Kepada Yth.
Valuta : IDR
03/12/18 10:59:54 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023972 20,479,484.00D 0.00 4,272,920,748.43K 0274055
03/12/18 13:10:52 2301/SPT-ONLINE/0001/12/2018 ¦ 2-001-01- T:0374520:CMS 0.00 8,182,627.00K 4,281,103,375.43K 0374520
03/12/18 14:22:55 HERMANUS SATO/UGD 0.00 116,000.00K 4,281,219,375.43K 0274052
03/12/18 14:23:17 MOSES RAGHE/R ANGGREK 0.00 475,000.00K 4,281,694,375.43K 0274052
03/12/18 14:24:06 RAWAT JALAN 0.00 1,140,911.00K 4,282,835,286.43K 0274052
03/12/18 14:24:36 SAVERIANA SULE 0.00 64,000.00K 4,282,899,286.43K 0274052
03/12/18 14:25:23 PETRUS PARU 0.00 66,708.00K 4,282,965,994.43K 0274052
03/12/18 14:26:01 ALFONSIA Q T WOLI 0.00 127,500.00K 4,283,093,494.43K 0274052
03/12/18 14:26:22 ANASTASIA EZA/UGD 0.00 64,087.00K 4,283,157,581.43K 0274052
03/12/18 14:26:59 BERNADETHA WAJA 0.00 4,500,000.00K 4,287,657,581.43K 0274052
03/12/18 14:27:18 SURAT KETERANGAN 0.00 50,000.00K 4,287,707,581.43K 0274052
03/12/18 14:27:57 MARIA C LAZAR 0.00 783,700.00K 4,288,491,281.43K 0274052
03/12/18 14:28:13 RAWAT JALAN 0.00 2,086,321.00K 4,290,577,602.43K 0274052
04/12/18 14:17:00 BPJS KESEHATAN CABANG ENDE-BANK BNI-DEND 0.00 6,749,334.00K 4,297,326,936.43K BRI0372
05/12/18 11:18:44 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023973 36,450,000.00D 0.00 4,260,876,936.43K 0274055
05/12/18 14:15:13 PHILIPUS RIA/ UGD 0.00 66,108.00K 4,260,943,044.43K 0274053
05/12/18 14:16:25 GABRIEL BENYAMIN/ UGD 0.00 90,173.00K 4,261,033,217.43K 0274053
05/12/18 14:16:51 ANTONIUS/ M JENAZAH 0.00 270,000.00K 4,261,303,217.43K 0274053
05/12/18 14:17:11 IFAN/ IGD 0.00 93,550.00K 4,261,396,767.43K 0274053
05/12/18 14:17:34 UGD 0.00 69,158.00K 4,261,465,925.43K 0274053
05/12/18 14:18:00 GABRIEL/ UGD 0.00 69,477.00K 4,261,535,402.43K 0274053
05/12/18 14:20:49 MARIA/ M AMBULANCE 0.00 2,018,000.00K 4,263,553,402.43K 0274053
05/12/18 14:21:15 PAULUS LUSI/ UGD 0.00 79,756.00K 4,263,633,158.43K 0274053
05/12/18 14:21:30 RWAT JLAN 0.00 2,335,807.00K 4,265,968,965.43K 0274053
05/12/18 14:21:51 MURSIDI/ UGD 0.00 304,289.00K 4,266,273,254.43K 0274053
05/12/18 14:22:12 SURAT KET 0.00 100,000.00K 4,266,373,254.43K 0274053
05/12/18 14:22:37 RM. DOMINIKUS BOLO/ R ANGGREK 0.00 495,000.00K 4,266,868,254.43K 0274053
05/12/18 14:23:00 JUADIN AHMAD/ UGD 0.00 97,250.00K 4,266,965,504.43K 0274053
05/12/18 14:23:24 RWAT JLAN/ 04/12/18 0.00 1,452,424.00K 4,268,417,928.43K 0274053
05/12/18 14:23:38 0274053 1101 CA Cash Deposit 0.00 66,109.00K 4,268,484,037.43K 0274053
06/12/18 08:40:28 RTGS#BPJS KESEHATAN CAB ENDE RTGS STP T:0369891:BRIRSS 0.00 732,871,383.00K 5,001,355,420.43K 0369891
06/12/18 10:35:11 CA Cash Withdrawal T:0274052:NEWBRINETSWEB 1023974 139,418,592.00D 0.00 4,861,936,828.43K 0274052
10/12/18 07:06:01 VERONIKA A.M/JENAZAH 0.00 2,018,000.00K 4,863,954,828.43K 0274055
10/12/18 07:06:31 0274055 1101 CA Cash Deposit 0.00 180,000.00K 4,864,134,828.43K 0274055
10/12/18 07:08:27 ANTONIUS /UGD 0.00 325,114.00K 4,864,459,942.43K 0274055
