SPJ PIS PK Mba Wiwi

Lampiran :
Nama & No Rekening Penerima
SURAT PERINTAH PEMIDAHAN BUKU
Nominal
Transfer Keterangan
Nama &
No Total Debet kerekening PPN PPh
No Rekening Penerima
Penerima
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
1 Faridah 175,000 175,000 - - Belanja perjalanan dinas
dalam rangka Workshop
007.03.28.04523.3 keluarga sehat (KS) Tk.
Kabupaten Tanah laut
tanggal 03 September 2019
2 Mariatul Hadiah 175,000 175,000 - -
007.03.28.05412.1
3 Riatul Jannah 175,000 175,000 - -

007.03.28.04945.3
4 Fitrawati 170,000 170,000 - -

007.03.28.02462.0
5 Eny Dwi Rahayu 175,000 175,000 - -

007.03.28.01122.3
6 Indah Hariyati 150,000 150,000 - -

033.03.19.01358.3
7 H. Tasdik 150,000 150,000 - -

007.03.28.01124.2
8 Iis Yuliana 150,000 150,000 - -

007.03.28.06679.6
9 M. Rahman Ramadani 135,000 135,000 - -

035.03.01.03424.3
10 Maya Safitri 135,000 135,000 - -

007.03.01.33334.8
11 Lavena Romana Santi 135,000 135,000 - -

007.03.01.35468.1
12 Mahdalia 135,000 135,000 - -

007.03.01.33849.1
13 dr. Toto Tri Hartanto 175,000 175,000 - -

007.03.28.06508.6
14 Nita Aprilia Hardiyono 150,000 150,000 - -

007.03.01.30730.9
15 Miftahul Jannah 150,000 150,000 - -

039.03.19.02742.8
16 M. Lutfhi 150,000 150,000 - -

002.03.01.19370.3
17 Hanafi Rizani 170,000 170,000 - -

007.03.28.06724.5
18 Rico Ariesandi 170,000 170,000 - -

007.03.28.06636.5
19 dr. Ratih Amelia 185,000 185,000 - -

007.03.28.06490.2
20 Euis Tita Farida 185,000 185,000

007.03.28.02695.1
21 Yussiani 185,000 185,000

007.03..28.00938.6
22 Rosiana Rahman 185,000 185,000

007.03.28.05426.4
23 Soraya 180,000 180,000 - - Belanja perjalanan dinas

24 Kurnia Qowiyu Haque 170,000 170,000 - -
039.03.19.01838.2
25 Fauzi Rifani 180,000 180,000 - -

007.03.28.04480.9
26 Meilida Paulina 150,000 150,000 - -

007.03.01.22857.9
27 Hikmatul Husna 150,000 150,000 - -

007.03.01.33393.7
28 Rosaliana 150,000 150,000 - -

007.03.01.33375.8
29 Irma Widya Susanti 150,000 150,000 - -

001.03.27.00138.5
30 Fauzan Ansyari 150,000 150,000 - -

007.03.01.31476.8
31 Khairil Anwar 175,000 175,000 - -

007.03.28.04394.1
32 Hairina 175,000 175,000 - -

007.03.28.02511.1
33 Zuhairiyah 175,000 175,000 - -

007.03.28.02494.8
34 Siti Aisyah 175,000 175,000 - -

007.03.28.02493.1
35 Mulyadi 175,000 175,000 - -

007.03.28.06641.2
36 Risnawati 150,000 150,000 - -

007.03.01.31395.4
37 Mardianto 145,000 145,000 - -

007.03.28.05459.2
38 Ulfah Ina Rakhmawati 135,000 135,000 - -
007.03.01.30728.4
39 Dina Tri Junianto 135,000 135,000 - -

007.03.01.31415.1
40 Norhikmah Ihsania 145,000 145,000 - -

007.03.28.06718.9
41 Chairunisa 135,000 135,000 - -

007.03.01.33204.8
42 Fajar Setyo Wardoyo 150,000 150,000 - -

007.03.28.06671.5
43 Haris Prasetyo 150,000 150,000 - -

007.03.28.01417.5
44 Dwi Basuki 150,000 150,000 - -

007.03.28.02868.9
45 dr. Ade Siska Fantya 135,000 135,000 - -

007.03.01.31388.2
46 Saskia Novita 150,000 150,000 - -

007.03.28.01202.4
47 Muhammad Iqbal 135,000 135,000 - -

007.03.01.29363.7
48 Maulida Ahda Rizkia 135,000 135,000 - - Belanja perjalanan dinas

