBU SELATAN
NO STW
MUNYANI
1 10-05-1958/492331244451000 1 4,963,400 0 0 72,420 0 0
195805101984102001/114212 0 0 0 1,200,000 0 496,340 10,000 5,729,500
PNS/820602/IVB 1 0 0 20 6,235,840 0 506,340
4,963,400 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 496,340 10,000 5,729,500
0 0 20 6,235,840 0 506,340
JAKARTA,
MENGETAHUI
21/12/2016

Page 524 of 952
UKPD: PUSKESMAS KELURAHAN KOTA BAMBU UTARA
NO STW
RIVAI ARIEF
1 06-10-1966/594858944017000 1 3,912,600 0 0 289,680 0 0
196610061993021001/158036 2 391,260 0 750,000 0 446,036 7,000 5,047,100
PNS/820603/IIID 4 156,504 0 92 5,500,136 0 453,036
3,912,600 0 0 289,680 0 0
TOTAL 391,260 0 750,000 0 446,036 7,000 5,047,100
156,504 0 92 5,500,136 0 453,036
JAKARTA,
MENGETAHUI
21/12/2016

Page 525 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN TEBET
NO STW
HILDA
1 07-10-1970/572101574061000 1 3,715,800 0 980,000 289,680 0 0
197010072002122001/165169 2 371,580 0 0 0 423,601 10,000 5,072,100
PNS/000000/IVA 4 148,632 0 9 5,505,701 0 433,601
MIN YUNIAR
2 12-06-1967/670024173013000 1 4,035,800 0 540,000 217,260 0 0
196706121987032002/110657 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
YUNIDAR HARTATI H
3 02-06-1967/479093387015000 1 4,250,600 0 0 217,260 0 0
196706021993112001/127151 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820602/IVB 3 85,012 0 35 6,177,967 0 486,067
SRI MIHAYU
4 27-11-1966/576617070017000 1 4,294,000 185,000 0 72,420 0 0
196611271987032008/110551 0 0 0 0 0 429,400 7,000 4,115,100
PNS/798011/IIID 1 0 185,000 80 4,551,500 0 436,400
SRI SUDEWI HANDAYANI

5 19-04-1978/580494854542000 0 3,350,600 0 0 144,840 0 0
197804192006042013/182801 1 0 0 750,000 0 341,761 7,000 3,963,700
PNS/820103/IIID 2 67,012 0 9 4,312,461 0 348,761
DEWI MUSTIKA
6 14-06-1964/576616932432000 1 4,568,800 0 0 144,840 0 0
196406141985032008/070828 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
21/12/2016

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NO STW
SUTRIYEM
7 13-11-1963/245407440013000 1 4,162,900 0 0 72,420 0 0
196311131984122001/114655 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820312/IIID 1 0 0 70 4,735,390 0 423,290
WIWIN SUNDAWIANI
8 24-12-1959/576617260017000 1 4,568,800 0 0 72,420 0 0
195912241981052001/072256 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
SUKAMTO
9 01-08-1961/576617153407000 1 4,429,300 0 0 144,840 0 0
196108011981121004/073888 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
DJUHRIAH
10 11-12-1959/576617039005000 1 4,568,800 0 0 144,840 0 0
195912111981122001/074018 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
HASMIATI
11 10-02-1962/576616601407000 1 4,294,000 0 0 72,420 0 0
196202101983032012/079724 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
MUHAMAD SETYO UTOMO

12 22-04-1962/576617179407000 1 4,162,900 0 0 217,260 0 0
196204221985031006/105636 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820312/IIID 3 83,258 0 36 5,379,744 0 473,244
21/12/2016

Page 527 of 952
NO STW
RATNA SEKUNDARIADEWI
13 24-11-1966/null 1 3,753,800 185,000 0 217,260 0 0
196611241993122001/119010 1 375,380 0 0 0 420,425 7,000 4,179,100
PNS/798981/IIIC 3 75,076 185,000 9 4,606,525 0 427,425
LINA NADHILAH
14 05-01-1988/244037875042000 1 2,839,700 0 0 217,260 0 0
198801052011012019/181018 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820123/IIIC 3 56,794 0 22 4,147,746 0 325,046
NGENALIT BR SEMBIRING
15 01-05-1969/576617161008000 1 3,528,100 0 0 289,680 0 0
196905011992032004/125387 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820312/IIIC 4 141,124 0 89 4,811,803 0 409,203
KARMIN
16 11-09-1963/780183331412000 1 3,872,000 0 0 217,260 0 0
196309111987031010/110564 1 387,200 0 500,000 0 433,664 7,000 4,613,300
PNS/820312/IIIC 3 77,440 0 64 5,053,964 0 440,664
ROSLINA SEMBIRING
17 20-08-1968/576616841435000 1 3,639,200 0 0 217,260 0 0
196808201990032008/115596 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
SOLIKHATUN
18 27-09-1963/576616908017000 1 3,872,000 0 0 144,840 0 0
196309271987032005/118365 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/820341/IIIC 2 0 0 80 4,904,120 0 432,920
21/12/2016

Page 528 of 952
NO STW
ELIZABETH RATNAWATI
19 18-06-1960/095156881014000 1 3,528,100 0 0 144,840 0 0
196006182006042002/169987 0 352,810 0 750,000 0 388,091 7,000 4,380,700
PNS/820103/IIIC 2 0 0 41 4,775,791 0 395,091
HOSIANNA TRYANNESIA
20 09-08-1987/892614900432000 1 2,641,200 185,000 0 72,420 0 0
198708092014032001/183636 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
KARTIKA PUTRI PERTIWI

21 11-07-1987/169498037005000 1 2,641,200 185,000 0 144,840 0 0
198707112014032001/183658 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
MUHAMMAD FAHRISAL
22 23-12-1983/640132775407000 1 2,641,200 185,000 0 289,680 0 0
198312232014031001/183792 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798011/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
MAHMUD LEMAN
23 12-08-1959/576516593017000 1 4,077,000 0 0 144,840 0 0
195908121981121002/073169 0 407,700 0 265,000 0 448,470 7,000 4,439,100
PNS/820325/IIIB 2 0 0 30 4,894,570 0 455,470
ANTAROBESTI SINAGA
24 19-11-1970/576617294412000 1 3,281,500 0 0 289,680 0 0
197011191995032003/120164 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820354/IIIB 4 131,260 0 1 4,295,591 0 381,091
21/12/2016

Page 529 of 952
NO STW
IDA ROSMALA DEWI
25 15-07-1968/578128324008000 0 3,384,900 0 0 144,840 0 0
196807151993012002/161742 1 0 0 265,000 0 345,259 7,000 3,510,200
PNS/820342/IIIB 2 67,698 0 21 3,862,459 0 352,259
UJU JUANAH
26 31-12-1972/576617237061000 1 3,148,300 0 0 289,680 0 0
197105211994032006/120579 2 314,830 0 300,000 0 358,906 7,000 3,812,900
PNS/820309/IIIA 4 125,932 0 64 4,178,806 0 365,906
HENDI PRASETYO
27 02-03-1984/780183406005000 1 2,781,100 0 0 289,680 0 0
198403022006041007/165051 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820313/IIIA 4 111,244 0 11 3,725,145 0 324,045
ELVAN SYAPUTRI
28 23-03-1981/676490733013000 1 2,752,300 180,000 0 144,840 0 0
198103232007012008/168764 1 0 0 0 0 280,734 5,000 2,846,500
PNS/798011/IID 2 55,046 180,000 48 3,132,234 0 285,734
NURMAWATI
29 26-04-1984/780183349018000 1 2,752,300 0 0 217,260 0 0
198404262008012010/172347 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820133/IID 3 55,046 0 21 3,539,857 0 313,257
HANNY PARLINA
30 21-03-1986/363494618403000 1 2,431,200 0 0 217,260 0 0
198603212011012014/180899 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
21/12/2016

Page 530 of 952
NO STW
ESTHER LITA YOHANA
31 31-07-1989/363562448403000 0 2,431,200 0 0 72,420 0 0
198907312011012008/180909 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
SRI ARTHA MUTIARA

32 11-11-1981/482048782121000 0 2,431,200 0 0 72,420 0 0
198111112011012011/180969 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
HASNI SETIAWAN H
33 03-01-1965/null 1 3,115,700 0 0 72,420 0 0
196501031992032006/124423 0 0 0 240,000 0 311,570 5,000 3,111,600
PNS/820133/IID 1 0 0 50 3,428,170 0 316,570
SITI RAISA
34 17-01-1986/576653687015000 0 2,406,000 180,000 0 72,420 0 0
198601172010012029/178977 0 0 0 0 0 240,600 5,000 2,412,900
PNS/798022/IIC 1 0 180,000 80 2,658,500 0 245,600
NELLY YANTI
35 14-11-1982/576616700008000 1 2,381,100 0 0 217,260 0 0
198211142007012011/168824 1 238,110 0 240,000 0 266,683 5,000 2,852,500
PNS/820133/IIB 3 47,622 0 91 3,124,183 0 271,683
DEWI MALINDIAWATI
36 13-01-1983/576617286009000 1 2,381,100 0 0 289,680 0 0
198301132007012010/168825 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820133/IIB 4 95,244 0 11 3,244,145 0 276,445
21/12/2016

Page 531 of 952
NO STW
RUTH LASMA MILAN
37 27-08-1983/970771556008000 0 2,214,700 0 0 144,840 0 0
198308272008012017/174577 0 221,470 0 220,000 0 243,617 5,000 2,552,400
PNS/820624/IIA 2 0 0 7 2,801,017 0 248,617
125,328,400 1,285,000 1,520,000 6,445,380 0 0

TOTAL 8,549,560 0 12,210,000 0 13,560,909 245,000 143,265,200
1,731,212 1,285,000 1,557 157,071,109 0 13,805,909
JAKARTA,
MENGETAHUI
21/12/2016

Page 532 of 952
UKPD: RUMAH SAKIT UMUM KELAS D TEBET
NO STW
YENI RESTUTI
1 19-12-1967/676598832432000 1 4,206,500 0 980,000 217,260 0 0
196712191992032001/122847 1 420,650 0 0 0 471,128 10,000 5,427,500
PNS/000000/IVA 3 84,130 0 88 5,908,628 0 481,128
TIUR HERLINA S.
2 22-09-1965/142026350412001 1 3,214,700 0 540,000 144,840 0 0
196509222007012015/168363 0 321,470 0 0 0 353,617 7,000 3,860,400
PNS/700200/IIIC 2 0 0 7 4,221,017 0 360,617
DIAH ANGGRAINI
3 01-04-1981/249297730008000 1 3,021,300 0 540,000 72,420 0 0
198104012008042001/179136 0 0 0 0 0 302,130 7,000 3,324,600
PNS/700100/IIIC 1 0 0 10 3,633,730 0 309,130
WIWI SRI RATNA DEWI

4 23-01-1969/488714486404000 0 3,753,800 0 540,000 72,420 0 0
196901231989032003/113788 0 0 0 0 0 375,380 7,000 3,983,900
PNS/500100/IIIC 1 0 0 60 4,366,280 0 382,380
M.S.RINI WARDHANI
5 11-09-1962/058125030005000 1 5,068,000 0 0 144,840 0 0
196209111987032004/158012 0 506,800 0 1,200,000 0 557,480 10,000 6,352,200
PNS/820602/IVD 2 0 0 40 6,919,680 0 567,480
DHANYA ROSA
6 09-10-1961/066652512061000 1 4,862,300 0 0 289,680 0 0
196110091988022001/120224 2 486,230 0 1,200,000 0 554,302 10,000 6,468,400
PNS/820122/IVC 4 194,492 0 0 7,032,702 0 564,302
21/12/2016

Page 533 of 952
NO STW
FADHLINA
7 17-09-1957/572101681015000 1 5,173,400 0 0 144,840 0 0
195709171984122001/123281 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820102/IVC 2 0 0 94 7,035,674 0 579,074
YUDI SUGIARTO
8 25-04-1960/289200701008000 1 4,665,000 0 0 144,840 0 0
196004251987101001/118269 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820602/IVB 2 0 0 10 6,476,350 0 523,150
DEWI LISNARIA
9 29-12-1965/null 1 4,384,400 0 0 289,680 0 0
196512291992032004/124774 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
SAFARUDDIN
10 15-03-1963/096416623018000 1 4,522,500 0 0 289,680 0 0
196303151990031005/157670 2 452,250 0 750,000 0 515,565 10,000 5,669,800
PNS/820103/IVB 4 180,900 0 35 6,195,365 0 525,565
LIES MIRIYANIE
11 26-09-1963/780183307403000 1 4,384,400 0 0 72,420 0 0
196309261992032004/118268 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
NURBANI
12 29-03-1981/492331269035000 1 3,248,300 0 0 217,260 0 0
198103292006042004/164818 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820103/IIID 3 64,966 0 53 4,605,409 0 370,809
21/12/2016

Page 534 of 952
NO STW
RAHMANIAR
13 30-03-1965/247028566412000 1 4,035,800 0 0 144,840 0 0
196503301986032005/128483 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
NURLAILI
14 09-12-1959/578128241009000 1 4,294,000 0 0 72,420 0 0
195912091983032009/070488 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
TIURMA SIMANJUNTAK
15 27-02-1960/578128365008000 1 4,429,300 0 0 144,840 0 0
196002271981032007/071024 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820621/IIID 2 0 0 53 5,517,123 0 494,223
THERESIA MARIA BEDO P

16 11-04-1966/780183471435000 1 3,912,600 0 0 144,840 0 0
196604111988032002/122493 1 0 0 500,000 0 399,085 7,000 4,229,700
PNS/820131/IIID 2 78,252 0 93 4,635,785 0 406,085
MASNAWATI
17 03-01-1961/576617344017000 0 4,294,000 0 0 72,420 0 0
196101031982032008/123041 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
MACHYUDI MUCHTAR
18 17-02-1967/576617054016000 1 3,872,000 185,000 0 217,260 0 0
196702171987031003/110682 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798011/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
21/12/2016

Page 535 of 952
NO STW
FIRDA TANIA
19 05-08-1982/770141786404000 0 2,810,200 185,000 0 144,840 0 0
198208052010012022/178726 0 281,020 0 0 0 309,122 7,000 3,105,000
PNS/798981/IIIC 2 0 185,000 62 3,421,122 0 316,122
LIDIYA SEMBIRING
20 03-04-1971/576617187430000 1 3,420,300 0 0 217,260 0 0
197104031996032002/122399 1 342,030 0 300,000 0 383,073 7,000 3,958,000
PNS/820309/IIIC 3 68,406 0 77 4,348,073 0 390,073
ROTUA ROBET
21 06-02-1966/493811970048000 0 3,753,800 0 0 72,420 0 0
196602061989031009/113772 0 0 0 1,150,000 0 375,380 7,000 4,593,900
PNS/900910/IIIC 1 0 0 60 4,976,280 0 382,380
DOHARNI SIMANJUNTAK
22 18-11-1967/576616675432000 1 3,753,800 0 0 217,260 0 0
196711181989032004/117180 1 375,380 0 265,000 0 420,425 7,000 4,259,100
PNS/820313/IIIC 3 75,076 0 9 4,686,525 0 427,425
SEKAR AYU MUNAFSARI

23 07-09-1971/576616668003000 0 3,639,200 0 0 72,420 0 0
197109071990032003/123540 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
RISMAWATI SILALAHI
24 16-09-1970/780183398015000 0 3,420,300 0 0 217,260 0 0
197009161997032001/123566 1 342,030 0 265,000 0 383,073 7,000 3,923,000
PNS/820313/IIIC 3 68,406 0 77 4,313,073 0 390,073
21/12/2016

Page 536 of 952
NO STW
HERA APPRIMADONA
25 21-04-1984/701155442404000 1 2,641,200 185,000 0 289,680 0 0
198404212014032002/183632 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
INDIRA PUSPITA
26 24-08-1988/724758487013000 0 2,641,200 185,000 0 72,420 0 0
198808242014032004/183643 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MUHAMMAD ADE
27 23-07-1986/660313123017000 1 2,641,200 185,000 0 217,260 0 0
198607232014031003/183678 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SELFITRIANA
28 24-08-1984/705134575008000 1 2,641,200 185,000 0 289,680 0 0
198408242014032003/183730 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
RIA BUDI IRAWATI

29 21-06-1987/340759455039000 1 2,641,200 185,000 0 217,260 0 0
198706212014032004/183801 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
TOHIDI
30 28-07-1963/578128290015000 1 3,714,900 0 0 144,840 0 0
196307281987031005/110929 0 371,490 0 200,000 0 408,639 7,000 4,015,600
PNS/900092/IIIB 2 0 0 9 4,431,239 0 415,639
21/12/2016

Page 537 of 952
NO STW
DAHLIA ELVANI
31 26-07-1965/578128316003000 1 3,052,200 0 0 144,840 0 0
196507261997032002/125396 0 305,220 0 265,000 0 335,742 7,000 3,424,600
PNS/820342/IIIA 2 0 0 82 3,767,342 0 342,742
ENCU
32 10-11-1961/576617062412000 1 3,213,800 180,000 0 144,840 0 0
196111101985031013/086265 0 321,380 0 0 0 353,518 5,000 3,501,600
PNS/798011/IID 2 0 180,000 98 3,860,118 0 358,518
MUTHI VITALASARI
33 23-09-1990/543255129404000 0 2,261,300 180,000 0 72,420 0 0
199009232014032003/184403 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798011/IIC 1 0 180,000 10 2,513,730 0 231,130
ARIENSY PREVINA
34 17-02-1991/703778654404000 0 2,261,300 180,000 0 72,420 0 0
199102172014032001/183422 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ERNAWATI LISTIANINGSIH
35 25-11-1990/974541922015000 0 2,261,300 180,000 0 72,420 0 0
199011252014032003/183839 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
HANIFAH DINIAH
36 09-04-1988/694326885434000 0 2,261,300 180,000 0 72,420 0 0
198804092014032005/183887 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 538 of 952
NO STW
PUTRI RIFQIAH
37 16-01-1990/356905810013000 1 2,261,300 180,000 0 144,840 0 0
199001162014032003/184108 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
TITIK ASMARA JUITA

38 06-07-1971/780183356061000 1 2,284,400 0 0 289,680 0 0
197107062008012016/175332 2 228,440 0 220,000 0 260,421 5,000 2,848,500
PNS/820134/IIA 4 91,376 0 25 3,113,921 0 265,421
132,917,700 2,375,000 2,600,000 6,083,280 0 0

TOTAL 9,017,820 0 14,365,000 0 14,341,122 276,000 154,219,000
1,475,764 2,375,000 1,558 168,836,122 0 14,617,122
JAKARTA,
MENGETAHUI
21/12/2016

Page 539 of 952
UKPD: PUSKESMAS KEL.BUKIT DURI KEC.TEBET JAKSEL
NO STW
AGRIATY RITHA
1 04-08-1964/572101533008000 1 4,522,500 0 0 289,680 0 0
196308041990032004/120581 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820602/IVB 4 180,900 0 35 6,645,365 0 525,565
4,522,500 0 0 289,680 0 0
TOTAL 452,250 0 1,200,000 0 515,565 10,000 6,119,800
180,900 0 35 6,645,365 0 525,565
JAKARTA,
MENGETAHUI
21/12/2016

Page 540 of 952
UKPD: PUSKESMAS KEL.MANGGARAI SEL KEC.TEBET JAKSEL
NO STW
LILIANA
1 09-09-1959/572101640_015000 0 4,522,500 0 0 72,420 0 0
195909091989112001/124929 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
4,522,500 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 452,250 10,000 5,332,700
0 0 30 5,794,950 0 462,250
JAKARTA,
MENGETAHUI
21/12/2016

Page 541 of 952
UKPD: PUSKESMAS KEL.MANGGARAI KEC.TEBET JAKSEL
NO STW
SONDANG MARLINA
1 10-04-1961/576617278412000 1 4,713,800 0 0 217,260 0 0
196204101990102001/118991 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
4,713,800 0 0 217,260 0 0
TOTAL 471,380 0 1,200,000 0 527,945 10,000 6,158,800
94,276 0 29 6,696,745 0 537,945
JAKARTA,
MENGETAHUI
21/12/2016

Page 542 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN SETIA BUDI
NO STW
FRIANA ASMELY
1 09-02-1976/474052149202000 1 3,350,600 0 980,000 289,680 0 0
197602092003122004/165789 2 335,060 0 0 0 381,968 7,000 4,700,400
PNS/000000/IIID 4 134,024 0 4 5,089,368 0 388,968
ASHARI DALIMUNTHE
2 09-01-1965/170169056015000 0 4,162,900 0 540,000 144,840 0 0
196501091985121001/107292 1 0 0 0 0 424,615 7,000 4,499,400
PNS/500100/IIID 2 83,258 0 17 4,931,015 0 431,615
NURLENA
3 29-01-1957/075792085014000 1 5,392,200 0 0 144,840 0 0
195701291983112001/122911 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820601/IVD 2 0 0 82 7,476,342 0 603,142
WIWIK SRI W
4 23-04-1965/494614043013000 1 4,384,400 0 0 144,840 0 0
196905301992032002/122918 0 438,440 0 1,200,000 0 482,284 10,000 5,675,400
PNS/820602/IVB 2 0 0 4 6,167,684 0 492,284
LINDA RAKHMAWATI
5 28-10-1962/494613912022000 0 4,250,600 0 0 72,420 0 0
196210281993122001/125727 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
TRI MURTI
6 18-08-1963/494614068412000 0 4,522,500 0 0 72,420 0 0
196308181989012003/117923 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820102/IVB 1 0 0 30 5,794,950 0 462,250
21/12/2016

Page 543 of 952
NO STW
MUHAMMAD HATTA
7 22-05-1958/494613631015000 1 4,206,500 0 0 217,260 0 0
195805221992031001/162678 1 420,650 0 1,200,000 0 471,128 10,000 5,647,500
PNS/820602/IVA 3 84,130 0 88 6,128,628 0 481,128
LINDAWATI
8 20-04-1969/670092626015000 1 3,350,600 0 0 217,260 0 0
196904202007012031/168368 1 335,060 0 750,000 0 375,267 7,000 4,337,700
PNS/820103/IIID 3 67,012 0 35 4,719,967 0 382,267
DIVI JULAEHA
9 10-03-1980/341369718432000 1 3,248,300 0 0 72,420 0 0
198003102007012011/179778 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820603/IIID 1 0 0 10 4,070,730 0 331,830
PULUNG KARINA
10 26-06-1963/494613870017000 1 4,035,800 0 0 289,680 0 0
196306261987031008/114543 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820324/IIID 4 161,432 0 89 5,390,581 0 467,081
SUGIYANTI
11 03-10-1960/494613805009000 1 4,429,300 0 0 144,840 0 0
196010031981052001/072105 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
RITA DEVIANA
12 30-01-1960/494824626017000 1 4,429,300 0 0 217,260 0 0
196001301981122001/073715 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820621/IIID 3 88,586 0 5 5,678,081 0 503,081
21/12/2016

Page 544 of 952
NO STW
YANTI NURDIN
13 19-10-1965/494613383015000 1 4,035,800 0 0 217,260 0 0
196510191986032005/107736 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
MOHAMAD HAERUDIN
14 01-02-1967/494613672008000 1 4,294,000 0 0 217,260 0 0
196702011987031005/110421 1 429,400 0 1,150,000 0 480,928 7,000 5,688,700
PNS/900910/IIID 3 85,880 0 88 6,176,628 0 487,928
AFRIATI
15 04-04-1964/494613425024000 1 4,035,800 0 0 217,260 0 0
196404041986032017/123048 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820341/IIID 3 80,716 0 53 5,237,409 0 459,009
NURAINI
16 11-12-1959/494614183064000 0 4,294,000 0 0 72,420 0 0
195912111980032003/123108 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
SURYATI
17 07-03-1963/494613821019000 1 4,162,900 0 0 144,840 0 0
196303071984122003/123349 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820312/IIID 2 0 0 89 5,224,119 0 464,919
PRISYANA
18 21-05-1984/896296860064000 1 2,929,100 0 0 217,260 0 0
198405212010012033/178461 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
21/12/2016

Page 545 of 952
NO STW
IKA DEWI SUBANDIYAH
19 26-05-1983/776355364061000 0 2,929,100 0 0 289,680 0 0
198305262010012020/178932 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
DANANG ARI WIBOWO

20 23-01-1983/696560432017000 0 2,839,700 0 0 72,420 0 0
198301232011011006/181000 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820123/IIIC 1 0 0 50 3,662,170 0 290,970
SISTINNA PURBA NINGRUM

21 12-02-1968/494613615017000 1 3,872,000 0 0 217,260 0 0
196802121991032006/116552 1 387,200 0 500,000 0 433,664 7,000 4,613,300
PNS/820353/IIIC 3 77,440 0 64 5,053,964 0 440,664
TJATUR SUPRAPTI
22 20-04-1959/494614167018000 1 4,249,500 0 0 144,840 0 0
195904201981082001/072507 0 424,950 0 265,000 0 467,445 7,000 4,609,900
PNS/820313/IIIC 2 0 0 55 5,084,345 0 474,445
JOJOR LUMBAN GAOL

23 05-09-1969/494824600403000 1 3,639,200 0 0 289,680 0 0
196909051990032003/114878 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
DORLAN LIMBONG
24 15-02-1960/452538853018000 1 3,639,200 0 0 72,420 0 0
196002151991032001/116555 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
21/12/2016

Page 546 of 952
NO STW
TIMENIKASIH HIA
25 14-07-1971/494614126407000 1 3,639,200 0 0 217,260 0 0
197107141991032002/129537 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
ROSDA
26 21-04-1969/494613508018000 1 3,528,100 0 0 72,420 0 0
196904211992032011/158472 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
DAHLIA
27 07-06-1984/357223312017000 1 2,641,200 185,000 0 72,420 0 0
198406072014032001/183584 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
KARTIKA DESTYA ARINI

28 01-12-1986/704525245413000 1 2,641,200 185,000 0 217,260 0 0
198612012014032003/183657 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MELINDA HOTMAULI
29 08-05-1988/704112051435000 0 2,641,200 185,000 0 72,420 0 0
198805082014032003/183673 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NIVO MAULIDA
30 24-01-1981/357416387409000 1 2,641,200 185,000 0 72,420 0 0
198101242014032001/183687 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 547 of 952
NO STW
ROY MICHAEL SURANTA
31 15-07-1986/705068377016000 0 2,641,200 185,000 0 72,420 0 0
198607152014031003/183722 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
UTAMI WULANDARI
32 10-04-1984/889543815407000 1 2,641,200 185,000 0 217,260 0 0
198404102014032002/183754 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
NAVIRI LATIVA
33 15-08-1987/704347723061000 1 2,641,200 185,000 0 72,420 0 0
198708152014032004/184045 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
GRACE RAZKYA
34 19-07-1979/363443532001000 1 2,724,400 0 0 289,680 0 0
197907192011012010/181255 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
NURMIKANI
35 05-09-1982/252008016021000 0 2,724,400 0 0 72,420 0 0
198209052011012011/180995 0 0 0 325,000 0 272,440 7,000 2,842,400
PNS/820607/IIIB 1 0 0 20 3,121,840 0 279,440
PURWANTO
36 25-01-1960/494824642017000 1 3,491,500 185,000 0 144,840 0 0
196001251987031002/110768 0 349,150 0 0 0 384,065 7,000 3,779,500
PNS/798022/IIIB 2 0 185,000 75 4,170,565 0 391,065
21/12/2016

Page 548 of 952
NO STW
ROSMAWATY
37 04-04-1963/245443270412000 1 3,714,900 185,000 0 217,260 0 0
196303041986032013/116679 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798012/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
NURUL HASANAH
38 26-04-1968/682871421018000 0 3,601,400 0 0 72,420 0 0
196804261989022001/123541 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820313/IIIB 1 0 0 20 3,938,840 0 367,140
BUDI HASTUTI
39 05-11-1965/240177113018001 1 3,491,500 185,000 0 72,420 0 0
196511051990032004/157778 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
DESI ASTRINA
40 04-12-1982/477713705018000 1 2,959,000 0 0 289,680 0 0
198212042005012003/169817 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820342/IIIA 4 118,360 0 86 3,928,026 0 344,326
TITIN RAHMAYANI
41 08-08-1977/356574426119000 1 2,868,700 0 0 72,420 0 0
197708082000032002/182804 0 0 0 300,000 0 286,870 7,000 2,947,300
PNS/820309/IIIA 1 0 0 50 3,241,170 0 293,870
OKTI UTAMAWATI
42 10-10-1972/494613482009000 1 3,052,200 0 0 72,420 0 0
197210101996032002/120951 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820132/IIIA 1 0 0 0 3,389,620 0 312,220
21/12/2016

Page 549 of 952
NO STW
SUMARTINI
43 01-03-1966/090054255023000 1 2,781,100 0 0 144,840 0 0
196603011997032001/125230 0 278,110 0 265,000 0 305,921 7,000 3,156,200
PNS/820342/IIIA 2 0 0 71 3,469,121 0 312,921
MOHAMAD ANSORI
44 09-09-1974/776777351024000 1 2,668,200 180,000 0 289,680 0 0
197409092008011012/179956 2 266,820 0 0 0 304,174 5,000 3,202,300
PNS/798011/IID 4 106,728 180,000 46 3,511,474 0 309,174
LINDA SUSANTI
45 06-11-1986/678734906017000 1 2,507,800 180,000 0 289,680 0 0
198611062010012033/178940 2 250,780 0 0 0 285,889 5,000 3,037,700
PNS/798011/IID 4 100,312 180,000 17 3,328,589 0 290,889
SRI MULYANI
46 12-03-1982/472425438432000 1 2,668,200 0 0 72,420 0 0
198203122006042010/180152 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820623/IID 1 0 0 0 2,980,620 0 271,820
MUHAMMAD TAUFIK
47 25-03-1983/580886885412000 1 2,431,200 180,000 0 289,680 0 0
198303252011011008/180892 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798011/IID 4 97,248 180,000 8 3,241,256 0 282,156
ANNA FATIMA ZAHRA

48 09-03-1992/705600419533000 0 2,261,300 180,000 0 72,420 0 0
199203092014032001/183406 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 550 of 952
NO STW
NURROKHMAH PUSPITA
49 26-02-1990/702383258523000 0 2,261,300 180,000 0 72,420 0 0
199002262014032005/184077 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RIA AVIANI
50 03-12-1990/460831704016000 0 2,261,300 180,000 0 72,420 0 0
199012032014032002/184140 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RISALATUN KHAIRUNNISA
51 16-01-1991/705783207529000 0 2,261,300 180,000 0 72,420 0 0
199101162014032005/184160 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
171,068,700 3,110,000 1,520,000 7,966,200 0 0

TOTAL 9,992,580 0 19,615,000 0 18,311,005 356,000 196,656,100
2,048,862 3,110,000 1,763 215,323,105 0 18,667,005
JAKARTA,
MENGETAHUI
21/12/2016

Page 551 of 952
UKPD: PUSKESMAS KEL.SETIABUDI KEC.SETIABUDI JAKSEL
NO STW
SUKYAMA ROSALYN
1 24-08-1978/494613763013000 1 3,248,300 0 0 289,680 0 0
197808242006042007/164931 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 552 of 952
UKPD: PUSKESMAS KEL.KARET KEC.SETIABUDI JAKSEL
NO STW
SRI NUGROHO S
1 30-05-1963/494613979411000 1 4,569,900 0 0 72,420 0 0
196305301991032002/120939 0 0 0 1,400,000 0 456,990 10,000 5,575,400
PNS/820101/IVC 1 0 0 70 6,042,390 0 466,990
4,569,900 0 0 72,420 0 0
TOTAL 0 0 1,400,000 0 456,990 10,000 5,575,400
0 0 70 6,042,390 0 466,990
JAKARTA,
MENGETAHUI
21/12/2016

Page 553 of 952
UKPD: PUSKESMAS KEL.KARETKUNINGAN KEC.SETIABUDI JAKSEL
NO STW
LUKSIANI KURNIATI S
1 11-04-1959/494613656077000 1 4,206,500 0 0 144,840 0 0
195704111992112001/118055 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820602/IVA 2 0 0 25 5,972,015 0 472,715
4,206,500 0 0 144,840 0 0
TOTAL 420,650 0 1,200,000 0 462,715 10,000 5,499,300
0 0 25 5,972,015 0 472,715
JAKARTA,
MENGETAHUI
21/12/2016

Page 554 of 952
UKPD: PUSKESMAS KEL.KUNINGAN TIMUR KEC.SETIABUDI JAKSEL
NO STW
DIAH HAYATI
1 29-12-1971/682828520015000 0 3,350,600 0 0 217,260 0 0
197112292006042017/165286 2 0 0 750,000 0 348,462 7,000 4,096,500
PNS/820103/IIID 3 134,024 0 78 4,451,962 0 355,462
3,350,600 0 0 217,260 0 0
TOTAL 0 0 750,000 0 348,462 7,000 4,096,500
134,024 0 78 4,451,962 0 355,462
JAKARTA,
MENGETAHUI
21/12/2016

Page 555 of 952
UKPD: PUSKESMAS KEL.MENTENG ATAS KEC.SETIABUDI JAKSEL
NO STW
HERNI RUSJDI
1 01-11-1967/494614084013000 1 3,456,200 0 0 217,260 0 0
196711012006042009/165472 1 345,620 0 750,000 0 387,094 7,000 4,444,200
PNS/820103/IIID 3 69,124 0 90 4,838,294 0 394,094
3,456,200 0 0 217,260 0 0
TOTAL 345,620 0 750,000 0 387,094 7,000 4,444,200
69,124 0 90 4,838,294 0 394,094
JAKARTA,
MENGETAHUI
21/12/2016

Page 556 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.MAMPANG PRAPATAN
NO STW
TRI RESOPIMIARTI
1 22-08-1961/497342717017000 1 4,339,000 0 980,000 217,260 0 0
196108221989012002/120377 1 433,900 0 0 0 485,968 10,000 5,561,000
PNS/000000/IVA 3 86,780 0 28 6,056,968 0 495,968
BUDIYONO
2 29-09-1964/778834176412000 1 4,035,800 0 540,000 217,260 0 0
196409291986031008/108321 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
YUDANINGSIH
3 12-04-1965/676379100016000 1 4,384,400 0 0 72,420 0 0
196504121992032004/120273 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
ELFIA
4 03-09-1973/799640693017000 1 3,385,700 0 0 289,680 0 0
197309032005022004/171284 2 338,570 0 1,200,000 0 385,969 10,000 4,953,500
PNS/820102/IVA 4 135,428 0 91 5,349,469 0 395,969
NINA ADRIANA IRMAWANTI

5 17-05-1964/676348857412000 1 4,035,800 0 0 72,420 0 0
196405171991022001/158068 0 0 0 750,000 0 403,580 7,000 4,447,700
PNS/820103/IIID 1 0 0 60 4,858,280 0 410,580
YUNIARTI
6 26-06-1970/891026908412000 0 3,315,900 0 0 217,260 0 0
197006262007012025/168374 2 0 0 750,000 0 344,853 7,000 4,064,000
PNS/820603/IIIC 3 132,636 0 57 4,415,853 0 351,853
21/12/2016

Page 557 of 952
NO STW
CHITRA RASJMI CARA
7 04-09-1970/678854845016000 1 3,214,700 0 0 217,260 0 0
197009042008012022/174672 1 321,470 0 750,000 0 360,046 7,000 4,200,700
PNS/820103/IIIC 3 64,294 0 22 4,567,746 0 367,046
ANITA KURNIASIH
8 05-09-1982/895361269017000 1 2,929,100 0 0 289,680 0 0
198209052010012039/178818 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
REBEKKA
9 03-11-1982/075634204011000 1 2,839,700 0 0 289,680 0 0
198211032011012007/180235 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
NANI HANDAYANI BR
10 23-03-1979/573895950404000 1 2,839,700 0 0 289,680 0 0
197903232011012013/181032 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
DESTI RAHMAWATI
11 30-12-1985/784519076015000 1 2,839,700 0 0 217,260 0 0
198512302011012020/181239 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
HANA SUKMARIHATI
12 06-08-1967/778177709407000 1 3,753,800 0 0 217,260 0 0
196708061989032007/114154 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820353/IIIC 3 75,076 0 9 4,921,525 0 427,425
21/12/2016

Page 558 of 952
NO STW
SURYA SOMA
13 10-05-1987/705997195014000 1 2,641,200 185,000 0 72,420 0 0
198705102014032002/183746 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
WITRIASTIKA SUCI
14 30-09-1987/095289310015000 0 2,641,200 185,000 0 72,420 0 0
198709302014032002/183764 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MEILIANNA S
15 10-05-1969/787103704016000 1 3,281,500 0 0 289,680 0 0
196905101998032005/125750 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
SUPIANA
16 21-11-1973/784053415403000 1 3,384,900 0 0 289,680 0 0
197311211993031003/161734 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820622/IIIB 4 135,396 0 12 4,413,478 0 392,878
MICA
17 10-01-1962/786669796411000 1 3,831,900 185,000 0 217,260 0 0
196201101985031017/088039 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
NENI MARYANI
18 04-09-1962/682928619008000 0 3,831,900 185,000 0 72,420 0 0
196209041985032007/104439 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798011/IIIB 1 0 185,000 70 4,089,390 0 390,190
21/12/2016

Page 559 of 952
NO STW
ROKAYAH
19 18-06-1963/095155461014000 1 3,714,900 185,000 0 289,680 0 0
196306181987032007/110554 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SITI JUWAERIAH
20 24-07-1970/678854316009000 1 3,384,900 0 0 217,260 0 0
197007241992032008/117696 1 338,490 0 300,000 0 379,108 7,000 3,922,300
PNS/820323/IIIB 3 67,698 0 60 4,308,408 0 386,108
ELFRIDA SARAGIH
21 25-10-1965/095155479014000 1 3,384,900 0 0 289,680 0 0
196510251996032001/122340 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
MUSTANGINAH
22 05-10-1971/699255956002000 1 3,148,300 0 0 289,680 0 0
197110051995032001/120208 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820622/IIIA 4 125,932 0 64 4,143,806 0 365,906
HENIE PRATIWI
23 19-03-1975/682928510005000 1 2,868,700 0 0 289,680 0 0
197503192006042019/165745 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820313/IIIA 4 114,748 0 33 3,825,031 0 334,031
ERNA WAHYUNINGSIH
24 26-04-1975/780183430061000 1 2,868,700 0 0 289,680 0 0
197504262006042017/165760 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820313/IIIA 4 114,748 0 33 3,825,031 0 334,031
21/12/2016

Page 560 of 952
NO STW
DINI FITRIANI
25 02-09-1978/485605695_061000 1 2,868,700 0 0 289,680 0 0
197809022006042018/165311 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820342/IIIA 4 114,748 0 33 3,825,031 0 334,031
ELIS MULYATI
26 26-06-1982/670086875017000 0 2,668,200 0 0 72,420 0 0
198206262008012041/174674 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820343/IID 1 0 0 0 2,980,620 0 271,820
SITI NUR OCTAFIANA

27 01-10-1979/678854332072000 0 2,668,200 0 0 72,420 0 0
197910012006042026/165656 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820343/IID 1 0 0 0 2,980,620 0 271,820
MAULANI PRATIWI
28 25-11-1985/570047027412000 0 2,406,000 0 0 217,260 0 0
198511252010012041/178428 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IID 3 48,120 0 92 3,152,072 0 274,472
KRISTY TIARIN
29 28-03-1989/361150931412000 0 2,431,200 0 0 72,420 0 0
198903282011012010/180944 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
ENDRO PRABOWO
30 02-01-1981/682928593416000 1 2,431,200 0 0 217,260 0 0
198101022011011009/180958 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
21/12/2016

Page 561 of 952
NO STW
AGUSTIN RAHMATUSHOFA
31 19-08-1987/595994385413000 1 2,261,300 180,000 0 72,420 0 0
198708192014032002/183358 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MARHESYA SYANI
32 15-03-1990/705656585411000 0 2,261,300 180,000 0 72,420 0 0
199003152014032001/183998 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NURLEYLA BALQIS
33 14-08-1991/542599295412000 0 2,261,300 180,000 0 72,420 0 0
199108142014032001/184073 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ENEN SUCIATI
34 21-07-1971/095155487014000 1 2,481,800 0 0 217,260 0 0
197107212008012011/170061 1 248,180 0 240,000 0 277,961 5,000 2,954,000
PNS/820343/IIC 3 49,636 0 85 3,236,961 0 282,961
DINI RACHMAWATI
35 07-06-1977/682928536_017000 1 2,308,300 180,000 0 289,680 0 0
197706072007012020/168776 2 230,830 0 0 0 263,146 5,000 2,833,000
PNS/798012/IIB 4 92,332 180,000 4 3,101,146 0 268,146
FITRIA NURHAYATI
36 12-08-1979/795584366008000 0 2,381,100 0 0 72,420 0 0
197908122008012029/175334 0 0 0 240,000 0 238,110 5,000 2,450,500
PNS/830225/IIB 1 0 0 90 2,693,610 0 243,110
21/12/2016

Page 562 of 952
NO STW
110,324,900 1,645,000 1,520,000 7,024,740 0 0
TOTAL 7,254,190 0 11,985,000 0 11,995,890 239,000 129,900,300
2,379,936 1,645,000 1,424 142,135,190 0 12,234,890
JAKARTA,
MENGETAHUI
21/12/2016

Page 563 of 952
UKPD: RUMAH SAKIT UMUM KELAS D MAMPANG PRAPATAN
NO STW
DEWI SRI RACHMAWATIS.
1 26-05-1960/575743331009000 1 4,616,600 0 980,000 72,420 0 0
196005261984102001/130931 0 0 0 0 0 461,660 10,000 5,197,400
PNS/000000/IVA 1 0 0 40 5,669,060 0 471,660
ROSELYNE E H L
2 11-09-1963/258329689008000 1 4,162,900 0 540,000 72,420 0 0
196309111990012001/120814 0 0 0 0 0 416,290 7,000 4,352,100
PNS/700200/IIID 1 0 0 70 4,775,390 0 423,290
CUCU NURGAHAWAN
3 12-04-1968/258303163407000 1 3,912,600 0 540,000 289,680 0 0
196804121988031002/165429 2 391,260 0 0 0 446,036 7,000 4,837,100
PNS/500100/IIID 4 156,504 0 92 5,290,136 0 453,036
SRI REJEKI AMELIA

4 12-12-1970/774264576412000 1 3,420,300 0 540,000 217,260 0 0
197012122007012049/168409 1 342,030 0 0 0 383,073 7,000 4,198,000
PNS/700100/IIIC 3 68,406 0 77 4,588,073 0 390,073
HERMINA S
5 29-09-1958/095403382017000 0 5,227,600 0 0 72,420 0 0
195809291985032004/115268 0 0 0 1,400,000 0 522,760 10,000 6,167,300
PNS/820601/IVD 1 0 0 40 6,700,060 0 532,760
TRI LISTIANI
6 30-06-1962/076274315026001 0 4,862,300 0 0 72,420 0 0
196206301987112001/115871 0 0 0 1,400,000 0 486,230 10,000 5,838,500
PNS/820601/IVC 1 0 0 10 6,334,730 0 496,230
21/12/2016

Page 564 of 952
NO STW
SRI NUNINGSIH
7 29-01-1961/787583194015000 1 4,294,000 0 0 144,840 0 0
196101291982062001/076658 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
PAYNA SHITADEWI
8 11-05-1959/678854886013000 1 4,294,000 0 0 144,840 0 0
195905111983032004/111210 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820131/IIID 2 0 0 0 5,368,240 0 479,340
BERTI PURBA
9 22-04-1959/682928502015000 1 4,568,800 0 0 217,260 0 0
195904281979112001/114408 1 456,880 0 500,000 0 511,705 7,000 5,315,700
PNS/820341/IIID 3 91,376 0 89 5,834,405 0 518,705
REDHO ADRIANTI
10 24-04-1967/682928551412000 1 3,912,600 0 0 289,680 0 0
196704241988012001/125481 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820341/IIID 4 156,504 0 92 5,250,136 0 453,036
RIMELDA
11 12-02-1982/363488701005000 1 2,839,700 185,000 0 289,680 0 0
198202122011012008/180234 2 283,970 0 0 0 323,725 7,000 3,381,300
PNS/798981/IIIC 4 113,588 185,000 87 3,712,025 0 330,725
WIWIEK WIDIASTUTY
12 12-03-1977/145906905323000 1 2,929,100 185,000 0 217,260 0 0
197703122009022001/184490 1 292,910 0 0 0 328,059 7,000 3,347,800
PNS/798011/IIIC 3 58,582 185,000 7 3,682,859 0 335,059
21/12/2016

Page 565 of 952
NO STW
PARULIAN SILABANN
13 05-06-1962/087804217003000 1 3,528,100 0 0 144,840 0 0
196206051995032001/120204 0 352,810 0 500,000 0 388,091 7,000 4,130,700
PNS/820312/IIIC 2 0 0 41 4,525,791 0 395,091
ZURIATA BENI HAZEL

14 30-03-1964/678854241010000 0 3,994,000 0 0 217,260 0 0
196403301988021003/158190 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820353/IIIC 3 79,880 0 88 5,190,628 0 454,328
SUGENG TRIYONO
15 24-03-1964/676404155403000 1 3,872,000 185,000 0 289,680 0 0
196403241987031002/110629 2 387,200 0 0 0 441,408 7,000 4,440,400
PNS/798011/IIIC 4 154,880 185,000 48 4,888,808 0 448,408
GAGAT DWIEKA WAHYU

16 20-12-1987/704071059629000 0 2,641,200 185,000 0 72,420 0 0
198712202014031005/183626 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SWASTI KARTIKA
17 29-04-1988/703530055013000 1 2,641,200 185,000 0 72,420 0 0
198804292014032004/183748 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ASNIDARIA
18 17-12-1964/098140437412001 1 3,831,900 0 0 72,420 0 0
196412171985012002/123042 0 0 0 265,000 0 383,190 7,000 3,779,200
PNS/820622/IIIB 1 0 0 70 4,169,390 0 390,190
21/12/2016

Page 566 of 952
NO STW
YUNETI
19 14-06-1963/678854258036000 0 3,831,900 185,000 0 144,840 0 0
196306141986032003/108430 1 0 0 0 0 390,853 7,000 3,840,600
PNS/798011/IIIB 2 76,638 185,000 75 4,238,453 0 397,853
SATRIAWAN
20 05-07-1962/776755000017000 1 3,952,600 185,000 0 144,840 0 0
196207051987031007/110550 0 395,260 0 0 0 434,786 7,000 4,236,000
PNS/798012/IIIB 2 0 185,000 86 4,677,786 0 441,786
NURBAITI
21 05-04-1969/682928544403000 1 3,491,500 0 0 217,260 0 0
196904051991012001/122899 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
ROSINTA BR SILITONGA
22 05-09-1967/787103696411000 1 3,491,500 185,000 0 144,840 0 0
196709051991012001/123447 0 349,150 0 0 0 384,065 7,000 3,779,500
PNS/798022/IIIB 2 0 185,000 75 4,170,565 0 391,065
MELVIANA
23 09-06-1982/670721356432000 1 2,868,700 185,000 0 217,260 0 0
198206092008012012/170062 1 286,870 0 0 0 321,294 7,000 3,287,000
PNS/798011/IIIA 3 57,374 185,000 90 3,615,294 0 328,294
HAMDANI
24 07-04-1965/317403070465005 1 3,419,500 180,000 0 144,840 0 0
196504071987031004/110580 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
21/12/2016

Page 567 of 952
NO STW
LINDA LAVENIA BR
25 17-04-1992/705213890433000 0 2,261,300 180,000 0 72,420 0 0
199204172014032002/183983 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SARTONO
26 05-12-1959/678854415061000 1 3,384,000 180,000 0 144,840 0 0
195912051985031010/088173 0 338,400 0 0 0 372,240 5,000 3,670,000
PNS/798032/IIC 2 0 180,000 0 4,047,240 0 377,240
ADI MULJADI
27 06-08-1966/095155446014000 1 3,083,400 180,000 0 144,840 0 0
196608061985031001/104349 0 308,340 0 0 0 339,174 5,000 3,372,500
PNS/798011/IIC 2 0 180,000 94 3,716,674 0 344,174
99,333,300 2,385,000 2,600,000 4,345,200 0 0

TOTAL 6,525,640 0 6,330,000 0 10,694,246 190,000 111,719,800
1,083,562 2,385,000 1,344 122,604,046 0 10,884,246
JAKARTA,
MENGETAHUI
21/12/2016

Page 568 of 952
UKPD: PUSKESMAS KEL.MAMPANG PRAPATAN KEC.MAMPANG PRAPATN
NO STW
ANGELA MUH.AMNI MALIKI
1 17-09-1977/483994513016000 1 3,350,600 0 0 144,840 0 0
197709172006042027/176688 0 335,060 0 750,000 0 368,566 7,000 4,205,000
PNS/820603/IIID 2 0 0 66 4,580,566 0 375,566
3,350,600 0 0 144,840 0 0
TOTAL 335,060 0 750,000 0 368,566 7,000 4,205,000
0 0 66 4,580,566 0 375,566
JAKARTA,
MENGETAHUI
21/12/2016

Page 569 of 952
UKPD: PUSKESMAS KEL.PELAMAMPANG KEC. MAMPANG PRAPATAN
NO STW
ERNY MASYITAH
1 31-05-1967/096547088061000 1 3,214,700 0 0 289,680 0 0
196705312007012014/168406 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
3,214,700 0 0 289,680 0 0
TOTAL 321,470 0 750,000 0 366,475 7,000 4,331,000
128,588 0 37 4,704,475 0 373,475
JAKARTA,
MENGETAHUI
21/12/2016

Page 570 of 952
UKPD: PUSKESMAS KEL.TEGAL PARANG KEC.MAMPANG PRAPATAN
NO STW
FEBBY HALLYTHA
1 21-07-1972/095439147017001 1 3,456,200 0 0 72,420 0 0
197207212006042016/165468 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820103/IIID 1 0 0 0 4,278,620 0 352,620
3,456,200 0 0 72,420 0 0
TOTAL 0 0 750,000 0 345,620 7,000 3,926,000
0 0 0 4,278,620 0 352,620
JAKARTA,
MENGETAHUI
21/12/2016

Page 571 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PASAR MINGGU
NO STW
SUSILOWATI
1 20-09-1963/096520929002001 1 3,953,600 0 980,000 217,260 0 0
196309201994032003/122916 1 395,360 0 0 0 442,803 10,000 5,172,500
PNS/000000/IVA 3 79,072 0 11 5,625,303 0 452,803
LISA SITAWATI
2 17-12-1961/676242779016000 1 3,793,100 0 540,000 144,840 0 0
196112171994032001/158118 0 379,310 0 0 0 417,241 7,000 4,433,100
PNS/500100/IIID 2 0 0 91 4,857,341 0 424,241
IKA AGUSTININGSIH
3 12-08-1959/497342535412000 1 5,015,400 0 0 144,840 0 0
195908121985032007/115776 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
HESTA YP SIAHAAN
4 05-01-1960/257881995412000 1 4,862,300 0 0 72,420 0 0
196001051987032004/131198 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820102/IVC 1 0 0 10 6,134,730 0 496,230
REDIKSON GINTING
5 17-01-1961/578453391009000 1 4,250,600 0 0 217,260 0 0
196101171993121001/125667 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820122/IVB 3 85,012 0 35 6,177,967 0 486,067
LUSIANA
6 09-01-1960/497453951411000 1 4,811,900 0 0 72,420 0 0
196001091985032002/113096 0 0 0 1,200,000 0 481,190 10,000 5,593,200
PNS/820602/IVB 1 0 0 70 6,084,390 0 491,190
21/12/2016

Page 572 of 952
NO STW
NURLAELAH
7 25-08-1964/682908793017000 1 4,078,100 0 0 289,680 0 0
196408251994032003/120215 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
INGGRID MAUREN A
8 17-10-1966/497342378061000 0 3,953,600 0 0 72,420 0 0
196610171992022001/120391 0 0 0 1,200,000 0 395,360 10,000 4,820,700
PNS/820602/IVA 1 0 0 40 5,226,060 0 405,360
DWI SULISTYO BUDI

9 28-05-1958/497463463014000 1 4,339,000 0 0 289,680 0 0
195805281990011001/122422 2 433,900 0 1,200,000 0 494,646 10,000 5,931,500
PNS/820602/IVA 4 173,560 0 6 6,436,146 0 504,646
MIRANDA YUSUF
10 11-12-1957/066192915017000 1 4,339,000 0 0 72,420 0 0
195712111989112001/125428 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820102/IVA 1 0 0 80 5,611,500 0 443,900
IDA SETIAWATI
11 17-11-1963/774992408412000 1 4,339,000 0 0 72,420 0 0
196311171990032008/162140 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820602/IVA 1 0 0 80 5,611,500 0 443,900
MARTHA MARIA SIAHAYA

12 08-03-1960/497453746402000 1 4,206,500 0 0 144,840 0 0
196003081992122001/162706 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820602/IVA 2 0 0 25 5,972,015 0 472,715
21/12/2016

Page 573 of 952
NO STW
DEVI SURYA IRIYANI
13 28-05-1963/497463448017000 1 3,953,600 0 0 217,260 0 0
196305281998032001/164421 1 395,360 0 1,200,000 0 442,803 10,000 5,392,500
PNS/820102/IVA 3 79,072 0 11 5,845,303 0 452,803
ELISABETH RIANI
14 30-12-1958/497508820017000 1 4,762,000 0 0 72,420 0 0
195812301981032006/071817 0 0 0 500,000 0 476,200 10,000 4,848,300
PNS/820341/IVA 1 0 0 80 5,334,500 0 486,200
ZATERTI
15 10-10-1958/488428996014000 1 4,616,600 0 0 72,420 0 0
195710101980032007/110766 0 0 0 850,000 0 461,660 10,000 5,067,400
PNS/820306/IVA 1 0 0 40 5,539,060 0 471,660
NINGTJE WIBISONO
16 07-03-1964/580591329016000 0 4,206,500 0 0 72,420 0 0
196403071992032003/122428 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820602/IVA 1 0 0 30 5,478,950 0 430,650
NAOMI HANA THEI

17 04-03-1959/486887748407000 1 4,162,900 185,000 0 72,420 0 0
195903041985012002/086061 0 0 0 0 0 416,290 7,000 3,997,100
PNS/798012/IIID 1 0 185,000 70 4,420,390 0 423,290
SURTILESTARI
18 29-03-1966/095403812017000 1 3,912,600 185,000 0 217,260 0 0
196603291993032005/125320 1 391,260 0 0 0 438,211 7,000 4,339,200
PNS/798012/IIID 3 78,252 185,000 39 4,784,411 0 445,211
21/12/2016

Page 574 of 952
NO STW
WIDYASTARI
19 02-11-1968/488429077064000 1 3,793,100 0 0 289,680 0 0
196811021994032004/125427 2 379,310 0 1,200,000 0 432,413 7,000 5,374,500
PNS/820602/IIID 4 151,724 0 99 5,813,913 0 439,413
MONA FARDIANA
20 22-10-1982/147568018101000 1 3,149,100 185,000 0 289,680 0 0
198210222002122003/185523 2 314,910 0 0 0 358,997 7,000 3,698,700
PNS/798011/IIID 4 125,964 185,000 43 4,064,697 0 365,997
NIZMA FEBRIANTI
21 25-02-1967/497508515412000 1 4,035,800 0 0 217,260 0 0
196702251986032002/123538 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
RATNA SYARIF
22 11-11-1962/497508440403000 1 4,035,800 0 0 217,260 0 0
196211111986032012/125726 1 403,580 0 600,000 0 452,009 7,000 4,878,400
PNS/820307/IIID 3 80,716 0 53 5,337,409 0 459,009
ENTIT ROSWAETI
23 26-06-1959/497342485412000 1 4,429,300 0 0 72,420 0 0
195906261981032006/071938 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
LENA SRI HARTATI

24 08-11-1959/488429010017000 1 4,429,300 0 0 72,420 0 0
195911081981052001/072245 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
21/12/2016

Page 575 of 952
NO STW
NISWATI
25 25-12-1959/497453886017000 0 4,294,000 0 0 289,680 0 0
195912251981072002/072278 2 429,400 0 500,000 0 489,516 7,000 5,188,400
PNS/820341/IIID 4 171,760 0 76 5,684,916 0 496,516
A A PUTRI KEMUDAWATI
26 13-07-1960/497342394017000 1 4,294,000 0 0 72,420 0 0
196007131981072001/072486 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
SURADJIEM
27 20-01-1960/497453878017000 1 4,429,300 0 0 217,260 0 0
196001201981122001/073188 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820341/IIID 3 88,586 0 5 5,678,081 0 503,081
I NYOMAN SUDIASA
28 14-04-1959/488429036017000 0 4,429,300 0 0 144,840 0 0
195904141981121004/073902 1 0 0 500,000 0 451,788 7,000 4,704,000
PNS/820312/IIID 2 88,586 0 62 5,162,788 0 458,788
RATININGSIH
29 06-04-1962/774302442005000 1 4,429,300 0 0 144,840 0 0
196204061981122004/073981 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
DALINA BR KARO
30 06-05-1961/497342824017000 1 4,162,900 0 0 144,840 0 0
196105061984032005/084190 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820312/IIID 2 0 0 89 5,224,119 0 464,919
21/12/2016

Page 576 of 952
NO STW
ASNI FARIDA
31 23-10-1959/497342584017000 0 4,294,000 0 0 72,420 0 0
195910231982032005/084561 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
ATING DASTIWATI
32 30-08-1959/488429028017000 1 4,429,300 0 0 72,420 0 0
195908301980032002/084610 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
CHAIRUL IHSAN
33 06-02-1961/497508465412000 1 4,162,900 0 0 144,840 0 0
196102061985011001/086443 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820353/IIID 2 0 0 89 5,224,119 0 464,919
YANI SURYANI
34 10-05-1964/258991330412000 1 4,035,800 0 0 72,420 0 0
196405101986032013/108491 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820324/IIID 1 0 0 60 4,608,280 0 410,580
DEVY YUDHI SARI

35 18-04-1969/755707379403000 1 3,912,600 0 0 289,680 0 0
196904181989032004/123559 2 391,260 0 600,000 0 446,036 7,000 4,897,100
PNS/820307/IIID 4 156,504 0 92 5,350,136 0 453,036
KHODIJAH
36 26-01-1961/497508812412000 1 4,294,000 0 0 72,420 0 0
196101261982032002/125339 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
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BASUKI RAKHMAT
37 14-04-1967/497342840005000 1 4,035,800 0 0 217,260 0 0
196704141987031005/125729 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820621/IIID 3 80,716 0 53 5,237,409 0 459,009
AZIZAH
38 12-12-1969/497508945412000 1 3,793,100 0 0 217,260 0 0
196912311990032017/158401 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820341/IIID 3 75,862 0 95 4,965,627 0 431,827
ERNI NURITA SITOPU

39 26-04-1968/360339660061000 1 3,793,100 0 0 217,260 0 0
196804261990032007/162837 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820341/IIID 3 75,862 0 95 4,965,627 0 431,827
SRI RATNAWATI
40 28-12-1979/893833954404000 0 2,929,100 0 0 72,420 0 0
197912282010012018/178449 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
WIDA WILDANI
41 19-01-1980/792090110017000 1 2,929,100 0 0 289,680 0 0
198001192010012021/179125 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
WISMAR
42 31-12-1965/497453779412000 1 3,753,800 0 0 72,420 0 0
196512311988122021/115941 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820312/IIIC 1 0 0 60 4,326,280 0 382,380
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AI RATNA KOMALA
43 08-05-1964/476045646403000 1 3,639,200 185,000 0 217,260 0 0
196405081991032002/157965 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798012/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
RACHEL MARLIANA
44 18-01-1967/497463430411000 1 3,084,200 0 0 72,420 0 0
196701181998032001/165093 0 0 0 750,000 0 308,420 7,000 3,591,200
PNS/820103/IIIC 1 0 0 0 3,906,620 0 315,420
ST. ZAKIAH
45 19-01-1979/676242720001000 1 3,214,700 0 0 289,680 0 0
197901191999032005/167985 2 321,470 0 600,000 0 366,475 7,000 4,181,000
PNS/830221/IIIC 4 128,588 0 37 4,554,475 0 373,475
KUSTINI WIWIK UJIYANTI

46 01-07-1973/882799620412000 1 3,528,100 185,000 0 72,420 0 0
197307011993032003/180168 0 0 0 0 0 352,810 7,000 3,425,800
PNS/798012/IIIC 1 0 185,000 90 3,785,610 0 359,810
DIONISIA VIDYA PARAMITA

