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 : FEBRUARI 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. BPJS KES 4 % Rp. I 0 0 0 0
4,286,076
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. 1,334
PUSKESMAS GEMUH 01
JUMLAH KOTOR Rp. 117,126,255
KENDAL , 30 DESEMBER 2019
POTONGAN :
PEMBUAT DAFTAR GAJI ,
01. IURAN WAJIB (IWP 1 %) Rp. 1,071,519
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. 4,286,076
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. 14,298,755
JUMLAH BERSIH Rp. 102,827,500

Seratus Dua Juta Delapan Ratus Dua Puluh Tujuh Ribu Lima Ratus MENGETAHUI/MENYETUJUI,
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
FEBRUARI 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 BPJS KES 4 % BPJS KES 4 % POT. BULOG
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ. JKK IWP 1 % POT.SEWA RUMAH JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ. JKM POT.JKK
PEMBULATAN IWP 8%
TAPERUM POT.JKM
JML.KOTOR JUMLAH POTONGAN

1 3,901,500 0 0 0 0 0 5,069,600
1 390,150 0 0 207,908 207,908 0
GOLONGAN IV
2 156,060 750,000 0 9,364 51,977 0
4 0 0 289,680 28,091 355,817 9,364
4 10,000 28,091
5,732,757 663,157
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
16 56,629,000 1,030,000 0 25,167 25,167 0 64,531,700
9 3,289,410 370,000 0 2,681,226 2,681,226 0
GOLONGAN III
19 1,382,270 4,330,000 0 135,908 670,306 0
44 0 0 3,186,480 407,726 4,904,054 135,908
900 112,000 407,726
73,468,087 8,936,387
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
11 31,349,140 0 0 0 0 0 33,226,200
3 883,840 540,000 0 1,396,942 1,396,942 0
GOLONGAN II
4 230,548 1,920,000 0 75,237 349,236 0
18 0 0 1,303,560 225,714 2,597,082 75,237
430 55,000 225,714
37,925,411 4,699,211
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
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 0 102,827,500

TOTAL 13 4,563,400 910,000 0 4,286,076 4,286,076 0
PERSATKER 25 1,768,878 7,000,000 0 1,071,519 0
220,509
66 0 0 4,779,720 661,531 7,856,953 220,509
1,334 177,000 661,531
117,126,255 14,298,755
=================================================================================================================================================================
KENDAL ,30 DESEMBER 2019 ,

