KEMENTERIAN DALAM NEGERI REPUBLIK INDONESIA NPWP :

DAFTAR GAJI DSB

PEMERINTAH KABUPATEN KENDAL UNTUK PARA PEGAWAI TEMPAT PEMBAYARAN :
GOLONGAN I,II,III DAN IV .NULL.
(D40001203200018) PUSKESMAS GEMUH 01
GAJI INDUK - PNS + Pejabat Negara BULAN : DESEMBER 2020 NO REKENING :

PENGHASILAN : GOL PEGAWAI ISTRI ANAK JML.JIWA

01. GAJI POKOK Rp. 95,237,700
02. TUNJANGAN ISTRI Rp. 4,682,790 IV 1 1 2 4
03. TUNJANGAN ANAK Rp. 1,494,562
04. TUNJANGAN PERB PENGHASILAN Rp. 0 III 19 10 16 45
05. TUNJANGAN STRUKTURAL Rp. 1,030,000
06. TUNJANGAN FUNGSIONAL Rp. 7,975,000 II 8 2 3 13
07. TUNJANGAN FUNGSIONAL UMUM Rp. 725,000
08. BPJS KES 4 % Rp. I 0 0 0 0
4,445,802
09. TUNJANGAN BERAS Rp. 4,490,040 0 0 0 0
10. TUNJANGAN KEMAHALAN DAERAH Rp. Lainnya
0
11. TUNJANGAN DAERAH TERPENCIL Rp. 0
12. TUNJANGAN Pph PASAL 21 Rp. Jumlah 28 13 21 62
319,600
13. TUNJANGAN JKK Rp. 228,571 Lampiran :
14. TUNJANGAN JKM Rp. 685,711 Harap SP2D Diterbitkan Atas Nama
15. PEMBULATAN Rp. 1,563
PUSKESMAS GEMUH 01
JUMLAH KOTOR Rp. 121,316,339
KENDAL , 23 OKTOBER 2020
POTONGAN :
01. IURAN WAJIB (IWP 1 %) Rp. 1,111,451
02. IURAN WAJIB (IWP 8%) Rp. 8,113,204
03. Pph PASAL 21 Rp. 319,600
04. TABUNGAN PERUMAHAN Rp. 0
05. POTONGAN BULOG Rp. 0
06. BPJS KES 4 % Rp. 4,445,802
07 POTONGAN LAIN2 Rp. 0
08. POTONGAN SEWA RUMAH Rp. 0
09. POTONGAN JKK Rp. 228,571
10. POTONGAN JKM Rp. 685,711
JUMLAH POTONGAN Rp. 14,904,339
JUMLAH BERSIH Rp. 106,412,000

Seratus Enam Juta Empat Ratus Duabelas 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
DESEMBER 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 IWP 8% POT.JKK
PEMBULATAN POT.JKM
JML.KOTOR TAPERUM JUMLAH POTONGAN

1 4,024,400 0 0 0 0 0 5,652,600
1 402,440 0 0 231,513 231,513 0
GOLONGAN IV
2 160,976 1,200,000 0 9,659 57,878 0
4 0 0 289,680 28,976 367,025 9,659
7 0 28,976
6,347,651 695,051
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
19 68,659,500 1,030,000 0 319,600 319,600 0 76,885,500
10 3,696,020 185,000 0 3,212,405 3,212,405 0
GOLONGAN III
16 1,164,604 5,575,000 0 164,782 803,102 0
45 0 0 3,258,900 494,347 5,881,610 164,782
1,188 0 494,347
87,761,346 10,875,846
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
8 22,553,800 0 0 0 0 0 23,873,900
2 584,330 540,000 0 1,001,884 1,001,884 0
GOLONGAN II
3 168,982 1,200,000 0 54,130 250,471 0
13 0 0 941,460 162,388 1,864,569 54,130
368 0 162,388
27,207,342 3,333,442
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
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 95,237,700 1,030,000 0 319,600 319,600 0 106,412,000

