LAPORAN BULANAN AGEN LPG 3 KG (BERSUBSIDI)

Nama Agen : PT TIGA PATRA MULIA

Sold to Party : 738290
Wilayah Penyaluran : Kabupaten Bantul Provinsi Daerah Istimewa Yogyakarta
Periode Laporan : Januari 2020

A. Laporan Stok Tabung Penyalur / Agen LPG 3 Kg

Stok Tabung Agen Tabung Isi Tabung Kosong Total
Stok Awal Bulan 0 3.415 3.415
Total Penerimaan:
Penerimaan SPPBE BPR 15.120 0 15.120
Penerimaan SPPBE LPG 73.520 0 73.520
Total Penyaluran 88.640 0 88.640
Stok Akhir Bulan 3.415 3.415
 B. Rekapitulasi Laporan Bulanan Sub Penyalur / Pangkalan LPG 3 Kg
Januari 2020

No Stok
Nama Sub Penyalur / Stok Jumlah
No Registrasi di Jumlah Tabung
Pangkalan Tabung Penyaluran
SIMOL3K Penerimaan Isi
Isi Awal ke
Dari Agen Akhir
Bulan Konsumen
Bulan
1 44.557.07 455186738290132
0 180 180 -

2 ADI SURONO 455182738290086 0 2000 2000 -

3 AFIN WINDARTA 455713738290111 0 800 800 -

4 AGUS SETYO PRABOWO 455184738290093 0 520 520 -

5 AHMAD BUSTAMI 455791738290031 0 200 200 -

6 AKHMAD BUDI SUPARNA 455791738290142 0 650 650 -

7 AKHMAD JOHAN NURYANTO,DRS 455153738290143 0 1120 1120 -

8 AMROZI 455761738290047 0 200 200 -

9 ANDRI DWI PURWANTO 455763738290140 0 400 400 -

10 ANITA ERMAYANTI 473829055183045 0 180 180 -

11 ARIF NUGROHO 455188738290163 0 2190 2190 -

12 ARMAN KRISNANTO, SE 455715738290106 0 1720 1720 -

13 ASMILAH 455186738290008 0 400 400 -

14 Bambang Prasetyo Wahyu Adi 455198738290161 0 300 300 -

15 BARJA 455184738290092 0 400 400 -

16 BASIYAT 455185738290013 0 200 200 -

17 BMT AR RAHMAH 455781738290150 0 1120 1120 -

18 BUDI ARDHIANTO 455188738290145 0 920 920 -

19 CATUR ARIYANTO 455182738290085 0 2160 2160 -

20 CHRISANTHY NITA PALUPI 455764738290127 0 200 200 -

21 CINTA KURNIAWAN 455182738290084 0 100 100 -

22 D WIWIK SUGIHARTI 455186738290007 0 600 600 -

23 D. DANURDARA 455182738290083 0 600 600 -
24 DEVITA PRIMASANTI SETYORINI 455188738290018 0 300 300 -

25 DIGDO WIRYONO 455763738290024 0 200 200 -

26 DIRA KUSUMAYANTI 455182738290082 0 400 400 -

27 DIYAS UTAMI 455188738290017 0 200 200 -

28 DRS. R. SUMANTRI, ST. 455183738290066 0 200 200 -

29 EDI SUPRIYANTO 455181738290148 0 2050 2050 -

30 EKO SUDRAJAD 455181738290061 0 600 600 -

31 EMI WARGIYANTI 455711738290118 0 600 600 -

32 ENDINA SOVIANA SUDJONO 455182738290081 0 1900 1900 -

33 EVI TRI ARISTA 455764738290129 0 400 400 -

34 FACHRIZAL RIVELINO 455185738290080 0 2000 2000 -

35 FACHRURROZY 455188738290159 0 1810 1810 -

36 FAJRI 455713738290112 0 120 120 -

37 FIKRI ABDALLA 455182738290079 0 2200 2200 -

38 FR ARY WAHYU 455182738290078 0 220 220 -

39 FUAD 455751738290051 0 200 200 -

40 GURITNO 455182738290077 0 1640 1640 -

41 H MUJIYONO 455196738290123 0 300 300 -