47 22-09-1984/253589352643000 0 2,839,700 0 0 72,420 0 0
198409222011012015/180206 0 0 0 0 0 283,970 7,000 2,621,200
PNS/000008/IIIC 1 0 0 50 2,912,170 0 290,970
BETTY ARYANI
48 18-05-1984/696560507017000 1 2,839,700 0 0 289,680 0 0
198405182011012011/180997 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
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SUZANA ENITA
49 22-10-1967/497508564412000 1 3,753,800 0 0 217,260 0 0
196710221988032004/120659 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
ROSMAWATI BR
50 06-10-1961/497508846017000 1 4,119,700 0 0 144,840 0 0
196110061982032006/084397 0 411,970 0 500,000 0 453,167 7,000 4,716,400
PNS/820341/IIIC 2 0 0 57 5,176,567 0 460,167
SRI WAHYUNI
51 07-10-1962/494613441412000 1 3,872,000 185,000 0 144,840 0 0
196210071987032005/110552 0 387,200 0 0 0 425,920 7,000 4,156,200
PNS/798012/IIIC 2 0 185,000 80 4,589,120 0 432,920
MURWATI
52 02-06-1963/778750705014000 1 3,872,000 0 0 72,420 0 0
196306021987032002/112434 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820621/IIIC 1 0 0 80 4,444,500 0 394,200
REDIS SINAMBELA
53 13-03-1967/497342444412000 1 3,753,800 0 0 217,260 0 0
196703131989011001/113532 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820324/IIIC 3 75,076 0 9 4,921,525 0 427,425
LINDAWATY GURNING
54 11-04-1966/497508531017000 1 3,753,800 0 0 217,260 0 0
196604111989032009/118942 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820131/IIIC 3 75,076 0 9 4,921,525 0 427,425
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MAHMUD
55 02-02-1964/780120812017000 1 3,872,000 0 0 289,680 0 0
196402021986031013/123581 2 387,200 0 500,000 0 441,408 7,000 4,755,400
PNS/820353/IIIC 4 154,880 0 48 5,203,808 0 448,408
NI MADE JENDRI
56 31-12-1965/497508556412000 1 3,994,000 0 0 289,680 0 0
196512311985112041/125122 2 399,400 0 500,000 0 455,316 7,000 4,880,600
PNS/820312/IIIC 4 159,760 0 76 5,342,916 0 462,316
ROSYATI
57 28-03-1973/776752263017000 0 3,528,100 0 0 72,420 0 0
197303281992032004/125347 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
BERLIANA HARIANJA
58 30-09-1969/497453902403000 1 3,639,200 0 0 289,680 0 0
196909301991032008/125534 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
NANIK HARYANINGSIH
59 26-07-1967/497508879008000 0 3,639,200 0 0 144,840 0 0
196707261990032004/125539 1 0 0 500,000 0 371,198 7,000 3,978,700
PNS/820341/IIIC 2 72,784 0 74 4,356,898 0 378,198
SHOFIAH
60 20-04-1962/497342428403000 1 3,994,000 0 0 72,420 0 0
196204201984112002/157638 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820312/IIIC 1 0 0 80 4,566,500 0 406,400
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NOVI DEWI NURSARI
61 19-11-1970/497508903019000 1 3,753,800 0 0 289,680 0 0
197011191991012001/165187 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820341/IIIC 4 150,152 0 21 5,069,033 0 434,933
RATNAWATI SOEKARNO
62 27-06-1961/256997735064000 1 3,315,900 0 0 72,420 0 0
196106272007012003/169073 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820103/IIIC 1 0 0 70 4,138,390 0 338,590
HARYANI TAHIR
63 18-06-1961/497508614017000 1 3,491,500 185,000 0 72,420 0 0
196106181991032002/116556 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
MUHAMAD FAJAR
64 02-07-1979/895264018412000 0 2,810,200 185,000 0 72,420 0 0
197907022010011020/177558 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
EKSAP NURHATI ULFAH

65 18-04-1984/261519557407000 1 2,641,200 185,000 0 217,260 0 0
198404182014032001/183606 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MARDHIYAH
66 03-03-1983/095225835014999 1 2,641,200 185,000 0 289,680 0 0
198303032014032003/183669 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
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REZA DYAN PERDANI
67 18-08-1987/712299924061000 1 2,641,200 185,000 0 72,420 0 0
198708182014032003/183709 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RISNA MUTHMAINNAH
68 15-06-1985/592213748423000 1 2,641,200 185,000 0 289,680 0 0
198506152014032003/183716 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
WAHYU LAKSONO
69 28-12-1984/984384404017000 1 2,641,200 185,000 0 144,840 0 0
198412282014031001/183762 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
SARI AGUSTINA
70 03-08-1988/694344912017000 1 2,641,200 185,000 0 217,260 0 0
198808032014032003/183805 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
WIJAYANTI
71 16-08-1965/497342741017000 1 3,714,900 185,000 0 217,260 0 0
196508161987032005/110478 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
LINDA HERAWATIHUTAPEA
72 20-11-1962/497508473412000 0 3,831,900 185,000 0 72,420 0 0
196211201984022001/083341 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798012/IIIB 1 0 185,000 70 4,089,390 0 390,190
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YANAH MULYANAH
73 07-01-1965/776750697404000 1 3,714,900 185,000 0 217,260 0 0
196501071986032009/107490 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
MOHAMAD MAHDI
74 17-02-1962/437342501412000 1 3,714,900 185,000 0 144,840 0 0
196202171987031007/110499 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
FADILLAH
75 08-04-1962/497342550403000 1 3,714,900 185,000 0 72,420 0 0
196204081987032005/110627 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
YUZIA WIFDA
76 04-10-1959/497342329412000 1 3,714,900 185,000 0 144,840 0 0
195910041987032002/110781 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
SRI BUDI PRAPTIWI

77 02-05-1960/497508580412000 0 3,831,900 185,000 0 144,840 0 0
196005021989032003/114123 1 0 0 0 0 390,853 7,000 3,840,600
PNS/798022/IIIB 2 76,638 185,000 75 4,238,453 0 397,853
SUDEWO
78 27-01-1966/497508598407000 1 3,601,400 0 0 144,840 0 0
196601271992031001/117692 0 360,140 0 265,000 0 396,154 7,000 3,968,300
PNS/820325/IIIB 2 0 0 74 4,371,454 0 403,154
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RIA LESTARI
79 01-05-1970/775141492403000 1 3,281,500 0 0 217,260 0 0
197005011994032003/118645 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820622/IIIB 3 65,630 0 88 4,157,628 0 374,528
EVI SULISTYONINGRUM S
80 04-02-1974/497508887412000 1 3,281,500 0 0 72,420 0 0
197402041993012001/120375 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
JENDAMIN BR SEMBIRING
81 28-03-1968/497508606017000 1 3,281,500 0 0 289,680 0 0
196803281995032002/120578 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/830224/IIIB 4 131,260 0 1 4,295,591 0 381,091
AMALIA KURNIASIH
82 19-10-1975/497342766017000 1 3,181,300 0 0 289,680 0 0
197510191997032001/122953 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820622/IIIB 4 127,252 0 6 4,181,368 0 369,668
WIDATI
83 18-08-1973/497508689017000 1 3,181,300 0 0 72,420 0 0
197308181997032003/123213 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
KELINA SIMARMATA
84 12-12-1959/576382618009000 1 3,384,900 0 0 72,420 0 0
195912121997032002/123224 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
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ENDANG SUSILOWATI
85 03-06-1973/497508648017000 0 3,281,500 0 0 72,420 0 0
197306031995032001/123435 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/830224/IIIB 1 0 0 30 3,618,950 0 335,150
SUPRIYATNA
86 12-02-1966/686618661017000 1 3,714,900 185,000 0 289,680 0 0
196602121987031006/123583 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798012/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
HINDUN HUTASUHUT
87 20-03-1963/497508499403000 1 3,831,900 185,000 0 289,680 0 0
196303201984032005/125123 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798011/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
LASMA PANGARIBUAN
88 05-05-1971/258619287009000 1 3,384,900 0 0 217,260 0 0
197105051993032007/125369 1 338,490 0 500,000 0 379,108 7,000 4,122,300
PNS/820341/IIIB 3 67,698 0 60 4,508,408 0 386,108
FENNY SUSANTI
89 30-05-1974/581424652005000 1 3,084,200 0 0 289,680 0 0
197405301998032003/125627 2 308,420 0 265,000 0 351,598 7,000 3,712,100
PNS/820342/IIIB 4 123,368 0 30 4,070,698 0 358,598
MINCE KARLINI S
90 25-08-1975/497342691016000 1 3,084,200 0 0 72,420 0 0
197508251998032002/130910 0 0 0 265,000 0 308,420 7,000 3,106,200
PNS/820313/IIIB 1 0 0 0 3,421,620 0 315,420
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ANDI SITI AMINAH
91 18-08-1971/497508739017000 1 3,384,900 0 0 289,680 0 0
197108181993022001/157278 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
GILBERTA
92 08-09-1973/255227134412001 1 3,281,500 0 0 289,680 0 0
197309081994032005/157381 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
DIYAH WARDANI
93 13-09-1969/497342782017000 1 3,384,900 185,000 0 72,420 0 0
196909131992032006/157865 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798022/IIIB 1 0 185,000 70 3,642,390 0 345,490
ASYSYUKRIATI
94 22-10-1973/null 1 3,052,200 0 0 289,680 0 0
197310222002122001/165163 2 305,220 0 325,000 0 347,950 7,000 3,739,300
PNS/820107/IIIA 4 122,088 0 62 4,094,250 0 354,950
RASMERIAH BERU KARO

95 18-08-1965/497342337401000 0 3,455,300 0 0 72,420 0 0
196508181989112001/114311 0 0 0 265,000 0 345,530 7,000 3,440,200
PNS/820313/IIIA 1 0 0 10 3,792,730 0 352,530
ROHENIYARTI
96 20-08-1972/497508671412000 1 3,247,500 185,000 0 72,420 0 0
197208201995032003/118990 0 0 0 0 0 324,750 7,000 3,173,200
PNS/798011/IIIA 1 0 185,000 30 3,504,950 0 331,750
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WURY ESTU HANDAYANI
97 06-03-1975/497453795412000 0 3,148,300 0 0 217,260 0 0
197503061995032002/119143 2 0 0 265,000 0 327,423 7,000 3,422,100
PNS/820622/IIIA 3 125,932 0 31 3,756,523 0 334,423
DIAN ALRIYANTI
98 05-04-1975/497508721412000 1 3,052,200 0 0 217,260 0 0
197504051996032001/121046 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820132/IIIA 3 61,044 0 22 3,900,746 0 348,846
ESTINING YULIARSIH
99 09-07-1959/497453910412000 1 3,911,600 0 0 144,840 0 0
195907091980022001/122270 0 391,160 0 265,000 0 430,276 7,000 4,275,400
PNS/820313/IIIA 2 0 0 76 4,712,676 0 437,276
ERMA RESWITA
100 30-05-1969/497453837072000 0 3,052,200 0 0 72,420 0 0
196905301996032004/122403 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820342/IIIA 1 0 0 0 3,389,620 0 312,220
DATMEHULI BR KARO
101 16-04-1972/497342519404000 1 3,052,200 0 0 289,680 0 0
197204161996032002/122622 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
NENI SURYANA
102 14-05-1969/497453829017000 1 3,349,800 0 0 72,420 0 0
196905141991012002/123500 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820342/IIIA 1 0 0 60 3,687,280 0 341,980
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MULYANI WULANINGRUM
103 21-05-1977/497342790017000 0 2,959,000 0 0 72,420 0 0
197705211998032002/125577 0 0 0 265,000 0 295,900 7,000 2,993,600
PNS/820325/IIIA 1 0 0 80 3,296,500 0 302,900
MUSTIKARIA
104 11-11-1968/497342709403000 1 2,959,000 0 0 72,420 0 0
196811111998032002/128406 0 0 0 265,000 0 295,900 7,000 2,993,600
PNS/820313/IIIA 1 0 0 80 3,296,500 0 302,900
SRI NANIK WIJAYANTI

105 16-07-1974/497453811017000 1 3,247,500 0 0 72,420 0 0
197407161993032004/157806 0 0 0 265,000 0 324,750 7,000 3,253,200
PNS/820342/IIIA 1 0 0 30 3,584,950 0 331,750
WAHYUNINGTIYAS
106 10-06-1965/497508697017000 1 3,148,300 185,000 0 217,260 0 0
196506101994032005/157808 1 314,830 0 0 0 352,609 7,000 3,568,800
PNS/798022/IIIA 3 62,966 185,000 53 3,928,409 0 359,609
MUHAMMAD WAHYUDIN
107 25-09-1971/096710694037000 1 3,148,300 185,000 0 289,680 0 0
197109251994031002/157861 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
RUSDANIAH
108 15-09-1975/676572639017000 1 3,052,200 0 0 289,680 0 0
197509152000032006/161510 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820354/IIIA 4 122,088 0 62 4,034,250 0 354,950
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SUGENG HARIANTO
109 13-08-1969/null 1 3,247,500 0 0 289,680 0 0
196908131992031004/162645 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820313/IIIA 4 129,900 0 85 4,256,915 0 377,215
ANNALISA JULIITA SALMON

110 30-12-1967/497342675017000 0 3,455,300 185,000 0 72,420 0 0
196712301989032011/164721 0 0 0 0 0 345,530 7,000 3,360,200
PNS/798022/IIIA 1 0 185,000 10 3,712,730 0 352,530
DINA ARUAN
111 26-09-1980/246213508017000 1 2,868,700 0 0 289,680 0 0
198009262006042021/165497 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820342/IIIA 4 114,748 0 33 3,825,031 0 334,031
YEVI YESEVI
112 17-09-1984/594381402406000 1 2,507,800 0 0 289,680 0 0
198409172010012029/178962 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
ANDY RAKHMAD
113 10-02-1978/878523562008000 1 2,752,300 0 0 144,840 0 0
197802102007011024/169087 0 275,230 0 1,150,000 0 302,753 5,000 4,014,700
PNS/900912/IID 2 0 0 83 4,322,453 0 307,753
TITI NUR DALILA

114 20-02-1980/797246378013000 1 2,668,200 0 0 217,260 0 0
198002202008012017/172344 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820343/IID 3 53,364 0 94 3,445,738 0 303,838
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DIANA LORENCE
115 28-01-1969/497453845403000 0 3,213,800 0 0 72,420 0 0
196901281991032006/116263 0 0 0 240,000 0 321,380 5,000 3,199,900
PNS/820314/IID 1 0 0 60 3,526,280 0 326,380
AMALIA
116 27-03-1970/497342758017000 1 3,213,800 0 0 144,840 0 0
197003271991032005/116861 0 321,380 0 240,000 0 353,518 5,000 3,561,600
PNS/820314/IID 2 0 0 98 3,920,118 0 358,518
ARFAT
117 04-10-1966/678688474017000 1 2,928,300 0 0 144,840 0 0
196610041997032002/125145 0 292,830 0 240,000 0 322,113 5,000 3,278,900
PNS/820343/IID 2 0 0 43 3,606,013 0 327,113
EFALIDABRSITEPU
118 17-12-1965/497453852027000 1 2,928,300 0 0 217,260 0 0
196512171996032002/125535 1 292,830 0 265,000 0 327,969 5,000 3,429,000
PNS/820342/IID 3 58,566 0 13 3,761,969 0 332,969
ELY JUNITA TARIGAN

119 03-06-1975/257306241412000 1 2,838,900 0 0 217,260 0 0
197506031998032004/126985 1 283,890 0 265,000 0 317,956 5,000 3,338,900
PNS/820313/IID 3 56,778 0 28 3,661,856 0 322,956
ODIH HERMAWAN
120 10-04-1974/497508762017000 1 2,928,300 0 0 289,680 0 0
197404101997031003/157807 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
21/12/2016

Page 591 of 952
NO STW
NI KETUT SETIAWATI
121 23-04-1978/784087082017000 0 2,752,300 0 0 72,420 0 0
197804232007012017/168516 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820314/IID 1 0 0 10 3,064,730 0 280,230
MONIKA LILIS P
122 05-12-1982/787155787017000 1 2,640,600 180,000 0 144,840 0 0
198212052007012013/169086 0 264,060 0 0 0 290,466 5,000 2,934,100
PNS/798022/IIC 2 0 180,000 66 3,229,566 0 295,466
HARIS SUTIJAB
123 15-09-1983/582148482017000 1 2,332,500 180,000 0 289,680 0 0
198309152011011012/180942 2 233,250 0 0 0 265,905 5,000 2,857,900
PNS/798022/IIC 4 93,300 180,000 75 3,128,805 0 270,905
FENI PUTRI ANGRELA

124 06-06-1988/545230344412000 0 2,261,300 180,000 0 72,420 0 0
198806062014032002/183860 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RATIH TRI UTAMI

125 22-05-1991/884429705061000 0 2,261,300 180,000 0 72,420 0 0
199105222014032001/184120 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
WIKA MAYANG PRASIWI

126 16-05-1991/669613382412000 0 2,261,300 180,000 0 72,420 0 0
199105162014032002/184283 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 592 of 952
NO STW
CUT AJA
127 26-04-1982/784024036017000 1 2,381,100 0 0 289,680 0 0
198204262008012013/173903 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820623/IIB 4 95,244 0 11 3,244,145 0 276,445
AFNI AFFIATI
128 27-08-1980/686466046017000 1 2,456,000 0 0 289,680 0 0
198008272007012009/168748 2 245,600 0 240,000 0 279,984 5,000 3,044,600
PNS/820623/IIB 4 98,240 0 64 3,329,584 0 284,984
ANITA SURYANI
129 20-03-1982/780604088013000 1 2,381,100 0 0 289,680 0 0
198203202007012018/169092 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820623/IIB 4 95,244 0 11 3,244,145 0 276,445
KURSINAH
130 04-04-1960/699709929412000 0 2,867,900 180,000 0 72,420 0 0
196004041986082001/108310 0 0 0 0 0 286,790 5,000 2,828,600
PNS/798041/IIB 1 0 180,000 70 3,120,390 0 291,790
MA'MUR
131 04-04-1960/497508770017000 1 3,114,900 180,000 0 217,260 0 0
196004041984031008/084469 1 311,490 0 0 0 348,868 5,000 3,532,100
PNS/798042/IIA 3 62,298 180,000 20 3,885,968 0 353,868
21/12/2016

Page 593 of 952
NO STW
458,947,600 6,440,000 1,520,000 22,232,940 0 0
TOTAL 26,536,300 0 49,030,000 0 49,210,238 922,000 521,199,500
6,618,762 6,440,000 6,136 571,331,738 0 50,132,238
JAKARTA,
MENGETAHUI
21/12/2016

Page 594 of 952
UKPD: PUSKESMAS KEL. PEJATEN BARAT KEC.PASAR MINGGU
NO STW
WAHYU ERNI IRAWATI
1 09-03-1964/497342576061000 1 4,206,500 0 0 289,680 0 0
196403091991032006/119142 2 420,650 0 1,200,000 0 479,541 10,000 5,795,600
PNS/820602/IVA 4 168,260 0 51 6,285,141 0 489,541
HAFIZEN
2 18-10-1959/497342527019000 1 4,339,000 0 0 217,260 0 0
195910181989031006/158154 1 433,900 0 1,200,000 0 485,968 10,000 5,781,000
PNS/820102/IVA 3 86,780 0 28 6,276,968 0 495,968
DIAH WIDYARINI
3 01-05-1986/363415159017000 1 2,724,400 0 0 289,680 0 0
198605012011012017/181230 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
11,269,900 0 0 796,620 0 0
TOTAL 1,126,990 0 2,725,000 0 1,276,090 27,000 14,979,600
364,016 0 164 16,282,690 0 1,303,090
JAKARTA,
MENGETAHUI
21/12/2016

Page 595 of 952
UKPD: PUSKESMAS KEL.PASAR MINGGU KEC.PASAR MINGGU
NO STW
RENGSI ULI
1 21-12-1962/142021674412000 1 4,713,800 0 0 144,840 0 0
196212211989112001/118265 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820102/IVC 2 0 0 98 6,530,118 0 528,518
DESSY ANGGRAINI
2 19-09-1959/497342360017000 1 4,475,700 0 0 144,840 0 0
195909191988022001/125045 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
SETIYA RATRI
3 09-09-1961/245460142412000 0 4,475,700 0 0 72,420 0 0
196109091988012001/125238 0 0 0 1,200,000 0 447,570 10,000 5,290,600
PNS/820102/IVA 1 0 0 50 5,748,170 0 457,570
13,665,200 0 0 362,100 0 0
TOTAL 918,950 0 3,600,000 0 1,458,415 30,000 17,058,000
0 0 165 18,546,415 0 1,488,415
JAKARTA,
MENGETAHUI
21/12/2016

Page 596 of 952
UKPD: PUSKESMAS KEL.JATIPADANG KEC.PASAR MINGGU
NO STW
ERNA TRESNAWATI
1 24-11-1959/497342634017000 1 4,078,100 0 0 72,420 0 0
195911241993032001/125257 0 0 0 1,200,000 0 407,810 10,000 4,932,800
PNS/820602/IVA 1 0 0 90 5,350,610 0 417,810
4,078,100 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 407,810 10,000 4,932,800
0 0 90 5,350,610 0 417,810
JAKARTA,
MENGETAHUI
21/12/2016

Page 597 of 952
UKPD: PUSKESMAS KEL.RAGUNAN KEC.PASAR MINGGU
NO STW
EMMY MADU RETNO
1 16-12-1962/497342808009000 1 4,339,000 0 0 72,420 0 0
196212161989012001/118266 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820602/IVA 1 0 0 80 5,611,500 0 443,900
4,339,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 433,900 10,000 5,167,600
0 0 80 5,611,500 0 443,900
JAKARTA,
MENGETAHUI
21/12/2016

Page 598 of 952
UKPD: PUSKESMAS KEL.PEJATEN TIMUR KEC.PASAR MINGGU
NO STW
AMIR SIDDIK
1 28-01-1958/676572373009000 1 5,015,400 0 0 144,840 0 0
195801281991021001/165418 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820102/IVC 2 0 0 14 6,861,794 0 561,694
5,015,400 0 0 144,840 0 0
TOTAL 501,540 0 1,200,000 0 551,694 10,000 6,300,100
0 0 14 6,861,794 0 561,694
JAKARTA,
MENGETAHUI
21/12/2016

Page 599 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.KEBAYORAN BARU
NO STW
RISMASARI
1 10-04-1972/485604573024000 1 3,350,600 0 980,000 217,260 0 0
197204102006042033/165296 1 335,060 0 0 0 375,267 7,000 4,567,700
PNS/000000/IIID 3 67,012 0 35 4,949,967 0 382,267
WASIS
2 14-04-1963/092154996403000 1 4,162,900 0 540,000 217,260 0 0
196204141984101003/120362 1 416,290 0 0 0 466,244 7,000 4,946,500
PNS/500100/IIID 3 83,258 0 36 5,419,744 0 473,244
ETTY I TJAHJAWATI
3 21-12-1959/499801587013000 1 5,227,600 0 0 144,840 0 0
195912211985032003/157907 0 522,760 0 1,400,000 0 575,036 10,000 6,710,200
PNS/820601/IVD 2 0 0 36 7,295,236 0 585,036
MULYATI
4 26-12-1956/678855008411000 1 5,173,400 0 0 217,260 0 0
195612261984102001/118264 1 517,340 0 1,200,000 0 579,420 10,000 6,622,100
PNS/820102/IVC 3 103,468 0 52 7,211,520 0 589,420
YENI SOFIATI
5 24-10-1965/594123747411000 1 4,569,900 0 0 144,840 0 0
196510241991012002/123056 0 456,990 0 1,200,000 0 502,689 10,000 5,859,100
PNS/820602/IVC 2 0 0 59 6,371,789 0 512,689
HERAWATI ENDAH
6 29-08-1961/072483647031000 1 4,665,000 0 0 217,260 0 0
196108291987112001/158226 1 466,500 0 1,200,000 0 522,480 10,000 6,109,600
PNS/820602/IVB 3 93,300 0 20 6,642,080 0 532,480
21/12/2016

Page 600 of 952
NO STW
DADANG RACHMAN
7 11-11-1958/372470138017000 1 4,475,700 0 0 144,840 0 0
195811111987111001/125374 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
SUSIE NORA R
8 01-09-1964/096132295016001 1 3,912,600 0 0 144,840 0 0
196409011993032005/125613 0 391,260 0 750,000 0 430,386 7,000 4,761,400
PNS/820603/IIID 2 0 0 86 5,198,786 0 437,386
LENNY OCTORY SITORUS

9 11-10-1979/499812337404000 1 3,248,300 0 0 217,260 0 0
197910112006042004/165027 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820103/IIID 3 64,966 0 53 4,605,409 0 370,809
NAUFANI CHIASMA INDAH

10 06-03-1974/699233896013000 0 3,456,200 0 0 72,420 0 0
197403062006042025/165603 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820603/IIID 1 0 0 0 4,278,620 0 352,620
IDAH DARLIAH
11 27-01-1960/499801850013000 1 4,294,000 0 0 217,260 0 0
196001271982102001/078782 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820341/IIID 3 85,880 0 88 5,526,628 0 487,928
A LILIS SETYANINGSIH
12 22-03-1967/499801504411000 1 4,035,800 0 0 217,260 0 0
196703221987032004/123223 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
21/12/2016

Page 601 of 952
NO STW
UUM RUMSARI
13 25-11-1959/499801835416000 1 4,429,300 0 0 72,420 0 0
195911251981032008/071925 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
BALIANA
14 05-07-1962/499801660411000 1 4,035,800 0 0 217,260 0 0
196207051987032008/115801 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820341/IIID 3 80,716 0 53 5,237,409 0 459,009
NI LUH MAS HARTINI

15 21-04-1960/499812352064000 1 4,429,300 0 0 144,840 0 0
196004211981122003/123238 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
WAYAN SUKARINI
16 07-04-1965/499801454411000 1 4,035,800 0 0 289,680 0 0
196504071988032003/125311 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820341/IIID 4 161,432 0 89 5,390,581 0 467,081
YUSNIAR
17 01-01-1961/677889156013000 1 4,294,000 0 0 72,420 0 0
196101011983022002/162774 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
ERNAWATI.N
18 31-05-1962/499812311019000 1 3,639,200 0 0 289,680 0 0
196205051991032006/117122 2 363,920 0 265,000 0 414,868 7,000 4,281,500
PNS/820342/IIIC 4 145,568 0 0 4,703,368 0 421,868
21/12/2016

Page 602 of 952
NO STW
GUSFIATRA
19 12-05-1974/null 1 3,116,500 0 0 72,420 0 0
197405122006041005/164979 0 0 0 0 0 311,650 7,000 2,870,300
PNS/000008/IIIC 1 0 0 30 3,188,950 0 318,650
MAILINA
20 30-08-1970/096550264061000 1 3,315,900 0 0 289,680 0 0
197008302007012025/168503 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
DINA EVARIYANA BANGUN

21 27-07-1982/346084502412000 1 2,929,100 0 0 217,260 0 0
198207272010012043/178451 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
YOMI ISLAMIYATI
22 16-05-1984/582259321017000 1 2,839,700 0 0 217,260 0 0
198405162011012007/180227 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820103/IIIC 3 56,794 0 22 4,147,746 0 325,046
ROHANA OCTAVIA
23 18-10-1981/881059893017000 0 2,839,700 0 0 72,420 0 0
198110182011012008/180239 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
BEAUTY ROSE
24 28-11-1981/779529007017000 1 2,839,700 0 0 289,680 0 0
198111282011012004/180672 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820107/IIIC 4 113,588 0 87 3,852,025 0 330,725
21/12/2016

Page 603 of 952
NO STW
DIAN LARASATI
25 11-03-1983/682828504005000 1 2,839,700 0 0 289,680 0 0
198303112011012015/181232 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
RIZKA AMALIA
26 31-12-1981/363447327432000 0 2,839,700 0 0 72,420 0 0
198112312011012011/181249 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
AFRIA NINGSIH MARTHA

27 18-04-1975/896243565404000 1 3,315,900 0 0 289,680 0 0
197504181999032007/161757 2 331,590 0 600,000 0 378,012 7,000 4,284,800
PNS/820307/IIIC 4 132,636 0 6 4,669,812 0 385,012
D. WIDIASTUTI
28 28-11-1975/499801470013000 1 3,420,300 0 0 72,420 0 0
197511281998032002/164658 0 0 0 500,000 0 342,030 7,000 3,643,700
PNS/820312/IIIC 1 0 0 10 3,992,730 0 349,030
ISNIATI
29 17-12-1961/784088064017000 1 3,994,000 0 0 72,420 0 0
196112171985032003/087011 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
SUTRISMAN
30 22-08-1974/344257753019000 1 3,420,300 0 0 217,260 0 0
197408221995031002/120468 1 342,030 0 265,000 0 383,073 7,000 3,923,000
PNS/820325/IIIC 3 68,406 0 77 4,313,073 0 390,073
21/12/2016

Page 604 of 952
NO STW
EVA PURBA
31 12-05-1962/499801876017000 1 4,119,700 0 0 72,420 0 0
196205101983032020/123302 0 0 0 500,000 0 411,970 7,000 4,273,200
PNS/820621/IIIC 1 0 0 50 4,692,170 0 418,970
NURDIANATURRAHMA
32 20-02-1983/895263796412000 0 2,810,200 185,000 0 72,420 0 0
198302202010012035/177496 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
ADITYA WIJAYANTI
33 06-12-1986/465191567017000 1 2,641,200 185,000 0 217,260 0 0
198612062014032001/183546 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ASRI PURWITA SARI

34 13-01-1982/705189173412000 1 2,641,200 185,000 0 289,680 0 0
198201132014032004/183566 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
EKA LISTIANTI
35 17-01-1988/703756718019000 0 2,641,200 185,000 0 72,420 0 0
198801172014032002/183603 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
PUTRI UTAMININGRUM
36 14-06-1987/896110806009000 1 2,641,200 185,000 0 217,260 0 0
198706142014032006/183797 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 605 of 952
NO STW
MUTIARA SEKARAYU
37 22-05-1987/559456447017000 0 2,641,200 185,000 0 72,420 0 0
198705222014032002/184405 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DWI UTOMO NUSANTARA

38 11-03-1978/null 1 2,990,000 0 0 144,840 0 0
197803112006041003/164981 0 299,000 0 0 0 328,900 7,000 3,098,000
PNS/000008/IIIB 2 0 0 60 3,433,900 0 335,900
SAIDAH
39 19-06-1985/696560473017000 1 2,724,400 0 0 217,260 0 0
198506192011012017/181016 1 272,440 0 325,000 0 305,132 7,000 3,281,500
PNS/820124/IIIB 3 54,488 0 44 3,593,632 0 312,132
SUDARMI
40 31-01-1970/675091706411000 1 3,491,500 0 0 289,680 0 0
197001311991032003/158411 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820354/IIIB 4 139,660 0 41 4,535,031 0 405,031
MADANI
41 19-07-1964/499801413412000 1 3,831,900 185,000 0 217,260 0 0
196407191985031007/087974 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SRI LESTARI
42 29-01-1963/256915737008000 1 3,714,900 185,000 0 72,420 0 0
196301291986032006/108322 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
21/12/2016

Page 606 of 952
NO STW
LILY MARLINA
43 05-12-1965/095372199017001 1 3,714,900 185,000 0 289,680 0 0
196512051987032002/110674 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
ARIS RACHMADI
44 31-03-1967/499801868412000 1 3,714,900 185,000 0 217,260 0 0
196703311987031001/110764 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SUNARDI
45 13-10-1963/499801561019000 0 3,491,500 185,000 0 72,420 0 0
196310131991031004/116435 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798022/IIIB 1 0 185,000 30 3,748,950 0 356,150
RETNO WATY
46 10-09-1965/499812295017000 1 3,491,500 185,000 0 217,260 0 0
196509101991032008/116441 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798022/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
SURATMI
47 08-06-1970/777672502411000 1 3,384,900 0 0 72,420 0 0
197006081993032013/118628 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820622/IIIB 1 0 0 70 3,722,390 0 345,490
RINA SRI WAHYUNINGSIH

48 23-11-1969/680127255061000 1 3,601,400 0 0 72,420 0 0
196911231989032002/118895 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
21/12/2016

Page 607 of 952
NO STW
SUHARTI
49 16-06-1973/784506917016000 0 3,281,500 185,000 0 72,420 0 0
197306161994032007/120376 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798011/IIIB 1 0 185,000 30 3,538,950 0 335,150
NI MADE RAI BUDIASIH

50 10-09-1970/776777724451000 0 3,601,400 0 0 72,420 0 0
197009101989122001/125653 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
BAMBANG NURCAHYANTO
51 01-03-1974/499801488411000 1 3,384,900 0 0 289,680 0 0
197403011993031003/161653 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820622/IIIB 4 135,396 0 12 4,413,478 0 392,878
ISMARNIS
52 30-01-1969/499801785412000 1 3,491,500 0 0 144,840 0 0
196901301991012001/162300 0 349,150 0 265,000 0 384,065 7,000 3,859,500
PNS/820313/IIIB 2 0 0 75 4,250,565 0 391,065
MARIA UTO NARA

53 26-06-1967/499801843403000 1 3,491,500 0 0 289,680 0 0
196706261991032011/163613 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
DENIK TRI INDARTI

54 12-03-1979/573756590061999 1 2,781,100 0 0 217,260 0 0
197903122006042031/165747 1 278,110 0 240,000 0 311,483 7,000 3,253,700
PNS/820343/IIIA 3 55,622 0 91 3,572,183 0 318,483
21/12/2016

Page 608 of 952
NO STW
INAYAH
55 05-01-1976/258426477013000 1 2,868,700 0 0 289,680 0 0
197601052006042028/165457 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820342/IIIA 4 114,748 0 33 3,825,031 0 334,031
SUBARJO
56 07-11-1962/784088056017000 1 3,455,300 185,000 0 289,680 0 0
196211071985031007/100710 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
ACHMAD CHAERUDIN
57 31-07-1963/499801678012000 1 3,455,300 185,000 0 144,840 0 0
196307311985031004/104422 0 345,530 0 0 0 380,083 7,000 3,743,600
PNS/798011/IIIA 2 0 185,000 13 4,130,683 0 387,083
SRI ISHLAHIYATI
58 02-01-1968/253147391412000 1 3,349,800 0 0 217,260 0 0
196801021994032006/118899 2 0 0 265,000 0 348,379 7,000 3,610,700
PNS/820313/IIIA 3 133,992 0 27 3,966,079 0 355,379
IING INDRAWATI
59 28-01-1968/573282621031000 1 3,349,800 0 0 72,420 0 0
196801281991032005/122271 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820342/IIIA 1 0 0 60 3,687,280 0 341,980
ELLY GINTING
60 23-07-1965/499801819016000 1 3,148,300 0 0 217,260 0 0
196507231996032002/125121 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820342/IIIA 3 62,966 0 53 4,008,409 0 359,609
21/12/2016

Page 609 of 952
NO STW
YOCEFIN CAROLINA
61 04-11-1971/675622856019000 1 3,349,800 0 0 217,260 0 0
197111041991032003/125385 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820342/IIIA 3 66,996 0 41 4,234,077 0 382,177
ASTIKA WIDIANY
62 08-03-1972/499801686012000 1 3,052,200 0 0 289,680 0 0
197203081998032003/157277 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
DYAH PONCO
63 13-08-1981/787107994061000 1 2,668,200 0 0 289,680 0 0
198108132008012016/174682 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/830225/IID 4 106,728 0 46 3,571,474 0 309,174
RATIH WAHYUNING
64 11-08-1986/592010474412000 1 2,431,200 0 0 144,840 0 0
198608112011012015/180890 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
ENDAH RUSTINI
65 24-08-1988/363504531412000 1 2,431,200 0 0 144,840 0 0
198808242011012011/180988 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
AI ROSITA
66 11-10-1982/589519131013000 1 2,586,700 0 0 217,260 0 0
198210112007012008/168439 1 258,670 0 240,000 0 289,710 5,000 3,059,700
PNS/820314/IID 3 51,734 0 46 3,354,410 0 294,710
21/12/2016

Page 610 of 952
NO STW
ASIH PRAEVIANI SAPUTRI
67 15-08-1983/346147572019000 0 2,406,000 0 0 289,680 0 0
198308152010012040/178972 2 240,600 0 240,000 0 274,284 5,000 2,993,300
PNS/820343/IIC 4 96,240 0 64 3,272,584 0 279,284
DESKI IKASARAS PUTRI

68 25-12-1990/792726374064000 0 2,261,300 180,000 0 72,420 0 0
199012252014032005/183497 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DINA ROVA RASYIDAH

69 26-04-1992/705854354012000 0 2,261,300 180,000 0 72,420 0 0
199204262014032003/183529 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
HIMRAH MUIN
70 23-03-1981/780603783013000 1 2,640,600 0 0 72,420 0 0
198103232005022006/168926 0 0 0 240,000 0 264,060 5,000 2,684,000
PNS/820314/IIC 1 0 0 40 2,953,060 0 269,060
SITI ROIYAH
71 18-08-1979/692886096411000 1 2,381,100 0 0 289,680 0 0
197908182008012019/173805 2 238,110 0 240,000 0 271,445 5,000 2,967,700
PNS/820314/IIB 4 95,244 0 11 3,244,145 0 276,445
DIONG
72 12-01-1963/794727546019000 1 2,838,200 180,000 0 144,840 0 0
196301121985032005/086352 0 283,820 0 0 0 312,202 5,000 3,129,700
PNS/798042/IIA 2 0 180,000 42 3,446,902 0 317,202
21/12/2016

Page 611 of 952
NO STW
242,400,500 3,315,000 1,520,000 12,890,760 0 0
TOTAL 16,686,010 0 25,095,000 0 26,282,330 499,000 278,865,900
3,736,978 3,315,000 2,982 305,647,230 0 26,781,330
JAKARTA,
MENGETAHUI
21/12/2016

Page 612 of 952
UKPD: PUSKESMAS KEL.SENAYAN KEC.KEBAYORAN BARU
NO STW
DECY YULIANTI
1 03-12-1967/075838011015001 1 3,912,600 0 0 289,680 0 0
196712031993122001/125651 2 391,260 0 1,200,000 0 446,036 10,000 5,494,100
PNS/820602/IVA 4 156,504 0 92 5,950,136 0 456,036
3,912,600 0 0 289,680 0 0
TOTAL 391,260 0 1,200,000 0 446,036 10,000 5,494,100
156,504 0 92 5,950,136 0 456,036
JAKARTA,
MENGETAHUI
21/12/2016

Page 613 of 952
UKPD: PUSKESMAS KEL.RAWA BARAT KEC.KEBAYORAN BARU
NO STW
ERNI WINARTI
1 22-03-1962/499801546411000 1 4,713,800 0 0 144,840 0 0
196203221989012001/122913 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
4,713,800 0 0 144,840 0 0
TOTAL 471,380 0 1,200,000 0 518,518 10,000 6,001,600
0 0 98 6,530,118 0 528,518
JAKARTA,
MENGETAHUI
21/12/2016

Page 614 of 952
UKPD: PUSKESMAS KEL.SELONG KEC.KEBAYORAN BARU
NO STW
ARINI CAHAYA
1 05-04-1958/250911013412000 1 4,522,500 0 0 144,840 0 0
195804051990102001/123054 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
IKASARI RETNOWATI
2 19-12-1967/499812345412000 0 4,078,100 0 0 144,840 0 0
196712191993122001/123851 1 0 0 1,200,000 0 415,966 10,000 5,078,600
PNS/820602/IVA 2 81,562 0 64 5,504,566 0 425,966
8,600,600 0 0 289,680 0 0
TOTAL 452,250 0 2,400,000 0 913,441 20,000 10,890,800
81,562 0 149 11,824,241 0 933,441
JAKARTA,
MENGETAHUI
21/12/2016

Page 615 of 952
UKPD: PUSKESMAS KEL.GUNUNG KEC.KEBAYORAN BARU
NO STW
NASRUM AHMAD HIDAYAT
1 01-07-1975/249025735019000 1 3,248,300 0 0 289,680 0 0
197507012006041025/165592 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 616 of 952
UKPD: PUSKESMAS KEL.PULO KEC.KEBAYORAN BARU
NO STW
RYVITA D BAHARUDDIN
1 04-03-1961/499801637061000 1 4,339,000 0 0 217,260 0 0
196103041989012001/118938 1 433,900 0 1,200,000 0 485,968 10,000 5,781,000
PNS/820602/IVA 3 86,780 0 28 6,276,968 0 495,968
4,339,000 0 0 217,260 0 0
TOTAL 433,900 0 1,200,000 0 485,968 10,000 5,781,000
86,780 0 28 6,276,968 0 495,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 617 of 952
UKPD: PUSKESMAS KEL.GANDARIA UTARA KEC.KEBAYORAN BARU
NO STW
INDAH NASTITI T R
1 26-08-1960/678050998013000 1 4,522,500 0 0 144,840 0 0
196008261989032001/123539 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820102/IVB 2 0 0 85 6,319,675 0 507,475
WAHYU SRI RAHAYU

2 06-01-1974/246321327013000 1 3,248,300 0 0 289,680 0 0
197401062006042004/165059 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
7,770,800 0 0 434,520 0 0
TOTAL 777,080 0 1,950,000 0 867,781 17,000 10,177,700
129,932 0 149 11,062,481 0 884,781
JAKARTA,
MENGETAHUI
21/12/2016

Page 618 of 952
UKPD: PUSKESMAS KEL.CIPETE UTARA KEC.KEBAYORAN BARU
NO STW
ANA TITIK RAHAYU
1 26-11-1964/499812246411000 1 4,522,500 0 0 217,260 0 0
196411261991032006/157538 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820102/IVB 3 90,450 0 60 6,482,520 0 516,520
4,522,500 0 0 217,260 0 0
TOTAL 452,250 0 1,200,000 0 506,520 10,000 5,966,000
90,450 0 60 6,482,520 0 516,520
JAKARTA,
MENGETAHUI
21/12/2016

Page 619 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.KEBAYORAN LAMA
NO STW
SELVY DEVITA
1 15-08-1976/676514987001000 1 3,248,300 0 980,000 289,680 0 0
197608152006042041/165615 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
IRWAN
2 21-08-1966/488714395432000 1 3,872,000 0 540,000 289,680 0 0
196608211987031003/110595 2 387,200 0 0 0 441,408 7,000 4,795,400
PNS/500100/IIIC 4 154,880 0 48 5,243,808 0 448,408
DWI ENDAH SAPTATI S. P

3 09-07-1960/055765127801000 1 5,227,600 0 0 217,260 0 0
196007091985102001/180167 1 522,760 0 1,400,000 0 585,491 10,000 6,876,700
PNS/820601/IVD 3 104,552 0 19 7,472,191 0 595,491
SRI PRANA LAKSMIATI S

4 19-12-1957/359839107013000 1 5,173,400 0 0 72,420 0 0
195712191982122001/086675 0 0 0 1,200,000 0 517,340 10,000 5,918,500
PNS/820602/IVC 1 0 0 20 6,445,840 0 527,340
LIZWATY SINTAULI
5 12-05-1959/678866278013000 1 5,015,400 0 0 144,840 0 0
195905121985102002/158216 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
EVLYN NAPITUPULU
6 15-01-1967/093240158411001 0 4,384,400 0 0 217,260 0 0
196701151992032007/120836 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
21/12/2016

Page 620 of 952
NO STW
KOSTAIDA PANE
7 01-01-1966/489062687307000 1 4,384,400 190,000 0 72,420 0 0
196601011992032007/183130 0 0 0 0 0 438,440 10,000 4,198,400
PNS/798011/IVB 1 0 190,000 20 4,646,840 0 448,440
TEDDY ROCHANTORO
8 30-06-1963/096297619331000 1 3,953,600 0 0 217,260 0 0
196306301997031002/180142 1 395,360 0 750,000 0 442,803 10,000 4,942,500
PNS/820103/IVA 3 79,072 0 11 5,395,303 0 452,803
ANDI YUNITA DEWIYANTI

9 21-06-1967/354602492013000 1 4,078,100 0 0 289,680 0 0
196706211993022002/158139 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
ARMYN EFFENDI
10 07-12-1959/497453928013000 1 4,339,000 0 0 289,680 0 0
195912071989031002/162637 2 433,900 0 1,200,000 0 494,646 10,000 5,931,500
PNS/820102/IVA 4 173,560 0 6 6,436,146 0 504,646
SUZANNA TRIMARTI
11 02-03-1966/058782657086001 1 3,953,600 0 0 289,680 0 0
196603021998032001/164603 2 395,360 0 1,200,000 0 450,710 10,000 5,536,100
PNS/820602/IVA 4 158,144 0 26 5,996,810 0 460,710
SUTARYATUN
12 09-05-1962/690043500013000 0 4,162,900 185,000 0 72,420 0 0
196205091985032005/070447 0 0 0 0 0 416,290 7,000 3,997,100
PNS/798011/IIID 1 0 185,000 70 4,420,390 0 423,290
21/12/2016

Page 621 of 952
NO STW
DEDE KARTINI ISKANDAR
13 01-12-1961/696250406013000 1 4,294,000 0 0 72,420 0 0
196112011983032010/079647 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
TRAMI
14 01-05-1960/585603897411001 1 4,568,800 0 0 144,840 0 0
196005011982032009/109476 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
DIANNE ALIUS
15 14-01-1967/175570126036000 1 3,912,600 185,000 0 289,680 0 0
196701141988022001/112012 2 391,260 0 0 0 446,036 7,000 4,482,100
PNS/798011/IIID 4 156,504 185,000 92 4,935,136 0 453,036
HASANAH
16 08-11-1966/498670280416000 0 4,035,800 0 0 217,260 0 0
196611081986032004/122991 2 0 0 500,000 0 419,723 7,000 4,487,800
PNS/820341/IIID 3 161,432 0 31 4,914,523 0 426,723
RIRIEN RAZIKA RAMDHANI

17 19-10-1973/null 1 3,456,200 185,000 0 289,680 0 0
197310192006042014/165263 2 345,620 0 0 0 394,006 7,000 4,013,800
PNS/000008/IIID 4 138,248 185,000 58 4,414,806 0 401,006
ARVIANITA
18 16-01-1967/694958653411000 1 3,456,200 0 0 72,420 0 0
196701162006042006/165469 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820103/IIID 1 0 0 0 4,278,620 0 352,620
21/12/2016

Page 622 of 952
NO STW
SITI CHOMSJAH
19 20-03-1959/740490925411000 1 4,294,000 0 0 217,260 0 0
195903201983122001/113530 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820341/IIID 3 85,880 0 88 5,526,628 0 487,928
KARMIYATI S
20 19-09-1959/245518238013000 0 4,568,800 0 0 72,420 0 0
195909191981052001/072517 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
YAYAT SUNARYAT
21 02-09-1964/581058914019000 0 4,162,900 185,000 0 217,260 0 0
196409021985031006/100048 1 416,290 0 0 0 466,244 7,000 4,591,500
PNS/798012/IIID 3 83,258 185,000 36 5,064,744 0 473,244
MESRIATI MANALU
22 22-10-1959/250742335451000 1 4,568,800 0 0 217,260 0 0
195910221981052001/107143 1 456,880 0 500,000 0 511,705 7,000 5,315,700
PNS/820312/IIID 3 91,376 0 89 5,834,405 0 518,705
SUMINI
23 08-06-1961/686478882013000 1 4,294,000 0 0 72,420 0 0
196106081983032009/108346 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
FITRIYESI
24 01-01-1960/780710521013000 1 4,294,000 0 0 144,840 0 0
196001011983022006/113531 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
21/12/2016

Page 623 of 952
NO STW
NISMAWATI
25 29-07-1963/776725988411000 1 4,162,900 0 0 72,420 0 0
196307291984032002/115702 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820312/IIID 1 0 0 70 4,735,390 0 423,290
RINI HERTATI
26 01-04-1963/771610540411000 1 4,162,900 0 0 144,840 0 0
196304011985012001/118956 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820341/IIID 2 0 0 89 5,224,119 0 464,919
TITIK ARTININGSIH
27 20-10-1962/694145277416000 1 4,294,000 0 0 72,420 0 0
196210201981032001/121028 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
SYAFNI
28 07-04-1967/245877956013000 1 3,912,600 0 0 72,420 0 0
196704071988032006/123132 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
MASTINA
29 15-03-1971/689863462411000 1 3,677,300 0 0 289,680 0 0
197103151992032007/123170 2 367,730 0 500,000 0 419,212 7,000 4,555,600
PNS/820341/IIID 4 147,092 0 10 4,981,812 0 426,212
ANI WAHYU KARNENGSIH

30 06-08-1966/249437336434000 1 4,162,900 0 0 144,840 0 0
196608061985032001/158080 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820312/IIID 2 0 0 89 5,224,119 0 464,919
21/12/2016

Page 624 of 952
NO STW
HARI MURTI WIJAYA
31 31-05-1985/770481745403000 1 2,929,100 0 0 217,260 0 0
198505312010011016/177783 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
ANDI TANTRA KONE

32 26-10-1957/null 1 3,994,000 0 0 144,840 0 0
195710261989082001/130887 0 399,400 0 750,000 0 439,340 7,000 4,841,900
PNS/820603/IIIC 2 0 0 0 5,288,240 0 446,340
LIA TRIFIANI
33 16-08-1984/354152027411000 0 2,839,700 0 0 72,420 0 0
198408162011012014/181863 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
HANIFAH
34 29-07-1961/776726010416000 1 3,872,000 0 0 72,420 0 0
196107291987032003/110527 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
SRI LESTARI
35 14-12-1966/686589409012000 0 3,753,800 0 0 72,420 0 0
196612141988032003/111165 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820312/IIIC 1 0 0 60 4,326,280 0 382,380
SAENAB ALIFUDDIN
36 01-01-1962/694134719013000 1 3,639,200 0 0 144,840 0 0
196201011994022001/119042 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820353/IIIC 2 0 0 52 4,648,012 0 407,312
21/12/2016

Page 625 of 952
NO STW
AIDA GUSTINI
37 24-08-1963/699318689013000 1 3,994,000 0 0 217,260 0 0
196308241988122001/125429 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820353/IIIC 3 79,880 0 88 5,190,628 0 454,328
SUYATI
38 03-08-1968/589562925411000 1 3,639,200 0 0 72,420 0 0
196808031994032005/125869 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
ENDIYANTI ERISAH
39 10-11-1960/null 1 4,249,500 0 0 72,420 0 0
196011101981032005/069846 0 0 0 500,000 0 424,950 7,000 4,390,000
PNS/820621/IIIC 1 0 0 30 4,821,950 0 431,950
THERESIA ALFRIDA MANIK

40 02-06-1970/485621239402000 1 3,639,200 0 0 289,680 0 0
197006021991032009/117187 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820312/IIIC 4 145,568 0 0 4,938,368 0 421,868
SUWARTINI
41 25-05-1963/783023401411000 1 3,872,000 0 0 72,420 0 0
196305251988032006/118259 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
RUSWININGSIH
42 23-04-1968/576616759411000 1 3,639,200 0 0 144,840 0 0
196804231991032004/122606 1 0 0 500,000 0 371,198 7,000 3,978,700
PNS/820341/IIIC 2 72,784 0 74 4,356,898 0 378,198
21/12/2016

Page 626 of 952
NO STW
HABAPUSILAH
43 04-12-1967/776725996411000 1 3,753,800 0 0 217,260 0 0
196712041989032005/123563 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820621/IIIC 3 75,076 0 9 4,921,525 0 427,425
DYAH TUTIASIH
44 23-12-1970/079287629411001 1 3,639,200 0 0 72,420 0 0
197012231991032004/125841 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
SRI WULANNINGSIH
45 04-03-1973/694306051411000 1 3,528,100 0 0 72,420 0 0
197303041993012001/130915 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
EKA MAYRINA SARI

46 31-05-1985/269716858101000 0 2,641,200 185,000 0 72,420 0 0
198505312014032002/183604 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ELPI CHARIS S. SUMBAYAK

47 09-04-1983/705518595005000 1 2,641,200 185,000 0 289,680 0 0
198304092014032001/183608 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
FITRIA ROSYADA
48 01-10-1981/883763880411000 1 2,641,200 185,000 0 289,680 0 0
198110012014032001/183624 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
21/12/2016

Page 627 of 952
NO STW
ILMA PRATIWI HUTASUHUT
49 20-11-1984/456850858125000 1 2,641,200 185,000 0 289,680 0 0
198411202014032005/183639 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
INDAH DWI RIZKI

50 14-08-1986/081289520035000 1 2,641,200 185,000 0 217,260 0 0
198608142014032003/183642 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
JESSIE ANDREAN
51 16-01-1989/705615243015000 0 2,641,200 185,000 0 72,420 0 0
198901162014032001/183651 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
PUTRI VORWANTY BR.

52 18-10-1985/099519464122000 1 2,641,200 185,000 0 72,420 0 0
198510182014032001/183697 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NI LUH MADE AGUSTINI

53 18-08-1983/076140193023999 1 2,641,200 185,000 0 72,420 0 0
198308182014032002/184406 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
MILANDA APRILIANA
54 27-04-1982/774480552016000 1 2,810,200 185,000 0 217,260 0 0
198204272010012031/178465 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
21/12/2016

Page 628 of 952
NO STW
ELVIRA MARYANTI
55 04-07-1983/898308523013000 1 2,810,200 0 0 217,260 0 0
198307042010012040/179698 1 281,020 0 325,000 0 314,742 7,000 3,368,000
PNS/820107/IIIB 3 56,204 0 58 3,689,742 0 321,742
ANIZA DIEN NURHAYATI

56 22-10-1982/363402975411000 1 2,724,400 0 0 217,260 0 0
198210222011012005/181034 1 272,440 0 325,000 0 305,132 7,000 3,281,500
PNS/820124/IIIB 3 54,488 0 44 3,593,632 0 312,132
YOTA WIRASDENTI
57 12-06-1979/246011670411000 1 2,724,400 0 0 289,680 0 0
197906122011012006/181242 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
AGUS WAHYUDIN
58 14-12-1970/670239659013000 1 3,491,500 0 0 144,840 0 0
197012141991031003/123055 1 0 0 265,000 0 356,133 7,000 3,608,100
PNS/820313/IIIB 2 69,830 0 63 3,971,233 0 363,133
TIORENA WASTI
59 04-05-1974/252121231064000 1 3,281,500 0 0 289,680 0 0
197405041998032012/125870 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
TATIEK RAHMAWATI
60 27-04-1983/755470747066000 1 2,898,700 0 0 289,680 0 0
198304272005022002/183329 2 289,870 0 265,000 0 330,451 7,000 3,521,800
PNS/820313/IIIB 4 115,948 0 53 3,859,251 0 337,451
21/12/2016

Page 629 of 952
NO STW
DJUNIDAR RACHMAN
61 19-06-1962/787061191013000 1 3,831,900 185,000 0 144,840 0 0
196206191984032003/083003 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
ANDI
62 02-09-1965/880996517013000 0 3,714,900 185,000 0 72,420 0 0
196509021987031005/110646 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
ISKANDAR
63 03-06-1961/690043492013000 1 3,714,900 185,000 0 217,260 0 0
196106031987031004/110647 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SUTINO
64 21-08-1964/670024140013000 1 3,714,900 185,000 0 289,680 0 0
196408211987031008/110670 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
WIBAWATI
65 07-08-1966/694168907411000 1 3,714,900 185,000 0 72,420 0 0
196608071987032006/110704 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
ASROL RIZAL
66 16-02-1964/690230057013000 1 3,714,900 185,000 0 289,680 0 0
196402161987031008/111071 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
21/12/2016

Page 630 of 952
NO STW
ASNIDARTI
67 12-12-1966/698660776451000 1 3,384,900 0 0 217,260 0 0
196612121990032008/114777 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820342/IIIB 3 67,698 0 60 4,273,408 0 386,108
SRI YUNIWATI
68 17-06-1972/589562198013000 1 3,181,300 0 0 217,260 0 0
197206171996032005/122476 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820313/IIIB 3 63,626 0 89 4,045,405 0 363,305
DIAN NURIKA
69 01-08-1966/677889271411000 1 3,181,300 0 0 72,420 0 0
196608011992032003/122479 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
MALADEWI SILALAHI
70 01-12-1961/787061365013000 0 3,952,600 185,000 0 72,420 0 0
196112051982032010/123043 0 0 0 0 0 395,260 7,000 3,807,800
PNS/798022/IIIB 1 0 185,000 40 4,210,060 0 402,260
MARIYATI
71 12-03-1963/670024132035000 1 3,714,900 185,000 0 144,840 0 0
196303121983032012/123045 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
SUNARTI
72 20-05-1967/222162209013000 1 3,601,400 0 0 72,420 0 0
196705201988122002/157925 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820313/IIIB 1 0 0 20 3,938,840 0 367,140
21/12/2016

Page 631 of 952
NO STW
LILIS NENI SUMARNI
73 29-01-1968/589562941017000 1 3,491,500 185,000 0 289,680 0 0
196801291991032008/164715 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798981/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
ANDI ARIZA
74 14-12-1960/725217905411000 1 3,084,200 0 0 217,260 0 0
196012142006042003/171711 1 308,420 0 325,000 0 345,430 7,000 3,644,200
PNS/820107/IIIB 3 61,684 0 66 3,996,630 0 352,430
SUMIHAR FRETTY
75 25-04-1975/694145269005000 0 3,148,300 185,000 0 72,420 0 0
197504251997032002/123107 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798012/IIIA 1 0 185,000 10 3,405,730 0 321,830
SARI RAHMAH KURNIATI

76 12-11-1968/170789952019001 1 3,349,800 0 0 289,680 0 0
196811121998032002/158381 2 334,980 0 325,000 0 381,877 7,000 4,044,600
PNS/820607/IIIA 4 133,992 0 25 4,433,477 0 388,877
MULYANIH
77 05-11-1976/096499173019000 1 2,781,100 0 0 289,680 0 0
197611052006042024/165643 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/820342/IIIA 4 111,244 0 11 3,725,145 0 324,045
OBIH GANDA JAYA

78 31-12-1963/367147808013000 1 3,564,100 185,000 0 289,680 0 0
196312311987031108/110993 2 356,410 0 0 0 406,307 7,000 4,124,500
PNS/798022/IIIA 4 142,564 185,000 53 4,537,807 0 413,307
21/12/2016

Page 632 of 952
NO STW
ENTIN KARTINI
79 04-09-1974/589562933451000 1 3,148,300 0 0 289,680 0 0
197409041995032002/120173 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820313/IIIA 4 125,932 0 64 4,143,806 0 365,906
MARJAYA
80 01-08-1961/872046461016000 1 3,676,400 185,000 0 217,260 0 0
196108101984031008/120318 1 367,640 0 0 0 411,756 7,000 4,101,100
PNS/798011/IIIA 3 73,528 185,000 28 4,519,856 0 418,756
SUPRIYANTI
81 18-05-1970/690060165036000 0 3,052,200 0 0 72,420 0 0
197005181996032002/120973 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
SARWO EDI
82 31-12-1965/775379589013000 1 3,148,300 185,000 0 289,680 0 0
196512311994031066/121033 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
SUHARNA
83 06-06-1970/177676327004000 1 3,052,200 185,000 0 217,260 0 0
197006061997031006/123006 1 305,220 0 0 0 341,846 7,000 3,471,900
PNS/798022/IIIA 3 61,044 185,000 22 3,820,746 0 348,846
DARMIATI
84 21-12-1967/726333255013000 1 3,349,800 0 0 217,260 0 0
196712211991032014/123508 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820342/IIIA 3 66,996 0 41 4,234,077 0 382,177
21/12/2016

Page 633 of 952
NO STW
MASUM
85 12-04-1969/589563493451000 1 2,959,000 0 0 217,260 0 0
196904121998031003/125553 1 295,900 0 265,000 0 331,408 7,000 3,458,000
PNS/820313/IIIA 3 59,180 0 68 3,796,408 0 338,408
SITI JUHRIYAH
86 02-01-1983/496460411013000 1 2,668,200 0 0 217,260 0 0
198301022008012011/172352 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/830225/IID 3 53,364 0 94 3,445,738 0 303,838
RIA SAMARDIYAH
87 06-10-1986/691170674412000 0 2,431,200 180,000 0 72,420 0 0
198610062011012012/180934 0 0 0 0 0 243,120 5,000 2,435,500
PNS/000007/IID 1 0 180,000 0 2,683,620 0 248,120
SANTI APRIYANI
88 01-04-1983/471275966421000 1 2,431,200 0 0 289,680 0 0
198304012011012010/180971 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
GANEF SAHRUN KARYANA

89 19-11-1963/776733826064000 0 3,419,500 180,000 0 72,420 0 0
196311191987031002/111501 0 0 0 0 0 341,950 5,000 3,325,000
PNS/798022/IID 1 0 180,000 30 3,671,950 0 346,950
NUNENG YULIARTI
90 21-07-1981/690169115013000 1 2,752,300 0 0 289,680 0 0
198107212007012017/168523 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820623/IID 4 110,092 0 60 3,667,362 0 318,762
21/12/2016

Page 634 of 952
NO STW
SARI RIZKI
91 26-04-1981/677889180061000 1 2,752,300 0 0 289,680 0 0
198104262007012011/168560 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820343/IID 4 110,092 0 60 3,667,362 0 318,762
HELBITA TARIGAN
92 02-05-1981/090045501023000 0 2,752,300 0 0 72,420 0 0
198105022007012017/168769 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820343/IID 1 0 0 10 3,064,730 0 280,230
MURTADO
93 04-03-1959/699284683013000 1 3,419,500 180,000 0 217,260 0 0
195903041984011002/081525 1 341,950 0 0 0 382,984 5,000 3,839,200
PNS/798022/IID 3 68,390 180,000 84 4,227,184 0 387,984
AMELIA
94 22-04-1992/705348340013000 0 2,261,300 180,000 0 72,420 0 0
199204222014032001/183382 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ANINDA TRI HAPSARI

95 02-12-1990/452944481526000 0 2,261,300 180,000 0 72,420 0 0
199012022014032002/183397 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SITI HAERANI
96 13-10-1991/770015360017000 0 2,261,300 180,000 0 72,420 0 0
199110132014032002/184211 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 635 of 952
NO STW
NENI ARIYANI
97 19-05-1981/792090185016000 1 2,481,800 0 0 289,680 0 0
198105192014012001/183215 2 248,180 0 240,000 0 282,925 5,000 3,071,100
PNS/820314/IIC 4 99,272 0 93 3,359,025 0 287,925
RR.LIEKE SETIAWATI
98 03-11-1962/797212032412000 1 3,083,400 180,000 0 289,680 0 0
196211031990032002/157688 2 308,340 0 0 0 351,507 5,000 3,628,300
PNS/798022/IIC 4 123,336 180,000 51 3,984,807 0 356,507
TUTILAH
99 13-09-1959/771610557403000 1 3,280,700 180,000 0 144,840 0 0
195909131983112001/079748 0 328,070 0 0 0 360,877 5,000 3,567,800
PNS/798041/IIC 2 0 180,000 67 3,933,677 0 365,877
SUTIRAH
100 30-08-1964/690060173416000 1 3,180,500 180,000 0 144,840 0 0
196408301985032002/088141 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
349,588,700 6,805,000 1,520,000 17,742,900 0 0