TOTAL 13 4,682,790 725,000 0 4,445,802 4,445,802 0
PERSATKER 21 1,494,562 7,975,000 0 1,111,451 0
228,571
62 0 0 4,490,040 685,711 8,113,204 228,571
1,563 0 685,711
121,316,339 14,904,339
=================================================================================================================================================================
KENDAL ,23 OKTOBER 2020 ,

KEPALA PUSKESMAS GEMUH 01

dr. ULIA HUDA

NIP : 196709292009041001 NIP :
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan DESEMBER 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 4,024,400 0 0 0 0 9,659 5,652,600
1 402,440 0 0 231,513 231,513 28,976
2 160,976 1,200,000 0 9,659 57,878 0
4 0 0 289,680 28,976 367,025 0
7 0 0
6,347,651 695,051
Jml Golongan 4 1 4,024,400 0 0 0 0 9,659 5,652,600
1 402,440 0 0 231,513 231,513 28,976
2 160,976 1,200,000 0 9,659 57,878 0
4 0 0 289,680 28,976 367,025 0
7 0 0
6,347,651 695,051
III/d Penata 7 29,591,800 1,030,000 0 178,900 178,900 71,020 34,236,800
5 2,098,340 0 0 1,431,996 1,431,996 213,060
7 579,750 2,500,000 0 71,020 357,999 0
19 0 0 1,375,980 213,060 2,581,591 0
520 0 0
39,071,366 4,834,566
III/c Penata 1 3,375,300 0 0 140,700 140,700 8,101 4,286,300
1 337,530 0 0 173,914 173,914 24,302
2 135,012 500,000 0 8,101 43,478 0
4 0 0 289,680 24,302 307,827 0
83 0 0
4,984,622 698,322
III/b Penata 5 16,705,900 0 0 0 0 40,093 18,163,700
2 618,890 185,000 0 755,813 755,813 120,282
5 325,566 1,060,000 0 40,093 188,954 0
12 0 0 869,040 120,282 1,412,029 0
287 0 0
20,680,871 2,517,171
III/a Penata 6 18,986,500 0 0 0 0 45,568 20,198,700
2 641,260 0 0 850,682 850,682 136,703
2 124,276 1,515,000 0 45,568 212,671 0
10 0 0 724,200 136,703 1,580,163 0
298 0 0
23,024,487 2,825,787
Jml Golongan 3 19 68,659,500 1,030,000 0 319,600 319,600 164,782 76,885,500
10 3,696,020 185,000 0 3,212,405 3,212,405 494,347
16 1,164,604 5,575,000 0 164,782 803,102 0
45 0 0 3,258,900 494,347 5,881,610 0
1,188 0 0
87,761,346 10,875,846
 REKAPITULASI GAJI PNS/CPNS PER RINCIAN GOLONGAN
Bulan DESEMBER 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/d Pengatur 2 6,175,900 0 0 0 0 14,823 6,240,200
0 0 0 0 266,236 266,236 44,467
0 0 480,000 0 14,823 66,559 0
2 0 0 144,840 44,467 494,072 0
91 0 0
7,126,357 886,157
II/c Pengatur 6 16,377,900 0 0 0 0 39,307 17,633,700
2 584,330 540,000 0 735,648 735,648 117,921
3 168,982 720,000 0 39,307 183,912 0
11 0 0 796,620 117,921 1,370,497 0
277 0 0
20,080,985 2,447,285
Jml Golongan 2 8 22,553,800 0 0 0 0 54,130 23,873,900
2 584,330 540,000 0 1,001,884 1,001,884 162,388
3 168,982 1,200,000 0 54,130 250,471 0
13 0 0 941,460 162,388 1,864,569 0
368 0 0
27,207,342 3,333,442
28 95,237,700 1,030,000 0 319,600 319,600 228,571 106,412,000
TOTAL 13 4,682,790 725,000 0
4,445,802 4,445,802 685,711
21 1,494,562 7,975,000 0 228,571 1,111,451 0
62 0 0 4,490,040 685,711 8,113,204 0
1,563 0 0
121,316,339 14,904,339
