DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN

BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN STRUKTURAL)

RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :DESEMBER 2020

JUMLAH
JUMLAH SELURUH
JUMLAH JUMLAH / JUMLAH TANDA
NO NAMA NIP JABATAN SELURUH SETELAH PPH 15%
BULAN BULAN (Rp) DITERIMA (Rp) TANGAN
(Rp) POTONGAN
SANKSI (Rp)
1 2 3 4 5 6 7 8 9 10

Administrasi Kepala
1 dr. Bernardus Yosep Beda 19761108 200803 1 001 1 1,250,000 1,250,000 1,250,000 187,500 1,062,500
SKPD Direktur RSUD

JUMLAH 1,250,000 1,250,000 1,250,000 187,500 1,062,500

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 187,500

191,605,000
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN
BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN STRUKTURAL)KEPALA SUB BAGIAN/KEPALA SEKSI
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :DESEMBER 2020

JUMLAH
JUMLAH
JUMLAH JUMLAH / SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5%
BULAN BULAN (Rp) POTONGAN DITERIMA (Rp) TANGAN
(Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Kepala Sub Bagian

1 Antonius Buya,A.Md 19690704 199801 1 002 1 900,000 900,000 900,000 45,000 855,000
Perencanaan Program

Kepala Sub Bagian

2 Nikolaus Bale Liliwana 19670408 199303 1 011 1 900,000 900,000 900,000 45,000 855,000
Administrasi Keuangan

Yusuf R.G Lamabelawa, S.Sos Kepala Sub Bagian

3 19790907 200803 1 002 1 900,000 900,000 900,000 135,000 765,000
M.Kes Umum dan Kepegawaian

4 Maria Harianti, S.Kep Ners 19760514 200012 2 002 Kepala Seksi Pelayanan 1 900,000 900,000 900,000 45,000 855,000

JUMLAH 3,600,000 3,600,000 3,600,000 270,000 3,330,000

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 45,000

45,000

135,000

45,000

270,000

3,600,000
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN
BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN PELAKSANA FUNGSIONAL UMUM)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :DESEMBER 2020

JUMLAH
JUMLAH
JUMLAH JUMLAH / SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5%
BULAN BULAN (Rp) POTONGAN DITERIMA (Rp) TANGAN
(Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

1 Maria F. Uba Lamak, SKM 19721008 200112 2 004 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

2 Vera Paebangan ,SE 19821122 200903 2 010 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

3 Vincentius Ferrer kalang 19830405 201001 1 023 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

4 Maria Natalia Kristina Ha'I 19860210 201101 2 008 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

5 Kristina Ina Temu,SE 19830723 200903 2 012 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

6 Yohana Dading, S.Farm 19760723 200604 2 019 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

7 Rona Mislinda Sabu Witak,SE 19860629 201001 2 022 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

8 Nurhayati Noreng 19840113 201001 2 015 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

9 Helena Ina Ema 19840808 201101 2 012 Fungsional umum Tk.Ahli 1 350,000 350,000 350,000 17,500 332,500

10 Katharina Benga Nuhon 19690420 200604 2 010 Fungsional Khusus Ahli 1 350,000 350,000 350,000 52,500 297,500

11 Karelinus Leonardi Iri 19851223 201101 1 006 Fungsional Khusus Ahli 1 350,000 350,000 350,000 17,500 332,500

12 Zita Eustakia Wolo 19850920 201001 2 024 Fungsional Khusus Ahli 1 350,000 350,000 350,000 17,500 332,500

13 Christin Mariana Lianti 19830626 200903 2 008 Fungsional Khusus Ahli 1 350,000 350,000 350,000 17,500 332,500

14 Aisyah Yunus 19830110 201101 2 013 Fungsional Khusus Ahli 1 350,000 350,000 350,000 17,500 332,500

Fungsional umum
15 Sarah Kaharudin 19780418200701 2 019 1 225,000 225,000 225,000 11,250 213,750
Tk.Trampil

Fungsional umum
16 Paulina Abong 19811017 200701 2 007 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
17 Gaspar Laba Hadung 19791015 200801 1 022 1 225,000 225,000 225,000 - 225,000
Tk.Trampil

Fungsional umum
18 Yohanes Bala 19800708 200701 1 013 1 225,000 225,000 225,000 - 225,000
Tk.Trampil

Fungsional umum
19 Karolus Kayo Making 19710212 200801 1 014 1 225,000 225,000 225,000 - 225,000
Tk.Trampil

Fungsional umum
20 Yuliana Adriana Meme 19840713 201001 2 010 1 225,000 225,000 225,000 - 225,000
Tk.Trampil

Fungsional umum
21 Margaretha Dau 19630424 1987032019 1 225,000 225,000 225,000 11,250 213,750
Tk.Trampil

Fungsional umum
22 Kristina Ina Tulit Lamak 19790415 200604 2 007 1 225,000 225,000 225,000 11,250 213,750
Tk.Trampil

Fungsional umum
23 Karolus Laba Kepogel 19660727 200604 1 008 1 225,000 225,000 225,000 - 225,000
Tk.Trampil