42 H. PAIDI 455772738290054 0 900 900 -

43 HANIFAH TASDIQUL B 455184738290091 0 600 600 -

44 HARYANTA 455186738290166 0 400 400 -

45 HENY HERDWIYANTI 455714738290151 0 630 630 -

46 HERLIS SETYAWAN 455184738290090 0 400 400 -

47 HERMAWAN NUGROHO 455182738290076 0 200 200 -

48 HERY PURWANTO 455764738290128 0 200 200 -

49 IMBANG 455183738290065 0 100 100 -

50 INDAH FARMA 455714738290102 0 200 200 -

51 IR EDY SULISTYA 455761738290042 0 200 200 -

52 Ira Yuniarti 455752738290158 0 220 220 -

53 ISYANTO 455781738290095 0 200 200 -

54 JOKO PURNOMO 455792738290038 0 200 200 -

55 JUAENI 455791738290035 0 200 200 -

56 JUMADI 455194738290119 0 100 100 -

57 JUMADI R 455791738290032 0 1070 1070 -

58 KAHONO 455781738290097 0 140 140 -

59 KARTINI 455771738290025 0 200 200 -

60 KASMIJO 455197738290125 0 200 200 -

61 KHOIRUDIN 455711738290117 0 200 200 -

62 KRISNI SUBARJANTI 455715738290105 0 200 200 -

63 KUD TANI HARJO 455761738290041 0 400 400 -

64 KUNTORO 455186738290004 0 200 200 -

65 KURNIAWATI ENDAH N W 455182738290075 0 2200 2200 -

66 LECIK SRI WENING 455752738290022 0 400 400 -

67 LINDA 455713738290110 0 120 120 -

68 M Richard Saladin 455781738290001 0 400 400 -

69 MAMAN LESMANA 455761738290044 0 100 100 -

70 Marjinah 455782738290135 0 600 600 -

71 MARJONO 455711738290116 0 220 220 -

72 MARJUKI 455781738290096 0 140 140 -

73 MARYADI 455712738290108 0 200 200 -

74 MARYONO 455751738290049 0 1780 1780 -

75 MUGIYONO 455191738290120 0 400 400 -

76 MUHAMMAD MASHUD 455186738290006 0 320 320 -

77 MUHAMMAD RIFAI 455181738290060 0 200 200 -

78 Muhammad Zahron 455711738290136 0 200 200 -

79 MUJI LESTARI 455715738290104 0 200 200 -

80 Muji Rahayu 455781738290137 0 420 420 -

81 MUJIYONO 455791738290034 0 200 200 -

82 MURIDAH 455196738290122 0 280 280 -

83 MURNIYATI 455185738290165 0 790 790 -

84 MURTYASTUTI, SH 455182738290074 0 200 200 -

85 MURWATI SUPARMAN 455183738290064 0 200 200 -

86 NOVI AMBARWATI 455182738290073 0 1710 1710 -

87 NOVI WINANTO 455714738290101 0 200 200 -

88 NUR HABIBAH 455791738290033 0 200 200 -

89 Ny ENDRAS 455771738290030 0 140 140 -

90 OKKY SATYA ROSADI 455781738290147 0 510 510 -

91 PAK ASRI 455183738290063 0 100 100 -

92 Pandu Krisbuwono Hatmojo 455142738290155 0 2500 2500 -

93 PANUT 455182738290072 0 120 120 -

94 PARJIMAN 455188738290015 0 110 110 -

95 PETRUS 455713738290048 0 300 300 -

96 PRAPTI WANGGONO 455181738290059 0 800 800 -

97 PURNOMO 455195738290124 0 140 140 -

98 PURWANTO 455751738290016 0 300 300 -

99 RENI 455761738290040 0 300 300 -

100 RIA PRATIWI 455771738290029 0 400 400 -

101 RINI SULISTYOWATI 455772738290055 0 645 645 -

102 RIVALDI SAFTA MAULANA 455191738290156 0 1480 1480 -

