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 : Desember 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 17.160 0 17.160
Penerimaan SPPBE LPG 75.080 0 75.080
Total Penyaluran 92.240 0 92.240
Stok Akhir Bulan 3.415 3.415
 B. Rekapitulasi Laporan Bulanan Sub Penyalur / Pangkalan LPG 3 Kg
Desember 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 2300 2300 -

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 0 400 400 -

7 AKHMAD JOHAN NURYANTO,DRS 455153738290143 0 706 706 -

8 AMROZI 455761738290047 0 200 200 -

9 ANDRI DWI PURWANTO 455763738290140 0 400 400 -

10 ANITA ERMAYANTI 473829055183045 0 200 200 -

11 ARIF NUGROHO 455188738290163 0 1880 1880 -

12 ARMAN KRISNANTO, SE 455715738290106 0 2240 2240 -

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 1052 1052 -

18 BUDI ARDHIANTO 455188738290145 0 600 600 -

19 CATUR ARIYANTO 455182738290085 0 2410 2410 -

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 1984 1984 -

30 EKO SUDRAJAD 455181738290061 0 600 600 -

31 EMI WARGIYANTI 455711738290118 0 600 600 -

32 ENDINA SOVIANA SUDJONO 455182738290081 0 2300 2300 -

33 EVI TRI ARISTA 455764738290129 0 400 400 -

34 FACHRIZAL RIVELINO 455185738290080 0 2130 2130 -

35 FACHRURROZY 455188738290159 0 2250 2250 -

36 FIKRI ABDALLA 455182738290079 0 2400 2400 -

37 FR ARY WAHYU 455182738290078 0 220 220 -

38 FUAD 455751738290051 0 200 200 -

39 GURITNO 455182738290077 0 2180 2180 -

40 H MUJIYONO 455196738290123 0 300 300 -

41 H. PAIDI 455772738290054 0 900 900 -

42 HANIFAH TASDIQUL B 455184738290091 0 600 600 -

43 HARYANTA 455186738290166 0 600 600 -

44 HENY HERDWIYANTI 455714738290151 0 500 500 -

45 HERLIS SETYAWAN 455184738290090 0 400 400 -

46 HERMAWAN NUGROHO 455182738290076 0 200 200 -

47 HERY PURWANTO 455764738290128 0 200 200 -

48 IMBANG 455183738290065 0 100 100 -

59 INDAH FARMA 455714738290102 0 200 200 -

50 IR EDY SULISTYA 455761738290042 0 200 200 -
51 IRA YUNIARTI 455752738290158 0 220 220 -

52 ISYANTO 455781738290095 0 200 200 -

53 JOKO PURNOMO 455792738290038 0 200 200 -

54 JUAENI 455791738290035 0 200 200 -

55 JUMADI 455194738290119 0 100 100 -

56 JUMADI R 455791738290032 0 1230 1230 -

57 KAHONO 455781738290097 0 140 140 -

58 KARTINI 455771738290025 0 200 200 -

59 KASMIJO 455197738290125 0 200 200 -

60 KHOIRUDIN 455711738290117 0 200 200 -

61 KRISNI SUBARJANTI 455715738290105 0 200 200 -

62 KUD TANI HARJO 455761738290041 0 400 400 -

63 KUNTORO 455186738290004 0 200 200 -

64 KURNIAWATI ENDAH N W 455182738290075 0 2400 2400 -

65 LECIK SRI WENING 455752738290022 0 400 400 -

66 LINDA 455713738290110 0 120 120 -

67 M. RICHARD SALADIN 455781738290001 0 400 400 -

68 MAMAN LESMANA 455761738290044 0 200 200 -

69 MARJINAH 455782738290135 0 600 600 -

70 MARJONO 455711738290116 0 220 220 -

71 MARJUKI 455781738290096 0 140 140 -

72 MARYADI 455712738290108 0 200 200 -

73 MARYONO 455751738290049 0 1888 1888 -

74 MUGIYONO 455191738290120 0 400 400 -

75 MUHAMMAD MASHUD 455186738290006 0 320 320 -

76 MUHAMMAD RIFAI 455181738290060 0 200 200 -

77 MUHAMMAD ZAHRON 455711738290136 0 200 200 -

78 MUJI LESTARI 455715738290104 0 200 200 -
79 MUJI RAHAYU 455781738290137 0 420 420 -

80 MUJIYONO 455791738290034 0 200 200 -

81 MURIDAH 455196738290122 0 280 280 -

82 MURNIYATI 455185738290165 0 1070 1070 -

83 MURTYASTUTI, SH 455182738290074 0 200 200 -