Fungsional umum
24 Hubertus Paskalis Saru 19820410 201001 1 020 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
25 Theresia Kuma 19780927 200112 2 003 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
26 Yoseph Sabok 19660204 200112 1 002 1 225,000 225,000 225,000 225,000
Tk.Trampil
 Fungsional umum
27 Maria Agustina Beto 19780801 200312 2 011 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
28 Perseveranda Boi Duli 19720626 200604 2 025 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
29 Hyacinthus L.P Tedemaking 19820817 200604 1 012 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
30 Klara kati 19690208 200604 2 010 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
31 Yuliana Surat 19721231 200604 2 094 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
32 Karlinda Kewa 19710822 200604 2 018 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
33 Paulina Lomu 19700727 200604 2 019 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
34 Lusia Loma Raring 19750906 200701 2 017 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
35 Elisabeth Ona 19841208 200701 2 009 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
36 Kristina Bema 19720427 200801 2 009 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
37 Ermelinda Hiba Lajar 19790428 200801 2 018 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
38 Sesilia Solo 19640910 200604 2 001 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
39 M.Bernadete Bulu 19660618 200604 2 012 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
40 Marselina Ona 19681220 200701 2 029 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
41 Yohanes Petrus Kurang 19840429 201212 1 004 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
42 Maria Barek 19740425 200901 2 001 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional Khusus
43 Maria Rosalia Hingi 19910618 201101 2 002 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional umum
44 Magaretha Sabu 19741025 200901 2 006 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
45 Helena Marselina Ose Huar 19740422 201212 2 001 1 225,000 225,000 225,000 225,000
Tk.Trampil

Fungsional umum
46 Maria E.Lota 19710702 201212 2 001 1 225,000 225,000 225,000 225,000
Tk.Trampil

JUMLAH 12,100,000 12,100,000 12,100,000 313,750 11,786,250

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 17,500

17,500

17,500

17,500

17,500

4,900,000 17,500

280,000 17,500 22,500

4,900,000 17,500

280,000 17,500 1,125,000

52,500 2,375,000

17,500

17,500

7,200,000 17,500

33,750 17,500 118,750

4,900,000 11,250

280,000 22,500

7,200,000 22,500

33,750 1,125,000

1,125,000

11,250

11,250
6,750,000

6,750,000

22,500

11,786,250
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN
BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN FUNGSIONAL TERTENTU AHLI)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :DESEMBER 2020

JUMLAH
JUMLAH JUMLAH
JUMLAH JUMLAH / SETELAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5% DITERIMA
BULAN BULAN (Rp) POTONGAN TANGAN
(Rp) (Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

1 Ni Luh M.Y Serllywiyanti Niron 19801126 200604 2 009 Fungsional Khusus Ahli 1 475,000 475,000 475,000 71,250 403,750

2 dr. Rosalia T.D.Bayeng, MSc. SpA 19751008 200312 2 007 Fungsional Khusus Ahli 1 475,000 475,000 475,000 71,250 403,750

3 Martina Herlince Atawollo,S.Farm Apt 19801126 200604 2 009 Fungsional Khusus Ahli 1 475,000 475,000 475,000 71,250 403,750

4 dr. Dalmasia Yustina Sile 19821205 201101 2 009 Fungsional Khusus Ahli 1 475,000 475,000 475,000 71,250 403,750

5 drg. Yoseph F. Paun 19840129 201101 1 006 Fungsional Khusus Ahli 1 475,000 475,000 475,000 71,250 403,750

6 Wilibrorda Welin Wukak, S.Farm Apt 19800312 200112 2 002 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

7 Sesilia Bulu Odel, S.Si. Apt 19770216 199703 2 002 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

8 Fauzia Budiman 19810615 200312 2 009 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

9 Kristoforus Simon Lesu Uta 19800911 200501 1 007 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

10 Awaludin Ratuloli 19800911 200501 1 007 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

11 Yohanes Bala 19830916 201001 1 013 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

12 dr.Yeremias Ronaldy Sunur,SpOG 19831113 201101 1 010 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

13 Maria Imakulati Making 19771210 200112 2 004 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

14 Rovina Hulu Matarau, S.Gz 19791010 200501 2 003 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

15 dr. Maria F. Ina Tukan, SpOG 19760303 200803 2 002 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

16 Helena daten Odel 19750515 200112 2 005 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

17 Helena Selopa Making 19740921 200101 2 002 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

18 Maria Margaretha P Dasion 19740921 200101 2 002 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

19 Maria Martina Dolorosa Tuto 19691112 200501 2 007 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

20 Maria Maxima Dawan Huler 19790124 200604 2 013 Fungsional Khusus Ahli 1 475,000 475,000 475,000 23,750 451,250

Fungsional Khusus
21 Fransiska Hermiyanti Dua Soge 19760408201001 1 007 1 475,000 475,000 475,000 23,750 451,250
Terampil

JUMLAH 9,975,000 9,975,000 9,975,000 736,250 9,238,750

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

 Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 71,250 118,750

71,250

71,250 7,125,000

71,250

71,250

23,750 498,750

23,750

23,750

23,750

23,750

23,750

23,750

23,750 2,375,000

23,750

23,750

23,750 23,750

23,750

23,750

23,750

23,750

23,750

617,500
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN

BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN FUNGSIONAL TERTENTU TINGKAT TRAMPIL)

