PERUSAHAAN DAERAH AIR MINUM

KABUPATEN PASAMAN
PDAM UNIT LUBUK SIKAPING

LAPORAN PENERIMAAN & PENDAPATAN

PDAM UNIT LUBUK SIKAPING
PER 24 MARET 2021

CHECK LIST KELENGKAPAN BERKAS LAPORAN

NO NAMA BERKAS CHECK

1 LPP AIR

2 LPP NON AIR

3 LPP PER GOLONGAN

4 LPP PER HARI

5 BUKTI STORAN BANK

Lubuk Sikaping, 24 Maret 2021

Disetujui Oleh, Diperiksa Oleh,
Kepala Unit PDAM Lubuk Sikaping KAUR Pel & Penagihan

I L H A M Rahmadian Mahadika
PERUSAHAAN DAERAH AIR MINUM
KABUPATEN PASAMAN
DAFTAR PENERIMAAN AIR
24-Mar-21 s/d 24-Mar-21
Loket Transaksi : LUBUK
SIKAPING Semua Rekening Hal 1 dari 2

No No.Samb Nama Pelanggan Periode Harga Air By. ADM By. Pemel By. Ret Denda Jumlah
tunggakan
Wilayah = Lubuk Sikaping a

1 0401010096 KANTOR LURAH PAUH Des 2020 48,500 2,000 3,500 3,000 7,500 64,500
2 0401010096 KANTOR LURAH PAUH Jan 2021 48,500 2,000 3,500 3,000 5,000 62,000
3 0401010096 KANTOR LURAH PAUH Feb 2021 48,500 2,000 3,500 3,000 2,500 59,500
4 0401010214 HASNIAR. R Feb 2021 63,100 2,000 3,500 5,000 2,500 76,100
5 0401020113 USTAD Feb 2021 129,500 2,000 3,500 3,000 2,500 140,500
6 0402010150 ANWAR KARI MUDO Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
7 0402010320 RATNA WILIS Okt 2019 105,500 2,000 3,500 3,000 10,000 124,000
8 0402010320 RATNA WILIS Nop 2019 105,500 2,000 3,500 3,000 10,000 124,000
9 0402010320 RATNA WILIS Des 2019 23,000 2,000 3,500 3,000 10,000 41,500
10 0402010320 RATNA WILIS Jan 2020 51,200 2,000 3,500 3,000 10,000 69,700
11 0402010320 RATNA WILIS Feb 2020 38,300 2,000 3,500 3,000 10,000 56,800
12 0402010320 RATNA WILIS Mar 2020 23,000 2,000 3,500 3,000 10,000 41,500
13 0402010320 RATNA WILIS Apr 2020 38,300 2,000 3,500 3,000 10,000 56,800
14 0402010320 RATNA WILIS Mei 2020 35,750 2,000 3,500 3,000 10,000 54,250
15 0402010622 DAHNIAR Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
16 0402020034 MARTALIUS Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
17 0402020045 MUSHALLA NURUL Feb 2021 26,000 2,000 3,500 0 0 31,500
18 0402020125 HAQ
ARMAN WAHAB Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
19 0403010344 RASAIT KARI Feb 2021 124,550 2,000 3,500 5,000 2,500 137,550
20 0403010796 SULTAN
AGUSMAN Jan 2021 23,000 2,000 3,500 3,000 5,000 36,500
21 0403010796 (20072).I.17
AGUSMAN Feb 2021 25,550 2,000 3,500 3,000 2,500 36,550
22 0403010893 (20072).I.17
SARIANTUN MBR. Jan 2021 23,000 2,000 3,500 3,000 5,000 36,500
23 0403010893 20. 0061 MBR.
SARIANTUN Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
24 0403020087 20. 0061
ABD.MUIS Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
25 0403020421 ERNITA Okt 2020 51,200 2,000 3,500 3,000 10,000 69,700
26 0403020421 ERNITA Nop 2020 78,500 2,000 3,500 3,000 10,000 97,000
27 0403020421 ERNITA Des 2020 81,500 2,000 3,500 3,000 7,500 97,500
28 0403020473 YULIA ANDRIANI Feb 2021 25,500 2,000 3,500 0 2,500 33,500
29 0404010279 ROSMIARTI Feb 2021 135,200 2,000 3,500 5,000 2,500 148,200
30 0404010463 INDRA NOVIADI Feb 2021 25,500 2,000 3,500 5,000 2,500 38,500
31 0404010686 MUSHALLA NURUL Feb 2021 12,000 2,000 3,500 0 0 17,500
