KEMENTERIAN DALAM NEGERI REPUBLIK INDONESIA NPWP :

DAFTAR GAJI DSB

PEMERINTAH KABUPATEN KENDAL TEMPAT PEMBAYARAN :
UNTUK PARA PEGAWAI
GOLONGAN I,II,III DAN IV .NULL.
(D40) PUSKESMAS GEMUH 01
GAJI INDUK BULAN : JANUARI 2020 NO REKENING :

PENGHASILAN : GOL PEGAWAI ISTRI ANAK JML.JIWA

01. GAJI POKOK Rp. 91,879,640
02. TUNJANGAN ISTRI Rp. 4,563,400 IV 1 1 2 4
03. TUNJANGAN ANAK Rp. 1,768,878
04. TUNJANGAN PERB PENGHASILAN Rp. 0 III 16 9 19 44
05. TUNJANGAN STRUKTURAL Rp. 1,030,000
06. TUNJANGAN FUNGSIONAL Rp. 7,000,000 II 11 3 4 18
07. TUNJANGAN FUNGSIONAL UMUM Rp. 910,000
08. JAMINAN KESEHATAN Rp. I 0 0 0 0
2,946,358
09. TUNJANGAN BERAS Rp. 4,779,720
Lainnya 0 0 0 0
10. TUNJANGAN KEMAHALAN DAERAH Rp. 0
11. TUNJANGAN DAERAH TERPENCIL Rp. 0
12. TUNJANGAN Pph PASAL 21 Rp. Jumlah 28 13 25 66
25,167
13. TUNJANGAN JKK Rp. Lampiran :
220,509
14. TUNJANGAN JKM Rp. 661,531 Harap SP2D Diterbitkan Atas Nama
15. PEMBULATAN Rp. 1,254
PUSKESMAS GEMUH 01
JUMLAH KOTOR Rp. 115,786,457
KENDAL , 27 NOPEMBER 2019
POTONGAN :
PEMBUAT DAFTAR GAJI ,
01. IURAN WAJIB (IWP 2%) Rp. 1,964,239
02. IURAN WAJIB (IWP 8%) Rp. 7,856,953
03. Pph PASAL 21 Rp. 25,167
04. TABUNGAN PERUMAHAN Rp. 177,000
05. POTONGAN BULOG Rp. 0
06. POTONGAN ASKES Rp. 2,946,358
07 POTONGAN LAIN2 Rp. 0
08. POTONGAN SEWA RUMAH Rp. 0
09. POTONGAN JKK Rp. 220,509
10. POTONGAN JKM Rp. 661,531
JUMLAH POTONGAN Rp. 13,851,757
JUMLAH BERSIH Rp. 101,934,700

Seratus Satu Juta Sembilan Ratus Tiga Puluh Empat Ribu Tujuh MENGETAHUI/MENYETUJUI,
Ratus Rupiah

dr. ULIA HUDA

Ruangan ini disediakan untuk Catatan dari tempat pembayaran SPM
NIP:196709292009041001

Hal 1 dari 1
PEMERINTAH KABUPATEN KENDAL
REKAPITULASI GAJI PNS/CPNS PER GOLONGAN
JANUARI 2020
PUSKESMAS GEMUH 01
JENIS GAJI : GAJI INDUK HALAMAN : 1
JUMLAH P E N G H A S I L A N P O T O N G A N
PEGAWAI GAJI POKOK TUNJ. STRUKTURAL TUNJ. TERPENCIL TUNJ. PAJAK POT. PAJAK POT HUTANG
ISTRI TUNJ. ISTRI TUNJ. UMUM T K D TUNJ. BPJS POT. BPJS POT. BULOG
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ. JKK IWP 2% POT.SEWA RUMAH JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ. JKM IWP 8% POT.JKK
PEMBULATAN TAPERUM POT.JKM
JML.KOTOR JUMLAH POTONGAN