=================================================================================================================================================================
KENDAL ,26 OKTOBER 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 : DESEMBER 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 KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK POT.JKM
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % HUTANG/LAIN-2 TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % BULOG NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8 % SEWA.RUMAH NO. REKENING
NPWP JUML.KOTOR POT.TAPERUM POTONGAN TPP
POT.JKK JUMLAH BERSIH
1 dr, SAIKHU ,M.Kes K -1 4,024,400 0 0 231,513 0 28,976 1 .............
2 402,440 0 0 9,659 231,513
160,976 1,200,000 289,680 28,976 0
08-08-1966 57,878 0
4 4,587,816 0 0 7
196608082002121009 367,025 0
( PNS-4A ) MKG:18 6,347,651 0 695,051
68.494.040.6-513.000 9,659 0
5,652,600
SUB TOTAL PERGOLONGAN : IV 4,024,400 0 0 231,513 0 28,976
PEG: 1 402,440 0 0 9,659 231,513 0
IST: 1 JIWA= 4 160,976 1,200,000 289,680 28,976 57,878 0
ANK: 2 4,587,816 0 0 7 367,025 0
6,347,651 0 695,051
9,659 5,652,600
2 dr, ULIA HUDA K -1 3,628,900 540,000 0 187,078 0 26,128 2 .............
2 362,890 0 0 8,709 187,078
145,156 0 289,680 26,128 0
29-09-1967 46,769 0
4 4,136,946 0 0 99
196709292009041001 330,956 0
( PNS-3D ) MKG:14 5,188,640 0 599,640
26.636.054.4-513.000 8,709 0
4,589,000
3 WALUYO ,S.KM K -1 4,237,500 490,000 0 209,440 45,100 30,510 3 .............
1 423,750 0 0 10,170 209,440
84,750 0 217,260 30,510 0
03-03-1966 52,360 0
3 4,746,000 0 45,100 80
196603031991031010 379,680 0
( PNS-3D ) MKG:24 5,748,560 0 727,260
69.332.977.3-513.000 10,170 0
5,021,300
4 KAHFI SHALAHUDDIN ,A.Md K -1 4,508,600 0 0 225,592 89,000 32,462 4 .............
2 450,860 0 0 10,821 225,592
180,344 500,000 289,680 32,462 0
24-04-1966 56,398 0
4 5,139,804 0 89,000 98
196604241987031007 411,184 0
( PNS-3D ) MKG:28 6,287,457 0 825,457
24.369.484.1-513.000 10,821 0
5,462,000
5 NURHAYATI K -1 4,370,900 0 0 212,320 0 31,470 5 .............
0 437,090 0 0 10,490 212,320
0 500,000 144,840 31,470 0
21-07-1968 53,080 0
2 4,807,990 0 0 89
196807211989032009 384,639 0
( PNS-3D ) MKG:26 5,707,199 0 691,999
68.494.002.8-513.000 10,490 0
5,015,200
6 PUJI ASTUTI ,S.S.T.Keb K -0 4,370,900 0 0 194,836 0 31,470 6 .............
0 0 0 0 10,490 194,836
0 500,000 72,420 31,470 0
19-02-1969 48,709 0
1 4,370,900 0 0 61
196902191989032003 349,672 0
( PNS-3D ) MKG:26 5,180,177 0 635,177
68.494.001.8-513.000 10,490 0
4,545,000
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : DESEMBER 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 KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK POT.JKM
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % HUTANG/LAIN-2 TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % BULOG NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8 % SEWA.RUMAH NO. REKENING
