FORM CEKLIST

PELAPORAN DANA BOS TRIWULAN III 2019

NAMA LEMBAGA : SD NEGERI SIDOMUKTI I
KECAMATAN : KRAKSAAN

KETERANGAN
NO PELAPORAN
ADA TIDAK
1 Buku Kas Umum (Agustus, September, Oktober, Nopember)

2 Buku Pembantu Kas (Agustus, September, Oktober, Nopember)

3 Buku Pembantu Bank (Agustus, September, Oktober, Nopember)

4 Buku Pembantu Pajak (Agustus, September, Oktober, Nopember)

Buku Pembantu Rincian Obyek Belanja (Agustus, September, Oktober,
5
Nopember)
6 Laporan Realisasi Belanja (Semester II)

7 Surat Pernyataan Tanggung Jawab (Semester II)

8 Surat Pernyataan Telah Menerima Hibah (Semester II)

9 Lampiran SP2B Untuk Rincian Belanja Modal (Semester II)

10 Surat Permintaan Pengesahan Belanja (SP2B Semester II)

11 Laporan Realisasi Beban Operasional (LO) Triwulan II

Laporan Penggunaan Belanja 8 Standard Berdasarkan Komponen Belanja
12
Triwulan III dan Print Out Dari BOS Online
13 Laporan Lampiran 9 (Sembilan) Semester II

14 Bukti Sah Pengeluaran Pembelanjaan Triwulan III (Kuitansi, Nota, SK, Foto dll)

Probolinggo, 2019
Kepala Sekolah Verifikator

MISKARI, S.Pd .......................................................

NIP. 19600403 197907 1 005

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