TOTAL 21,600,820 0 31,595,000 0 37,676,497 697,000 396,058,900
5,575,674 6,805,000 4,303 434,432,397 0 38,373,497
JAKARTA,
MENGETAHUI
21/12/2016

Page 636 of 952
UKPD: PUSKESMAS KEL.GROGOL UTARA KEC.KEBAYORAN LAMA
NO STW
YUANAH
1 05-05-1958/670059500013000 1 5,173,400 0 0 144,840 0 0
195805051984032004/102464 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820602/IVC 2 0 0 94 7,035,674 0 579,074
5,173,400 0 0 144,840 0 0
TOTAL 517,340 0 1,200,000 0 569,074 10,000 6,456,600
0 0 94 7,035,674 0 579,074
JAKARTA,
MENGETAHUI
21/12/2016

Page 637 of 952
UKPD: PUSKESMAS KEL.GROGOL SELATAN KEC.KEBAYORAN LAMA
NO STW
SRIEVI ASTUTI NASUTION
1 16-04-1966/491882437411001 1 4,569,900 0 0 289,680 0 0
196604161992122001/120809 2 456,990 0 1,200,000 0 520,968 10,000 6,168,400
PNS/820602/IVC 4 182,796 0 2 6,699,368 0 530,968
4,569,900 0 0 289,680 0 0
TOTAL 456,990 0 1,200,000 0 520,968 10,000 6,168,400
182,796 0 2 6,699,368 0 530,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 638 of 952
UKPD: PUSKESMAS KEL.CIPULIR KEC.KEBAYORAN LAMA
NO STW
NUR RAHMAWATI
1 02-01-1965/075746800013001 1 4,713,800 0 0 144,840 0 0
196501021990032009/123454 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820102/IVC 2 0 0 98 6,530,118 0 528,518
ELLY R. PRIMAYANTI
2 07-01-1963/581505070013000 0 4,339,000 0 0 72,420 0 0
196301071989032005/164680 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820602/IVA 1 0 0 80 5,611,500 0 443,900
DEWI NAPITUPULU
3 13-08-1965/676050362411000 1 4,078,100 0 0 289,680 0 0
196508131993022001/120921 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
13,130,900 0 0 506,940 0 0
TOTAL 879,190 0 3,600,000 0 1,417,321 30,000 16,833,100
163,124 0 267 18,280,421 0 1,447,321
JAKARTA,
MENGETAHUI
21/12/2016

Page 639 of 952
UKPD: PUSKESMAS KEL.KBAYORAN LAMA UT KEC.KBYORAN LAMA
NO STW
ITA PAULINA
1 24-01-1963/598733400013000 1 4,522,500 0 0 72,420 0 0
196301241989032004/114581 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820602/IVB 1 0 0 30 5,794,950 0 462,250
4,522,500 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 452,250 10,000 5,332,700
0 0 30 5,794,950 0 462,250
JAKARTA,
MENGETAHUI
21/12/2016

Page 640 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CILANDAK
NO STW
LUIGI
1 08-09-1979/095436929017001 1 3,248,300 0 980,000 289,680 0 0
197909082006042007/164954 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
SUKOWATI
2 11-08-1965/242624094412000 1 3,753,800 0 540,000 144,840 0 0
196508111988022001/111608 0 375,380 0 0 0 412,918 7,000 4,394,200
PNS/500100/IIIC 2 0 0 98 4,814,118 0 419,918
YORI MERWINDA SALEH

3 02-06-1959/675091953016000 1 5,173,400 0 0 144,840 0 0
195906021984102001/114081 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820602/IVC 2 0 0 94 7,035,674 0 579,074
ENDANG ARIASTIWI
4 10-04-1967/675092126411000 1 4,250,600 0 0 289,680 0 0
196704101993122001/123456 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
RR.SRI RAHAYUNINGSIH
5 14-11-1962/142021641016000 1 4,206,500 190,000 0 217,260 0 0
196211141991032001/120895 1 420,650 0 0 0 471,128 10,000 4,637,500
PNS/798981/IVA 3 84,130 190,000 88 5,118,628 0 481,128
LILIE PRIMA L
6 12-04-1967/675092027412000 1 4,078,100 0 0 144,840 0 0
196704121994032003/123164 0 407,810 0 1,200,000 0 448,591 10,000 5,372,200
PNS/820602/IVA 2 0 0 41 5,830,791 0 458,591
21/12/2016

Page 641 of 952
NO STW
WIWIK WIDAYANI
7 20-09-1967/675091979013000 1 4,078,100 0 0 72,420 0 0
196709201994032004/127679 0 0 0 750,000 0 407,810 10,000 4,482,800
PNS/820603/IVA 1 0 0 90 4,900,610 0 417,810
SRI HARTATI
8 30-06-1966/675091797013000 1 3,715,800 0 0 72,420 0 0
196606302002122001/165129 0 0 0 1,200,000 0 371,580 10,000 4,606,700
PNS/820102/IVA 1 0 0 60 4,988,280 0 381,580
RASMA TARIGAN
9 08-05-1965/092007285412000 1 3,912,600 185,000 0 217,260 0 0
196504081994031004/157557 1 391,260 0 0 0 438,211 7,000 4,339,200
PNS/798022/IIID 3 78,252 185,000 39 4,784,411 0 445,211
TANTRI LESTINA
10 18-02-1977/099740870017000 1 3,350,600 0 0 289,680 0 0
197702182006042025/165465 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
IRA MUSTIKA
11 06-01-1974/null 1 3,456,200 0 0 217,260 0 0
197401062006042017/165473 2 0 0 750,000 0 359,444 7,000 4,195,300
PNS/820603/IIID 3 138,248 0 36 4,561,744 0 366,444
LITA RATNASARI
12 29-07-1969/246273668013001 1 3,565,000 0 0 289,680 0 0
196907292002122004/165720 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
21/12/2016

Page 642 of 952
NO STW
AZWARTI
13 05-01-1959/null 1 4,568,800 0 0 72,420 0 0
195901051981032009/071682 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
NUNUNG AGUSTINI
14 16-08-1959/779429703411000 1 4,568,800 0 0 72,420 0 0
195908161981032004/071695 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
KOMALA SAIMAH
15 14-03-1960/675091847016000 1 4,429,300 0 0 144,840 0 0
196003141981052001/072217 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820341/IIID 2 0 0 53 5,517,123 0 494,223
SALBIAH
16 13-12-1960/675092142411000 1 4,429,300 0 0 144,840 0 0
196012131981122001/110304 1 0 0 500,000 0 451,788 7,000 4,704,000
PNS/820341/IIID 2 88,586 0 62 5,162,788 0 458,788
NANI MARSANI
17 07-10-1968/499801439016000 0 3,912,600 185,000 0 72,420 0 0
196810071988032002/111159 0 0 0 0 0 391,260 7,000 3,771,800
PNS/798012/IIID 1 0 185,000 40 4,170,060 0 398,260
ASNIAR
18 04-11-1962/675092076411000 0 4,294,000 0 0 72,420 0 0
196211041983122002/112078 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820324/IIID 1 0 0 80 4,866,500 0 436,400
21/12/2016

Page 643 of 952
NO STW
SERI BULAN BR SITEPU
19 21-01-1966/675091656411000 1 3,912,600 0 0 72,420 0 0
196601211988032005/112659 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
ETJIH EDDIAWATY
20 10-05-1969/744850462017000 1 3,793,100 185,000 0 217,260 0 0
196905101990032005/114566 1 379,310 0 0 0 424,827 7,000 4,218,800
PNS/798022/IIID 3 75,862 185,000 95 4,650,627 0 431,827
MARDIANA H
21 05-03-1969/494613334015000 1 3,912,600 0 0 217,260 0 0
196903051988032001/125751 2 0 0 500,000 0 406,910 7,000 4,372,500
PNS/820341/IIID 3 156,504 0 46 4,786,410 0 413,910
YUNI HARTATI
22 27-06-1967/779429737016000 1 3,912,600 0 0 144,840 0 0
196706271988032005/161589 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
VABIAYU PUTRI
23 09-10-1985/779442656024000 1 2,839,700 0 0 289,680 0 0
198510092011012024/180208 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
RITA ZULHERNI
24 07-06-1972/675091680017000 1 3,528,100 0 0 72,420 0 0
197206071992032006/123191 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
21/12/2016

Page 644 of 952
NO STW
SRI MARTATI
25 31-03-1969/675091521403000 1 3,639,200 0 0 72,420 0 0
196903311991032003/123193 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820621/IIIC 1 0 0 0 4,211,620 0 370,920
KHODIJAH
26 15-08-1971/592330492016000 0 3,528,100 0 0 72,420 0 0
197108151992022001/123194 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
ARINA SYAH PUTRI

27 03-05-1985/664136181061000 1 2,641,200 185,000 0 217,260 0 0
198505032014032005/183562 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
PUTRI ATMAYANTI
28 13-06-1986/705288645013000 1 2,641,200 185,000 0 217,260 0 0
198606132014032003/183696 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
RATHIA AYUNINGTYAS
29 20-11-1984/362245748432000 1 2,641,200 185,000 0 289,680 0 0
198411202014032003/183705 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
RIZKY ACHMAD AIYUBHI

30 14-11-1988/703476077412000 1 2,641,200 185,000 0 144,840 0 0
198811142014031005/183717 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
21/12/2016

Page 645 of 952
NO STW
MEI VRAYANTI F. S.
31 30-05-1987/705544559017000 0 2,641,200 185,000 0 72,420 0 0
198705302014032005/184392 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
NYOMAN SELVI
32 03-03-1982/363413741412000 1 2,724,400 0 0 289,680 0 0
198203032011012016/180993 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
ADE LIA FEBRIANTI

33 19-02-1984/248035768412000 1 2,724,400 0 0 289,680 0 0
198402192011012019/181001 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820124/IIIB 4 108,976 0 85 3,720,581 0 317,581
YUSNA YANI
34 15-06-1968/675091771451000 1 3,491,500 0 0 217,260 0 0
196806151991032011/129534 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820342/IIIB 3 69,830 0 8 4,392,748 0 398,048
MULIA HARTONO
35 23-07-1973/675091961013000 1 3,281,500 0 0 289,680 0 0
197307231997031005/164657 2 328,150 0 1,150,000 0 374,091 7,000 4,799,500
PNS/900911/IIIB 4 131,260 0 1 5,180,591 0 381,091
SUMARNA
36 12-09-1962/779429745016000 1 3,831,900 185,000 0 217,260 0 0
196209121985031012/070448 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
21/12/2016

Page 646 of 952
NO STW
RUSMIYATI
37 04-11-1960/779429752016000 0 3,714,900 185,000 0 72,420 0 0
196011041986032003/107492 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
RAFLES PANGGABEAN
38 24-08-1967/675091995412000 1 3,714,900 185,000 0 217,260 0 0
196708281987031002/110581 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
TITIK WIDIYANTI
39 10-11-1965/675091763019000 1 3,714,900 185,000 0 217,260 0 0
196511101987032008/110648 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
SRI KHATININGSIH
40 05-02-1965/675092019016000 1 3,714,900 185,000 0 72,420 0 0
196502051987032004/116628 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
SUMARNO
41 20-09-1970/773394960016000 1 3,384,900 0 0 289,680 0 0
197009201992031008/117668 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820325/IIIB 4 135,396 0 12 4,413,478 0 392,878
POSMIDA
42 07-04-1964/359972963016000 1 3,714,900 185,000 0 144,840 0 0
196404071986032011/120742 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
21/12/2016

Page 647 of 952
NO STW
NINA MAULINA
43 01-06-1971/67 509 163 1 086 1 3,601,400 0 0 72,420 0 0
197106011991032005/122286 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
NURAINI
44 12-02-1968/773394945016000 1 3,455,300 185,000 0 144,840 0 0
196802121989012001/125227 1 0 0 0 0 352,440 7,000 3,494,900
PNS/798011/IIIB 2 69,106 185,000 94 3,854,340 0 359,440
ROHAINI
45 09-10-1972/886751411016000 1 3,281,500 0 0 289,680 0 0
197210091994012001/129535 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820354/IIIB 4 131,260 0 1 4,295,591 0 381,091
BAMBANG EKO W.
46 19-02-1962/175092068013000 1 4,077,000 185,000 0 144,840 0 0
196202191983031007/158465 0 407,700 0 0 0 448,470 7,000 4,359,100
PNS/798981/IIIB 2 0 185,000 30 4,814,570 0 455,470
EKA MEILANI
47 08-05-1978/675091623019000 1 2,868,700 0 0 289,680 0 0
197805082006042028/165363 2 286,870 0 265,000 0 327,031 7,000 3,491,000
PNS/820342/IIIA 4 114,748 0 33 3,825,031 0 334,031
USWATUN HASANAH
48 18-05-1984/883372518017000 1 2,781,100 0 0 289,680 0 0
198405182006042011/179893 2 278,110 0 265,000 0 317,045 7,000 3,401,100
PNS/830224/IIIA 4 111,244 0 11 3,725,145 0 324,045
21/12/2016

Page 648 of 952
NO STW
JOKO SANTOSO
49 09-12-1976/499801710016000 1 3,052,200 0 0 217,260 0 0
197612091996031002/123544 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
SRI MARYATI
50 23-02-1971/883372500403000 1 3,052,200 0 0 72,420 0 0
197102231996032002/125812 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820132/IIIA 1 0 0 0 3,389,620 0 312,220
SUWALA RUSMANA
51 25-09-1966/093110971411000 1 3,349,800 185,000 0 289,680 0 0
196609251990031004/157942 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798022/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
RAHMAWATI
52 31-12-1967/246074595016000 1 3,349,800 0 0 217,260 0 0
196712311991032036/162817 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820342/IIIA 3 66,996 0 41 4,234,077 0 382,177
LISS ELISABETH PURBA

53 16-04-1976/780183372412000 1 2,668,200 0 0 289,680 0 0
197604162008012021/176741 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
MUTHIA KUMALA
54 15-07-1988/346265788403000 0 2,507,800 0 0 72,420 0 0
198807152010012011/178851 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
21/12/2016

Page 649 of 952
NO STW
EMITA ROMASI SIMBOLON
55 07-05-1972/892385626411000 1 2,838,900 0 0 289,680 0 0
197205071998032006/157685 2 283,890 0 240,000 0 323,634 5,000 3,437,400
PNS/820314/IID 4 113,556 0 8 3,766,034 0 328,634
PARNI
56 06-03-1978/690202999017000 1 2,668,200 0 0 289,680 0 0
197803062007012015/168777 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
RANI ELFANITA
57 01-11-1982/792090084013000 1 2,668,200 0 0 289,680 0 0
198211012008012022/172879 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
DEWI KURNIASARI
58 21-12-1989/704290444646000 0 2,261,300 180,000 0 72,420 0 0
198912212014032003/183509 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ANDRI PURNAMADI
59 12-12-1980/757748371435000 1 2,481,800 180,000 0 289,680 0 0
198012122014011001/183217 2 248,180 0 0 0 282,925 5,000 3,011,100
PNS/798022/IIC 4 99,272 180,000 93 3,299,025 0 287,925
MURDILAH
60 25-10-1979/null 0 2,284,400 180,000 0 72,420 0 0
197910252014012001/183264 0 0 0 0 0 228,440 5,000 2,303,400
PNS/798022/IIA 1 0 180,000 20 2,536,840 0 233,440
21/12/2016

Page 650 of 952
NO STW
206,524,700 3,875,000 1,520,000 11,080,260 0 0
TOTAL 12,774,710 0 19,435,000 0 22,282,337 422,000 236,032,200
3,524,120 3,875,000 2,747 258,736,537 0 22,704,337
JAKARTA,
MENGETAHUI
21/12/2016

Page 651 of 952
UKPD: PUSKESMAS KEL.GANDARIA SEL KEC.CILANDAK
NO STW
LUSY NITYASIA
1 02-02-1958/675091854411000 0 4,713,800 0 0 72,420 0 0
195802021989032001/117979 0 0 0 1,200,000 0 471,380 10,000 5,504,900
PNS/820602/IVC 1 0 0 60 5,986,280 0 481,380
4,713,800 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 471,380 10,000 5,504,900
0 0 60 5,986,280 0 481,380
JAKARTA,
MENGETAHUI
21/12/2016

Page 652 of 952
UKPD: PUSKESMAS KEL.CIPETA SELATAN KEC.CILANDAK
NO STW
EVA SUSIYANTI
1 06-04-1965/096468764019000 1 4,250,600 0 0 217,260 0 0
196504061993012001/123115 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820602/IVB 3 85,012 0 35 6,177,967 0 486,067
4,250,600 0 0 217,260 0 0
TOTAL 425,060 0 1,200,000 0 476,067 10,000 5,691,900
85,012 0 35 6,177,967 0 486,067
JAKARTA,
MENGETAHUI
21/12/2016

Page 653 of 952
UKPD: PUSKESMAS KEL.CILANDAK BARAT KEC.CILANDAK
NO STW
YOSIDA
1 18-11-1968/675091649014000 1 4,120,800 0 0 72,420 0 0
196811181998032003/162685 0 0 0 1,200,000 0 412,080 10,000 4,971,200
PNS/820602/IVB 1 0 0 60 5,393,280 0 422,080
4,120,800 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 412,080 10,000 4,971,200
0 0 60 5,393,280 0 422,080
JAKARTA,
MENGETAHUI
21/12/2016

Page 654 of 952
UKPD: PUSKESMAS KEL.LEBAK BULUS KEC.CILANDAK
NO STW
YARIANI
1 09-01-1968/675092134412000 1 4,078,100 0 0 217,260 0 0
196801091993032003/123911 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
4,078,100 0 0 217,260 0 0
TOTAL 407,810 0 1,200,000 0 456,747 10,000 5,518,000
81,562 0 15 5,984,747 0 466,747
JAKARTA,
MENGETAHUI
21/12/2016

Page 655 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PESANGGRAHAN
NO STW
ANANG KUNCORO ADI
1 21-09-1973/581445418412000 1 3,116,500 0 980,000 289,680 0 0
197309212006041004/164832 2 311,650 0 0 0 355,281 7,000 4,460,300
PNS/000000/IIIC 4 124,660 0 91 4,822,581 0 362,281
EVA ARIFAH
2 10-05-1957/247018641013000 0 5,392,200 0 0 72,420 0 0
195705101984102001/114969 0 0 0 1,400,000 0 539,220 10,000 6,315,400
PNS/820601/IVD 1 0 0 0 6,864,620 0 549,220
OCTOVA FANNY DIEN

3 04-10-1957/483243267411000 1 4,862,300 0 0 144,840 0 0
195710041988122001/123058 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820102/IVC 2 0 0 83 6,693,453 0 544,853
ATMANUR RACHMAN
4 21-06-1958/570989145016000 1 4,811,900 0 0 144,840 0 0
195806211987031001/115611 0 481,190 0 1,200,000 0 529,309 10,000 6,098,700
PNS/820602/IVB 2 0 0 79 6,638,009 0 539,309
IKA KURNIA I
5 02-10-1966/488596453013000 1 4,384,400 0 0 72,420 0 0
196610021992032006/123038 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
ELISTIATI
6 30-08-1962/485896560013000 1 4,522,500 0 0 144,840 0 0
196208301990032006/123052 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
21/12/2016

Page 656 of 952
NO STW
IKA DJUNITA
7 24-06-1964/498670363013000 1 4,250,600 0 0 144,840 0 0
196406241993032005/118052 0 425,060 0 1,200,000 0 467,566 10,000 5,543,000
PNS/820602/IVB 2 0 0 66 6,020,566 0 477,566
CHATARINA DIAH ISTUTI

8 28-04-1965/093102895411000 1 4,206,500 0 0 289,680 0 0
196504281992022001/123542 2 420,650 0 1,200,000 0 479,541 10,000 5,795,600
PNS/820602/IVA 4 168,260 0 51 6,285,141 0 489,541
ALFIANI
9 07-04-1967/null 1 4,078,100 0 0 217,260 0 0
196704071994032002/123546 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
SONNY RATULANGI TAMPI

10 07-08-1965/080888696013000 1 4,206,500 0 0 72,420 0 0
196508071995032001/157988 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820102/IVA 1 0 0 30 5,478,950 0 430,650
LIANA LIM
11 18-11-1969/678828641013000 1 3,456,200 0 0 289,680 0 0
196911182007012016/168401 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
AMARI AQMAR
12 25-03-1977/581151438048000 1 3,350,600 0 0 289,680 0 0
197703252006041012/165631 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
21/12/2016

Page 657 of 952
NO STW
YUDHA KHAIRUNIK
13 25-07-1971/795286251625000 1 3,565,000 0 0 72,420 0 0
197107252006042020/180154 0 0 0 750,000 0 356,500 7,000 4,024,000
PNS/820103/IIID 1 0 0 80 4,387,500 0 363,500
SRI MAYA RINI

14 01-01-1960/489292748086000 0 4,568,800 0 0 72,420 0 0
196001011981052001/072516 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
SRI HIDAYATI
15 06-06-1967/488596438_411000 1 3,912,600 0 0 217,260 0 0
196706061988022002/111339 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820353/IIID 3 78,252 0 39 5,099,411 0 445,211
YANI
16 04-08-1966/489292706411000 1 3,912,600 0 0 217,260 0 0
196608041989032008/115643 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820341/IIID 3 78,252 0 39 5,099,411 0 445,211
NURHANETI
17 11-01-1965/726493760013000 1 4,035,800 0 0 217,260 0 0
196501111986032008/116736 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820341/IIID 3 80,716 0 53 5,237,409 0 459,009
ERLINA GINTING
18 21-02-1960/489299545416000 1 4,294,000 0 0 144,840 0 0
196002211982032006/119047 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
21/12/2016

Page 658 of 952
NO STW
SUKERSIH
19 22-06-1966/489299529411000 1 4,035,800 0 0 217,260 0 0
196606221987032006/123037 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820341/IIID 3 80,716 0 53 5,237,409 0 459,009
NETTY HARIYANI
20 13-10-1961/698656766411000 1 4,294,000 0 0 144,840 0 0
196110131981102001/125453 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820341/IIID 2 0 0 0 5,368,240 0 479,340
TUMINI M
21 18-01-1959/488596412411000 1 4,294,000 0 0 144,840 0 0
195901181980022001/130655 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
WUSTATI
22 02-02-1960/787061324411000 1 3,994,000 185,000 0 144,840 0 0
196002021988032001/123050 0 399,400 0 0 0 439,340 7,000 4,276,900
PNS/798022/IIIC 2 0 185,000 0 4,723,240 0 446,340
HORASMA TAMBARUHUR P
23 08-12-1971/489292649013000 1 3,420,300 0 0 289,680 0 0
197112081998032008/125623 2 342,030 0 600,000 0 389,914 7,000 4,392,000
PNS/820322/IIIC 4 136,812 0 92 4,788,914 0 396,914
YANIAR MULYANTINI
24 30-01-1979/null 0 3,116,500 185,000 0 72,420 0 0
197901302006042006/164843 0 0 0 0 0 311,650 7,000 3,055,300
PNS/798981/IIIC 1 0 185,000 30 3,373,950 0 318,650
21/12/2016

Page 659 of 952
NO STW
APRIANI SURDIATMAN
25 25-04-1980/363411745402000 0 2,839,700 0 0 72,420 0 0
198004252011012005/181228 0 0 0 325,000 0 283,970 7,000 2,946,200
PNS/820607/IIIC 1 0 0 50 3,237,170 0 290,970
NASUN FAUZY
26 12-08-1965/488596479017000 1 3,753,800 0 0 217,260 0 0
196508121989031009/117116 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
ROMAINI MUHAMAD
27 15-08-1960/171088966013001 1 3,872,000 185,000 0 144,840 0 0
196008151981072001/072520 0 387,200 0 0 0 425,920 7,000 4,156,200
PNS/798022/IIIC 2 0 185,000 80 4,589,120 0 432,920
SUROTO
28 12-05-1965/675606677411000 1 3,872,000 0 0 217,260 0 0
196505121987031016/110676 1 387,200 0 500,000 0 433,664 7,000 4,613,300
PNS/820312/IIIC 3 77,440 0 64 5,053,964 0 440,664
LESTINA BR TARIGAN
29 15-03-1967/247708696013000 1 3,753,800 0 0 289,680 0 0
196703151989032010/115548 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820621/IIIC 4 150,152 0 21 5,069,033 0 434,933
NURLAELAH
30 07-07-1967/492709472013000 1 3,639,200 0 0 217,260 0 0
196707071991012003/115583 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
21/12/2016

Page 660 of 952
NO STW
TUTIK SUNARSIH
31 20-08-1960/245885355013000 1 3,639,200 0 0 217,260 0 0
196008201991032004/116832 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
MC PUJI SULISTYO RINI

32 19-05-1970/780756185013000 1 3,872,000 0 0 72,420 0 0
197005191991032003/123545 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820341/IIIC 1 0 0 80 4,444,500 0 394,200
SYAMSUL HUDA
33 26-04-1959/590330643031000 1 3,753,800 0 0 144,840 0 0
195904261988032001/157856 0 375,380 0 500,000 0 412,918 7,000 4,354,200
PNS/820341/IIIC 2 0 0 98 4,774,118 0 419,918
RADEN RARA DYAH

34 28-03-1987/455533364721000 1 2,641,200 185,000 0 217,260 0 0
198703282014032003/184422 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
DEWI K S
35 03-03-1965/696591726013000 1 3,281,500 0 0 72,420 0 0
196503031994022001/125692 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820622/IIIB 1 0 0 30 3,618,950 0 335,150
SADELIH
36 14-12-1963/590330627411000 1 3,714,900 185,000 0 144,840 0 0
196312141987031004/110668 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
21/12/2016

Page 661 of 952
NO STW
HADI PRIYONO
37 07-03-1967/489292870013000 1 3,714,900 185,000 0 289,680 0 0
196703071987031003/110787 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SUBROTO
38 05-01-1959/570508465411006 1 3,952,600 185,000 0 144,840 0 0
195901051983031015/157673 0 395,260 0 0 0 434,786 7,000 4,236,000
PNS/798022/IIIB 2 0 185,000 86 4,677,786 0 441,786
SRI MUKTI
39 14-07-1963/489292763013000 1 3,491,500 185,000 0 144,840 0 0
196307141989032006/162680 1 0 0 0 0 356,133 7,000 3,528,100
PNS/798011/IIIB 2 69,830 185,000 63 3,891,233 0 363,133
EKA DIAN AGUSTINI

40 17-08-1982/489292854013000 1 2,781,100 185,000 0 289,680 0 0
198208172006042012/164929 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798011/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
WARNI
41 12-02-1971/489292680435000 1 3,247,500 0 0 289,680 0 0
197102121993032008/164506 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820342/IIIA 4 129,900 0 85 4,256,915 0 377,215
ETIKA SARI
42 16-10-1968/499801777013000 1 3,247,500 0 0 289,680 0 0
196810161992032004/164727 2 324,750 0 240,000 0 370,215 7,000 3,854,700
PNS/820314/IIIA 4 129,900 0 85 4,231,915 0 377,215
21/12/2016

Page 662 of 952
NO STW
SRI HESTI
43 28-03-1983/696675107085000 1 2,668,200 0 0 217,260 0 0
198303282008012011/170080 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820343/IID 3 53,364 0 94 3,445,738 0 303,838
NISA SITI YUNIATI

44 17-06-1981/493493431013000 0 2,668,200 0 0 144,840 0 0
198106172008012023/170108 1 0 0 240,000 0 272,156 5,000 2,829,300
PNS/820314/IID 2 53,364 0 52 3,106,456 0 277,156
DENA RESTIANA
45 22-01-1989/784177826013000 0 2,431,200 0 0 72,420 0 0
198901222011012011/180959 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
AYI SOPIANDI
46 06-05-1963/780652756013000 1 3,419,500 180,000 0 217,260 0 0
196305061986031007/107524 1 341,950 0 0 0 382,984 5,000 3,839,200
PNS/798022/IID 3 68,390 180,000 84 4,227,184 0 387,984
SUYITNO
47 15-09-1959/670024124013000 1 3,315,100 180,000 0 144,840 0 0
195909151987031008/109245 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
FITRI SUSILO UTAMI

48 23-09-1976/589562891013000 1 2,668,200 0 0 289,680 0 0
197609232002122005/168908 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
21/12/2016

Page 663 of 952
NO STW
HERMILINDA
49 18-09-1982/696675115031000 1 2,752,300 0 0 217,260 0 0
198209182007012019/169050 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820343/IID 3 55,046 0 21 3,539,857 0 313,257
RISSANTI
50 28-08-1981/690169107013000 1 2,559,900 0 0 289,680 0 0
198108282007012020/168767 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820343/IIC 4 102,396 0 62 3,448,028 0 296,828
DEVI LISTYANA
51 21-07-1992/667208417532000 0 2,261,300 180,000 0 72,420 0 0
199207212014032002/183501 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MOHAMAD IBROHIM
52 29-06-1988/983139114017000 0 2,261,300 180,000 0 72,420 0 0
198806292014031002/184022 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
TETI HERAWATI LUBIS

53 11-03-1960/493546808013000 1 2,381,100 0 0 217,260 0 0
196003112006042004/169959 1 238,110 0 240,000 0 266,683 5,000 2,852,500
PNS/820133/IIB 3 47,622 0 91 3,124,183 0 271,683
21/12/2016

Page 664 of 952
NO STW
190,536,200 2,385,000 980,000 9,559,440 0 0
TOTAL 14,219,610 0 24,125,000 0 20,743,466 376,000 223,367,100
2,678,942 2,385,000 2,374 244,486,566 0 21,119,466
JAKARTA,
MENGETAHUI
21/12/2016

Page 665 of 952
UKPD: RUMAH SAKIT UMUM KELAS D PESANGGRAHAN
NO STW
ENDAH KARTIKA DEWI
1 07-12-1967/499801405411000 1 3,912,600 0 980,000 289,680 0 0
196712071994032004/125372 2 391,260 0 0 0 446,036 7,000 5,277,100
PNS/000000/IIID 4 156,504 0 92 5,730,136 0 453,036
RIA VIRGIANDARI
2 08-09-1968/680177920017000 1 4,078,100 0 540,000 217,260 0 0
196809081994032006/123461 1 407,810 0 0 0 456,747 10,000 4,858,000
PNS/500100/IVA 3 81,562 0 15 5,324,747 0 466,747
NI PUTU SUNADI
3 16-10-1963/478915432019000 1 4,339,000 0 540,000 217,260 0 0
196310161989032004/122907 1 433,900 0 0 0 485,968 10,000 5,121,000
PNS/700100/IVA 3 86,780 0 28 5,616,968 0 495,968
VERA NARIETHA M R
4 28-08-1981/584651970015000 1 2,810,200 0 540,000 289,680 0 0
198108282010012031/179083 2 281,020 0 0 0 320,362 7,000 3,706,000
PNS/700200/IIIC 4 112,408 0 54 4,033,362 0 327,362
YUNIARTY YAHYA
5 15-06-1959/488596529411000 1 4,713,800 0 0 144,840 0 0
195906151989012001/123046 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
RAHAYUNINGSIH HADI.R
6 05-07-1965/643464639411000 1 4,522,500 0 0 144,840 0 0
196507051989032010/122576 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
21/12/2016

Page 666 of 952
NO STW
INDRA WAHYU
7 05-11-1962/676228042013000 1 4,475,700 0 0 144,840 0 0
196211051988031004/158067 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
HENTI HELPITA
8 12-04-1964/487189995411000 1 3,953,600 190,000 0 289,680 0 0
196404121998032003/162671 2 395,360 0 0 0 450,710 10,000 4,526,100
PNS/798011/IVA 4 158,144 190,000 26 4,986,810 0 460,710
DIANI GAYATRI
9 21-04-1962/787061456411000 1 4,206,500 190,000 0 144,840 0 0
196204211991032005/164346 0 420,650 0 0 0 462,715 10,000 4,489,300
PNS/798012/IVA 2 0 190,000 25 4,962,015 0 472,715
IDAH FITRIANI
10 14-01-1967/489292664411000 1 4,035,800 0 0 289,680 0 0
196701141989032007/158239 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820312/IIID 4 161,432 0 89 5,390,581 0 467,081
SAUT SAMOSIR
11 15-08-1959/686612037013000 1 4,429,300 0 0 144,840 0 0
195908151981032006/117990 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
DURIAH
12 02-01-1963/245473400013000 1 3,528,100 0 0 144,840 0 0
196301021991012003/116364 0 352,810 0 500,000 0 388,091 7,000 4,130,700
PNS/820341/IIIC 2 0 0 41 4,525,791 0 395,091
21/12/2016

Page 667 of 952
NO STW
IWA KUSTIWA
13 15-01-1967/574585386416000 1 3,872,000 185,000 0 217,260 0 0
196701151987031001/110456 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798011/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
SRI LENITA
14 17-11-1972/779816571411000 1 3,116,500 185,000 0 289,680 0 0
197211172008012008/172181 2 311,650 0 0 0 355,281 7,000 3,665,300
PNS/798981/IIIC 4 124,660 185,000 91 4,027,581 0 362,281
SYAHDANI ULI
15 13-01-1984/255936122013000 1 2,839,700 0 0 289,680 0 0
198401132011012015/181251 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
EKO IWAN SETIADI

16 04-03-1969/727503799013000 0 3,753,800 185,000 0 72,420 0 0
196903041992031003/117693 0 0 0 0 0 375,380 7,000 3,628,900
PNS/798011/IIIC 1 0 185,000 60 4,011,280 0 382,380
ZAINUR WISNU WARDANI

17 26-09-1965/493812101411000 0 3,872,000 185,000 0 72,420 0 0
196606021989032008/115515 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798012/IIIC 1 0 185,000 80 4,129,500 0 394,200
SYLVIA JUNIARTI M
18 03-06-1965/682776653013000 1 3,872,000 0 0 72,420 0 0
196506031986012003/116698 0 0 0 265,000 0 387,200 7,000 3,815,300
PNS/820313/IIIC 1 0 0 80 4,209,500 0 394,200
21/12/2016

Page 668 of 952
NO STW
YULI PURWANTI
19 06-02-1970/489292599005000 1 3,639,200 0 0 289,680 0 0
197002061990032003/118896 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820621/IIIC 4 145,568 0 0 4,938,368 0 421,868
HESTI UTAMI DEWI

20 29-09-1984/897328696013000 0 2,810,200 185,000 0 72,420 0 0
198409292010012045/178926 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
KARTIKA RADIANTI
21 25-03-1988/544922099424000 1 2,641,200 185,000 0 217,260 0 0
198803252014032005/183659 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
FITRIA ARDYA CAHYANI

22 22-01-1983/549050789541000 1 2,641,200 185,000 0 72,420 0 0
198301222014032003/183622 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ANAK AGUNG OKA SASIH

23 31-12-1963/488596396013000 1 3,952,600 185,000 0 144,840 0 0
196302141983112001/115606 0 395,260 0 0 0 434,786 7,000 4,236,000
PNS/798011/IIIB 2 0 185,000 86 4,677,786 0 441,786
ROULI TUMIUR N
24 07-07-1970/787108109411000 0 3,491,500 185,000 0 72,420 0 0
197007071991032009/122624 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
21/12/2016

Page 669 of 952
NO STW
SRI RATNA FITRIADEWI
25 28-03-1984/875768418541000 1 2,641,200 185,000 0 217,260 0 0
198403282014032004/183740 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SUWIDODO
26 01-02-1961/582173570340000 1 3,676,400 185,000 0 217,260 0 0
196102011985031010/075608 1 367,640 0 0 0 411,756 7,000 4,101,100
PNS/798012/IIIA 3 73,528 185,000 28 4,519,856 0 418,756
ADOLFINE RINDINGP
27 31-08-1968/498670322012000 1 3,052,200 0 0 217,260 0 0
196808311998032002/129533 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
SUNAIYA FRIDA
28 02-03-1975/778881573411000 1 3,052,200 185,000 0 289,680 0 0
197503022000122002/161518 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
TEGUH DARMAWAN
29 21-05-1982/875463135064000 1 2,838,900 0 0 289,680 0 0
198205212007011009/168436 2 283,890 0 1,150,000 0 323,634 5,000 4,347,400
PNS/900912/IID 4 113,556 0 8 4,676,034 0 328,634
KUNTO WICAKSONO
30 18-09-1981/690101951017000 0 2,668,200 0 0 72,420 0 0
198109182008011013/172545 0 0 0 1,150,000 0 266,820 5,000 3,618,800
PNS/900912/IID 1 0 0 0 3,890,620 0 271,820
21/12/2016

Page 670 of 952
NO STW
SYLVIA AFRIZA DEWI
31 12-12-1983/696675099013000 1 2,668,200 0 0 289,680 0 0
198312122008012016/174699 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
ROSITA
32 12-12-1982/895173326421000 1 2,507,800 0 0 289,680 0 0
198212122010012046/178832 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
ANI SIFA LAELANI

33 21-07-1982/493764674412000 0 2,668,200 0 0 72,420 0 0
198207212008012028/173372 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820133/IID 1 0 0 0 2,980,620 0 271,820
WAHYU PUJIWATI
34 11-11-1975/590330601013000 1 2,481,800 0 0 217,260 0 0
197511112008012018/172781 2 0 0 240,000 0 258,107 5,000 2,775,300
PNS/820343/IIC 3 99,272 0 75 3,038,407 0 263,107
TIARA DYAH AYU

35 18-02-1992/706100492013000 0 2,261,300 180,000 0 72,420 0 0
199202182014032003/184251 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
YUSRI
36 22-05-1959/489299487013000 0 2,838,200 180,000 0 72,420 0 0
195905221985092001/103290 0 0 0 0 0 283,820 5,000 2,801,800
PNS/798041/IIA 1 0 180,000 0 3,090,620 0 288,820
21/12/2016

Page 671 of 952
NO STW
122,861,700 2,960,000 2,600,000 6,662,640 0 0
TOTAL 8,950,330 0 10,140,000 0 13,381,221 257,000 142,538,200
2,000,262 2,960,000 1,489 156,176,421 0 13,638,221
JAKARTA,
MENGETAHUI
21/12/2016

Page 672 of 952
UKPD: PUSKESMAS KEL.PETUKANGAN SEL KEC.PESANGGRAHAN
NO STW
TIARA DEWI
1 01-08-1961/489292789411000 1 4,569,900 0 0 144,840 0 0
196108011991012001/123818 0 456,990 0 1,200,000 0 502,689 10,000 5,859,100
PNS/820102/IVC 2 0 0 59 6,371,789 0 512,689
ITA JUANA
2 27-08-1965/489303388003000 1 4,078,100 0 0 217,260 0 0
196508271993122001/125105 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
8,648,000 0 0 362,100 0 0
TOTAL 864,800 0 2,400,000 0 959,436 20,000 11,377,100
81,562 0 74 12,356,536 0 979,436
JAKARTA,
MENGETAHUI
21/12/2016

Page 673 of 952
UKPD: PUSKESMAS KEL.PETUKANGAN UTARA KEC.PESANGGRAHAN
NO STW
ESTHER
1 18-12-1960/590330619411000 1 4,862,300 0 0 144,840 0 0
196012181987032003/116960 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820102/IVC 2 0 0 83 6,693,453 0 544,853
4,862,300 0 0 144,840 0 0
TOTAL 486,230 0 1,200,000 0 534,853 10,000 6,148,600
0 0 83 6,693,453 0 544,853
JAKARTA,
MENGETAHUI
21/12/2016

Page 674 of 952
UKPD: PUSKESMAS KEL.BINTARO KEC.PESANGGRAHAN
NO STW
SETYAWATI DEWANI
1 20-11-1969/498670389416000 1 3,565,000 0 0 289,680 0 0
196911202006042013/165474 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
3,565,000 0 0 289,680 0 0
TOTAL 356,500 0 750,000 0 406,410 7,000 4,690,400
142,600 0 30 5,103,810 0 413,410
JAKARTA,
MENGETAHUI
21/12/2016

Page 675 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN JAGAKARSA
NO STW
DEWI ISNAWATI Q I
1 14-03-1967/578469132019000 1 4,206,500 0 980,000 289,680 0 0
196703141992032003/123520 2 420,650 0 0 0 479,541 10,000 5,575,600
PNS/000000/IVA 4 168,260 0 51 6,065,141 0 489,541
HARAPAN SIMANIHURUK
2 03-08-1964/774287296009000 1 3,912,600 0 540,000 289,680 0 0
196408031988031007/111216 2 391,260 0 0 0 446,036 7,000 4,837,100
PNS/500100/IIID 4 156,504 0 92 5,290,136 0 453,036
A.SELWATY
3 13-07-1958/494614217001000 1 5,068,000 0 0 72,420 0 0
195807131987102001/158517 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820101/IVD 1 0 0 80 6,540,500 0 516,800
RORO PRIHATINI
4 23-10-1963/578453201017000 1 4,713,800 0 0 217,260 0 0
196310231990122001/123328 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
REBEKKA SITORUS
5 17-01-1965/578453748086000 0 4,569,900 0 0 72,420 0 0
196501171991022002/129848 0 0 0 1,200,000 0 456,990 10,000 5,375,400
PNS/820102/IVC 1 0 0 70 5,842,390 0 466,990
ISKANDAR SINULINGGA
6 09-12-1957/497342816017000 1 4,665,000 0 0 144,840 0 0
195712091988011002/118453 0 466,500 0 1,200,000 0 513,150 10,000 5,953,200
PNS/820102/IVB 2 0 0 10 6,476,350 0 523,150
21/12/2016

Page 676 of 952
NO STW
INDAH LESTARI
7 12-10-1968/578453300017000 1 4,250,600 0 0 217,260 0 0
196802121994032006/122903 1 425,060 0 1,200,000 0 476,067 10,000 5,691,900
PNS/820602/IVB 3 85,012 0 35 6,177,967 0 486,067
SOEBIJANTORO
8 07-02-1959/494613599412000 1 4,665,000 0 0 217,260 0 0
195902071987011001/123036 1 466,500 0 1,200,000 0 522,480 10,000 6,109,600
PNS/820602/IVB 3 93,300 0 20 6,642,080 0 532,480
VONNY ELISABETH
9 28-03-1974/789918422017000 1 3,715,800 0 0 144,840 0 0
197403282002122003/171660 1 0 0 1,200,000 0 379,011 10,000 4,746,000
PNS/820102/IVA 2 74,316 0 55 5,135,011 0 389,011
DORLINA NAINGGOLAN
10 13-01-1959/895259539061000 1 4,475,700 0 0 217,260 0 0
195901131987032004/123114 1 447,570 0 1,200,000 0 501,278 10,000 5,918,800
PNS/820102/IVA 3 89,514 0 34 6,430,078 0 511,278
ARDIATRI
11 18-05-1966/372047506017000 1 4,206,500 0 0 289,680 0 0
196605181992122001/123483 2 420,650 0 1,200,000 0 479,541 10,000 5,795,600
PNS/820602/IVA 4 168,260 0 51 6,285,141 0 489,541
RR.ENDANG RETNO S
12 25-03-1962/578453797412000 1 4,206,500 0 0 217,260 0 0
196203251992032002/158383 1 420,650 0 1,200,000 0 471,128 10,000 5,647,500
PNS/820602/IVA 3 84,130 0 88 6,128,628 0 481,128
21/12/2016

Page 677 of 952
NO STW
HENNY NURWITA
13 02-07-1971/578453789016000 1 3,602,400 0 0 217,260 0 0
197107022002122004/165070 1 360,240 0 1,200,000 0 403,468 10,000 5,038,500
PNS/820602/IVA 3 72,048 0 20 5,451,968 0 413,468
RATNA WINARSIH
14 13-04-1960/578453219412000 1 4,294,000 0 0 144,840 0 0
196004131981092001/112660 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820621/IIID 2 0 0 0 5,368,240 0 479,340
ASRIE RAHAYU
15 18-01-1974/485604466015000 1 3,350,600 0 0 289,680 0 0
197401182006042018/165262 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
NOVITA FITRIYANA
16 12-11-1971/342055332412999 1 3,677,300 185,000 0 289,680 0 0
197111121995032002/170044 2 367,730 0 0 0 419,212 7,000 4,240,600
PNS/798012/IIID 4 147,092 185,000 10 4,666,812 0 426,212
FINDA REYANI
17 10-04-1978/777438771325000 1 3,248,300 0 0 72,420 0 0
197804102008042001/182713 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
AISYAH
18 11-08-1966/488714528412000 1 3,912,600 0 0 289,680 0 0
196608111989022001/115641 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820312/IIID 4 156,504 0 92 5,250,136 0 453,036
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NO STW
FATIMAH NAWAWI
19 02-05-1966/488714437412000 1 3,912,600 0 0 72,420 0 0
196602051989032009/116491 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
AAM AMALIA
20 09-07-1967/675091904412000 0 4,035,800 0 0 72,420 0 0
196707091988032006/117978 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
CHOTI SUNARNI
21 20-03-1967/478194319407000 1 4,035,800 0 0 72,420 0 0
196703121989032005/162225 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820312/IIID 1 0 0 60 4,608,280 0 410,580
SUPRIYOTO
22 12-05-1959/099745382017000 1 4,568,800 0 0 144,840 0 0
195909121981101002/072572 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
NURHAENI
23 20-01-1960/578453367017000 1 4,568,800 0 0 72,420 0 0
196001201981012003/114188 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
ENI WIDAYATI
24 30-10-1962/578453235017000 1 4,035,800 0 0 144,840 0 0
196210301986032003/118370 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
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Page 679 of 952
NO STW
NURYANTI
25 15-09-1965/578534661403000 1 3,912,600 0 0 144,840 0 0
196509151989032009/123096 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
RIDULIAH
26 10-03-1959/578453102017000 1 4,429,300 0 0 72,420 0 0
195903101981032006/123527 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
SLAMET RIBUT
27 29-05-1966/880960794412000 1 3,753,800 185,000 0 289,680 0 0
196605291985031001/088026 2 375,380 0 0 0 427,933 7,000 4,319,100
PNS/798022/IIIC 4 150,152 185,000 21 4,754,033 0 434,933
MEILIANA LINDAWATI R
28 21-05-1978/null 1 3,116,500 0 0 72,420 0 0
197805212005022006/165522 0 0 0 0 0 311,650 7,000 2,870,300
PNS/000008/IIIC 1 0 0 30 3,188,950 0 318,650
OLIVIA VISTARY
29 04-10-1979/360097281412000 1 2,929,100 0 0 289,680 0 0
197910042010012017/178844 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
IRINE SATYA
30 05-10-1985/250072733412000 1 2,839,700 0 0 217,260 0 0
198510052011012029/181014 1 283,970 0 325,000 0 318,046 7,000 3,397,700
PNS/820124/IIIC 3 56,794 0 22 3,722,746 0 325,046
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NO STW
PURNAMA SIANIPAR
31 21-11-1961/578453276077000 0 3,639,200 0 0 72,420 0 0
196111211990112001/115466 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
SUKINI
32 24-11-1969/578453417017000 0 3,639,200 0 0 72,420 0 0
196911241991032006/116299 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
HELIANTES PAKPAHAN
33 26-11-1965/170663975013000 1 3,420,300 0 0 289,680 0 0
196511261997031003/123457 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820324/IIIC 4 136,812 0 92 4,688,914 0 396,914
JAMIATUR RODIAH
34 07-05-1965/578453227017000 1 3,639,200 0 0 144,840 0 0
196505071991032006/116386 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820312/IIIC 2 0 0 52 4,648,012 0 407,312
AGUSTINA BRAKARO
35 06-01-1966/578453284412000 1 3,639,200 0 0 289,680 0 0
196601061991032005/116399 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
WARTA BR TARINGAN
36 04-08-1968/578453144017000 1 3,639,200 0 0 217,260 0 0
196808041991032005/116704 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
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Page 681 of 952
NO STW
YEYET RAHMAYANTI
37 26-09-1969/578453292017000 0 3,528,100 0 0 72,420 0 0
196909261992032002/117581 0 0 0 600,000 0 352,810 7,000 3,840,800
PNS/820322/IIIC 1 0 0 90 4,200,610 0 359,810
MANIH SAMAT
38 17-04-1972/727087082017000 1 3,639,200 0 0 217,260 0 0
197204171991032001/121085 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
ARIS QOLBIATI
39 09-06-1966/578469082412000 1 3,994,000 0 0 72,420 0 0
196606091985112001/123130 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
ROSMINTA SIREGAR
40 08-01-1974/578453185403000 1 3,528,100 0 0 72,420 0 0
197401081993032002/125614 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
MAHDIAH MAHMUD
41 01-04-1968/578453474412000 1 3,753,800 0 0 72,420 0 0
196804011989022003/162668 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820131/IIIC 1 0 0 60 4,326,280 0 382,380
RUKYANA
42 06-11-1971/578453110412000 1 3,639,200 0 0 72,420 0 0
197111061991032003/162681 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
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Page 682 of 952
NO STW
DEWI WULANSARI
43 31-01-1979/897960282017000 1 2,810,200 0 0 289,680 0 0
197901312010012010/179695 2 281,020 0 325,000 0 320,362 7,000 3,491,000
PNS/820107/IIIB 4 112,408 0 54 3,818,362 0 327,362
NURUL CHAIRANI
44 17-09-1981/495896920009999 1 2,724,400 185,000 0 289,680 0 0
198109172011012008/180219 2 272,440 0 0 0 310,581 7,000 3,263,000
PNS/798012/IIIB 4 108,976 185,000 85 3,580,581 0 317,581
HOTMA IDA MANULLANG

45 17-09-1977/578453136017000 0 3,181,300 0 0 72,420 0 0
197709171997032002/123381 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
HARTI
46 28-05-1963/578453862016000 1 3,831,900 185,000 0 217,260 0 0
196305281984032003/082028 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798011/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
IDA LUMONGGA SIREGAR

47 22-12-1966/578453268412000 1 3,714,900 185,000 0 144,840 0 0
196612221987032004/110479 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
ST RUKAYA
48 07-12-1966/296847213017000 1 3,714,900 185,000 0 217,260 0 0
196612071987032002/110529 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
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NO STW
AMSIAH
49 17-05-1965/478580186412000 1 3,714,900 185,000 0 144,840 0 0
196505171987012001/118598 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798012/IIIB 2 0 185,000 9 4,416,239 0 415,639
INTAN BR TARIGAN
50 25-08-1966/678854837017000 1 3,281,500 0 0 144,840 0 0
196608251994032004/120640 0 328,150 0 265,000 0 360,965 7,000 3,651,600
PNS/820342/IIIB 2 0 0 75 4,019,565 0 367,965
HASLIZAR ZEIN
51 17-10-1971/784087876017000 1 3,384,900 0 0 289,680 0 0
197110171996031003/122400 2 338,490 0 500,000 0 385,878 7,000 4,255,600
PNS/820312/IIIB 4 135,396 0 12 4,648,478 0 392,878
MASENIH
52 12-04-1964/578453821017000 1 3,714,900 185,000 0 144,840 0 0
196404121986032014/123560 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
WAGINEM
53 14-12-1959/578453854017000 1 4,205,400 185,000 0 144,840 0 0
195912141979122001/158504 0 420,540 0 0 0 462,594 7,000 4,486,200
PNS/798022/IIIB 2 0 185,000 14 4,955,794 0 469,594
NENI TRIANA HUTAJULU

54 23-10-1970/578453334404000 1 3,491,500 0 0 72,420 0 0
197010231991032006/162630 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
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Page 684 of 952
NO STW
NETTY MAGRITA HELLY.S
55 09-09-1972/578453128412000 1 3,384,900 0 0 289,680 0 0
197209091992032005/162766 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820622/IIIB 4 135,396 0 12 4,413,478 0 392,878
SRI CAROULINA
56 12-11-1977/073808529124999 0 2,781,100 0 0 72,420 0 0
197711122006042031/165097 0 0 0 265,000 0 278,110 7,000 2,833,500
PNS/820313/IIIA 1 0 0 90 3,118,610 0 285,110
HENI NURAENI
57 19-12-1967/244689899042000 1 3,349,800 185,000 0 217,260 0 0
196712191991032008/118489 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798022/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
DINA LESTIANA
58 27-06-1985/580412732009000 1 2,431,200 0 0 144,840 0 0
198506272011012019/180975 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
YUDIMAN RACHMAN
59 16-11-1966/497508937022000 1 3,419,500 180,000 0 144,840 0 0
196611161987031003/110462 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
IDA NURPARIDAH
60 20-08-1976/774276885016000 1 2,809,500 0 0 72,420 0 0
197608202008012019/170092 0 0 0 240,000 0 280,950 5,000 2,836,000
PNS/820314/IIC 1 0 0 30 3,121,950 0 285,950
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NO STW
RAHAYU HARTATI
61 19-05-1973/738167709412000 0 2,695,500 0 0 217,260 0 0
197305192007012010/168518 1 269,550 0 240,000 0 301,896 5,000 3,169,400
PNS/820343/IIB 3 53,910 0 76 3,476,296 0 306,896
IIN SETYAWATI
62 05-09-1981/099745374017000 1 2,284,400 0 0 217,260 0 0
198109052008012029/174666 1 228,440 0 240,000 0 255,852 5,000 2,755,000
PNS/820314/IIA 3 45,688 0 64 3,015,852 0 260,852
229,505,000 2,030,000 1,520,000 10,573,320 0 0

TOTAL 15,081,920 0 30,185,000 0 24,767,180 460,000 266,755,700
3,085,004 2,030,000 2,636 291,982,880 0 25,227,180
JAKARTA,
MENGETAHUI
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Page 686 of 952
UKPD: RUMAH SAKIT UMUM KELAS D JAGAKARSA
NO STW
DEWI MUSTIKA
1 11-01-1969/145042172327000 1 3,995,000 0 980,000 72,420 0 0
196901112000122002/180150 0 0 0 0 0 399,500 10,000 4,638,000
PNS/000000/IVB 1 0 0 80 5,047,500 0 409,500
SRI SUBEKTI
2 05-03-1963/497342469016000 1 4,339,000 0 540,000 144,840 0 0
196303051989112001/127173 0 433,900 0 0 0 477,290 10,000 4,970,500
PNS/700100/IVA 2 0 0 50 5,457,790 0 487,290
UYUNG BUDIYATNO
3 10-04-1965/488288355412000 1 3,420,300 0 540,000 217,260 0 0
196504101998031003/125549 1 342,030 0 0 0 383,073 7,000 4,198,000
PNS/500100/IIIC 3 68,406 0 77 4,588,073 0 390,073
DEDEN MULIADI
4 11-01-1978/873429500017000 1 3,214,700 0 540,000 289,680 0 0
197801112008011012/171750 2 321,470 0 0 0 366,475 7,000 4,121,000
PNS/700200/IIIC 4 128,588 0 37 4,494,475 0 373,475
BERTA SABAR UKUR

5 28-08-1963/null 1 4,713,800 0 0 144,840 0 0
196308281989112002/123453 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820102/IVC 2 0 0 98 6,530,118 0 528,518
FIBRIANTI DWI P
6 12-02-1968/578453771412000 1 4,250,600 0 0 289,680 0 0
196802121993032011/123465 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
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NO STW
YUSRANI
7 11-01-1960/578649108017000 1 4,162,900 0 0 217,260 0 0
196001111981122001/073665 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820341/IIID 3 83,258 0 36 5,379,744 0 473,244
SITI SUNDARI
8 05-12-1968/372116368017000 1 3,793,100 0 0 72,420 0 0
196812051990012001/119040 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820341/IIID 1 0 0 90 4,365,610 0 386,310
ADRIYATI
9 06-05-1959/578453326403000 1 4,568,800 0 0 144,840 0 0
195905061981032003/071815 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
ABDUL ROHMAN
10 19-12-1965/null 1 3,912,600 185,000 0 144,840 0 0
196512191985031002/075417 0 391,260 0 0 0 430,386 7,000 4,196,400
PNS/798011/IIID 2 0 185,000 86 4,633,786 0 437,386
PIRMAYANI
11 03-11-1968/578469074436000 1 3,912,600 0 0 289,680 0 0
196811031989032005/123312 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820341/IIID 4 156,504 0 92 5,250,136 0 453,036
SARAH ELFRIDA S
12 18-01-1969/578453896017000 1 3,912,600 0 0 72,420 0 0
196901181989032002/165132 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820341/IIID 1 0 0 40 4,485,060 0 398,260
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NO STW
MILDA ZULFANITA
13 18-06-1980/245372073412000 1 2,929,100 0 0 289,680 0 0
198006182010012019/178728 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
YENNY NARISWARI
14 26-06-1983/678839168015000 1 2,929,100 185,000 0 289,680 0 0
198306262010012034/178867 2 292,910 0 0 0 333,917 7,000 3,473,000
PNS/798981/IIIC 4 117,164 185,000 63 3,813,917 0 340,917
TRI SUMARSIH
15 01-09-1969/578453169412000 1 3,639,200 0 0 289,680 0 0
196909011991032004/117185 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820312/IIIC 4 145,568 0 0 4,938,368 0 421,868
YUHANAH
16 07-02-1964/371970575017000 1 3,639,200 0 0 144,840 0 0
196402071991032006/116246 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820621/IIIC 2 0 0 52 4,648,012 0 407,312
NURHASANAH
17 03-12-1965/253387302017001 1 3,528,100 0 0 72,420 0 0
196512031992032003/157867 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
FADILLAH FITRI
18 21-05-1989/547438481015000 0 2,641,200 185,000 0 72,420 0 0
198905212014032004/183613 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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Page 689 of 952
NO STW
RAISA AMINI
19 13-03-1990/545515710013000 0 2,641,200 185,000 0 72,420 0 0
199003132014032004/183704 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
ECIN ROSTINI
20 31-07-1974/578453425017000 0 3,281,500 0 0 72,420 0 0
197407311996032002/121044 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
DEWI SARTIKA GEA

21 21-10-1983/775849854017000 0 2,898,700 0 0 72,420 0 0
198310212005022001/174727 0 0 0 265,000 0 289,870 7,000 2,939,300
PNS/820342/IIIB 1 0 0 50 3,236,170 0 296,870
NURAINI
22 10-11-1972/787061399412000 1 3,281,500 185,000 0 289,680 0 0
197211101994032008/118504 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798011/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
SALIMAH HERAWATI
23 04-08-1966/578453466412000 1 3,281,500 0 0 289,680 0 0
196608041995032002/123426 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820132/IIIB 4 131,260 0 1 4,295,591 0 381,091
LAMRIS TARIDA S
24 03-09-1970/578128266017000 1 3,491,500 0 0 289,680 0 0
197009031991032004/125386 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
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Page 690 of 952
NO STW
VERRA EVA BINANGGAL
25 11-09-1971/499801744017000 1 3,281,500 0 0 72,420 0 0
197109111994032004/162620 0 0 0 300,000 0 328,150 7,000 3,318,800
PNS/820323/IIIB 1 0 0 30 3,653,950 0 335,150
RATNA DEWI
26 15-08-1968/null 1 3,491,500 0 0 144,840 0 0
196808151990012002/164635 0 349,150 0 265,000 0 384,065 7,000 3,859,500
PNS/820342/IIIB 2 0 0 75 4,250,565 0 391,065
DWI ASTUTY
27 20-05-1983/363414491412000 1 2,534,000 0 0 217,260 0 0
198305202011012015/181222 1 253,400 0 300,000 0 283,808 7,000 3,064,600
PNS/820309/IIIA 3 50,680 0 68 3,355,408 0 290,808
ROSA MIRNALIS
28 02-01-1975/495429342429000 1 2,959,000 0 0 72,420 0 0
197501022002122002/182608 0 0 0 265,000 0 295,900 7,000 2,993,600
PNS/820313/IIIA 1 0 0 80 3,296,500 0 302,900
ENDANG SETYOWATI
29 12-09-1983/682635321412000 1 2,431,200 0 0 217,260 0 0
198309122011012018/180910 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
SITI RAHAYU
30 18-05-1981/584953194017000 1 2,431,200 0 0 217,260 0 0
198105182011012017/180946 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
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Page 691 of 952
NO STW
DEWI ARIFA SATRIANA
31 02-07-1981/251373510445000 0 2,431,200 0 0 72,420 0 0
198107022011012011/180953 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
DINA PUSPITA
32 25-12-1984/876186651017000 1 2,431,200 0 0 72,420 0 0
198412252011012015/180960 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
DIAH RESTY PURWANTI

33 27-12-1987/261796759412000 0 2,431,200 0 0 72,420 0 0
198712272011012017/180964 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
DEETA RATNA KURNIA

34 10-09-1982/581802923412000 0 2,431,200 0 0 72,420 0 0
198209102011012012/181849 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
MEGA DAMAYANTI PUTRI

35 17-10-1986/null 1 2,431,200 180,000 0 289,680 0 0
198610172009022006/189962 2 243,120 0 0 0 277,156 5,000 2,959,100
PNS/798981/IID 4 97,248 180,000 8 3,241,256 0 282,156
RATNA MEIRENITA S
36 30-05-1974/497508747035000 0 2,928,300 0 0 72,420 0 0
197405301997032002/123156 0 0 0 240,000 0 292,830 5,000 2,942,900
PNS/820623/IID 1 0 0 10 3,240,730 0 297,830
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Page 692 of 952
NO STW
AGUS FATKHURACHMAN
37 25-08-1989/970804548017000 0 2,261,300 180,000 0 72,420 0 0
198908252014031003/183353 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
FEBRIANA KURNIAWATI
38 05-02-1992/728708157017000 0 2,261,300 180,000 0 72,420 0 0
199202052014032002/183858 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IIS MUDAWAMAH ZAHRA