NPWP JUML.KOTOR POT.TAPERUM POTONGAN TPP
POT.JKK JUMLAH BERSIH
7 ALI FAHRODIN AS ,A.Md.Kep K -1 4,237,500 0 0 213,230 0 30,510 7 .............
2 423,750 0 0 10,170 213,230
169,500 500,000 289,680 30,510 0
10-10-1969 53,308 0
4 4,830,750 0 0 38
196910101991031008 386,460 0
( PNS-3D ) MKG:24 5,874,378 0 693,678
69.332.861.9-513.000 10,170 0
5,180,700
8 WARIH ANJARINI ,S.S.T.Keb TK-0 4,237,500 0 0 189,500 44,800 30,510 8 .............
0 0 0 0 10,170 189,500
0 500,000 72,420 30,510 0
17-02-1970 47,375 0
1 4,237,500 0 44,800 55
197002171990032005 339,000 0
( PNS-3D ) MKG:24 5,084,955 0 661,355
69.321.047.8-513.000 10,170 0
4,423,600
9 RIKA RAHADIANINGTYAS ,A.Md.KG K -1 3,375,300 0 0 173,914 140,700 24,302 9 .............
2 337,530 0 0 8,101 173,914
135,012 500,000 289,680 24,302 0
21-04-1981 43,478 0
4 3,847,842 0 140,700 83
198104212005012015 307,827 0
( PNS-3C ) MKG:12 4,984,622 0 698,322
69.321.035.3-514.000 8,101 0
4,286,300
10 SRI SUMARNI JD-0 3,900,500 0 0 169,740 0 28,084 10 .............
1 0 0 0 9,361 169,740
78,010 265,000 144,840 28,084 0
01-01-1966 42,435 0
2 3,978,510 0 0 66
196601011991032016 318,281 0
( PNS-3B ) MKG:24 4,595,601 0 567,901
26.292.756.9-513.000 9,361 0
4,027,700
11 SITI MUSTOFIYAH ,A.Md.Kep K -1 3,238,300 0 0 158,266 0 23,316 11 .............
2 323,830 0 0 7,772 158,266
129,532 265,000 289,680 23,316 0
27-09-1979 39,567 0
4 3,691,662 0 0 58
197909272002122004 295,333 0
( PNS-3B ) MKG:12 4,435,754 0 524,254
69.321.033.8-513.000 7,772 0
3,911,500
12 ASMUI ,A.Md.Kep K -1 2,950,600 0 0 145,147 0 21,244 12 .............
2 295,060 0 0 7,081 145,147
118,024 265,000 289,680 21,244 0
28-07-1985 36,287 0
4 3,363,684 0 0 18
198507282011011009 269,095 0
( PNS-3B ) MKG: 7 4,091,854 0 478,854
36.239.968.5-513.000 7,081 0
3,613,000
13 EVI PURNA PUJIASTUTI ,A.Md.Keb K -0 2,950,600 0 0 128,624 0 21,244 13 .............
0 0 0 0 7,081 128,624
0 265,000 72,420 21,244 0
31-12-1986 32,156 0
1 2,950,600 0 0 84
198612312011012012 236,048 0
( PNS-3B ) MKG: 7 3,445,053 0 425,153
69.321.042.9-513.000 7,081 0
3,019,900
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : DESEMBER 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 KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK POT.JKM
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % HUTANG/LAIN-2 TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % BULOG NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8 % SEWA.RUMAH NO. REKENING
NPWP JUML.KOTOR POT.TAPERUM POTONGAN TPP
POT.JKK JUMLAH BERSIH
14 SITI MAHMUDAH K -0 3,665,900 0 0 154,036 0 26,394 14 .............
0 0 185,000 0 8,798 154,036
0 0 72,420 26,394 0
13-04-1973 38,509 0
1 3,665,900 0 0 61
197304131994022001 293,272 0
( PNS-3B ) MKG:20 4,112,609 0 521,009
67.601.770.0-513.000 8,798 0
3,591,600