KEPALA PUSKESMAS GEMUH 01

dr. ULIA HUDA

NIP : 196709292009041001 NIP :
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan FEBRUARI 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 5,069,600
1 390,150 0 0 207,908 207,908 28,091
2 156,060 750,000 0 9,364 51,977 0
4 0 0 289,680 28,091 355,817 0
4 10,000 0
5,732,757 663,157
Jml Golongan 4 1 3,901,500 0 0 0 0 9,364 5,069,600
1 390,150 0 0 207,908 207,908 28,091
2 156,060 750,000 0 9,364 51,977 0
4 0 0 289,680 28,091 355,817 0
4 10,000 0
5,732,757 663,157
III/d Penata 7 28,817,700 1,030,000 0 25,167 25,167 69,161 33,705,600
5 2,034,270 0 0 1,404,436 1,404,436 207,486
9 728,958 2,500,000 0 69,161 351,108 0
21 0 0 1,520,820 207,486 2,526,475 0
435 49,000 0
38,338,433 4,632,833
III/c Penata 1 3,375,300 0 0 0 0 8,101 4,046,600
1 337,530 0 0 164,514 164,514 24,302
2 135,012 265,000 0 8,101 41,128 0
4 0 0 289,680 24,302 307,827 0
33 7,000 0
4,599,472 552,872
III/b Penata 4 12,836,400 0 0 0 0 30,807 13,746,300
1 323,830 370,000 0 573,640 573,640 92,422
4 280,788 530,000 0 30,807 143,411 0
9 0 0 651,780 92,422 1,075,281 0
194 28,000 0
15,689,861 1,943,561
III/a Penata 4 11,599,600 0 0 0 0 27,839 13,033,200
2 593,780 0 0 538,636 538,636 83,516
4 237,512 1,035,000 0 27,839 134,659 0
10 0 0 724,200 83,516 994,471 0
238 28,000 0
14,840,321 1,807,121
Jml Golongan 3 16 56,629,000 1,030,000 0 25,167 25,167 135,908 64,531,700
9 3,289,410 370,000 0 2,681,226 2,681,226 407,726
19 1,382,270 4,330,000 0 135,908 670,306 0
44 0 0 3,186,480 407,726 4,904,054 0
900 112,000 0
73,468,087 8,936,387
II/d Pengatur 5 15,511,200 0 0 0 0 37,226 15,992,700
1 307,470 0 0 680,747 680,747 111,681
0 0 1,200,000 0 37,226 170,187 0
6 0 0 434,520 111,681 1,265,494 0
191 25,000 0
18,283,035 2,290,335
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan FEBRUARI 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 17,233,500
2 576,370 540,000 0 716,195 716,195 114,033
4 230,548 720,000 0 38,011 179,049 0
12 0 0 869,040 114,033 1,331,588 0
239 30,000 0
19,642,376 2,408,876
Jml Golongan 2 11 31,349,140 0 0 0 0 75,237 33,226,200
3 883,840 540,000 0 1,396,942 1,396,942 225,714
4 230,548 1,920,000 0 75,237 349,236 0
18 0 0 1,303,560 225,714 2,597,082 0
430 55,000 0
37,925,411 4,699,211
28 91,879,640 1,030,000 0 25,167 25,167 220,509 102,827,500
TOTAL 13 4,563,400 910,000 0
4,286,076 4,286,076 661,531
25 1,768,878 7,000,000 0 220,509 1,071,519 0
66 0 0 4,779,720 661,531 7,856,953 0
1,334 177,000 0
117,126,255 14,298,755
=================================================================================================================================================================
KENDAL ,30 DESEMBER 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 : FEBRUARI 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 BPJSKES 4 % 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 1 % 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 0 207,908 0 28,091
2 390,150 0 0 9,364 207,908
156,060 750,000 289,680 28,091 0 ...............
08-08-1966 51,977 0
196608082002121009 4 4,447,710 0 0 4 355,817 0
( PNS-4A ) MKG:16 5,732,757 10,000 663,157
68.494.040.6-513.000