RUMAH SAKIT UMUM DAERAH LEWOLEBA

BULAN :DESEMBER 2020

JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
1 Leurensius Leu 19650807 198801 1 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
2 Yuliana Abong 19630316 198803 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
3 Helena Belia 19670818 198801 2 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
4 Virmina Tuto Djagom 19671005 198801 2 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
5 Vincensia Grosa Tapin 19680205 198902 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
6 Theresia Rone, A.Md Kep 19670419 199803 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
7 Emanuel Dowa Pati 19651225 198702 1 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
8 Monika Inguliman 19670604 198801 2 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
9 Aleksander Amo 19641216 199203 1 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
10 Mikhael Helun Raring 19710222 199203 1 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
11 Elisabeth Helen Raja 19770116 200003 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
12 Maria Katharina Niron 19651125 198903 2 012 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
13 Markus Maleng 19640824 200003 1 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
14 Yosefina S.T Taranpiraq, A.Md Kep 19770622 200212 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
15 Leurensia Uran, A.Md Kep 19700210 200312 2 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
16 Fransiska O.Ina Bedanaen, A.Md Ke 19780111 200112 2 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
17 Fransiska Agatha Senawer, A.Md 19750127 200312 2 013 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
18 Emriana Islya, A.Md Ft 19760104 200312 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
19 Lidia Anu Tokan 19780803 200212 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
20 Primadona.M.B Teluma, A.Md AK 19820602 200604 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
21 Fransiska Tuto Nilan 19770603 200112 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
22 Sri Rahayu 19790327 200501 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
23 Ratna Bahi, A.Md Rad 19820112 200501 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
24 Maria Katharina Baki, A.Md Kep 19800427 200501 2 020 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
25 Maimunah Abdullah, A.Md Kep 19740706 200501 2 009 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
26 Natalia Perada Sia, A.Md Kesling 19771218 200501 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
27 Sitti Sumarni Abdullah, A.Md Kep 19820819 200501 2 015 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
28 Ernita Daniels 19651221 199803 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
29 Yoseph Kopong Sili 19770210 200312 1 012 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
30 Nursia Bunga 19811115 200604 2 022 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
31 Marta Tuto Namang 19830418 200604 2 013 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
32 Stefanus Sorong 19770120 200604 1 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
33 Hamja Mansyur, A.Md Kep 19830906 200604 1 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
34 Nur Aini Abd.Gani, A.Md Rad 19840204 200604 2 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
35 Emiliana Penaten Miku 19820119 200604 2 021 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
36 Melania Sophia Bali, A.Md Kep 19830320 200604 2 017 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
37 Nurhayati K. Tupen, A.Md Kep 19820515 200604 2 033 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
38 Magdalena Bunga Lerek 19681010 199203 2 020 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
39 Regina Geben Sina 19820221 200501 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
40 Kresensia Kila 19750821 200604 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
41 Umi Aminah 19840501 200604 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
42 Elisabeth Maria Jaya 19771105 200604 2 009 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
43 Vinsensia B Odel,A.Md Kesling 19830704 200604 2 012 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
44 Sitti Habsa Sengaji, AMAK 19861218 200804 2 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
45 Maria Edelfrida, A.Md Kep 19841211 200803 2 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
46 Meryasti Putri Yohanes, A.Md Kep 19840227 200803 2 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
47 Erlinda Maria Gunu 19830629 200501 2 012 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
48 Maria Wilhelmina Lengari 19801026 200604 2 015 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
49 Fashiha O. Syams, A.Md AK 19840720 200803 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
50 Silvia Sarce Dua Tey,A.Md.Gizi 19810328 200604 2 021 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
51 Theresia Surat Lanan, A.Md Farm 19810717 200604 2 028 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
52 Imeliana B.L Batafor, A.Md Farm 19811220 200604 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
53 Maria A. Riangtobi, A.Md Kep 19820901 200803 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
54 Mentiana Tiong, A.Md Kep 19820630 200903 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
55 Nurhayati A. Rahman, A.Md Kep 19820903 200903 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
56 Novi Imelda Dilateju 19790410 200903 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
57 Theresia Teti 19730727 200012 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
58 Isabela Regina Kewa, A.Md Farm 19821213 200604 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
59 Maria N.Wadja, A.Md Keb 19820314 200604 2 024 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
60 Paula Bangerma Nalibur 19710115 200212 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
61 Wilhelmina Dua Watang 19830513 200903 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
62 Servina Ina Tupen 19720704 200212 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
63 Maria R.K Langotukan 19810227 200012 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
64 Maria Adelheid Sabu Ritan 19841119 200803 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
65 Yustina Mole 19830926 201001 2 028 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
66 Maria Agustina Ero 19850807 201001 2 023 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
67 Martina Barek Demon 19811027 201001 2 023 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
68 Katharina L.O Making, A.Md Kep 19861128 201001 2 023 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
69 Anastasia Sabu, A.Md Kep 19860505 201001 2 035 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
70 Samsia S. Likuwatan, A.Md Kep 19850412 201001 2 032 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
71 Maria U.Uba Lazaren 19830510 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
72 Septyani M. Manuk, A.Md Kep 19850901 201001 2 023 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
73 Aloysia Ema Hingi, A.Md Kep 19790621 201001 2 011 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
74 Ermelinda Peni Punteri, A.MK 19831003 201001 2 025 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
75 Irene Kewa Ola 19880714 201001 2 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
76 Maria Hendrika Riberu 19800510 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
77 Bartolomeus Dula, A.Md Kep 19871202 201001 1 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
78 Shabarudin Latief Kahar, A.Md Kep 19870106 201001 1 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
79 Agnes Tere Payon, A.Md Kep 19830221 201001 2 017 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
80 Juraida Da Aludin 19850228 201001 2 018 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
81 Yeane Zita Pugel 19870523 201001 2 014 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
82 Fidelis W.Domaking, A.Md Kep 19820529 201001 1 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
83 Helena F. Gadi Gaa 19820127 201001 2 011 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
84 Stefanus Masan Bali, A.Md Kep 19850213 201001 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
85 Martina M. Akamaking, A.Md Kep 19830408 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
86 Laurensia Deran 19871013 201001 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fransiska S. Fernandez Aliandu, Fungsional Khusus

