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DAFTAR RAPEL KENAIKAN BERAS

BULAN : APRIL 2012 S/D NOPEMBER 2012

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH

1 Dr. Ahmad Alamsyah 306,000 15,000 291,000 1

2 dr. Quranayati 76,500 5,000 71,500 2


3 Azhar 306,000 15,000 291,000 3

4 Harmainar, SE 306,000 15,000 291,000 4


5 Yulidar 306,000 15,000 291,000 5

6 Ruaida 306,000 15,000 291,000 6


7 dr. Novitasari 76,500 5,000 71,500 7

8 Rafiah 306,000 15,000 291,000 8


9 Zaharni 306,000 15,000 291,000 9

10 dr. Dedi Fachrizal 153,000 15,000 138,000 10


11 Veronica Br Surbakti 76,500 5,000 71,500 11

12 Irmayana Hardi 229,500 15,000 214,500 12


13 Nurlita, AMK 153,000 15,000 138,000 13

14 Isriani 229,500 15,000 214,500 14


15 Nurul Asma 76,500 5,000 71,500 15

16 Husniati 306,000 15,000 291,000 16


17 M. Dahlan, SE 306,000 15,000 291,000 17

18 Dr.Rina 76,500 5,000 71,500 18


19 Dr.Falila Meutiya 153,000 15,000 138,000 19

20 drg. Nurul Hikmah Rangkuti 229,500 15,000 214,500 20


21 Zulfikar, AMK 229,500 15,000 214,500 21

22 Nilawati 306,000 15,000 291,000 22

23 Nurdila Damayanti, A.M.Kep 306,000 15,000 291,000 23

24 Munidar, AMK 153,000 15,000 138,000 24

25 Laila Gusti, AMF 306,000 15,000 291,000 25

26 Nurhafifah 306,000 15,000 291,000 26

27 Tizahara 306,000 15,000 291,000 27

28 Wardiah 229,500 15,000 214,500 28

29 Adies Rillova, SE 76,500 5,000 71,500 29

30 Wardah,S.Kep. 76,500 5,000 71,500 30

31 Marlina,S.Kep 306,000 15,000 291,000 31

32 Desi Meiliani,S.Spi 229,500 15,000 214,500 32

33 Fitria Handayani,SKM 76,500 5,000 71,500 33

34 Syarifah Rahmiati 306,000 15,000 291,000 34

35 Rafiah, AMK 306,000 15,000 291,000 35


36 Evita, AMK 306,000 15,000 291,000 36

37 Nurlaili, AMK 76,500 5,000 71,500 37

38 Muliana, AMK 306,000 15,000 291,000 38

39 Dewi Sartika, AMK 306,000 15,000 291,000 39

40 Juli Astuti, AMK 229,500 15,000 214,500 40

41 Fitriyani, AM.Keb 153,000 15,000 138,000 41

42 Tisara, AMK 76,500 5,000 71,500 42

43 Nuraini 306,000 15,000 291,000 43

44 Hawani 306,000 15,000 291,000 44

45 Nurendawati 229,500 15,000 214,500 45

46 Nasriah, AMAK 76,500 5,000 71,500 46

47 Asliyah, AMK 229,500 15,000 214,500 47

48 Eka Marlinsyah 229,500 15,000 214,500 48

49 Derlina Kharisma, Amg 229,500 15,000 214,500 49

50 Pocut Keumala Fauma, Amf 76,500 5,000 71,500 50

51 Agussalim 306,000 15,000 291,000 51

52 Risnawati 76,500 5,000 71,500 52

53 Mildawati 306,000 15,000 291,000 53

54 Nurfianda, A.Md. Kep 76,500 5,000 71,500 54

55 Faisal Suhada, AMR 76,500 5,000 71,500 55

56 Fitriana 306,000 15,000 291,000 56

57 Muhibbuddin 306,000 15,000 291,000 57

58 Mulya Nanda,AMF 76,500 5,000 71,500 58

59 Sri Irmayani, Am, TE 76,500 5,000 71,500 59

60 M.Ardi Hartanto,A.Md.OT 153,000 15,000 138,000 60

61 Zakiah, Am. Kg 229,500 15,000 214,500 61

62 Pamor Adi Prasetyo,A.Md.OP 76,500 5,000 71,500 62

63 Rosmawar,A.Md.Kep 306,000 15,000 291,000 63

64 Ermawati,A.Md.AK 229,500 15,000 214,500 64

65 Afdhaliah,AMF 306,000 15,000 291,000 65

66 Mulyana,A.Md.PIK 306,000 15,000 291,000 66

67 Eva Devi 153,000 15,000 138,000 67

68 Mistora 306,000 15,000 291,000 68

69 Ernawati 76,500 5,000 71,500 69

70 Hasniati 306,000 15,000 291,000 70

71 Marziah 306,000 15,000 291,000 71

72 Nurhayati 306,000 15,000 291,000 72

73 Moehammad Daniel 306,000 15,000 291,000 73

74 Helwani 306,000 15,000 291,000 74

75 Radiah 306,000 15,000 291,000 75

76 Tasnim 229,500 15,000 214,500 76

77 M.Yusuf Murhaban 153,000 15,000 138,000 77


78 Zakaria 76,500 5,000 71,500 78

79 Jumiah 306,000 15,000 291,000 79

80 Abdul Manan 306,000 15,000 291,000 80

Total 17,595,000 1,000,000 16,595,000

136,266,500
TOTAL CEK
137,176,000
mansur \ 114,178,371
(17,595,000) 51,787,987
1,292,000 (28,790,358)
1 452,000
330,000
=