84 MURWATI SUPARMAN 455183738290064 0 200 200 -

85 NOVI AMBARWATI 455182738290073 0 2370 2370 -

86 NOVI WINANTO 455714738290101 0 200 200 -

87 NUR HABIBAH 455791738290033 0 200 200 -

88 Ny ENDRAS 455771738290030 0 140 140 -

89 OKKY SATYA ROSADI 455781738290147 0 520 520 -

90 PAK ASRI 455183738290063 0 100 100 -

91 PANDU KRISBUWONO HATMOJO 455142738290155 0 2210 2210 -

92 PANUT 455182738290072 0 120 120 -

93 PARJIMAN 455188738290015 0 110 110 -

94 PETRUS 455713738290048 0 300 300 -

95 PRAPTI WANGGONO 455181738290059 0 800 800 -

96 PURNOMO 455195738290124 0 140 140 -

97 PURWANTO 455751738290016 0 300 300 -

98 RENI 455761738290040 0 300 300 -

99 RIA PRATIWI 455771738290029 0 400 400 -

100 RINI SULISTYOWATI 455772738290055 0 830 830 -

101 RIVALDI SAFTA MAULANA 455191738290156 0 1480 1480 -

102 ROMADHON 455188738290160 0 1770 1770 -

103 RUSMAL 455188738290019 0 200 200 -

104 SABAR 455184738290089 0 200 200 -

105 SARJITO 455715738290103 0 200 200 -

106 SARKOMAH 455182738290070 0 100 100 -
107 SENO 455762738290162 0 200 200 -

108 SIGIT PRIHANDOKO 455711738290115 0 1800 1800 -

109 SIGIT PURNOMO 455182738290069 0 300 300 -

110 SISMI HANDINI 455792738290036 0 420 420 -

111 SLAMET WIDIYANI 455781738290149 0 1120 1120 -

112 SRI MAHMUDA 455762738290003 0 400 400 -

134 SRI WIDAYATI 455761738290043 0 200 200 -

114 SRI WIDAYATI 455188738290014 0 400 400

115 SUDARMANTO 455181738290058 0 200 200 -

116 SUDARWANTO 455714738290099 0 200 200 -

117 SUGITO 455711738290114 0 300 300 -

118 SUKIJAN 455761738290141 0 400 400 -

119 SUKRISTININGSIH 455711738290134 0 920 920 -

120 SULASTRI 455763738290023 0 1360 1360 -

121 SUMANTA, SH 455781738290094 0 200 200 -

122 SUMARNINGSIH 455185738290152 0 630 630 -

123 SUMINEM 455771738290138 0 800 800 -

124 SUNARKO 455713738290109 0 400 400 -

125 SUPARDI 455761738290039 0 100 100 -

126 SUPARMAN 455186738290005 0 320 320 -

127 SUPRI 455772738290053 0 300 300 -

128 SUPRIYATI 455182738290153 0 1770 1770 -

129 SUROSO 455182738290067 0 400 400 -

130 SURYADI 455184738290088 0 100 100 -

131 SURYADI 455771738290027 0 200 200 -

132 SUTARJO 455772738290052 0 300 300 -

133 SUTARMAN 455183738290062 0 200 200 -

134 SUTOMO 455782738290133 0 400 400 -

135 SUTONO ASIH 455762738290002 0 300 300 -

136 TATIK LESTYOWATI 455761738290046 0 100 100 -

137 TITIK INDARTI 455714738290139 0 400 400 -

138 TOTOK HARYADI 455182738290071 0 1780 1780 -

139 TRI WARDOYO 455771738290026 0 600 600 -

140 VISSIA SUNESTRI WURYANI 455184738290087 0 200 200 -

141 WAHYU ROMADHONI 455182738290100 0 1550 1550 -

142 WAHYUDI 455782738290144 0 1010 1010 -

143 WALJITO 455181738290057 0 500 500 -

144 WALUYO HADI 455714738290098 0 85 85 -

145 WIDADIONO 455771738290028 0 800 800 -

146 WIDARYATI 455711738290113 0 100 100 -

147 WIDODO 455752738290021 0 500 500 -

148 WIRUNTORO 455185738290011 0 1200 1200 -

149 WIWIK NINGSIH 455185738290154 0 1595 1595 -

150 WIWIN WULANDARI 455185738290009 0 300 300 -

151 WIYONO 455185738290010 0 1030 1030 -

152 WIYONO ST 455671738290157 0 360 360 -

153 YUNI BARIYANTI 455196738290121 0 400 400 -

154 YUNI MARWANTI 455712738290107 0 100 100 -

155 ZAHROWI 455751738290050 0 200 200 -

156 ZAMZURI 455792738290037 0 200 200 -

TOTAL 92.240 92.240

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

Yogyakarta, 02 Januari 2021

PT. TIGA PATRA MULIA
( FIRDAUS MUHAMMAD)
Direktur