10/12/18 07:08:56 DANIEL JEJA/UGD 0.00 602,031.00K 4,865,061,973.43K 0274055
10/12/18 07:09:15 SURAT KETERANGAN 0.00 30,000.00K 4,865,091,973.43K 0274055
1 dari 4
Tanggal Transaksi Uraian Transaksi Chq Debet Kredit Saldo Teller
No
2 dari 4
Tanggal Transaksi Uraian Transaksi Chq Debet Kredit Saldo Teller
No
17/12/18 13:27:16 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023978 47,000,000.00D 0.00 5,269,963,493.43K 0274055
18/12/18 12:02:00 CA Cash Withdrawal T:0274052:NEWBRINETSWEB 1023979 143,440,176.00D 0.00 5,126,523,317.43K 0274052
18/12/18 17:10:40 2493/SP2D LS/RSUD BJW/12/2018 0.00 226,549,407.00K 5,353,072,724.43K 0274055
19/12/18 07:12:15 HERTUNA SUMUR/ UGD 0.00 84,000.00K 5,353,156,724.43K 0274053
19/12/18 07:12:40 MARIA F MUKU/ UGD 0.00 74,000.00K 5,353,230,724.43K 0274053
19/12/18 07:13:05 MARTINUS KAE/ M JENAZAH 0.00 50,000.00K 5,353,280,724.43K 0274053
19/12/18 07:13:36 MARIA C MODO/ S KET LAHIR 0.00 10,000.00K 5,353,290,724.43K 0274053
19/12/18 07:14:23 RWAT JLAN/ 151218 0.00 1,167,223.00K 5,354,457,947.43K 0274053
19/12/18 07:14:53 GABRIELA PT AWE/ UGD 0.00 321,387.00K 5,354,779,334.43K 0274053
19/12/18 07:15:18 AYU DIA PITLOKA/ M JENAZAH 0.00 540,000.00K 5,355,319,334.43K 0274053
19/12/18 07:15:41 JUAN ELIOM WEA/ UGD 0.00 65,000.00K 5,355,384,334.43K 0274053
19/12/18 07:16:07 YUVEN NGEWI/ UGD 0.00 290,072.00K 5,355,674,406.43K 0274053
19/12/18 07:16:30 TN BERTA/ UGD 0.00 324,686.00K 5,355,999,092.43K 0274053
19/12/18 07:16:53 MARIA LAWE/ M JENZAH 0.00 380,000.00K 5,356,379,092.43K 0274053
19/12/18 07:17:18 ELEONORA ANGGE/ M JENAZAH 0.00 210,000.00K 5,356,589,092.43K 0274053
19/12/18 07:17:46 SEWA KNTIN HUSADA 0.00 3,000,000.00K 5,359,589,092.43K 0274053
19/12/18 07:18:11 JUMINEM/ MAWAR 0.00 2,988,885.00K 5,362,577,977.43K 0274053
19/12/18 07:18:33 MARTINUS RADE/NGGREK 0.00 285,000.00K 5,362,862,977.43K 0274053
19/12/18 07:18:59 YUSUF IRAWAN/ UGD 0.00 481,689.00K 5,363,344,666.43K 0274053
19/12/18 07:19:21 SURAT KET 0.00 140,000.00K 5,363,484,666.43K 0274053
19/12/18 07:19:44 RWAT JLAN 0.00 2,696,244.00K 5,366,180,910.43K 0274053
19/12/18 07:20:10 EMILIANA/ M JENAZH 0.00 100,000.00K 5,366,280,910.43K 0274053
19/12/18 13:24:28 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023980 234,088,000.00D 0.00 5,132,192,910.43K 0274055
20/12/18 09:41:56 CA Cash Withdrawal T:0274053:NEWBRINETSWEB 1023981 204,994,000.00D 0.00 4,927,198,910.43K 0274053
20/12/18 10:42:32 RAWAT JALAN 0.00 1,729,368.00K 4,928,928,278.43K 0274051
20/12/18 10:43:08 DESI DARIUS BABO / UGD 0.00 1,011,859.00K 4,929,940,137.43K 0274051
20/12/18 10:45:54 RAWAT JALAN 0.00 1,214,508.00K 4,931,154,645.43K 0274051
20/12/18 10:46:37 MARSIANA RAWI / NFS 0.00 4,823,699.00K 4,935,978,344.43K 0274051
20/12/18 10:48:44 PETRONELA WEA / M AMBULANCE 0.00 64,000.00K 4,936,042,344.43K 0274051
20/12/18 10:49:37 MARIA R AZI / PERI NATAL 0.00 1,111,000.00K 4,937,153,344.43K 0274051
20/12/18 10:50:04 MARIA GOBHE / UGD 0.00 166,000.00K 4,937,319,344.43K 0274051