15 TEGUH SANTOSO ,A.Mk K -1 3,106,900 0 0 152,275 0 22,370 15 .............
2 310,690 0 0 7,457 152,275
124,276 265,000 289,680 22,370 0
05-11-1975 38,069 0
4 3,541,866 0 0 72
197511052005011010 283,349 0
( PNS-3A ) MKG:12 4,278,720 0 503,520
77.600.958.1-513.000 7,457 0
3,775,200
16 NURUL HUDA FITRI A ,A.Md K -0 2,920,100 0 0 127,404 0 21,025 16 .............
0 0 0 0 7,008 127,404
0 265,000 72,420 21,025 0
27-08-1979 31,851 0
1 2,920,100 0 0 39
197908272010012014 233,608 0
( PNS-3A ) MKG: 8 3,412,996 0 420,896
34.545.883.0-513.000 7,008 0
2,992,100
17 SITI SOROFATUN ,A.Md K -0 2,830,900 0 0 123,836 0 20,382 17 .............
0 0 0 0 6,794 123,836
0 265,000 72,420 20,382 0
19-10-1980 30,959 0
1 2,830,900 0 0 11
198010192011012003 226,472 0
( PNS-3A ) MKG: 6 3,319,343 0 408,443
77.600.916.9-513.000 6,794 0
2,910,900
18 RUMIYATI ,A.Md.Keb K -0 3,517,200 0 0 150,288 0 25,324 18 .............
0 0 0 0 8,441 150,288
0 240,000 72,420 25,324 0
24-03-1974 37,572 0
1 3,517,200 0 0 28
197403242007012013 281,376 0
( PNS-3A ) MKG:21 4,013,701 0 503,001
68.493.997.8-513.000 8,441 0
3,510,700
19 DWI SULISTYANINGSIH ,A.Md.Keb TK-0 3,305,700 0 0 141,828 0 23,801 19 .............
0 0 0 0 7,934 141,828
0 240,000 72,420 23,801 0
10-03-1971 35,457 0
1 3,305,700 0 0 93
197103102002122001 264,456 0
( PNS-3A ) MKG:16 3,791,776 0 473,476
77.600.959.9-513.000 7,934 0
3,318,300
20 ANY SETIAWATI ,A.Md.Keb K -1 3,305,700 0 0 155,051 0 23,801 20 .............
0 330,570 0 0 7,934 155,051
0 240,000 144,840 23,801 0
14-07-1976 38,763 0
2 3,636,270 0 0 55
197607142008012006 290,902 0
( PNS-3A ) MKG:16 4,207,951 0 516,451
69.321.047.8-513.000 7,934 0
3,691,500
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : DESEMBER 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 KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK POT.JKM
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % HUTANG/LAIN-2 TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % BULOG NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8 % SEWA.RUMAH NO. REKENING
NPWP JUML.KOTOR POT.TAPERUM POTONGAN TPP
POT.JKK JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : III 68,659,500 1,030,000 0 3,212,405 319,600 494,347
PEG: 19 3,696,020 185,000 0 164,782 3,212,405 0
IST: 10 JIWA= 45 1,164,604 5,575,000 3,258,900 494,347 803,102 0
ANK: 16 73,520,124 0 319,600 1,188 5,881,610 0
87,761,346 0 10,875,846
164,782 76,885,500
21 RUSMINAH ,A.Md.Keb K -0 3,374,400 0 0 144,576 0 24,296 21 .............
0 0 0 0 8,099 144,576
0 240,000 72,420 24,296 0
09-01-1974 36,144 0
1 3,374,400 0 0 76
197401092007012009 269,952 0
( PNS-2D ) MKG:25 3,863,867 0 483,067
78.225.653.1-513.000 8,099 0
3,380,800
22 SALIS NAWALIN NAJAH ,AMG K -0 2,801,500 0 0 121,660 0 20,171 22 .............
0 0 0 0 6,724 121,660
0 240,000 72,420 20,171 0
12-02-1979 30,415 0
1 2,801,500 0 0 15
197902122010012012 224,120 0
