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 : APRIL 2020 NO REKENING :

PENGHASILAN : GOL PEGAWAI ISTRI ANAK JML.JIWA

01. GAJI POKOK Rp. 92,862,040
02. TUNJANGAN ISTRI Rp. 4,627,470 IV 1 1 2 4
03. TUNJANGAN ANAK Rp. 1,796,602
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
4,329,045
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
33,392
13. TUNJANGAN JKK Rp. Lampiran :
222,868
14. TUNJANGAN JKM Rp. 668,606 Harap SP2D Diterbitkan Atas Nama
15. PEMBULATAN Rp. 1,319
PUSKESMAS GEMUH 01
JUMLAH KOTOR Rp. 118,261,062
KENDAL , 26 FEBRUARI 2020
POTONGAN :
PEMBUAT DAFTAR GAJI ,
01. IURAN WAJIB (IWP 1 %) Rp. 1,082,262
02. IURAN WAJIB (IWP 8%) Rp. 7,942,889
03. Pph PASAL 21 Rp. 33,392
04. TABUNGAN PERUMAHAN Rp. 177,000
05. POTONGAN BULOG Rp. 0
06. BPJS KES 4 % Rp. 4,329,045
07 POTONGAN LAIN2 Rp. 0
08. POTONGAN SEWA RUMAH Rp. 0
09. POTONGAN JKK Rp. 222,868
10. POTONGAN JKM Rp. 668,606
JUMLAH POTONGAN Rp. 14,456,062
JUMLAH BERSIH Rp. 103,805,000

Seratus Tiga Juta Delapan Ratus Lima Ribu Rupiah MENGETAHUI/MENYETUJUI,

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
APRIL 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 57,611,400 1,030,000 0 33,392 33,392 0 65,509,200
9 3,353,480 370,000 0 2,724,195 2,724,195 0
GOLONGAN III
19 1,409,994 4,330,000 0 138,267 681,049 0
44 0 0 3,186,480 414,801 4,989,990 138,267
885 112,000 414,801
74,602,894 9,093,694
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
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 92,862,040 1,030,000 0 33,392 33,392 0 103,805,000

TOTAL 13 4,627,470 910,000 0 4,329,045 4,329,045 0
PERSATKER 25 1,796,602 7,000,000 0 1,082,262 0
222,868
66 0 0 4,779,720 668,606 7,942,889 222,868
1,319 177,000 668,606
118,261,062 14,456,062
=================================================================================================================================================================
KENDAL ,27 FEBRUARI 2020 ,

KEPALA PUSKESMAS GEMUH 01

dr. ULIA HUDA

NIP : 196709292009041001 NIP :
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan APRIL 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 BPJS KES 4 % BPJS KES 4 % POT.JKM
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ.JKK IWP 1 % POT. HUTANG JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ.JKM IWP 8% POT. BULOG
PEMBULATAN POT.SEWA RUMAH
JML.KOTOR TAPERUM 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 29,591,800 1,030,000 0 33,392 33,392 71,020 34,489,200
5 2,098,340 0 0 1,438,882 1,438,882 213,060
9 751,918 2,500,000 0 71,020 359,721 0
21 0 0 1,520,820 213,060 2,595,365 0
408 49,000 0
39,249,640 4,760,440
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 12,955,500 0 0 0 0 31,093 13,859,000
1 323,830 370,000 0 578,595 578,595 93,280
4 285,552 530,000 0 31,093 144,649 0
9 0 0 651,780 93,280 1,085,191 0
178 28,000 0
15,819,808 1,960,808
III/a Penata 4 11,688,800 0 0 0 0 28,053 13,114,400
2 593,780 0 0 542,204 542,204 84,159
4 237,512 1,035,000 0 28,053 135,551 0
10 0 0 724,200 84,159 1,001,607 0
266 28,000 0
14,933,974 1,819,574
Jml Golongan 3 16 57,611,400 1,030,000 0 33,392 33,392 138,267 65,509,200
9 3,353,480 370,000 0 2,724,195 2,724,195 414,801
19 1,409,994 4,330,000 0 138,267 681,049 0
44 0 0 3,186,480 414,801 4,989,990 0
885 112,000 0
74,602,894 9,093,694
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 APRIL 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 BPJS KES 4 % BPJS KES 4 % POT.JKM
GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ.DIDIK TUNJ.JKK IWP 1 % POT. HUTANG JUMLAH BERSIH KETERANGAN
JIWA T P P TUNJ. KHUSUS TUNJ.BERAS TUNJ.JKM IWP 8% POT. BULOG
PEMBULATAN POT.SEWA RUMAH
JML.KOTOR TAPERUM 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 92,862,040 1,030,000 0 33,392 33,392 222,868 103,805,000
TOTAL 13 4,627,470 910,000 0
4,329,045 4,329,045 668,606
25 1,796,602 7,000,000 0 222,868 1,082,262 0
66 0 0 4,779,720 668,606 7,942,889 0
1,319 177,000 0
118,261,062 14,456,062
=================================================================================================================================================================
KENDAL ,27 FEBRUARI 2020 ,