#VALUE!
-

23,731,840 -

-
-

30,600

62,000 -

-
209,500

159,661,400
3,127,200
162,788,600

48,610,229
64,974,700

97,813,900

34,397,728
DAFTAR GAJI GOL IV, III, II dan I
BULAN : AGUSTUS 2012

POTONG POTONG DAFTAR


NO NAMA JUMLAH GAJI MESJID Pot. Insentif Koperasi Qurban
BPD BRI GAJI

1 Dr. Ahmad Alamsyah Dirertur RSRM 4,468,100 2,687,473 10,000 2,000 5,000
19660830 200112 1 002 Pembina (IV/a)

2 Azhar 19621127 Kasie Keperawatan 3,894,000 - 2,000 5,000


198803 1 003 Penata Tk. I (III/d)

3 dr. Quranayati 19681115 Kasie Pelayanan 3,101,700 10,000 2,000 5,000


200012 2 002 Penata Tk. I (III/d)

4 Harmainar, SE 19660802 Kasubbag. Tata Usaha 3,856,800 1,552,547 10,000 2,000 5,000
198603 2 001 Penata (III/c)

5 Yulidar 19721231 199403 2 Kasie Penunjang Medik 3,473,900 2,312,500 641,700 10,000 2,000 5,000
012 Penata (III/c)

6 Ruaida 19690929 199203 Penata Tk. I (III/d) 3,675,500 10,000 2,000 5,000
2 002

7 dr. Novitasari 19741115 Penata Tk. I (III/d) 3,099,700 10,000 2,000 100,000
200504 2 002

8 Rafiah 19720124 199303 2 Penata Tk. I (III/d) 3,675,500 10,000 2,000


001

9 Zaharni 19720130 199401 Penata (III/c) 3,473,900 10,000 2,000


2 001

10 dr. Dedi Fachrizal Penata (III/c) 3,147,400 10,000 2,000 67,000


19781201 200904 1 001

11 Veronica Br Surbakti Penata (III/c) 2,455,500 10,000 2,000


19800221 200904 2 003

12 Irmayana Hardi 19810418 Penata (III/c) 2,892,400 10,000 2,000


200604 2 007

13 Nurlita, AMK 19780929 Penata Muda Tk. I 2,806,900 1,741,822 10,000 2,000
200312 2 004 (III/b)

14 Isriani, AMK 19720313 Penata Muda Tk. I 2,838,700 1,708,929 10,000 2,000 200,000
200312 2 004 (III/b)

15 Nurul Asma 19631015 Penata Muda Tk. I 2,835,600 1,662,500 10,000 2,000 5,000
198603 2 003 (III/b)

16 Husniati 19620802 199302 Penata Muda Tk. I 3,207,100 2,032,065 10,000 2,000 5,000
2 001 (III/b)

17 M. Dahlan, SE 19740420 Penata Muda Tk. I 2,825,000 1,487,725 10,000 2,000


200504 1 001 (III/b)

18 Dr.Rina 19810929 201003 Penata Muda Tk. I 2,371,200 10,000 2,000


2 001 (III/b)

19 Dr.Falila Meutiya 19810708 Penata Muda Tk. I 2,629,600 1,583,475 10,000 2,000
201003 2 001 (III/b)

20 drg. Nurul Hikmah Penata Muda Tk. I 2,141,800 10,000 2,000


Rangkuti19831122 201103 (III/b)
2 001

21 Zulfikar, AMK 19760606 Penata Muda Tk. I 2,735,100 2,137,691 10,000 2,000 5,000
200504 1 001 (III/b)

22 Nurdila Damayanti, A.M.Kep Penata Muda (III/a) 2,775,200 1,300,000 10,000 2,000
19820525 200504 2 001

23 Nilawati 19711127 200003 Bendahara Penerimaan 2,807,300 2,375,212 10,000 2,000 5,000 100,000
2 005 Penata Muda (III/a)

24 Munidar, AMK 19750515 Penata Muda (III/a) 2,543,400 10,000 2,000 5,000
200604 2 003
25 Laila Gusti, AMF 19801004 Penata Muda (III/a) 2,715,200 10,000 2,000 22,000
200604 2 006