39 20-06-1992/705406395013000 0 2,261,300 180,000 0 72,420 0 0
199206202014032001/183912 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MAYA ROSALIANA
40 30-01-1978/680676020412000 0 2,723,700 0 0 72,420 0 0
197801302008012011/170083 0 0 0 240,000 0 272,370 5,000 2,758,800
PNS/820314/IIC 1 0 0 50 3,036,170 0 277,370
SUZAN UTAMI AGUSTY

41 05-10-1986/894487065412000 0 2,332,500 0 0 217,260 0 0
198610052011012014/180972 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
SRI HARYANI
42 09-02-1979/488281924027000 0 2,613,200 0 0 72,420 0 0
197902092008012013/170100 0 0 0 240,000 0 261,320 5,000 2,659,300
PNS/820314/IIC 1 0 0 0 2,925,620 0 266,320
21/12/2016

Page 693 of 952
NO STW
FADHLI
43 21-06-1967/098107345412000 1 3,180,500 0 0 289,680 0 0
196706211987031002/157940 2 318,050 0 240,000 0 362,577 5,000 3,787,900
PNS/820314/IIC 4 127,220 0 27 4,155,477 0 367,577
136,224,300 1,645,000 2,600,000 6,807,480 0 0

TOTAL 7,851,850 0 11,980,000 0 14,588,399 283,000 154,046,900
1,807,902 1,645,000 1,767 168,918,299 0 14,871,399
JAKARTA,
MENGETAHUI
21/12/2016

Page 694 of 952
UKPD: PUSKESMAS KEL.JAGAKARSA KEC.JAGAKARSA
NO STW
ROSELITA
1 27-10-1962/578453250412000 1 4,522,500 0 0 289,680 0 0
196210271990012002/123316 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820602/IVB 4 180,900 0 35 6,645,365 0 525,565
MARTA BASARIDA
2 21-03-1970/578453193017000 0 3,715,800 0 0 72,420 0 0
197003212002122001/165183 0 0 0 1,200,000 0 371,580 10,000 4,606,700
PNS/820102/IVA 1 0 0 60 4,988,280 0 381,580
8,238,300 0 0 362,100 0 0
TOTAL 452,250 0 2,400,000 0 887,145 20,000 10,726,500
180,900 0 95 11,633,645 0 907,145
JAKARTA,
MENGETAHUI
21/12/2016

Page 695 of 952
UKPD: PUSKESMAS KEL.CIGANJUR KEC.JAGAKARSA
NO STW
INE DIANAWATI KUSUMA
1 24-04-1977/485604581017000 1 3,350,600 0 0 289,680 0 0
197704242006042033/165300 2 335,060 0 750,000 0 381,968 7,000 4,470,400
PNS/820103/IIID 4 134,024 0 4 4,859,368 0 388,968
3,350,600 0 0 289,680 0 0
TOTAL 335,060 0 750,000 0 381,968 7,000 4,470,400
134,024 0 4 4,859,368 0 388,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 696 of 952
UKPD: PUSKESMAS KEL.LENTENG AGUNG KEC.JAGAKARSA
NO STW
DEWY MISMARITA
1 07-03-1963/578453342017000 1 4,713,800 0 0 217,260 0 0
196303071989102001/158449 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820102/IVC 3 94,276 0 29 6,696,745 0 537,945
4,713,800 0 0 217,260 0 0
TOTAL 471,380 0 1,200,000 0 527,945 10,000 6,158,800
94,276 0 29 6,696,745 0 537,945
JAKARTA,
MENGETAHUI
21/12/2016

Page 697 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PANCORAN
NO STW
MELVIN SIJABAT
1 14-08-1964/778866459004000 1 3,793,100 0 980,000 217,260 0 0
196408141998031004/128489 1 379,310 0 0 0 424,827 7,000 5,013,800
PNS/000000/IIID 3 75,862 0 95 5,445,627 0 431,827
RENI JUNIATI POHAN

2 24-10-1967/091890038402000 1 4,035,800 0 540,000 144,840 0 0
196710241987032001/110687 0 403,580 0 0 0 443,938 7,000 4,673,300
PNS/500100/IIID 2 0 0 18 5,124,238 0 450,938
DYAH IRAWATY SADARMO

3 31-07-1959/677889032412000 1 4,862,300 0 0 144,840 0 0
195907311987112001/120834 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820602/IVC 2 0 0 83 6,693,453 0 544,853
KALMANSYAH
4 22-10-1961/570506337412000 1 4,339,000 190,000 0 144,840 0 0
196110221990101001/157533 0 433,900 0 0 0 477,290 10,000 4,620,500
PNS/798012/IVA 2 0 190,000 50 5,107,790 0 487,290
DIYAN WAHYUNINGSIH
5 16-06-1959/075431643001000 1 4,078,100 190,000 0 217,260 0 0
195906161993032002/161580 1 407,810 0 0 0 456,747 10,000 4,508,000
PNS/798012/IVA 3 81,562 190,000 15 4,974,747 0 466,747
SONDANG ELFRIDA
6 08-01-1971/691058036017000 1 3,602,400 0 0 144,840 0 0
197101082002122005/165177 0 360,240 0 1,200,000 0 396,264 10,000 4,901,300
PNS/820102/IVA 2 0 0 84 5,307,564 0 406,264
21/12/2016

Page 698 of 952
NO STW
NURUL PUJIASTUTI
7 09-08-1962/072278534016001 1 3,872,000 0 0 72,420 0 0
196208091989032007/171655 0 0 0 750,000 0 387,200 7,000 4,300,300
PNS/820603/IIID 1 0 0 80 4,694,500 0 394,200
MARDIANA S
8 05-05-1960/290749852432000 0 4,568,800 0 0 217,260 0 0
196005051981032008/071820 1 456,880 0 500,000 0 511,705 7,000 5,315,700
PNS/820341/IIID 3 91,376 0 89 5,834,405 0 518,705
MAYALITASARI
9 20-04-1975/240329128009001 1 3,350,600 0 0 72,420 0 0
197504202006042023/165498 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
ROSALINE
10 30-01-1979/677889198019000 1 3,248,300 0 0 289,680 0 0
197901302006042014/165579 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
TITA MEITIA DIANINGSIH

11 25-05-1983/null 1 3,053,000 185,000 0 72,420 0 0
198305252009022001/189145 0 0 0 0 0 305,300 7,000 2,998,200
PNS/798981/IIID 1 0 185,000 80 3,310,500 0 312,300
SITI AMINAH
12 21-04-1959/880943493005000 1 4,294,000 0 0 144,840 0 0
195904211981032004/071792 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820621/IIID 2 0 0 0 5,368,240 0 479,340
21/12/2016

Page 699 of 952
NO STW
NIKETUT SUCIATI
13 27-01-1966/680127263017000 1 4,035,800 0 0 217,260 0 0
196601271988032004/118476 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
SAFRILIA DWIRIANTI
14 20-01-1978/096535596061000 0 2,810,200 0 0 289,680 0 0
197801202010012010/178404 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
TRAMUDYA
15 27-10-1979/572585594061000 0 2,929,100 0 0 289,680 0 0
197910272010011012/178445 2 292,910 0 325,000 0 333,917 7,000 3,613,000
PNS/820107/IIIC 4 117,164 0 63 3,953,917 0 340,917
SRI HANDAYANI
16 01-09-1975/258268960432000 0 2,929,100 0 0 289,680 0 0
197509012010012006/178808 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
ARIFIYANTO
17 01-09-1962/680127339435000 0 3,872,000 0 0 72,420 0 0
196209011992031003/123044 0 0 0 750,000 0 387,200 7,000 4,300,300
PNS/820603/IIIC 1 0 0 80 4,694,500 0 394,200
ROMMY ROMANUS
18 20-12-1980/363404815005000 1 2,839,700 0 0 144,840 0 0
198012202011011004/180996 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820603/IIIC 2 0 0 57 4,018,567 0 319,367
21/12/2016

Page 700 of 952
NO STW
ANDREAS SUPARTO
19 20-10-1964/282363928061000 0 3,872,000 0 0 72,420 0 0
196410201986031015/108635 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
DHOYO HADI
20 18-03-1967/677889123061000 1 3,491,500 0 0 144,840 0 0
196703181991012001/116239 0 349,150 0 500,000 0 384,065 7,000 4,094,500
PNS/820312/IIIC 2 0 0 75 4,485,565 0 391,065
ANI BR KARO
21 20-06-1965/680127230412000 1 3,528,100 0 0 217,260 0 0
196506201995032002/120219 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820312/IIIC 3 70,562 0 15 4,668,747 0 402,147
RENI DELIARTI
22 05-10-1966/096475702019000 1 3,753,800 0 0 217,260 0 0
196610051988122002/123110 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
MERI YONRI
23 11-12-1966/261533681432000 1 3,753,800 185,000 0 144,840 0 0
196612111991032007/125084 0 375,380 0 0 0 412,918 7,000 4,039,200
PNS/798011/IIIC 2 0 185,000 98 4,459,118 0 419,918
RAMLI HUTAPEA
24 01-01-1959/677889099412000 1 4,249,500 0 0 144,840 0 0
195901011981111003/073240 0 424,950 0 500,000 0 467,445 7,000 4,844,900
PNS/820324/IIIC 2 0 0 55 5,319,345 0 474,445
21/12/2016

Page 701 of 952
NO STW
HERYANI DAYARI
25 06-10-1961/677889263061000 1 4,383,300 0 0 72,420 0 0
196110061982022005/081529 0 0 0 500,000 0 438,330 7,000 4,510,400
PNS/820341/IIIC 1 0 0 10 4,955,730 0 445,330
ARTUTI
26 17-11-1967/677889115016000 1 3,639,200 0 0 289,680 0 0
196711171991032003/120791 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
ARBAIYAH
27 01-11-1961/245655014412001 1 3,994,000 0 0 72,420 0 0
196111011984032007/120894 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
REVIYENI K
28 18-03-1965/689559771403000 1 3,994,000 0 0 72,420 0 0
196503181984122001/123482 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
DIAH DELIAWATI
29 16-04-1970/343320248412000 0 3,214,700 0 0 144,840 0 0
197004162008012018/172179 0 321,470 0 325,000 0 353,617 7,000 3,645,400
PNS/820107/IIIC 2 0 0 7 4,006,017 0 360,617
ALVIRA PRISTILA
30 10-08-1977/572101665008000 1 3,116,500 0 0 217,260 0 0
197708102008012029/172180 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
21/12/2016

Page 702 of 952
NO STW
MARSONO
31 10-04-1966/677889313017000 1 3,714,900 185,000 0 289,680 0 0
196604101987031006/110563 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
ZURMANETI
32 03-09-1970/null 1 2,538,675 185,000 0 289,680 0 0
197009031995032002/120793 2 253,867 0 0 0 289,408 7,000 3,072,400
PNS/999910/IIIB 4 101,547 185,000 39 3,368,808 0 296,408
RESTI DAMANIK
33 02-01-1967/680127297017000 0 3,281,500 0 0 72,420 0 0
196701021995032001/123486 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
SUSI ELFIANTI
34 30-12-1975/677889131412000 1 3,181,300 185,000 0 289,680 0 0
197512302000032004/167989 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798012/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
ANGIETA SARI RAMADHAN

35 03-05-1987/452869456015000 1 2,641,200 185,000 0 217,260 0 0
198705032014032004/183555 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ANNIE MARIA
36 16-12-1982/795326560411000 1 2,641,200 185,000 0 289,680 0 0
198212162014032002/183557 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
21/12/2016

Page 703 of 952
NO STW
ASTRI PRATIWI
37 29-07-1988/551053473013000 0 2,641,200 185,000 0 72,420 0 0
198807292014032002/183568 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
SRI WAHYUNI
38 03-03-1962/677889248017000 0 3,714,900 185,000 0 72,420 0 0
196203031986032006/107483 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
EMI YATMININGSIH
39 26-08-1967/677889107061000 1 3,714,900 185,000 0 72,420 0 0
196708261987032001/110622 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
SRI MURNIATI
40 10-08-1965/677889206412000 1 3,714,900 185,000 0 144,840 0 0
196508101987032011/110673 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798011/IIIB 2 0 185,000 9 4,416,239 0 415,639
POLARI SINAGA
41 03-05-1968/689559763009000 0 3,281,500 0 0 72,420 0 0
196805031994032007/122301 0 0 0 300,000 0 328,150 7,000 3,318,800
PNS/820309/IIIB 1 0 0 30 3,653,950 0 335,150
LINA YULIANA
42 21-01-1971/493812408061000 1 3,181,300 0 0 289,680 0 0
197101211997032002/123248 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820132/IIIB 4 127,252 0 6 4,181,368 0 369,668
21/12/2016

Page 704 of 952
NO STW
YOSDELIZA
43 01-05-1966/677889321432000 1 3,601,400 185,000 0 144,840 0 0
196605011988032004/123578 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798011/IIIB 2 0 185,000 74 4,291,454 0 403,154
NI KETUT SRI WEDARI

44 06-01-1971/677889347412000 1 3,491,500 0 0 289,680 0 0
197101061990032003/162994 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
KRISTIN WAHYU INDAH P

45 21-09-1977/680127354061000 1 3,052,200 0 0 144,840 0 0
197709211997032003/122482 0 305,220 0 265,000 0 335,742 7,000 3,424,600
PNS/820313/IIIA 2 0 0 82 3,767,342 0 342,742
ROSMAIDA SILITONGA
46 06-06-1968/680127347009000 1 3,052,200 0 0 289,680 0 0
196806061996032007/123226 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
NURHASANAH
47 26-12-1972/680127283017000 1 3,148,300 0 0 217,260 0 0
197212261993012001/162764 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820342/IIIA 3 62,966 0 53 4,008,409 0 359,609
DIAH AYU RIANAWATI

48 23-01-1988/346163413009000 0 2,406,000 0 0 72,420 0 0
198801232010012012/178705 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IID 1 0 0 80 2,718,500 0 245,600
21/12/2016

Page 705 of 952
NO STW
WINDU PRATOMO
49 03-10-1959/680127339435000 1 3,213,800 180,000 0 144,840 0 0
195910031985021001/084717 0 321,380 0 0 0 353,518 5,000 3,501,600
PNS/798022/IID 2 0 180,000 98 3,860,118 0 358,518
DEWI SISWATI
50 06-08-1973/576617146403000 0 2,928,300 0 0 72,420 0 0
197308061996032003/121700 0 0 0 240,000 0 292,830 5,000 2,942,900
PNS/830225/IID 1 0 0 10 3,240,730 0 297,830
AGUS PURWANTI
51 26-08-1971/451046270061000 1 2,668,200 0 0 144,840 0 0
197108262007012012/168770 0 266,820 0 240,000 0 293,502 5,000 3,021,400
PNS/830225/IID 2 0 0 42 3,319,902 0 298,502
ANI NURAENI
52 17-02-1983/792090235016000 0 2,559,900 0 0 72,420 0 0
198302172008012020/172980 0 0 0 240,000 0 255,990 5,000 2,611,400
PNS/820623/IIC 1 0 0 70 2,872,390 0 260,990
FIDIA SIAMYARWATI
53 02-08-1980/689559789407000 1 2,559,900 0 0 289,680 0 0
198008022008012024/175331 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820133/IIC 4 102,396 0 62 3,448,028 0 296,828
RINI HERWIYATI
54 26-01-1986/594943250017000 1 2,332,500 0 0 217,260 0 0
198601262011012024/180987 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
21/12/2016

Page 706 of 952
NO STW
MAMAN SULAEMAN
55 20-09-1983/244984415403000 1 2,332,500 0 0 289,680 0 0
198309202011011009/181839 2 233,250 0 240,000 0 265,905 5,000 2,917,900
PNS/820314/IIC 4 93,300 0 75 3,188,805 0 270,905
ANI SULISTIANI
56 26-09-1985/710596818017000 0 2,261,300 180,000 0 217,260 0 0
198509262014032003/183394 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
GUSTINA APRIYANI
57 24-08-1991/704595487061000 0 2,261,300 180,000 0 72,420 0 0
199108242014032002/183884 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LELY ZAINI
58 11-11-1991/703606921405000 0 2,261,300 180,000 0 72,420 0 0
199111112014032002/183972 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
SUPRAPTO S
59 17-02-1959/677889263061000 1 3,180,500 180,000 0 144,840 0 0
195902171985091001/110040 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
REINHESTON NABABAN
60 14-02-1974/795584325005000 0 2,586,100 180,000 0 72,420 0 0
197402142007011023/168527 0 0 0 0 0 258,610 5,000 2,575,000
PNS/798031/IIA 1 0 180,000 90 2,838,610 0 263,610
21/12/2016

Page 707 of 952
NO STW
199,648,375 3,680,000 1,520,000 10,138,800 0 0
TOTAL 13,762,057 0 18,620,000 0 21,584,545 406,000 227,816,800
2,435,125 3,680,000 2,988 249,807,345 0 21,990,545
JAKARTA,
MENGETAHUI
21/12/2016

Page 708 of 952
UKPD: PUSKESMAS KEL.DUREN TIGA KEC.PANCORAN
NO STW
A.SUKMAWATY AKAP
1 16-08-1961/095403267017000 0 5,068,000 0 0 72,420 0 0
196108161987032006/120755 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820601/IVD 1 0 0 80 6,540,500 0 516,800
5,068,000 0 0 72,420 0 0
TOTAL 0 0 1,400,000 0 506,800 10,000 6,023,700
0 0 80 6,540,500 0 516,800
JAKARTA,
MENGETAHUI
21/12/2016

Page 709 of 952
UKPD: PUSKESMAS KEL.KALIBATA KEC.PANCORAN
NO STW
ETNA LULUK ADDINA
1 08-05-1967/677889040017000 1 4,206,500 0 0 144,840 0 0
196705081992032005/158168 0 420,650 0 1,200,000 0 462,715 10,000 5,499,300
PNS/820602/IVA 2 0 0 25 5,972,015 0 472,715
4,206,500 0 0 144,840 0 0
TOTAL 420,650 0 1,200,000 0 462,715 10,000 5,499,300
0 0 25 5,972,015 0 472,715
JAKARTA,
MENGETAHUI
21/12/2016

Page 710 of 952
UKPD: PUSKESMAS KEL.RAWAJATI KEC.PANCORAN
NO STW
ISJE TJINTAWATI
1 20-03-1962/051768174061000 0 4,475,700 0 0 72,420 0 0
196203201989032002/122992 0 0 0 1,200,000 0 447,570 10,000 5,290,600
PNS/820602/IVA 1 0 0 50 5,748,170 0 457,570
E NORALINA SARAGI
2 13-01-1967/677889289411000 1 4,078,100 0 0 289,680 0 0
196701131993122001/125477 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
8,553,800 0 0 362,100 0 0
TOTAL 407,810 0 2,400,000 0 912,473 20,000 10,954,500
163,124 0 139 11,886,973 0 932,473
JAKARTA,
MENGETAHUI
21/12/2016

Page 711 of 952
UKPD: PUSKESMAS KEL.CIKOKO KEC.PANCORAN
NO STW
ANNEKE AGNES
1 10-04-1964/360927082016000 0 4,384,400 0 0 72,420 0 0
196404101992122001/122285 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
4,384,400 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 438,440 10,000 5,208,400
0 0 20 5,656,840 0 448,440
JAKARTA,
MENGETAHUI
21/12/2016

Page 712 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN MATRAMAN
NO STW
HERNI LESTYANINGSIH
1 16-03-1975/248734253024000 0 3,350,600 0 980,000 72,420 0 0
197503162006042018/165513 0 0 0 0 0 335,060 7,000 4,061,000
PNS/000000/IIID 1 0 0 40 4,403,060 0 342,060
TEGUH HANDOYO
2 11-12-1966/590560264008000 1 3,491,500 0 540,000 289,680 0 0
196612111991031002/157868 2 349,150 0 0 0 398,031 7,000 4,405,000
PNS/500100/IIIB 4 139,660 0 41 4,810,031 0 405,031
YUYUT INDRAWATI
3 08-08-1957/470187261043000 1 5,392,200 0 0 144,840 0 0
195708081983112002/116515 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820601/IVD 2 0 0 82 7,476,342 0 603,142
HOMALESSY ROSALINA
4 14-10-1958/478205644006000 1 4,862,300 0 0 144,840 0 0
195810141987102001/118034 0 486,230 0 1,400,000 0 534,853 10,000 6,348,600
PNS/820601/IVD 2 0 0 83 6,893,453 0 544,853
MOHAMMAD HERRY
5 27-06-1958/478205669413000 0 4,665,000 0 0 72,420 0 0
195806271987091002/118171 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820102/IVB 1 0 0 80 5,937,500 0 476,500
ALFIAH KOES
6 16-08-1976/496297722407001 1 3,492,400 0 0 289,680 0 0
197608162003122015/167986 2 349,240 0 1,200,000 0 398,133 10,000 5,062,900
PNS/820102/IVA 4 139,696 0 17 5,471,033 0 408,133
21/12/2016

Page 713 of 952
NO STW
PATUT RITONGA
7 22-06-1962/null 1 4,475,700 0 0 144,840 0 0
196206221988031005/158350 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
DESTY DARMAN
8 18-03-1972/472777945001000 1 3,456,200 0 0 289,680 0 0
197203182006042011/165487 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
BINARJA
9 28-02-1964/255229452009000 1 4,035,800 0 0 217,260 0 0
196402281987031004/110424 1 403,580 0 1,150,000 0 452,009 7,000 5,428,400
PNS/900910/IIID 3 80,716 0 53 5,887,409 0 459,009
ZAERINA
10 10-02-1962/478194467004000 1 4,294,000 0 0 72,420 0 0
196202101983112002/110756 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SRI SUPRAPTININGSIH
11 05-08-1968/478580426002000 1 4,162,900 0 0 217,260 0 0
196808051992032008/117652 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820324/IIID 3 83,258 0 36 5,379,744 0 473,244
NENENG SUDARTI ISHAK

12 15-01-1959/478580301005000 1 4,568,800 0 0 72,420 0 0
195901151981032004/071739 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
21/12/2016

Page 714 of 952
NO STW
SUMARNI SEBAYANG
13 07-03-1960/478580434407000 1 4,429,300 0 0 144,840 0 0
196003071980122004/122756 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820621/IIID 2 0 0 53 5,517,123 0 494,223
PUJI WAHYUNI
14 09-10-1961/478580558001000 1 4,294,000 0 0 144,840 0 0
196110091983022001/158264 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820621/IIID 2 0 0 0 5,368,240 0 479,340
HENI PUSPAWATI
15 14-12-1967/688305572407001 1 3,315,900 0 0 289,680 0 0
196712142007012025/168414 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
ANITA SARI
16 05-06-1982/893834267009000 0 2,810,200 0 0 72,420 0 0
198206052010012044/177799 0 0 0 750,000 0 281,020 7,000 3,344,600
PNS/820103/IIIC 1 0 0 0 3,632,620 0 288,020
DESY SAFITRI
17 31-12-1971/874584204407000 1 3,116,500 0 0 289,680 0 0
197112312008012071/174675 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820103/IIIC 4 124,660 0 91 4,592,581 0 362,281
PUTU DATIKA
18 15-12-1984/893153718003000 0 2,810,200 0 0 72,420 0 0
198412152010012031/178458 0 0 0 750,000 0 281,020 7,000 3,344,600
PNS/820103/IIIC 1 0 0 0 3,632,620 0 288,020
21/12/2016

Page 715 of 952
NO STW
NINA TRIANA
19 08-06-1983/346970064432000 1 2,810,200 0 0 217,260 0 0
198306082010012037/179767 1 281,020 0 750,000 0 314,742 7,000 3,793,000
PNS/820103/IIIC 3 56,204 0 58 4,114,742 0 321,742
RAHADHINI AYU
20 24-07-1985/698687266407000 1 2,839,700 0 0 289,680 0 0
198507242011012015/180215 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
AGUNG SETIAYANTI
21 30-08-1985/363452889407000 1 2,839,700 0 0 217,260 0 0
198508302011012015/181019 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820123/IIIC 3 56,794 0 22 4,147,746 0 325,046
MELITA SIMORANGKIR
22 19-09-1969/573866498412000 1 3,639,200 185,000 0 217,260 0 0
196909191991032004/189861 1 363,920 0 0 0 407,590 7,000 4,063,600
PNS/798981/IIIC 3 72,784 185,000 26 4,478,190 0 414,590
DWIANA RAHMIANTHI
23 15-02-1961/478580228001000 0 3,872,000 185,000 0 72,420 0 0
196102151986032013/108085 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798012/IIIC 1 0 185,000 80 4,129,500 0 394,200
WIWIK SURTIKA DEWI

24 24-09-1968/482070315002000 0 3,639,200 0 0 72,420 0 0
196809241991032006/123120 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
21/12/2016

Page 716 of 952
NO STW
NENY AGUSTINI
25 13-08-1971/478580319403000 1 3,420,300 0 0 289,680 0 0
197108131998032004/128472 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
MOINA SIHOMBING
26 25-01-1965/259007060001000 1 3,639,200 0 0 289,680 0 0
196501251990032006/118189 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
DELFINA MARIANY PURBA

27 12-01-1966/478580525002000 1 3,872,000 0 0 144,840 0 0
196601121986022004/158427 0 387,200 0 500,000 0 425,920 7,000 4,471,200
PNS/820312/IIIC 2 0 0 80 4,904,120 0 432,920
YUNI ADRIANI
28 02-06-1970/478580459005000 1 3,639,200 0 0 289,680 0 0
197006021993032005/162646 2 363,920 0 265,000 0 414,868 7,000 4,281,500
PNS/820313/IIIC 4 145,568 0 0 4,703,368 0 421,868
VELLYANA GUSTIKA
29 09-08-1989/547823567003000 1 2,641,200 185,000 0 217,260 0 0
198908092014032002/183756 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
YOSUI EKA KARUNIAWATI

30 14-09-1986/447602228008000 1 2,641,200 185,000 0 217,260 0 0
198609142014032002/183768 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 717 of 952
NO STW
IRMA RAKHMADONA
31 01-06-1986/345803563001000 1 2,810,200 185,000 0 217,260 0 0
198606012010012040/177592 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
PAIDA LUMBAN RAJA

32 11-09-1959/478580343413000 1 3,952,600 0 0 217,260 0 0
195909111981072001/071442 1 395,260 0 265,000 0 442,691 7,000 4,459,500
PNS/820325/IIIB 3 79,052 0 19 4,909,191 0 449,691
HARYANTO
33 06-03-1964/478580269009000 0 3,831,900 185,000 0 217,260 0 0
196403061985011002/086527 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798012/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
AMZANI B
34 18-05-1964/478580194001000 1 3,714,900 185,000 0 72,420 0 0
196405181986032015/108087 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
FENNI DJAMILAH
35 26-02-1965/478580491407000 1 3,714,900 185,000 0 72,420 0 0
196502261986102002/109065 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
DJODI SUNARTO
36 24-04-1963/478580533001000 1 3,714,900 185,000 0 144,840 0 0
196304241987031007/110405 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
21/12/2016

Page 718 of 952
NO STW
GATI PURWARI
37 16-09-1962/478580251015000 1 3,714,900 185,000 0 217,260 0 0
196209161987032002/110631 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
YANA HIDAYANA
38 07-01-1966/478194566402000 1 3,714,900 185,000 0 217,260 0 0
196601071987031006/110752 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
ENDAH WIJIARTI
39 08-11-1965/478194483001000 1 3,601,400 185,000 0 217,260 0 0
196511081988032004/111201 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
MENNARIA PASARIBU
40 04-10-1969/476448428005000 1 3,281,500 0 0 217,260 0 0
196910041994032002/118855 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/830224/IIIB 3 65,630 0 88 4,157,628 0 374,528
KUNMARYANI
41 17-11-1972/478580509005000 1 3,281,500 0 0 289,680 0 0
197211171994032002/118856 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820622/IIIB 4 131,260 0 1 4,295,591 0 381,091
ELSERIA SIANIPAR
42 06-12-1972/893896480435000 1 3,181,300 0 0 289,680 0 0
197212061996032002/121091 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/830224/IIIB 4 127,252 0 6 4,181,368 0 369,668
21/12/2016

Page 719 of 952
NO STW
YESNI SYARBAINI
43 23-12-1969/478205552403000 1 3,491,500 0 0 289,680 0 0
196912231990032005/123337 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820622/IIIB 4 139,660 0 41 4,535,031 0 405,031
ROMAULI SITOMPUL
44 19-10-1972/478580368407000 1 3,384,900 0 0 289,680 0 0
197210191993032003/128610 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
SITI RULIYAH
45 02-01-1967/478580384003000 1 3,491,500 0 0 217,260 0 0
196701021990032004/162249 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
SODIKIN
46 10-03-1964/478194350407000 1 3,455,300 185,000 0 217,260 0 0
196403101985111001/104419 1 345,530 0 0 0 386,993 7,000 3,878,300
PNS/798022/IIIA 3 69,106 185,000 97 4,272,293 0 393,993
ERLAN YUDO HERIYANTO

47 02-01-1963/282942994001000 1 3,564,100 185,000 0 217,260 0 0
196301021987031009/110503 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
ISMADI WIBOWO
48 08-05-1967/478580277413000 1 3,564,100 185,000 0 217,260 0 0
196705081987121002/111180 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798011/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
21/12/2016

Page 720 of 952
NO STW
NOORCE UMBOH
49 29-02-1960/478580327402000 1 3,792,100 0 0 72,420 0 0
196002291983012001/118561 0 0 0 265,000 0 379,210 7,000 3,743,400
PNS/820313/IIIA 1 0 0 90 4,129,610 0 386,210
MULYONO
50 24-12-1967/047644843640700 1 3,148,300 185,000 0 289,680 0 0
196712241995031002/118713 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
MANNE MATONDANG
51 11-07-1969/476448410002000 1 3,148,300 185,000 0 289,680 0 0
196907111994032005/120644 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798011/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
SULASTRI KUSMALA D
52 29-05-1975/482070281008000 1 3,052,200 0 0 217,260 0 0
197505291996032004/121089 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
TETTY MUNA S S
53 25-03-1972/478194434412000 1 3,052,200 185,000 0 289,680 0 0
197203251996032003/122392 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
ERNAWATI
54 14-05-1969/478580475015000 0 3,349,800 0 0 72,420 0 0
196905141991012001/122850 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820313/IIIA 1 0 0 60 3,687,280 0 341,980
21/12/2016

Page 721 of 952
NO STW
SONYA PAULA CONNIE F.
55 24-05-1973/260395793001000 1 3,148,300 185,000 0 72,420 0 0
197305241993012001/179884 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798981/IIIA 1 0 185,000 10 3,405,730 0 321,830
MAYSA RACHMAWATI
56 20-05-1979/584953830407000 1 2,752,300 0 0 289,680 0 0
197905202008012032/171198 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
MASWAH
57 02-04-1982/676142268004000 1 2,668,200 0 0 289,680 0 0
198204022008012030/174458 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820343/IID 4 106,728 0 46 3,571,474 0 309,174
MUTIA NOVININA
58 09-11-1985/794866103003000 0 2,406,000 0 0 72,420 0 0
198511092010012039/178981 0 0 0 240,000 0 240,600 5,000 2,472,900
PNS/820343/IID 1 0 0 80 2,718,500 0 245,600
HERMAN SUSILO
59 08-12-1982/593839079009000 1 2,431,200 0 0 217,260 0 0
198212082011011009/180932 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
DWI SOVIARNI
60 22-09-1988/445943301009000 1 2,507,800 180,000 0 217,260 0 0
198809222010012012/184458 1 250,780 0 0 0 280,873 5,000 2,920,200
PNS/798022/IID 3 50,156 180,000 77 3,206,073 0 285,873
21/12/2016

Page 722 of 952
NO STW
YULI MARNIS
61 17-11-1972/478580442003000 1 3,115,700 0 0 289,680 0 0
197211171993012001/158515 2 311,570 0 240,000 0 355,189 5,000 3,721,400
PNS/820343/IID 4 124,628 0 11 4,081,589 0 360,189
ELI NURHAYATI
62 17-05-1979/null 1 2,752,300 0 0 144,840 0 0
197905172007012022/168507 0 275,230 0 240,000 0 302,753 5,000 3,104,700
PNS/820314/IID 2 0 0 83 3,412,453 0 307,753
SRI HARYATI
63 29-05-1982/676480320015000 0 2,752,300 0 0 72,420 0 0
198205292007012006/168528 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820314/IID 1 0 0 10 3,064,730 0 280,230
ADE RYANDHONO
64 19-04-1990/705814614005000 1 2,261,300 180,000 0 217,260 0 0
199004192014031002/183337 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
DEVI RAHMAYANI BUDAYA

65 04-06-1992/703767731542000 0 2,261,300 180,000 0 72,420 0 0
199206042014032001/183502 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ERNI ENGELINE
66 04-08-1991/705792315009000 0 2,261,300 180,000 0 72,420 0 0
199108042014032001/183841 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 723 of 952
NO STW
HANIFAH FAUZIYYAH
67 28-01-1990/702237322542000 1 2,261,300 180,000 0 217,260 0 0
199001282014032003/183888 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
MELISA MUSTIKAWATI
68 06-05-1991/640759106008000 1 2,261,300 180,000 0 217,260 0 0
199105062014032001/184008 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
NURHAENI
69 12-02-1980/264806399001000 1 2,381,100 0 0 217,260 0 0
198002122008012033/174606 1 238,110 0 220,000 0 266,683 5,000 2,832,500
PNS/820315/IIB 3 47,622 0 91 3,104,183 0 271,683
NURUL HUDA EL
70 22-03-1988/null 1 2,048,480 185,000 0 72,420 0 0
198803222014031003/183795 0 0 0 0 0 204,848 7,000 2,094,100
CPNS/798981/IIIB 1 0 185,000 48 2,305,948 0 211,848
233,795,980 4,780,000 1,520,000 13,397,700 0 0

TOTAL 17,433,660 0 22,865,000 0 25,527,302 477,000 271,834,700
4,043,580 4,780,000 3,082 297,839,002 0 26,004,302
JAKARTA,
MENGETAHUI
21/12/2016

Page 724 of 952
UKPD: RUMAH SAKIT UMUM KELAS D MATRAMAN
NO STW
OPY DYAH PARAMITA
1 22-10-1979/343781092518000 0 3,116,500 0 980,000 144,840 0 0
197910222006042007/182777 1 0 0 0 0 317,883 7,000 3,978,800
PNS/000000/IIIC 2 62,330 0 13 4,303,683 0 324,883
GAGAH DARU SETIAWAN

2 08-09-1966/672296605077000 1 4,078,100 0 540,000 217,260 0 0
196609081993031003/162662 1 407,810 0 0 0 456,747 10,000 4,858,000
PNS/700200/IVA 3 81,562 0 15 5,324,747 0 466,747
SANTAYANA
3 09-07-1980/349555508002000 1 2,810,200 0 540,000 289,680 0 0
198007092010012027/178456 2 281,020 0 0 0 320,362 7,000 3,706,000
PNS/700100/IIIC 4 112,408 0 54 4,033,362 0 327,362
BAMBANG ARDIYANTO
4 05-05-1969/576636997403000 1 3,753,800 0 540,000 289,680 0 0
196905051989031007/113808 2 375,380 0 0 0 427,933 7,000 4,674,100
PNS/500100/IIIC 4 150,152 0 21 5,109,033 0 434,933
DAHLIA MANGIRI
5 10-04-1957/177343613003001 1 5,068,000 0 0 144,840 0 0
195704101988032001/122655 0 506,800 0 1,400,000 0 557,480 10,000 6,552,200
PNS/820101/IVD 2 0 0 40 7,119,680 0 567,480
LIENY BUDYARTO
6 04-12-1966/478205768027000 0 4,430,400 0 0 72,420 0 0
196612041993022001/120903 0 0 0 1,200,000 0 443,040 10,000 5,249,800
PNS/820602/IVC 1 0 0 20 5,702,840 0 453,040
21/12/2016

Page 725 of 952
NO STW
JUN HELMINDA
7 02-06-1962/478205602005000 1 4,713,800 0 0 217,260 0 0
196206021990102001/130932 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820102/IVC 3 94,276 0 29 6,696,745 0 537,945
EKO YUSPRIHANI
8 27-04-1960/478580236407000 1 4,522,500 0 0 72,420 0 0
196004271989032001/120904 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820122/IVB 1 0 0 30 5,794,950 0 462,250
TRIS SUNDARI
9 08-11-1967/478580574003000 0 4,250,600 0 0 72,420 0 0
196711081994022001/162299 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
RONNY KURNIAWAN
10 17-12-1967/178325494008000 1 4,078,100 0 0 289,680 0 0
196712171993031006/158077 2 407,810 0 750,000 0 464,903 10,000 5,213,900
PNS/820603/IVA 4 163,124 0 89 5,688,803 0 474,903
NOVANDI FIRZAL
11 16-11-1961/672296514001000 1 4,475,700 0 0 144,840 0 0
196111161988121001/122897 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
YULIANI
12 23-07-1964/493811616008000 1 4,162,900 0 0 144,840 0 0
196307231984122003/120153 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820131/IIID 2 0 0 89 5,224,119 0 464,919
21/12/2016

Page 726 of 952
NO STW
SIRLY CUT CAESARRINA
13 24-12-1984/476416128407001 1 2,839,700 0 0 217,260 0 0
198412242011012015/180992 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820603/IIIC 3 56,794 0 22 4,147,746 0 325,046
AGATHA PRADANA
14 04-08-1988/094416690001000 1 2,641,200 185,000 0 217,260 0 0
198808042014031004/183769 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
BAMBANG MULYONO
15 22-02-1967/476448352002000 1 3,714,900 185,000 0 144,840 0 0
196702221987031001/110423 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798012/IIIB 2 0 185,000 9 4,416,239 0 415,639
EDDY PURWANTO
16 18-09-1966/593896970412000 1 3,349,800 185,000 0 289,680 0 0
196609181991031009/116212 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798022/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
HELMYANA
17 09-06-1976/676598667001000 1 2,868,700 0 0 289,680 0 0
197606092000122003/161515 2 286,870 0 240,000 0 327,031 7,000 3,466,000
PNS/820133/IIIA 4 114,748 0 33 3,800,031 0 334,031
SITI RAHMANIYAH
18 16-07-1975/482070273407000 1 3,148,300 0 0 72,420 0 0
197507161994032002/161788 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820622/IIIA 1 0 0 10 3,485,730 0 321,830
21/12/2016

Page 727 of 952
NO STW
TETTI SILVANA S
19 15-05-1973/255417891071000 1 2,780,400 0 0 217,260 0 0
197305151997032005/123445 1 278,040 0 240,000 0 311,404 5,000 3,255,000
PNS/820314/IIB 3 55,608 0 96 3,571,404 0 316,404
70,803,600 555,000 2,600,000 3,548,580 0 0

TOTAL 5,133,530 0 10,145,000 0 7,701,490 155,000 86,007,700
1,077,818 555,000 662 93,864,190 0 7,856,490
JAKARTA,
MENGETAHUI
21/12/2016

Page 728 of 952
UKPD: PUSKESMAS KELPAL MARIAM KEC.MATRAMAN
NO STW
BUDI SURYONINGSIH
1 24-12-1965/478205578006000 1 4,384,400 0 0 72,420 0 0
196512241993022001/162657 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
NELI MAYAFERANI
2 09-02-1977/570288456008000 1 3,116,500 0 0 217,260 0 0
197702092006042020/165640 2 0 0 750,000 0 324,116 7,000 3,877,400
PNS/820103/IIIC 3 124,660 0 96 4,208,516 0 331,116
7,500,900 0 0 289,680 0 0
TOTAL 0 0 1,950,000 0 762,556 17,000 9,085,800
124,660 0 116 9,865,356 0 779,556
JAKARTA,
MENGETAHUI
21/12/2016

Page 729 of 952
UKPD: PUSKESMAS KEL.UTAN KAYU SELATAN KEC.MATRAMAN
NO STW
KATARINA DAIRI
1 25-10-1964/478205685003000 1 4,569,900 0 0 72,420 0 0
196410251992032004/161633 0 0 0 1,200,000 0 456,990 10,000 5,375,400
PNS/820602/IVC 1 0 0 70 5,842,390 0 466,990
HENNY OKTARIA AZIS

2 10-10-1966/478205628023000 1 4,250,600 0 0 289,680 0 0
196610101993022003/158174 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
8,820,500 0 0 362,100 0 0
TOTAL 425,060 0 2,400,000 0 941,558 20,000 11,216,200
170,024 0 74 12,177,758 0 961,558
JAKARTA,
MENGETAHUI
21/12/2016

Page 730 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN PULO GADUNG
NO STW
DEBI INTAN SURI
1 10-12-1978/794865998002000 1 3,116,500 0 980,000 289,680 0 0
197812102008012025/170067 2 311,650 0 0 0 355,281 7,000 4,460,300
PNS/000000/IIIC 4 124,660 0 91 4,822,581 0 362,281
ASBEL BELLIK
2 29-04-1960/575815089407000 1 4,616,600 0 540,000 217,260 0 0
196004291981121001/073985 1 461,660 0 0 0 517,059 10,000 5,400,800
PNS/500100/IVA 3 92,332 0 7 5,927,859 0 527,059
INDALISANTI SUJATNA
3 23-06-1961/059149054001000 1 4,862,300 0 0 144,840 0 0
196106231987112002/120323 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820602/IVC 2 0 0 83 6,693,453 0 544,853
RIA MINAR SITOHANG

4 12-05-1958/250526555003000 1 5,015,400 0 0 144,840 0 0
195805121985032006/123162 1 0 0 1,200,000 0 511,570 10,000 5,939,000
PNS/820102/IVC 2 100,308 0 22 6,460,570 0 521,570
MEVIFIANTI
5 10-11-1963/575785605003000 1 4,522,500 0 0 72,420 0 0
196311101990022002/121090 0 0 0 1,200,000 0 452,250 10,000 5,332,700
PNS/820102/IVB 1 0 0 30 5,794,950 0 462,250
USDEK SEBAYANG
6 01-11-1959/059476663003000 1 4,665,000 0 0 217,260 0 0
195911011988031003/122729 1 466,500 0 1,200,000 0 522,480 10,000 6,109,600
PNS/820602/IVB 3 93,300 0 20 6,642,080 0 532,480
21/12/2016

Page 731 of 952
NO STW
DWI WINDIATI
7 27-09-1961/771981115432000 1 4,339,000 0 0 144,840 0 0
196109271989022001/114228 0 433,900 0 1,200,000 0 477,290 10,000 5,630,500
PNS/820602/IVA 2 0 0 50 6,117,790 0 487,290
ERNI ROMARIA
8 12-06-1962/575785811432000 1 4,339,000 0 0 72,420 0 0
196206121990122001/158414 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820602/IVA 1 0 0 80 5,611,500 0 443,900
LELY MUNALIA
9 22-01-1967/575785902008000 0 4,035,800 185,000 0 72,420 0 0
196701221987012001/110007 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798011/IIID 1 0 185,000 60 4,293,280 0 410,580
TIURMAIDA
10 08-02-1964/575785555407000 1 4,162,900 185,000 0 217,260 0 0
196402081985032003/120799 1 416,290 0 0 0 466,244 7,000 4,591,500
PNS/798022/IIID 3 83,258 185,000 36 5,064,744 0 473,244
KRISTIYANA SETIYAWATI
11 24-12-1972/695132886003000 1 3,456,200 0 0 72,420 0 0
197212242006042014/165480 0 0 0 750,000 0 345,620 7,000 3,926,000
PNS/820103/IIID 1 0 0 0 4,278,620 0 352,620
AMILA FITHRI
12 26-08-1979/440137461432000 1 3,053,000 185,000 0 289,680 0 0
197908262010012011/185535 2 305,300 0 0 0 348,042 7,000 3,600,100
PNS/798012/IIID 4 122,120 185,000 42 3,955,142 0 355,042
21/12/2016

Page 732 of 952
NO STW
HAIRIARMADI
13 06-01-1961/575785647432000 1 4,294,000 0 0 217,260 0 0
195507171981071001/072439 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820312/IIID 3 85,880 0 88 5,526,628 0 487,928
SITTI NAIDI HANOUM

14 02-07-1959/575786009003000 1 4,568,800 0 0 144,840 0 0
195907021981102001/072523 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
SUWARTINAH
15 05-09-1960/575785514017000 1 4,294,000 0 0 72,420 0 0
196009051982012005/079418 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
NORHIDAYAH BT ZAINAL
16 17-05-1961/575785753008000 1 4,294,000 0 0 72,420 0 0
196105171982082001/109930 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
PONTJO WULAN N
17 12-12-1965/575785621005000 1 4,035,800 0 0 72,420 0 0
196512121986032016/122646 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820621/IIID 1 0 0 60 4,608,280 0 410,580
KIBTIYAH
18 10-10-1961/259807477008000 1 4,294,000 0 0 217,260 0 0
196110101983022002/122663 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820312/IIID 3 85,880 0 88 5,526,628 0 487,928
21/12/2016

Page 733 of 952
NO STW
ELLYATI
19 30-05-1963/884362518407000 1 3,912,600 0 0 144,840 0 0
196305301989032005/122672 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820341/IIID 2 0 0 86 4,948,786 0 437,386
KASIANNA SITORUS
20 08-05-1960/575786025003000 1 4,294,000 0 0 144,840 0 0
196005081982032009/122727 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
ENDANG PRIHATIN
21 31-08-1961/575785787008000 1 4,294,000 0 0 217,260 0 0
196108311983032011/122842 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820621/IIID 3 85,880 0 88 5,526,628 0 487,928
NI NENGAH ARIANI
22 01-01-1960/575785696008000 1 4,294,000 0 0 144,840 0 0
196001011982032032/162612 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
SRI DJUMADIATI
23 12-05-1961/575785928006000 1 3,912,600 0 0 144,840 0 0
196105121992032001/162621 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
AISAH
24 02-07-1965/575765779435000 0 4,035,800 0 0 72,420 0 0
196504021986032007/162711 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
21/12/2016

Page 734 of 952
NO STW
SAUT ROULY CHRISTINE
25 09-04-1983/875136442407000 0 2,929,100 0 0 72,420 0 0
198304092010012034/178746 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
TRAH LUSIANINGTYAS
26 09-05-1980/251935995008000 1 2,929,100 0 0 289,680 0 0
198005092010012019/179699 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
HERFIN SETYOWATI
27 07-02-1987/263571035407000 0 2,839,700 0 0 72,420 0 0
198702072011012017/181041 0 0 0 325,000 0 283,970 7,000 2,946,200
PNS/820124/IIIC 1 0 0 50 3,237,170 0 290,970
DYAN NOVITA
28 10-04-1974/667085278004000 1 3,116,500 0 0 217,260 0 0
197404102008012005/182778 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820603/IIIC 3 62,330 0 8 4,457,748 0 356,048
SRI ASNIATI
29 08-03-1966/575785977003000 1 3,753,800 0 0 144,840 0 0
196603081992032006/118002 0 375,380 0 500,000 0 412,918 7,000 4,354,200
PNS/820312/IIIC 2 0 0 98 4,774,118 0 419,918
YUSTINA
30 05-12-1961/255872830008000 0 3,753,800 0 0 72,420 0 0
196112051994032002/118516 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820312/IIIC 1 0 0 60 4,326,280 0 382,380
21/12/2016

Page 735 of 952
NO STW
JENNI HORMALINAS S
31 31-07-1968/575785746009000 0 3,528,100 0 0 144,840 0 0
196807311996032002/121722 1 0 0 500,000 0 359,866 7,000 3,876,700
PNS/820312/IIIC 2 70,562 0 64 4,243,566 0 366,866
NURDIN
32 29-12-1966/778864835408000 1 3,753,800 0 0 217,260 0 0
196612291991031007/123061 1 375,380 0 265,000 0 420,425 7,000 4,259,100
PNS/820313/IIIC 3 75,076 0 9 4,686,525 0 427,425
LISBET SIMANJUNTAK
33 22-06-1965/688831585008000 1 3,753,800 0 0 217,260 0 0
196506221989032004/122871 1 375,380 0 265,000 0 420,425 7,000 4,259,100
PNS/820342/IIIC 3 75,076 0 9 4,686,525 0 427,425
WIWI LULIYO WATI

34 25-02-1970/672160389008000 1 3,639,200 0 0 144,840 0 0
197002251990032002/157569 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820341/IIIC 2 0 0 52 4,648,012 0 407,312
PATMAINI
35 15-05-1962/575785704003000 0 3,994,000 0 0 72,420 0 0
196205151985112002/157812 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
ARIS NURZAM-ZAMI
36 13-10-1985/360300560009000 1 2,641,200 185,000 0 217,260 0 0
198510132014031002/183563 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798011/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 736 of 952
NO STW
DESSY FARDIANI
37 21-12-1987/706036969009000 1 2,641,200 185,000 0 217,260 0 0
198712212014032003/183589 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
LIDA NURHISAN
38 28-09-1983/442978177412000 1 2,641,200 185,000 0 217,260 0 0
198309282014032001/183662 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
LINTANG APRILIA
39 15-04-1988/540610748009000 0 2,641,200 185,000 0 144,840 0 0
198804152014032002/183665 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
MUHAMMAD AZHARUL
40 15-10-1988/705627354001000 1 2,641,200 185,000 0 217,260 0 0
198810152014031004/183679 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SITRI MINANGSIH
41 20-10-1984/700845563005000 1 2,641,200 185,000 0 217,260 0 0
198410202014032001/183737 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
WAN SAFIRA FEBRIANTI

42 25-02-1989/665231437003000 0 2,641,200 185,000 0 72,420 0 0
198902252014032003/183763 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 737 of 952
NO STW
HARIS MELINDA
43 25-05-1974/359900065003000 1 3,084,200 185,000 0 289,680 0 0
197405251998032003/129354 2 308,420 0 0 0 351,598 7,000 3,632,100
PNS/798012/IIIB 4 123,368 185,000 30 3,990,698 0 358,598
CYNTHIA CAROLINE
44 09-08-1986/688305168407000 0 2,810,200 185,000 0 72,420 0 0
198608092010012021/177537 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798012/IIIB 1 0 185,000 0 3,067,620 0 288,020
LINDA FITRIYANI
45 27-07-1983/696643360407000 1 2,724,400 0 0 289,680 0 0
198307272011012017/181248 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
SRI SUHARTINI
46 22-11-1969/359754199003000 1 3,384,900 0 0 289,680 0 0
196911221992032002/117653 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820354/IIIB 4 135,396 0 12 4,413,478 0 392,878
SRI ULINA BR GINTING

47 25-10-1964/699399630432000 1 3,491,500 0 0 217,260 0 0
196410251994032003/120326 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
PURBANUS SILALAHI
48 25-12-1959/575785688009000 1 4,077,000 185,000 0 144,840 0 0
195912251981031012/071521 0 407,700 0 0 0 448,470 7,000 4,359,100
PNS/798022/IIIB 2 0 185,000 30 4,814,570 0 455,470
21/12/2016

Page 738 of 952
NO STW
AGUS KARSONO
49 14-08-1966/341457703407000 1 3,714,900 185,000 0 144,840 0 0
196608141987031005/110467 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798012/IIIB 2 0 185,000 9 4,416,239 0 415,639
DEDY MULYADI
50 05-09-1966/359805462003000 1 3,714,900 185,000 0 144,840 0 0
196609051987031012/110643 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
PIRMAN HERIYANTO
51 24-09-1963/265870543008000 1 3,714,900 185,000 0 217,260 0 0
196309241987031009/110753 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
EVIJATI
52 03-08-1965/575785506407000 1 3,714,900 185,000 0 72,420 0 0
196508031987032021/110805 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
WAWAN SUWARNO
53 31-01-1961/590142477002000 1 3,601,400 185,000 0 217,260 0 0
196101311988031001/111203 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798022/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
HARTINI
54 13-05-1964/087822268003000 1 3,491,500 185,000 0 144,840 0 0
196405131990032002/115777 1 0 0 0 0 356,133 7,000 3,528,100
PNS/798011/IIIB 2 69,830 185,000 63 3,891,233 0 363,133
21/12/2016

Page 739 of 952
NO STW
MELDA AUGUSTINA M
55 17-08-1967/884362500407000 1 3,491,500 185,000 0 217,260 0 0
196708171991032014/116549 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798011/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
ADE HERI PANCALITA

56 05-04-1969/778186114407000 1 3,384,900 0 0 289,680 0 0
196904051992031007/117661 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820325/IIIB 4 135,396 0 12 4,413,478 0 392,878
LASMAIDA TAMPUBOLON
57 11-03-1970/774053839006000 1 3,281,500 0 0 289,680 0 0
197003111995032002/120216 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
ZULVIA
58 16-02-1969/359853769435000 1 3,491,500 0 0 72,420 0 0
196902161991032004/120759 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
LINDA SITUMORANG
59 19-10-1960/872170048432000 0 3,601,400 0 0 217,260 0 0
196010191996032001/121092 2 0 0 265,000 0 374,545 7,000 3,846,200
PNS/820313/IIIB 3 144,056 0 29 4,227,745 0 381,545
LILY PARLIANI
60 05-02-1970/796245934435000 1 3,384,900 0 0 289,680 0 0
197002051996032001/122404 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820354/IIIB 4 135,396 0 12 4,413,478 0 392,878
21/12/2016

Page 740 of 952
NO STW
SITI SOLIKHAH
61 23-07-1967/575785548435000 1 3,601,400 0 0 144,840 0 0
196707231989032005/122627 0 360,140 0 265,000 0 396,154 7,000 3,968,300
PNS/820622/IIIB 2 0 0 74 4,371,454 0 403,154
DWI JUNI IRIANTI

62 15-06-1969/792461741004000 1 3,384,900 0 0 217,260 0 0
196906151992032005/122634 2 0 0 265,000 0 352,029 7,000 3,643,600
PNS/820132/IIIB 3 135,396 0 73 4,002,629 0 359,029
KUSMAYANTI
63 18-11-1959/686796236407000 1 3,601,400 0 0 217,260 0 0
195911181989032001/122821 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820313/IIIB 3 72,028 0 28 4,515,856 0 410,356
LERISMA GULTOM
64 11-04-1963/894588631407000 1 3,281,500 0 0 217,260 0 0
196304111994032003/123069 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820313/IIIB 3 65,630 0 88 4,157,628 0 374,528
HOTMAULI SIMANJUNTAK
65 22-08-1963/575785738008000 1 3,831,900 185,000 0 144,840 0 0
196308221984112002/125268 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
HARTONO
66 27-09-1970/692095250008000 0 3,281,500 185,000 0 217,260 0 0
197009271994031006/162642 2 0 0 0 0 341,276 7,000 3,466,800
PNS/798022/IIIB 3 131,260 185,000 56 3,815,076 0 348,276
21/12/2016

Page 741 of 952
NO STW
SAULINA SINAGA
67 23-01-1967/894588649413000 1 3,491,500 0 0 289,680 0 0
196701231991032003/169295 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
ARIES UTOMO
68 26-02-1981/695209858005000 0 2,868,700 0 0 72,420 0 0
198102262007011003/168424 0 0 0 265,000 0 286,870 7,000 2,912,300
PNS/830224/IIIA 1 0 0 50 3,206,170 0 293,870
DAHLIA SIAHAAN
69 26-09-1964/358988897003000 0 3,247,500 185,000 0 72,420 0 0
196409261995032001/119025 0 0 0 0 0 324,750 7,000 3,173,200
PNS/798022/IIIA 1 0 185,000 30 3,504,950 0 331,750
DESSY DENILA SARI

70 07-12-1981/696865245009000 1 2,781,100 0 0 217,260 0 0
198112072007012015/168785 1 278,110 0 265,000 0 311,483 7,000 3,278,700
PNS/830224/IIIA 3 55,622 0 91 3,597,183 0 318,483
HEKDI NAINGGOLAN
71 18-07-1964/259852366003000 1 3,455,300 185,000 0 217,260 0 0
196407181985032005/104427 1 345,530 0 0 0 386,993 7,000 3,878,300
PNS/798022/IIIA 3 69,106 185,000 97 4,272,293 0 393,993
TUMIAR SITORUS
72 03-02-1967/257992958435000 1 3,148,300 0 0 217,260 0 0
196702031994032004/118932 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820313/IIIA 3 62,966 0 53 4,008,409 0 359,609
21/12/2016

Page 742 of 952
NO STW
DESAK PUTU KARTIKA
73 10-11-1968/094483963004000 1 2,959,000 0 0 289,680 0 0
196811101998032003/128394 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820342/IIIA 4 118,360 0 86 3,928,026 0 344,326
LAILATUL FAJRIYAH
74 27-11-1981/784146375003000 1 2,668,200 0 0 289,680 0 0
198111272008012015/174601 2 266,820 0 240,000 0 304,174 5,000 3,262,300
PNS/820314/IID 4 106,728 0 46 3,571,474 0 309,174
FERY INDRAYANI
75 17-02-1986/796173136432000 1 2,507,800 0 0 289,680 0 0
198602172010012027/178709 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
GUNAWAN WA
76 25-03-1965/352471585001000 1 3,315,100 180,000 0 144,840 0 0
196503251985111001/105771 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
SLAMET KUSTIYONO
77 12-05-1977/245952098003000 1 2,928,300 0 0 289,680 0 0
197705122000121004/161514 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
RESTU FARIDA ARWINA S

78 14-04-1981/872156039003000 1 2,640,600 0 0 217,260 0 0
198104142006042016/174744 1 264,060 0 240,000 0 295,747 5,000 3,114,000
PNS/820343/IIC 3 52,812 0 15 3,414,747 0 300,747
21/12/2016

Page 743 of 952
NO STW
DEVI SENJA LESTARI
79 11-12-1989/707411385501000 0 2,261,300 180,000 0 72,420 0 0
198912112014032002/183503 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
DWI RAHMI OKTAVANY

80 07-10-1989/982467656425000 1 2,261,300 180,000 0 217,260 0 0
198910072014032002/183815 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
LILIS SURYANI
81 06-07-1990/440076214407000 0 2,261,300 180,000 0 72,420 0 0
199007062014032003/183980 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
NOVIANDIKA KURNIA
82 21-11-1992/705807618432000 0 2,261,300 180,000 0 72,420 0 0
199211212014032001/184059 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ATRI KRISNAWATI
83 05-10-1977/087799953003000 1 2,640,600 0 0 289,680 0 0
197710052000032003/161539 2 264,060 0 240,000 0 301,028 5,000 3,234,000
PNS/820623/IIC 4 105,624 0 64 3,540,028 0 306,028
CICI AMELIA
84 27-03-1985/363424888407000 1 2,332,500 0 0 217,260 0 0
198503272011012015/181209 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
21/12/2016

Page 744 of 952
NO STW
IDA PARIDA
85 31-03-1976/874584261003000 1 2,559,900 0 0 289,680 0 0
197603312007012014/173865 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820314/IIC 4 102,396 0 62 3,448,028 0 296,828
292,919,700 5,340,000 1,520,000 15,208,200 0 0

TOTAL 19,852,930 0 25,800,000 0 31,710,698 592,000 332,676,400
4,334,518 5,340,000 3,750 364,979,098 0 32,302,698
JAKARTA,
MENGETAHUI
21/12/2016

Page 745 of 952
UKPD: PUSKESMAS KEL.RAWAMANGUN KEC.PULOGADUNG
NO STW
LISTYA PUSPARIANI
1 06-09-1962/058151556203000 0 4,665,000 0 0 72,420 0 0
196209061987112001/125479 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820602/IVB 1 0 0 80 5,937,500 0 476,500
4,665,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 466,500 10,000 5,461,000
0 0 80 5,937,500 0 476,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 746 of 952
UKPD: PUSKESMAS KEL.PISANGAN TIMUR KEC.PULOGADUNG
NO STW
YURIS MAHADI
1 13-01-1961/249450750435000 1 4,862,300 0 0 217,260 0 0
196101131988011001/122650 1 486,230 0 1,200,000 0 544,577 10,000 6,308,500
PNS/820102/IVC 3 97,246 0 41 6,863,077 0 554,577
4,862,300 0 0 217,260 0 0
TOTAL 486,230 0 1,200,000 0 544,577 10,000 6,308,500
97,246 0 41 6,863,077 0 554,577
JAKARTA,
MENGETAHUI
21/12/2016

Page 747 of 952
UKPD: PUSKESMAS KEL.CIPINANG KEC.PULOGADUNG
NO STW
CLARA TINAH
1 24-08-1964/575785852043000 1 4,384,400 0 0 217,260 0 0
196408241992032007/120846 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
MELLA TRIMARTIWI
2 03-03-1974/792461501407000 1 3,350,600 0 0 72,420 0 0
197403032006042034/165575 0 0 0 750,000 0 335,060 7,000 3,831,000
PNS/820103/IIID 1 0 0 40 4,173,060 0 342,060
7,735,000 0 0 289,680 0 0
TOTAL 438,440 0 1,950,000 0 826,112 17,000 9,657,800
87,688 0 104 10,500,912 0 843,112
JAKARTA,
MENGETAHUI
21/12/2016

Page 748 of 952
UKPD: PUSKESMAS KEL.JATINEGARA KEC.PULOGADUNG
NO STW
ELYANNA MALEM
1 29-10-1968/887927614435000 1 4,078,100 0 0 217,260 0 0
196810291993032007/165788 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
AMMY FAHMY MYALA

2 06-12-1981/882465420008000 1 2,929,100 0 0 217,260 0 0
198112062010012020/178463 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820103/IIIC 3 58,582 0 7 4,247,859 0 335,059
7,007,200 0 0 434,520 0 0
TOTAL 700,720 0 1,950,000 0 784,806 17,000 9,430,800
140,144 0 22 10,232,606 0 801,806
JAKARTA,
MENGETAHUI
21/12/2016

Page 749 of 952
UKPD: PUSKESMAS KEL.JATI KEC.PULOGADUNG
NO STW
RIA GORINA L.S
1 12-07-1964/575785910003000 1 4,713,800 0 0 144,840 0 0
196407121990022001/122820 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
4,713,800 0 0 144,840 0 0
TOTAL 471,380 0 1,200,000 0 518,518 10,000 6,001,600
0 0 98 6,530,118 0 528,518
JAKARTA,
MENGETAHUI
21/12/2016

Page 750 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN JATINEGARA
NO STW
SUSILO NUGROHO
1 06-10-1964/672296753027000 1 3,565,000 0 980,000 217,260 0 0
196410062002121001/165178 1 356,500 0 0 0 399,280 7,000 4,783,800
PNS/000000/IIID 3 71,300 0 20 5,190,080 0 406,280
HAPSAH YUNIARTI
2 01-01-1960/775223076407000 1 4,568,800 0 540,000 72,420 0 0
196001011981032016/071699 0 0 0 0 0 456,880 7,000 4,717,400
PNS/500100/IIID 1 0 0 60 5,181,280 0 463,880
TITIEK FATIMAH M
3 25-07-1957/774298293432000 1 5,392,200 0 0 217,260 0 0
195707251984122001/121034 1 539,220 0 1,400,000 0 603,926 10,000 7,042,600
PNS/820601/IVD 3 107,844 0 2 7,656,526 0 613,926
HOTMAN MANURUNG
4 03-05-1959/774298343432000 1 5,068,000 0 0 217,260 0 0
195905031987011002/122635 1 506,800 0 1,400,000 0 567,616 10,000 6,715,900
PNS/820101/IVD 3 101,360 0 96 7,293,516 0 577,616
NUNUK INDRAWATI
5 27-03-1958/696847417407000 1 5,173,400 0 0 217,260 0 0
195803271983112001/122579 1 517,340 0 1,200,000 0 579,420 10,000 6,622,100
PNS/820602/IVC 3 103,468 0 52 7,211,520 0 589,420
VITA SAUITRI
6 23-07-1959/099973232002001 1 4,665,000 0 0 217,260 0 0
195907231987112001/122880 1 466,500 0 1,200,000 0 522,480 10,000 6,109,600
PNS/820102/IVB 3 93,300 0 20 6,642,080 0 532,480
21/12/2016

Page 751 of 952
NO STW
DEVI KUSUMA PERTIWI
7 19-05-1964/697262566432001 1 4,250,600 0 0 144,840 0 0
196405191993032001/162648 0 425,060 0 1,200,000 0 467,566 10,000 5,543,000
PNS/820602/IVB 2 0 0 66 6,020,566 0 477,566
PUDJI LESTARI H
8 28-06-1964/887316768407000 1 4,206,500 0 0 72,420 0 0
196406281991022001/120801 0 0 0 750,000 0 420,650 10,000 4,598,300
PNS/820103/IVA 1 0 0 30 5,028,950 0 430,650
MARGARETHA SD WIJAYA
9 24-03-1967/493374797006000 1 4,078,100 0 0 72,420 0 0
196703241993112001/157595 0 0 0 750,000 0 407,810 10,000 4,482,800
PNS/820603/IVA 1 0 0 90 4,900,610 0 417,810
NOVITRINE
10 09-11-1973/180149627027000 1 3,492,400 0 0 72,420 0 0
197311092006042012/174729 0 0 0 1,200,000 0 349,240 10,000 4,405,600
PNS/820102/IVA 1 0 0 20 4,764,840 0 359,240
NIA MULYA
11 17-04-1976/485663108821000 1 3,385,700 0 0 289,680 0 0
197604172005012017/182626 2 338,570 0 1,200,000 0 385,969 10,000 4,953,500
PNS/820102/IVA 4 135,428 0 91 5,349,469 0 395,969
SITI ROCHMAH
12 18-06-1961/579302944403000 1 4,294,000 0 0 144,840 0 0
196106181981032003/071771 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
21/12/2016

Page 752 of 952
NO STW
NELLYANISI MARMATA
13 16-07-1965/678450289403000 1 3,912,600 185,000 0 72,420 0 0
196507161994032002/120304 0 0 0 0 0 391,260 7,000 3,771,800
PNS/798012/IIID 1 0 185,000 40 4,170,060 0 398,260
VINCENTIUS JEMMY S
14 10-03-1968/249316928002000 1 3,912,600 185,000 0 217,260 0 0
196803101993021002/121036 1 391,260 0 0 0 438,211 7,000 4,339,200
PNS/798011/IIID 3 78,252 185,000 39 4,784,411 0 445,211
WARDAH
15 14-02-1965/774298301002000 1 3,912,600 0 0 289,680 0 0
196502141993032003/158310 2 391,260 0 750,000 0 446,036 7,000 5,047,100
PNS/820603/IIID 4 156,504 0 92 5,500,136 0 453,036
ITTA JOSEPH
16 22-12-1962/498878511008001 1 4,035,800 0 0 217,260 0 0
196212221992032002/164660 1 403,580 0 750,000 0 452,009 7,000 5,028,400
PNS/820603/IIID 3 80,716 0 53 5,487,409 0 459,009
ROSALIA LINNA JUNIAR

17 25-06-1971/590560223001000 1 3,350,600 0 0 144,840 0 0
197106252006042017/165272 0 335,060 0 750,000 0 368,566 7,000 4,205,000
PNS/820103/IIID 2 0 0 66 4,580,566 0 375,566
MARDIYAH
18 04-10-1973/784230955005000 1 3,456,200 0 0 289,680 0 0
197310042006042021/165401 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
21/12/2016

Page 753 of 952
NO STW
WARGIYATI
19 31-07-1961/682988704008000 1 4,429,300 0 0 217,260 0 0
196107311981032003/071866 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820312/IIID 3 88,586 0 5 5,678,081 0 503,081
DYAH NUGRAENI
20 14-10-1966/343143681009000 1 3,912,600 0 0 144,840 0 0
196610141991032005/182506 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
TUPAIDA SIANTURI
21 28-08-1959/474764917432000 0 4,162,900 0 0 72,420 0 0
195908281984032005/122854 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820341/IIID 1 0 0 70 4,735,390 0 423,290
SRI HARTATI
22 05-12-1961/496321308008000 1 4,429,300 0 0 144,840 0 0
196112051981032001/071768 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
DARMAULI MANIHURUK
23 09-12-1962/774298343432000 1 4,429,300 0 0 72,420 0 0
196212091981122001/074777 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
LIES AMELYA
24 04-04-1959/254628365008000 1 4,429,300 0 0 144,840 0 0
195904041980022001/107261 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
21/12/2016

Page 754 of 952
NO STW
ASWIRNI MAHENDRIA
25 06-08-1966/474765336407000 1 4,035,800 0 0 289,680 0 0
196608061987032008/122539 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820341/IIID 4 161,432 0 89 5,390,581 0 467,081
MURLIYANI
26 12-02-1967/683036321002000 1 4,035,800 0 0 289,680 0 0
196702121987032007/122591 2 403,580 0 500,000 0 460,081 7,000 4,923,500
PNS/820312/IIID 4 161,432 0 89 5,390,581 0 467,081
RIATA MANURUNG
27 27-06-1966/474765245432000 1 3,912,600 0 0 72,420 0 0
196606271988032005/122735 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820341/IIID 1 0 0 40 4,485,060 0 398,260
KELIN SEMBAYANG
28 26-12-1959/774298327008000 1 4,429,300 0 0 217,260 0 0
195912261981032005/123222 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820341/IIID 3 88,586 0 5 5,678,081 0 503,081
LIDWINA PURBA
29 19-06-1965/257597740412000 1 3,872,000 0 0 217,260 0 0
196506191992032006/122331 1 387,200 0 750,000 0 433,664 7,000 4,863,300
PNS/820603/IIIC 3 77,440 0 64 5,303,964 0 440,664
DAMI
30 04-02-1969/682988688002000 1 3,639,200 0 0 217,260 0 0
196902041991032003/122230 2 0 0 600,000 0 378,476 7,000 4,216,600
PNS/820307/IIIC 3 145,568 0 48 4,602,076 0 385,476
21/12/2016

Page 755 of 952
NO STW
NANIK YUNIK A
31 10-07-1964/579302951001000 1 3,872,000 185,000 0 72,420 0 0
196407101987032010/122712 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798012/IIIC 1 0 185,000 80 4,129,500 0 394,200
ROBERT HOTASI NAIBAHO

32 11-01-1981/488484007064000 0 3,116,500 0 0 72,420 0 0
198101112006041004/164894 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
RENI FAJARWATI
33 15-12-1978/474765104001000 1 3,116,500 0 0 289,680 0 0
197812152006042005/165052 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
BHISMACK NASUTION
34 11-05-1974/586317158028000 1 3,021,300 0 0 144,840 0 0
197405112006041016/165609 0 302,130 0 325,000 0 332,343 7,000 3,454,000
PNS/820107/IIIC 2 0 0 73 3,793,343 0 339,343
MARIA LINDA LIVERINA P.