1 3,901,500 0 0 0 0 0 5,032,700
1 390,150 0 0 133,431 133,431 0
GOLONGAN IV
2 156,060 750,000 0 9,364 88,954 0
4 0 0 289,680 28,091 355,817 9,364
81 10,000 28,091
5,658,357 625,657
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
16 56,629,000 1,030,000 0 25,167 25,167 0 63,975,800
9 3,289,410 370,000 0 1,839,021 1,839,021 0
GOLONGAN III
19 1,382,270 4,330,000 0 135,908 1,226,015 0
44 0 0 3,186,480 407,726 4,904,053 135,908
708 112,000 407,726
72,625,690 8,649,890
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
11 31,349,140 0 0 0 0 0 32,926,200
3 883,840 540,000 0 973,906 973,906 0
GOLONGAN II
4 230,548 1,920,000 0 75,237 649,270 0
18 0 0 1,303,560 225,714 2,597,083 75,237
465 55,000 225,714
37,502,410 4,576,210
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
GOLONGAN I
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0
0 0

28 91,879,640 1,030,000 0 25,167 25,167 0 101,934,700

TOTAL 13 4,563,400 910,000 0 2,946,358 2,946,358 0
PERSATKER 25 1,768,878 7,000,000 0 1,964,239 0
220,509
66 0 0 4,779,720 661,531 7,856,953 220,509
1,254 177,000 661,531
115,786,457 13,851,757
=================================================================================================================================================================
KENDAL ,28 NOPEMBER 2019 ,

KEPALA PUSKESMAS GEMUH 01

dr. ULIA HUDA

NIP : 196709292009041001 NIP :
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan JANUARI 2020
PUSKESMAS GEMUH 01 HALAMAN : 1

JUMLAH P E N G H A S I L A N P O T O N G A N
PEGAWAI GAJI POKOK TUNJ. STRUKTURAL TUNJ. TERPENCIL TUNJ. PAJAK POT. PAJAK POT.JKK
ISTRI TUNJ. ISTRI TUNJ. UMUM T K D TUNJ. BPJS POT. BPJS POT.JKM
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ.JKK IWP 2% POT. HUTANG JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ.JKM IWP 8% POT. BULOG
PEMBULATAN TAPERUM POT.SEWA RUMAH
JML.KOTOR JUMLAH POTONGAN
IV/a Pembina 1 3,901,500 0 0 0 0 9,364 5,032,700
1 390,150 0 0 133,431 133,431 28,091
2 156,060 750,000 0 9,364 88,954 0
4 0 0 289,680 28,091 355,817 0
81 10,000 0
5,658,357 625,657
Jml Golongan 4 1 3,901,500 0 0 0 0 9,364 5,032,700
1 390,150 0 0 133,431 133,431 28,091
2 156,060 750,000 0 9,364 88,954 0
4 0 0 289,680 28,091 355,817 0
81 10,000 0
5,658,357 625,657
III/d Penata 7 28,817,700 1,030,000 0 25,167 25,167 69,161 33,424,900
5 2,034,270 0 0 947,428 947,428 207,486
9 728,958 2,500,000 0 69,161 631,620 0
21 0 0 1,520,820 207,486 2,526,472 0
244 49,000 0
37,881,234 4,456,334
III/c Penata 1 3,375,300 0 0 0 0 8,101 4,010,800
1 337,530 0 0 115,435 115,435 24,302
2 135,012 265,000 0 8,101 76,957 0
4 0 0 289,680 24,302 307,827 0
62 7,000 0
4,550,422 539,622
III/b Penata 4 12,836,400 0 0 0 0 30,807 13,620,900
1 323,830 370,000 0 403,231 403,231 92,422
4 280,788 530,000 0 30,807 268,820 0
9 0 0 651,780 92,422 1,075,282 0
204 28,000 0
15,519,462 1,898,562
III/a Penata 4 11,599,600 0 0 0 0 27,839 12,919,200
2 593,780 0 0 372,927 372,927 83,516
4 237,512 1,035,000 0 27,839 248,618 0
10 0 0 724,200 83,516 994,472 0
198 28,000 0
14,674,572 1,755,372
Jml Golongan 3 16 56,629,000 1,030,000 0 25,167 25,167 135,908 63,975,800
9 3,289,410 370,000 0 1,839,021 1,839,021 407,726
19 1,382,270 4,330,000 0 135,908 1,226,015 0
44 0 0 3,186,480 407,726 4,904,053 0
708 112,000 0
72,625,690 8,649,890
II/d Pengatur 5 15,511,200 0 0 0 0 37,226 15,846,500
1 307,470 0 0 474,560 474,560 111,681
0 0 1,200,000 0 37,226 316,373 0
6 0 0 434,520 111,681 1,265,494 0
177 25,000 0
18,076,834 2,230,334
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan JANUARI 2020
PUSKESMAS GEMUH 01 HALAMAN : 2