26 Nurhafifah 390 014 612 Penata Muda (III/a) 2,796,300 1,329,166 10,000 2,000

27 Tizahara 19790410 199906 Penata Muda (III/a) 2,660,200 1,079,302 10,000 2,000 5,000 100,000
2 001

28 Wardiah 19800520 199905 Penata Muda (III/a) 2,561,800 1,310,416 10,000 2,000
2 002

29 Adies Rillova, SE 19840424 Penata Muda (III/a) 2,207,300 10,000 2,000


200604 0 007

30 Wardah,S.Kep. 19840715 Penata Muda (III/a) 2,265,200 10,000 2,000


201003 2 002

31 Marlina,S.Kep 19810901 Penata Muda (III/a) 2,612,800 1,008,364 10,000 2,000


201003 2 003

32 Desi Meiliani,S.Spi Penata Muda (III/a) 2,019,500 850,055 10,000 2,000


19820507 201103 2 001

33 Fitria Handayani,SKM Penata Muda (III/a) 1,723,200 966,695 10,000 2,000


19830818 201103 2 001

34 Nurendawati 19781028 Pengatur Tk. I (III/d) 2,497,200 10,000 2,000


200312 2 002

35 Rafiah, AMK 19800107 Pengatur Tk. I (III/d) 2,690,400 1,575,000 10,000 2,000 5,000
200701 2 001

36 Evita, AMK 19790303 Pengatur Tk. I (III/d) 2,626,100 1,526,441 10,000 2,000 160,000
200801 2 003

37 Nurlaili, AMK 19790507 Pengatur Tk. I (III/d) 2,240,800 770,834 10,000 2,000 5,000
200801 2 001

38 Nasriah, AMAK 19760701 Pengatur Tk. I (III/d) 2,184,400 1,400,000 10,000 2,000 5,000
200701 2 002

39 Muliana, AMK 19790909 Pengatur Tk. I (III/d) 2,563,600 1,541,666 10,000 2,000 100,000
200801 2 003

40 Syarifah Rahmiati Pengatur Tk. I (III/d) 2,563,600 10,000 2,000 16,000


19780917 200312 2 006

41 Dewi Sartika, AMK Pengatur Tk. I (III/d) 2,563,600 1,062,452 10,000 2,000
19791231 200801 2 009

42 Juli Astuti, AMK 19810714 Pengatur Tk. I (III/d) 2,467,900 1,650,000 10,000 2,000 5,000
200801 2 001

43 Fitriyani, AM.Keb 19811210 Pengatur Tk. I (III/d) 2,432,400 1,250,000 10,000 2,000
200801 2 003

44 Tisara, AMK 19820212 Pengatur Tk. I (III/d) 2,129,600 750,000 10,000 2,000
200801 2 003

45 Abdul Manan 19670209 Pengatur Tk. I (III/d) 2,982,100 1,541,860 10,000 2,000 22,000
199803 1 002

46 Nuraini 19700106 199403 2 Pengatur Tk. I (III/d) 2,835,200 2,137,691 10,000 2,000 5,000
003

47 Asliyah, AMK 19840525 Pengatur Tk. I (III/d) 2,408,200 700,071 10,000 2,000
200904 2 009

48 Eka Marlinsyah 10870615 Pengatur Tk. I (III/d) 2,408,200 1,074,989 10,000 2,000 16,000
200904 2 006

49 Derlina Kharisma, Amg Pengatur Tk. I (III/d) 2,408,200 1,650,000 10,000 2,000 16,000
19871211 200904 2 003

50 Pocut Keumala Fauma, Amf Pengatur Tk. I (III/d) 2,076,300 1,008,333 10,000 2,000 22,000
19880407 200904 2 002

51 Agussalim 19740828 Pengatur Tk. I (III/d) 2,630,400 1,979,344 10,000 2,000 5,000 100,000
199911 1 007
52 Risnawati 19800812 Pengatur (III/c) 2,161,800 10,000 2,000
200801 2 001

53 Mildawati 19790921 200801 Pengatur (III/c) 2,663,800 1,495,604 10,000 2,000 16,000
2 003

54 Nurfianda, A.Md. Kep Pengatur (III/c) 2,004,000 10,000 2,000


19801102 201003 2 001

55 Faisal Suhada, AMR Pengatur (III/c) 2,004,000 1,583,475 10,000 2,000 16,000
19751115 200904 1 001

56 Fitriana 19811210 200801 2 Pengatur (III/c) 2,420,400 10,000 2,000 5,000


003

57 Hawani 390 014 611 Pengatur (III/c) 2,540,300 1,979,344 10,000 2,000 5,000

58 Muhibbuddin 19711209 Pengatur (III/c) 2,478,500 1,312,500 10,000 2,000 22,000 5,000
199905 1 002

59 Mulya Nanda,AMF Pengatur (III/c) 2,004,000 650,000 10,000 2,000


19871210 201003 2 001

60 Sri Irmayani, Am, TE Pengatur (III/c) 1,562,400 10,000 2,000


19880611 201103 2 001

61 M.Ardi Hartanto,A.Md.OT Pengatur (III/c) 2,174,000 475,042 10,000 2,000


19850818 201003 1 003

62 Zakiah, Am. Kg 19860524 Pengatur (III/c) 1,754,200 10,000 2,000


201103 2 002

63 Pamor Adi Pengatur (III/c) 2,004,000 850,055 10,000 2,000


Prasetyo,A.Md.OP
19860603 201003 1 002

64 Rosmawar,A.Md.Kep Pengatur (III/c) 2,420,400 10,000 2,000


19761230 201003 2 001

65 Ermawati,A.Md.AK Pengatur (III/c) 2,327,200 1,791,648 10,000 2,000


19800716 201003 2 002

66 Afdhaliah,AMF 19800505 Pengatur (III/c) 2,420,400 1,358,246 10,000 2,000


201003 2 001

67 Mulyana,A.Md.PIK Pengatur (III/c) 2,420,400 1,791,648 10,000 2,000


19791010 201003 2 001

68 Eva Devi 19770107 200701 Pengatur Muda Tk.I 2,291,600 344,454 10,000 2,000 5,000
2 001 (III/b)

69 Mistora 19780314 200801 2 Pengatur Muda Tk.I 2,574,900 10,000 2,000


002 (III/b)