32 0404010689 JANNAH
ERIYASMAN MBR. Jan 2021 23,000 2,000 3,500 3,000 5,000 36,500
33 0404010689 20. 0057 MBR.
ERIYASMAN Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
34 0404010692 20. 0057MBR. 20.
SUHARDI Jan 2021 23,000 2,000 3,500 3,000 5,000 36,500
35 0404010692 0174
SUHARDI MBR. 20. Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
36 0404020042 0174
ADDARUDIN Feb 2021 96,500 2,000 3,500 3,000 0 105,000
37 0405010464 ZULFAJRI Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
38 0405010495 MIRA OCTAVIA Nop 2020 103,250 2,000 3,500 5,000 10,000 123,750
39 0405010495 MIRA OCTAVIA Des 2020 75,900 2,000 3,500 5,000 7,500 93,900
40 0405010495 MIRA OCTAVIA Jan 2021 103,250 2,000 3,500 5,000 5,000 118,750
41 0405010495 MIRA OCTAVIA Feb 2021 135,200 2,000 3,500 5,000 2,500 148,200
42 0405020183 NURWILIS Nop 2020 23,000 2,000 3,500 3,000 10,000 41,500
43 0405020183 NURWILIS Des 2020 33,200 2,000 3,500 3,000 7,500 49,200
44 0405020183 NURWILIS Jan 2021 43,400 2,000 3,500 3,000 5,000 56,900
45 0405020183 NURWILIS Feb 2021 72,800 2,000 3,500 3,000 2,500 83,800
46 0405020213 RABINAH Jan 2021 25,500 2,000 3,500 5,000 5,000 41,000
 Hal 2 dari 2
47 0405020213 RABINAH Feb 2021 33,900 2,000 3,500 5,000 2,500 46,900
48 0406010005 SMP AIR MANGGIS Des 2020 350,600 2,000 3,500 2,000 7,500 365,600
49 0406010005 SMP AIR MANGGIS Jan 2021 535,400 2,000 3,500 2,000 5,000 547,900
50 0406010005 SMP AIR MANGGIS Feb 2021 393,800 2,000 3,500 2,000 2,500 403,800
51 0406010030 NORI DESMILAWATI. Feb 2021 23,000 2,000 3,500 3,000 2,500 34,000
52 0406010830 FARIDA MBR. 19. Feb 2020 23,000 2,000 3,500 3,000 10,000 41,500
53 0406010830 0094
FARIDA MBR. 19. Mar 2020 23,000 2,000 3,500 3,000 10,000 41,500
54 0406010830 0094
FARIDA MBR. 19. Apr 2020 23,000 2,000 3,500 3,000 10,000 41,500
55 0406010830 0094
FARIDA MBR. 19. Mei 2020 23,000 2,000 3,500 3,000 10,000 41,500
56 0406010830 0094
FARIDA MBR. 19. Jun 2020 33,200 2,000 3,500 3,000 10,000 51,700
57 0406010830 0094
FARIDA MBR. 19. Jul 2020 38,300 2,000 3,500 3,000 10,000 56,800
58 0406010830 0094
FARIDA MBR. 19. Agust 51,200 2,000 3,500 3,000 10,000 69,700
59 0406010830 0094
FARIDA MBR. 19. 20202020
Sep 23,000 2,000 3,500 3,000 10,000 41,500
60 0406020253 0094 FITRIANI
IDEL Jan 2021 25,500 2,000 3,500 5,000 5,000 41,000
61 0406020253 IDEL FITRIANI Feb 2021 25,500 2,000 3,500 5,000 2,500 38,500
62 0406020677 HASNUL MBR. 20. Des 2020 35,750 2,000 3,500 0 7,500 48,750
63 0406020677 0102
HASNUL MBR. 20. Jan 2021 35,750 2,000 3,500 0 5,000 46,250
64 0406020677 0102
HASNUL MBR. 20. Feb 2021 35,750 2,000 3,500 0 2,500 43,750
65 0407010078 0102(MBR - 50367)
EVA Feb 2021 35,750 2,000 3,500 3,000 2,500 46,750
66 0407010111 ARMAINI Feb 2021 135,500 2,000 3,500 3,000 2,500 146,500
67 0407010179 (10095).I.17
RATNA WELI YUNITA Feb 2021 62,000 2,000 3,500 3,000 2,500 73,000
68 0407010233 MBR. 19.
MULFI YANDRI
0181MBR. Feb 2021 23,000 2,000 3,500 0 2,500 31,000
20. 0178
Sub Total = 68 4,344,050 136,000 238,000 204,000 370,000 5,292,050