JUMLAH P E N G H A S I L A N P O T O N G A N
PEGAWAI GAJI POKOK TUNJ. STRUKTURAL TUNJ. TERPENCIL TUNJ. PAJAK POT. PAJAK POT.JKK
ISTRI TUNJ. ISTRI TUNJ. UMUM T K D TUNJ. BPJS POT. BPJS POT.JKM
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ.JKK IWP 2% POT. HUTANG JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ.JKM IWP 8% POT. BULOG
PEMBULATAN TAPERUM POT.SEWA RUMAH
JML.KOTOR JUMLAH POTONGAN
II/c Pengatur 6 15,837,940 0 0 0 0 38,011 17,079,700
2 576,370 540,000 0 499,346 499,346 114,033
4 230,548 720,000 0 38,011 332,897 0
12 0 0 869,040 114,033 1,331,589 0
288 30,000 0
19,425,576 2,345,876
Jml Golongan 2 11 31,349,140 0 0 0 0 75,237 32,926,200
3 883,840 540,000 0 973,906 973,906 225,714
4 230,548 1,920,000 0 75,237 649,270 0
18 0 0 1,303,560 225,714 2,597,083 0
465 55,000 0
37,502,410 4,576,210
28 91,879,640 1,030,000 0 25,167 25,167 220,509 101,934,700
TOTAL 13 4,563,400 910,000 0
2,946,358 2,946,358 661,531
25 1,768,878 7,000,000 0 220,509 1,964,239 0
66 0 0 4,779,720 661,531 7,856,953 0
1,254 177,000 0
115,786,457 13,851,757
=================================================================================================================================================================
KENDAL ,29 NOPEMBER 2019 ,

KEPALA PUSKESMAS GEMUH 01

dr. ULIA HUDA

NIP : 196709292009041001 NIP : NIP :
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : JANUARI 2020
HALAMAN : 1