70 Ernawati 19780515 200801 Pengatur Muda Tk.I 2,194,600 10,000 2,000


2 003 (III/b)

71 Hasniati 19740225 200801 Pengatur Muda Tk.I 2,574,900 10,000 2,000


2 001 (III/b)

72 Marziah 19621007 200111 Pengatur Muda Tk.I 2,453,900 1,784,881 1,095,400 10,000 2,000
2 002 (III/b)

73 Nurhayati 19700705 Pengatur Muda Tk.I 2,394,600 1,541,860 10,000 2,000 16,000 5,000
199906 2 001 (III/b)

74 Moehammad Daniel Pengatur Muda Tk.I 2,453,900 1,048,334 10,000 2,000 5,000
19751203 200701 1 002 (III/b)

75 Helwani 19650405 200701 Pengatur Muda Tk.I 2,337,200 10,000 2,000 5,000
2 003 (III/b)

76 Radiah 19710727 200009 2 Pengatur Muda (III/a) 2,205,400 - 10,000 2,000 5,500
001

77 Tasnim 19741024 200504 1 Pengatur Muda (III/a) 1,989,700 1,050,000 10,000 2,000 22,000
002

78 M.Yusuf Murhaban Juru (I/c) 1,883,500 925,000 10,000 2,000 22,000 5,000
19721018 199911 1 001
79 Zakaria 19800423 199905 1 Juru Muda Tk. I (I/b) 1,503,400 1,187,606 10,000 2,000 22,000
001

80 Jumiah 390 015 512 Juru Muda Tk. I (I/b) 1,816,400 1,425,127 10,000 2,000

Total 204,034,800 69,980,513 5,096,029 790,000 160,000 322,500 130,000 860,000

590,000

#VALUE! 4,738,898

(966,694)

23,696,682

14,068,259
lk 118,000
pr 158,000

JUMLAH
ZAKAT
BERSIH

111,703 1,651,925 Bank 2,018,500 (366,576) 111,703

97,350 3,789,650 Bank

77,543 3,007,158 Bank CS 4,718,600 4,718,600

96,420 2,190,833

86,848 415,853 Bank 895,834

91,888 3,566,613 1,565,000 625,833 2,000 2,000

77,493 2,910,208 Bank 2,553,500 453,658 3,820,766 4,716,600

91,888 3,571,613

86,848 3,375,053 Bank 3,168,500 621,150

78,685 2,989,715 Bank 2,540,000 835,053

24,555 2,418,945 Bank #VALUE!

28,924 2,851,476 Bank

28,069 1,025,009 Bank

28,387 889,384 Bank

28,356 1,127,744 #VALUE!

80,178 1,077,858 Bank

28,250 1,297,025 Bank 15,939,516

23,712 2,335,488 #VALUE!