35 26-05-1968/259854610008000 1 3,420,300 0 0 289,680 0 0
196805262002122003/169382 2 342,030 0 750,000 0 389,914 7,000 4,542,000
PNS/820103/IIIC 4 136,812 0 92 4,938,914 0 396,914
MEUTHIA HALIDA
36 23-08-1973/725954804008000 0 3,116,500 185,000 0 144,840 0 0
197308232008012011/170096 1 0 0 0 0 317,883 7,000 3,183,800
PNS/798012/IIIC 2 62,330 185,000 13 3,508,683 0 324,883
21/12/2016

Page 756 of 952
NO STW
NOVITA AYU SINTHIA
37 05-11-1982/345878342008000 0 2,810,200 0 0 72,420 0 0
198211052010012028/178734 0 0 0 750,000 0 281,020 7,000 3,344,600
PNS/820103/IIIC 1 0 0 0 3,632,620 0 288,020
FAIZA HUSNA
38 05-01-1984/255518979008999 1 2,929,100 0 0 289,680 0 0
198401052010012028/178829 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
ELIZABETH DIAN NOVITA

39 08-11-1981/584596589005000 1 2,810,200 185,000 0 289,680 0 0
198111082010012031/178850 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/000008/IIIC 4 112,408 185,000 54 3,678,362 0 327,362
HARMI ROSIANAWATI
40 05-12-1982/353099591407000 1 2,810,200 185,000 0 289,680 0 0
198212052010012030/178885 2 281,020 0 0 0 320,362 7,000 3,351,000
PNS/000008/IIIC 4 112,408 185,000 54 3,678,362 0 327,362
ADIANTY KARTIKA
41 20-05-1984/261924401009000 1 2,839,700 0 0 217,260 0 0
198405202011012016/180237 1 283,970 0 750,000 0 318,046 7,000 3,822,700
PNS/820103/IIIC 3 56,794 0 22 4,147,746 0 325,046
FIKA MAULANI FADRIANTI

42 18-11-1985/364157610008000 1 2,839,700 0 0 289,680 0 0
198511182011012019/181864 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820603/IIIC 4 113,588 0 87 4,277,025 0 330,725
21/12/2016

Page 757 of 952
NO STW
RUTH KRISTIN
43 14-01-1980/580012912008000 1 2,929,100 0 0 217,260 0 0
198001142009032007/183004 1 292,910 0 750,000 0 328,059 7,000 3,912,800
PNS/820603/IIIC 3 58,582 0 7 4,247,859 0 335,059
ACHMAD NUR
44 06-05-1959/682988639002000 1 3,872,000 0 0 289,680 0 0
195905061987031002/110422 2 387,200 0 220,000 0 441,408 7,000 4,475,400
PNS/900042/IIIC 4 154,880 0 48 4,923,808 0 448,408
ANY RODLIYAH
45 02-12-1962/474765328009000 1 3,639,200 0 0 72,420 0 0
196212021990032004/123264 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
SITI JULAEHA
46 29-01-1965/774298269008000 1 3,639,200 0 0 217,260 0 0
196501291991032002/158519 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
DAHRI DARSONO
47 04-08-1963/672506524008000 1 4,119,700 0 0 289,680 0 0
196308041984011001/083713 2 411,970 0 500,000 0 469,645 7,000 5,009,500
PNS/820131/IIIC 4 164,788 0 7 5,486,145 0 476,645
SYAMSUDIN
48 15-09-1960/485506406435000 1 3,994,000 185,000 0 217,260 0 0
196009151985031010/105381 1 399,400 0 0 0 447,328 7,000 4,421,300
PNS/798022/IIIC 3 79,880 185,000 88 4,875,628 0 454,328
21/12/2016

Page 758 of 952
NO STW
LISMANIAR
49 20-09-1963/259458461001000 1 3,994,000 0 0 72,420 0 0
196309201986032009/108437 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820312/IIIC 1 0 0 80 4,566,500 0 406,400
MUKTIATI
50 19-03-1967/248429441407000 0 3,872,000 0 0 72,420 0 0
196703191987032004/110635 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
INDRIANTI
51 09-12-1967/474765112001000 1 3,753,800 0 0 289,680 0 0
196712091989032005/113624 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820353/IIIC 4 150,152 0 21 5,069,033 0 434,933
WARSINI
52 11-09-1969/474765229004000 1 3,420,300 0 0 72,420 0 0
196909111994032007/118907 0 0 0 500,000 0 342,030 7,000 3,643,700
PNS/820621/IIIC 1 0 0 10 3,992,730 0 349,030
SUDIANI
53 22-10-1964/474765153435000 1 3,420,300 0 0 217,260 0 0
196410221994032003/120760 1 342,030 0 500,000 0 383,073 7,000 4,158,000
PNS/820341/IIIC 3 68,406 0 77 4,548,073 0 390,073
FARIDA PURNAMA JUWITA

54 19-09-1969/474764941002000 1 3,639,200 0 0 217,260 0 0
196909191991022003/120772 1 363,920 0 265,000 0 407,590 7,000 4,143,600
PNS/820342/IIIC 3 72,784 0 26 4,558,190 0 414,590
21/12/2016

Page 759 of 952
NO STW
ZUBAIDAH
55 27-04-1961/257897223002000 1 3,528,100 0 0 72,420 0 0
196104271991032001/125328 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
SRI KENCANA INTAN

56 14-07-1971/245227442002000 0 3,528,100 0 0 289,680 0 0
197107141992022001/125359 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
DISMIHARTI
57 11-02-1967/243994852002000 1 3,639,200 0 0 217,260 0 0
196702111990012001/128510 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
AGNES GISELA HUTAPEA

58 03-04-1988/705497410008000 0 2,641,200 185,000 0 72,420 0 0
198804032014032003/183548 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
GEMELLY NURHIDAYAT
59 03-09-1985/547967836009000 0 2,641,200 185,000 0 72,420 0 0
198509032014032001/183627 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
HELMY SUMURUNG
60 27-05-1982/705451037009000 1 2,641,200 185,000 0 217,260 0 0
198205272014031001/183631 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 760 of 952
NO STW
ETY HERAWATI
61 22-02-1972/254051188002000 0 3,491,500 185,000 0 72,420 0 0
197202221992032003/120639 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798011/IIIB 1 0 185,000 30 3,748,950 0 356,150
EDI PRASETIYA
62 09-07-1973/256937236009000 1 3,084,200 185,000 0 289,680 0 0
197307091998031005/125600 2 308,420 0 0 0 351,598 7,000 3,632,100
PNS/798012/IIIB 4 123,368 185,000 30 3,990,698 0 358,598
SARUDIN
63 10-12-1971/244652335435000 1 3,084,200 0 0 289,680 0 0
197112101998031007/125874 2 308,420 0 300,000 0 351,598 7,000 3,747,100
PNS/820309/IIIB 4 123,368 0 30 4,105,698 0 358,598
METI PUSPITA MAYASARI

64 01-01-1986/097155089432999 1 2,724,400 0 0 72,420 0 0
198601012011012034/181038 0 0 0 325,000 0 272,440 7,000 2,842,400
PNS/820124/IIIB 1 0 0 20 3,121,840 0 279,440
WENNY WENDIA SARI

65 07-09-1975/895952638018000 1 2,990,000 185,000 0 289,680 0 0
197509072010012007/183297 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798012/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
NYAYU ZUHRIANI
66 26-03-1982/887725695309000 1 2,810,200 185,000 0 217,260 0 0
198203262009032007/183325 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
21/12/2016

Page 761 of 952
NO STW
NINING MAYAPADA
67 20-11-1969/183596600002000 1 3,281,500 185,000 0 289,680 0 0
196911201995032002/120300 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
SUKARNOWATI
68 31-05-1967/796402493407000 0 3,491,500 0 0 72,420 0 0
196705311994032004/125494 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820354/IIIB 1 0 0 30 3,828,950 0 356,150
ENI SYAFRIDA
69 16-12-1966/474765054008000 1 3,601,400 0 0 144,840 0 0
196612161989122001/165367 0 360,140 0 265,000 0 396,154 7,000 3,968,300
PNS/820342/IIIB 2 0 0 74 4,371,454 0 403,154
RUCI PRABAWATI
70 15-07-1980/495251282911000 1 2,898,700 0 0 72,420 0 0
198007152005012016/165784 0 0 0 265,000 0 289,870 7,000 2,939,300
PNS/820313/IIIB 1 0 0 50 3,236,170 0 296,870
ELIS SULISTRIANI
71 22-11-1975/478417702521000 1 3,281,500 185,000 0 289,680 0 0
197511221998032002/168872 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
WIYONO
72 03-02-1960/474765252435000 1 3,831,900 185,000 0 72,420 0 0
196002031985081002/075811 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798022/IIIB 1 0 185,000 70 4,089,390 0 390,190
21/12/2016

Page 762 of 952
NO STW
SUPATMO
73 14-04-1961/474765146435000 1 3,601,400 185,000 0 144,840 0 0
196104141985031012/086468 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798022/IIIB 2 0 185,000 74 4,291,454 0 403,154
MUKHASIN
74 18-12-1959/258031053002000 1 3,831,900 185,000 0 217,260 0 0
195912181985111001/107296 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
MARDIANTI
75 03-02-1967/245137856432000 1 3,714,900 185,000 0 72,420 0 0
196702031987032002/110429 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
AJI SUBUR
76 05-07-1967/474765005002000 0 3,714,900 185,000 0 72,420 0 0
196707051987031004/110500 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
ANNY HARYANTI
77 17-04-1961/774298194002000 1 3,714,900 185,000 0 144,840 0 0
196104171987032004/110618 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
MULYONO
78 25-09-1966/590597100002000 1 3,601,400 185,000 0 289,680 0 0
196609251988031005/111178 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798012/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
21/12/2016

Page 763 of 952
NO STW
AMIN KUINANTO
79 25-12-1966/359930450001000 1 3,601,400 185,000 0 289,680 0 0
196612251988031004/111610 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798011/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
DARMI SIPAYUNG
80 16-06-1967/474764794002000 1 3,491,500 0 0 217,260 0 0
196706161990032004/114534 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
AMINAH
81 15-11-1968/474765369433000 1 3,601,400 0 0 217,260 0 0
196811151989032005/115622 1 360,140 0 500,000 0 403,356 7,000 4,340,500
PNS/820621/IIIB 3 72,028 0 28 4,750,856 0 410,356
TIO ROMAULI
82 30-09-1968/558177283435000 1 3,491,500 0 0 144,840 0 0
196809301991032004/117169 0 349,150 0 265,000 0 384,065 7,000 3,859,500
PNS/820342/IIIB 2 0 0 75 4,250,565 0 391,065
SYEFNADELI
83 11-01-1970/475486973_403000 1 3,181,300 0 0 217,260 0 0
197001111996032001/121727 1 318,130 0 500,000 0 356,305 7,000 3,917,100
PNS/820131/IIIB 3 63,626 0 89 4,280,405 0 363,305
RIRIN YULIANA
84 16-04-1970/142311463407001 1 3,491,500 0 0 217,260 0 0
197004161990012001/123342 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820342/IIIB 3 69,830 0 8 4,392,748 0 398,048
21/12/2016

Page 764 of 952
NO STW
SITI QOIRIYAH
85 14-01-1969/471765021008000 1 3,491,500 185,000 0 289,680 0 0
196901141991032003/125128 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798012/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
HERLINA
86 22-10-1966/474765138435000 1 3,714,900 185,000 0 72,420 0 0
196610221986032003/157929 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
STEFANY
87 19-09-1984/257270645008000 0 2,810,200 185,000 0 72,420 0 0
198409192010012044/177492 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
HOTMIDA RUMAHORBO
88 06-04-1966/151886033701000 0 3,491,500 0 0 144,840 0 0
196604061991022003/179898 1 0 0 500,000 0 356,133 7,000 3,843,100
PNS/820341/IIIB 2 69,830 0 63 4,206,233 0 363,133
JUMARNI DAENG
89 07-10-1984/717717458063000 1 2,898,700 0 0 72,420 0 0
198410072006042006/182815 0 0 0 265,000 0 289,870 7,000 2,939,300
PNS/820342/IIIB 1 0 0 50 3,236,170 0 296,870
TRIYANTO
90 11-05-1962/682988597002000 1 3,714,900 185,000 0 217,260 0 0
196205111987031015/110502 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
21/12/2016

Page 765 of 952
NO STW
MABRUKAH
91 09-08-1963/360404750008000 1 3,148,300 0 0 144,840 0 0
196308091997032001/124175 0 314,830 0 265,000 0 346,313 7,000 3,519,700
PNS/820313/IIIA 2 0 0 43 3,873,013 0 353,313
MARNI NABABAN
92 02-01-1970/245618715008001 0 3,052,200 0 0 72,420 0 0
197001021996032002/120948 0 0 0 300,000 0 305,220 7,000 3,112,400
PNS/820309/IIIA 1 0 0 0 3,424,620 0 312,220
TRIYO SUSANTO
93 28-10-1967/474764966002000 1 3,455,300 185,000 0 289,680 0 0
196710281988031003/111177 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
SUHARMANSYAH
94 07-12-1967/726521404005000 1 3,455,300 0 0 289,680 0 0
196712071992031007/117383 2 345,530 0 265,000 0 393,904 7,000 4,092,900
PNS/820313/IIIA 4 138,212 0 82 4,493,804 0 400,904
TUTI
95 15-08-1974/586939621003000 1 3,148,300 0 0 72,420 0 0
197408151995032002/120923 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820622/IIIA 1 0 0 10 3,485,730 0 321,830
SORTHA
96 11-09-1974/241737634412001 1 3,052,200 0 0 289,680 0 0
197409111997032002/125524 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
21/12/2016

Page 766 of 952
NO STW
MANGASITUA PANJAITAN
97 20-09-1975/474765088001000 1 2,959,000 0 0 217,260 0 0
197509201998042001/125676 1 295,900 0 265,000 0 331,408 7,000 3,458,000
PNS/820313/IIIA 3 59,180 0 68 3,796,408 0 338,408
AJA MILA HASWITA

98 22-08-1971/664285335002000 1 2,838,900 0 0 289,680 0 0
197108221998032003/127149 2 283,890 0 240,000 0 323,634 5,000 3,437,400
PNS/820343/IID 4 113,556 0 8 3,766,034 0 328,634
ANDRI ASMARA HADI

99 16-10-1978/261939797412000 1 2,752,300 0 0 289,680 0 0
197810162008011017/171227 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
MEILY ULI ARTHA

100 13-05-1983/257194829071000 0 2,668,200 0 0 72,420 0 0
198305132008012012/175333 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820314/IID 1 0 0 0 2,980,620 0 271,820
RICKA ARDIYANTI
101 15-01-1986/677902108009000 1 2,431,200 0 0 217,260 0 0
198601152011012014/180896 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
DEWI TRIANA
102 03-10-1985/696008671432000 1 2,431,200 0 0 289,680 0 0
198510032011012016/180950 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
21/12/2016

Page 767 of 952
NO STW
TOTOK BOY NUGROHO
103 21-10-1987/363980947407000 1 2,431,200 0 0 217,260 0 0
198710212011011010/181828 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
MONICA OCTAVIA
104 07-10-1988/341849693407000 0 2,431,200 0 0 72,420 0 0
198810072011012014/181850 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
SUPRIYONO DWILASTORO
105 18-05-1965/474765351432000 1 3,419,500 180,000 0 144,840 0 0
196505181987031007/110428 0 341,950 0 0 0 376,145 5,000 3,705,200
PNS/798022/IID 2 0 180,000 55 4,086,345 0 381,145
ANIS KURNIATININGSIH
106 04-12-1976/256920208008000 1 2,928,300 0 0 289,680 0 0
197612041996032001/122391 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/830225/IID 4 117,132 0 84 3,868,026 0 338,826
TITIN LISTIANINGSIH
107 31-12-1972/474765070008000 1 2,928,300 180,000 0 72,420 0 0
197212311996032013/122465 0 0 0 0 0 292,830 5,000 2,882,900
PNS/798022/IID 1 0 180,000 10 3,180,730 0 297,830
SUDARMAN
108 15-06-1963/363166578435000 1 3,020,600 180,000 0 289,680 0 0
196306151994031004/122578 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798022/IID 4 120,824 180,000 84 3,913,248 0 349,348
21/12/2016

Page 768 of 952
NO STW
DYANA HARAHAP
109 05-12-1974/474764925015000 1 2,752,300 0 0 289,680 0 0
197412052000032006/161715 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820623/IID 4 110,092 0 60 3,667,362 0 318,762
FITRI DEVINA
110 01-07-1984/896108438002000 1 2,507,800 0 0 217,260 0 0
198407012010012041/178967 1 250,780 0 240,000 0 280,873 5,000 2,980,200
PNS/820343/IID 3 50,156 0 77 3,266,073 0 285,873
IDA FARIDA
111 04-11-1964/343667242002000 1 3,213,800 180,000 0 144,840 0 0
196411041987032004/110380 1 0 0 0 0 327,807 5,000 3,270,200
PNS/798022/IID 2 64,276 180,000 91 3,603,007 0 332,807
SOFIA LAILANI
112 25-05-1991/703967034432000 1 2,261,300 180,000 0 144,840 0 0
199105252014032003/184220 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
SYAFIRA
113 26-09-1989/971471784024000 0 2,261,300 180,000 0 72,420 0 0
198909262014032002/184238 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
MISNIE ERWATI
114 06-04-1974/741749154009000 1 2,809,500 180,000 0 72,420 0 0
197404061993022002/157830 0 0 0 0 0 280,950 5,000 2,776,000
PNS/798022/IIC 1 0 180,000 30 3,061,950 0 285,950
21/12/2016

Page 769 of 952
NO STW
DIANA
115 01-11-1963/790737878028000 1 3,384,000 180,000 0 217,260 0 0
196311011984032009/157943 1 338,400 0 0 0 379,008 5,000 3,803,400
PNS/798022/IIC 3 67,680 180,000 68 4,187,408 0 384,008
SUSY WIDIYANTI
116 11-05-1978/474765344005000 1 2,723,700 0 0 217,260 0 0
197805111997032001/123111 1 272,370 0 240,000 0 305,054 5,000 3,197,800
PNS/830225/IIC 3 54,474 0 50 3,507,854 0 310,054
LILI SUMIATI
117 01-03-1959/195242896008000 1 3,147,600 180,000 0 144,840 0 0
195903011983032009/078945 0 314,760 0 0 0 346,236 5,000 3,436,000
PNS/798041/IIB 2 0 180,000 36 3,787,236 0 351,236
DESI RAHMAWATI
118 05-05-1978/891781171005000 1 2,507,100 180,000 0 72,420 0 0
197805051998032006/158298 0 0 0 0 0 250,710 5,000 2,503,900
PNS/798022/IIA 1 0 180,000 90 2,759,610 0 255,710
KRISMARATIH
119 10-09-1979/672284494005999 0 2,284,400 180,000 0 72,420 0 0
197909102007012015/168782 0 0 0 0 0 228,440 5,000 2,303,400
PNS/798022/IIA 1 0 180,000 20 2,536,840 0 233,440
HELMI
120 23-11-1979/784192122005000 0 2,284,400 180,000 0 72,420 0 0
197911232007012019/169090 0 0 0 0 0 228,440 5,000 2,303,400
PNS/798022/IIA 1 0 180,000 20 2,536,840 0 233,440
21/12/2016

Page 770 of 952
NO STW
MATSANI
121 02-07-1961/682985605002000 1 2,404,800 175,000 0 144,840 0 0
196107021992021001/116551 0 240,480 0 0 0 264,528 3,000 2,697,600
PNS/798042/ID 2 0 175,000 8 2,965,128 0 267,528
412,875,700 7,700,000 1,520,000 21,726,000 0 0

TOTAL 27,345,030 0 39,955,000 0 44,700,447 824,000 472,387,000
6,783,998 7,700,000 5,719 517,911,447 0 45,524,447
JAKARTA,
MENGETAHUI
21/12/2016

Page 771 of 952
UKPD: PUSKESMAS KEL.BALIMESTER KEC.JATINEGARA
NO STW
MULIA SUNGKAWATI
1 25-01-1961/474765120001000 0 4,339,000 0 0 72,420 0 0
196101251989112001/121996 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820602/IVA 1 0 0 80 5,611,500 0 443,900
4,339,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 433,900 10,000 5,167,600
0 0 80 5,611,500 0 443,900
JAKARTA,
MENGETAHUI
21/12/2016

Page 772 of 952
UKPD: PUSKESMAS KEL.BIDARA CINA KEC.JATINEGARA
NO STW
AGNES SURJADI
1 20-04-1963/474765211004000 1 4,913,200 0 0 144,840 0 0
196304201989102002/114613 0 491,320 0 1,400,000 0 540,452 10,000 6,399,000
PNS/820601/IVD 2 0 0 92 6,949,452 0 550,452
JULIZA JULIUS
2 10-01-1960/474765310015000 1 4,522,500 0 0 144,840 0 0
196001101989032002/113903 1 0 0 1,200,000 0 461,295 10,000 5,486,500
PNS/820602/IVB 2 90,450 0 5 5,957,795 0 471,295
9,435,700 0 0 289,680 0 0
TOTAL 491,320 0 2,600,000 0 1,001,747 20,000 11,885,500
90,450 0 97 12,907,247 0 1,021,747
JAKARTA,
MENGETAHUI
21/12/2016

Page 773 of 952
UKPD: PUSKESMAS KEL.RAWA BUNGA KEC.JATINEGARA
NO STW
SUSI DIANTY
1 16-02-1965/256912759003000 1 4,384,400 0 0 217,260 0 0
196502161992092001/122332 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
4,384,400 0 0 217,260 0 0
TOTAL 438,440 0 1,200,000 0 491,052 10,000 5,826,800
87,688 0 64 6,327,852 0 501,052
JAKARTA,
MENGETAHUI
21/12/2016

Page 774 of 952
UKPD: PUSKESMAS KEL.CIPINANG MUARA KEC.JATINEGARA
NO STW
MARIA THERESIA U
1 12-02-1961/472943729002000 1 4,522,500 0 0 289,680 0 0
196102121988012002/123122 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820102/IVB 4 180,900 0 35 6,645,365 0 525,565
4,522,500 0 0 289,680 0 0
TOTAL 452,250 0 1,200,000 0 515,565 10,000 6,119,800
180,900 0 35 6,645,365 0 525,565
JAKARTA,
MENGETAHUI
21/12/2016

Page 775 of 952
UKPD: PKM KEL.CIPINANG BESAR SELATAN KEC.JATINEGARA
NO STW
FITA KENTJANA M
1 04-12-1960/180188450003000 1 4,384,400 0 0 72,420 0 0
196012041992122001/121730 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
LASMA ROCHANI
2 17-03-1965/472943745019000 1 4,206,500 0 0 72,420 0 0
196503171992032006/120824 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820602/IVA 1 0 0 30 5,478,950 0 430,650
8,590,900 0 0 144,840 0 0
TOTAL 0 0 2,400,000 0 859,090 20,000 10,256,700
0 0 50 11,135,790 0 879,090
JAKARTA,
MENGETAHUI
21/12/2016

Page 776 of 952
UKPD: PKM KEL.CIPINANG BESAR UTARA KEC.JATINEGARA
NO STW
RR.SUKORINI DYAH.L
1 13-08-1965/579302969002000 1 4,078,100 0 0 217,260 0 0
196508131994012001/123019 1 407,810 0 1,200,000 0 456,747 10,000 5,518,000
PNS/820602/IVA 3 81,562 0 15 5,984,747 0 466,747
4,078,100 0 0 217,260 0 0
TOTAL 407,810 0 1,200,000 0 456,747 10,000 5,518,000
81,562 0 15 5,984,747 0 466,747
JAKARTA,
MENGETAHUI
21/12/2016

Page 777 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.KRAMATJATI
NO STW
S. SHOLIKHAH DARMAWIE
1 01-03-1960/252858659002000 1 4,475,700 0 980,000 144,840 0 0
196003011987012002/115717 0 447,570 0 0 0 492,327 10,000 5,545,800
PNS/000000/IVA 2 0 0 17 6,048,127 0 502,327
SUPARYATI
2 12-04-1969/171592538002000 1 3,912,600 0 540,000 217,260 0 0
196904121989032004/113688 1 391,260 0 0 0 438,211 7,000 4,694,200
PNS/500100/IIID 3 78,252 0 39 5,139,411 0 445,211
ENDANG SUSILAWATI
3 20-12-1956/094737616005001 1 5,282,300 0 0 144,840 0 0
195612201988032002/162295 0 528,230 0 1,400,000 0 581,053 10,000 6,764,400
PNS/820101/IVE 2 0 0 83 7,355,453 0 591,053
SUPRIADI
4 18-04-1964/575743307008000 1 4,713,800 0 0 217,260 0 0
196404181989021004/117667 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
DARVINI RACHMIDA
5 10-07-1961/774259550061000 1 4,713,800 0 0 144,840 0 0
196107101988122001/122803 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
SOFYANI A
6 03-04-1962/240044198432001 1 4,713,800 0 0 144,840 0 0
196204031988122001/158297 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
21/12/2016

Page 778 of 952
NO STW
RAHMADATI G
7 06-02-1962/774254023005000 1 4,862,300 0 0 144,840 0 0
196202061987032005/161613 0 486,230 0 1,200,000 0 534,853 10,000 6,148,600
PNS/820602/IVC 2 0 0 83 6,693,453 0 544,853
SRI LESTARI DWI K

8 31-05-1958/575743315432000 1 5,173,400 0 0 144,840 0 0
195805311983112001/122789 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820602/IVC 2 0 0 94 7,035,674 0 579,074
TITUT ADIATI
9 20-12-1960/575743398002000 1 4,522,500 0 0 144,840 0 0
196012201990032002/119080 0 452,250 0 1,200,000 0 497,475 10,000 5,812,200
PNS/820602/IVB 2 0 0 85 6,319,675 0 507,475
A.ISTIWAHYUNI
10 12-08-1957/570506352412000 1 4,963,400 0 0 144,840 0 0
195708121983032014/157676 0 496,340 0 1,400,000 0 545,974 10,000 6,448,700
PNS/820601/IVB 2 0 0 94 7,004,674 0 555,974
NURLINA Y YUMANTORO
11 05-01-1966/698836137005000 1 4,078,100 0 0 289,680 0 0
196601051993032007/158131 2 407,810 0 1,200,000 0 464,903 10,000 5,663,900
PNS/820602/IVA 4 163,124 0 89 6,138,803 0 474,903
TIMBUL BUDI HARYATI

12 25-03-1961/575743406005000 1 4,294,000 0 0 72,420 0 0
196103251982032004/162745 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
21/12/2016

Page 779 of 952
NO STW
DWI ANDAYANI
13 26-12-1959/676587108005000 1 4,429,300 0 0 72,420 0 0
195912261981032006/071840 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
NI KADEK ARSINI
14 16-03-1960/672397486412000 1 4,294,000 0 0 217,260 0 0
196003161982022002/073256 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820312/IIID 3 85,880 0 88 5,526,628 0 487,928
NI SILUH
15 24-03-1960/778146357432000 0 4,162,900 0 0 72,420 0 0
196003241983122001/084650 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820341/IIID 1 0 0 70 4,735,390 0 423,290
IIS SULISTIAWATI
16 01-02-1964/575743497009000 1 4,294,000 0 0 72,420 0 0
196402011983032003/105782 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SRI HARTINI
17 27-03-1964/774154298412000 1 4,035,800 0 0 144,840 0 0
196403271986032007/111442 0 403,580 0 750,000 0 443,938 7,000 4,883,300
PNS/820123/IIID 2 0 0 18 5,334,238 0 450,938
WIWORONINGSIH
18 04-07-1965/575743588005000 1 4,035,800 0 0 144,840 0 0
196507041985112001/115328 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
21/12/2016

Page 780 of 952
NO STW
REME SIHOTANG
19 18-12-1963/575743489005000 1 3,912,600 0 0 144,840 0 0
196312181988032012/116739 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
ZAHRINA LAILI
20 10-02-1959/776957102407000 1 4,035,800 0 0 72,420 0 0
195902101983102001/118593 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
ERNITA TAMBUN
21 13-10-1961/774154280432000 1 4,162,900 0 0 144,840 0 0
196110131984122001/120660 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820341/IIID 2 0 0 89 5,224,119 0 464,919
MARINCE S
22 20-02-1960/685464364009000 1 4,035,800 0 0 72,420 0 0
196002201986012001/122747 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820621/IIID 1 0 0 60 4,608,280 0 410,580
TINA
23 12-11-1960/254967680412000 1 4,162,900 0 0 144,840 0 0
196011121984122004/122798 1 0 0 500,000 0 424,615 7,000 4,459,400
PNS/820312/IIID 2 83,258 0 17 4,891,015 0 431,615
EVYLIA
24 30-11-1969/579332958412000 1 3,793,100 0 0 217,260 0 0
196911301991032004/122965 1 379,310 0 500,000 0 424,827 7,000 4,533,800
PNS/820312/IIID 3 75,862 0 95 4,965,627 0 431,827
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Page 781 of 952
NO STW
YUNARTI
25 01-03-1966/259029742432000 1 3,912,600 0 0 289,680 0 0
196603011989032003/123267 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820312/IIID 4 156,504 0 92 5,250,136 0 453,036
GUSTIANAH
26 27-08-1972/575743661009000 1 3,677,300 0 0 72,420 0 0
197208271993012001/125184 0 0 0 500,000 0 367,730 7,000 3,875,000
PNS/820341/IIID 1 0 0 10 4,249,730 0 374,730
HAFITAWATI
27 15-01-1966/245314646045000 1 3,912,600 0 0 289,680 0 0
196601151989012003/162321 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820341/IIID 4 156,504 0 92 5,250,136 0 453,036
SUPADIYONO
28 30-10-1965/694804006005000 1 3,872,000 185,000 0 217,260 0 0
196510301987031004/110495 1 387,200 0 0 0 433,664 7,000 4,298,300
PNS/798012/IIIC 3 77,440 185,000 64 4,738,964 0 440,664
IDA SUSANA
29 28-10-1964/575743562017000 0 3,872,000 185,000 0 72,420 0 0
196410281987032005/110808 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798011/IIIC 1 0 185,000 80 4,129,500 0 394,200
SUHARTININGSIH
30 12-02-1974/null 1 3,315,900 185,000 0 289,680 0 0
197402122006042031/165577 2 331,590 0 0 0 378,012 7,000 3,869,800
PNS/000008/IIIC 4 132,636 185,000 6 4,254,812 0 385,012
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Page 782 of 952
NO STW
AULIA WIRASTUTI
31 16-01-1983/348450453412000 1 2,839,700 0 0 289,680 0 0
198301162011012007/180226 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820103/IIIC 4 113,588 0 87 4,277,025 0 330,725
PRIMA SETIAWAN
32 09-07-1985/348539073429000 1 2,839,700 0 0 144,840 0 0
198507092011011014/181021 0 283,970 0 750,000 0 312,367 7,000 3,699,200
PNS/820123/IIIC 2 0 0 57 4,018,567 0 319,367
ZAHNIAR
33 09-08-1977/891625980104000 1 3,021,300 185,000 0 144,840 0 0
197708092010012001/189860 1 0 0 0 0 308,172 7,000 3,096,400
PNS/798981/IIIC 2 60,426 185,000 6 3,411,572 0 315,172
POSMA IDA MANALU

34 10-12-1962/575743539005000 1 3,753,800 0 0 144,840 0 0
196212101991032003/115933 0 375,380 0 265,000 0 412,918 7,000 4,119,200
PNS/820313/IIIC 2 0 0 98 4,539,118 0 419,918
SRI HARYANI
35 16-12-1968/575743620432000 1 3,753,800 0 0 72,420 0 0
196812161989022001/115633 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820312/IIIC 1 0 0 60 4,326,280 0 382,380
ROMINAR NAINGGOLAN
36 01-09-1966/784259368432000 1 3,753,800 0 0 217,260 0 0
196609011989032007/122758 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
21/12/2016

Page 783 of 952
NO STW
SRI SUSILOWATI
37 01-10-1969/695106815005000 1 3,753,800 0 0 217,260 0 0
196910011989032005/122795 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820341/IIIC 3 75,076 0 9 4,921,525 0 427,425
SITI HARINI
38 18-07-1971/774244909009000 1 3,528,100 0 0 289,680 0 0
197107181992022001/123235 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
INDRA YOSEFERNIS
39 05-08-1971/254754740412000 1 3,528,100 0 0 72,420 0 0
197108051992021002/125500 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
ATMALINDA
40 19-05-1972/575743653412000 1 3,528,100 0 0 217,260 0 0
197205191992032004/125561 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820341/IIIC 3 70,562 0 15 4,668,747 0 402,147
YUSNIAR SAFRIDA
41 05-07-1967/575743596009000 1 3,639,200 0 0 72,420 0 0
196707051990032006/128514 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820131/IIIC 1 0 0 0 4,211,620 0 370,920
RAYA EMELINA
42 31-12-1969/575743638061000 1 3,528,100 0 0 72,420 0 0
196912311993032012/165421 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
21/12/2016

Page 784 of 952
NO STW
ADITYA APSARA
43 10-11-1984/261965446002000 1 2,641,200 185,000 0 72,420 0 0
198411102014031001/183543 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DIAH PALUPI HANDAYANI

44 03-10-1988/547414680009000 0 2,641,200 185,000 0 72,420 0 0
198810032014032002/183591 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DIPO MAS SUYUDI

45 09-09-1987/553237447432000 0 2,641,200 185,000 0 72,420 0 0
198709092014031002/183597 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
DELIMAWATI SIMAMORA
46 03-08-1972/094656667005001 1 3,281,500 0 0 289,680 0 0
197208031997032002/124394 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820325/IIIB 4 131,260 0 1 4,295,591 0 381,091
CITRA AYU PRABAWATI

47 03-02-1980/492743380085999 1 2,990,000 185,000 0 289,680 0 0
198002032006042015/164847 2 299,000 0 0 0 340,860 7,000 3,535,500
PNS/798011/IIIB 4 119,600 185,000 80 3,883,360 0 347,860
MEDIAN DECARDO SILOU

48 25-08-1984/346074453432000 0 2,810,200 0 0 72,420 0 0
198408252010011018/178444 0 0 0 325,000 0 281,020 7,000 2,919,600
PNS/820107/IIIB 1 0 0 0 3,207,620 0 288,020
21/12/2016

Page 785 of 952
NO STW
WAKHIDAH LILLIANA
49 07-05-1980/690408000009000 0 2,810,200 0 0 72,420 0 0
198005072010012024/178827 0 0 0 325,000 0 281,020 7,000 2,919,600
PNS/820107/IIIB 1 0 0 0 3,207,620 0 288,020
MELDA LAMTIUR
50 01-05-1982/256381401001000 1 2,810,200 0 0 289,680 0 0
198205012010012028/178842 2 281,020 0 325,000 0 320,362 7,000 3,491,000
PNS/820107/IIIB 4 112,408 0 54 3,818,362 0 327,362
DELA AMELIA
51 10-12-1979/675656771005000 1 2,724,400 185,000 0 289,680 0 0
197912102011012007/181234 2 272,440 0 0 0 310,581 7,000 3,263,000
PNS/798012/IIIB 4 108,976 185,000 85 3,580,581 0 317,581
META NOVIANTA
52 25-11-1980/363512625000500 1 2,724,400 0 0 289,680 0 0
198011252011012009/181260 2 272,440 0 325,000 0 310,581 7,000 3,403,000
PNS/820607/IIIB 4 108,976 0 85 3,720,581 0 317,581
ROSMINI
53 23-04-1965/575743729435000 1 3,384,900 0 0 144,840 0 0
196504231996032001/121726 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820354/IIIB 2 0 0 9 4,133,239 0 379,339
RIMBUN MERINTAN
54 04-09-1970/695107367009000 1 3,281,500 0 0 289,680 0 0
197009041998032005/125778 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
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Page 786 of 952
NO STW
IKHLAS
55 18-08-1973/245488598407000 1 3,281,500 0 0 289,680 0 0
197308181997031002/128473 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
MURSIDA
56 02-04-1973/775835952406000 1 3,384,900 0 0 289,680 0 0
197304021993022003/183007 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
HASNA TAHAR
57 15-01-1961/575743703005000 1 3,831,900 185,000 0 144,840 0 0
196101151984021001/083345 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798012/IIIB 2 0 185,000 79 4,545,009 0 428,509
MANUR SITORUS
58 06-11-1961/774253918005000 1 3,831,900 185,000 0 144,840 0 0
196111061984032005/083371 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
SAIDA SIAGIAN
59 15-05-1962/774253389005000 1 3,831,900 185,000 0 144,840 0 0
196205151987032003/110399 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
PUDENSIANA
60 19-05-1966/694807157005000 1 3,714,900 185,000 0 72,420 0 0
196605191987032002/110664 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
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Page 787 of 952
NO STW
SITI LESTARI
61 14-07-1966/774290894005000 1 3,714,900 185,000 0 289,680 0 0
196607141987032003/110706 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
DARMONO
62 18-02-1965/575743570009000 1 3,601,400 185,000 0 217,260 0 0
196502181989031003/113813 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
ROSMAN JAUHAR ARIFIN

63 16-04-1967/691024988009000 1 3,601,400 185,000 0 289,680 0 0
196704161989031005/113828 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798022/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
IDA FARIDA
64 23-09-1968/774305718412000 1 3,491,500 0 0 72,420 0 0
196809231991032006/116247 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820313/IIIB 1 0 0 30 3,828,950 0 356,150
RIES MAYNA
65 28-05-1969/259502805005000 1 3,491,500 0 0 144,840 0 0
196905281991032004/116404 0 349,150 0 265,000 0 384,065 7,000 3,859,500
PNS/820313/IIIB 2 0 0 75 4,250,565 0 391,065
KELARA SINURAT
66 14-06-1965/774264485009000 1 3,491,500 0 0 289,680 0 0
196506141991032005/117973 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820132/IIIB 4 139,660 0 41 4,535,031 0 405,031
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Page 788 of 952
NO STW
AGUSTINA GULTOM
67 24-08-1974/575785357005000 1 3,281,500 0 0 289,680 0 0
197408241995032003/119006 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/830224/IIIB 4 131,260 0 1 4,295,591 0 381,091
INTARTI SARI
68 26-07-1974/575785456009000 0 3,281,500 0 0 72,420 0 0
197407261995032003/120201 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
AI ETTY SUMARYATI
69 14-08-1963/575743547005000 1 3,714,900 185,000 0 72,420 0 0
196308141986032011/122790 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
LINDA MEIRIANY
70 05-05-1962/770148252432000 1 3,952,600 0 0 144,840 0 0
196205051983032017/125559 0 395,260 0 500,000 0 434,786 7,000 4,551,000
PNS/820341/IIIB 2 0 0 86 4,992,786 0 441,786
TUTI SUPRIHATININGSIH
71 07-04-1966/575743505009000 1 3,714,900 185,000 0 289,680 0 0
196604071986032006/125854 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
DORCE PANGGULA
72 28-05-1967/699483368009000 1 3,601,400 0 0 72,420 0 0
196705281990032003/157963 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820313/IIIB 1 0 0 20 3,938,840 0 367,140
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Page 789 of 952
NO STW
ISTIQOMAH
73 22-03-1976/575785407009000 1 3,181,300 0 0 72,420 0 0
197603221996032002/162705 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820622/IIIB 1 0 0 10 3,518,730 0 325,130
RITA NIRMAYA DEWI

74 14-12-1966/571578154213009 1 3,148,300 185,000 0 72,420 0 0
196612141994032002/118530 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798012/IIIA 1 0 185,000 10 3,405,730 0 321,830
MARIA ANDRIANA PUDJIATI

75 05-10-1960/571541697005000 1 3,247,500 0 0 217,260 0 0
196010051993032002/158518 1 324,750 0 265,000 0 363,720 7,000 3,748,800
PNS/820342/IIIA 3 64,950 0 60 4,119,520 0 370,720
ERNITAWATI
76 21-12-1969/893648543403000 1 3,247,500 0 0 289,680 0 0
196912211995032002/162187 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820313/IIIA 4 129,900 0 85 4,256,915 0 377,215
DWI YULIYANTI
77 08-07-1976/691024996009000 1 3,052,200 0 0 289,680 0 0
197607081997032002/123412 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
YETI UTAMI DEWI

78 30-05-1979/672340114009000 1 2,781,100 0 0 144,840 0 0
197905302005022006/165436 1 0 0 265,000 0 283,672 7,000 2,955,900
PNS/820313/IIIA 2 55,622 0 10 3,246,572 0 290,672
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Page 790 of 952
NO STW
RR.SRI MARYATUN
79 07-09-1972/575785399004000 1 3,455,300 185,000 0 72,420 0 0
197209071994022001/168871 0 0 0 0 0 345,530 7,000 3,360,200
PNS/798022/IIIA 1 0 185,000 10 3,712,730 0 352,530
NANA SITI HASUNAH

80 21-11-1969/245231824009000 1 3,349,800 0 0 217,260 0 0
196911211990032004/114606 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820313/IIIA 3 66,996 0 41 4,234,077 0 382,177
SASI LUSIANA S
81 03-08-1968/699418322009000 1 3,349,800 0 0 72,420 0 0
196808031991032008/117183 0 0 0 240,000 0 334,980 7,000 3,320,300
PNS/820314/IIIA 1 0 0 60 3,662,280 0 341,980
ETI JUMIATI
82 01-12-1967/695106823017000 1 3,148,300 0 0 217,260 0 0
196712011995032003/122783 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820313/IIIA 3 62,966 0 53 4,008,409 0 359,609
DOSMAULI S
83 02-06-1976/350428884005000 1 3,052,200 0 0 289,680 0 0
197606021997032004/123333 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820622/IIIA 4 122,088 0 62 4,034,250 0 354,950
ABDUL CHOIR
84 17-08-1974/699418380009000 1 3,148,300 0 0 289,680 0 0
197408171995031005/123397 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820313/IIIA 4 125,932 0 64 4,143,806 0 365,906
21/12/2016

Page 791 of 952
NO STW
MAELON NAPITUPULU
85 02-04-1972/699524211005000 1 3,052,200 0 0 217,260 0 0
197204021996031002/125206 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
NURBAYA ARITONANG
86 01-05-1972/292214152003000 1 3,349,800 0 0 217,260 0 0
197205011992032005/125573 1 334,980 0 265,000 0 375,177 7,000 3,851,900
PNS/820342/IIIA 3 66,996 0 41 4,234,077 0 382,177
KASWATI
87 08-06-1972/183645654005000 1 3,247,500 0 0 289,680 0 0
197206081993032009/125673 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820342/IIIA 4 129,900 0 85 4,256,915 0 377,215
HASRUL
88 28-11-1974/254822687436000 1 2,959,000 0 0 289,680 0 0
197411281998031002/125773 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820325/IIIA 4 118,360 0 86 3,928,026 0 344,326
ENDAH NOVAYANTI
89 19-11-1969/575785431009000 1 2,959,000 0 0 72,420 0 0
196911191998032004/125774 0 0 0 265,000 0 295,900 7,000 2,993,600
PNS/820132/IIIA 1 0 0 80 3,296,500 0 302,900
SRI SUYATMI
90 07-04-1974/243603610009000 1 3,052,200 0 0 289,680 0 0
197404071997032005/158031 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
21/12/2016

Page 792 of 952
NO STW
DWI ROSILOWATI
91 11-07-1970/577721913009000 0 3,213,800 0 0 72,420 0 0
197007111993032005/125361 0 0 0 240,000 0 321,380 5,000 3,199,900
PNS/820314/IID 1 0 0 60 3,526,280 0 326,380
DADANG SUHERMAWAN
92 02-07-1975/693016057407000 0 2,838,900 0 0 72,420 0 0
197507022007011017/168519 0 0 0 240,000 0 283,890 5,000 2,862,500
PNS/820455/IID 1 0 0 70 3,151,390 0 288,890
NUR ALIMA AMELIA

93 17-01-1985/490929999005000 1 2,507,800 0 0 289,680 0 0
198501172010012024/177747 2 250,780 0 240,000 0 285,889 5,000 3,097,700
PNS/820343/IID 4 100,312 0 17 3,388,589 0 290,889
MIA HARYANTO
94 26-05-1988/095733689042000 1 2,507,800 0 0 72,420 0 0
198805262010012013/178975 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
LUNGGUH EKA TRIANI

95 12-11-1986/881034664009000 0 2,431,200 0 0 72,420 0 0
198611122011012013/180891 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
MAIYE CAROLINA
96 23-08-1982/680014495009000 1 2,431,200 0 0 72,420 0 0
198208232011012011/180949 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
21/12/2016

Page 793 of 952
NO STW
TRI SUGI WIDIASTUTI
97 28-03-1983/670111699005000 1 2,431,200 0 0 217,260 0 0
198303282011012020/181201 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
RENNY FITRIYANI
98 10-06-1984/572969194009000 0 2,431,200 0 0 72,420 0 0
198406102011012030/181425 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
BERNADETTA SRI UTAMI

99 28-03-1963/575743711024000 0 3,315,100 180,000 0 72,420 0 0
196303281989032002/113809 0 0 0 0 0 331,510 5,000 3,231,100
PNS/798011/IID 1 0 180,000 90 3,567,610 0 336,510
HAIDAR
100 02-02-1963/697152049404000 1 3,020,600 180,000 0 289,680 0 0
196302021994031007/120860 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798022/IID 4 120,824 180,000 84 3,913,248 0 349,348
MARLON SIANIPAR
101 10-02-1968/774281703009000 1 3,115,700 0 0 217,260 0 0
196802101993031006/122750 1 311,570 0 240,000 0 348,958 5,000 3,592,900
PNS/860116/IID 3 62,314 0 14 3,946,858 0 353,958
FAIZAH HIHAMZAH
102 06-11-1972/575785449009000 0 3,115,700 0 0 72,420 0 0
197211061993012001/125657 0 0 0 265,000 0 311,570 5,000 3,136,600
PNS/820342/IID 1 0 0 50 3,453,170 0 316,570
21/12/2016

Page 794 of 952
NO STW
JUNITA FAIZAH M.
103 19-06-1975/694803958403000 1 3,020,600 0 0 217,260 0 0
197506191994032002/162760 2 0 0 240,000 0 314,142 5,000 3,279,600
PNS/820343/IID 3 120,824 0 58 3,598,742 0 319,142
IRSAN SURYA KABAN

104 07-05-1991/709929079412000 0 2,261,300 180,000 0 72,420 0 0
199105072014031006/183936 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
PUTRI ARIANI HASTIKA

105 24-10-1993/703979518412000 0 2,261,300 180,000 0 72,420 0 0
199310242014032001/184105 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RENI PUSPITA SARI

106 31-03-1983/363419433009000 1 2,332,500 0 0 217,260 0 0
198303312011012011/180936 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
NURDIANTI
107 21-11-1988/363415571407000 1 2,332,500 0 0 217,260 0 0
198811212011012019/180947 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
YUHANI
108 25-12-1968/259501716009000 0 3,051,400 180,000 0 289,680 0 0
196812251989032005/114134 2 305,140 0 0 0 347,859 5,000 3,595,500
PNS/798012/IIB 4 122,056 180,000 83 3,948,359 0 352,859
21/12/2016

Page 795 of 952
NO STW
SELLA
109 10-08-1985/447486606002000 1 2,381,100 180,000 0 144,840 0 0
198508102007012003/168821 0 238,110 0 0 0 261,921 5,000 2,677,200
PNS/798022/IIB 2 0 180,000 71 2,944,121 0 266,921
376,429,600 4,780,000 1,520,000 18,684,360 0 0

TOTAL 24,194,400 0 37,290,000 0 40,594,391 755,000 426,874,600
5,320,104 4,780,000 5,527 468,223,991 0 41,349,391
JAKARTA,
MENGETAHUI
21/12/2016

Page 796 of 952
UKPD: RUMAH SAKIT UMUM KELAS D KRAMAT JATI
NO STW
PURBO ANTARSIH
1 21-09-1961/065984346403999 1 4,475,700 0 980,000 144,840 0 0
196109211988032002/121063 0 447,570 0 0 0 492,327 10,000 5,545,800
PNS/000000/IVA 2 0 0 17 6,048,127 0 502,327
ELIZA RACHMI
2 29-01-1965/672296456009000 1 4,206,500 0 540,000 217,260 0 0
196501291989122001/119088 1 420,650 0 0 0 471,128 10,000 4,987,500
PNS/700100/IVA 3 84,130 0 88 5,468,628 0 481,128
ANI BARKAH
3 04-11-1966/782058176301000 1 3,350,600 0 540,000 72,420 0 0
196611042006042005/182565 0 0 0 0 0 335,060 7,000 3,621,000
PNS/700200/IIID 1 0 0 40 3,963,060 0 342,060
PUJIWATI
4 01-11-1965/672094711009000 1 3,912,600 0 540,000 72,420 0 0
196511011988012001/115474 0 0 0 0 0 391,260 7,000 4,126,800
PNS/500100/IIID 1 0 0 40 4,525,060 0 398,260
HELMA MURAD
5 26-06-1957/694803966412000 1 5,015,400 0 0 72,420 0 0
195705261984102001/123119 0 0 0 1,200,000 0 501,540 10,000 5,776,300
PNS/820602/IVC 1 0 0 20 6,287,840 0 511,540
BAMBANG ROESGIANTO
6 17-10-1959/359973377002000 1 4,616,600 0 0 72,420 0 0
195910171986021002/113346 0 0 0 1,200,000 0 461,660 10,000 5,417,400
PNS/820602/IVA 1 0 0 40 5,889,060 0 471,660
21/12/2016

Page 797 of 952
NO STW
SUMIANI
7 21-08-1957/683179253005000 0 4,339,000 0 0 144,840 0 0
195708211989012001/131050 1 0 0 1,200,000 0 442,578 10,000 5,318,100
PNS/820602/IVA 2 86,780 0 58 5,770,678 0 452,578
HOTMA DUMARIS
8 16-06-1971/676598287005000 1 3,715,800 0 0 72,420 0 0
197106162002122003/165185 0 0 0 1,200,000 0 371,580 10,000 4,606,700
PNS/820102/IVA 1 0 0 60 4,988,280 0 381,580
NURUL FADLI
9 25-02-1971/575743513017000 1 3,456,200 0 0 217,260 0 0
197102252006042024/165610 1 345,620 0 750,000 0 387,094 7,000 4,444,200
PNS/820103/IIID 3 69,124 0 90 4,838,294 0 394,094
MERDINA MANIK
10 19-02-1974/689551406009000 1 3,565,000 0 0 72,420 0 0
197402192002122003/167987 0 0 0 750,000 0 356,500 7,000 4,024,000
PNS/820103/IIID 1 0 0 80 4,387,500 0 363,500
RR NOOR ASTUTI
11 13-04-1960/575743372009000 1 4,429,300 0 0 72,420 0 0
196004131981032004/072289 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
LAILY RACHMAWATI
12 30-05-1983/349170720432000 0 2,929,100 0 0 72,420 0 0
198305302010012023/178778 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
21/12/2016

Page 798 of 952
NO STW
RAKHMI FATHARANI
13 13-06-1974/575785381009000 1 3,420,300 185,000 0 289,680 0 0
197406131998032004/125779 2 342,030 0 0 0 389,914 7,000 3,977,000
PNS/798011/IIIC 4 136,812 185,000 92 4,373,914 0 396,914
ESNI PAKPAHAN
14 18-08-1969/247124597005000 1 3,420,300 185,000 0 217,260 0 0
196908181994032005/120264 2 0 0 0 0 355,711 7,000 3,596,700
PNS/798011/IIIC 3 136,812 185,000 39 3,959,411 0 362,711
RUDATIN
15 11-08-1971/774154272407000 1 3,639,200 0 0 144,840 0 0
197108111991032002/123218 0 363,920 0 265,000 0 400,312 7,000 4,005,700
PNS/820342/IIIC 2 0 0 52 4,413,012 0 407,312
MARIAMIH
16 15-10-1972/575743679009000 1 3,639,200 0 0 289,680 0 0
197210151991032001/125112 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820341/IIIC 4 145,568 0 0 4,938,368 0 421,868
NOLCE KAPISA
17 12-11-1962/183658954005000 1 3,872,000 0 0 144,840 0 0
196211121987012002/125360 0 387,200 0 265,000 0 425,920 7,000 4,236,200
PNS/820325/IIIC 2 0 0 80 4,669,120 0 432,920
ASRINA VERANITA
18 02-04-1985/356543504003000 1 2,641,200 185,000 0 72,420 0 0
198504022014032002/183567 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
21/12/2016