87 19850613 201001 2 024 1 225,000 225,000 225,000 11,250 213,750
A.Md Kep Terampil

Fungsional Khusus
88 Sudirman Beda, A.Md Kep 19850328 201001 1 024 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
89 Waltera Walburga Bolen 19860225 201001 2 020 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
90 Margaretha M. Alacoc, A.Md Kep 19870730 201001 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
91 Maria Theresia Vito, A.Md Kep 19821010 201001 2 025 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
92 Wilhelmina A. Derang Making 19850407 201001 2 023 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
93 Maria Y.K Keraf, A.Md AK 19870913 201001 2 013 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
94 Yoh. Gorang Beda, A,Md Kep 19830306 201001 1 022 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
95 Agnes R. A. Lamadua, A.Md Kep 19830907 201001 2 022 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
96 Kristina Kese, A.Md Kep 19780703 201001 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
97 Arnoldus F.D Manuk, A.Md Kep 19840115 201001 1 011 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
98 Petrus K. Wawin, A.Md Kep 19820130 201001 1 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
99 Angela Deram, A.Md Kep 19820927 201001 2 020 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
100 Veronika Ero Blikololon,AMAK 19850210 200903 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
101 Benedikta Y.S Lamak, A.Md.AK 19870104 201001 2 017 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
102 Kristina Ema Peni 19850624 200501 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
103 Emiliana Balawala 19860111 200903 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
104 Theresia Delfia 19850630 200903 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
105 Maria Deflora Kewa, AMAK 19850817 201001 2 029 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
106 Febe Ernila, A.Md Keb 19820209 200903 2 004 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
107 Agustina Mele Lewar 19800121 200604 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
108 Maria Alakok Barek 19710801 200212 2 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
109 Farida Paokuma 19850712 200903 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
110 Fatmawati Mum 19851218 201001 2 022 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
111 Yasintha F. Huko, A.Md Keb 19860411 201001 2 026 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
112 Yuliana S.Sedon Sare, A.Md Rad 19860514 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
113 Emerensiana Kewa SWT, A.Md Ft 19860503 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
114 Maria Yopi Diaz Viera 19790807 201001 2 009 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
115 Rostika E.Ema Koban, A.Md Ft 19851028 201001 2 033 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
116 Kondradus B. Daton, A.Md Rad 19711212 201001 1 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
117 Sesilia N.P Sinuor, A.Md Ft 19871123 201001 2 018 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
118 Idelius F.Teda Tena, A.Md Kep 19880103 201001 2 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
119 Rozina Herlina Rero, A.Md Gz 19830313 201001 2 024 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
120 Yustina Nina Hurint, A.Md Gz 19830621 200903 2 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
121 Maria Imakulata Pere, A.Md Kep 19880324 201001 2 026 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
122 Richo A.Surah, A.Md Keb 19881111 201001 2 011 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
123 Lusia Daten 19770119 200112 2 001 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
124 Marietha Oda 19641201 200312 2 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
125 Magdalena Kerong, A.Md Kep 19850122 201001 2 015 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
126 Imakulata I.S Noni 19801009 201001 2 014 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
127 Maria Regina Ema Koten, A.Md Gz 19850707 201001 2 021 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
128 Yoseph Emi 19790308 200012 1 003 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
129 Wilhelmina Vinitanti 19800602 200903 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
130 Sitti Hasna Ratuloly, A.Md Rad 19861008 201001 2 019 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
131 Maria Prada, A.Md 19760812 200903 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
132 Wilhelmina Nogo 19861229 201101 2 013 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
133 Agnes Bibiana Making, A.Md Farm 19870420 201001 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
134 Yasintha Wulu Kolin, A.Md Farm 19860411 201001 2 026 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
135 Paulina Ina Anu, A.Md Farm 19780111 201001 2 013 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
136 Kristiani Natalia, A.Md Farm 19861213 201001 2 015 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
137 Rosalia M.Malmau, A.Md Farm 19870114 201001 2 012 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
138 Katharina Kidi, A.Md Keb 19830427 201101 2 017 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
139 Egidiana M. Lamadua, A.Md Keb 19850901 201001 2 025 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
140 Karlos Kiik Koy 19790209 200604 1 010 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
141 Jamalia Bt Umar 19870314 201101 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
142 Sudartati Samsudin 19860507 201101 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
143 Maria Goreti Nulaf 19800723 200501 2 014 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
144 Yasintha F.S Wejak, A.Md Ft 19890817 201101 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
145 Ferdinandus Puhugelong, A.Md Ft 19880121 201101 1 002 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
146 Yuliani A. Lewar 19810108 200501 2 017 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
147 Nobertus Duli Marin 19860611 201001 1 012 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
148 Veronika Peni Uban 19841229 201001 2 016 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
149 Maria Bunga Rusinda 19750226 200212 2 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
150 Bergita Bunga 19781102 200212 2 008 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
151 Eni Endrika, A.Md Keb 19880616 201101 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
152 Yohanes Emanuel Gemadi 19750804 200501 1 009 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
153 Sumiyati Muhammad,A.Md.Kep 19820103 201101 2 006 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
154 Maria Kristina 19780424 200112 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
155 Maria Kristina Robiwala 19780925 200604 2 018 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
156 Veronika Jemeni Karwayu 19790413 200312 2 009 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
157 Margaretha Ina Sabu 19810719 200212 2 004 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
158 Agnes Nyora Da Silva 19730113 200604 2 007 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
159 Maria Elisabet Poli Making 19870926 201101 2 012 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
160 Fabiana Tula 19740808 200501 2 011 1 225,000 225,000 225,000 - 225,000
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
161 Husni Alamsyaputra, A.Md TEM 19880107 201001 1 004 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
162 Ignasia Nona Juang, A.Md TEM 19800617 201001 2 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
163 Egidius Nara, A.Md TEM 19840908 200903 1 005 1 225,000 225,000 225,000 11,250 213,750
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
164 Nurlaila 19850701 201101 2 020 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
165 Sebastianus Orolaleng 19800321 200903 1 005 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
166 Dewi Murni Y.Mono, A.Md Kep 19780918 200604 2 015 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
167 Marselina Ange 19771126 200312 2 006 1 225,000 225,000 225,000 225,000
Terampil