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.BPJS KES POT.PAJAK POT.JKM
N I P TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT.BPJS KES HUTANG/LAIN-2 TANDA TANGAN
STATUS PEGAWAI/GOLONGAN -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 2% BULOG NO. REKENING
NPWP JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8% SEWA.RUMAH
JIWA
JUML.KOTOR POT.TAPERUM POTONGAN
POT.JKK JUMLAH BERSIH
1 dr, SAIKHU ,M.Kes K -1 3,901,500 0 0 133,431 0 28,091
2 390,150 0 0 9,364 133,431
156,060 750,000 289,680 28,091 0 ...............
08-08-1966 88,954 0
196608082002121009 4 4,447,710 0 0 81 355,817 0
( PNS-4A ) MKG:16 5,658,357 10,000 625,657
68.494.040.6-513.000
Pengangkatan Jab. Fungsional Dokter Muda Tmt 2019- 9,364 5,032,700
SUB TOTAL PERGOLONGAN : IV 3,901,500 0 0 133,431 0 28,091
PEG: 1 390,150 0 0 9,364 133,431 0
IST: 1 JIWA= 4 156,060 750,000 289,680 28,091 88,954 0
ANK: 2 4,447,710 0 0 81 355,817 0
5,658,357 10,000 625,657
9,364 5,032,700
2 dr, ULIA HUDA K -1 3,518,100 540,000 0 120,319 0 25,330
2 351,810 0 0 8,443 120,319
140,724 0 289,680 25,330 0 ...............
29-09-1967 80,213 0
196709292009041001 4 4,010,634 0 0 49 320,850 0
( PNS-3D ) MKG:12 4,994,455 7,000 562,155
26.636.054.4-513.000
--- 8,443 4,432,300
3 WALUYO ,S.KM K -1 4,108,100 490,000 0 140,497 0 29,578
2 410,810 0 0 9,859 140,497
164,324 0 289,680 29,578 0 ...............
03-03-1966 93,665 0
196603031991031010 4 4,683,234 0 0 9 374,658 0
( PNS-3D ) MKG:23 5,642,857 7,000 655,257
69.332.977.3-513.000
--Pelantikan tgl 8 Januari 2019 Tmt 2019-03-01 9,859 4,987,600
4 KAHFI SHALAHUDDIN ,A.Md K -1 4,370,900 0 0 149,485 0 31,470
2 437,090 0 0 10,490 149,485
174,836 500,000 289,680 31,470 0 ...............
24-04-1966 99,657 0
196604241987031007 4 4,982,826 0 0 77 398,626 0
( PNS-3D ) MKG:26 5,964,028 7,000 696,728
24.369.484.1-513.000
--- 10,490 5,267,300
5 NURHAYATI K -1 4,237,500 0 0 142,380 25,167 30,510
1 423,750 0 0 10,170 142,380
84,750 500,000 217,260 30,510 0 ...............
21-07-1968 94,920 0
196807211989032009 3 4,746,000 0 25,167 40 379,680 0
( PNS-3D ) MKG:24 5,671,527 7,000 689,827
68.494.002.8-513.000
--- 10,170 4,981,700
6 PUJI ASTUTI ,S.S.T.Keb K -0 4,237,500 0 0 127,125 0 30,510
0 0 0 0 10,170 127,125
0 500,000 72,420 30,510 0 ...............
19-02-1969 84,750 0
196902191989032003 1 4,237,500 0 0 30 339,000 0
( PNS-3D ) MKG:24 4,977,755 7,000 598,555
68.494.001.8-513.000
--- 10,170 4,379,200
7 WARIH ANJARINI ,S.S.T.Keb TK-0 4,237,500 0 0 127,125 0 30,510
0 0 0 0 10,170 127,125
0 500,000 72,420 30,510 0 ...............
17-02-1970 84,750 0
197002171990032005 1 4,237,500 0 0 30 339,000 0
( PNS-3D ) MKG:24 4,977,755 7,000 598,555
69.321.047.8-513.000
--- 10,170 4,379,200
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : JANUARI 2020
HALAMAN : 2