26,296 1,007,829 Bank

21,418 2,108,382 Bank

27,351 553,058

27,752 1,435,448 Bank

28,073 287,015 Bank 212,000 75,015 -

25,434 2,500,966 Bank


27,152 2,654,048 Bank 2,159,000 495,048 -

27,963 1,427,171 Bank

26,602 1,437,296 Bank

25,618 1,213,766 Bank

22,073 2,173,227 Bank

22,652 2,230,548 Bank

26,128 1,566,308 Bank

20,195 1,137,250 Bank

17,232 727,273

24,972 2,460,228 Bank

26,904 1,071,496 Bank 622,000 449,496 -

26,261 901,398 Bank Bln -


agustus
pot.
22,408 1,430,558 Bank
80.000

21,844 745,556 Bank

25,636 884,298 Bank

25,636 2,509,964 2,059,000 450,964 -

25,636 1,463,512 Bank 366,500 379,056 -

24,679 776,221 Bank 1,926,500 #VALUE! -

24,324 1,146,076 Bank

21,296 1,346,304 Bank

29,821 1,376,419 Bank

28,352 652,157 Bank

24,082 1,672,047

24,082 1,281,129

24,082 706,118

20,763 1,013,204

26,304 507,752
21,618 2,128,182 Bank

26,638 1,113,558 Bank

20,040 1,971,960

20,040 372,485

24,204 2,379,196 Bank 939,500 1,439,696 -

25,403 518,553 Bank 783,500 294,358 -

24,785 1,102,215 631,500 665,525 -

20,040 1,321,960 Bank 751,500 350,715 -

15,624 1,534,776 Bank 676,000 225,398 -

21,740 1,665,218 Bank 1,328,000 344,047 -

17,542 1,724,658 Bank 1,858,000 (576,871) -

20,040 1,121,905 Bank 19,000 687,118 -

24,204 2,384,196 Bank 660,500 352,704 -

23,272 500,280 Bank

24,204 1,025,950 Bank

24,204 592,548 Bank

22,916 1,907,230 Bank

25,749 2,537,151 Bank

21,946 2,160,654 Bank

25,749 2,537,151 Bank

24,539 (462,920) (184,000) (278,920) -

23,946 795,794 Bank 413,500 382,294 -

24,539 1,364,027 880,000 484,027 -

23,372 2,296,828 Bank 1,854,500 442,328 -

22,054 2,165,846

19,897 885,803 646,500 239,303 -

18,835 900,665 660,000 240,665 -


15,034 266,760 239,000 27,760 -

18,164 361,109 Bank 682,500 (321,391) -

2,626,452 124,069,306 1,508,500 826,988 -

1,508,500 (500,671) 18

1,456,000 774,548 -

694,900 871,408 126,787,653

822,000 299,905 -

114,178,371 676,500 645,460 -

- #VALUE! 654,000 1,011,218 -

#VALUE! 789,500 (196,952) -

#VALUE! 809,000 216,950 -

1,487,500 (987,220) -

1,630,000 754,196 -

2,869,200 #VALUE! (9,069,704)

2,705,800 #VALUE! #VALUE!

49,641,400

1,611,500

2,357,000
(28,401,200)

918,000

138,000 918,000
50,000 #VALUE!
80,000 #VALUE!
250,000 114,178,371
400,000 #VALUE!

159,661,400
3,127,200
162,788,600

48,610,229
64,974,700

97,813,900

34,397,728
DAFTAR : NAMA-NAMA PEGAWAI RUMAH SAKIT REHABILITASI MEDIK PEUREULAK
YANG MEMBAYAR ZIS ( ZAKAT INFAQ DAN SHADAQAH ) UNTUK BULAN : JULI 2012