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 : APRIL 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 BPJSKES 4 % 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 3,628,900 540,000 0 187,078 0 26,128
2 362,890 0 0 8,709 187,078
145,156 0 289,680 26,128 0 ...............
29-09-1967 46,769 0
196709292009041001 4 4,136,946 0 0 99 330,956 0
( PNS-3D ) MKG:14 5,188,640 7,000 606,640
26.636.054.4-513.000
8,709 4,582,000
3 WALUYO ,S.KM K -1 4,237,500 490,000 0 212,830 0 30,510
2 423,750 0 0 10,170 212,830
169,500 0 289,680 30,510 0 ...............
03-03-1966 53,208 0
196603031991031010 4 4,830,750 0 0 38 386,460 0
( PNS-3D ) MKG:24 5,863,978 7,000 700,178
69.332.977.3-513.000
10,170 5,163,800
4 KAHFI SHALAHUDDIN ,A.Md K -1 4,508,600 0 0 225,592 0 32,462
2 450,860 0 0 10,821 225,592
180,344 500,000 289,680 32,462 0 ...............
24-04-1966 56,398 0
196604241987031007 4 5,139,804 0 0 98 411,184 0
( PNS-3D ) MKG:28 6,198,457 7,000 743,457
24.369.484.1-513.000
10,821 5,455,000
5 NURHAYATI K -1 4,370,900 0 0 215,816 31,971 31,470
1 437,090 0 0 10,490 215,816
87,418 500,000 217,260 31,470 0 ...............
21-07-1968 53,954 0
196807211989032009 3 4,895,408 0 31,971 19 391,633 0
( PNS-3D ) MKG:26 5,902,434 7,000 742,334
68.494.002.8-513.000
10,490 5,160,100
6 PUJI ASTUTI ,S.S.T.Keb K -0 4,370,900 0 0 194,836 1,421 31,470
0 0 0 0 10,490 194,836
0 500,000 72,420 31,470 0 ...............
19-02-1969 48,709 0
196902191989032003 1 4,370,900 0 1,421 61 349,672 0
( PNS-3D ) MKG:26 5,181,598 7,000 643,598
68.494.001.8-513.000
10,490 4,538,000
7 ALI FAHRODIN AS ,A.Md.Kep K -1 4,237,500 0 0 213,230 0 30,510
2 423,750 0 0 10,170 213,230
169,500 500,000 289,680 30,510 0 ...............
10-10-1969 53,308 0
196910101991031008 4 4,830,750 0 0 38 386,460 0
( PNS-3D ) MKG:24 5,874,378 7,000 700,678
69.332.861.9-513.000
10,170 5,173,700
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : APRIL 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 BPJSKES 4 % 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 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
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 3,900,500 0 0 172,861 0 28,084
2 0 0 0 9,361 172,861
156,020 265,000 217,260 28,084 0 ...............
01-01-1966 43,215 0
196601011991032016 3 4,056,520 0 0 57 324,522 0
( PNS-3B ) MKG:24 4,749,143 7,000 585,043
26.292.756.9-513.000
9,361 4,164,100
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 : APRIL 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 BPJSKES 4 % 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 K -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 2,920,100 0 0 126,404 0 21,025
0 0 0 0 7,008 126,404
0 240,000 72,420 21,025 0 ...............
27-08-1979 31,601 0
197908272010012014 1 2,920,100 0 0 89 233,608 0
( PNS-3A ) MKG: 8 3,387,046 7,000 426,646
34.545.883.0-513.000
7,008 2,960,400
SUB TOTAL PERGOLONGAN : III 57,611,400 1,030,000 0 2,724,195 33,392 414,801
PEG: 16 3,353,480 370,000 0 138,267 2,724,195 0
IST: 9 JIWA= 44 1,409,994 4,330,000 3,186,480 414,801 681,049 0
ANK: 19 62,374,874 0 33,392 885 4,989,990 0
74,602,894 112,000 9,093,694
138,267 65,509,200
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 : APRIL 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 BPJSKES 4 % 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 : APRIL 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 BPJSKES 4 % 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 92,862,040 1,030,000 0 4,329,045 33,392 668,606
PEG: 28 4,627,470 910,000 0 222,868 4,329,045 0
IST: 13 JIWA= 66 1,796,602 7,000,000 4,779,720 668,606 1,082,262 0
ANK: 25 99,286,112 0 33,392 7,942,889 0
1,319
118,261,062 177,000 14,456,062
222,868 103,805,000

KEPALA PUSKESMAS GEMUH 01 KENDAL,27 FEBRUARI 2020

dr. ULIA HUDA

NIP 196709292009041001