9,364 5,069,600
SUB TOTAL PERGOLONGAN : IV 3,901,500 0 0 207,908 0 28,091
PEG: 1 390,150 0 0 9,364 207,908 0
IST: 1 JIWA= 4 156,060 750,000 289,680 28,091 51,977 0
ANK: 2 4,447,710 0 0 4 355,817 0
5,732,757 10,000 663,157
9,364 5,069,600
2 dr, ULIA HUDA K -1 3,518,100 540,000 0 182,025 0 25,330
2 351,810 0 0 8,443 182,025
140,724 0 289,680 25,330 0 ...............
29-09-1967 45,506 0
196709292009041001 4 4,010,634 0 0 43 320,851 0
( PNS-3D ) MKG:12 5,056,155 7,000 589,155
26.636.054.4-513.000
8,443 4,467,000
3 WALUYO ,S.KM K -1 4,108,100 490,000 0 206,929 0 29,578
2 410,810 0 0 9,859 206,929
164,324 0 289,680 29,578 0 ...............
03-03-1966 51,732 0
196603031991031010 4 4,683,234 0 0 77 374,659 0
( PNS-3D ) MKG:23 5,709,357 7,000 679,757
69.332.977.3-513.000
9,859 5,029,600
4 KAHFI SHALAHUDDIN ,A.Md K -1 4,370,900 0 0 219,313 0 31,470
2 437,090 0 0 10,490 219,313
174,836 500,000 289,680 31,470 0 ...............
24-04-1966 54,828 0
196604241987031007 4 4,982,826 0 0 48 398,626 0
( PNS-3D ) MKG:26 6,033,827 7,000 721,727
24.369.484.1-513.000
10,490 5,312,100
5 NURHAYATI K -1 4,237,500 0 0 209,840 25,167 30,510
1 423,750 0 0 10,170 209,840
84,750 500,000 217,260 30,510 0 ...............
21-07-1968 52,460 0
196807211989032009 3 4,746,000 0 25,167 80 379,680 0
( PNS-3D ) MKG:24 5,739,027 7,000 714,827
68.494.002.8-513.000
10,170 5,024,200
6 PUJI ASTUTI ,S.S.T.Keb K -0 4,237,500 0 0 189,500 0 30,510
0 0 0 0 10,170 189,500
0 500,000 72,420 30,510 0 ...............
19-02-1969 47,375 0
196902191989032003 1 4,237,500 0 0 55 339,000 0
( PNS-3D ) MKG:24 5,040,155 7,000 623,555
68.494.001.8-513.000
10,170 4,416,600
7 WARIH ANJARINI ,S.S.T.Keb TK-0 4,237,500 0 0 189,500 0 30,510
0 0 0 0 10,170 189,500
0 500,000 72,420 30,510 0 ...............
17-02-1970 47,375 0
197002171990032005 1 4,237,500 0 0 55 339,000 0
( PNS-3D ) MKG:24 5,040,155 7,000 623,555
69.321.047.8-513.000
10,170 4,416,600
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : FEBRUARI 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 BPJSKES 4 % 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 1 % 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 0 207,329 0 29,578
2 410,810 0 0 9,859 207,329
164,324 500,000 289,680 29,578 0 ...............
10-10-1969 51,832 0
196910101991031008 4 4,683,234 0 0 77 374,659 0
( PNS-3D ) MKG:22 5,719,757 7,000 680,257
69.332.861.9-513.000
9,859 5,039,500
9 RIKA RAHADIANINGTYAS ,A.Md.KG K -1 3,375,300 0 0 164,514 0 24,302
2 337,530 0 0 8,101 164,514
135,012 265,000 289,680 24,302 0 ...............
21-04-1981 41,128 0
198104212005012015 4 3,847,842 0 0 33 307,827 0
( PNS-3C ) MKG:12 4,599,472 7,000 552,872
69.321.035.3-514.000
8,101 4,046,600
10 SRI SUMARNI JD-0 3,781,400 0 0 167,906 0 27,226
2 0 0 0 9,075 167,906
151,256 265,000 217,260 27,226 0 ...............
01-01-1966 41,977 0
196601011991032016 3 3,932,656 0 0 73 314,612 0
( PNS-3B ) MKG:22 4,619,196 7,000 567,796
26.292.756.9-513.000
9,075 4,051,400
11 SITI MUSTOFIYAH ,A.Md.Kep K -1 3,238,300 0 0 158,266 0 23,316
2 323,830 0 0 7,772 158,266
129,532 265,000 289,680 23,316 0 ...............
27-09-1979 39,567 0