Fungsional Khusus
168 Marisa Bota 19850701 200903 2 008 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
169 Yosefina K. Grokung 19780616 200501 2 027 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
170 Elisabeth Kire Bataona 19850502 201101 2 008 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
171 Rosalia Geyong Maran 19880816 201001 2 008 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
172 Nour Syuria 19850507 201001 2 045 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
173 Sarlin Albertina Ka Bunga 19780901 200112 2 004 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
174 Anita Salinan 19830617 201001 2 020 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
175 Maria Florida Anu Boleng 19750603 200501 2 010 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
176 Siti Nurbaya Basan 19771129 200501 2 007 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
177 Indriyati Aminah Gani 19850502 201101 2 008 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
178 Farida Aryani 19800103 201001 2 011 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
179 Bernardus Bala Welan 19870414 201001 1006 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
180 Maria Immaculata Pulogeon 19800912 200212 2 005 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
181 Yohana Fransiska Gita Ola 19791207 200501 2 015 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
182 Florentina Anu 19761020 200202 2 001 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
183 Nurdia Kidi Gawi 19760812 200604 2 031 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
184 Yuliana Nona Yeni 19840617 200604 2 008 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
185 Ermelinda Petrus 19900927 201001 2 001 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
186 Vinsensia Aghata Amu Mukin 19890401 201001 2 003 1 225,000 225,000 225,000 - 225,000
Terampil
 JUMLAH
JUMLAH JUMLAH / JUMLAH SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN PPH 5%
BULAN BULAN (Rp) SELURUH (Rp) POTONGAN DITERIMA (Rp) TANGAN
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
187 Fransiska Bota 19811203 200501 2 013 1 225,000 225,000 225,000 225,000
Terampil

Fungsional Khusus
188 Rovina Hasnawati Reda 19811203 200501 2 013 1 225,000 225,000 225,000 225,000
Terampil

Fungsional Khusus
189 Lusia Yasinta Oni 19760408201001 1 007 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
190 Maria S.Wata Puka 19760408201001 1 007 1 225,000 225,000 225,000 - 225,000
Terampil

Fungsional Khusus
191 Angelina Hawa 19740506 200501 2 017 1 225,000 225,000 225,000 225,000
Terampil

Fungsional Khusus
192 M.M Gizi Buyanaya 197711202010012000 1 225,000 225,000 225,000 11,250 213,750
Terampil

Fungsional Khusus
193 Rudia Luangkali 19760408201001 1 007 1 225,000 225,000 225,000 - 225,000
Terampil

JUMLAH 43,425,000 43,425,000 43,425,000 1,822,500 41,602,500

Lunas dibayar
Mengetahui,
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 270,000 5,400,000

101,250 2,025,000

371,250 270,000

101,250

270,000 7,425,000

101,250 371,250

371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250 315,000 2,025,000

11,250 5,400,000 7,425,000

225,000 11,250 7,425,000

18,500,000 11,250 270,000

450,000 11,250 101,250

25,700,000 11,250 371,250

#REF! 11,250

9,975,000 11,250

11,250 11,250 11,250

11,250 11,250 22,500

43,425,000 11,250

11,250 11,250

11,250 11,250 360,000

12,100,000 11,250

11,250 11,250 371,250 5,400,000

11,250 2,025,000 7,650,000

11,250 11,250 382,500

11,250 11,250 22,500

11,250 11,250 7,200,000

11,250 11,250 450,000

1,250,000 11,250

3,600,000 11,250

11,250 11,250 12,150,000

11,250 11,250

#REF! 11,250

11,250 11,250 360,000

#REF! 11,250

11,250 11,250

11,250 11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250 7,200,000

11,250 11,250 #REF! #REF!

11,250 11,250 624825

11,250 11,250

11,250 11,250

11,250 11,250 5,400,000 270,000

11,250 11,250

11,250 11,250 #REF!

11,250 11,250

11,250 11,250 225,000

11,250 11,250 450,000

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250

11,250 11,250

11,250 11,250

11,250

11,250 11,250

11,250

11,250 11,250 29,025,000

11,250 11,250 1,215,000

11,250 12,150,000 382,500

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250 688,907,600

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250 3,375

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250

11,250

11,250 11,250

11,250 11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250 213,750

11,250 11,250

11,250 11,250

11,250 11,250 29,025,000

11,250 11,250 8,775,000

11,250 11,250

11,250 11,250

11,250 11,250 #REF! 2293000 #REF!