( PNS-2D ) MKG:13 3,262,490 0 403,090
34.545.910.1-513.000 6,724 0
2,859,400
23 SRI WIDAYATI K -1 3,237,500 0 0 154,640 0 23,310 23 .............
1 323,750 0 0 7,770 154,640
64,750 240,000 217,260 23,310 0
28-12-1973 38,660 0
3 3,626,000 0 0 80
197312282006042010 290,080 0
( PNS-2C ) MKG:25 4,269,060 0 514,460
69.321.036.1-513.000 7,770 0
3,754,600
24 DWIANI RAHMAWATI ,A.Md.Keb K -0 2,687,800 0 0 117,112 0 19,352 24 .............
0 0 0 0 6,451 117,112
0 240,000 72,420 19,352 0
18-11-1986 29,278 0
1 2,687,800 0 0 82
198611182017042007 215,024 0
( PNS-2C ) MKG:13 3,143,217 0 387,217
69.341.781.8-513.999 6,451 0
2,756,000
25 RISKA DWI ARYANI ,A.Md.Keb K -1 2,605,800 0 0 128,424 0 18,762 25 .............
2 260,580 0 0 6,254 128,424
104,232 240,000 289,680 18,762 0
09-04-1986 32,106 0
4 2,970,612 0 0 63
198604092017042004 237,649 0
( PNS-2C ) MKG:11 3,653,795 0 423,195
45.402.219.5-513.000 6,254 0
3,230,600
26 TRI RETNOWATI ,A.Md.Keb K -0 2,772,500 0 0 118,100 0 19,962 26 .............
0 0 180,000 0 6,654 118,100
0 0 72,420 19,962 0
12-07-1984 29,525 0
1 2,772,500 0 0 5
198407122017042010 221,800 0
( PNS-2C ) MKG:15 3,169,641 0 396,041
69.321.040.3-513.000 6,654 0
2,773,600
 PEMERINTAH KABUPATEN KENDAL
DAFTAR PEMBAYARAN GAJI INDUK PNS/CPNS
[ PUSKESMAS KABUPATEN ] PUSKESMAS GEMUH 01
BULAN : DESEMBER 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 KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK POT.JKM
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % HUTANG/LAIN-2 TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % BULOG NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK PEMBULATAN POT IWP 8 % SEWA.RUMAH NO. REKENING
NPWP JUML.KOTOR POT.TAPERUM POTONGAN TPP
POT.JKK JUMLAH BERSIH
27 MUSTAFIROH ,A.Md.Keb K -0 2,772,500 0 0 118,100 0 19,962 27 .............
0 0 180,000 0 6,654 118,100
0 0 72,420 19,962 0
11-03-1985 29,525 0
1 2,772,500 0 0 5
198503112017042005 221,800 0
( PNS-2C ) MKG:15 3,169,641 0 396,041
69.321.039.5-513.000 6,654 0
2,773,600
28 SURYO BUDI ARFIANTO ,A.Md.Kep TK-0 2,301,800 0 0 99,272 0 16,573 28 .............
0 0 180,000 0 5,524 99,272
0 0 72,420 16,573 0
15-06-1989 24,818 0
1 2,301,800 0 0 42
198906152019031009 184,144 0
( PNS-2C ) MKG: 4 2,675,631 0 330,331
86.972.839.4-513.000 5,524 0
2,345,300
SUB TOTAL PERGOLONGAN : 22,553,800 0 0 1,001,884 0 162,388
PEG: 8 584,330 540,000 0 54,130 1,001,884 0
IST: 2 JIWA= 13 168,982 1,200,000 941,460 162,388 250,471 0
ANK: 3 23,307,112 0 0 368 1,864,569 0
27,207,342 0 3,333,442
54,130 23,873,900
TOTAL PER SATKER 95,237,700 1,030,000 0 4,445,802 319,600 685,711
PEG: 28 4,682,790 725,000 0 228,571 4,445,802 0
IST: 13 JIWA= 62 1,494,562 7,975,000 4,490,040 685,711 1,111,451 0
ANK: 21 101,415,052 0 319,600 8,113,204 0
1,563
121,316,339 0 14,904,339
228,571 106,412,000

KEPALA PUSKESMAS GEMUH 01 KENDAL,26 OKTOBER 2020

dr. ULIA HUDA

NIP 196709292009041001