DAFTAR PENERIMAAN PERJALANAN

Dalam rangka : Penjaringan anak sekolah

Bulan : Agustus 2016

PANGKAT /
NO NAMA / NIP JABATAN TGL TANDA
GOLONGAN LOKASI LAMANYA JUMLAH DITERIMA
BERANGKAT TANGAN

Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SMPN 1 1kl x Rp50,000 = Rp50,000
1 01 Agustus 2016 Sukasada 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp50,000 = Rp50,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SDN 1 1kl x Rp150,000 = Rp150,000
2 02 Agustus 2016 Tegallinggah 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 2 1kl x Rp150,000 = Rp150,000
3 03 Agustus 2016 1 kl
Tegallinggah
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 3 1kl x Rp150,000 = Rp150,000
4 04 Agustus 2016 1 kl
Tegallinggah
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 4 1kl x Rp150,000 = Rp150,000
5 05 Agustus 2016 Tegallinggah 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 5 1kl x Rp150,000 = Rp150,000
6 08 Agustus 2016 Tegallinggah 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 1 Kayu 1kl x Rp150,000 = Rp150,000
7 09 Agustus 2016 1 kl
Putih
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 2 Kayu 1kl x Rp150,000 = Rp150,000
8 10 Agustus 2016 Putih 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Perawat gigi pelaksana Pengatur TK I / II D 1
SDN 3 Kayu 1kl x Rp150,000 = Rp150,000
9 11 Agustus 2016 Putih 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Perawat gigi pelaksana Pengatur / II C 2
1kl x Rp150,000 = Rp150,000
 Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SDN 4 Kayu 1kl x Rp150,000 = Rp150,000
10 12 Agustus 2016 Putih 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SDN 5 Kayu 1kl x Rp150,000 = Rp150,000
11 15 Agustus 2016 1 kl
Putih
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SMP Ayodya 1kl x Rp150,000 = Rp150,000
12 16 Agustus 2016 Pura 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SMA Ayodya 1kl x Rp150,000 = Rp150,000
13 18 Agustus 2016 Pura 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
SMP Satu Atap 1kl x Rp150,000 = Rp150,000
14 19 Agustus 2016 Kayu Putih 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
1kl x Rp150,000 = Rp150,000
15 22 Agustus 2016 MTs Al-Khairyah 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001 Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Perawat gigi pelaksana
Putu Nina Mas Suaryati, A.Md Kg /198311092009022002 Pengatur TK I / II D 1
MA Syamsul 1kl x Rp150,000 = Rp150,000
16 23 Agustus 2016 Huda 1 kl
Nyoman YuniTresnawati, A.Md Kg / 199306022015032001
Pengatur / II C 2
Perawat gigi pelaksana 1kl x Rp150,000 = Rp150,000
Jumlah Rp4,600,000

Mengetahui
PPTK Singaraja, 23 Agustus 2016
Yang menerima/membagikan

I Nyoman Winarsa Putu Nina Mas Suaryati, A.Md Kg

NIP. 196509181987031018 NIP. 198311092009022002