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.BPJS KES POT.PAJAK POT.JKM
N I P TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT.BPJS KES HUTANG/LAIN-2 TANDA TANGAN
STATUS PEGAWAI/GOLONGAN -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 2% BULOG NO. REKENING
NPWP JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8% SEWA.RUMAH
JIWA
JUML.KOTOR POT.TAPERUM POTONGAN
POT.JKK JUMLAH BERSIH
8 ALI FAHRODIN AS ,A.Md.Kep K -1 4,108,100 0 0 140,497 0 29,578
2 410,810 0 0 9,859 140,497
164,324 500,000 289,680 29,578 0 ...............
10-10-1969 93,665 0
196910101991031008 4 4,683,234 0 0 9 374,658 0
( PNS-3D ) MKG:22 5,652,857 7,000 655,257
69.332.861.9-513.000
--- 9,859 4,997,600
9 RIKA RAHADIANINGTYAS ,A.Md.KG K -1 3,375,300 0 0 115,435 0 24,302
2 337,530 0 0 8,101 115,435
135,012 265,000 289,680 24,302 0 ...............
21-04-1981 76,957 0
198104212005012015 4 3,847,842 0 0 62 307,827 0
( PNS-3C ) MKG:12 4,550,422 7,000 539,622
69.321.035.3-514.000
--- 8,101 4,010,800
10 SRI SUMARNI JD-0 3,781,400 0 0 117,980 0 27,226
2 0 0 0 9,075 117,980
151,256 265,000 217,260 27,226 0 ...............
01-01-1966 78,653 0
196601011991032016 3 3,932,656 0 0 50 314,613 0
( PNS-3B ) MKG:22 4,569,247 7,000 554,547
26.292.756.9-513.000
--- 9,075 4,014,700
11 SITI MUSTOFIYAH ,A.Md.Kep K -1 3,238,300 0 0 110,750 0 23,316
2 323,830 0 0 7,772 110,750
129,532 265,000 289,680 23,316 0 ...............
27-09-1979 73,833 0
197909272002122004 4 3,691,662 0 0 24 295,333 0
( PNS-3B ) MKG:12 4,388,204 7,000 518,004
69.321.033.8-513.000
Kenaikan Gaji Berkala-2020-01-01 7,772 3,870,200
12 SITI MAHMUDAH K -0 3,665,900 0 0 109,977 0 26,394
0 0 185,000 0 8,798 109,977
0 0 72,420 26,394 0 ...............
13-04-1973 73,318 0
197304131994022001 1 3,665,900 0 0 70 293,272 0
( PNS-3B ) MKG:20 4,068,559 7,000 518,759
67.601.770.0-513.000
--- 8,798 3,549,800
13 dr, YUMI ILMIATI AF'IDAH TK-0 2,150,800 0 0 64,524 0 15,486
0 0 185,000 0 5,162 64,524
0 0 72,420 15,486 0 ...............
29-06-1987 43,016 0
198706292019032007 1 2,150,800 0 0 60 172,064 0
( CPNS-3B ) MKG: 0 2,493,452 7,000 307,252
46.819.842.9-513.000
5,162 2,186,200
14 TEGUH SANTOSO ,A.Mk K -1 3,106,900 0 0 106,256 0 22,370
2 310,690 0 0 7,457 106,256
124,276 265,000 289,680 22,370 0 ...............
05-11-1975 70,837 0
197511052005011010 4 3,541,866 0 0 41 283,350 0
( PNS-3A ) MKG:12 4,232,670 7,000 497,270
77.600.958.1-513.000
--Mutasi dari Pusk. Rowosari II Tmt 2019-01-01 7,457 3,735,400
15 ASMUI,A.Md.Kep K -1 2,830,900 0 0 96,817 0 20,382
2 283,090 0 0 6,794 96,817
113,236 265,000 289,680 20,382 0 ...............
28-07-1985 64,545 0
198507282011011009 4 3,227,226 0 0 17 258,178 0
( PNS-3A ) MKG: 6 3,905,916 7,000 453,716
36.239.968.5-513.000
TUNJ. FUNGS. PERAWAT MAHIR Tmt 2018-02-01-- 6,794 3,452,200
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : JANUARI 2020
HALAMAN : 3