197909272002122004 4 3,691,662 0 0 58 295,333 0
( PNS-3B ) MKG:12 4,435,754 7,000 531,254
69.321.033.8-513.000
7,772 3,904,500
12 SITI MAHMUDAH K -0 3,665,900 0 0 154,036 0 26,394
0 0 185,000 0 8,798 154,036
0 0 72,420 26,394 0 ...............
13-04-1973 38,509 0
197304131994022001 1 3,665,900 0 0 61 293,272 0
( PNS-3B ) MKG:20 4,112,609 7,000 528,009
67.601.770.0-513.000
8,798 3,584,600
13 dr, YUMI ILMIATI AF'IDAH TK-0 2,150,800 0 0 93,432 0 15,486
0 0 185,000 0 5,162 93,432
0 0 72,420 15,486 0 ...............
29-06-1987 23,358 0
198706292019032007 1 2,150,800 0 0 2 172,064 0
( CPNS-3B ) MKG: 0 2,522,302 7,000 316,502
46.819.842.9-513.000
5,162 2,205,800
14 TEGUH SANTOSO ,A.Mk K -1 3,106,900 0 0 152,275 0 22,370
2 310,690 0 0 7,457 152,275
124,276 265,000 289,680 22,370 0 ...............
05-11-1975 38,069 0
197511052005011010 4 3,541,866 0 0 72 283,349 0
( PNS-3A ) MKG:12 4,278,720 7,000 510,520
77.600.958.1-513.000
7,457 3,768,200
15 ASMUI,A.Md.Kep K -1 2,830,900 0 0 139,689 0 20,382
2 283,090 0 0 6,794 139,689
113,236 265,000 289,680 20,382 0 ...............
28-07-1985 34,922 0
198507282011011009 4 3,227,226 0 0 94 258,178 0
( PNS-3A ) MKG: 6 3,948,865 7,000 466,965
36.239.968.5-513.000
6,794 3,481,900
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : FEBRUARI 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 BPJSKES 4 % 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 1 % 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 0 123,836 0 20,382
0 0 0 0 6,794 123,836
0 265,000 72,420 20,382 0 ...............
31-12-1986 30,959 0
198612312011012012 1 2,830,900 0 0 11 226,472 0
( PNS-3A ) MKG: 6 3,319,343 7,000 415,443
69.321.042.9-513.000
6,794 2,903,900
17 NURUL HUDA FITRI A ,A.Md K -0 2,830,900 0 0 122,836 0 20,382
0 0 0 0 6,794 122,836
0 240,000 72,420 20,382 0 ...............
27-08-1979 30,709 0
197908272010012014 1 2,830,900 0 0 61 226,472 0
( PNS-3A ) MKG: 7 3,293,393 7,000 414,193
34.545.883.0-513.000
6,794 2,879,200
SUB TOTAL PERGOLONGAN : III 56,629,000 1,030,000 0 2,681,226 25,167 407,726
PEG: 16 3,289,410 370,000 0 135,908 2,681,226 0
IST: 9 JIWA= 44 1,382,270 4,330,000 3,186,480 407,726 670,306 0
ANK: 19 61,300,680 0 25,167 900 4,904,054 0
73,468,087 112,000 8,936,387
135,908 64,531,700
18 RUSMINAH ,A.Md.Keb K -0 3,374,400 0 0 144,576 0 24,296
0 0 0 0 8,099 144,576
0 240,000 72,420 24,296 0 ...............
09-01-1974 36,144 0
197401092007012009 1 3,374,400 0 0 76 269,952 0
( PNS-2D ) MKG:25 3,863,867 5,000 488,067
78.225.653.1-513.000
8,099 3,375,800
19 RUMIYATI ,A.Md.Keb K -0 3,271,400 0 0 140,456 0 23,554
0 0 0 0 7,851 140,456
0 240,000 72,420 23,554 0 ...............
24-03-1974 35,114 0
197403242007012013 1 3,271,400 0 0 6 261,712 0
( PNS-2D ) MKG:23 3,755,687 5,000 473,687
68.493.997.8-513.000
7,851 3,282,000
20 DWI SULISTYANINGSIH TK-0 3,074,700 0 0 132,588 0 22,138
0 0 0 0 7,379 132,588
0 240,000 72,420 22,138 0 ...............
10-03-1971 33,147 0
197103102002122001 1 3,074,700 0 0 3 245,976 0
( PNS-2D ) MKG:19 3,549,228 5,000 446,228
77.600.959.9-513.000
7,379 3,103,000
21 ANY SETIAWATI K -1 3,074,700 0 0 144,887 0 22,138
0 307,470 0 0 7,379 144,887