Page 799 of 952
NO STW
KHORIATUL JANAH
19 03-01-1971/575785332009000 1 3,281,500 0 0 289,680 0 0
197101031994032004/128471 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
SITI JAMILAH
20 12-06-1975/254776701034000 0 3,181,300 0 0 72,420 0 0
197506121996032003/121706 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
MAMAY ROSMAYANI
21 30-09-1970/575743745412000 1 3,384,900 0 0 217,260 0 0
197009201992012001/125632 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820342/IIIB 3 67,698 0 60 4,273,408 0 386,108
JULINDA FRANSISCA
22 06-07-1974/893169813005000 1 2,868,700 0 0 217,260 0 0
197407062006042027/165757 1 286,870 0 265,000 0 321,294 7,000 3,367,000
PNS/820313/IIIA 3 57,374 0 90 3,695,294 0 328,294
NURAINI
23 14-02-1973/245395835009000 0 3,052,200 0 0 217,260 0 0
197302141996032002/121125 2 0 0 265,000 0 317,428 7,000 3,332,200
PNS/820313/IIIA 3 122,088 0 80 3,656,628 0 324,428
MEILA NUR AFANI

24 20-05-1988/363391715009000 1 2,431,200 180,000 0 217,260 0 0
198805202011012019/181216 1 243,120 0 0 0 272,294 5,000 2,843,000
PNS/798011/IID 3 48,624 180,000 90 3,120,294 0 277,294
21/12/2016

Page 800 of 952
NO STW
MIRA DWI ASTUTI
25 16-05-1982/695106666009000 1 2,431,200 0 0 144,840 0 0
198205162011012015/181217 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
RINNA MEHA
26 07-05-1979/545425092009000 1 2,507,800 180,000 0 72,420 0 0
197905072010012010/185536 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798022/IID 1 0 180,000 60 2,760,280 0 255,780
TRI MARTINI
27 03-03-1980/893168286942000 0 2,431,200 180,000 0 217,260 0 0
198003032011012002/189124 2 0 0 0 0 252,844 5,000 2,667,900
PNS/798022/IID 3 97,248 180,000 36 2,925,744 0 257,844
SRI JAYANTI JAMAL

28 12-02-1987/null 1 2,431,200 180,000 0 72,420 0 0
198702122011012021/189857 0 0 0 0 0 243,120 5,000 2,435,500
PNS/798981/IID 1 0 180,000 0 2,683,620 0 248,120
ROBERT SIAHAAN
29 14-09-1972/572166387017000 1 2,928,300 0 0 289,680 0 0
197209141997031007/124899 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
R. HAERUROHMAH
30 15-06-1981/361269434453000 0 2,752,300 0 0 72,420 0 0
198106152007012013/168497 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820343/IID 1 0 0 10 3,064,730 0 280,230
21/12/2016

Page 801 of 952
NO STW
NENI PRIHATININGSIH
31 22-12-1981/695144998009000 1 2,752,300 0 0 217,260 0 0
198112222007012014/168780 1 275,230 0 240,000 0 308,257 5,000 3,226,600
PNS/820343/IID 3 55,046 0 21 3,539,857 0 313,257
EKO RISDIANTO
32 27-06-1979/747205201006000 1 2,640,600 180,000 0 217,260 0 0
197906272008011023/176736 1 264,060 0 0 0 295,747 5,000 3,054,000
PNS/798022/IIC 3 52,812 180,000 15 3,354,747 0 300,747
RENY OKTARIANA
33 23-10-1990/703565994001000 0 2,261,300 180,000 0 72,420 0 0
199010232014032002/184130 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798011/IIC 1 0 180,000 10 2,513,730 0 231,130
TORANGSO SAGALA
34 08-01-1986/883374365432000 0 2,332,500 0 0 72,420 0 0
198601082011011010/181853 0 0 0 240,000 0 233,250 5,000 2,406,700
PNS/820314/IIC 1 0 0 30 2,644,950 0 238,250
DADANG MULYANA
35 14-02-1961/695144329412000 1 2,898,000 0 0 144,840 0 0
196102141997031001/123417 0 289,800 0 1,150,000 0 318,780 5,000 4,158,900
PNS/900911/IIC 2 0 0 40 4,482,680 0 323,780
ANNA MARIA RETNO

36 11-08-1987/893892471005000 1 2,406,000 0 0 289,680 0 0
198708112010012021/178963 2 240,600 0 240,000 0 274,284 5,000 2,993,300
PNS/820343/IIC 4 96,240 0 64 3,272,584 0 279,284
21/12/2016

Page 802 of 952
NO STW
117,616,500 1,635,000 2,600,000 5,576,340 0 0
TOTAL 5,473,180 0 12,495,000 0 12,459,437 244,000 134,199,000
1,504,748 1,635,000 1,669 146,902,437 0 12,703,437
JAKARTA,
MENGETAHUI
21/12/2016

Page 803 of 952
UKPD: PUSKESMAS KEL.CAWANG KEC.KRAMAT JATI
NO STW
ERMA SARWATI
1 07-07-1967/774259543002000 1 4,569,900 0 0 72,420 0 0
196707071992122001/162903 0 0 0 1,200,000 0 456,990 10,000 5,375,400
PNS/820602/IVC 1 0 0 70 5,842,390 0 466,990
4,569,900 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 456,990 10,000 5,375,400
0 0 70 5,842,390 0 466,990
JAKARTA,
MENGETAHUI
21/12/2016

Page 804 of 952
UKPD: PUSKESMAS KEL.TENGAH KEC.KARAMATJATI
NO STW
JESSICA HANNA P
1 19-03-1966/575743430432000 1 4,078,100 0 0 144,840 0 0
196603191994032002/120775 0 407,810 0 1,200,000 0 448,591 10,000 5,372,200
PNS/820602/IVA 2 0 0 41 5,830,791 0 458,591
LISDAYANTI
2 21-11-1972/774154264028000 1 3,315,900 0 0 72,420 0 0
197211212002122006/165101 0 0 0 0 0 331,590 7,000 3,049,800
PNS/000008/IIIC 1 0 0 70 3,388,390 0 338,590
7,394,000 0 0 217,260 0 0
TOTAL 407,810 0 1,200,000 0 780,181 17,000 8,422,000
0 0 111 9,219,181 0 797,181
JAKARTA,
MENGETAHUI
21/12/2016

Page 805 of 952
UKPD: PUSKESMAS KELURAHAN DUKUH KEC.KRAMATJATI
NO STW
ELVIENA TAUVANI
1 07-02-1968/575743604072000 0 3,793,100 0 0 217,260 0 0
196802071998032002/162658 2 0 0 750,000 0 394,482 7,000 4,510,700
PNS/820603/IIID 3 151,724 0 98 4,912,182 0 401,482
3,793,100 0 0 217,260 0 0
TOTAL 0 0 750,000 0 394,482 7,000 4,510,700
151,724 0 98 4,912,182 0 401,482
JAKARTA,
MENGETAHUI
21/12/2016

Page 806 of 952
UKPD: PUSKESMAS KEL.BATUAMPAR KEC.KRAMAT JATI
NO STW
KUNNEGONDA MERCEDES
1 17-04-1961/254698368412000 1 3,420,300 0 0 289,680 0 0
196104172007012003/168403 2 342,030 0 750,000 0 389,914 7,000 4,542,000
PNS/820103/IIIC 4 136,812 0 92 4,938,914 0 396,914
3,420,300 0 0 289,680 0 0
TOTAL 342,030 0 750,000 0 389,914 7,000 4,542,000
136,812 0 92 4,938,914 0 396,914
JAKARTA,
MENGETAHUI
21/12/2016

Page 807 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KEC.PASAR REBO
NO STW
MARYATI KASIMAN
1 31-03-1978/488573296085000 1 3,248,300 0 980,000 289,680 0 0
197803312006042007/164880 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
YOSERIZAL
2 01-10-1967/094728987005000 1 4,035,800 0 540,000 217,260 0 0
196710011987031002/110722 1 403,580 0 0 0 452,009 7,000 4,818,400
PNS/500100/IIID 3 80,716 0 53 5,277,409 0 459,009
SALMA HIDAYAT
3 13-09-1964/675717516432000 1 4,250,600 0 0 144,840 0 0
196409131993032003/125236 0 425,060 0 1,200,000 0 467,566 10,000 5,543,000
PNS/820122/IVB 2 0 0 66 6,020,566 0 477,566
INTAN NUR TJAHAJANI

4 22-09-1960/675721906009000 0 4,811,900 0 0 72,420 0 0
196009221986102001/125334 0 0 0 1,200,000 0 481,190 10,000 5,593,200
PNS/820102/IVB 1 0 0 70 6,084,390 0 491,190
RUSMIATI SIDABUTAR
5 27-02-1967/254368269009000 1 4,250,600 0 0 289,680 0 0
196702271993122001/125357 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
SANDRA MUTIA H
6 11-10-1959/341479517412000 1 4,616,600 0 0 217,260 0 0
195910111986112004/122689 1 461,660 0 1,200,000 0 517,059 10,000 6,060,800
PNS/820602/IVA 3 92,332 0 7 6,587,859 0 527,059
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RATIH SULISTYO LESTARI
7 07-07-1967/180182958009000 1 4,078,100 190,000 0 217,260 0 0
196707071993122001/161669 1 407,810 0 0 0 456,747 10,000 4,508,000
PNS/798011/IVA 3 81,562 190,000 15 4,974,747 0 466,747
SAHIYATUN NAWIYAH
8 17-12-1971/245779673009000 1 3,602,400 0 0 72,420 0 0
197112172002122004/165155 0 0 0 1,200,000 0 360,240 10,000 4,504,600
PNS/820102/IVA 1 0 0 20 4,874,840 0 370,240
ENOK SOPIAH
9 25-01-1962/349559807001000 0 4,339,000 0 0 72,420 0 0
196201251984092001/125677 0 0 0 850,000 0 433,900 10,000 4,817,600
PNS/820306/IVA 1 0 0 80 5,261,500 0 443,900
SURYANAH
10 10-12-1958/672061041009000 1 4,475,700 0 0 72,420 0 0
195812101983032012/011054 0 0 0 500,000 0 447,570 10,000 4,590,600
PNS/820341/IVA 1 0 0 50 5,048,170 0 457,570
MUHAMMAD SARJONO
11 05-07-1962/676572506009000 1 4,162,900 0 0 289,680 0 0
196207051984031009/083562 2 416,290 0 500,000 0 474,570 7,000 5,053,900
PNS/820312/IIID 4 166,516 0 84 5,535,470 0 481,570
SRI ROHINTEN
12 25-09-1961/698834793412000 1 4,162,900 0 0 72,420 0 0
196109251987032001/122749 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820312/IIID 1 0 0 70 4,735,390 0 423,290
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LATIFAH
13 16-12-1974/676572548017000 1 3,456,200 0 0 289,680 0 0
197412162005022002/165752 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
EVI ROSA VIOLETTA S

14 03-03-1969/247510548002000 1 3,456,200 0 0 289,680 0 0
196903032008012025/171769 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
YENI SETYO HERWANTI

15 15-04-1980/598384782603000 1 3,248,300 0 0 72,420 0 0
198004152006042028/174763 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
SITI UMAROH
16 01-10-1959/676572407009000 1 4,162,900 0 0 217,260 0 0
195910011985022001/075570 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820341/IIID 3 83,258 0 36 5,379,744 0 473,244
FATMAWATI
17 07-08-1966/244021028009000 0 4,035,800 0 0 72,420 0 0
196608071987032007/110694 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820341/IIID 1 0 0 60 4,608,280 0 410,580
NENENG SUHARTATI
18 11-02-1963/774314314009000 1 4,035,800 0 0 72,420 0 0
196302111986032004/110802 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820621/IIID 1 0 0 60 4,608,280 0 410,580
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SITI SUNINGSIH
19 05-05-1959/774243042009000 1 4,429,300 0 0 72,420 0 0
195905051981012002/118987 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
ERMALA
20 24-03-1959/691228852009000 1 4,429,300 0 0 144,840 0 0
195903241981032009/120638 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/830223/IIID 2 0 0 53 5,517,123 0 494,223
SITI WAHYUNI
21 10-08-1966/685464794009000 1 3,793,100 0 0 144,840 0 0
196608101989032004/122725 0 379,310 0 500,000 0 417,241 7,000 4,393,100
PNS/820312/IIID 2 0 0 91 4,817,341 0 424,241
NI KETUT WARTINI
22 10-04-1959/676572530412000 1 4,294,000 0 0 72,420 0 0
195904101982112001/122830 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820621/IIID 1 0 0 80 4,866,500 0 436,400
HAERANI SAPITRI
23 23-03-1963/244889812412001 1 4,568,800 0 0 72,420 0 0
196303231983032011/122831 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
BETY PRIMADEWI
24 12-01-1968/672342250009000 1 3,912,600 0 0 72,420 0 0
196801121988122001/122864 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
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SURIANI
25 02-03-1967/null 1 3,912,600 0 0 72,420 0 0
196703021989032009/122973 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820131/IIID 1 0 0 40 4,485,060 0 398,260
N SUSY KUSTINI
26 27-08-1963/672342268009000 1 4,162,900 0 0 289,680 0 0
196308271984122001/123087 2 416,290 0 500,000 0 474,570 7,000 5,053,900
PNS/820312/IIID 4 166,516 0 84 5,535,470 0 481,570
LISBETH KEOPATRA SIRAIT

27 15-07-1970/672097375006000 0 3,639,200 0 0 289,680 0 0
197007151994032007/118693 2 363,920 0 600,000 0 414,868 7,000 4,616,500
PNS/820322/IIIC 4 145,568 0 0 5,038,368 0 421,868
RETNO HENDERIAWATI
28 06-05-1978/685464844005000 1 3,116,500 0 0 289,680 0 0
197805062006042007/165039 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820103/IIIC 4 124,660 0 91 4,592,581 0 362,281
SUSMAYANTI
29 31-05-1975/360461123403000 1 3,214,700 0 0 72,420 0 0
197505312006042009/176678 0 0 0 750,000 0 321,470 7,000 3,708,700
PNS/820103/IIIC 1 0 0 50 4,037,170 0 328,470
FITRIA AGUSTANTI
30 14-08-1981/580857068436000 0 2,929,100 0 0 289,680 0 0
198108142010012027/178750 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
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DWI NURLITA
31 05-07-1987/349990457009000 0 2,839,700 0 0 72,420 0 0
198707052011012014/181044 0 0 0 325,000 0 283,970 7,000 2,946,200
PNS/820124/IIIC 1 0 0 50 3,237,170 0 290,970
NURUL NARITA EFFENDIE

32 02-11-1982/363511627432000 1 2,839,700 0 0 72,420 0 0
198211022011012009/181240 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
R ENDANG TARUNA BAKTI

33 03-05-1961/685845420009000 1 3,994,000 0 0 144,840 0 0
196105031982071001/078951 0 399,400 0 500,000 0 439,340 7,000 4,591,900
PNS/820312/IIIC 2 0 0 0 5,038,240 0 446,340
IDA PINTAULI
34 14-01-1963/672313236009000 1 3,639,200 0 0 144,840 0 0
196301141994032002/118582 1 0 0 500,000 0 371,198 7,000 3,978,700
PNS/820312/IIIC 2 72,784 0 74 4,356,898 0 378,198
HARYADI
35 24-01-1966/676593965009000 1 3,872,000 0 0 217,260 0 0
196601241989031005/120721 1 387,200 0 500,000 0 433,664 7,000 4,613,300
PNS/820312/IIIC 3 77,440 0 64 5,053,964 0 440,664
NANCY LESTARI
36 22-04-1970/67,5722789_412000 0 3,528,100 0 0 72,420 0 0
197004221996032002/121087 0 0 0 265,000 0 352,810 7,000 3,505,800
PNS/820325/IIIC 1 0 0 90 3,865,610 0 359,810
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ENDANG SUPRIATI
37 07-07-1965/676572696_009000 1 3,872,000 185,000 0 217,260 0 0
196507071986102002/109616 2 0 0 0 0 402,688 7,000 4,019,500
PNS/798012/IIIC 3 154,880 185,000 48 4,429,188 0 409,688
MUALAMI
38 02-03-1967/675716872403000 1 3,872,000 0 0 72,420 0 0
196703021987032006/110701 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
MARDIANAH
39 11-03-1967/676572662009000 1 3,639,200 0 0 289,680 0 0
196703111991032005/116249 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820312/IIIC 4 145,568 0 0 4,938,368 0 421,868
TIORIA SITORUS
40 25-10-1965/685464869009000 1 3,639,200 0 0 289,680 0 0
196510251991032004/116483 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820312/IIIC 4 145,568 0 0 4,938,368 0 421,868
KURNIAWATI KARTIKA
41 30-05-1965/672329356009000 1 3,639,200 0 0 72,420 0 0
196505301991032006/116730 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
ROSMAIDA SITORUS
42 01-05-1959/581607033412000 1 3,639,200 0 0 144,840 0 0
195905011990032001/118035 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820341/IIIC 2 0 0 52 4,648,012 0 407,312
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NINI KUNDARNI
43 15-02-1970/676572415009000 1 3,639,200 0 0 72,420 0 0
197002151990032001/122692 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
DYAH SETYARINI
44 24-05-1971/679015115009000 0 3,639,200 0 0 144,840 0 0
197105241991032004/122724 1 0 0 500,000 0 371,198 7,000 3,978,700
PNS/820341/IIIC 2 72,784 0 74 4,356,898 0 378,198
DJULIYANTI
45 08-07-1968/672313269009000 1 3,639,200 0 0 289,680 0 0
196807081991032005/123485 2 363,920 0 265,000 0 414,868 7,000 4,281,500
PNS/820132/IIIC 4 145,568 0 0 4,703,368 0 421,868
SUTIYATI
46 27-09-1970/678991472009000 1 3,639,200 0 0 72,420 0 0
197009271990032002/123515 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820621/IIIC 1 0 0 0 4,211,620 0 370,920
DESI SULIHING DYAH

47 27-12-1968/676572688_061000 1 3,753,800 0 0 217,260 0 0
196812271990032004/127330 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820341/IIIC 3 75,076 0 9 4,921,525 0 427,425
DWI LISTYORINI
48 09-04-1987/705509701008000 0 2,641,200 185,000 0 72,420 0 0
198704092014032001/183600 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
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FARIDA ARRIYANI
49 04-06-1988/547416370009000 0 2,641,200 185,000 0 72,420 0 0
198806042014032009/183780 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
IDA SYARINA
50 28-04-1976/675709836009000 1 3,181,300 0 0 289,680 0 0
197604281997032003/123411 2 318,130 0 300,000 0 362,668 7,000 3,846,700
PNS/820309/IIIB 4 127,252 0 6 4,216,368 0 369,668
DESSY SUSILOWATI
51 22-12-1975/575785365009000 1 3,281,500 0 0 72,420 0 0
197512221997032003/164598 0 0 0 300,000 0 328,150 7,000 3,318,800
PNS/820309/IIIB 1 0 0 30 3,653,950 0 335,150
DEVI WIRASANTI
52 12-12-1986/893911412005000 1 2,810,200 185,000 0 217,260 0 0
198612122010012042/177514 1 281,020 0 0 0 314,742 7,000 3,228,000
PNS/798012/IIIB 3 56,204 185,000 58 3,549,742 0 321,742
MARYANAH
53 08-03-1966/679017087009000 1 3,714,900 0 0 144,840 0 0
196603081987032006/110895 0 371,490 0 265,000 0 408,639 7,000 4,080,600
PNS/820313/IIIB 2 0 0 9 4,496,239 0 415,639
TITI MARYANI
54 29-03-1971/685464836412000 1 3,281,500 0 0 72,420 0 0
197103291994032004/118643 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820622/IIIB 1 0 0 30 3,618,950 0 335,150
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DARMAWANG
55 31-12-1969/774337562432000 1 3,384,900 0 0 144,840 0 0
196912311993032023/125523 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820313/IIIB 2 0 0 9 4,133,239 0 379,339
TRI SUPRIHATININGSIH
56 23-02-1973/672329331436000 1 3,281,500 0 0 289,680 0 0
197302231998032007/130912 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
CAING
57 04-01-1961/685461881009000 1 3,831,900 185,000 0 144,840 0 0
196101041981031002/071041 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
SARIPIN
58 06-08-1959/678933805009000 1 3,831,900 185,000 0 144,840 0 0
195908061984031005/083379 0 383,190 0 0 0 421,509 7,000 4,116,500
PNS/798022/IIIB 2 0 185,000 79 4,545,009 0 428,509
CICIH HERAWATI
59 20-07-1963/672313244412000 1 3,831,900 185,000 0 217,260 0 0
196507201985032003/087975 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
ISWANTI
60 29-05-1961/485506737005000 1 3,714,900 185,000 0 144,840 0 0
196105291987032003/109856 1 0 0 0 0 378,919 7,000 3,733,200
PNS/798022/IIIB 2 74,298 185,000 81 4,119,119 0 385,919
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PURYANTO
61 02-03-1966/770302859009000 1 3,714,900 185,000 0 217,260 0 0
196303021987031005/110617 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
IRWAN HERMAWAN
62 03-11-1967/676186943412000 1 3,601,400 185,000 0 217,260 0 0
196711031989031003/114229 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
LARAS HIDAYATI
63 12-09-1969/672329349403000 0 3,491,500 0 0 72,420 0 0
196909121991032004/116254 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820313/IIIB 1 0 0 30 3,828,950 0 356,150
DJARMADI
64 09-04-1965/590560256009000 1 3,491,500 185,000 0 217,260 0 0
196504091991031006/116407 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798012/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
DEWI AGNES BR GINTING

65 25-02-1967/675686802403000 1 3,281,500 0 0 72,420 0 0
196702251994102001/119026 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
ESTERLINA BR
66 17-03-1969/695145235412000 1 3,831,900 0 0 217,260 0 0
196903171991032002/122755 1 383,190 0 265,000 0 429,172 7,000 4,337,900
PNS/820342/IIIB 3 76,638 0 84 4,774,072 0 436,172
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MONITA NAPITUPULU
67 09-06-1970/547184705407000 1 3,491,500 0 0 217,260 0 0
197006091991032003/122863 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
AFRIANI
68 08-01-1964/691228860009000 1 3,181,300 0 0 72,420 0 0
196401081997032001/122950 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/830224/IIIB 1 0 0 10 3,518,730 0 325,130
ESMI SARAGIH
69 01-04-1966/260542683009000 0 3,384,900 0 0 72,420 0 0
196604011993032012/123131 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
SRI MULYANA
70 24-12-1963/774245534412000 0 3,281,500 0 0 217,260 0 0
196312241995032001/123431 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820342/IIIB 3 65,630 0 88 4,157,628 0 374,528
SUGIHARTININGSIH
71 15-01-1975/675708879009000 1 3,281,500 0 0 289,680 0 0
197501151995032001/125491 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
SRI SUNDARI
72 28-09-1974/574744074009000 1 3,181,300 0 0 72,420 0 0
197409281996032001/128506 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820354/IIIB 1 0 0 10 3,518,730 0 325,130
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NILAWATI
73 01-06-1973/685464828412000 1 3,384,900 0 0 289,680 0 0
197306011993012001/128511 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
TETTI TIUR PARDEDE

74 20-02-1967/774289490009000 1 3,601,400 0 0 144,840 0 0
196802201989012001/157895 1 0 0 265,000 0 367,342 7,000 3,709,000
PNS/820313/IIIB 2 72,028 0 74 4,083,342 0 374,342
ASWANI HUTABARAT
75 18-10-1972/678688482005000 1 3,384,900 0 0 289,680 0 0
197210181993032011/161750 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
RAULIM SILAEN
76 15-04-1963/672313277009000 1 3,714,900 185,000 0 72,420 0 0
196304151986032006/162659 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
CUT NURFAH
77 31-08-1971/null 1 3,384,900 0 0 72,420 0 0
197108311993022001/162869 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
ADRIANI ZAIN
78 01-01-1979/477637870202000 1 3,084,200 0 0 72,420 0 0
197901011998032002/168900 0 0 0 265,000 0 308,420 7,000 3,106,200
PNS/820313/IIIB 1 0 0 0 3,421,620 0 315,420
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YULIA HASTUTI
79 21-07-1977/676578511436000 1 3,052,200 185,000 0 289,680 0 0
197707211997032002/123314 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
RISMA SITUMORANG
80 29-07-1968/359994613009000 1 3,052,200 0 0 289,680 0 0
196807291997032004/125222 2 305,220 0 300,000 0 347,950 7,000 3,714,300
PNS/820452/IIIA 4 122,088 0 62 4,069,250 0 354,950
IKIN SODIKIN
81 03-06-1972/685464810412000 1 3,052,200 0 0 289,680 0 0
197206031996031003/121061 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
NOVI DIYANTO
82 18-11-1976/676572597009000 1 3,052,200 0 0 289,680 0 0
197611181996031001/121115 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
SIWI HARTATI
83 02-08-1976/676572514009000 1 3,052,200 0 0 289,680 0 0
197608021996032001/122378 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
NOVA ARSEZI
84 06-04-1976/675717300412000 1 3,052,200 0 0 289,680 0 0
197604062000032004/161703 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820354/IIIA 4 122,088 0 62 4,034,250 0 354,950
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HERMIN TRISUNAWATI
85 21-07-1974/683179212412000 1 3,148,300 0 0 72,420 0 0
197407211997032002/162971 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820313/IIIA 1 0 0 10 3,485,730 0 321,830
SITI MUCHAROMAH
86 12-12-1977/770396646009000 1 2,868,700 0 0 144,840 0 0
197712122003122007/171653 1 0 0 265,000 0 292,607 7,000 3,036,400
PNS/820342/IIIA 2 57,374 0 93 3,336,007 0 299,607
SUPRI RAHAYU
87 03-02-1967/686632050017000 1 3,564,100 0 0 72,420 0 0
196702031987032003/110803 0 0 0 265,000 0 356,410 7,000 3,538,200
PNS/820313/IIIA 1 0 0 90 3,901,610 0 363,410
SUS LIANA
88 15-10-1962/675717524009000 1 3,455,300 185,000 0 289,680 0 0
196210151988032006/111179 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
SUTOMO
89 15-05-1968/676572753436000 1 3,247,500 0 0 289,680 0 0
196805151992031008/117617 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820325/IIIA 4 129,900 0 85 4,256,915 0 377,215
ELIDA FLORETINA
90 28-10-1973/664544889404000 1 3,247,500 0 0 289,680 0 0
197301281994032002/118934 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/830224/IIIA 4 129,900 0 85 4,256,915 0 377,215
21/12/2016

Page 822 of 952
NO STW
SRI RAHAYU
91 01-06-1976/452531676009000 1 3,052,200 0 0 289,680 0 0
197606011997032004/122354 2 305,220 0 300,000 0 347,950 7,000 3,714,300
PNS/820309/IIIA 4 122,088 0 62 4,069,250 0 354,950
SUMARNI
92 27-12-1976/675708887412000 1 3,148,300 185,000 0 289,680 0 0
197612271995032001/122379 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798012/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
WIDJI HASTUTI
93 08-12-1976/590562880009000 0 3,052,200 0 0 72,420 0 0
197612091997032002/123341 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820313/IIIA 1 0 0 0 3,389,620 0 312,220
YULISTIANA
94 30-12-1974/575785464009000 0 3,052,200 185,000 0 72,420 0 0
197412301997032002/123359 0 0 0 0 0 305,220 7,000 2,997,400
PNS/798022/IIIA 1 0 185,000 0 3,309,620 0 312,220
SURYANI
95 25-05-1975/774243059436000 1 3,052,200 0 0 289,680 0 0
197505251997032004/123372 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820342/IIIA 4 122,088 0 62 4,034,250 0 354,950
ERNAWATI
96 14-04-1971/774237911412000 1 3,349,800 185,000 0 72,420 0 0
197104141991022001/125237 0 0 0 0 0 334,980 7,000 3,265,300
PNS/798012/IIIA 1 0 185,000 60 3,607,280 0 341,980
21/12/2016

Page 823 of 952
NO STW
SULISTYAWATI
97 07-10-1977/576636807412000 1 2,959,000 0 0 289,680 0 0
197710071998032001/125690 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
HERNI DWI ASIH

98 17-09-1974/245417779412000 1 2,959,000 0 0 289,680 0 0
197409171998032003/125695 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
ERNA DWI HASTUTI

99 30-11-1981/791805666404000 1 2,431,200 0 0 289,680 0 0
198111302011012012/180903 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
YENI SUPIANA
100 06-09-1983/680014900009000 1 2,431,200 0 0 217,260 0 0
198309062011012006/181211 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
LIA WULANDARI
101 22-06-1981/363424854009000 1 2,431,200 0 0 72,420 0 0
198106222011012013/181224 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
FANSA MARTINI
102 13-03-1981/586596498009000 1 2,838,900 0 0 72,420 0 0
198103132011012004/181841 0 0 0 240,000 0 283,890 5,000 2,862,500
PNS/820314/IID 1 0 0 70 3,151,390 0 288,890
21/12/2016

Page 824 of 952
NO STW
EVA RIZKI JAYANTI
103 11-01-1987/702342213009000 1 2,507,800 180,000 0 217,260 0 0
198701112009032002/184491 1 250,780 0 0 0 280,873 5,000 2,920,200
PNS/798012/IID 3 50,156 180,000 77 3,206,073 0 285,873
SITI LESTARI
104 18-03-1975/691171870412000 1 2,507,800 180,000 0 72,420 0 0
197503182009022004/185830 0 0 0 0 0 250,780 5,000 2,504,500
PNS/798022/IID 1 0 180,000 60 2,760,280 0 255,780
NURHAYATI
105 16-08-1974/726397854009000 1 3,020,600 0 0 72,420 0 0
197408162006042015/182808 0 0 0 240,000 0 302,060 5,000 3,026,000
PNS/820343/IID 1 0 0 40 3,333,060 0 307,060
UMMU HANNI
106 25-04-1984/495552150407999 0 2,752,300 0 0 72,420 0 0
198404252007012004/168509 0 0 0 240,000 0 275,230 5,000 2,784,500
PNS/820343/IID 1 0 0 10 3,064,730 0 280,230
RETNOWATI MUAWAN
107 28-10-1985/347728602009000 0 2,507,800 0 0 72,420 0 0
198510282010012047/178966 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
ANITA RIZKI PUTRI

108 28-10-1992/704411990005000 0 2,261,300 180,000 0 72,420 0 0
199210282014032002/183403 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 825 of 952
NO STW
MINDI RAHAYU
109 11-12-1991/703782177005000 1 2,261,300 180,000 0 144,840 0 0
199112112014032001/184013 0 226,130 0 0 0 248,743 5,000 2,558,600
PNS/798022/IIC 2 0 180,000 73 2,812,343 0 253,743
NURMAGUSTIN
110 01-08-1991/705611671002000 0 2,261,300 180,000 0 72,420 0 0
199108012014032003/184074 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RAMLI
111 28-10-1960/670478981403000 1 3,384,000 180,000 0 144,840 0 0
196010281985031007/086186 0 338,400 0 0 0 372,240 5,000 3,670,000
PNS/798022/IIC 2 0 180,000 0 4,047,240 0 377,240
381,421,100 4,415,000 1,520,000 18,611,940 0 0

TOTAL 20,374,710 0 37,650,000 0 40,767,872 775,000 428,338,000
5,883,168 4,415,000 4,954 469,880,872 0 41,542,872
JAKARTA,
MENGETAHUI
21/12/2016

Page 826 of 952
UKPD: PUSKESMAS KEL.PEKAYON KEC.PASAR REBO
NO STW
TITIK DEWIYANTI
1 05-03-1966/676572472009000 1 4,384,400 0 0 72,420 0 0
196603051992032007/120722 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
4,384,400 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 438,440 10,000 5,208,400
0 0 20 5,656,840 0 448,440
JAKARTA,
MENGETAHUI
21/12/2016

Page 827 of 952
UKPD: PUSKESMAS KEL.GEDONG KEC.PASAR REBO
NO STW
NENENG PRIMISWATI
1 14-01-1965/685462822009000 0 4,522,500 0 0 144,840 0 0
196501141989032004/118877 1 0 0 1,200,000 0 461,295 10,000 5,486,500
PNS/820602/IVB 2 90,450 0 5 5,957,795 0 471,295
4,522,500 0 0 144,840 0 0
TOTAL 0 0 1,200,000 0 461,295 10,000 5,486,500
90,450 0 5 5,957,795 0 471,295
JAKARTA,
MENGETAHUI
21/12/2016

Page 828 of 952
UKPD: PUSKESMAS KELURAHAN KALISARI KEC.PASAR REBO
NO STW
USDARWATI TRI R
1 12-03-1961/676572647009000 1 4,339,000 0 0 217,260 0 0
196103121989032002/162244 1 433,900 0 1,200,000 0 485,968 10,000 5,781,000
PNS/820102/IVA 3 86,780 0 28 6,276,968 0 495,968
4,339,000 0 0 217,260 0 0
TOTAL 433,900 0 1,200,000 0 485,968 10,000 5,781,000
86,780 0 28 6,276,968 0 495,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 829 of 952
UKPD: PUSKESMAS KELURAHAN BARU KEC. PASAR REBO
NO STW
WINARNI FARIDA
1 15-01-1958/672098811412000 1 5,392,200 0 0 144,840 0 0
195801151984122001/122792 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820601/IVD 2 0 0 82 7,476,342 0 603,142
5,392,200 0 0 144,840 0 0
TOTAL 539,220 0 1,400,000 0 593,142 10,000 6,873,200
0 0 82 7,476,342 0 603,142
JAKARTA,
MENGETAHUI
21/12/2016

Page 830 of 952
UKPD: PUSKESMAS KEL.CIJANTUNG KECAMATAN PASAR REBO
NO STW
REGINA SYLVIA SIREGAR
1 18-07-1963/656572522022000 1 3,793,100 0 0 217,260 0 0
196307181999032001/162677 1 379,310 0 750,000 0 424,827 7,000 4,783,800
PNS/820103/IIID 3 75,862 0 95 5,215,627 0 431,827
3,793,100 0 0 217,260 0 0
TOTAL 379,310 0 750,000 0 424,827 7,000 4,783,800
75,862 0 95 5,215,627 0 431,827
JAKARTA,
MENGETAHUI
21/12/2016

Page 831 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CAKUNG
NO STW
RITA WEDYA ASTUTI
1 03-07-1974/485604623008000 0 3,214,700 0 980,000 72,420 0 0
197407032006042024/165323 0 0 0 0 0 321,470 7,000 3,938,700
PNS/000000/IIIC 1 0 0 50 4,267,170 0 328,470
RUJIANTO
2 24-06-1964/672296365009000 1 3,753,800 0 540,000 217,260 0 0
196406241987111002/110949 1 375,380 0 0 0 420,425 7,000 4,534,100
PNS/500100/IIIC 3 75,076 0 9 4,961,525 0 427,425
BUNGARINA ELVINA S S
3 19-09-1958/599699121407001 1 5,068,000 0 0 72,420 0 0
195809191987032002/115465 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820601/IVD 1 0 0 80 6,540,500 0 516,800
LELY RIANA PANJAITAN

4 07-11-1960/596350165432000 1 5,227,600 0 0 144,840 0 0
196011071986032007/117887 0 522,760 0 1,400,000 0 575,036 10,000 6,710,200
PNS/820601/IVD 2 0 0 36 7,295,236 0 585,036
IBUPERTIWI
5 03-07-1962/575786884003000 1 5,068,000 0 0 72,420 0 0
196207031987122002/118854 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820601/IVD 1 0 0 80 6,540,500 0 516,800
HELMIYANIS
6 24-01-1961/670723501432000 1 5,068,000 0 0 144,840 0 0
196101241987032001/122631 0 506,800 0 1,400,000 0 557,480 10,000 6,552,200
PNS/820601/IVD 2 0 0 40 7,119,680 0 567,480
21/12/2016

Page 832 of 952
NO STW
BERLIANA
7 22-06-1959/245994587432000 1 5,015,400 0 0 144,840 0 0
195906221986102001/115958 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
ANDRIANTI SIREGAR
8 17-05-1962/592176010407000 1 4,713,800 0 0 217,260 0 0
196205171989012002/162305 1 471,380 0 1,200,000 0 527,945 10,000 6,158,800
PNS/820602/IVC 3 94,276 0 29 6,696,745 0 537,945
ARINI WIWIEK SOEROTO

9 22-11-1964/247692320432000 1 4,250,600 0 0 289,680 0 0
196411221993032002/118031 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
RITA NADIROHA
10 08-01-1968/575786819432000 1 4,384,400 0 0 217,260 0 0
196801081992032009/123159 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
TIURMAIDA HABEAHAN
11 12-07-1968/670695998407000 0 4,120,800 0 0 72,420 0 0
196807121996032003/158494 0 0 0 1,200,000 0 412,080 10,000 4,971,200
PNS/820122/IVB 1 0 0 60 5,393,280 0 422,080
YETTY ZUDARMI
12 17-12-1958/575786058004000 1 4,616,600 0 0 144,840 0 0
195812171980102002/122713 0 461,660 0 500,000 0 507,826 10,000 5,205,300
PNS/820341/IVA 2 0 0 26 5,723,126 0 517,826
21/12/2016

Page 833 of 952
NO STW
SYAFITRI DEVI
13 13-11-1965/575786116005000 0 4,035,800 185,000 0 72,420 0 0
196511131986032006/110114 0 0 0 0 0 403,580 7,000 3,882,700
PNS/798012/IIID 1 0 185,000 60 4,293,280 0 410,580
FARIDA SULISTYAWATI
14 29-06-1976/479060444432001 1 3,248,300 0 0 289,680 0 0
197606292006042004/164959 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
LINCE SINAGA
15 06-05-1959/243926870413001 0 4,429,300 0 0 144,840 0 0
195905061981052001/117776 1 0 0 500,000 0 451,788 7,000 4,704,000
PNS/820341/IIID 2 88,586 0 62 5,162,788 0 458,788
SUMIRAH
16 28-02-1959/575786065002000 0 4,429,300 0 0 72,420 0 0
195902281981052001/072060 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
NUGRAHINIRAHAJENG N
17 25-02-1961/575786587004000 1 4,429,300 0 0 72,420 0 0
196102251981052001/072237 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
NANIK LESTIANINGRUM
18 12-10-1959/575786314006000 1 4,294,000 0 0 289,680 0 0
195910121981122002/073104 2 429,400 0 500,000 0 489,516 7,000 5,188,400
PNS/820621/IIID 4 171,760 0 76 5,684,916 0 496,516
21/12/2016

Page 834 of 952
NO STW
ROMASIDA GULTOM
19 02-03-1961/575786140008000 1 4,294,000 0 0 144,840 0 0
196103021982032007/100477 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820341/IIID 2 0 0 0 5,368,240 0 479,340
ENY KUSNAENY
20 13-11-1960/257586669008000 1 4,429,300 0 0 144,840 0 0
196011131981022001/105810 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
MARIA SUYATMI
21 10-02-1961/575786363407000 1 4,035,800 0 0 144,840 0 0
196102101986032006/108864 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
SYAFRUDIN
22 25-10-1961/096379227006000 1 4,035,800 0 0 217,260 0 0
196110251986031005/109491 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
SITI JUBAIDAH
23 01-09-1961/245666219435000 1 4,162,900 0 0 217,260 0 0
196109011981032003/113672 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820312/IIID 3 83,258 0 36 5,379,744 0 473,244
N LILIS SUNARIAH
24 23-12-1962/777051665407000 1 4,429,300 0 0 72,420 0 0
196212231981032001/114322 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
21/12/2016

Page 835 of 952
NO STW
LASRIYETI
25 12-08-1962/575786157003000 1 4,294,000 0 0 144,840 0 0
196208121982032006/122641 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
NORMINAULI S
26 24-06-1960/575786132003000 1 4,429,300 0 0 217,260 0 0
196006241981032004/122728 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820341/IIID 3 88,586 0 5 5,678,081 0 503,081
EMMY ROSNELLI
27 14-10-1959/770149656432000 1 4,568,800 0 0 72,420 0 0
195910141981072001/122846 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820312/IIID 1 0 0 60 5,141,280 0 463,880
RATNA KEUMALA
28 17-09-1969/697676625008000 1 3,315,900 0 0 289,680 0 0
196909172007012023/168365 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
FRIDA SUSIANI
29 15-10-1964/776984650407000 0 3,872,000 0 0 72,420 0 0
196410151986022002/107379 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820324/IIIC 1 0 0 80 4,444,500 0 394,200
ISTIKA RAHMA
30 25-12-1981/688305721407000 1 2,929,100 0 0 289,680 0 0
198112252010012023/178792 2 292,910 0 750,000 0 333,917 7,000 4,038,000
PNS/820103/IIIC 4 117,164 0 63 4,378,917 0 340,917
21/12/2016

Page 836 of 952
NO STW
WINDI WIKANDARI
31 13-08-1986/363420811432000 1 2,839,700 0 0 289,680 0 0
198608132011012014/181003 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
JUNIAR PASARIBU
32 21-06-1967/099814998413001 1 3,753,800 0 0 217,260 0 0
196706211989032006/113789 2 0 0 500,000 0 390,395 7,000 4,223,900
PNS/820341/IIIC 3 150,152 0 83 4,621,295 0 397,395
SRI YANTI
33 10-08-1968/699754040036000 0 3,639,200 0 0 72,420 0 0
196808101991032008/116285 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
HUSNAWATI
34 12-04-1964/245517065407000 1 3,994,000 0 0 72,420 0 0
196403121985022002/122509 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820312/IIIC 1 0 0 80 4,566,500 0 406,400
ASMAWETI
35 04-09-1963/249302266435001 0 3,994,000 0 0 144,840 0 0
196309041985022004/122732 1 0 0 500,000 0 407,388 7,000 4,304,400
PNS/820341/IIIC 2 79,880 0 68 4,718,788 0 414,388
MASRIFAH
36 10-10-1965/670726405432000 1 3,753,800 0 0 72,420 0 0
196510101989032011/122781 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820621/IIIC 1 0 0 60 4,326,280 0 382,380
21/12/2016

Page 837 of 952
NO STW
CAHYANI YULI NASTITI
37 27-07-1972/575786215006000 1 3,528,100 0 0 289,680 0 0
197207271992032005/162224 2 352,810 0 265,000 0 402,203 7,000 4,167,600
PNS/820342/IIIC 4 141,124 0 89 4,576,803 0 409,203
ATWITASARI
38 16-05-1985/368930038003000 0 2,641,200 185,000 0 72,420 0 0
198505162014032001/183569 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
HESTY AYU NURRANTI

39 01-06-1986/703656017009000 1 2,641,200 185,000 0 72,420 0 0
198606012014032004/183635 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
RYAN AUGUSTIAN
40 01-08-1981/251508610008000 1 2,641,200 185,000 0 217,260 0 0
198108012014031003/183725 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
SHINTA T. SIANTURI
41 17-12-1981/797847571407000 1 2,641,200 185,000 0 289,680 0 0
198112172014032002/183733 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
VINNY VANESSA
42 16-01-1987/705997526005000 1 2,641,200 185,000 0 217,260 0 0
198701162014032001/183759 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
21/12/2016

Page 838 of 952
NO STW
SITI ROCHMA
43 11-09-1977/246820716008000 0 3,181,300 185,000 0 72,420 0 0
197709112000122001/161521 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798012/IIIB 1 0 185,000 10 3,438,730 0 325,130
MURDI SARKONI
44 01-01-1964/475486437432000 1 4,077,000 0 0 144,840 0 0
196401011986031049/107488 0 407,700 0 265,000 0 448,470 7,000 4,439,100
PNS/820313/IIIB 2 0 0 30 4,894,570 0 455,470
ANITA SITUMEANG
45 11-04-1972/575786769435000 1 3,281,500 0 0 289,680 0 0
197204111998032004/125620 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
ENTIN HAYATI
46 08-02-1971/575786504432000 0 3,281,500 0 0 72,420 0 0
197102081994032003/157179 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820325/IIIB 1 0 0 30 3,618,950 0 335,150
YATI ARIANI
47 03-02-1974/475760682627000 1 3,281,500 0 0 289,680 0 0
197402031994032003/181911 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820342/IIIB 4 131,260 0 1 4,295,591 0 381,091
MAHFUZI
48 04-03-1959/575786736004000 1 3,952,600 0 0 217,260 0 0
195903041983121001/082061 1 395,260 0 0 0 442,691 7,000 4,194,500
PNS/798022/IIIB 3 79,052 0 19 4,644,191 0 449,691
21/12/2016

Page 839 of 952
NO STW
SUDADI
49 31-12-1962/575785712006000 1 3,831,900 185,000 0 217,260 0 0
196212311985011006/084661 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798012/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
KASMIYATI
50 02-06-1961/575786843003000 0 3,831,900 185,000 0 72,420 0 0
196106021985032007/101941 0 0 0 0 0 383,190 7,000 3,699,200
PNS/798022/IIIB 1 0 185,000 70 4,089,390 0 390,190
TANOYO
51 20-05-1962/575786611407000 1 3,714,900 185,000 0 144,840 0 0
196205201986031010/108277 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798012/IIIB 2 0 185,000 9 4,416,239 0 415,639
SUMARAH
52 12-08-1961/575786850432000 1 3,714,900 185,000 0 217,260 0 0
196108121986032002/108878 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
YUYUN SUPRIYANI
53 25-11-1963/593836588407000 1 3,714,900 185,000 0 289,680 0 0
196311251986032004/109923 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798012/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
SRI NURYANI
54 26-08-1967/575786405407000 0 3,714,900 185,000 0 72,420 0 0
196708261987032002/110468 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
21/12/2016

Page 840 of 952
NO STW
SEKHUDIN
55 28-11-1965/575786835407000 1 3,714,900 185,000 0 217,260 0 0
196511281987031009/110471 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798011/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
HARTINI
56 05-05-1966/246998249407000 0 3,714,900 185,000 0 72,420 0 0
196605051987102002/110473 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798011/IIIB 1 0 185,000 70 3,972,390 0 378,490
SLAMET WARNADI
57 07-05-1966/575786868435000 1 3,714,900 185,000 0 217,260 0 0
196605071987031009/110640 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
ASRAL
58 19-09-1964/575786603435000 1 3,714,900 185,000 0 217,260 0 0
196409191987031005/110641 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
NASUKI
59 21-01-1964/095411823017000 1 3,601,400 185,000 0 289,680 0 0
196401211988021001/111650 2 360,140 0 0 0 410,559 7,000 4,162,800
PNS/798012/IIIB 4 144,056 185,000 83 4,580,359 0 417,559
FAUZIAH
60 06-08-1967/142072065407001 1 3,714,900 0 0 144,840 0 0
196708061987032009/122675 0 371,490 0 265,000 0 408,639 7,000 4,080,600
PNS/820313/IIIB 2 0 0 9 4,496,239 0 415,639
21/12/2016

Page 841 of 952
NO STW
SIGIT HARYONO
61 08-11-1961/575786857015000 1 3,831,900 185,000 0 289,680 0 0
196111081983031017/123062 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798012/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
YETI HARIAWATI
62 28-10-1968/575786694003000 1 3,601,400 0 0 289,680 0 0
196810281989012002/125592 2 360,140 0 265,000 0 410,559 7,000 4,242,800
PNS/820313/IIIB 4 144,056 0 83 4,660,359 0 417,559
MARIA UBA BEDA

63 23-03-1963/484092887435001 1 3,714,900 185,000 0 72,420 0 0
196303231987032010/157984 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798022/IIIB 1 0 185,000 70 3,972,390 0 378,490
FATMA YUDHANINGSIH
64 30-11-1970/679017079_412000 1 3,491,500 0 0 72,420 0 0
197011301991032004/163189 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
SUMEINARNI
65 26-05-1984/590058178407000 1 2,534,000 0 0 144,840 0 0
198405262011012011/180948 0 253,400 0 240,000 0 278,740 7,000 2,886,500
PNS/820314/IIIA 2 0 0 0 3,172,240 0 285,740
TRIWIDYA
66 07-08-1979/158031484201000 1 2,781,100 185,000 0 217,260 0 0
197908072006042006/189856 1 278,110 0 0 0 311,483 7,000 3,198,700
PNS/798981/IIIA 3 55,622 185,000 91 3,517,183 0 318,483
21/12/2016

Page 842 of 952
NO STW
SUDARKO
67 02-10-1964/171607963044000 1 3,455,300 185,000 0 289,680 0 0
196410021988021001/113339 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
KUSWINARTI
68 20-07-1969/575786041004000 1 3,349,800 0 0 289,680 0 0
196907201991012001/115531 2 334,980 0 265,000 0 381,877 7,000 3,984,600
PNS/820342/IIIA 4 133,992 0 25 4,373,477 0 388,877
POSMA HETTINA
69 21-02-1976/575786462407000 1 3,148,300 0 0 289,680 0 0
197602211995032001/120157 2 314,830 0 265,000 0 358,906 7,000 3,777,900
PNS/820313/IIIA 4 125,932 0 64 4,143,806 0 365,906
AKNA SITORUS
70 09-05-1974/699399812006000 0 3,148,300 0 0 72,420 0 0
197405091995032001/120211 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820313/IIIA 1 0 0 10 3,485,730 0 321,830
OON MARKONAH
71 08-06-1962/575786082006000 1 3,247,500 0 0 289,680 0 0
196206081992032003/122676 2 324,750 0 265,000 0 370,215 7,000 3,879,700
PNS/820342/IIIA 4 129,900 0 85 4,256,915 0 377,215
ROSDIANA NADAEK
72 25-11-1961/575786272407000 1 3,148,300 0 0 217,260 0 0
196111251995032001/123207 2 0 0 265,000 0 327,423 7,000 3,422,100
PNS/820342/IIIA 3 125,932 0 31 3,756,523 0 334,423
21/12/2016

Page 843 of 952
NO STW
LUMERI SILABAN
73 13-07-1969/694803982004000 1 3,148,300 0 0 217,260 0 0
196907131994032008/125298 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820313/IIIA 3 62,966 0 53 4,008,409 0 359,609
ANDY TANGI LS
74 17-10-1977/575786702435000 1 2,959,000 0 0 289,680 0 0
197710171998031002/157769 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
SRI LESTARI
75 08-11-1973/248961054435001 1 2,959,000 185,000 0 72,420 0 0
197311081998032005/157819 0 0 0 0 0 295,900 7,000 2,913,600
PNS/798011/IIIA 1 0 185,000 80 3,216,500 0 302,900
YULI SESARI
76 14-07-1979/599699279407000 0 3,052,200 0 0 72,420 0 0
197907142000122001/161553 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820354/IIIA 1 0 0 0 3,389,620 0 312,220
IHA MUSLIHA
77 26-02-1973/075466425003999 1 2,959,000 0 0 289,680 0 0
197302261999032001/161574 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820342/IIIA 4 118,360 0 86 3,928,026 0 344,326
TRI ASTUTI HANDAYANI

78 12-01-1980/575786371006000 0 2,838,900 0 0 72,420 0 0
198001121998032001/161695 0 0 0 240,000 0 283,890 5,000 2,862,500
PNS/820314/IID 1 0 0 70 3,151,390 0 288,890
21/12/2016

Page 844 of 952
NO STW
LIA SANDHIRA
79 08-08-1983/576768733435000 1 2,431,200 0 0 289,680 0 0
198308082011012024/181286 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
EKA HARIYANI
80 31-01-1983/683136071017000 1 2,431,200 0 0 289,680 0 0
198301312011012012/181857 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
MANARA PANGGABEAN
81 24-04-1965/359937810008000 1 3,315,100 180,000 0 144,840 0 0
196504261989031008/157768 0 331,510 0 0 0 364,661 5,000 3,601,800
PNS/798022/IID 2 0 180,000 11 3,971,461 0 369,661
BUSTANTI KARYAMI
82 10-09-1991/553376369432000 0 2,261,300 180,000 0 72,420 0 0
199109102014032002/183466 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LENI KURNIAWATI
83 24-06-1988/724407317005000 0 2,261,300 180,000 0 72,420 0 0
198806242014032002/183973 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
LIA RAHMA PUSPITA

84 29-05-1991/669111114002000 0 2,261,300 180,000 0 72,420 0 0
199105292014032002/183976 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 845 of 952
NO STW
RIPTO PAMUJI
85 19-01-1987/587562075009000 1 2,261,300 180,000 0 217,260 0 0
198701192014031003/184157 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
NATALIA TAMBUNAN
86 15-12-1979/142187863034000 0 2,723,700 0 0 72,420 0 0
197912152008012021/171776 0 0 0 240,000 0 272,370 5,000 2,758,800
PNS/820343/IIC 1 0 0 50 3,036,170 0 277,370
ISTIQOMAH
87 25-08-1983/570907857006000 1 2,332,500 0 0 217,260 0 0
198308252011012013/180939 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820314/IIC 3 46,650 0 80 3,069,740 0 266,240
SUHENNY WILUJENG
88 02-12-1986/346221013006000 1 2,406,000 0 0 217,260 0 0
198612022010012034/178979 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IIC 3 48,120 0 92 3,152,072 0 274,472
314,680,800 5,155,000 1,520,000 15,280,620 0 0

TOTAL 19,301,310 0 30,785,000 0 33,864,681 624,000 356,902,600
4,664,896 5,155,000 3,655 391,391,281 0 34,488,681
JAKARTA,
MENGETAHUI
21/12/2016

Page 846 of 952
UKPD: PUSKESMAS KEL.RAWATERATE KEC.CAKUNG
NO STW
AMI SETYOWATI
1 29-05-1959/575786876008000 1 5,015,400 0 0 144,840 0 0
195905291985122002/117258 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
5,015,400 0 0 144,840 0 0
TOTAL 501,540 0 1,200,000 0 551,694 10,000 6,300,100
0 0 14 6,861,794 0 561,694
JAKARTA,
MENGETAHUI
21/12/2016

Page 847 of 952
UKPD: PUSKESMAS KEL.JATINEGARA KEC.CAKUNG
NO STW
RONY SIMANJUNTAK
1 29-01-1965/575786389407000 1 4,384,400 0 0 289,680 0 0
196501291991031006/122276 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
4,384,400 0 0 289,680 0 0
TOTAL 438,440 0 1,200,000 0 499,821 10,000 5,978,100
175,376 0 25 6,487,921 0 509,821
JAKARTA,
MENGETAHUI
21/12/2016

Page 848 of 952
UKPD: PUSKESMAS KEL.PENGGILINGAN KECAMATAN CAKUNG
NO STW
KADEK SWANDEWI ASIH
1 06-11-1963/677449415407000 1 4,665,000 0 0 72,420 0 0
196311061989112001/158308 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820102/IVB 1 0 0 80 5,937,500 0 476,500
4,665,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 466,500 10,000 5,461,000
0 0 80 5,937,500 0 476,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 849 of 952
UKPD: PUSKESMAS KEL.CAKUNG BARAT KEC.CAKUNG
NO STW
SANTI ROSAMARLIA
1 07-08-1972/584876007004000 1 3,565,000 0 0 289,680 0 0
197208072006042024/165508 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
3,565,000 0 0 289,680 0 0
TOTAL 356,500 0 750,000 0 406,410 7,000 4,690,400
142,600 0 30 5,103,810 0 413,410
JAKARTA,
MENGETAHUI
21/12/2016

Page 850 of 952
UKPD: PUSKESMAS KEL. UJUNG MENTENG KEC.CAKUNG
NO STW
APRIEMI SIMANJUNTAK
1 28-04-1967/575786348435000 1 4,384,400 0 0 289,680 0 0
196704281992022001/125414 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
4,384,400 0 0 289,680 0 0
TOTAL 438,440 0 1,200,000 0 499,821 10,000 5,978,100
175,376 0 25 6,487,921 0 509,821
JAKARTA,
MENGETAHUI
21/12/2016

Page 851 of 952
UKPD: PUSKESMAS KEL.PULOGEBANG KECAMATAN CAKUNG
NO STW
IDA PRANAWATI
1 21-01-1957/051294668432000 1 5,173,400 0 0 144,840 0 0
195701211982032004/122626 0 517,340 0 1,200,000 0 569,074 10,000 6,456,600
PNS/820602/IVC 2 0 0 94 7,035,674 0 579,074
5,173,400 0 0 144,840 0 0
TOTAL 517,340 0 1,200,000 0 569,074 10,000 6,456,600
0 0 94 7,035,674 0 579,074
JAKARTA,
MENGETAHUI
21/12/2016

Page 852 of 952
UKPD: PUSKESMAS KEL.CAKUNG TIMUR KEC.CAKUNG
NO STW
AULYANITA FEBRIYANTI
1 02-02-1963/051432979009001 1 4,339,000 0 0 217,260 0 0
196302021990022001/122677 1 433,900 0 750,000 0 485,968 10,000 5,331,000
PNS/820103/IVA 3 86,780 0 28 5,826,968 0 495,968
4,339,000 0 0 217,260 0 0
TOTAL 433,900 0 750,000 0 485,968 10,000 5,331,000
86,780 0 28 5,826,968 0 495,968
JAKARTA,
MENGETAHUI
21/12/2016

Page 853 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN DUREN SAWIT
NO STW
RINI MUHARNI
1 05-05-1967/575786017008000 1 4,206,500 0 980,000 217,260 0 0
196705051992032009/122959 1 420,650 0 0 0 471,128 10,000 5,427,500
PNS/000000/IVA 3 84,130 0 88 5,908,628 0 481,128
SUPRIYANTA
2 09-11-1964/543892277045000 1 4,035,800 0 540,000 289,680 0 0
196411091987031006/110505 2 403,580 0 0 0 460,081 7,000 4,963,500
PNS/500100/IIID 4 161,432 0 89 5,430,581 0 467,081
ZUSJE J.ROLOS
3 29-01-1958/892648866407000 1 5,068,000 0 0 72,420 0 0
195801291988032002/116045 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820101/IVD 1 0 0 80 6,540,500 0 516,800
ISMA DEWI
4 19-12-1957/475486320008000 1 5,392,200 0 0 144,840 0 0
195712191983122001/122726 0 539,220 0 1,400,000 0 593,142 10,000 6,873,200
PNS/820601/IVD 2 0 0 82 7,476,342 0 603,142
EM SEMBIRING
5 07-01-1957/688831718008000 0 5,392,200 0 0 72,420 0 0
195701071984102001/122778 0 0 0 1,400,000 0 539,220 10,000 6,315,400
PNS/820101/IVD 1 0 0 0 6,864,620 0 549,220
FARIDA POSMAWATI H
6 12-01-1958/475487054008000 0 5,392,200 0 0 72,420 0 0
195801121984032001/122837 0 0 0 1,400,000 0 539,220 10,000 6,315,400
PNS/820601/IVD 1 0 0 0 6,864,620 0 549,220
21/12/2016

Page 854 of 952
NO STW
WARDAH
7 04-07-1960/250148442008000 1 5,068,000 0 0 217,260 0 0
196007041987032002/174731 1 506,800 0 1,400,000 0 567,616 10,000 6,715,900
PNS/820601/IVD 3 101,360 0 96 7,293,516 0 577,616
MARTHEN JULIANA A
8 10-05-1959/475486494407000 1 5,015,400 0 0 144,840 0 0
195905101986032006/118337 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
LUKERTINA SIBORO
9 23-06-1958/688831528008000 0 4,862,300 0 0 72,420 0 0
195806231987032001/118966 0 0 0 1,200,000 0 486,230 10,000 5,638,500
PNS/820602/IVC 1 0 0 10 6,134,730 0 496,230
INDA HANDAYANI
10 12-11-1964/475487401432000 0 4,713,800 0 0 144,840 0 0
196411121989032007/120636 1 0 0 1,200,000 0 480,807 10,000 5,662,200
PNS/820602/IVC 2 94,276 0 91 6,153,007 0 490,807
ISWARA DEWI
11 22-06-1957/475486627015000 1 4,713,800 0 0 72,420 0 0
195706221990032001/123318 0 0 0 1,400,000 0 471,380 10,000 5,704,900
PNS/820121/IVC 1 0 0 60 6,186,280 0 481,380
CLARA MAGDALENA
12 04-07-1964/475486866005000 0 4,713,800 0 0 72,420 0 0
196407041991012001/125235 0 0 0 1,200,000 0 471,380 10,000 5,504,900
PNS/820102/IVC 1 0 0 60 5,986,280 0 481,380
21/12/2016

Page 855 of 952
NO STW
RABIATUL ADAWIYAH
13 28-05-1968/774289888008000 1 4,250,600 0 0 144,840 0 0
196805281992122001/120771 0 425,060 0 1,200,000 0 467,566 10,000 5,543,000
PNS/820602/IVB 2 0 0 66 6,020,566 0 477,566
ELLYS BUTAR BUTAR

14 08-03-1958/475486999008000 1 4,811,900 0 0 144,840 0 0
195803081980092001/109079 0 481,190 0 850,000 0 529,309 10,000 5,748,700
PNS/820306/IVB 2 0 0 79 6,288,009 0 539,309
ONIE NOVIRAWATI
15 17-11-1965/488869785002999 1 4,250,600 0 0 289,680 0 0
196511171993032004/120635 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
JOHANA ROMETTA S
16 05-04-1965/481712719407000 0 4,384,400 0 0 72,420 0 0
196504061992032007/125099 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
SUSI SIREGAR
17 26-05-1966/481712693008000 0 4,250,600 0 0 72,420 0 0
196605261993022001/125322 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
YULIA TRIHANDAYANI
18 09-07-1967/179231071008001 1 4,384,400 0 0 289,680 0 0
196707091994032003/162640 2 438,440 0 1,200,000 0 499,821 10,000 5,978,100
PNS/820602/IVB 4 175,376 0 25 6,487,921 0 509,821
21/12/2016

Page 856 of 952
NO STW
HERMIN NARYANI
19 27-08-1958/476648076407000 1 4,339,000 0 0 144,840 0 0
195808271989102001/114199 0 433,900 0 1,200,000 0 477,290 10,000 5,630,500
PNS/820602/IVA 2 0 0 50 6,117,790 0 487,290
FAIZAH
20 26-01-1973/572762359008000 1 3,602,400 0 0 72,420 0 0
197301262001122002/165138 0 0 0 1,200,000 0 360,240 10,000 4,504,600
PNS/820602/IVA 1 0 0 20 4,874,840 0 370,240
CECILIA MERLYN
21 14-06-1978/140866377322001 1 3,248,300 0 0 289,680 0 0
197806142008042001/182783 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820603/IIID 4 129,932 0 64 4,742,806 0 377,306
HENNI IRIANI
22 23-05-1959/475486361008000 1 4,568,800 0 0 144,840 0 0
195905231981032004/071845 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
RIMBA PRAMUKTI
23 05-12-1959/475486700407000 1 4,429,300 0 0 72,420 0 0
195912051981072001/072331 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
TUTI ROSMAWATI
24 27-07-1966/475487328432000 1 4,035,800 0 0 144,840 0 0
196607271986032009/108337 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
21/12/2016