Total = 68 4,344,050 136,000 238,000 204,000 370,000 5,292,050

REKAPITULASI PER TARIF

Rek. Air Retribusi Denda Total

No Kode Tarif / Golongan
Lbr Rupiah Lbr Rupiah Lbr Rupiah Lbr Rupiah

1 10-KELOMPOK 1 2 49,000 0 0 0 0 2 49,000

2 20-KELOMPOK 2 3 1,296,300 3 6,000 3 15,000 3 1,317,300
3 30-KELOMPOK 3 50 2,399,400 46 138,000 49 302,500 50 2,839,900
4 40-KELOMPOK 4 13 973,350 12 60,000 13 52,500 13 1,085,850

Total = 68 4,718,050 61 204,000 65 370,000 68 5,292,050

Pasaman 24 March 2021

Mengetahui Dibuat Oleh
KEPALA UNIT KASIR

ILHAM ADELA PRATIWI

 PERUSAHAAN DAERAH AIR MINUM
KABUPATEN PASAMAN

REKAP LAPORAN PENERIMAAN PEMBAYARAN AIR PER PERIODE PER GOLONGAN

24-Mar-21 S/d 24-Mar-21

| Loket Bayar : 04 Hal. 1 dari 1

KELOMPOK 1 KELOMPOK 2 KELOMPOK 3 KELOMPOK 4 TOTAL
NO. PERIODE
LBR REK AIR TOTAL LBR REK AIR TOTAL LBR REK AIR TOTAL LBR REK AIR TOTAL LBR REK AIR TOTAL
1 Feb 2021 2 49,000 49,000 1 399,300 401,800 20 1,004,850 1,052,350 8 612,450 632,450 31 2,065,600 2,135,600
2 Jan 2021 0 0 0 1 540,900 545,900 7 258,150 293,150 3 170,750 185,750 11 969,800 1,024,800
3 Des 2020 0 0 0 1 356,100 363,600 4 220,950 250,950 1 81,400 88,900 6 658,450 703,450
4 Nop 2020 0 0 0 0 0 0 2 112,500 132,500 1 108,750 118,750 3 221,250 251,250
5 Okt 2020 0 0 0 0 0 0 1 56,700 66,700 0 0 0 1 56,700 66,700
6 Sep 2020 0 0 0 0 0 0 1 28,500 38,500 0 0 0 1 28,500 38,500
7 Agust 2020 0 0 0 0 0 0 1 56,700 66,700 0 0 0 1 56,700 66,700
8 Jul 2020 0 0 0 0 0 0 1 43,800 53,800 0 0 0 1 43,800 53,800
9 Jun 2020 0 0 0 0 0 0 1 38,700 48,700 0 0 0 1 38,700 48,700
10 Mei 2020 0 0 0 0 0 0 2 69,750 89,750 0 0 0 2 69,750 89,750
11 Apr 2020 0 0 0 0 0 0 2 72,300 92,300 0 0 0 2 72,300 92,300
12 Mar 2020 0 0 0 0 0 0 2 57,000 77,000 0 0 0 2 57,000 77,000
13 Feb 2020 0 0 0 0 0 0 2 72,300 92,300 0 0 0 2 72,300 92,300
14 Jan 2020 0 0 0 0 0 0 1 56,700 66,700 0 0 0 1 56,700 66,700
15 Des 2019 0 0 0 0 0 0 1 28,500 38,500 0 0 0 1 28,500 38,500
16 Nop 2019 0 0 0 0 0 0 1 111,000 121,000 0 0 0 1 111,000 121,000
17 Okt 2019 0 0 0 0 0 0 1 111,000 121,000 0 0 0 1 111,000 121,000
TOTAL 2 49,000 49,000 3 1,296,300 1,311,300 50 2,399,400 2,701,900 13 973,350 1,025,850 68 4,718,050 5,088,050

NOTE :
Total Adalah : Rekair + Denda Pasaman 24 March 2021
DI BUAT OLEH

ADELA PRATIWI
 PERUSAHAAN DAERAH AIR MINUM
KABUPATEN PASAMAN

REKAP PENERIMAAN PEMBAYARAN AIR PERHARI

24-Mar-21 S/d 24-Mar-21

| Loket Bayar : 04 Hal. 1 dari 1

No. TANGGAL HARI LBR PAKAI AIR (Rp.) ADMINISTRASI PEMELIHARAAN RETRIBUSI ANGSURAN MATERAI DENDA TOTAL
1 24-Mar-21 RABU 68 4,344,050 136,000 238,000 204,000 0 0 370,000 5,292,050

TOTAL 68 4,344,050 136,000 238,000 204,000 0 0 370,000 5,292,050

Pasaman 24 March 2021

DI BUAT OLEH

ADELA PRATIWI
 �BANKBRI
Melayani Oengan Setulus Hall

DISAHKAN TTO. PENYETOR