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.BPJS KES POT.PAJAK POT.JKM
N I P TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT.BPJS KES HUTANG/LAIN-2 TANDA TANGAN
STATUS PEGAWAI/GOLONGAN -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 2% BULOG NO. REKENING
NPWP JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8% SEWA.RUMAH
JIWA
JUML.KOTOR POT.TAPERUM POTONGAN
POT.JKK JUMLAH BERSIH
16 EVI PURNA PUJIASTUTI ,A.Md.Keb TK-0 2,830,900 0 0 84,927 0 20,382
0 0 0 0 6,794 84,927
0 265,000 72,420 20,382 0 ...............
31-12-1986 56,618 0
198612312011012012 1 2,830,900 0 0 70 226,472 0
( PNS-3A ) MKG: 6 3,280,493 7,000 402,193
69.321.042.9-513.000
TUNJ. FUNGS. BIDAN PELAKSANA LANJUTAN Tmt 2018-02- 6,794 2,878,300
17 NURUL HUDA FITRI A ,A.Md K -0 2,830,900 0 0 84,927 0 20,382
0 0 0 0 6,794 84,927
0 240,000 72,420 20,382 0 ...............
27-08-1979 56,618 0
197908272010012014 1 2,830,900 0 0 70 226,472 0
( PNS-3A ) MKG: 7 3,255,493 7,000 402,193
34.545.883.0-513.000
--- 6,794 2,853,300
SUB TOTAL PERGOLONGAN : III 56,629,000 1,030,000 0 1,839,021 25,167 407,726
PEG: 16 3,289,410 370,000 0 135,908 1,839,021 0
IST: 9 JIWA= 44 1,382,270 4,330,000 3,186,480 407,726 1,226,015 0
ANK: 19 61,300,680 0 25,167 708 4,904,053 0
72,625,690 112,000 8,649,890
135,908 63,975,800
18 RUSMINAH ,A.Md.Keb K -0 3,374,400 0 0 101,232 0 24,296
0 0 0 0 8,099 101,232
0 240,000 72,420 24,296 0 ...............
09-01-1974 67,488 0
197401092007012009 1 3,374,400 0 0 20 269,952 0
( PNS-2D ) MKG:25 3,820,467 5,000 476,067
78.225.653.1-513.000
--- 8,099 3,344,400
19 RUMIYATI ,A.Md.Keb K -0 3,271,400 0 0 98,142 0 23,554
0 0 0 0 7,851 98,142
0 240,000 72,420 23,554 0 ...............
24-03-1974 65,428 0
197403242007012013 1 3,271,400 0 0 20 261,712 0
( PNS-2D ) MKG:23 3,713,387 5,000 461,687
68.493.997.8-513.000
--- 7,851 3,251,700
20 DWI SULISTYANINGSIH TK-0 3,074,700 0 0 92,241 0 22,138
0 0 0 0 7,379 92,241
0 240,000 72,420 22,138 0 ...............
10-03-1971 61,494 0
197103102002122001 1 3,074,700 0 0 50 245,976 0
( PNS-2D ) MKG:19 3,508,928 5,000 434,228
77.600.959.9-513.000
--- 7,379 3,074,700
21 ANY SETIAWATI K -1 3,074,700 0 0 101,465 0 22,138
0 307,470 0 0 7,379 101,465
0 240,000 144,840 22,138 0 ...............
14-07-1976 67,643 0
197607142008012006 2 3,382,170 0 0 7 270,574 0
( PNS-2D ) MKG:19 3,897,999 5,000 474,199
69.321.047.8-513.000
--- 7,379 3,423,800
22 SALIS NAWALIN NAJAH ,AMG K -0 2,716,000 0 0 81,480 0 19,555
0 0 0 0 6,518 81,480
0 240,000 72,420 19,555 0 ...............
12-02-1979 54,320 0
197902122010012012 1 2,716,000 0 0 80 217,280 0
( PNS-2D ) MKG:11 3,136,053 5,000 384,153
34.545.910.1-513.000
--- 6,518 2,751,900
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : JANUARI 2020
HALAMAN : 4