Page 857 of 952
NO STW
HERLINA VENNY IRIANITA
25 20-12-1965/475487245407000 1 4,035,800 0 0 72,420 0 0
196512201988032007/162730 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820353/IIID 1 0 0 60 4,608,280 0 410,580
EKA SRI HARTATI

26 30-11-1959/475487369432000 1 4,568,800 0 0 217,260 0 0
195911301981032004/071812 1 456,880 0 500,000 0 511,705 7,000 5,315,700
PNS/820312/IIID 3 91,376 0 89 5,834,405 0 518,705
NETTY TAMBUNAN
27 02-04-1959/475487138432000 1 4,568,800 0 0 144,840 0 0
195904021981032004/071868 1 0 0 500,000 0 466,017 7,000 4,832,000
PNS/820131/IIID 2 91,376 0 1 5,305,017 0 473,017
NENENG TUTI ROHAYATI

28 11-08-1960/475487310008000 1 4,429,300 0 0 72,420 0 0
196008111981082001/072435 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
MARTHA PURBA
29 28-03-1964/261863341132000 1 4,294,000 0 0 72,420 0 0
196403281983092001/083652 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820312/IIID 1 0 0 80 4,866,500 0 436,400
HARTININGSIH
30 04-06-1961/475487278008000 1 4,162,900 0 0 72,420 0 0
196106041985032008/088678 0 0 0 500,000 0 416,290 7,000 4,312,100
PNS/820341/IIID 1 0 0 70 4,735,390 0 423,290
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MARINTAN
31 23-01-1962/243413457432001 0 3,793,100 0 0 144,840 0 0
196201231991032001/116744 1 0 0 500,000 0 386,896 7,000 4,120,000
PNS/820131/IIID 2 75,862 0 94 4,513,896 0 393,896
TRISMARDIATI
32 21-03-1963/475486452008000 1 4,162,900 0 0 144,840 0 0
196303211985032011/120348 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/900070/IIID 2 0 0 89 5,224,119 0 464,919
ELIZAR
33 27-08-1960/475487237407000 1 4,294,000 0 0 217,260 0 0
196008271982122001/120825 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820621/IIID 3 85,880 0 88 5,526,628 0 487,928
NAFRI WELLY
34 28-10-1959/475487120002000 1 4,568,800 0 0 72,420 0 0
195910281982112001/122839 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820131/IIID 1 0 0 60 5,141,280 0 463,880
DWIYATI HERMININGSIH
35 10-03-1962/475486643008000 1 4,294,000 0 0 217,260 0 0
196203101983032020/122852 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820131/IIID 3 85,880 0 88 5,526,628 0 487,928
TUTI DALIANTI
36 20-07-1963/475487088403000 1 4,162,900 0 0 217,260 0 0
196307201984022002/123236 1 416,290 0 500,000 0 466,244 7,000 4,906,500
PNS/820312/IIID 3 83,258 0 36 5,379,744 0 473,244
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NO STW
FATMAWATI
37 04-04-1966/475487013008000 1 3,565,000 0 0 217,260 0 0
196604041987032006/125611 1 356,500 0 500,000 0 399,280 7,000 4,303,800
PNS/820341/IIID 3 71,300 0 20 4,710,080 0 406,280
PAIMA NAPITUPULU
38 16-10-1965/475487146008000 1 4,294,000 0 0 217,260 0 0
196510161989032004/163794 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820341/IIID 3 85,880 0 88 5,526,628 0 487,928
HERWANI
39 09-06-1959/475486957008000 1 4,429,300 0 0 72,420 0 0
195906091980032003/164786 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820312/IIID 1 0 0 10 5,001,730 0 449,930
TJAHJO NUGROHO
40 18-04-1966/774250369008000 0 3,116,500 0 0 72,420 0 0
196604182008011012/170069 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
ASTRID JULISTINA RAYA

41 21-07-1982/250842697008000 0 2,929,100 0 0 72,420 0 0
198207212010012024/178448 0 0 0 750,000 0 292,910 7,000 3,451,700
PNS/820103/IIIC 1 0 0 90 3,751,610 0 299,910
RUSTINI
42 17-02-1965/475487096008000 0 3,872,000 185,000 0 72,420 0 0
196502171987032004/110427 0 0 0 0 0 387,200 7,000 3,735,300
PNS/798011/IIIC 1 0 185,000 80 4,129,500 0 394,200
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NO STW
NELSON PASARIBU
43 28-04-1961/344408430008000 1 3,639,200 185,000 0 289,680 0 0
196104281990031006/115618 2 363,920 0 0 0 414,868 7,000 4,201,500
PNS/798012/IIIC 4 145,568 185,000 0 4,623,368 0 421,868
HARLINA S
44 22-04-1964/292228863407001 1 3,420,300 0 0 289,680 0 0
196404221997032002/123512 2 342,030 0 265,000 0 389,914 7,000 4,057,000
PNS/820313/IIIC 4 136,812 0 92 4,453,914 0 396,914
LIDA APRIA DEWANTIANI

45 04-04-1985/595763673009999 1 2,839,700 0 0 289,680 0 0
198504042011012023/181037 2 283,970 0 750,000 0 323,725 7,000 3,946,300
PNS/820123/IIIC 4 113,588 0 87 4,277,025 0 330,725
NICE VIA RITA

46 29-10-1982/784092991008000 1 3,021,300 0 0 289,680 0 0
198210292008122001/182776 2 302,130 0 750,000 0 344,428 7,000 4,132,600
PNS/820103/IIIC 4 120,852 0 66 4,484,028 0 351,428
MIMI SULASTRI
47 14-10-1960/688831650008000 1 4,249,500 0 0 144,840 0 0
196010141981052001/072351 0 424,950 0 500,000 0 467,445 7,000 4,844,900
PNS/820312/IIIC 2 0 0 55 5,319,345 0 474,445
DWI DERIA
48 17-12-1966/245020482008000 0 3,994,000 0 0 72,420 0 0
196612171987012001/110135 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820353/IIIC 1 0 0 80 4,566,500 0 406,400
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SRI MURWATI
49 16-03-1965/475486718008000 1 3,753,800 0 0 217,260 0 0
196503161988032005/117664 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820324/IIIC 3 75,076 0 9 4,921,525 0 427,425
ELLY HUTABARAT
50 24-07-1964/475486411407000 1 3,639,200 0 0 144,840 0 0
196407241994032003/118866 0 363,920 0 600,000 0 400,312 7,000 4,340,700
PNS/820307/IIIC 2 0 0 52 4,748,012 0 407,312
RETNO RESTIANDY
51 16-03-1972/475486601407000 1 3,528,100 185,000 0 289,680 0 0
197203161996032002/121993 2 352,810 0 0 0 402,203 7,000 4,087,600
PNS/798011/IIIC 4 141,124 185,000 89 4,496,803 0 409,203
KURNIA KASIH
52 28-12-1966/475486502008000 0 3,872,000 0 0 144,840 0 0
196612281987032004/110713 1 0 0 500,000 0 394,944 7,000 4,192,400
PNS/820341/IIIC 2 77,440 0 64 4,594,344 0 401,944
YUPI HENDRAWATY
53 23-04-1965/140159831002000 1 3,994,000 0 0 217,260 0 0
196504231985032005/113393 1 399,400 0 500,000 0 447,328 7,000 4,736,300
PNS/820621/IIIC 3 79,880 0 88 5,190,628 0 454,328
NURIANNA BR BANGUN
54 30-04-1964/776644379026000 1 3,753,800 185,000 0 289,680 0 0
196404301988012001/114101 2 375,380 0 0 0 427,933 7,000 4,319,100
PNS/798022/IIIC 4 150,152 185,000 21 4,754,033 0 434,933
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ETIK KUSTARI
55 07-12-1967/179186077008999 1 3,753,800 0 0 217,260 0 0
196712071989032003/118157 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820621/IIIC 3 75,076 0 9 4,921,525 0 427,425
EMI DARMAWATI
56 20-09-1970/475486536008000 1 3,639,200 0 0 72,420 0 0
197009201991032007/120803 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
MARIANA HARSAMSIYAH
57 17-09-1965/475486726008000 1 3,315,900 0 0 289,680 0 0
196509171996032002/122223 2 331,590 0 500,000 0 378,012 7,000 4,184,800
PNS/820131/IIIC 4 132,636 0 6 4,569,812 0 385,012
RAZIAH
58 23-11-1967/475486833008000 1 3,639,200 0 0 217,260 0 0
196711231990032008/122691 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
DUSMAULI LIMBONG
59 06-12-1967/475487252407000 1 3,639,200 0 0 217,260 0 0
196712061990032003/123234 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820312/IIIC 3 72,784 0 26 4,793,190 0 414,590
FAIKOH
60 27-01-1970/778180398407000 1 3,639,200 0 0 217,260 0 0
197007021991032007/123317 1 363,920 0 265,000 0 407,590 7,000 4,143,600
PNS/820342/IIIC 3 72,784 0 26 4,558,190 0 414,590
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TIARLY SITINJAK
61 20-06-1968/688831544008000 1 3,639,200 0 0 217,260 0 0
196806201991032004/123336 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
KURNIASIH
62 06-08-1973/475486585003000 1 3,528,100 0 0 72,420 0 0
197308061993022002/125852 0 0 0 600,000 0 352,810 7,000 3,840,800
PNS/820346/IIIC 1 0 0 90 4,200,610 0 359,810
SUSILAWATI
63 10-10-1969/475486528432000 1 3,639,200 0 0 217,260 0 0
196910101991032007/162701 1 363,920 0 500,000 0 407,590 7,000 4,378,600
PNS/820341/IIIC 3 72,784 0 26 4,793,190 0 414,590
HARTINAH
64 14-10-1971/475486593008000 1 3,639,200 0 0 72,420 0 0
197110141991032002/163964 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
ADITYA TOGA
65 23-04-1987/579254269009000 0 2,641,200 185,000 0 72,420 0 0
198704232014031005/183545 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
EKA YULI SAFITRI

66 01-07-1984/246976062005000 1 2,641,200 185,000 0 289,680 0 0
198407012014032004/183605 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
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RINA OKTAVIANA
67 02-10-1985/554534420003000 1 2,641,200 185,000 0 217,260 0 0
198510022014032001/183713 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
NGABILA SALAMA
68 25-10-1989/545709925008000 1 2,641,200 185,000 0 217,260 0 0
198910252014032005/183793 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
FITRIYATI
69 22-11-1970/688831643407000 0 3,384,900 185,000 0 72,420 0 0
197011221992032005/117695 0 0 0 0 0 338,490 7,000 3,296,900
PNS/798011/IIIB 1 0 185,000 70 3,642,390 0 345,490
RINA LUKMANA
70 09-09-1985/482342433407000 0 2,810,200 185,000 0 72,420 0 0
198509092010012025/177369 0 0 0 0 0 281,020 7,000 2,779,600
PNS/798011/IIIB 1 0 185,000 0 3,067,620 0 288,020
SUMARTINI
71 18-04-1964/475486767008000 1 3,601,400 0 0 217,260 0 0
196404181989032005/113798 1 360,140 0 265,000 0 403,356 7,000 4,105,500
PNS/820325/IIIB 3 72,028 0 28 4,515,856 0 410,356
ERIKA ROSALINA
72 05-02-1969/475486510435000 1 3,281,500 185,000 0 289,680 0 0
196902051994032006/120282 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
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B SAMSIDA PANJAITAN
73 07-07-1971/475486429008000 1 3,384,900 0 0 289,680 0 0
197107071992032007/122636 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
YOESSY YULIARI S
74 25-07-1976/475486353061000 0 3,181,300 0 0 217,260 0 0
197607251996032002/122999 2 0 0 265,000 0 330,855 7,000 3,453,000
PNS/820313/IIIB 3 127,252 0 43 3,790,855 0 337,855
RINI HARIYANI
75 02-08-1973/493374664006000 1 3,281,500 185,000 0 217,260 0 0
197308021998032006/157833 1 328,150 0 0 0 367,528 7,000 3,703,100
PNS/798022/IIIB 3 65,630 185,000 88 4,077,628 0 374,528
ROBY RAMELAN
76 14-02-1966/475486759008000 1 3,714,900 185,000 0 289,680 0 0
196602141987031002/110613 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
KEKEN SUHAENI
77 13-09-1961/475487294008000 0 3,384,900 0 0 72,420 0 0
196109131992032001/117711 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
RETTA ROLASITA
78 14-04-1965/475486692435000 1 3,714,900 185,000 0 72,420 0 0
196504141986032007/120283 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
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ROSNA MANURUNG
79 11-06-1969/884364316008000 1 3,384,900 0 0 217,260 0 0
196902111992032007/120634 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820313/IIIB 3 67,698 0 60 4,273,408 0 386,108
SELLY OMPUSUNGGU
80 28-01-1968/475487476435000 0 3,491,500 0 0 72,420 0 0
196801281991032004/122708 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820313/IIIB 1 0 0 30 3,828,950 0 356,150
TOGINA EVALUSI M
81 27-01-1977/688633130008000 0 3,181,300 0 0 72,420 0 0
197701271997032002/123241 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
MEGARIA R
82 17-04-1970/688831601008000 1 3,281,500 0 0 289,680 0 0
197004171997032004/125226 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
ETTY NURHAYATI
83 29-03-1973/475486635008000 0 3,084,200 0 0 72,420 0 0
197303291998032012/125572 0 0 0 265,000 0 308,420 7,000 3,106,200
PNS/830224/IIIB 1 0 0 0 3,421,620 0 315,420
HERAWATI PASARIBU
84 17-02-1978/475486379005000 1 3,084,200 0 0 289,680 0 0
197802171998032001/125601 2 308,420 0 265,000 0 351,598 7,000 3,712,100
PNS/820313/IIIB 4 123,368 0 30 4,070,698 0 358,598
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RINI SUWARMI
85 18-04-1965/475487468407000 1 3,491,500 0 0 217,260 0 0
196504181998032001/125675 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
ELLI HASTUTI
86 18-12-1972/475486544003000 1 3,384,900 0 0 72,420 0 0
197212181993022001/125772 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
LUCIANNA ARITONANG
87 01-04-1977/475486668008000 1 3,084,200 0 0 289,680 0 0
197704011998032002/125775 2 308,420 0 265,000 0 351,598 7,000 3,712,100
PNS/820313/IIIB 4 123,368 0 30 4,070,698 0 358,598
ROSLINA MANALU
88 06-11-1967/475486551432000 1 3,281,500 0 0 289,680 0 0
196711061994032007/125799 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820342/IIIB 4 131,260 0 1 4,295,591 0 381,091
SRIE HANDAYANI
89 07-11-1973/475486478414000 0 3,601,400 0 0 72,420 0 0
197311071993032006/128474 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820342/IIIB 1 0 0 20 3,938,840 0 367,140
SITI MUDRIKAH
90 21-12-1969/475486569432000 0 3,281,500 0 0 72,420 0 0
196912211994022002/128495 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820342/IIIB 1 0 0 30 3,618,950 0 335,150
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ANI ANGGRAENY
91 07-12-1970/688831593027000 1 3,384,900 0 0 289,680 0 0
197012071992022001/129035 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
LASMARIA DOLOKSARIBU
92 28-05-1968/258202951008000 1 3,491,500 0 0 144,840 0 0
196805281990012002/130987 1 0 0 265,000 0 356,133 7,000 3,608,100
PNS/820342/IIIB 2 69,830 0 63 3,971,233 0 363,133
TITIN MURTIYAH
93 06-12-1960/475487203008000 0 3,384,900 0 0 72,420 0 0
196012061992032001/161800 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
NAEVA MUTIARA S.
94 30-11-1971/359923448407000 1 3,281,500 185,000 0 72,420 0 0
197111301994032002/162965 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798022/IIIB 1 0 185,000 30 3,538,950 0 335,150
NURLIANA
95 13-04-1969/475487005005000 0 3,491,500 0 0 289,680 0 0
196904131991032014/164357 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
EVA MUNALYSA
96 22-03-1972/475487286003000 1 3,384,900 0 0 289,680 0 0
197203221992032003/164787 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
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RETNO LISTYANI
97 22-11-1969/093289536005001 1 3,384,900 0 0 144,840 0 0
196911221993032005/165103 0 338,490 0 265,000 0 372,339 7,000 3,753,900
PNS/820132/IIIB 2 0 0 9 4,133,239 0 379,339
NURLIYANTO
98 20-04-1973/688831569435000 0 3,148,300 0 0 72,420 0 0
197304201994031003/122299 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820325/IIIA 1 0 0 10 3,485,730 0 321,830
YUNITA
99 26-06-1964/475487047001000 1 3,455,300 0 0 217,260 0 0
196406261989032008/122777 1 345,530 0 265,000 0 386,993 7,000 3,958,300
PNS/820313/IIIA 3 69,106 0 97 4,352,293 0 393,993
JENTI SORMIN
100 17-10-1972/688831551432000 1 2,959,000 0 0 289,680 0 0
197210171997032001/124885 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820354/IIIA 4 118,360 0 86 3,928,026 0 344,326
JUMAGA NABABAN
101 23-08-1976/140868142008000 1 2,959,000 0 0 289,680 0 0
197608232008011020/171477 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/820314/IIIA 4 118,360 0 86 3,903,026 0 344,326
SLAMET DARYADI
102 07-01-1967/475487260432000 1 3,564,100 185,000 0 217,260 0 0
196701071987031002/111114 1 356,410 0 0 0 399,179 7,000 3,987,900
PNS/798022/IIIA 3 71,282 185,000 27 4,394,079 0 406,179
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PURNAMAWATI
103 28-03-1970/481712644432000 1 3,349,800 185,000 0 217,260 0 0
197003281990032003/122229 1 334,980 0 0 0 375,177 7,000 3,771,900
PNS/798022/IIIA 3 66,996 185,000 41 4,154,077 0 382,177
SUDHIYONO
104 16-06-1963/688831619002000 1 3,148,300 185,000 0 72,420 0 0
196306161995031001/122872 0 0 0 0 0 314,830 7,000 3,083,900
PNS/798022/IIIA 1 0 185,000 10 3,405,730 0 321,830
KOMARIAH
105 01-04-1971/475486841004000 1 3,052,200 0 0 217,260 0 0
197112141997032001/123300 1 305,220 0 265,000 0 341,846 7,000 3,551,900
PNS/820313/IIIA 3 61,044 0 22 3,900,746 0 348,846
ADE ASMARITA
106 19-11-1967/475487435008000 1 3,349,800 0 0 289,680 0 0
196711191990032003/123307 2 334,980 0 265,000 0 381,877 7,000 3,984,600
PNS/820622/IIIA 4 133,992 0 25 4,373,477 0 388,877
RINI SUZANTY
107 17-06-1985/359761665008000 1 2,507,800 0 0 72,420 0 0
198506172010012037/178944 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
MERLION OKTAVIA
108 21-10-1984/586280273432000 0 2,431,200 0 0 72,420 0 0
198410212011012016/180908 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
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HELVINA ROYANTI
109 19-10-1986/696560119432000 1 2,431,200 0 0 289,680 0 0
198610192011012017/181206 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
SEPTIANUS PONDELU
110 11-09-1963/258039353002000 1 3,527,200 180,000 0 72,420 0 0
196309111984021001/083758 0 0 0 0 0 352,720 5,000 3,421,900
PNS/798022/IID 1 0 180,000 0 3,779,620 0 357,720
KAMAN SUHERMAN R
111 09-11-1960/475487427435000 1 3,419,500 180,000 0 289,680 0 0
196011091986031011/107487 2 341,950 0 0 0 389,823 5,000 3,973,100
PNS/798022/IID 4 136,780 180,000 13 4,367,923 0 394,823
RESTU SUGIARTO
112 28-04-1973/475487443003000 1 3,020,600 0 0 72,420 0 0
197304281995031001/120299 0 0 0 265,000 0 302,060 5,000 3,051,000
PNS/820622/IID 1 0 0 40 3,358,060 0 307,060
DUMAYESTI SINURAT
113 15-07-1981/253154322008000 1 2,752,300 0 0 72,420 0 0
198107152007012017/168491 0 0 0 1,150,000 0 275,230 5,000 3,694,500
PNS/900912/IID 1 0 0 10 3,974,730 0 280,230
SULISTYOWATI
114 05-12-1992/703730937407000 0 2,261,300 180,000 0 72,420 0 0
199212052014032001/184234 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
21/12/2016

Page 872 of 952
NO STW
TAMAM RUSYADI
115 23-01-1989/580723138005000 0 2,261,300 180,000 0 72,420 0 0
198901232014031002/184241 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
RATRI RIFIANA R
116 02-03-1977/480877455004000 1 2,809,500 0 0 289,680 0 0
197703021997032003/123158 2 280,950 0 240,000 0 320,283 5,000 3,407,300
PNS/820133/IIC 4 112,380 0 73 3,732,583 0 325,283
SUGIANTO
117 29-11-1966/678628240340000 1 2,989,300 0 0 289,680 0 0
196611291993031001/127707 2 298,930 0 240,000 0 340,780 5,000 3,591,800
PNS/820314/IIC 4 119,572 0 98 3,937,580 0 345,780
429,587,300 4,050,000 1,520,000 19,843,080 0 0

TOTAL 24,083,400 0 53,440,000 0 45,999,360 854,000 491,998,400
6,323,110 4,050,000 4,870 538,851,760 0 46,853,360
JAKARTA,
MENGETAHUI
21/12/2016

Page 873 of 952
UKPD: PUSKESMAS KEL.KLENDER KECAMATAN DUREN SAWIT
NO STW
GINTA RENI
1 14-06-1962/244074712003000 1 4,522,500 0 0 217,260 0 0
196206141989012001/118329 1 452,250 0 1,200,000 0 506,520 10,000 5,966,000
PNS/820602/IVB 3 90,450 0 60 6,482,520 0 516,520
NURUL AMBARTI
2 25-12-1965/796256568005999 1 4,206,500 0 0 72,420 0 0
196512251992022003/162143 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820602/IVA 1 0 0 30 5,478,950 0 430,650
DINY SALFITRIANY
3 23-11-1972/475487104008000 1 3,565,000 0 0 289,680 0 0
197211232002122003/165162 2 356,500 0 750,000 0 406,410 7,000 4,690,400
PNS/820103/IIID 4 142,600 0 30 5,103,810 0 413,410
12,294,000 0 0 579,360 0 0
TOTAL 808,750 0 3,150,000 0 1,333,580 27,000 15,704,700
233,050 0 120 17,065,280 0 1,360,580
JAKARTA,
MENGETAHUI
21/12/2016

Page 874 of 952
UKPD: PUSKESMAS KEL.PONDOK BAMBU KEC.DUREN SAWIT
NO STW
MADE SANTHI ARDANI
1 11-09-1958/475487187002000 1 5,227,600 0 0 144,840 0 0
195809111986112001/158644 0 522,760 0 1,400,000 0 575,036 10,000 6,710,200
PNS/820101/IVD 2 0 0 36 7,295,236 0 585,036
5,227,600 0 0 144,840 0 0
TOTAL 522,760 0 1,400,000 0 575,036 10,000 6,710,200
0 0 36 7,295,236 0 585,036
JAKARTA,
MENGETAHUI
21/12/2016

Page 875 of 952
UKPD: PUSKESMAS KEL.MALAKA SARI KEC.DUREN SAWIT
NO STW
PERSIS SAMPELILING
1 19-06-1959/688831577432000 1 5,227,600 0 0 72,420 0 0
195906191986102001/122752 0 0 0 1,400,000 0 522,760 10,000 6,167,300
PNS/820101/IVD 1 0 0 40 6,700,060 0 532,760
5,227,600 0 0 72,420 0 0
TOTAL 0 0 1,400,000 0 522,760 10,000 6,167,300
0 0 40 6,700,060 0 532,760
JAKARTA,
MENGETAHUI
21/12/2016

Page 876 of 952
UKPD: PUSKESMAS KEL.MALAKA JAYA KEC.DUREN SAWIT
NO STW
RODAMENTA IMELDA
1 24-07-1971/475487112031000 1 3,715,800 0 0 289,680 0 0
197107242002122003/165176 2 371,580 0 1,200,000 0 423,601 10,000 5,292,100
PNS/820102/IVA 4 148,632 0 9 5,725,701 0 433,601
3,715,800 0 0 289,680 0 0
TOTAL 371,580 0 1,200,000 0 423,601 10,000 5,292,100
148,632 0 9 5,725,701 0 433,601
JAKARTA,
MENGETAHUI
21/12/2016

Page 877 of 952
UKPD: PUSKESMAS KEL.PONDOK KOPI KEC.DUREN SAWIT
NO STW
ANI WIDIASTUTI
1 04-06-1959/058142001006001 1 5,068,000 0 0 72,420 0 0
195906041987032002/122737 0 0 0 1,400,000 0 506,800 10,000 6,023,700
PNS/820601/IVD 1 0 0 80 6,540,500 0 516,800
LENNYWATI SARUMAHA
2 11-11-1967/475486924008000 1 3,832,800 0 0 72,420 0 0
196711111999072001/164685 0 0 0 1,200,000 0 383,280 10,000 4,712,000
PNS/820102/IVA 1 0 0 60 5,105,280 0 393,280
TIURMA YUNITA SUSANTY

3 12-06-1970/475487419005000 1 3,565,000 0 0 217,260 0 0
197006122006042017/165516 1 356,500 0 750,000 0 399,280 7,000 4,553,800
PNS/820103/IIID 3 71,300 0 20 4,960,080 0 406,280
AMALIA
4 26-01-1973/479811788302000 1 3,456,200 0 0 289,680 0 0
197301262002122001/168915 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
15,922,000 0 0 651,780 0 0
TOTAL 702,120 0 4,100,000 0 1,683,366 34,000 19,868,300
209,548 0 218 21,585,666 0 1,717,366
JAKARTA,
MENGETAHUI
21/12/2016

Page 878 of 952
UKPD: PUSKESMAS KEL.PONDOK KELAPA KEC.DUREN SAWIT
NO STW
DINA WIJAYANTI
1 16-10-1975/690283114407000 1 3,350,600 0 0 217,260 0 0
197510162006042018/165488 1 335,060 0 750,000 0 375,267 7,000 4,337,700
PNS/820103/IIID 3 67,012 0 35 4,719,967 0 382,267
3,350,600 0 0 217,260 0 0
TOTAL 335,060 0 750,000 0 375,267 7,000 4,337,700
67,012 0 35 4,719,967 0 382,267
JAKARTA,
MENGETAHUI
21/12/2016

Page 879 of 952
UKPD: PUSAT KESEHATAN MASYARAKAN KECAMATAN MAKASAR
NO STW
HERISIANTO.T
1 23-09-1962/680127313407000 1 4,078,100 0 980,000 289,680 0 0
196209231994021001/124930 2 407,810 0 0 0 464,903 10,000 5,443,900
PNS/000000/IVA 4 163,124 0 89 5,918,803 0 474,903
SUMARTI
2 11-09-1960/575743380005000 1 4,568,800 0 540,000 72,420 0 0
196009111981052001/072567 0 0 0 0 0 456,880 7,000 4,717,400
PNS/500100/IIID 1 0 0 60 5,181,280 0 463,880
LENI GUSMELI KASIM

3 05-08-1961/676598568432000 1 4,713,800 0 0 144,840 0 0
196108051989032005/118882 0 471,380 0 1,200,000 0 518,518 10,000 6,001,600
PNS/820602/IVC 2 0 0 98 6,530,118 0 528,518
ANI NURAENI IRIANI

4 29-04-1963/676598964005000 1 4,384,400 0 0 72,420 0 0
196304291992032002/122687 0 0 0 1,200,000 0 438,440 10,000 5,208,400
PNS/820602/IVB 1 0 0 20 5,656,840 0 448,440
SRI HARUMINI
5 17-01-1959/092600436432001 1 4,475,700 0 0 144,840 0 0
195901171987122001/111609 0 447,570 0 1,200,000 0 492,327 10,000 5,765,800
PNS/820102/IVA 2 0 0 17 6,268,127 0 502,327
HENDRO PURNOMO
6 20-08-1959/676598709403000 1 4,475,700 0 0 217,260 0 0
195908201987031006/115544 1 447,570 0 1,200,000 0 501,278 10,000 5,918,800
PNS/820602/IVA 3 89,514 0 34 6,430,078 0 511,278
21/12/2016

Page 880 of 952
NO STW
IDA FIANTY
7 17-06-1958/676598576005000 1 4,339,000 0 0 72,420 0 0
195806171989032002/161796 0 0 0 1,200,000 0 433,900 10,000 5,167,600
PNS/820102/IVA 1 0 0 80 5,611,500 0 443,900
MAGDALENA
8 08-08-1971/684394315009000 1 3,677,300 0 0 72,420 0 0
197108081993032005/164750 0 0 0 600,000 0 367,730 7,000 3,975,000
PNS/820307/IIID 1 0 0 10 4,349,730 0 374,730
VIRLY LESTARY
9 30-09-1979/485604615005000 1 3,248,300 0 0 289,680 0 0
197909302006042029/165293 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
RATI WULAN SARI

10 02-10-1977/700203011005000 1 3,248,300 0 0 72,420 0 0
197710022007012009/183132 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
RUSMIANAH
11 19-01-1964/247123961005000 1 4,035,800 0 0 217,260 0 0
196401191989032007/118604 1 403,580 0 500,000 0 452,009 7,000 4,778,400
PNS/820312/IIID 3 80,716 0 53 5,237,409 0 459,009
TATIET SETIA D
12 11-08-1962/676598386005000 1 4,035,800 0 0 72,420 0 0
196208111989032005/161592 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/830223/IIID 1 0 0 60 4,608,280 0 410,580
21/12/2016

Page 881 of 952
NO STW
TOTA SITOMPUL
13 29-06-1961/676598840432000 1 4,162,900 0 0 144,840 0 0
196106291985032006/070603 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/820312/IIID 2 0 0 89 5,224,119 0 464,919
ENIKU APRILYANI
14 29-04-1959/676598758005000 1 4,568,800 0 0 144,840 0 0
195904291981052001/072103 0 456,880 0 500,000 0 502,568 7,000 5,161,000
PNS/820312/IIID 2 0 0 48 5,670,568 0 509,568
HENI TOMIASIS
15 12-03-1966/676598360005000 1 4,035,800 0 0 144,840 0 0
196603121987032005/118963 0 403,580 0 500,000 0 443,938 7,000 4,633,300
PNS/820312/IIID 2 0 0 18 5,084,238 0 450,938
NUGRAHA NINGSIH
16 24-05-1959/676598444403000 1 3,793,100 0 0 144,840 0 0
195905241990032001/122813 0 379,310 0 500,000 0 417,241 7,000 4,393,100
PNS/820341/IIID 2 0 0 91 4,817,341 0 424,241
ZAINAB
17 10-07-1959/676598485432000 1 4,429,300 0 0 144,840 0 0
195907101981032008/122845 0 442,930 0 500,000 0 487,223 7,000 5,022,900
PNS/820312/IIID 2 0 0 53 5,517,123 0 494,223
NURALFIYAH
18 18-01-1968/676598295005000 1 3,912,600 0 0 72,420 0 0
196801181988022001/123228 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
21/12/2016

Page 882 of 952
NO STW
ROMAULI JUSNIAR
19 14-08-1973/676598139005000 1 3,528,100 0 0 217,260 0 0
197308141993112001/164350 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820341/IIIC 3 70,562 0 15 4,668,747 0 402,147
YENNY RAHMAWATI M
20 21-05-1980/676598717009000 1 3,116,500 0 0 217,260 0 0
198005212006042008/164867 1 311,650 0 0 0 349,048 7,000 3,351,700
PNS/000008/IIIC 3 62,330 0 8 3,707,748 0 356,048
JANI MARISA MULIATI

21 08-01-1980/676598923432000 1 3,116,500 0 0 144,840 0 0
198001082006042007/164969 0 311,650 0 750,000 0 342,815 7,000 3,973,200
PNS/820103/IIIC 2 0 0 25 4,323,015 0 349,815
DIANA
22 08-11-1981/893892307005000 1 2,929,100 0 0 289,680 0 0
198111082010012029/178453 2 292,910 0 325,000 0 333,917 7,000 3,613,000
PNS/820107/IIIC 4 117,164 0 63 3,953,917 0 340,917
RELYA ASIH ANGGA DEWI

23 22-04-1979/688596071005000 1 3,116,500 0 0 289,680 0 0
197904222008012022/179166 2 311,650 0 325,000 0 355,281 7,000 3,805,300
PNS/820607/IIIC 4 124,660 0 91 4,167,581 0 362,281
YUSDAYANTI AISYA
24 11-04-1985/696974989009000 1 2,839,700 0 0 289,680 0 0
198504112011012022/180229 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820107/IIIC 4 113,588 0 87 3,852,025 0 330,725
21/12/2016

Page 883 of 952
NO STW
SHINTA NOVIA SURYANI
25 02-08-1981/363422874005000 1 2,839,700 0 0 289,680 0 0
198108022011012009/181258 2 283,970 0 325,000 0 323,725 7,000 3,521,300
PNS/820607/IIIC 4 113,588 0 87 3,852,025 0 330,725
JUARIAH
26 01-07-1973/676598055005000 0 3,420,300 0 0 217,260 0 0
197307011995032002/120175 2 0 0 500,000 0 355,711 7,000 3,911,700
PNS/820312/IIIC 3 136,812 0 39 4,274,411 0 362,711
ELVI ROYYANA
27 21-03-1969/676598303404000 1 3,420,300 0 0 289,680 0 0
196903211997032004/125661 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
KUSUMA YUWANTI
28 23-04-1970/676598345005000 1 3,420,300 0 0 289,680 0 0
197004231998032004/125733 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820131/IIIC 4 136,812 0 92 4,688,914 0 396,914
YUHAIMI
29 11-10-1969/676598253432000 1 3,420,300 0 0 289,680 0 0
196910111998032004/130206 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
HOTMA AGUSTINA
30 08-08-1965/676598816005000 1 3,872,000 0 0 72,420 0 0
196508081986012004/164496 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
21/12/2016

Page 884 of 952
NO STW
LIZA RACHMI ANURA
31 29-06-1971/372088260001000 1 3,639,200 0 0 72,420 0 0
197106291994032001/179889 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
LISKEN MANURUNG
32 02-07-1964/676598600005000 1 3,872,000 0 0 72,420 0 0
196407021987032008/120774 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820341/IIIC 1 0 0 80 4,444,500 0 394,200
ENI ROCHAENI
33 28-08-1970/676598030005000 1 3,639,200 0 0 72,420 0 0
197008281991032008/120826 0 0 0 265,000 0 363,920 7,000 3,605,700
PNS/820342/IIIC 1 0 0 0 3,976,620 0 370,920
ANTE
34 31-12-1969/676598642_009000 1 3,753,800 0 0 72,420 0 0
196912311989032009/122705 0 0 0 265,000 0 375,380 7,000 3,708,900
PNS/820622/IIIC 1 0 0 60 4,091,280 0 382,380
RIYANI
35 22-10-1971/676598790009000 1 3,528,100 0 0 289,680 0 0
197110221992032005/162718 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
ADITYA KUSUMA
36 01-11-1983/157106774951000 1 2,641,200 185,000 0 289,680 0 0
198311012014031002/183544 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
21/12/2016

Page 885 of 952
NO STW
KHAIRIN NISA ARIYANI
37 18-01-1986/705316206008000 1 2,641,200 185,000 0 217,260 0 0
198601182014032002/183660 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
ROSGITA
38 22-09-1986/703829119003000 1 2,641,200 185,000 0 72,420 0 0
198609222014032005/183720 0 0 0 0 0 264,120 7,000 2,627,500
PNS/798012/IIIB 1 0 185,000 0 2,898,620 0 271,120
TUMPAK BENNY AURIXON

39 28-11-1986/705339364005000 1 2,641,200 185,000 0 144,840 0 0
198611282014031003/184261 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
M SALEH MUHAMMAD
40 01-01-1971/676598048009000 1 3,384,900 185,000 0 289,680 0 0
197101011992031015/125302 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798011/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
SITI MASRUROH
41 10-10-1970/676598105005000 1 3,384,900 185,000 0 217,260 0 0
197010101993032010/125660 1 338,490 0 0 0 379,108 7,000 3,807,300
PNS/798012/IIIB 3 67,698 185,000 60 4,193,408 0 386,108
ASRI JUWITA SARI

42 22-07-1987/683729701432000 1 2,810,200 185,000 0 144,840 0 0
198707222010012023/177541 0 281,020 0 0 0 309,122 7,000 3,105,000
PNS/798012/IIIB 2 0 185,000 62 3,421,122 0 316,122
21/12/2016

Page 886 of 952
NO STW
HETTY WULANDARI
43 06-05-1988/350738704005000 1 2,724,400 0 0 217,260 0 0
198805062011012017/181028 1 272,440 0 325,000 0 305,132 7,000 3,281,500
PNS/820124/IIIB 3 54,488 0 44 3,593,632 0 312,132
ANNISARI CHRISTINA S
44 06-09-1975/257758664122000 1 2,810,200 0 0 289,680 0 0
197509062005022001/183032 2 281,020 0 265,000 0 320,362 7,000 3,431,000
PNS/820342/IIIB 4 112,408 0 54 3,758,362 0 327,362
SUKMASARI
45 31-05-1967/676598782005000 0 3,714,900 185,000 0 217,260 0 0
196705311987032003/110709 2 0 0 0 0 386,349 7,000 3,872,500
PNS/798022/IIIB 3 148,596 185,000 93 4,265,849 0 393,349
RITA DOMARIO
46 20-02-1967/676598469009000 1 3,714,900 185,000 0 289,680 0 0
196702201987032003/110717 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
MARYULIANTI NINGSIH
47 07-07-1967/676598436005000 1 3,714,900 185,000 0 72,420 0 0
196707071987032001/110751 0 0 0 0 0 371,490 7,000 3,593,900
PNS/798012/IIIB 1 0 185,000 70 3,972,390 0 378,490
YAYAT BAKHTIAR
48 15-08-1969/067659817005000 1 3,491,500 185,000 0 289,680 0 0
196908151991031005/116423 2 349,150 0 0 0 398,031 7,000 4,050,000
PNS/798011/IIIB 4 139,660 185,000 41 4,455,031 0 405,031
21/12/2016

Page 887 of 952
NO STW
DARMIAN HARAHAP
49 10-04-1964/676598394403000 1 3,714,900 185,000 0 289,680 0 0
196404101986032013/117535 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798022/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
ROSMI REBEKKA S N
50 20-04-1959/676598733002000 1 3,384,900 0 0 72,420 0 0
195904201992032002/117624 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
YATI NURHAYATI
51 14-02-1970/676598154005000 0 3,491,500 0 0 72,420 0 0
197002141991032007/120666 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
LILIK SUPRAPTI
52 27-07-1970/676598188005000 1 3,384,900 0 0 217,260 0 0
197007271992022001/125358 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820342/IIIB 3 67,698 0 60 4,273,408 0 386,108
RISMAWATI SARAGIH
53 10-10-1974/676598493005000 0 3,181,300 0 0 144,840 0 0
197410101997032006/125420 0 318,130 0 265,000 0 349,943 7,000 3,552,400
PNS/820132/IIIB 2 0 0 73 3,909,343 0 356,943
KUSMIATIN
54 30-05-1970/676598873002000 1 3,384,900 0 0 289,680 0 0
197005301993062001/125674 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
21/12/2016

Page 888 of 952
NO STW
MULNIANINGSIH
55 27-06-1969/676598329005000 1 3,491,500 0 0 72,420 0 0
196906271994022001/125853 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820325/IIIB 1 0 0 30 3,828,950 0 356,150
EMILIA KUWAY
56 31-03-1973/676598634009000 1 3,384,900 185,000 0 289,680 0 0
197303311993022001/130934 2 338,490 0 0 0 385,878 7,000 3,940,600
PNS/798012/IIIB 4 135,396 185,000 12 4,333,478 0 392,878
KATHALINA SOSANG
57 29-05-1969/476080890002000 1 3,491,500 185,000 0 72,420 0 0
196905291991032014/157849 0 0 0 0 0 349,150 7,000 3,392,800
PNS/798012/IIIB 1 0 185,000 30 3,748,950 0 356,150
NORMAWATY GULTOM
58 28-02-1973/676598519432000 1 3,384,900 0 0 289,680 0 0
197302281992032009/158138 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
NUR FARIDA
59 17-02-1971/676598204008000 1 3,384,900 0 0 289,680 0 0
197102171993012001/162298 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
MEIANDA DAMANIK
60 28-05-1968/694940479085000 1 3,384,900 0 0 289,680 0 0
196805281992032005/162519 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820132/IIIB 4 135,396 0 12 4,413,478 0 392,878
21/12/2016

Page 889 of 952
NO STW
WIDIAWATI KOSASIH
61 27-04-1971/676598162005000 1 3,384,900 0 0 72,420 0 0
197104271993022003/162635 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820342/IIIB 1 0 0 70 3,722,390 0 345,490
FINDA SULISTIYANI
62 22-12-1974/676598915008000 1 3,384,900 0 0 289,680 0 0
197412221993032001/162716 2 338,490 0 325,000 0 385,878 7,000 4,080,600
PNS/820124/IIIB 4 135,396 0 12 4,473,478 0 392,878
ISNURWATI
63 26-06-1971/676598147009000 1 3,384,900 0 0 289,680 0 0
197106261993012002/164363 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
AGUSTINA
64 30-08-1963/594817223432000 1 3,384,900 185,000 0 217,260 0 0
196308301993032001/164511 1 338,490 0 0 0 379,108 7,000 3,807,300
PNS/798022/IIIB 3 67,698 185,000 60 4,193,408 0 386,108
HENING KARTIKA ASIH

65 28-02-1966/676598006005000 1 3,564,100 0 0 72,420 0 0
196602281989032006/113918 0 0 0 265,000 0 356,410 7,000 3,538,200
PNS/820325/IIIA 1 0 0 90 3,901,610 0 363,410
USMAN
66 01-07-1973/327550901077302 1 3,052,200 0 0 289,680 0 0
197307011996031002/120932 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
21/12/2016

Page 890 of 952
NO STW
YULIANA MARIA KEPOK
67 04-07-1976/676598931005000 1 2,959,000 0 0 289,680 0 0
197607041999032005/165143 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/820314/IIIA 4 118,360 0 86 3,903,026 0 344,326
SRI LESTARI
68 02-06-1985/458429909005000 1 2,696,200 0 0 289,680 0 0
198506022008042001/183037 2 269,620 0 265,000 0 307,366 7,000 3,314,000
PNS/820342/IIIA 4 107,848 0 18 3,628,366 0 314,366
MISLANI
69 30-12-1971/676599004008000 1 3,148,300 185,000 0 289,680 0 0
197112301994031004/120822 2 314,830 0 0 0 358,906 7,000 3,697,900
PNS/798022/IIIA 4 125,932 185,000 64 4,063,806 0 365,906
KRIS SOFYAN SALASI

70 22-11-1974/676598550432000 1 3,052,200 0 0 289,680 0 0
197411221996031001/120931 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
RANDI
71 27-08-1969/697188258432000 1 3,052,200 0 0 289,680 0 0
196908271996031005/120933 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
ROSNEPI
72 11-07-1974/766598659005000 0 3,052,200 0 0 72,420 0 0
197407111996032003/122281 0 0 0 240,000 0 305,220 7,000 3,052,400
PNS/830225/IIIA 1 0 0 0 3,364,620 0 312,220
21/12/2016

Page 891 of 952
NO STW
DEWI FITRINA
73 20-02-1970/096659040036000 1 3,052,200 0 0 217,260 0 0
197002201997032005/130205 1 305,220 0 240,000 0 341,846 7,000 3,526,900
PNS/820343/IIIA 3 61,044 0 22 3,875,746 0 348,846
RIADI
74 06-03-1977/676598535005000 1 2,868,700 0 0 289,680 0 0
197703062000121001/161709 2 286,870 0 240,000 0 327,031 7,000 3,466,000
PNS/820326/IIIA 4 114,748 0 33 3,800,031 0 334,031
DARMIATI
75 02-05-1970/676598097009000 1 3,349,800 0 0 72,420 0 0
197006021991012001/162309 0 0 0 265,000 0 334,980 7,000 3,345,300
PNS/820342/IIIA 1 0 0 60 3,687,280 0 341,980
AGUS HERMAWAN
76 10-08-1968/676598477005000 1 3,148,300 185,000 0 217,260 0 0
196808101991031004/116361 1 314,830 0 0 0 352,609 7,000 3,568,800
PNS/798011/IIIA 3 62,966 185,000 53 3,928,409 0 359,609
MULYANI
77 11-09-1981/672193000004000 1 2,431,200 0 0 144,840 0 0
198109112011012005/180951 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
MAHENDRA MAULANA
78 16-01-1984/681954541005000 1 2,431,200 0 0 289,680 0 0
198401162011011010/181830 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
21/12/2016

Page 892 of 952
NO STW
NUNUNG NURHASANAH
79 16-01-1976/676598741432000 1 2,928,300 0 0 289,680 0 0
197601161996032001/122389 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
MANSARI TUA PARDEDE

80 11-12-1968/676598402403000 1 2,928,300 0 0 289,680 0 0
196812111997031003/156910 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
ROSITA RIMAU
81 03-05-1975/676598196005000 0 2,668,200 0 0 72,420 0 0
197505032003122003/165690 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820314/IID 1 0 0 0 2,980,620 0 271,820
PAMUNGKAS
82 17-05-1980/584476915009000 1 2,752,300 0 0 289,680 0 0
198005172007012020/168511 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
IDAH ROHAYATI
83 25-02-1980/251177184009000 1 2,752,300 0 0 289,680 0 0
198002252007012012/168774 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
EMI SUSANTI
84 26-04-1977/676598378005000 0 2,838,900 0 0 72,420 0 0
197704261998032001/174726 0 0 0 240,000 0 283,890 5,000 2,862,500
PNS/830225/IID 1 0 0 70 3,151,390 0 288,890
21/12/2016

Page 893 of 952
NO STW
INDAH PERMATASARI ENE
85 24-10-1989/546623505005000 0 2,261,300 180,000 0 72,420 0 0
198910242014032002/183920 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
IVANNA EDRIA
86 09-06-1989/446720534432000 0 2,261,300 180,000 0 72,420 0 0
198906092014032003/183944 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
KUSUMA HARI WIBOWO

87 08-12-1989/787109354006000 1 2,261,300 180,000 0 217,260 0 0
198912082014031002/183967 1 226,130 0 0 0 253,265 5,000 2,671,700
PNS/798022/IIC 3 45,226 180,000 49 2,929,965 0 258,265
SUGIHARTONO
88 02-09-1972/676598527001000 1 2,989,300 0 0 217,260 0 0
197001121992031005/117177 1 298,930 0 240,000 0 334,801 5,000 3,465,500
PNS/820623/IIC 3 59,786 0 25 3,805,301 0 339,801
TIUR BUDIATI GULTOM

89 13-07-1965/676598949005000 1 2,723,700 0 0 289,680 0 0
196507131998032001/125763 2 272,370 0 240,000 0 310,501 5,000 3,319,200
PNS/820343/IIC 4 108,948 0 3 3,634,701 0 315,501
NURHAYATI
90 16-04-1982/676598725008000 1 2,640,600 0 0 72,420 0 0
198204162000122002/161523 0 0 0 240,000 0 264,060 5,000 2,684,000
PNS/820133/IIC 1 0 0 40 2,953,060 0 269,060
21/12/2016

Page 894 of 952
NO STW
DESI DEVIANI
91 14-02-1979/676598121005000 1 2,723,700 0 0 72,420 0 0
197902142000122003/164500 0 0 0 240,000 0 272,370 5,000 2,758,800
PNS/820623/IIC 1 0 0 50 3,036,170 0 277,370
ASTIPURI
92 23-02-1981/699390670005000 0 2,640,600 0 0 217,260 0 0
198102232007012010/168775 1 264,060 0 240,000 0 295,747 5,000 3,114,000
PNS/820343/IIC 3 52,812 0 15 3,414,747 0 300,747
ENI MARDHAWATI
93 10-10-1973/893174466009000 1 2,695,500 0 0 289,680 0 0
197310102006042002/174752 2 269,550 0 240,000 0 307,287 5,000 3,290,300
PNS/820343/IIB 4 107,820 0 37 3,602,587 0 312,287
UCIN MUKHTAR
94 06-09-1967/676598238009000 1 2,867,900 180,000 0 217,260 0 0
196709061992031005/122816 1 286,790 0 0 0 321,204 5,000 3,283,200
PNS/798022/IIB 3 57,358 180,000 96 3,609,404 0 326,204
ROMAULI SIAGIAN
95 25-10-1973/893170084005000 0 2,533,400 0 0 72,420 0 0
197310252008012015/171623 0 0 0 240,000 0 253,340 5,000 2,587,500
PNS/820343/IIB 1 0 0 20 2,845,840 0 258,340
ENDAH LESTARI
96 26-09-1973/null 1 2,586,100 180,000 0 217,260 0 0
197309261997032001/123423 1 258,610 0 0 0 289,643 5,000 2,999,100
PNS/798032/IIA 3 51,722 180,000 51 3,293,743 0 294,643
21/12/2016

Page 895 of 952
NO STW
316,486,100 4,045,000 1,520,000 18,467,100 0 0
TOTAL 21,091,460 0 29,160,000 0 34,352,045 650,000 361,715,300
5,943,158 4,045,000 4,527 396,717,345 0 35,002,045
JAKARTA,
MENGETAHUI
21/12/2016

Page 896 of 952
UKPD: PKM. KEL. HALIM PERDANAKUSUMA KEC.MAKASAR
NO STW
IDA ASMAYANI
1 23-06-1970/078404845432001 1 3,953,600 0 0 72,420 0 0
197006231999032003/162639 0 0 0 1,200,000 0 395,360 10,000 4,820,700
PNS/820602/IVA 1 0 0 40 5,226,060 0 405,360
FENTY LINDARI
2 02-02-1975/676598543005000 1 3,715,800 0 0 72,420 0 0
197502022002122005/164765 0 0 0 1,200,000 0 371,580 10,000 4,606,700
PNS/820102/IVA 1 0 0 60 4,988,280 0 381,580
7,669,400 0 0 144,840 0 0
TOTAL 0 0 2,400,000 0 766,940 20,000 9,427,400
0 0 100 10,214,340 0 786,940
JAKARTA,
MENGETAHUI
21/12/2016

Page 897 of 952
UKPD: PUSKESMAS KEL.MAKASAR KEC.MAKASAR
NO STW
BEBY MUHRISA
1 10-02-1974/098886393121000 1 3,116,500 0 0 72,420 0 0
197402102006042001/182829 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
3,116,500 0 0 72,420 0 0
TOTAL 0 0 750,000 0 311,650 7,000 3,620,300
0 0 30 3,938,950 0 318,650
JAKARTA,
MENGETAHUI
21/12/2016

Page 898 of 952
UKPD: PUSKESMAS KEL.PINANG RANTI KEC. MAKASAR
NO STW
ELLYNDA AMRAN
1 17-04-1960/676598899005000 1 5,015,400 0 0 144,840 0 0
196004171986032002/123070 0 501,540 0 1,200,000 0 551,694 10,000 6,300,100
PNS/820602/IVC 2 0 0 14 6,861,794 0 561,694
WITNES YENNI
2 02-04-1967/792444069432000 1 3,116,500 0 0 217,260 0 0
196704022007012036/168364 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
8,131,900 0 0 362,100 0 0
TOTAL 813,190 0 1,950,000 0 900,742 17,000 10,401,800
62,330 0 22 11,319,542 0 917,742
JAKARTA,
MENGETAHUI
21/12/2016

Page 899 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CIRACAS
NO STW
WINARTO
1 24-02-1981/092307248404000 1 3,248,300 0 980,000 289,680 0 0
198102242006041003/164856 2 324,830 0 0 0 370,306 7,000 4,595,500
PNS/000000/IIID 4 129,932 0 64 4,972,806 0 377,306
ENDANG DEWATI
2 24-09-1962/144661908436001 1 4,294,000 0 540,000 289,680 0 0
196209241987032002/110712 2 429,400 0 0 0 489,516 7,000 5,228,400
PNS/500100/IIID 4 171,760 0 76 5,724,916 0 496,516
UMI KULSUM
3 27-10-1959/676593999432000 1 5,015,400 0 0 217,260 0 0
195910271986032001/122694 1 501,540 0 1,200,000 0 561,724 10,000 6,462,800
PNS/820602/IVC 3 100,308 0 16 7,034,524 0 571,724
HUBERTINA MARIA
4 21-10-1966/676345754412000 1 4,430,400 0 0 289,680 0 0
196610211993032003/161614 2 443,040 0 1,200,000 0 505,065 10,000 6,025,300
PNS/820602/IVC 4 177,216 0 29 6,540,365 0 515,065
JARUNJUNG MANURUNG
5 23-12-1969/774287833403000 1 4,250,600 0 0 289,680 0 0
196912231993032005/123249 2 425,060 0 1,200,000 0 484,568 10,000 5,840,800
PNS/820602/IVB 4 170,024 0 4 6,335,368 0 494,568
MONDA REZKY SIREGAR

6 04-03-1965/581015161403000 1 4,384,400 0 0 217,260 0 0
196503041992032003/125621 1 438,440 0 1,200,000 0 491,052 10,000 5,826,800
PNS/820602/IVB 3 87,688 0 64 6,327,852 0 501,052
21/12/2016

Page 900 of 952
NO STW
SRI UTAMI
7 10-12-1964/269287272009000 1 4,206,500 0 0 72,420 0 0
196412101992032003/162653 0 0 0 1,200,000 0 420,650 10,000 5,048,300
PNS/820122/IVA 1 0 0 30 5,478,950 0 430,650
MELINSA SITANGGANG
8 08-12-1958/683177216009000 1 4,339,000 0 0 72,420 0 0
195812081985032003/106565 0 0 0 500,000 0 433,900 10,000 4,467,600
PNS/820341/IVA 1 0 0 80 4,911,500 0 443,900
EUIS KURNIAWATI
9 14-12-1966/576637227009000 1 4,294,000 0 0 144,840 0 0
196612141987032004/110746 0 429,400 0 500,000 0 472,340 7,000 4,888,900
PNS/820312/IIID 2 0 0 0 5,368,240 0 479,340
ST HASANAH
10 28-09-1968/675724827412000 1 3,912,600 0 0 72,420 0 0
196809281989022001/113537 0 0 0 600,000 0 391,260 7,000 4,186,800
PNS/820322/IIID 1 0 0 40 4,585,060 0 398,260
MARGARETHA DAMAYANTI
11 12-05-1978/692951825432000 1 3,248,300 0 0 217,260 0 0
197805122005022001/182754 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820603/IIID 3 64,966 0 53 4,605,409 0 370,809
KEMALA SARI
12 16-10-1975/151544350732000 1 3,350,600 185,000 0 72,420 0 0
197510162003122002/182803 0 0 0 0 0 335,060 7,000 3,266,000
PNS/798012/IIID 1 0 185,000 40 3,608,060 0 342,060
21/12/2016

Page 901 of 952
NO STW
DIAN NURANI
13 24-09-1959/699384277009000 1 4,294,000 0 0 72,420 0 0
195909241981082001/072329 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SUMARWAN
14 31-12-1970/682988654009000 1 4,162,900 0 0 144,840 0 0
196509261985031005/120823 0 416,290 0 500,000 0 457,919 7,000 4,759,200
PNS/830223/IIID 2 0 0 89 5,224,119 0 464,919
RASMAWATI
15 16-12-1965/774258990005000 1 3,912,600 0 0 144,840 0 0
196512161988032004/128515 0 391,260 0 500,000 0 430,386 7,000 4,511,400
PNS/820312/IIID 2 0 0 86 4,948,786 0 437,386
RITHA ALLO SOMBA'

16 02-12-1971/151481009803000 1 3,315,900 0 0 72,420 0 0
197112022006042007/183035 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820103/IIIC 1 0 0 70 4,138,390 0 338,590
UMI NAZILATUL FAUZIAH

17 16-01-1974/676578560403000 1 3,528,100 0 0 72,420 0 0
197401161992032001/123484 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
SUKMAWATI
18 22-02-1966/774289722009000 1 3,753,800 0 0 217,260 0 0
196602221988032007/125844 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820341/IIIC 3 75,076 0 9 4,921,525 0 427,425
21/12/2016

Page 902 of 952
NO STW
LAELATUL ISTIQOMAH
19 13-11-1971/672296415009000 1 3,420,300 0 0 289,680 0 0
197111131997032002/158053 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
SEVI ARISTYA SUDARWIN

20 27-10-1980/575786629432000 1 3,116,500 0 0 289,680 0 0
198010272006042013/164853 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
RODEMI HUTASOIT
21 24-02-1974/774289896403000 1 3,528,100 0 0 289,680 0 0
197402241993022003/165523 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
ELLYSABETH MULYANI
22 05-07-1967/672097706071000 1 3,116,500 0 0 289,680 0 0
196707052007012042/168773 2 311,650 0 750,000 0 355,281 7,000 4,230,300
PNS/820103/IIIC 4 124,660 0 91 4,592,581 0 362,281
EVA RUSMIYATI
23 28-11-1973/774313035009000 1 3,420,300 0 0 289,680 0 0
197211281995032003/123398 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
NURCHAIRATI
24 16-11-1966/672341823432000 1 3,753,800 0 0 217,260 0 0
196611161991032006/158184 1 375,380 0 500,000 0 420,425 7,000 4,494,100
PNS/820312/IIIC 3 75,076 0 9 4,921,525 0 427,425
21/12/2016

Page 903 of 952
NO STW
MERY GUSMARYANI
25 23-08-1969/774314637403000 1 3,639,200 0 0 72,420 0 0
196908231991032008/158328 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
LIDYA SUSILOWATI
26 12-09-1961/698835592009000 1 4,249,500 0 0 144,840 0 0
196109121981032002/071918 0 424,950 0 500,000 0 467,445 7,000 4,844,900
PNS/820341/IIIC 2 0 0 55 5,319,345 0 474,445
NIPIT GUSMAWATI
27 16-08-1972/676578446432000 1 3,639,200 0 0 72,420 0 0
197208161991032001/120744 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
RAHMAWATI
28 06-09-1968/183272681003000 1 3,639,200 0 0 144,840 0 0
196809061991032010/157883 0 363,920 0 500,000 0 400,312 7,000 4,240,700
PNS/820621/IIIC 2 0 0 52 4,648,012 0 407,312
TRI SUHARYANTI
29 10-07-1971/252272729412001 1 3,639,200 0 0 72,420 0 0
197107101991032006/163114 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
DIYANTI ERMASARI
30 05-02-1986/703616334009000 1 2,641,200 185,000 0 289,680 0 0
198602052014032002/183598 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
21/12/2016

Page 904 of 952
NO STW
FITRIA SRI WURYANINGSIH
31 29-10-1987/705845071532000 1 2,641,200 185,000 0 289,680 0 0
198710292014032003/183625 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
MELISA KARIMA AMALIA

32 12-06-1987/706010550412000 1 2,641,200 185,000 0 217,260 0 0
198706122014032002/183791 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
NOVI WIARNI
33 19-11-1986/662779586009000 1 2,641,200 185,000 0 289,680 0 0
198611192014032004/184408 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
SRI MULYANI
34 20-09-1973/698834777005000 1 3,181,300 0 0 217,260 0 0
197309201996032003/121694 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820313/IIIB 3 63,626 0 89 4,045,405 0 363,305
BAIQ MURNIATI
35 14-11-1959/675724785412000 1 3,384,900 0 0 72,420 0 0
195911141992032003/122884 0 0 0 265,000 0 338,490 7,000 3,376,900
PNS/820313/IIIB 1 0 0 70 3,722,390 0 345,490
SUKAESIH
36 29-10-1970/676581424009000 1 3,281,500 0 0 217,260 0 0
197010291997032002/123297 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820325/IIIB 3 65,630 0 88 4,157,628 0 374,528
21/12/2016

Page 905 of 952
NO STW
GONAP SIRAIT
37 30-10-1967/774243505432000 0 3,281,500 0 0 72,420 0 0
196710301998032003/125807 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
FITRIAH
38 04-04-1978/675091888432000 1 3,181,300 0 0 289,680 0 0
197804042000122001/161513 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
N.ATIKAH HELIAWATI
39 01-08-1968/688633171035000 1 3,181,300 0 0 289,680 0 0
196808011996032001/121128 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
PERNI ROSITA PURBA