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250

11,250 12,150,000

11,250 11,250

11,250 11,250

11,250 11,250

11,250 11,250 213,750

11,250 11,250

11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 11,250 1,226,250

11,250 11,250

11,250 11,250 29,025,000

11,250 11,250 29,025,000

11,250 11,250

11,250

11,250

11,250 382,500 12,150,000

11,250 8,775,000

11,250 213,750 8,775,000

11,250

11,250 101,250

11,250 6,525,000

11,250 382,500 12,150,000

11,250 382,500

11,250

11,250 101,250

11,250 6,525,000

11,250 6,525,000

11,250

11,250

11,250

11,250

6,300,000

6,300,000
 371,250 7,796,250

2,025,000 270,000

101,250

11,250

11,250

11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250

225,000

6,300,000

11,250

3,375,000 3,375,000

4,050,000

5,400,000 16955400

5,400,000

56,250

3,375,000

11,250
 371,250 7,796,250

2,025,000 270,000

101,250

11,250 #REF!
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN
BERDASARKAN PROFESI KHUSUS ( TENAGA KESEHATAN YANG MENDUDUKI JABATAN TERTENTU)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN DESEMBER 2020

JUML JUMLAH
JUMLAH / JUMLAH
AH JUMLAH SETELAH TANDA
NO NAMA NIP JABATAN BULAN PPH 5% DITERIMA
BULA SELURUH (Rp) POTONGAN TANGAN
(Rp) (Rp)
N SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

1 dr. Dalmasia Yustina Sile 19821205 201101 2 009 Kepala IGD 1 2,250,000 2,250,000 2,250,000 337,500 1,912,500

Kepala Instalasi
2 Sesilia Bulu Odel, S.Si. Apt 19770216 199703 2 002 1 1,000,000 1,000,000 1,000,000 50,000 950,000
Farmasi

Kepala Instalasi
3 Leurensius Leu 19650807 198801 1 004 1 950,000 950,000 950,000 47,500 902,500
Rawat Jalan

Kepala Instalasi
4 Maria Martina Dolorosa Tuto 19691112 200501 2 007 1 600,000 600,000 600,000 30,000 570,000
Bedah Sentral

Kepala Instalasi
5 Ni Luh M.Y Serllywiyanti Niron 19801126 200604 2 009 1 600,000 600,000 600,000 90,000 510,000
Rawat Inap

Kepala Instalasi
6 Kristoforus Simon Lesu Uta 19800911 200501 1 007 1 600,000 600,000 600,000 30,000 570,000
Rehap Medik

Kepala Instalasi
7 Markus Maleng 19640826 200003 1 001 1 600,000 600,000 600,000 30,000 570,000
Gizi

Kepala Instalasi
8 Husni Alamsyaputra, A.Md TEM 19880107 201001 1 004 1 600,000 600,000 600,000 30,000 570,000
IPSRS

9 Maria Katharina Niron 19651125 198903 2 012 Kepala IPSL 1 600,000 600,000 600,000 30,000 570,000

10 Lidia Anu Tokan 19780803 200212 2 006 Kepala IPL 1 600,000 600,000 600,000 30,000 570,000

Kepala Instalasi
11 Maria Prada, A.Md 19760812 200903 2 007 1 600,000 600,000 600,000 30,000 570,000
Rekam Medik

Kepala Ruangan
12 Martina Herlince Atawolo 19820612 200803 2 001 1 775,000 775,000 775,000 116,250 658,750
Apotik

Kepala Gudang
13 Wilibrorda Welin Wukak, S.Farm Apt19800312 200112 2 002 1 775,000 775,000 775,000 38,750 736,250
Farmasi

Kepala Poli
14 Monika Inguliman 19670604 198801 2 003 1 400,000 400,000 400,000 20,000 380,000
Umum

15 Regina Geben Sina 19820221 200501 2 010 Kepala Poli KIA 1 400,000 400,000 400,000 20,000 380,000

16 Vincensia Grosa Tapin 19680205 198902 2 004 Kepala Poli Anak 1 400,000 400,000 400,000 20,000 380,000

17 Yoseph Kopong Sili 19770210 200312 1 012 Kepala Poli Gigi 1 400,000 400,000 400,000 20,000 380,000

18 Helena Belia 19820901 200803 2 001 Kepala Poli TB 1 400,000 400,000 400,000 20,000 380,000

19 Virmina Tuto Djagom 19671005 198801 2 003 Kepala Poli Bedah 1 400,000 400,000 400,000 20,000 380,000

20 Rovina Hulu Matarau, S.Gz 19791010 200501 2 003 Kepala Poli Gizi 1 400,000 400,000 400,000 20,000 380,000

21 Yoseph Emi 19790308 200012 1 003 Kepala Poli Mata 1 400,000 400,000 400,000 20,000 380,000

Kepala Poli
22 Elisabeth Maria Jaya 19771105 200604 2 009 1 400,000 400,000 400,000 20,000 380,000
Penyakit Dalam

Kepala Ruang
23 Novi Imelda Dilateju 19790410 200903 2 004 Rawat Inap 1 550,000 550,000 550,000 27,500 522,500
Dewasa