49 dr. Zesika Nur Annisa. A 70,000 70,000 - -
007.03.01.33321.1
50 Sukriani 70,000 70,000 - -

007.03.28.02823.4
51 Tri Widi Astuti 70,000 70,000 - -

007.03.28.05497.5
52 Deni Kristiana 70,000 70,000 - -

007.03.28.00986.0
53 Syarifah Nurul Huda 70,000 70,000 - -

007.03.28.06680.8
54 Gita Dwi Mustina 70,000 70,000 - -

007.03.01.31430.9
7,990,000 7,990,000 - -
Bendahara Pengeluaran,
Dinas Kesehatan Kab. Tanah Laut,
Khadavi Muttaqein
NIP. 19830523 201001 1 026
Lampiran :
Nama & No Rekening Penerima
SURAT PERINTAH PEMIDAHAN BUKU
Nominal
Transfer Keterangan
Nama &
Penerima
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
1 Karni 205,000 205,000 - - Belanja perjalanan dinas
2 Lia Agustina 190,000 190,000 - -
007.03.01.31465.0
3 Umi Wachidah 190,000 190,000 - -

007.03.01.33844.1
4 Dian Kustanti 190,000 190,000 - -

007.03.01.33384.9
5 Supian Hadi 190,000 190,000 - -

007.03.01.28160.6
6 Hamawiyah 190,000 190,000 - -

026.03.19.01850.4
7 Irma 190,000 190,000 - -

007.03.01.31516.5
8 Purnamasari 190,000 190,000 - -

007.03.01.31522.9
9 Wahidah 190,000 190,000 - -

007.03.01.31511.2
10 Zahra Hairunnisa 190,000 190,000 - -

026.03.19.04145.3
11 Nata Lisa 190,000 190,000 - -

046.03.19.00693.9
12 Noor Syarifah 190,000 190,000 - -

007.03.01.28161.1
13 Hairun Nisa 175,000 175,000 - -

007.03.28.05157.5
14 Yuli Astuti Anggreani 160,000 160,000 - -

007.03.01.28147.5
15 Dyah Setyawati 150,000 150,000 - -

007.03.01.28895.3
16 Yenviny Putri A 150,000 150,000 - -

007.03.01.28147.5
17 Agus Priyanda 150,000 150,000 - -

007.03.01.28134.8
18 Hestina Rizky 150,000 150,000 - -

007.03.01.31446.1
19 Solikhin 175,000 175,000 - -
007.03.28.06533.9
20 Muliansyah 175,000 175,000

007.03.28.03917.4
21 Yudi R.I 160,000 160,000

007.03.28.03156.3
22 Uswatun Hasanah 150,000 150,000

007.03.01.28906.2
23 Abdurahman Sidiq 150,000 150,000 - - Belanja perjalanan dinas

24 Siti Rahimah 150,000 150,000 - -
007.03.01.28901.5
25 Agus widodo 155,000 155,000 - -

007.03.28.03757.7
26 Amin Nur Rohman 150,000 150,000 - -

007.03.28.03758.5
27 Prihadi Saputera 135,000 135,000 - -

007.03.01.31479.6
28 Siti Maryam Muharramah 135,000 135,000 - -

007.03.01.28907.9
29 Riana Eka Putri 135,000 135,000 - -

007.03.01.28891.6
30 Luthfia Aprianti 135,000 135,000 - -

007.03.01.28139.5
31 Afrizal 145,000 145,000 - -

007.03.28.06699.2
32 Fahyudi 155,000 155,000 - -

007.03.28.01237.6
33 Auliana Rachman 150,000 150,000 - -

007.03.28.06708.5
34 Bambang Setia Budi 135,000 135,000 - -

007.03.01.30729.8
35 Erwina Martisa 135,000 135,000 - -

007.03.01.28886.6
36 Hairiah 135,000 135,000 - -

007.03.01.33402.7
37 Ahmad Dairobi 155,000 155,000 - -

007.03.28.00739.3
38 Emban Ari Susanti 145,000 145,000 - -
007.03.28.04334.5
39 Hendra Yudha 135,000 135,000 - -