20/12/18 10:50:37 HENDRIKUS DULU / M JENAZAH 0.00 252,000.00K 4,937,571,344.43K 0274051
20/12/18 10:51:01 SRT KETERANGAN 0.00 55,000.00K 4,937,626,344.43K 0274051
20/12/18 15:47:57 ANUGRAH ARGON MEDICA PT-BCA-AAM 0.00 20,313,904.00K 4,957,940,248.43K BRI0372
21/12/18 09:59:01 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023983 369,281,264.00D 0.00 4,588,658,984.43K 0274055
21/12/18 14:16:38 CA Cash Withdrawal T:0274055:NEWBRINETSWEB 1023985 90,897,420.00D 0.00 4,497,761,564.43K 0274055
25/12/18 23:59:59 Bunga Rekening 0.00 7,699,664.00K 4,505,461,228.43K
26/12/18 08:50:30 RAWAT JALAN 0.00 2,682,639.00K 4,508,143,867.43K 0274053
26/12/18 08:51:00 SWA LHAN FC RSUD BJWA 0.00 3,600,000.00K 4,511,743,867.43K 0274053
26/12/18 08:51:20 SURAT KET 0.00 10,000.00K 4,511,753,867.43K 0274053
26/12/18 08:51:47 MARTINUS JEO/ M JENAZAH 0.00 150,000.00K 4,511,903,867.43K 0274053
26/12/18 08:52:15 MAELISA M OWA/ M JENAZAH 0.00 240,000.00K 4,512,143,867.43K 0274053
26/12/18 08:52:52 MARIA ROSWITA SOO/ UGD 0.00 64,758.00K 4,512,208,625.43K 0274053
26/12/18 08:53:27 RAWAT JLAN 0.00 2,963,941.00K 4,515,172,566.43K 0274053
26/12/18 08:54:00 JENISIUS LIU/ UGD 0.00 103,555.00K 4,515,276,121.43K 0274053
26/12/18 08:54:31 FRANSISKUS SODA/ UGD 0.00 125,500.00K 4,515,401,621.43K 0274053
26/12/18 08:55:00 ROFINUS WOGA/ M JENAZAH 0.00 240,000.00K 4,515,641,621.43K 0274053
26/12/18 08:55:27 MARIA GHAME/ MAWAR 0.00 1,485,000.00K 4,517,126,621.43K 0274053
26/12/18 12:42:32 CA Cash Withdrawal T:0274053:NEWBRINETSWEB 1023986 791,446,450.00D 0.00 3,725,680,171.43K 0274053
26/12/18 12:43:57 CA Cash Withdrawal T:0274053:NEWBRINETSWEB 1023987 48,835,931.00D 0.00 3,676,844,240.43K 0274053
27/12/18 08:42:42 YENI RAWI/ UGD 0.00 235,350.00K 3,677,079,590.43K 0274053
27/12/18 08:43:14 KRISTIANUS SETIAWAN/ UGD 0.00 97,860.00K 3,677,177,450.43K 0274053
27/12/18 08:43:37 YAKOBUS/ UGD 0.00 225,500.00K 3,677,402,950.43K 0274053
27/12/18 08:44:00 UGD 0.00 172,756.00K 3,677,575,706.43K 0274053
27/12/18 08:44:21 MARIA/ NIFAS 0.00 380,000.00K 3,677,955,706.43K 0274053
27/12/18 08:44:42 OSWALDUS MEO/ UGD 0.00 580,442.00K 3,678,536,148.43K 0274053
27/12/18 08:45:04 NOBERTUS WOU/ UGD 0.00 371,620.00K 3,678,907,768.43K 0274053
27/12/18 08:45:27 YOSEFINA DUE/ UGD 0.00 87,812.00K 3,678,995,580.43K 0274053
3 dari 4
Tanggal Transaksi Uraian Transaksi Chq Debet Kredit Saldo Teller
No
SALDO AWAL TOTAL MUTASI DEBET TOTAL MUTASI KREDIT SALDO AKHIR
Terbilang
SATU MILYAR DUA RATUS DELAPAN PULUH TUJUH JUTA SERATUS DELAPAN PULUH TUJUH RIBU TIGA RATUS DUA PULUH DELAPAN
KOMA EMPAT PULUH TIGA RUPIAH
Biaya materai telah dibayar Lunas
- Apabila terdapat perbedaan dengan catatan Saudara, harap menghubungi kami selambat-lambatnya 14 hari sejak diterimanya rekening koran ini.
- Salinan rekening koran ini merupakan hasil cetakan komputer, tidak diperlukan tanda tangan pejabat Bank
- Apabila ada perubahan alamat email mohon diinformasikan pada Unit Kerja BANK BRI
4 dari 4