Kepala Ruang
24 Theresia Rone, A.Md Kep 19670419 199803 2 004 1 550,000 550,000 550,000 27,500 522,500
Inap Bedah

Kepala Ruang
25 Yosefina S.T Taranpiraq, A.Md Kep 19770622 200212 2 006 1 550,000 550,000 550,000 27,500 522,500
Rawat Inap Anak
 JUML JUMLAH
JUMLAH / JUMLAH
AH JUMLAH SETELAH TANDA
NO NAMA NIP JABATAN BULAN PPH 5% DITERIMA
BULA SELURUH (Rp) POTONGAN TANGAN
(Rp) (Rp)
N SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10
Kepala Ruang
26 Laurensia Uran 19700210 200312 2 008 1 550,000 550,000 550,000 27,500 522,500
UGD

Kepala Ruang
27 Helena daten Odel 19750515 200112 2 005 1 550,000 550,000 550,000 27,500 522,500
Kebidanan

Kepala Ruang
28 Fransiska O.Ina Bedanaen, A.Md Ke19780111 200112 2 003 1 550,000 550,000 550,000 27,500 522,500
Perinatologi

29 Yoseph Sabok 19660204 200112 1 002 Kepala Radiologi 1 550,000 550,000 550,000 550,000

Kepala Ruang
30 Fauzia Budiman 19810615 200312 2 009 1 550,000 550,000 550,000 27,500 522,500
Laboratorium

Kepala Ruang
31 Maimunah Abdullah, A.Md Kep 19740706 200501 2 009 1 550,000 550,000 550,000 27,500 522,500
ICU

Kepala Ruang
32 Elisabeth Kire Bataona 19850820 201001 2 024 1 550,000 550,000 550,000 - 550,000
UTD

Kepala Ruang
33 Maria Katharina Baki, A.Md Kep 19800427 200501 2 020 1 550,000 550,000 550,000 27,500 522,500
Bedah Sentral

Kepala Ruang
34 Theresia Kuma 19780927 200112 2 003 1 550,000 550,000 550,000 27,500 522,500
Dapur

Kepala Ruang
35 Silvia Sarce Dua Tey 19810328 200604 2 021 1 550,000 550,000 550,000 27,500 522,500
Gizi

Kepala Ruang
36 Rona Mislinda Sabu Witak,SE 19860629 201001 2 022 1 550,000 550,000 550,000 27,500 522,500
Loket

Kepala Ruang
37 Nurlaila 19850701 201101 2 020 1 550,000 550,000 550,000 27,500 522,500
Rekam Medik

Kepala Ruang
38 Egidius Nara, A.Md TEM 19840908 200903 1 005 1 550,000 550,000 550,000 27,500 522,500
Non Medik

Kepala Ruang
39 Marta Tuto Namang 19830418 200604 2 017 1 550,000 550,000 550,000 27,500 522,500
Fisiotrapi

Kepala Ruang
40 Vinsensia B Odel,A.Md Kesling 19830704 200604 2 012 Penyehat 1 550,000 550,000 550,000 27,500 522,500
Lingkungan

Kepala Ruang
41 Natalia Perada Sia, A.Md Kesling 19771218 200501 2 007 1 550,000 550,000 550,000 27,500 522,500
PSL

Kepala Ruang
42 Karolus Laba Kepogel 19690919 200604 1 011 1 550,000 550,000 550,000 - 550,000
Ambulance

Kepala Ruang
43 Karelinus Leonardi Iri 19851223 201101 1 006 Pemulasaran 1 550,000 550,000 550,000 27,500 522,500
Jenasah

JUMLAH 25,700,000 25,700,000 25,700,000 1,565,000 24,135,000

Lunas dibayar :
Mengetahui,

Direktur RSUD Lewoleba/ Tanggal :

Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
337,500 112,500

50,000 50,000

47,500 47,500 1,550,000

30,000 30,000

90,000 30,000

30,000 30,000

30,000 30,000

30,000

30,000 30,000

30,000 30,000

30,000 30,000

116,250 38,750

38,750 38,750

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

20,000 20,000

27,500 27,500

27,500 27,500

27,500 27,500
27,500 27,500

27,500 27,500

27,500 27,500

27,500 27,500

27,500 27,500

27,500 27,500

27,500 27,500

27,500

27,500 27,500

27,500

27,500

27,500 27,500

27,500 27,500

27,500 27,500

27,500
 DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN
BERDASARKAN PROFESI KHUSUS ( TENAGA KESEHATAN YANG TIDAK MENDUDUKI JABATAN TERTENTU)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN DESEMBER 2020

JUML JUMLAH
JUMLAH / JUMLAH
AH JUMLAH SETELAH TANDA
NO NAMA NIP JABATAN BULAN PPH 5% DITERIMA
BULA SELURUH (Rp) POTONGAN TANGAN
(Rp) (Rp)
N SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Dokter Spesialis
1 dr. Rosalia T.D.Bayeng, MSc. SpA 19751008 200312 2 007 1 30,000,000 30,000,000 30,000,000 4,500,000 25,500,000
Anak Ahli Muda

Dokter Spesialis
2 dr. Maria F. Ina Tukan, SpOG 19760303 200803 2 002 Kandungan Ahli 1 30,000,000 30,000,000 30,000,000 1,500,000 28,500,000
Pertama

Dokter Spesialis
dr.Yeremias Ronaldy
3 19831113 201101 1 010 Kandungan Ahli 1 30,000,000 30,000,000 30,000,000 1,500,000 28,500,000
Sunur,M.Biomed.Sp.OG
Muda