013.03.01.10400.1
40 Amelia 135,000 135,000 - -

007.03.01.30724.5
41 Rendi Pramana 135,000 135,000 - -

007.03.01.31076.6
42 Hetty Meidina Sari 135,000 135,000 - -

007.03.01.34799.1
43 Nunung Maryanti 155,000 155,000 - -

007.03.28.01463.2
44 dr. Mutya Yulinda 135,000 135,000 - -

007.03.01.35340.9
45 Ahmad Syaib Hidayat 135,000 135,000 - -

007.03.01.28148.2
46 Irmalia 135,000 135,000 - -

046.03.19.01159.9
47 M. Hassanal Rasyid 135,000 135,000 - -

007.03.01.28898.5
48 Devi Nopitasari 135,000 135,000 - - Belanja perjalanan dinas

49 dr. Qory Pratiwi. A 70,000 70,000 - -
007.03.28.06588.0
50 Anngraini Hasna 70,000 70,000 - -

007.03.28.01437.5
51 Tutur Aditia W 70,000 70,000 - -

007.03.01.33326.1
52 Nuning Nur Widyawati 70,000 70,000 - -

007.03.28.04349.3
53 Agus Mayuri 70,000 70,000 - -

007.03.28.05633.1
54 Nur Khalifatul Amin 70,000 70,000 - -

007.03.01.31930.9
55 Suprapti 70,000 70,000 - -

007.03.28.01239.8
56 Rika sari 70,000 70,000 - -
007.03.28.05153.4
57 Christina U 70,000 70,000 - -

007.03.28.00891.1
58 Mardiana 70,000 70,000 - -

007.03.28.06515.4
59 Yuli Astuti 70,000 70,000 - -

007.03.28.01428.3
60 Irmawati 70,000 70,000 - -

007.03.28.05801.8
8,400,000 8,400,000 - -
Khadavi Muttaqein
NIP. 19830523 201001 1 026
PEMERINTAH KABUPATEN TANAH LAUT
DINAS KESEHATAN
Jalan H. Boejasin No. 9 Pelaihari Telp. ( 0512 ) 21098
Pelaihari,
Nomor : Kepada Yth.

Lampiran : - Bank Kal-Sel Cabang P
Perihal : Pemindah Bukuan Uang / Capem Kab. Tanah La
di -
Pelaihari
Dengan ini kami mohon bantuan saudara untuk memindahbukukan uang kami untuk ditransferkan
Dari Nomor Rekening : 007 00 04 00360 7

Nominal : Rp 16,390,000
Nama Bendahara : Khadavi Muttaqein
Pada Tanggal :
Kepada pihak tersebut dibawah ini dengan rincian
Program : (37.01) Bantuan Operasional Kesehatan (BOK
Kegiatan : Promotif dan Preventif ( DAK NON FISIK)
Kode :
Nominal
Transfer
Nama &
Penerima
(Rp.) (Rp.) (Rp.) (Rp.)
1 Faridah ### 7,990,000 7,990,000 - -
007.03.28.04523.3
2 Karni 8,400,000 8,400,000 .- .-
007.03.28.04289.3
J U M LAH 16,390,000 16,390,000 - -
Demikian disampaikan atas bantuan dan kerjasamanya kami ucapkan terima kasih.
Mengetahui, Bendahara Peng

Plt. Kepala Dinas Kesehatan Dinas Kesehatan
Kab. Tanah Laut
Hj. Nina Sandra, SKM.,MM Khadavi Muttaq