JLH / ORG JLH / ORG


JUMLAH
NO NAMA NIP GOLONGAN PENYETOR PENYETOR ZAKAT SEDEKAH
ZAKAT SEDEKAH SETORAN

1 Dr. Ahmad Alamsyah 19660830 200112 1 002 IV/a 1 90,000 90,000

2 dr. Novitasari 19741115 200504 2 002 III/c 1 22,500 22,500

3 Harmainar, SE 19660802 198603 2 001 III/c 1 72,500 72,500

4 dr. Quranayati 19681115 200012 2 002 III/d 1 67,000 67,000

5 Azhar 19621127 198803 1 003 III/d 1 75,000 75,000

6 Ruaida 19690929 199203 2 002 III/c 1 70,000 70,000

7 Yulidar 19721231 199403 2 012 III/c 1 60,500 60,500

8 Rafiah 19720124 199303 2 001 III/d

9 Zaharni 19720130 199401 2 001 III/b 1 60,500 60,500

10 Nilawati 19711127 200003 2 005 III/a 1 21,000 21,000

11 Laila Gusti, AMF 19801004 200604 2 006 II/d 1 20,000 20,000

12 Rafiah, AMK 19800107 200701 2 001 II/d 1 20,500 20,500

13 Nurendawati 19781028 200312 2 002 II/c 1 20,500 20,500

14 Syarifah Rahmiati 19780917 200312 2 006 II/c 1 20,000 20,000

15 Nasriah, AMAK 19760701 200701 2 002 II/c 1 17,000 17,000

16 Munidar, AMK 19750515 200604 2 003 II/d 1 18,000 18,000

17 Fitriana 19811210 200801 2 003 II/c 1 18,000 18,000

18 Zulfikar, AMK 19760606 200504 1 001 III/a 1 20,000 20,000

19 Nurul Asma 19631015 198603 2 003 III/b 1 21,500 21,500

20 Husniati 19620802 199302 2 001 III/b 1 61,000 61,000

21 M. Dahlan, SE 19740420 200504 1 001 III/b 1 22,000 22,000

22 dr. Dedi Fachrizal 19781201 200904 1 001 III/b 1 14,500 14,500

23 Veronica Br Surbakti 19800221 200904 2 003 III/b 1 14,500 14,500

24 Adies Rillova, SE 19840424 200604 0 007 III/a 1 18,000 18,000

25 Tizahara 19790410 199906 2 001 III/a 1 21,000 21,000

26 Nurlita, AMK 19780929 200312 2 004 III/a 1 19,500 19,500

27 Irmayana Hardi 19810418 200604 2 007 III/b 1 19,000 19,000

28 Isriani,AMK 19720313 200312 2 004 III/6 1 20,000 20,000

29 Nuraini 19700106 199403 2 003 II/d 1 22,000 22,000

30 Nurdila Damayanti, A.M.Kep 19820525 200504 2 001 II/d 1 19,500 19,500

31 Abdul Manan 19670209 199803 1 002 II/d 1 23,000 23,000

32 Hawani 390 014 611 II/c 1 20,000 20,000

33 Nurhafifah 390 014 612 III/a 1 21,000 21,000

34 Agussalim 19740828 199911 1 007 II/c 1 20,000 20,000

35 Muhibbuddin 19711209 199905 1 002 II/c 1 20,000 20,000

36 Evita, AMK 19790303 200801 2 003 II/d 1 20,000 20,000

37 Asliyah, AMK 19840525 200904 2 009 II/c 1 14,500 14,500

38 Eka Marlinsyah 10870615 200904 2 006 II/c 1 14,500 14,500

39 Derlina Kharisma, AMG 19871211 200904 2 003 II/c 1 13,000 13,000

40 Pocut Keumala Fauma, AMF 19880407 200904 2 002 II/c 1 13,000 13,000

41 Faisal Suhada, AMTRR 19751115 200904 1 001 II/c 1 13,000 13,000


JLH / ORG JLH / ORG
JUMLAH
NO NAMA NIP GOLONGAN PENYETOR PENYETOR ZAKAT SEDEKAH
ZAKAT SEDEKAH SETORAN

42 Marziah 19621007 200111 2 002 II/b 1 19,500 19,500

43 Wardiah 19800520 199905 2 002 II/b 1 18,000 18,000

44 Juli Astuti, AMK 19810714 200801 2 001 II/d 1 18,000 18,000

45 Fitriyani, AM.Keb 19811210 200801 2 003 II/c 1 17,000 17,000

46 Tisara, AMK 19820212 200801 2 003 II/d 1 17,000 17,000

47 Nurlaili, AMK 19790507 200801 2 001 II/d 1 17,000 17,000

48 Muliana, AMK 19790909 200801 2 003 II/d 1 19,500 19,500

49 Dewi Sartika, AMK 19791231 200801 2 009 II/d 1 19,500 19,500

50 Nurfianda, A.Md. Kep 19801102 201003 2 001 II/c 1 13,000 13,000

51 Nurhayati 19700705 199906 2 001 II/b 1 19,000 19,000

52 Ernawati 19780515 200801 2 003 II/a 1 16,000 16,000

53 Eva Devi 19770107 200701 2 001 II/a 1 18,500 18,500

54 Mildawati 19790921 200801 2 003 II/a 1 19,000 19,000

55 Mistora 19780314 200801 2 002 II/a 1 19,000 19,000

56 Hasniati 19740225 200801 2 001 II/a 1 19,000 19,000

57 Moehammad Daniel 19751203 200701 1 002 II/a 1 18,500 18,500

58 Helwani 19650405 200701 2 003 II/a 1 17,000 17,000

59 Tasnim 19741024 200504 1 002 II/a 1 16,000 16,000

60 Risnawati 19800812 200801 2 001 II/a 1 15,000 15,000

61 Radiah 19710727 200009 2 001 I/c 1 16,500 16,500

62 M.Yusuf Murhaban 19721018 199911 1 001 I/c 1 15,000 15,000

63 Zakaria 19800423 199905 1 001 I/b 1 12,000 12,000

64 Jumiah 390 015 512 I/b 1 15,000 15,000

65 Dr.Rina 19810929 201003 2 001 III/b 1 15,000 15,000

66 Dr.Falila Meutiya 19810708 201003 2 001 III/b 1 15,000 15,000

67 Wardah,S.Kep. 19840715 201003 2 002 III/a 1 14,500 14,500

68 Marlina,S.Kep 19810901 201003 2 003 III/a 1 17,000 17,000

69 Pamor Adi Prasetyo,A.Md.OP 19860603 201003 1 002 II/c 1 13,500 13,500

70 Mulya Nanda,AMF 19871210 201003 2 001 II/c 1 13,500 13,500

71 M.Ardi Hartanto,A.Md.OT 19850818 201003 1 003 II/c 1 13,500 13,500

72 Mulyana,A.Md.PIK 19791010 201003 2 001 II/c 1 16,500 16,500

73 Afdhaliah,AMF 19800505 201003 2 001 II/c 1 15,500 15,500

74 Ernawati,A.Md.Kep 19800716 201003 2 002 II/c 1 15,000 15,000

75 Rosmawar,A.Md.Kep 19761230 201003 2 001 II/c 1 16,500 16,500

76 drg. Nurul Hikmah Rangkuti 19831122 201103 2 001 III/b 1 28,246 28,246

77 Desi Meiliani, S. Psi 19820507 201103 2 001 III/a 1 25,844 25,844

78 Fitria Handayani, SKM 19830818 201103 2 001 III/a 1 23,902 23,902

79 Sri Irmayani, Am. TE 19880611 201103 2 001 II/c 1 23,624 23,624

80 Zakiah, Am. Kg 19860524 201103 2 002 II/c 1 24,661 24,661

Total 8 71 556,500 1,286,777 1,843,277

Mengetahui : Peureulak, 29 Juni 2012


Direktur Rumah Sakit Rehabilitasi Medik Bendahara Rumah Sakit Rehabilitasi Medik
Kabupaten Aceh Timur Kabupaten Aceh Timur

dr.Ahmad Alamsyah,S.Sp.RM NILAWATI


Pembina / NIP.19660830 200112 1 002 NIP.19701127 200003 2 005
lk 118,000
pr 158,000

19660830 200112 1 002

(3,623,628)