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.BPJS KES POT.PAJAK POT.JKM
N I P TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT.BPJS KES HUTANG/LAIN-2 TANDA TANGAN
STATUS PEGAWAI/GOLONGAN -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 2% BULOG NO. REKENING
NPWP JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8% SEWA.RUMAH
JIWA
JUML.KOTOR POT.TAPERUM POTONGAN
POT.JKK JUMLAH BERSIH
23 SRI WIDAYATI ,A.Md.Keb K -1 3,237,500 0 0 110,723 0 23,310
2 323,750 0 0 7,770 110,723
129,500 240,000 289,680 23,310 0 ...............
28-12-1973 73,815 0
197312282006042010 4 3,690,750 0 0 45 295,260 0
( PNS-2C ) MKG:25 4,362,278 5,000 515,878
69.321.036.1-513.000
--- 7,770 3,846,400
24 DWIANI RAHMAWATI ,A.Md.Keb K -0 2,687,800 0 0 80,634 0 19,352
0 0 0 0 6,451 80,634
0 240,000 72,420 19,352 0 ...............
18-11-1986 53,756 0
198611182017042007 1 2,687,800 0 0 60 215,024 0
( PNS-2C ) MKG:13 3,106,717 5,000 380,217
69.341.781.8-513.999
Pelantikan 5 September 2019, Jab. Fungs. Bidan-202 6,451 2,726,500
25 RISKA DWI ARYANI ,A.Md.Keb K -1 2,526,200 0 0 86,396 0 18,189
2 252,620 0 0 6,063 86,396
101,048 240,000 289,680 18,189 0 ...............
09-04-1986 57,597 0
198604092017042004 4 2,879,868 0 0 39 230,390 0
( PNS-2C ) MKG: 9 3,520,235 5,000 403,635
45.402.219.5-513.000
Pelantikan 5 September 2019, Jab. Fungs. Bidan-202 6,063 3,116,600
26 TRI RETNOWATI ,A.Md.Keb K -0 2,772,500 0 0 83,175 0 19,962
0 0 180,000 0 6,654 83,175
0 0 72,420 19,962 0 ...............
12-07-1984 55,450 0
198407122017041001 1 2,772,500 0 0 30 221,800 0
( PNS-2C ) MKG:15 3,134,741 5,000 392,041
69.321.040.3-513.000
--DATA AWAL CPNS 2017 Tmt 2017-08-01 6,654 2,742,700
27 MUSTAFIROH ,A.Md.Keb K -0 2,772,500 0 0 83,175 0 19,962
0 0 180,000 0 6,654 83,175
0 0 72,420 19,962 0 ...............
11-03-1985 55,450 0
198503112017042005 1 2,772,500 0 0 30 221,800 0
( PNS-2C ) MKG:15 3,134,741 5,000 392,041
69.321.039.5-513.000
--DATA AWAL CPNS 2017 Tmt 2017-08-01 6,654 2,742,700
28 SURYO BUDI ARFIANTO ,A.Md.Kep TK-0 1,841,440 0 0 55,243 0 13,258
0 0 180,000 0 4,419 55,243
0 0 72,420 13,258 0 ...............
15-06-1989 36,829 0
198906152019031009 1 1,841,440 0 0 84 147,315 0
( CPNS-2C ) MKG: 3 2,166,864 5,000 262,064
86.972.839.4-513.000
4,419 1,904,800
SUB TOTAL PERGOLONGAN : 31,349,140 0 0 973,906 0 225,714
PEG: 11 883,840 540,000 0 75,237 973,906 0
IST: 3 JIWA= 18 230,548 1,920,000 1,303,560 225,714 649,270 0
ANK: 4 32,463,528 0 0 465 2,597,083 0
37,502,410 55,000 4,576,210
75,237 32,926,200
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : JANUARI 2020
HALAMAN : 5

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.BPJS KES POT.PAJAK POT.JKM
N I P TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT.BPJS KES HUTANG/LAIN-2 TANDA TANGAN
STATUS PEGAWAI/GOLONGAN -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 2% BULOG NO. REKENING
NPWP JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8% SEWA.RUMAH
JIWA
JUML.KOTOR POT.TAPERUM POTONGAN
POT.JKK JUMLAH BERSIH
TOTAL PER SATKER 91,879,640 1,030,000 0 2,946,358 25,167 661,531
PEG: 28 4,563,400 910,000 0 220,509 2,946,358 0
IST: 13 JIWA= 66 1,768,878 7,000,000 4,779,720 661,531 1,964,239 0
ANK: 25 98,211,918 0 25,167 7,856,953 0
1,254
115,786,457 177,000 13,851,757
220,509 101,934,700

KEPALA PUSKESMAS GEMUH 01 KENDAL,29 NOPEMBER 2019

dr. ULIA HUDA

NIP 196709292009041001