NIP. 19640710 198511 2 002 NIP. 19830523 2
AH KABUPATEN TANAH LAUT
AS KESEHATAN
in No. 9 Pelaihari Telp. ( 0512 ) 21098
Pelaihari,
Kepada Yth.
Bank Kal-Sel Cabang Pelaihari
/ Capem Kab. Tanah Laut
Pelaihari
memindahbukukan uang kami untuk ditransferkan
00360 7
Muttaqein
an
ntuan Operasional Kesehatan (BOK
n Preventif ( DAK NON FISIK)
Keterangan
Belanja perjalanan dinas

keluarga sehat (KS) Tk.
tanggal 03 September
2019
Belanja perjalanan dinas

keluarga sehat (KS) Tk.
tanggal 04 September
2019
Khadavi Muttaqein
NIP. 19830523 201001 1 026

SPJ PIS PK Mba Wiwi

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Lampiran :

Nama & No Rekening Penerima

SURAT PERINTAH PEMIDAHAN BUKU

3 Riatul Jannah 175,000 175,000 - -

4 Fitrawati 170,000 170,000 - -

5 Eny Dwi Rahayu 175,000 175,000 - -

6 Indah Hariyati 150,000 150,000 - -

7 H. Tasdik 150,000 150,000 - -

8 Iis Yuliana 150,000 150,000 - -

9 M. Rahman Ramadani 135,000 135,000 - -

10 Maya Safitri 135,000 135,000 - -

11 Lavena Romana Santi 135,000 135,000 - -

12 Mahdalia 135,000 135,000 - -

13 dr. Toto Tri Hartanto 175,000 175,000 - -

14 Nita Aprilia Hardiyono 150,000 150,000 - -

15 Miftahul Jannah 150,000 150,000 - -

16 M. Lutfhi 150,000 150,000 - -

17 Hanafi Rizani 170,000 170,000 - -

18 Rico Ariesandi 170,000 170,000 - -

19 dr. Ratih Amelia 185,000 185,000 - -

20 Euis Tita Farida 185,000 185,000

21 Yussiani 185,000 185,000

22 Rosiana Rahman 185,000 185,000

23 Soraya 180,000 180,000 - - Belanja perjalanan dinas

25 Fauzi Rifani 180,000 180,000 - -

26 Meilida Paulina 150,000 150,000 - -

27 Hikmatul Husna 150,000 150,000 - -

28 Rosaliana 150,000 150,000 - -

29 Irma Widya Susanti 150,000 150,000 - -

30 Fauzan Ansyari 150,000 150,000 - -

31 Khairil Anwar 175,000 175,000 - -

32 Hairina 175,000 175,000 - -

33 Zuhairiyah 175,000 175,000 - -

34 Siti Aisyah 175,000 175,000 - -

35 Mulyadi 175,000 175,000 - -

36 Risnawati 150,000 150,000 - -

37 Mardianto 145,000 145,000 - -

39 Dina Tri Junianto 135,000 135,000 - -

40 Norhikmah Ihsania 145,000 145,000 - -

41 Chairunisa 135,000 135,000 - -

42 Fajar Setyo Wardoyo 150,000 150,000 - -

43 Haris Prasetyo 150,000 150,000 - -

44 Dwi Basuki 150,000 150,000 - -

45 dr. Ade Siska Fantya 135,000 135,000 - -

46 Saskia Novita 150,000 150,000 - -

47 Muhammad Iqbal 135,000 135,000 - -

48 Maulida Ahda Rizkia 135,000 135,000 - - Belanja perjalanan dinas

50 Sukriani 70,000 70,000 - -

51 Tri Widi Astuti 70,000 70,000 - -

52 Deni Kristiana 70,000 70,000 - -

53 Syarifah Nurul Huda 70,000 70,000 - -

54 Gita Dwi Mustina 70,000 70,000 - -

SURAT PERINTAH PEMIDAHAN BUKU

3 Umi Wachidah 190,000 190,000 - -

4 Dian Kustanti 190,000 190,000 - -

5 Supian Hadi 190,000 190,000 - -

6 Hamawiyah 190,000 190,000 - -

7 Irma 190,000 190,000 - -

8 Purnamasari 190,000 190,000 - -

9 Wahidah 190,000 190,000 - -

10 Zahra Hairunnisa 190,000 190,000 - -

11 Nata Lisa 190,000 190,000 - -

12 Noor Syarifah 190,000 190,000 - -