1,750,000

750,000

1,650,000

607,143

1,000,000

1,861,905

1,650,000

1,233,334

1,000,000

1,250,000

1,552,547

1,666,666
1,677,778

825,000

875,000 62500

1,662,500

1,575,000

1,291,666

1,784,881 138,000

1,616,666

1,048,334

925,000

1,312,500

1,541,666

650,000

1,400,000

2,004,166

1,695,834

1,329,166

1,583,334

770,834
1,662,500

1,008,333

1,575,000

722,223

1,925,000

1,050,000

750,000

1,166,666

1,310,416

2,312,500

1,050,000

1,526,250

57,599,808

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!
DAFTAR NAMA-NAMA PEMOTONGAN ZAKAT, INFAQ DAN SHADAQAH (ZIS)
PEGAWAI RUMAH SAKIT REHABILITASI MEDIK KABUPATEN ACEH TIMUR
BULAN JUNI TAHUN 2013

JUMLAH PEMOTONGAN
JABATAN
JUMLAH
NO NAMA / NIP PANGKAT / JUMLAH ZIS KET
PENGHASILAN
GOLONGAN
ZAKAT (2,5 %) INFAQ (1%) SEDEKAH

1 2 3 4 5 6 7 8 9

1 Dr. Ahmad Alamsyah Dirertur RSRM Rp 4,809,400 Rp 120,235 Rp 120,235


19660830 200112 1 002 Pembina (IV/a)

2 dr. Quranayati Kasie Pelayanan Rp 3,482,900 Rp 87,073 Rp 87,073


19681115 200012 2 002 Penata Tk. I (IV/a)

3 Azhar Kasie Keperawatan Rp 4,266,600 Rp 106,665 Rp 106,665


19621127 198803 1 Penata Tk. I (III/d)
003

4 Samsul Kasubbag. Tata Usaha Rp 3,799,500 Rp 94,988 Rp 94,988


19640412 199102 1 003
Penata
Muda Tk. I (III/b)
5 Harmainar, SE Penata (III/c) Rp 3,875,700 Rp 96,893 Rp 96,893
19660802 198603 2 001

6 Yulidar Kasie Penunjang Medik Rp 3,958,900 Rp 98,973 Rp 98,973


Penata Tk.I (III/d)
19721231 199403 2 012

7 Ruaida Penata Tk. I (III/d) Rp 4,018,300 Rp 100,458 Rp 100,458

19690929 199203 2 002

8 dr. Novitasari Penata Tk. I (III/d) Rp 3,333,000 Rp 83,325 Rp 83,325


19741115 200504 2 002

9 Sarianto Penata Tk. I (III/d) Rp 4,548,200 Rp 113,705 Rp 113,705


19630421 198403 1 002

10 Rafiah Penata Tk. I (III/d) Rp 3,918,900 Rp 97,973 Rp 97,973


19720124 199303 2
001

11 Zaharni Penata (III/c) Rp 3,790,900 Rp 94,773 Rp 94,773


19720130 199401 2
001

12 dr. Dedi Fachrizal Penata (III/c) Rp 3,380,000 Rp 84,500 Rp 84,500


19781201 200904 1 001

13 Veronica Br Surbakti Penata (III/c) Rp 3,380,000 Rp 84,500 Rp 84,500


19800221 200904 2 003

14 Irmayana Hardi Penata (III/c) Rp 3,493,000 Rp 87,325 Rp 87,325


19810418 200604 2 007

15 Nurlita, AMK Penata Muda Tk. I Rp 2,982,100 Rp 29,821 Rp 29,821


19780929 200312 2 004 (III/b)

16 Isriani, AMK Penata Muda Tk. I Rp 3,016,600 75,415 Rp 75,415


19720313 200312 2 004 (III/b)

17 Nurul Asma Penata Muda Tk. I Rp 2,939,000 Rp 29,390 Rp 29,390


19631015 198603 2 003 (III/b)

18 Husniati Penata Muda Tk. I Rp 3,538,900 Rp 88,473 Rp 88,473


19620802 199302 2 (III/b)
001

19 Dr.Rina Penata Muda Tk. I Rp 2,501,100 Rp 25,011 Rp 25,011


19810929 201003 2 001 (III/b)

20 Dr.Falila Meutiya Penata Muda Tk. I Rp 2,780,100 Rp 27,801 Rp 27,801


19810708 201003 2 001 (III/b)

21 drg. Nurul Hikmah Rangkuti Penata Muda Tk. I Rp 2,824,600 Rp 28,246 Rp 28,246
19831122 201103 2 001 (III/b)

22 Zulfikar, AMK Penata Muda Tk. I Rp 3,015,800 75,395 Rp 75,395


19760606 200504 1 001 (III/b)
23 Nilawati Penata Muda Tk. I (III/b) Rp 2,939,000 Rp 29,390 Rp 29,390
19711127 200003 2
005