4 dr.Bernardus Yoseph Beda 19761108 200803 1 001 Dokter Umum 1 7,000,000 7,000,000 7,000,000 1,050,000 5,950,000

5 dr. Dalmasia Yustina Sile 19821205 201101 2 009 Dokter Umum 1 7,000,000 7,000,000 7,000,000 1,050,000 5,950,000

Dokter Gigi Ahli

6 drg. Yoseph F. Paun 19840129 201101 1 006 1 6,000,000 6,000,000 6,000,000 900,000 5,100,000
Muda

Fungsional
7 Maria Margaretha P Dasion 19740921 200101 2 002 1 1,000,000 1,000,000 1,000,000 50,000 950,000
Khusus Ahli

JUMLAH 111,000,000 111,000,000 111,000,000 10,550,000 100,450,000

Lunas dibayar :
Mengetahui,

Direktur RSUD Lewoleba/ Tanggal :

Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
4,500,000 1,500,000

1,500,000 1,500,000

1,500,000 1,500,000

1,050,000

1,050,000 350,000

900,000 300,000

50,000 50,000
 DAFTAR PEMBAYARAN KEKURANGAN TAMBAHAN PENGHASILAN
BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN FUNGSIONAL TERTENTU TINGKAT TRAMPIL)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :KEKURANGAN SEPTEMBER S/D OKTOBER 2020

JUMLAH
JUMLAH
JUMLAH JUMLAH / SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5%
BULAN BULAN (Rp) POTONGAN DITERIMA (Rp) TANGAN
(Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Fungsional Khusus
1 M.M Gizi Buyanaya 197711202010012000 2 225,000 450,000 450,000 22,500 427,500
Terampil

JUMLAH 225,000 450,000 450,000 22,500 427,500

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Kristina Ina Temu,SE

Penata Tkt I NIP. 19830723 200903 2 012
NIP. 19761108 200803 1 001
 225,000

22,500 450,000

22,500
 DAFTAR PEMBAYARAN KEKURANGAN TAMBAHAN PENGHASILAN
BERDASARKAN PROFESI KHUSUS (JABATAN FUNGSIONAL TERTENTU )
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN :MEI 2017

JUMLAH
JUMLAH
JUMLAH JUMLAH / SETELAH JUMLAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5%
BULAN BULAN (Rp) POTONGAN DITERIMA (Rp) TANGAN
(Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10
Dokter Spesialis
1 dr.Yeremias Ronaldy Sunur,SpOG 19831113 201101 1 010 Kandungan Ahli 1 18,500,000 18,500,000 18,500,000 925,000 17,575,000
Muda

JUMLAH 18,500,000 18,500,000 18,500,000 925,000 17,575,000

Lunas dibayar
Mengetahui, :
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran 0
###
450,000
###
dr. Bernardus Yosep Beda Daniel Dalu Sogen, A.Md #REF!
Penata Tkt I NIP. 19720409 200901 1 004 9,975,000
NIP. 19761108 200803 1 001 ###

12,100,000

3,600,000

1,250,000

#REF!

#REF!

Pengadministrasian Umum Sekretariat

 18,500,000

925,000 18,500,000

925,000
 DAFTAR PEMBAYARAN KEKURANGAN TAMBAHAN PENGHASILAN
BERDASARKAN BEBAN KERJA DAN PERTIMBANGAN OBYEKTIF (JABATAN FUNGSIONAL TERTENTU TINGKAT TRAMPIL)
RUMAH SAKIT UMUM DAERAH LEWOLEBA
BULAN MEI S/D SEPTEMBER 2017

JUMLAH
JUMLAH JUMLAH
JUMLAH JUMLAH / SETELAH TANDA
NO NAMA NIP JABATAN SELURUH PPH 5% DITERIMA
BULAN BULAN (Rp) POTONGAN TANGAN
(Rp) (Rp)
SANKSI (Rp)

1 2 3 4 5 6 7 8 9 10

Perawat Pelaksana
1 Emiliana Balawala 19860111 200903 2 006 5 517,500 2,587,500 2,587,500 129,375 2,458,125
Lanjutan /Mahir

Fungsional Tertentu
2 Marselina Ange 19771126 200312 2 006 Bidan Trampil 5 370,000 1,850,000 1,850,000 92,500 1,757,500
Pelaksana
Fungsional Tertentu
3 Maria Kristina 19780424 200112 2 005 Bidan Trampil 5 370,000 1,850,000 1,850,000 92,500 1,757,500
Pelaksana
Fungsional Tertentu
4 Fransiska Bota 19811203 200501 2 013 Bidan Trampil 5 370,000 1,850,000 1,850,000 92,500 1,757,500
Pelaksana

JUMLAH 1,627,500 8,137,500 8,137,500 406,875 7,730,625

Lunas dibayar
Mengetahui,
Direktur RSUD Lewoleba/ Tanggal :
Pengguna Anggaran Bendahara Pengeluaran

dr. Bernardus Yosep Beda Daniel Dalu Sogen, A.Md

Penata Tkt I NIP. 19720409 200901 1 004
NIP. 19761108 200803 1 001

Pengadministrasian Umum Sekretariat

 129,375

92,500

8,137,500

18,500,000
450,000
25,700,000
#REF!
9,975,000
43,425,000
12,100,000
3,600,000
1,250,000

#REF!

#REF!