103 ROMADHON 455188738290160 0 1740 1740 -

104 RUSMAL 455188738290019 0 200 200 -

105 SABAR 455184738290089 0 200 200 -

106 SARJITO 455715738290103 0 200 200 -

107 SARKOMAH 455182738290070 0 100 100 -

108 SENO 455762738290162 0 200 200 -

109 SIGIT PRIHANDOKO 455711738290115 0 1800 1800 -

110 SIGIT PURNOMO 455182738290069 0 300 300 -

111 SISMI HANDINI 455792738290036 0 420 420 -

112 SLAMET WIDIYANI 455781738290149 0 1120 1120 -

113 SRI MAHMUDA 455762738290003 0 400 400 -

114 SRI WIDAYATI 455761738290043 0 200 200 -

115 SRI WIDAYATI 455188738290014 0 400 400

116 SUDARMANTO 455181738290058 0 200 200 -

117 SUDARWANTO 455714738290099 0 160 160 -

118 SUGITO 455711738290114 0 300 300 -

119 SUKIJAN 455761738290141 0 400 400 -

120 Sukristiningsih 455711738290134 0 1020 1020 -

121 SULASTRI 455763738290023 0 800 800 -

122 SUMANTA, SH 455781738290094 0 200 200 -

123 SUMARNINGSIH 455185738290152 0 680 680 -

124 Suminem 455771738290138 0 800 800 -

125 SUNARKO 455713738290109 0 400 400 -

126 SUPARDI 455761738290039 0 100 100 -

127 SUPARMAN 455186738290005 0 320 320 -

128 SUPRI 455772738290053 0 300 300 -

129 SUPRIYATI 455182738290153 0 2140 2140 -

130 SUROSO 455182738290067 0 400 400 -

131 SURYADI 455184738290088 0 100 100 -

132 SURYADI 455771738290027 0 200 200 -

133 SUTARJO 455772738290052 0 300 300 -

134 SUTARMAN 455183738290062 0 200 200 -

135 Sutomo 455782738290133 0 400 400 -

136 SUTONO ASIH 455762738290002 0 300 300 -

137 Tatik Lestyowati 455761738290046 0 100 100 -

138 Titik Indarti 455714738290139 0 400 400 -

139 TOTOK HARYADI 455182738290071 0 1550 1550 -

140 TRI WARDOYO 455771738290026 0 600 600 -

141 VISSIA SUNESTRI WURYANI 455184738290087 0 200 200 -

142 WAHYU ROMADHONI 455182738290100 0 1600 1600 -

143 WAHYUDI 455782738290144 0 1020 1020 -

144 WALJITO 455181738290057 0 500 500 -

145 WALUYO HADI 455714738290098 0 100 100 -

146 WIDADIONO 455771738290028 0 800 800 -

147 WIDARYATI 455711738290113 0 100 100 -

148 WIDODO 455752738290021 0 500 500 -

149 WIRUNTORO 455185738290011 0 1200 1200 -

150 WIWIK NINGSIH 455185738290154 0 1015 1015 -

151 WIWIN WULANDARI 455185738290009 0 300 300 -

152 WIYONO 455185738290010 0 1010 1010 -

153 Wiyono ST 455671738290157 0 360 360 -

154 WORO SRI SUMARTINI 455181738290056 0 0 0 -

155 YUNI BARIYANTI 455196738290121 0 400 400 -

156 YUNI MARWANTI 455712738290107 0 100 100 -

157 ZAHROWI 455751738290050 0 200 200 -

158 ZAMZURI 455792738290037 0 200 200 -

88.640 88.640

Bersedia dikenai sanksi sesuai ketentuan yang berlaku apabila terdapat kesalahan dalam
penyaluran LPG 3 Kg bersubsidi.

Yogyakarta, 04 Februari 2020

PT. TIGA PATRA MULIA

( FIRDAUS MUHAMMAD)
Direktur