40 09-06-1971/497453787061000 1 3,491,500 0 0 289,680 0 0
197106091996032001/122402 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820354/IIIB 4 139,660 0 41 4,535,031 0 405,031
PUJI ASTUTI
41 13-05-1969/672397478009000 1 3,181,300 0 0 289,680 0 0
196905131997032004/158028 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
MAT USIN
42 15-06-1963/770321420009000 1 3,601,400 185,000 0 144,840 0 0
196306151985031011/070829 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798011/IIIB 2 0 185,000 74 4,291,454 0 403,154
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Page 906 of 952
NO STW
INTAN HUTAGALUNG
43 06-09-1963/776733842009000 1 3,831,900 185,000 0 144,840 0 0
196309061985032010/075589 1 0 0 0 0 390,853 7,000 3,840,600
PNS/798022/IIIB 2 76,638 185,000 75 4,238,453 0 397,853
TRIYONO
44 15-07-1962/770301620017000 1 3,831,900 0 0 289,680 0 0
196207151984031013/083063 2 383,190 0 265,000 0 436,836 7,000 4,479,300
PNS/820622/IIIB 4 153,276 0 90 4,923,136 0 443,836
HARYANI
45 13-05-1964/698834876009000 0 3,601,400 185,000 0 72,420 0 0
196405131985032008/087442 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798022/IIIB 1 0 185,000 20 3,858,840 0 367,140
SUKANDAR
46 10-04-1964/575785498003000 1 3,714,900 185,000 0 289,680 0 0
196404101987031012/110632 2 371,490 0 0 0 423,498 7,000 4,279,200
PNS/798011/IIIB 4 148,596 185,000 32 4,709,698 0 430,498
ADE ROMDLON
47 06-02-1960/590563226009000 1 3,491,500 185,000 0 144,840 0 0
196002061991031001/116355 0 349,150 0 0 0 384,065 7,000 3,779,500
PNS/798022/IIIB 2 0 185,000 75 4,170,565 0 391,065
ELLYS TAMBUN
48 05-04-1971/774303788005000 1 3,491,500 185,000 0 217,260 0 0
197104051993032003/118483 1 349,150 0 0 0 391,048 7,000 3,914,700
PNS/798012/IIIB 3 69,830 185,000 8 4,312,748 0 398,048
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Page 907 of 952
NO STW
WAGINI
49 14-09-1966/672397494412000 1 3,281,500 0 0 217,260 0 0
196609141994032002/118641 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820313/IIIB 3 65,630 0 88 4,157,628 0 374,528
JUSTINA BR SITEPU
50 14-12-1967/675717722009000 1 3,281,500 0 0 289,680 0 0
196712141994032001/118644 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820132/IIIB 4 131,260 0 1 4,295,591 0 381,091
RISMA PELITA SINAGA

51 14-05-1969/675717730009000 1 3,181,300 0 0 72,420 0 0
196905141996032002/121077 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820132/IIIB 1 0 0 10 3,518,730 0 325,130
TRIISWINTARI
52 30-01-1970/685462392009000 1 3,181,300 0 0 217,260 0 0
197001301996032001/121094 1 318,130 0 265,000 0 356,305 7,000 3,682,100
PNS/820132/IIIB 3 63,626 0 89 4,045,405 0 363,305
LINDA CATUR P
53 17-12-1975/770192037403000 1 3,181,300 0 0 289,680 0 0
197512171996032001/121095 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820132/IIIB 4 127,252 0 6 4,181,368 0 369,668
HARYATI
54 12-06-1960/672097839009000 1 4,077,000 185,000 0 72,420 0 0
196006121980032002/122343 0 0 0 0 0 407,700 7,000 3,919,800
PNS/798022/IIIB 1 0 185,000 80 4,334,500 0 414,700
21/12/2016

Page 908 of 952
NO STW
LUSTRI HAWATI
55 30-10-1965/676594013412000 1 3,601,400 185,000 0 72,420 0 0
196510301989032011/122881 0 0 0 0 0 360,140 7,000 3,491,700
PNS/798012/IIIB 1 0 185,000 20 3,858,840 0 367,140
SUKESTI
56 15-03-1962/676594047009000 1 3,831,900 185,000 0 217,260 0 0
196203151985032007/123063 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
JENAL ABIDIN
57 17-05-1967/774281711_009000 1 3,491,500 0 0 217,260 0 0
196705171991031007/123338 1 349,150 0 265,000 0 391,048 7,000 3,994,700
PNS/820313/IIIB 3 69,830 0 8 4,392,748 0 398,048
MONALISA BR GINTING
58 07-06-1973/774264360009000 1 3,281,500 185,000 0 72,420 0 0
197306071995032001/161817 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798012/IIIB 1 0 185,000 30 3,538,950 0 335,150
RUMANTI PAKPAHAN
59 16-04-1971/774264675009000 1 3,281,500 185,000 0 289,680 0 0
197104161994032004/164772 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798012/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
DARLIANIS
60 12-08-1968/774244347403000 0 3,601,400 0 0 217,260 0 0
196808121989122002/168910 2 0 0 265,000 0 374,545 7,000 3,846,200
PNS/820342/IIIB 3 144,056 0 29 4,227,745 0 381,545
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Page 909 of 952
NO STW
SAAMIN
61 13-08-1963/774294128009000 1 3,455,300 185,000 0 289,680 0 0
196308131986091001/108836 2 345,530 0 0 0 393,904 7,000 4,012,900
PNS/798022/IIIA 4 138,212 185,000 82 4,413,804 0 400,904
MAHPUDIN
62 24-03-1963/675724793009000 1 3,349,800 185,000 0 289,680 0 0
196303241991031004/116405 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798022/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
DERMAWAN TIUR IDA

63 18-01-1959/774263776009000 1 3,349,800 0 0 144,840 0 0
195901181990012001/120584 0 334,980 0 265,000 0 368,478 7,000 3,719,200
PNS/820342/IIIA 2 0 0 58 4,094,678 0 375,478
ASIH KURNIAWATI
64 05-05-1975/676578487009000 1 2,959,000 0 0 289,680 0 0
197505051998032004/125574 2 295,900 0 240,000 0 337,326 7,000 3,558,700
PNS/830225/IIIA 4 118,360 0 86 3,903,026 0 344,326
ROSMIMI
65 08-05-1973/266280429009000 1 3,148,300 0 0 72,420 0 0
197305081993022004/125800 0 0 0 265,000 0 314,830 7,000 3,163,900
PNS/820342/IIIA 1 0 0 10 3,485,730 0 321,830
NANA ABDUL KOHAR

66 13-10-1976/676598071412000 1 2,959,000 185,000 0 289,680 0 0
197610131998031002/125834 2 295,900 0 0 0 337,326 7,000 3,503,700
PNS/798022/IIIA 4 118,360 185,000 86 3,848,026 0 344,326
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Page 910 of 952
NO STW
SURYANI
67 29-03-1975/699418513009000 1 3,052,200 0 0 72,420 0 0
197503291997032005/164751 0 0 0 265,000 0 305,220 7,000 3,077,400
PNS/820622/IIIA 1 0 0 0 3,389,620 0 312,220
NURUL FADILAH
68 01-11-1984/579334079009000 0 2,507,800 0 0 72,420 0 0
198411012010012044/178784 0 0 0 240,000 0 250,780 5,000 2,564,500
PNS/820343/IID 1 0 0 60 2,820,280 0 255,780
IRMA RODEARNI
69 30-09-1980/774287825009000 1 2,668,200 0 0 217,260 0 0
198009302008012019/174691 1 266,820 0 240,000 0 298,838 5,000 3,141,900
PNS/820314/IID 3 53,364 0 94 3,445,738 0 303,838
AMANATINE AL FEBYANA
70 03-02-1988/363518762436000 0 2,431,200 0 0 72,420 0 0
198802032011012013/180965 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
BUNGA MAHARDHIKA
71 10-11-1984/572969210009000 1 2,431,200 0 0 72,420 0 0
198411102011012024/181831 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
VIENCERIA
72 24-02-1981/774245419009000 0 2,431,200 0 0 72,420 0 0
198102242011012004/181836 0 0 0 240,000 0 243,120 5,000 2,495,500
PNS/820314/IID 1 0 0 0 2,743,620 0 248,120
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Page 911 of 952
NO STW
ABDILAH GOLO
73 22-10-1973/676578438412000 1 3,020,600 180,000 0 289,680 0 0
197310221995032003/120190 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798011/IID 4 120,824 180,000 84 3,913,248 0 349,348
HENDRA GUMILANG
74 02-09-1974/590516878006000 1 2,928,300 0 0 289,680 0 0
197409021997031008/123004 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820314/IID 4 117,132 0 84 3,868,026 0 338,826
RETNI BR PURBA
75 08-06-1978/792446056005000 1 2,752,300 0 0 289,680 0 0
197806082008012021/169949 2 275,230 0 240,000 0 313,762 5,000 3,348,600
PNS/820314/IID 4 110,092 0 60 3,667,362 0 318,762
SITI HASANAH
76 03-04-1980/676594427009000 0 2,668,200 0 0 72,420 0 0
198004032007012022/168772 0 0 0 240,000 0 266,820 5,000 2,708,800
PNS/820343/IID 1 0 0 0 2,980,620 0 271,820
AHYA ANSORI
77 17-12-1990/770016533006000 0 2,261,300 180,000 0 72,420 0 0
199012172014031002/183365 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
CINTAMY DESI
78 02-12-1990/667351720006000 0 2,261,300 180,000 0 72,420 0 0
199012022014032003/183474 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
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Page 912 of 952
NO STW
JUHANENGSIH AMKEB
79 04-11-1982/262627706412000 0 2,559,900 0 0 72,420 0 0
198211042008012020/172345 0 0 0 240,000 0 255,990 5,000 2,611,400
PNS/820343/IIC 1 0 0 70 2,872,390 0 260,990
HENNY SULISTIOWATY
80 17-09-1988/363387390009000 1 2,332,500 0 0 217,260 0 0
198809172011012009/180963 1 233,250 0 240,000 0 261,240 5,000 2,803,500
PNS/820343/IIC 3 46,650 0 80 3,069,740 0 266,240
DIANA RAHAYU
81 01-07-1978/359820701009000 0 2,533,400 0 0 72,420 0 0
197807012000032002/161532 0 0 0 240,000 0 253,340 5,000 2,587,500
PNS/820133/IIB 1 0 0 20 2,845,840 0 258,340
ARIYANI UTAMI
82 04-07-1982/696865377009000 0 2,456,000 0 0 72,420 0 0
198207042007012006/168647 0 0 0 240,000 0 245,600 5,000 2,517,900
PNS/820623/IIB 1 0 0 80 2,768,500 0 250,600
SARIA SIBARANI
83 23-03-1961/774241848009000 0 2,958,300 180,000 0 144,840 0 0
196103231987032007/157945 0 295,830 0 0 0 325,413 5,000 3,248,600
PNS/798041/IIB 2 0 180,000 43 3,579,013 0 330,413
SANDI
84 04-09-1979/685464075005000 0 2,284,400 180,000 0 72,420 0 0
197909042014011001/183265 0 0 0 0 0 228,440 5,000 2,303,400
PNS/798981/IIA 1 0 180,000 20 2,536,840 0 233,440
21/12/2016

Page 913 of 952
NO STW
280,429,700 4,415,000 1,520,000 15,208,200 0 0
TOTAL 17,769,670 0 25,005,000 0 30,315,065 572,000 318,415,800
4,951,432 4,415,000 3,863 349,302,865 0 30,887,065
JAKARTA,
MENGETAHUI
21/12/2016

Page 914 of 952
UKPD: RUMAH SAKIT UMUM KELAS D CIRACAS
NO STW
SRI KUSTANTINI H
1 08-06-1961/672395035009000 0 4,522,500 0 980,000 217,260 0 0
196106081989102002/125878 1 452,250 0 0 0 506,520 10,000 5,746,000
PNS/000000/IVB 3 90,450 0 60 6,262,520 0 516,520
ADITYA GALATAMA
2 19-07-1979/895241529412000 1 2,929,100 0 540,000 289,680 0 0
197907192010011011/178889 2 292,910 0 0 0 333,917 7,000 3,828,000
PNS/700100/IIIC 4 117,164 0 63 4,168,917 0 340,917
MATRAIS
3 07-06-1964/493248173008000 1 3,872,000 0 540,000 289,680 0 0
196406071987031005/110783 2 387,200 0 0 0 441,408 7,000 4,795,400
PNS/500100/IIIC 4 154,880 0 48 5,243,808 0 448,408
NAPSIAH
4 05-07-1969/790729057009000 1 3,420,300 0 540,000 289,680 0 0
196907051994032011/118459 2 342,030 0 0 0 389,914 7,000 4,332,000
PNS/700200/IIIC 4 136,812 0 92 4,728,914 0 396,914
NURHABIBAH
5 01-08-1963/676594005009000 1 4,569,900 0 0 72,420 0 0
196308011989102001/124886 0 0 0 1,200,000 0 456,990 10,000 5,375,400
PNS/820602/IVC 1 0 0 70 5,842,390 0 466,990
TISNA MISNAWATI
6 01-01-1963/486295256009000 1 4,522,500 0 0 289,680 0 0
196301011989112001/122698 2 452,250 0 1,200,000 0 515,565 10,000 6,119,800
PNS/820122/IVB 4 180,900 0 35 6,645,365 0 525,565
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Page 915 of 952
NO STW
CITRA
7 31-10-1960/581048303043000 1 3,793,100 0 0 289,680 0 0
196010311993122001/125327 2 379,310 0 750,000 0 432,413 7,000 4,924,500
PNS/820603/IIID 4 151,724 0 99 5,363,913 0 439,413
INDRAWATI
8 09-05-1959/774281695009000 1 4,429,300 0 0 217,260 0 0
195905091981012001/109041 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820312/IIID 3 88,586 0 5 5,678,081 0 503,081
RETNO KUSMARDIANTI
9 18-03-1959/575743364009000 0 4,568,800 0 0 72,420 0 0
195903181981032005/125451 0 0 0 500,000 0 456,880 7,000 4,677,400
PNS/820341/IIID 1 0 0 60 5,141,280 0 463,880
ST.KHADIJAH MALAWAT
10 30-07-1961/672397445412000 1 4,294,000 0 0 217,260 0 0
196107301984012001/131048 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820312/IIID 3 85,880 0 88 5,526,628 0 487,928
WIDIA SUNARYATI
11 11-08-1973/774281737432000 1 3,528,100 0 0 72,420 0 0
197308111993022002/123402 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
ACHLIA SARI USMAN

12 01-10-1976/242748374419000 1 3,116,500 0 0 217,260 0 0
197610012006042009/182755 1 311,650 0 750,000 0 349,048 7,000 4,101,700
PNS/820103/IIIC 3 62,330 0 8 4,457,748 0 356,048
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Page 916 of 952
NO STW
ENY ROHAYATI
13 23-09-1968/675717185436000 1 3,528,100 0 0 217,260 0 0
196809231995032003/125501 1 352,810 0 500,000 0 395,147 7,000 4,266,600
PNS/820353/IIIC 3 70,562 0 15 4,668,747 0 402,147
RAPMAULI MANALU
14 29-08-1968/774281786412000 0 3,753,800 0 0 72,420 0 0
196808291989112001/114535 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820341/IIIC 1 0 0 60 4,326,280 0 382,380
MARIYAM H MUHAMAD
15 06-04-1967/572166403009000 1 3,753,800 0 0 289,680 0 0
196704061989032009/115557 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820312/IIIC 4 150,152 0 21 5,069,033 0 434,933
YANTI HIDAYANTI
16 17-02-1969/689551620009000 1 3,994,000 0 0 72,420 0 0
196902171990032006/120787 0 0 0 500,000 0 399,400 7,000 4,160,100
PNS/820341/IIIC 1 0 0 80 4,566,500 0 406,400
CHAMISAM GUSTI
17 07-08-1969/575785886003000 1 3,420,300 0 0 289,680 0 0
196908071990012002/122333 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820312/IIIC 4 136,812 0 92 4,688,914 0 396,914
ESNIK ERNAWATI
18 04-02-1970/245394721412000 1 3,639,200 0 0 289,680 0 0
197002041993032005/125487 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/900010/IIIC 4 145,568 0 0 4,938,368 0 421,868
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Page 917 of 952
NO STW
IVANNY MORITA
19 08-03-1988/664627692005000 1 2,641,200 185,000 0 217,260 0 0
198803082014032002/183650 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
MARINA ANGGRAENI ROSA

20 18-04-1984/706126885008000 1 2,641,200 185,000 0 217,260 0 0
198404182014032002/183671 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
TANIA AQUARISTHA
21 23-01-1988/547932640006000 1 2,641,200 185,000 0 217,260 0 0
198801232014032001/183749 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
NI KETUT SUGIARTI
22 24-05-1975/360604714941000 1 2,810,200 185,000 0 144,840 0 0
197505242010012004/183328 1 0 0 0 0 286,640 7,000 2,902,700
PNS/798012/IIIB 2 56,204 185,000 96 3,196,340 0 293,640
ELY YULIAH
23 18-06-1970/496321266009000 1 3,384,900 0 0 217,260 0 0
197006181992032005/117655 1 338,490 0 265,000 0 379,108 7,000 3,887,300
PNS/820325/IIIB 3 67,698 0 60 4,273,408 0 386,108
MINARSIH
24 20-10-1974/683177786412000 1 3,181,300 185,000 0 289,680 0 0
197410201997032001/123374 2 318,130 0 0 0 362,668 7,000 3,731,700
PNS/798011/IIIB 4 127,252 185,000 6 4,101,368 0 369,668
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Page 918 of 952
NO STW
DIAH MINTARSIH
25 09-12-1976/245409966412000 1 3,181,300 0 0 217,260 0 0
197612091999032002/161761 2 0 0 265,000 0 330,855 7,000 3,453,000
PNS/820313/IIIB 3 127,252 0 43 3,790,855 0 337,855
SRI MARYANTI
26 11-03-1961/675724801412000 1 3,831,900 185,000 0 217,260 0 0
196103111984032008/082038 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798022/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
SITI NURENDAH
27 18-04-1963/675717177009000 1 3,831,900 185,000 0 217,260 0 0
196304181984022001/083194 1 383,190 0 0 0 429,172 7,000 4,257,900
PNS/798012/IIIB 3 76,638 185,000 84 4,694,072 0 436,172
WIDHI HASTUTI
28 15-04-1970/874553787009000 1 3,601,400 185,000 0 217,260 0 0
197004151989032003/113818 1 360,140 0 0 0 403,356 7,000 4,025,500
PNS/798011/IIIB 3 72,028 185,000 28 4,435,856 0 410,356
LINDA TAMBUNAN
29 14-08-1965/774289656009000 1 3,491,500 0 0 289,680 0 0
196508141991032007/117222 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
RINI ISMAWATI
30 01-07-1966/676593981008000 1 3,601,400 0 0 72,420 0 0
196607011988032005/117700 0 0 0 265,000 0 360,140 7,000 3,571,700
PNS/820313/IIIB 1 0 0 20 3,938,840 0 367,140
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Page 919 of 952
NO STW
TATI RISMAWATI
31 20-04-1959/672341856009000 1 3,714,900 185,000 0 144,840 0 0
195904201980022001/122344 0 371,490 0 0 0 408,639 7,000 4,000,600
PNS/798022/IIIB 2 0 185,000 9 4,416,239 0 415,639
RIANI
32 09-06-1969/672397460005000 1 3,384,900 0 0 289,680 0 0
196906091997032002/123373 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
ISTIATI
33 10-05-1964/679015602009000 1 3,831,900 185,000 0 289,680 0 0
196405101984012001/158241 2 383,190 0 0 0 436,836 7,000 4,399,300
PNS/798022/IIIB 4 153,276 185,000 90 4,843,136 0 443,836
SANTI
34 29-11-1978/576768055009000 1 2,781,100 185,000 0 289,680 0 0
197811291999032001/157339 2 278,110 0 0 0 317,045 7,000 3,321,100
PNS/798011/IIIA 4 111,244 185,000 11 3,645,145 0 324,045
RUBIAWATI OSMAN
35 02-11-1960/null 1 3,564,100 0 0 144,840 0 0
196011021985032002/101811 0 356,410 0 265,000 0 392,051 7,000 3,931,300
PNS/820342/IIIA 2 0 0 1 4,330,351 0 399,051
PUTRI KATNAWATI
36 13-03-1973/672341849009000 0 3,052,200 0 0 72,420 0 0
197303131997032002/122962 0 0 0 240,000 0 305,220 7,000 3,052,400
PNS/820314/IIIA 1 0 0 0 3,364,620 0 312,220
21/12/2016

Page 920 of 952
NO STW
SITI KHOTUJAH
37 04-04-1975/675717169006000 1 2,959,000 0 0 289,680 0 0
197504081997032002/123420 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
WANTO
38 13-09-1983/491075982034000 1 2,431,200 0 0 217,260 0 0
198309132011011010/181837 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
LUBNA SYARIFAH
39 18-06-1976/676578453009000 1 2,640,600 180,000 0 289,680 0 0
197606182000032003/130820 2 264,060 0 0 0 301,028 5,000 3,174,000
PNS/798011/IIC 4 105,624 180,000 64 3,480,028 0 306,028
IWAN MARDIANUS PURBA

40 11-04-1977/170558951061000 1 2,559,900 0 0 289,680 0 0
197704112007011022/168765 2 255,990 0 240,000 0 291,828 5,000 3,151,200
PNS/820314/IIC 4 102,396 0 62 3,448,028 0 296,828
NOVIANA SATRI
41 22-11-1975/698834041009000 1 2,456,000 180,000 0 217,260 0 0
197511222007012019/168513 1 245,600 0 0 0 275,072 5,000 2,868,000
PNS/798022/IIB 3 49,120 180,000 92 3,148,072 0 280,072
21/12/2016

Page 921 of 952
NO STW
141,870,500 2,395,000 2,600,000 8,835,240 0 0
TOTAL 10,881,080 0 11,475,000 0 15,604,917 288,000 165,463,600
3,297,702 2,395,000 1,995 181,356,517 0 15,892,917
JAKARTA,
MENGETAHUI
21/12/2016

Page 922 of 952
UKPD: PUSKESMAS KEL.KELAPADUA WETAN KEC.CIRACAS
NO STW
INDIRA DEWI
1 03-12-1963/478185341412000 0 4,206,500 0 0 217,260 0 0
196312031995032001/163952 2 0 0 1,200,000 0 437,476 10,000 5,344,600
PNS/820102/IVA 3 168,260 0 56 5,792,076 0 447,476
4,206,500 0 0 217,260 0 0
TOTAL 0 0 1,200,000 0 437,476 10,000 5,344,600
168,260 0 56 5,792,076 0 447,476
JAKARTA,
MENGETAHUI
21/12/2016

Page 923 of 952
UKPD: PUSKESMAS KEL. SUSUKAN KEC.CIRACAS
NO STW
YUNI ASTUTI
1 16-06-1974/581445350412000 1 3,456,200 0 0 289,680 0 0
197406162006042027/165398 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
3,456,200 0 0 289,680 0 0
TOTAL 345,620 0 750,000 0 394,006 7,000 4,578,800
138,248 0 58 4,979,806 0 401,006
JAKARTA,
MENGETAHUI
21/12/2016

Page 924 of 952
UKPD: PUSKESMAS KEL.CIRACAS KEC.CIRACAS
NO STW
DESYATI JASMAN
1 22-12-1969/547832626009000 1 3,248,300 0 0 289,680 0 0
196912222007012030/168376 2 324,830 0 750,000 0 370,306 7,000 4,365,500
PNS/820103/IIID 4 129,932 0 64 4,742,806 0 377,306
3,248,300 0 0 289,680 0 0
TOTAL 324,830 0 750,000 0 370,306 7,000 4,365,500
129,932 0 64 4,742,806 0 377,306
JAKARTA,
MENGETAHUI
21/12/2016

Page 925 of 952
UKPD: PUSAT KESEHATAN MASYARAKAT KECAMATAN CIPAYUNG
NO STW
SUNERSI HANDAYANI
1 20-12-1976/678964719015000 1 3,565,000 0 980,000 289,680 0 0
197612201998032004/125538 2 356,500 0 0 0 406,410 7,000 4,920,400
PNS/000000/IIID 4 142,600 0 30 5,333,810 0 413,410
YUSRA R
2 21-10-1964/264793712435000 1 3,912,600 0 540,000 289,680 0 0
196410211994031004/120857 2 391,260 0 0 0 446,036 7,000 4,837,100
PNS/500100/IIID 4 156,504 0 92 5,290,136 0 453,036
LUSIA IRIANI P
3 16-12-1964/250586393432000 1 4,120,800 0 0 72,420 0 0
196412161989112002/122231 0 0 0 1,200,000 0 412,080 10,000 4,971,200
PNS/820602/IVB 1 0 0 60 5,393,280 0 422,080
HADRIAN
4 20-12-1957/770393569403000 1 4,616,600 0 0 217,260 0 0
195712201986111001/120885 1 461,660 0 1,200,000 0 517,059 10,000 6,060,800
PNS/820102/IVA 3 92,332 0 7 6,587,859 0 527,059
MEILAN BERNADET
5 17-05-1962/676578552436000 1 4,339,000 0 0 217,260 0 0
196205171990102003/128517 1 433,900 0 1,200,000 0 485,968 10,000 5,781,000
PNS/820102/IVA 3 86,780 0 28 6,276,968 0 495,968
MARULLAH BUDIMAD P
6 28-11-1959/061095592001000 1 4,339,000 0 0 289,680 0 0
195911281990031003/161648 2 433,900 0 1,200,000 0 494,646 10,000 5,931,500
PNS/820102/IVA 4 173,560 0 6 6,436,146 0 504,646
21/12/2016

Page 926 of 952
NO STW
INDIRA FEBRIYANTI
7 22-02-1980/265410894009000 1 3,456,200 185,000 0 289,680 0 0
198002222006042009/174696 2 345,620 0 0 0 394,006 7,000 4,013,800
PNS/798012/IIID 4 138,248 185,000 58 4,414,806 0 401,006
ARIANTJE LINCE RUNTU

8 11-04-1962/245933999432000 1 4,162,900 185,000 0 144,840 0 0
196204111983112001/111769 0 416,290 0 0 0 457,919 7,000 4,444,200
PNS/798012/IIID 2 0 185,000 89 4,909,119 0 464,919
MUSLINA YENI
9 18-04-1962/264136482432000 1 4,294,000 0 0 144,840 0 0
196204181982012002/158291 0 429,400 0 850,000 0 472,340 7,000 5,238,900
PNS/820450/IIID 2 0 0 0 5,718,240 0 479,340
SAHRUNA
10 14-06-1971/674642137432000 1 3,456,200 185,000 0 289,680 0 0
197106142006041013/165257 2 345,620 0 0 0 394,006 7,000 4,013,800
PNS/798011/IIID 4 138,248 185,000 58 4,414,806 0 401,006
ENDAH PUJIASTUTI
11 08-09-1974/680381183009000 1 3,456,200 0 0 289,680 0 0
197409082001122001/168869 2 345,620 0 750,000 0 394,006 7,000 4,578,800
PNS/820103/IIID 4 138,248 0 58 4,979,806 0 401,006
LILA WATI SIMAMORA

12 31-03-1979/263968026005000 1 3,248,300 0 0 72,420 0 0
197903312005022003/171658 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820103/IIID 1 0 0 10 4,070,730 0 331,830
21/12/2016

Page 927 of 952
NO STW
SHANTY VERONICA
13 25-12-1975/897834206009000 1 3,053,000 0 0 289,680 0 0
197512252009022003/183009 2 305,300 0 750,000 0 348,042 7,000 4,165,100
PNS/820603/IIID 4 122,120 0 42 4,520,142 0 355,042
SRI LESTARI
14 08-08-1978/699440343005000 1 3,248,300 0 0 217,260 0 0
197808082005012010/183128 1 324,830 0 750,000 0 363,809 7,000 4,234,600
PNS/820123/IIID 3 64,966 0 53 4,605,409 0 370,809
TRIPULI PUTRI
15 31-10-1969/183709500005000 1 3,912,600 0 0 289,680 0 0
196910311992022001/128503 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820312/IIID 4 156,504 0 92 5,250,136 0 453,036
SHERLY DJUNIKAH
16 17-06-1972/672296548432000 1 3,677,300 0 0 72,420 0 0
197206171995032001/165203 0 0 0 500,000 0 367,730 7,000 3,875,000
PNS/820312/IIID 1 0 0 10 4,249,730 0 374,730
AMBAR KUSWATI
17 06-08-1968/471906214009000 1 3,912,600 0 0 289,680 0 0
196808061989012001/176679 2 391,260 0 500,000 0 446,036 7,000 4,797,100
PNS/820341/IIID 4 156,504 0 92 5,250,136 0 453,036
SURYANA SUMITRA
18 07-04-1960/774304018009000 1 4,429,300 0 0 217,260 0 0
196004071981121001/073908 1 442,930 0 500,000 0 496,081 7,000 5,175,000
PNS/820312/IIID 3 88,586 0 5 5,678,081 0 503,081
21/12/2016

Page 928 of 952
NO STW
LINCE SIANTURI
19 05-03-1960/672296738432000 1 4,294,000 0 0 217,260 0 0
196003051983032006/079605 1 429,400 0 500,000 0 480,928 7,000 5,038,700
PNS/820341/IIID 3 85,880 0 88 5,526,628 0 487,928
RINI HASNAH RESMIATI

20 19-06-1961/774349542009000 0 4,294,000 0 0 72,420 0 0
196106191983032012/079734 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820341/IIID 1 0 0 80 4,866,500 0 436,400
SRI ROSMALINA
21 24-04-1966/686028515009000 0 4,035,800 0 0 72,420 0 0
196604241987032007/110207 0 0 0 500,000 0 403,580 7,000 4,197,700
PNS/820312/IIID 1 0 0 60 4,608,280 0 410,580
SRI MULYANI
22 05-04-1960/092537612407001 0 4,429,300 0 0 72,420 0 0
196004051980032001/120210 0 0 0 500,000 0 442,930 7,000 4,551,800
PNS/820341/IIID 1 0 0 10 5,001,730 0 449,930
ASMAWATI
23 21-06-1961/672296779009000 0 4,294,000 0 0 72,420 0 0
196106211983012003/120582 0 0 0 500,000 0 429,400 7,000 4,430,100
PNS/820324/IIID 1 0 0 80 4,866,500 0 436,400
IKE KARTIKA
24 26-05-1967/672296449432000 1 3,912,600 0 0 72,420 0 0
196705261988022001/120643 0 0 0 500,000 0 391,260 7,000 4,086,800
PNS/820312/IIID 1 0 0 40 4,485,060 0 398,260
21/12/2016

Page 929 of 952
NO STW
RATNA TAMBUNAN
25 16-11-1962/774349658009000 1 3,793,100 0 0 144,840 0 0
196211161991032004/122775 0 379,310 0 500,000 0 417,241 7,000 4,393,100
PNS/820341/IIID 2 0 0 91 4,817,341 0 424,241
MARYAM
26 23-09-1965/695106021432000 1 3,912,600 0 0 217,260 0 0
196509231987032006/122779 1 391,260 0 500,000 0 438,211 7,000 4,654,200
PNS/820312/IIID 3 78,252 0 39 5,099,411 0 445,211
NUR ASIAH
27 20-12-1968/672296803009000 1 3,793,100 0 0 72,420 0 0
196812201990032005/123339 0 0 0 500,000 0 379,310 7,000 3,979,300
PNS/820341/IIID 1 0 0 90 4,365,610 0 386,310
HERAWATI AAN DIANA

28 10-12-1972/681803128407000 1 3,315,900 0 0 289,680 0 0
197212102007012020/168386 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820603/IIIC 4 132,636 0 6 4,819,812 0 385,012
NANIK SETIANA
29 16-02-1973/488073271009000 1 3,420,300 0 0 289,680 0 0
197302161994032002/118519 2 342,030 0 600,000 0 389,914 7,000 4,392,000
PNS/820307/IIIC 4 136,812 0 92 4,788,914 0 396,914
SRI WINARTI
30 18-04-1971/672296845009000 0 3,528,100 0 0 72,420 0 0
197104181995032005/120212 0 0 0 600,000 0 352,810 7,000 3,840,800
PNS/820351/IIIC 1 0 0 90 4,200,610 0 359,810
21/12/2016

Page 930 of 952
NO STW
SARIMANAH
31 05-03-1970/686463960009000 1 3,639,200 0 0 72,420 0 0
197003051992032006/123229 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
ARDI ARDIAN
32 06-05-1974/672296670009000 0 3,420,300 0 0 72,420 0 0
197405062002121004/165179 0 0 0 0 0 342,030 7,000 3,143,700
PNS/000008/IIIC 1 0 0 10 3,492,730 0 349,030
IKA SARI
33 26-09-1976/685955403403000 1 3,116,500 0 0 72,420 0 0
197609262006042022/165505 0 0 0 750,000 0 311,650 7,000 3,620,300
PNS/820103/IIIC 1 0 0 30 3,938,950 0 318,650
SRINATALIA
34 01-06-1967/774287742009000 1 3,214,700 0 0 289,680 0 0
196706012007012027/168366 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
APRIYANI
35 20-04-1970/576082697403999 1 3,315,900 0 0 289,680 0 0
197004202007012028/168382 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
UTY KUMALANINGTYAS
36 30-05-1981/360163737407000 1 2,810,200 0 0 289,680 0 0
198105302010012028/178852 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
21/12/2016

Page 931 of 952
NO STW
ALIYAH CENDANASARI
37 29-11-1981/251479093005000 1 2,810,200 0 0 289,680 0 0
198111292010012022/179115 2 281,020 0 750,000 0 320,362 7,000 3,916,000
PNS/820103/IIIC 4 112,408 0 54 4,243,362 0 327,362
RAHMAWATI MEILANI
38 17-05-1985/363436715403000 0 2,839,700 0 0 72,420 0 0
198505172011012022/180670 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820103/IIIC 1 0 0 50 3,662,170 0 290,970
ADHE SUKRESTI B.S

39 03-06-1983/584793384008000 0 2,839,700 0 0 72,420 0 0
198306032011012015/181256 0 0 0 750,000 0 283,970 7,000 3,371,200
PNS/820603/IIIC 1 0 0 50 3,662,170 0 290,970
HELLY ZAFNI
40 12-02-1973/699438321009000 1 3,214,700 0 0 144,840 0 0
197302122009032001/183048 0 321,470 0 750,000 0 353,617 7,000 4,070,400
PNS/820103/IIIC 2 0 0 7 4,431,017 0 360,617
NURYANI
41 17-10-1968/576617013008006 1 3,639,200 0 0 289,680 0 0
196810171991032007/120209 2 363,920 0 500,000 0 414,868 7,000 4,516,500
PNS/820621/IIIC 4 145,568 0 0 4,938,368 0 421,868
MASLAN SIMAMORA
42 28-03-1964/672296613009000 0 3,639,200 0 0 72,420 0 0
196403281990032007/122866 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820312/IIIC 1 0 0 0 4,211,620 0 370,920
21/12/2016

Page 932 of 952
NO STW
ATIN SUNDARI
43 26-02-1966/685462574005000 1 3,420,300 0 0 72,420 0 0
196602261997032002/158026 0 0 0 265,000 0 342,030 7,000 3,408,700
PNS/820313/IIIC 1 0 0 10 3,757,730 0 349,030
NIRWANAWATI
44 06-12-1980/699408019009000 1 3,116,500 0 0 72,420 0 0
198012062000122002/171650 0 0 0 500,000 0 311,650 7,000 3,370,300
PNS/820312/IIIC 1 0 0 30 3,688,950 0 318,650
MASNUR TAMBUNAN
45 17-04-1965/774314330412000 0 3,639,200 0 0 72,420 0 0
196504171991032012/117168 0 0 0 500,000 0 363,920 7,000 3,840,700
PNS/820341/IIIC 1 0 0 0 4,211,620 0 370,920
DENY BOY
46 20-12-1972/499812287412000 1 3,420,300 0 0 289,680 0 0
197212201994031002/118524 2 342,030 0 500,000 0 389,914 7,000 4,292,000
PNS/820324/IIIC 4 136,812 0 92 4,688,914 0 396,914
REBEKKA ROSARIA RS
47 09-09-1966/092582121432001 1 3,753,800 0 0 72,420 0 0
196609091988032011/122877 0 0 0 500,000 0 375,380 7,000 3,943,900
PNS/820341/IIIC 1 0 0 60 4,326,280 0 382,380
NOOR CHANINAH
48 07-06-1963/784146458403000 1 3,872,000 0 0 72,420 0 0
196306071988032006/122895 0 0 0 500,000 0 387,200 7,000 4,050,300
PNS/820312/IIIC 1 0 0 80 4,444,500 0 394,200
21/12/2016

Page 933 of 952
NO STW
DEWI BR SEMBIRING
49 01-04-1967/672296472009000 1 3,753,800 0 0 144,840 0 0
196704011989032022/123147 1 0 0 500,000 0 382,887 7,000 4,083,900
PNS/820312/IIIC 2 75,076 0 71 4,473,787 0 389,887
RATNANUR HAWATI P
50 01-08-1969/775432420000600 1 3,528,100 0 0 289,680 0 0
196908011992032006/125421 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
ROSMANI SIMAMORA
51 12-01-1965/672296696009000 1 3,528,100 0 0 289,680 0 0
196501121992032002/125793 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820341/IIIC 4 141,124 0 89 4,811,803 0 409,203
HEPPI PATRIA
52 17-08-1971/578453151413000 1 3,528,100 0 0 72,420 0 0
197108171993022001/158603 0 0 0 500,000 0 352,810 7,000 3,740,800
PNS/820341/IIIC 1 0 0 90 4,100,610 0 359,810
HERLINA
53 05-08-1964/685464091005000 1 3,528,100 0 0 289,680 0 0
196408051992032006/162520 2 352,810 0 500,000 0 402,203 7,000 4,402,600
PNS/820131/IIIC 4 141,124 0 89 4,811,803 0 409,203
SOLMIHAYATI
54 02-02-1969/672296647436000 1 3,753,800 0 0 289,680 0 0
196902021989122001/162669 2 375,380 0 500,000 0 427,933 7,000 4,634,100
PNS/820341/IIIC 4 150,152 0 21 5,069,033 0 434,933
21/12/2016

Page 934 of 952
NO STW
CHANDRA HARIYADI
55 22-06-1985/897979720005000 1 2,641,200 185,000 0 289,680 0 0
198506222014031003/183578 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
ANGGA HERESTA
56 16-01-1985/555670538017000 1 2,641,200 185,000 0 289,680 0 0
198501162014031002/183771 2 264,120 0 0 0 301,096 7,000 3,177,600
PNS/798012/IIIB 4 105,648 185,000 48 3,485,696 0 308,096
MAKAWA WULANDARI
57 02-03-1989/549421832009000 1 2,641,200 185,000 0 217,260 0 0
198903022014032004/183787 1 264,120 0 0 0 295,814 7,000 3,057,600
PNS/798012/IIIB 3 52,824 185,000 10 3,360,414 0 302,814
TRI DEWANTI WILLYA

58 26-11-1982/358589315008000 1 2,641,200 185,000 0 144,840 0 0
198211262014032001/184446 0 264,120 0 0 0 290,532 7,000 2,937,700
PNS/798012/IIIB 2 0 185,000 72 3,235,232 0 297,532
HOIIRIZA ASNIRA
59 15-10-1972/672296373009000 0 3,281,500 185,000 0 72,420 0 0
197210151994032003/118517 0 0 0 0 0 328,150 7,000 3,203,800
PNS/798011/IIIB 1 0 185,000 30 3,538,950 0 335,150
SRI ERTI
60 11-03-1964/774349021009000 1 3,714,900 0 0 144,840 0 0
196403111987032004/110420 1 0 0 265,000 0 378,919 7,000 3,813,200
PNS/820313/IIIB 2 74,298 0 81 4,199,119 0 385,919
21/12/2016

Page 935 of 952
NO STW
MARASIANNA SIMANORA
61 29-06-1965/685464067009000 1 3,181,300 0 0 144,840 0 0
196506291996032001/122222 0 318,130 0 265,000 0 349,943 7,000 3,552,400
PNS/820313/IIIB 2 0 0 73 3,909,343 0 356,943
SRI HARJATI
62 26-09-1973/667141972009000 1 3,181,300 0 0 289,680 0 0
197309261997032002/123407 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820313/IIIB 4 127,252 0 6 4,181,368 0 369,668
EMY NURHAJATI
63 24-03-1971/679038653436000 1 3,384,900 0 0 289,680 0 0
197103241996032002/125604 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820313/IIIB 4 135,396 0 12 4,413,478 0 392,878
MAGDALENA BARUS
64 18-03-1971/774349021009000 1 3,281,500 0 0 289,680 0 0
197103181998032003/128498 2 328,150 0 500,000 0 374,091 7,000 4,149,500
PNS/820312/IIIB 4 131,260 0 1 4,530,591 0 381,091
SUKARSIH
65 31-10-1960/672296506432000 1 3,714,900 0 0 217,260 0 0
196010311995032001/157850 1 371,490 0 265,000 0 416,068 7,000 4,219,900
PNS/820313/IIIB 3 74,298 0 20 4,642,968 0 423,068
SUNTORO
66 07-05-1959/675717193009000 1 3,601,400 185,000 0 144,840 0 0
195905071983111001/079992 0 360,140 0 0 0 396,154 7,000 3,888,300
PNS/798022/IIIB 2 0 185,000 74 4,291,454 0 403,154
21/12/2016

Page 936 of 952
NO STW
INAWATI
67 03-11-1965/672296654436000 0 3,714,900 0 0 72,420 0 0
196511031987112001/110710 0 0 0 265,000 0 371,490 7,000 3,673,900
PNS/820313/IIIB 1 0 0 70 4,052,390 0 378,490
INTAN MUTIARA S
68 09-01-1960/672296639009000 1 3,281,500 0 0 217,260 0 0
196001091995032001/119058 1 328,150 0 265,000 0 367,528 7,000 3,783,100
PNS/820313/IIIB 3 65,630 0 88 4,157,628 0 374,528
LAILA HIDAYAH
69 31-03-1974/672296407009000 1 3,281,500 0 0 289,680 0 0
197403311995032001/119135 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820313/IIIB 4 131,260 0 1 4,295,591 0 381,091
ELLY SETIAWATI
70 13-08-1973/774349559009000 1 3,281,500 0 0 72,420 0 0
197308131995032001/120202 0 0 0 265,000 0 328,150 7,000 3,283,800
PNS/820313/IIIB 1 0 0 30 3,618,950 0 335,150
TARSONO
71 11-02-1965/679038737432000 1 3,281,500 185,000 0 289,680 0 0
196502111994031002/120390 2 328,150 0 0 0 374,091 7,000 3,834,500
PNS/798022/IIIB 4 131,260 185,000 1 4,215,591 0 381,091
SULISTIANI
72 14-02-1975/670735331432000 0 3,181,300 0 0 72,420 0 0
197502141996032001/122423 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
21/12/2016

Page 937 of 952
NO STW
SUSIYATI
73 19-09-1968/672296399009000 1 3,181,300 185,000 0 72,420 0 0
196809191997032004/123491 0 0 0 0 0 318,130 7,000 3,113,600
PNS/798011/IIIB 1 0 185,000 10 3,438,730 0 325,130
SULTINA
74 26-09-1977/672296829005000 1 3,181,300 0 0 289,680 0 0
197709261997032003/124072 2 318,130 0 300,000 0 362,668 7,000 3,846,700
PNS/820309/IIIB 4 127,252 0 6 4,216,368 0 369,668
NINUK WIDIAWATI
75 10-11-1972/092162643403001 1 3,181,300 0 0 72,420 0 0
197211101997032003/124393 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
RENSIDA DAMANIK
76 17-02-1969/784366288009000 1 3,384,900 0 0 289,680 0 0
196902171997032001/125229 2 338,490 0 265,000 0 385,878 7,000 4,020,600
PNS/820342/IIIB 4 135,396 0 12 4,413,478 0 392,878
DUMAJUNITA BR GIRSANG
77 22-06-1969/676142219005000 1 3,491,500 0 0 289,680 0 0
196906221990032005/125526 2 349,150 0 265,000 0 398,031 7,000 4,130,000
PNS/820342/IIIB 4 139,660 0 41 4,535,031 0 405,031
ROMASI SIHOMBING
78 11-03-1963/77, 1 3,181,300 0 0 289,680 0 0
196303111997032001/125591 2 318,130 0 265,000 0 362,668 7,000 3,811,700
PNS/820342/IIIB 4 127,252 0 6 4,181,368 0 369,668
21/12/2016

Page 938 of 952
NO STW
SUS ENDRIYATI
79 15-05-1972/691456180720000 1 3,281,500 0 0 289,680 0 0
197205151995032001/125636 2 328,150 0 265,000 0 374,091 7,000 3,914,500
PNS/820354/IIIB 4 131,260 0 1 4,295,591 0 381,091
AGUSTINAH
80 18-08-1968/672296597009000 0 3,491,500 0 0 72,420 0 0
196808181990032007/125655 0 0 0 265,000 0 349,150 7,000 3,472,800
PNS/820342/IIIB 1 0 0 30 3,828,950 0 356,150
DESWATI SIBURIAN
81 18-12-1965/774314272009000 1 3,714,900 185,000 0 217,260 0 0
196412081987032005/157815 1 371,490 0 0 0 416,068 7,000 4,139,900
PNS/798022/IIIB 3 74,298 185,000 20 4,562,968 0 423,068
RANI HANDAYANI
82 29-08-1977/672296571005000 1 3,181,300 0 0 72,420 0 0
197708291998032001/162715 0 0 0 265,000 0 318,130 7,000 3,193,600
PNS/820313/IIIB 1 0 0 10 3,518,730 0 325,130
IKA DEWI MARYANTI

83 06-12-1962/672296423432000 1 3,952,600 0 0 72,420 0 0
196212061983032007/162728 0 0 0 265,000 0 395,260 7,000 3,887,800
PNS/830224/IIIB 1 0 0 40 4,290,060 0 402,260
ANDI RUSTANDI
84 12-06-1974/679016352009000 1 3,052,200 0 0 289,680 0 0
197406121997031004/123001 2 305,220 0 300,000 0 347,950 7,000 3,714,300
PNS/820309/IIIA 4 122,088 0 62 4,069,250 0 354,950
21/12/2016

Page 939 of 952
NO STW
MAEMUNAH
85 05-05-1973/672296621009000 1 3,148,300 0 0 217,260 0 0
197305051995032001/119132 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820342/IIIA 3 62,966 0 53 4,008,409 0 359,609
RUMONDANG HUTAHAEAN
86 27-02-1971/889017539403000 1 3,052,200 0 0 289,680 0 0
197102271996032003/121119 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820354/IIIA 4 122,088 0 62 4,034,250 0 354,950
MAHMUDATUL CHOIROT
87 02-09-1974/774307649017000 1 3,052,200 0 0 289,680 0 0
197409021997032002/123406 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
DEWI KUSUMAWATI
88 29-07-1976/672296589009000 1 3,052,200 0 0 289,680 0 0
197607291997032001/123513 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
KURNIATI
89 24-10-1971/672296340009000 1 3,349,800 185,000 0 289,680 0 0
197110241991032004/116354 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798011/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
ACHMAD FUADI
90 09-05-1966/672296662009000 1 3,349,800 185,000 0 289,680 0 0
196605091991031007/116394 2 334,980 0 0 0 381,877 7,000 3,904,600
PNS/798022/IIIA 4 133,992 185,000 25 4,293,477 0 388,877
21/12/2016

Page 940 of 952
NO STW
BERNADA ELOK
91 28-11-1960/695106013009000 1 3,349,800 0 0 144,840 0 0
196011281990032002/116862 0 334,980 0 265,000 0 368,478 7,000 3,719,200
PNS/820342/IIIA 2 0 0 58 4,094,678 0 375,478
SRI SALAMAH
92 05-06-1965/254366370009000 1 3,148,300 0 0 217,260 0 0
196506051994032003/118527 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820342/IIIA 3 62,966 0 53 4,008,409 0 359,609
UMIYATUN
93 13-10-1962/774240832432000 1 3,213,800 0 0 217,260 0 0
196210131995032001/120217 1 321,380 0 265,000 0 359,945 7,000 3,714,800
PNS/820313/IIIA 3 64,276 0 29 4,081,745 0 366,945
DESMA SINAGA
94 30-12-1966/667238117009000 1 3,148,300 0 0 217,260 0 0
196612301995032001/120252 1 314,830 0 265,000 0 352,609 7,000 3,648,800
PNS/820313/IIIA 3 62,966 0 53 4,008,409 0 359,609
WIDIASTUTI
95 22-04-1973/697610236009000 1 3,052,200 0 0 289,680 0 0
197304221996032001/120966 2 305,220 0 265,000 0 347,950 7,000 3,679,300
PNS/820313/IIIA 4 122,088 0 62 4,034,250 0 354,950
WAHYUDI
96 12-05-1972/672506599436000 1 3,052,200 185,000 0 289,680 0 0
197205121996031002/122427 2 305,220 0 0 0 347,950 7,000 3,599,300
PNS/798012/IIIA 4 122,088 185,000 62 3,954,250 0 354,950
21/12/2016

Page 941 of 952
NO STW
KALARA NAPITUPULU
97 01-11-1960/672296522009000 1 3,676,400 0 0 72,420 0 0
196011011981052001/123031 0 0 0 265,000 0 367,640 7,000 3,639,200
PNS/820313/IIIA 1 0 0 20 4,013,840 0 374,640
RINA ISMIYATI
98 10-10-1970/672296332432000 1 3,247,500 0 0 217,260 0 0
197010101992032012/125646 1 324,750 0 265,000 0 363,720 7,000 3,748,800
PNS/830224/IIIA 3 64,950 0 60 4,119,520 0 370,720
DEWI RAHAENI
99 10-01-1977/245244694009000 1 2,959,000 0 0 289,680 0 0
197701101998032004/128500 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
RAIDAH
100 06-12-1968/685462012009000 1 2,959,000 0 0 289,680 0 0
196802061998032005/157826 2 295,900 0 265,000 0 337,326 7,000 3,583,700
PNS/820313/IIIA 4 118,360 0 86 3,928,026 0 344,326
NURHAYATI
101 22-06-1983/451329353009000 1 2,507,800 0 0 217,260 0 0
198306222010012040/178978 1 250,780 0 240,000 0 280,873 5,000 2,980,200
PNS/820343/IID 3 50,156 0 77 3,266,073 0 285,873
MURNI ANY MULYATY

102 10-02-1985/572117166009000 1 2,431,200 0 0 144,840 0 0
198502102011012019/180933 0 243,120 0 240,000 0 267,432 5,000 2,786,800
PNS/820314/IID 2 0 0 72 3,059,232 0 272,432
21/12/2016

Page 942 of 952
NO STW
DESTRI WINANDARI
103 02-12-1983/344049358009000 1 2,431,200 0 0 217,260 0 0
198312022011012012/180937 1 243,120 0 240,000 0 272,294 5,000 2,903,000
PNS/820314/IID 3 48,624 0 90 3,180,294 0 277,294
IIP DEWARAWATI
104 18-11-1983/340021963009000 1 2,431,200 0 0 289,680 0 0
198311182011012015/180967 2 243,120 0 240,000 0 277,156 5,000 3,019,100
PNS/820314/IID 4 97,248 0 8 3,301,256 0 282,156
YULIANA ISTININGSIH
105 19-02-1970/245101803009000 1 2,928,300 0 0 289,680 0 0
197002191996032004/122490 2 292,830 0 240,000 0 333,826 5,000 3,529,200
PNS/820623/IID 4 117,132 0 84 3,868,026 0 338,826
JARNO
106 07-11-1971/545743411002000 0 3,020,600 180,000 0 289,680 0 0
197111071994031003/122664 2 302,060 0 0 0 344,348 5,000 3,563,900
PNS/798022/IID 4 120,824 180,000 84 3,913,248 0 349,348
JONI SUSMONO
107 27-06-1968/359930336436000 1 2,752,300 180,000 0 289,680 0 0
196806272000031006/161542 2 275,230 0 0 0 313,762 5,000 3,288,600
PNS/798011/IID 4 110,092 180,000 60 3,607,362 0 318,762
ADAM MALIK SITUMORANG

108 25-08-1976/584155725436000 1 2,559,900 180,000 0 217,260 0 0
197608252008011024/179944 1 255,990 0 0 0 286,708 5,000 2,972,700
PNS/798022/IIC 3 51,198 180,000 60 3,264,408 0 291,708
21/12/2016

Page 943 of 952
NO STW
DINNY KURNIASIH
109 03-05-1992/704490820006000 0 2,261,300 180,000 0 72,420 0 0
199205032014032002/183536 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
ELZA ESTIRINA
110 01-12-1986/641606975009000 1 2,261,300 180,000 0 72,420 0 0
198612012014032004/183831 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
WAHYU TRI UTAMI

111 23-11-1992/661643304412000 0 2,261,300 180,000 0 72,420 0 0
199211232014032001/184276 0 0 0 0 0 226,130 5,000 2,282,600
PNS/798022/IIC 1 0 180,000 10 2,513,730 0 231,130
WAHYUNINGSIH
112 28-03-1985/577710569525000 1 2,406,000 0 0 217,260 0 0
198503282010012033/183039 1 240,600 0 240,000 0 269,472 5,000 2,877,600
PNS/820343/IIC 3 48,120 0 92 3,152,072 0 274,472
NAMIN A
113 03-06-1960/672104015009000 1 3,180,500 180,000 0 144,840 0 0
196006031985111001/100564 0 318,050 0 0 0 349,855 5,000 3,468,600
PNS/798041/IIC 2 0 180,000 65 3,823,455 0 354,855
PAIH
114 04-08-1967/246324602436000 1 2,898,000 180,000 0 144,840 0 0
196708041991031004/116378 0 289,800 0 0 0 318,780 5,000 3,188,900
PNS/798041/IIC 2 0 180,000 40 3,512,680 0 323,780
21/12/2016

Page 944 of 952
NO STW
SUCI D ANGELIA
115 02-12-1984/796612638036000 1 2,381,100 180,000 0 72,420 0 0
198412022008012009/172863 0 0 0 0 0 238,110 5,000 2,390,500
PNS/798022/IIB 1 0 180,000 90 2,633,610 0 243,110
DWI JURIAH
116 16-01-1978/676598246412000 1 2,613,200 180,000 0 289,680 0 0
197801161998032003/125658 2 261,320 0 0 0 297,904 5,000 3,145,900
PNS/798022/IIB 4 104,528 180,000 76 3,448,804 0 302,904
SARIPUDIN
117 12-09-1966/685461956005000 1 2,480,500 175,000 0 217,260 0 0
196609121991121003/116358 1 248,050 0 0 0 277,816 3,000 2,889,700
PNS/798042/ID 3 49,610 175,000 96 3,170,516 0 280,816
HANG SUDIARDI
118 08-10-1964/679068569009000 1 2,355,200 175,000 0 217,260 0 0
196410081987031002/110695 1 235,520 0 0 0 263,782 3,000 2,763,400
PNS/798041/IB 3 47,104 175,000 98 3,030,182 0 266,782
392,740,500 4,925,000 1,520,000 22,957,140 0 0

TOTAL 26,182,540 0 41,120,000 0 42,669,842 798,000 453,758,500
7,775,684 4,925,000 5,478 497,226,342 0 43,467,842
JAKARTA,
MENGETAHUI
21/12/2016

Page 945 of 952
UKPD: PUSKESMAS KEL.CIPAYUNG KEC.CIPAYUNG
NO STW
RATNA BUDIANI
1 26-03-1977/672296688009000 1 3,214,700 0 0 289,680 0 0
197703262006042018/165288 2 321,470 0 750,000 0 366,475 7,000 4,331,000
PNS/820103/IIIC 4 128,588 0 37 4,704,475 0 373,475
3,214,700 0 0 289,680 0 0
TOTAL 321,470 0 750,000 0 366,475 7,000 4,331,000
128,588 0 37 4,704,475 0 373,475
JAKARTA,
MENGETAHUI
21/12/2016

Page 946 of 952
UKPD: PUSKESMAS KEL.LUBANG BUAYA KEC.CIPAYUNG
NO STW
MEGA SURYANI
1 17-11-1973/774264378412000 1 3,315,900 0 0 289,680 0 0
197311172006042013/165613 2 331,590 0 750,000 0 378,012 7,000 4,434,800
PNS/820103/IIIC 4 132,636 0 6 4,819,812 0 385,012
3,315,900 0 0 289,680 0 0
TOTAL 331,590 0 750,000 0 378,012 7,000 4,434,800
132,636 0 6 4,819,812 0 385,012
JAKARTA,
MENGETAHUI
21/12/2016

Page 947 of 952
UKPD: PUSKESMAS KEL.GEGER KEC.CIPAYUNG
NO STW
EMMA JAMILAH
1 05-10-1958/254619364009000 1 4,665,000 0 0 72,420 0 0
195810051987012002/122763 0 0 0 1,200,000 0 466,500 10,000 5,461,000
PNS/820602/IVB 1 0 0 80 5,937,500 0 476,500
4,665,000 0 0 72,420 0 0
TOTAL 0 0 1,200,000 0 466,500 10,000 5,461,000
0 0 80 5,937,500 0 476,500
JAKARTA,
MENGETAHUI
21/12/2016

Page 948 of 952
UKPD: PUSKESMAS KEL.BAMBU APUS KEC.CIPAYUNG
NO STW
NAPISAH ALBAROKAH
1 27-05-1965/672296761009000 0 4,250,600 0 0 72,420 0 0
196505271993032005/130947 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
FRANSISCA ALAMANDA
2 12-01-1978/587035700541000 1 3,248,300 0 0 72,420 0 0
197801122006042016/179897 0 0 0 750,000 0 324,830 7,000 3,738,900
PNS/820603/IIID 1 0 0 10 4,070,730 0 331,830
YUNIASTI EVITASARI
3 24-06-1980/096485156019000 1 3,116,500 0 0 289,680 0 0
198006242006042012/164825 2 311,650 0 0 0 355,281 7,000 3,480,300
PNS/000008/IIIC 4 124,660 0 91 3,842,581 0 362,281
10,615,400 0 0 434,520 0 0
TOTAL 311,650 0 1,950,000 0 1,105,171 24,000 12,307,200
124,660 0 141 13,436,371 0 1,129,171
JAKARTA,
MENGETAHUI
21/12/2016

Page 949 of 952
UKPD: PUSKESMAS KEL.SETU KEC.CIPAYUNG
NO STW
MIRELLA TANOK
1 13-01-1966/699482485005000 1 4,206,500 0 0 217,260 0 0
196601131991022003/120723 1 420,650 0 1,200,000 0 471,128 10,000 5,647,500
PNS/820602/IVA 3 84,130 0 88 6,128,628 0 481,128
4,206,500 0 0 217,260 0 0
TOTAL 420,650 0 1,200,000 0 471,128 10,000 5,647,500
84,130 0 88 6,128,628 0 481,128
JAKARTA,
MENGETAHUI
21/12/2016

Page 950 of 952
UKPD: PUSKESMAS KEL.CILANGKAP KEC.CIPAYUNG
NO STW
SRI LINDA SITORUS
1 13-10-1970/260169693009000 1 3,315,900 0 0 72,420 0 0
197010132007012019/169078 0 0 0 750,000 0 331,590 7,000 3,799,800
PNS/820103/IIIC 1 0 0 70 4,138,390 0 338,590
3,315,900 0 0 72,420 0 0
TOTAL 0 0 750,000 0 331,590 7,000 3,799,800
0 0 70 4,138,390 0 338,590
JAKARTA,
MENGETAHUI
21/12/2016

Page 951 of 952
UKPD: PUSKESMAS KEL.MUNJUL KEC.CIPAYUNG
NO STW
NONA AINI ELISABET
1 30-01-1974/683019814432000 1 3,214,700 0 0 72,420 0 0
197401302003122002/165139 0 0 0 750,000 0 321,470 7,000 3,708,700
PNS/820603/IIID 1 0 0 50 4,037,170 0 328,470
HOTMALINA PURBA
2 04-06-1968/774241269009000 1 3,020,600 0 0 72,420 0 0
196806091992032005/157875 0 0 0 240,000 0 302,060 5,000 3,026,000
PNS/820314/IID 1 0 0 40 3,333,060 0 307,060
6,235,300 0 0 144,840 0 0
TOTAL 0 0 990,000 0 623,530 12,000 6,734,700
0 0 90 7,370,230 0 635,530
JAKARTA,
MENGETAHUI
21/12/2016

Page 952 of 952
UKPD: PUSKESMAS KEL.PONDOK RANGGON KEC.CIPAYUNG
NO STW
ENDANG WAHJUNI
1 31-01-1958/452140676008000 1 4,811,900 0 0 72,420 0 0
195801311985112001/116146 0 0 0 1,200,000 0 481,190 10,000 5,593,200
PNS/820102/IVB 1 0 0 70 6,084,390 0 491,190
LITA PRATIWI
2 04-11-1965/498299650009999 1 4,250,600 0 0 72,420 0 0
196511041992022001/120862 0 0 0 1,200,000 0 425,060 10,000 5,088,000
PNS/820602/IVB 1 0 0 40 5,523,060 0 435,060
9,062,500 0 0 144,840 0 0
TOTAL 0 0 2,400,000 0 906,250 20,000 10,681,200
0 0 110 11,607,450 0 926,250
JAKARTA,
MENGETAHUI
21/12/2016

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DWI OKTAVIA HANDAYANI

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NUNIEK RIA SUNDARI

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SRI PUJI WAHYUNI

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PUSPITA DWI PUTRANTI

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DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

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RADEN ACHMAD SIGIT

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

ADE MARGARETHA L.T

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DYAH EKO JUDIHARTANTI

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DWI RATNA PUSPITASARI

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

CISILIA TYAS IKASARI

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DARA INDRI YUNITA

EKA FERDIYUS SUPATMO

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

FENDRIK JEKSI AFRIZON

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

GUNAWAN ACHIR DARMO

HERU BOEDI HARYANTO

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

LAILI NUR HIDAYATI

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ROSE SHIRLEY PANJAITAN

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LISA UBAI SULISTIANI

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

JUNI ASTATY NAINGGOLAN

DESY MERY DORSANTI

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DONA MEUTHIA ARORA

NILAM WINDA AMELIA W

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

ADI PURWO IRIANTO

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

NENI HERLINA RAFIDA

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)

JHON DAVID MAFIE

DAFTAR GAJI DSB UNTUK PARA PEGAWAI (PNS DAERAH)