0 240,000 144,840 22,138 0 ...............
14-07-1976 36,222 0
197607142008012006 2 3,382,170 0 0 86 270,574 0
( PNS-2D ) MKG:19 3,941,500 5,000 486,200
69.321.047.8-513.000
7,379 3,455,300
22 SALIS NAWALIN NAJAH ,AMG K -0 2,716,000 0 0 118,240 0 19,555
0 0 0 0 6,518 118,240
0 240,000 72,420 19,555 0 ...............
12-02-1979 29,560 0
197902122010012012 1 2,716,000 0 0 20 217,280 0
( PNS-2D ) MKG:11 3,172,753 5,000 396,153
34.545.910.1-513.000
6,518 2,776,600
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : FEBRUARI 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 BPJSKES 4 % 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 1 % 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 0 157,230 0 23,310
2 323,750 0 0 7,770 157,230
129,500 240,000 289,680 23,310 0 ...............
28-12-1973 39,308 0
197312282006042010 4 3,690,750 0 0 38 295,260 0
( PNS-2C ) MKG:25 4,408,778 5,000 527,878
69.321.036.1-513.000
7,770 3,880,900
24 DWIANI RAHMAWATI ,A.Md.Keb K -0 2,687,800 0 0 117,112 0 19,352
0 0 0 0 6,451 117,112
0 240,000 72,420 19,352 0 ...............
18-11-1986 29,278 0
198611182017042007 1 2,687,800 0 0 82 215,024 0
( PNS-2C ) MKG:13 3,143,217 5,000 392,217
69.341.781.8-513.999
6,451 2,751,000
25 RISKA DWI ARYANI ,A.Md.Keb K -1 2,526,200 0 0 124,795 0 18,189
2 252,620 0 0 6,063 124,795
101,048 240,000 289,680 18,189 0 ...............
09-04-1986 31,199 0
198604092017042004 4 2,879,868 0 0 40 230,389 0
( PNS-2C ) MKG: 9 3,558,635 5,000 415,635
45.402.219.5-513.000
6,063 3,143,000
26 TRI RETNOWATI ,A.Md.Keb K -0 2,772,500 0 0 118,100 0 19,962
0 0 180,000 0 6,654 118,100
0 0 72,420 19,962 0 ...............
12-07-1984 29,525 0
198407122017041001 1 2,772,500 0 0 5 221,800 0
( PNS-2C ) MKG:15 3,169,641 5,000 401,041
69.321.040.3-513.000
6,654 2,768,600
27 MUSTAFIROH ,A.Md.Keb K -0 2,772,500 0 0 118,100 0 19,962
0 0 180,000 0 6,654 118,100
0 0 72,420 19,962 0 ...............
11-03-1985 29,525 0
198503112017042005 1 2,772,500 0 0 5 221,800 0
( PNS-2C ) MKG:15 3,169,641 5,000 401,041
69.321.039.5-513.000
6,654 2,768,600
28 SURYO BUDI ARFIANTO ,A.Md.Kep TK-0 1,841,440 0 0 80,858 0 13,258
0 0 180,000 0 4,419 80,858
0 0 72,420 13,258 0 ...............
15-06-1989 20,214 0
198906152019031009 1 1,841,440 0 0 69 147,315 0
( CPNS-2C ) MKG: 3 2,192,464 5,000 271,064
86.972.839.4-513.000
4,419 1,921,400
SUB TOTAL PERGOLONGAN : 31,349,140 0 0 1,396,942 0 225,714
PEG: 11 883,840 540,000 0 75,237 1,396,942 0
IST: 3 JIWA= 18 230,548 1,920,000 1,303,560 225,714 349,236 0
ANK: 4 32,463,528 0 0 430 2,597,082 0
37,925,411 55,000 4,699,211
75,237 33,226,200
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : FEBRUARI 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 BPJSKES 4 % 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 1 % 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 4,286,076 25,167 661,531
PEG: 28 4,563,400 910,000 0 220,509 4,286,076 0
IST: 13 JIWA= 66 1,768,878 7,000,000 4,779,720 661,531 1,071,519 0
ANK: 25 98,211,918 0 25,167 7,856,953 0
1,334
117,126,255 177,000 14,298,755
220,509 102,827,500

KEPALA PUSKESMAS GEMUH 01 KENDAL,31 DESEMBER 2019

dr. ULIA HUDA

NIP 196709292009041001