24 Nurdila Damayanti, A.M.Kep Penata Muda (III/a) Rp 2,949,800 Rp 29,498 Rp 29,498


19820525
200504 2 001

25 Munidar, AMK Penata Muda (III/a) Rp 2,696,100 Rp 26,961 Rp 26,961


19750515 200604 2 003

26 Laila Gusti, AMF Penata Muda (III/a) Rp 2,889,800 Rp 28,898 Rp 28,898


19801004 200604 2 006

27 Nurhafifah Penata Muda (III/a) Rp 2,987,500 Rp 29,875 Rp 29,875


390 014 612

28 Tizahara Penata Muda (III/a) Rp 2,909,900 Rp 29,099 Rp 29,099


19790410 199906 2 001

29 Andriani, AMK Penata Muda (III/a) Rp 2,623,300 Rp 26,233 Rp 26,233


19770502 200604 2 015

30 Wardiah Penata Muda (III/a) Rp 2,799,200 Rp 27,992 Rp 27,992


19800520 199905 2
002

31 Adies Rillova, SE Penata Muda (III/a) Rp 2,339,200 Rp 23,392 Rp 23,392


19840424 200604 0 007

32 Wardah,S.Kep. Penata Muda (III/a) Rp 2,390,200 Rp 23,902 Rp 23,902


19840715 201003 2 002

33 Marlina,S.Kep Penata Muda (III/a) Rp 2,876,900 Rp 28,769 Rp 28,769


19810901 201003 2 003

34 Desi Meiliani,S.Spi Penata Muda (III/a) Rp 2,584,400 Rp 25,844 Rp 25,844


19820507 201103 2 001

35 Fitria Handayani,SKM Penata Muda (III/a) Rp 2,390,200 Rp 23,902 Rp 23,902


19830818 201103 2 001

36 Syarifah Rahmiati Penata Muda (III/a) Rp 2,914,800 Rp 29,148 Rp 29,148


19780917 200312 2 006

37 Rafiah, AMK Penata Muda (III/a) Rp 2,964,900 Rp 29,649 Rp 29,649


19800107 200701 2 001

38 Evita, AMK Penata Muda (III/a) Rp 2,964,900 Rp 29,649 Rp 29,649


19790303 200801 2 003

39 Nurlaili, AMK Penata Muda (III/a) Rp 2,460,100 Rp 24,601 Rp 24,601


19790507 200801 2 001

40 Muliana, AMK Penata Muda (III/a) Rp 2,964,900 Rp 29,649 Rp 29,649


19790909 200801 2 003

41 Dewi Sartika, AMK Penata Muda (III/a) Rp 2,964,900 Rp 29,649 Rp 29,649


19791231 200801 2 009

42 Juli Astuti, AMK Penata Muda (III/a) Rp 2,854,200 Rp 28,542 Rp 28,542


19810714 200801 2 001

43 Fitriyani, AM.Keb Penata Muda (III/a) Rp 2,780,500 Rp 27,805 Rp 27,805


19811210 200801 2 003

44 Tisara, AMK Penata Muda (III/a) Rp 2,460,100 Rp 24,601 Rp 24,601


19820212 200801 2 003

45 Nuraini Penata Muda (III/a) Rp 3,235,100 80,878 Rp 80,878


19700106 199403 2
003

46 Hawani Penata Muda (III/a) Rp 2,987,500 Rp 29,875 Rp 29,875


390 014 611

47 Nurendawati Pengatur Tk. I (II/d) Rp 2,752,200 Rp 27,522 Rp 27,522


19781028 200312 2 002

48 Nasriah, AMAK Pengatur Tk. I (II/d) Rp 2,374,500 Rp 23,745 Rp 23,745


19760701 200701 2 002
49 Asliyah, AMK Pengatur Tk. I (II/d) Rp 2,618,600 Rp 26,186 Rp 26,186
19840525 200904 2 009

50 Eka Marlinsyah Pengatur Tk. I (II/d) Rp 2,618,600 Rp 26,186 Rp 26,186


10870615 200904 2 006

51 Derlina Kharisma, Amg Pengatur Tk. I (II/d) Rp 2,618,600 Rp 26,186 Rp 26,186


19871211 200904 2 003

52 Pocut Keumala Fauma, Amf Pengatur Tk. I (II/d) Rp 2,249,900 Rp 22,499 Rp 22,499
19880407
200904 2 002

53 Agussalim Pengatur Tk. I (II/d) Rp 2,881,500 Rp 28,815 Rp 28,815


19740828 199911 1
007

54 Risnawati Pengatur (II/c) Rp 2,439,800 Rp 24,398 Rp 24,398


19800812 200801 2 001

55 Mildawati Pengatur (II/c) Rp 2,941,500 Rp 29,415 Rp 29,415


19790921 200801 2 003

56 Nurfianda, A.Md. Kep Pengatur (II/c) Rp 2,113,800 Rp 21,138 Rp 21,138


19801102 201003 2 001

57 Faisal Suhada, AMR Pengatur (II/c) Rp 2,113,800 Rp 21,138 Rp 21,138


19751115 200904 1 001

58 Fitriana Pengatur (II/c) Rp 2,569,900 Rp 25,699 Rp 25,699


19811210 200801
2 003

59 Muhibbuddin Pengatur (II/c) Rp 2,642,000 Rp 26,420 Rp 26,420


19711209 199905 1 002

60 Mulya Nanda,AMF Pengatur (II/c) Rp 2,113,800 Rp 21,138 Rp 21,138


19871210 201003 2 001

61 Sri Irmayani, Am, TE Pengatur (II/c) Rp 2,362,400 Rp 23,624 Rp 23,624


19880611 201103 2 001

62 M.Ardi Hartanto,A.Md.OT Pengatur (II/c) Rp 2,302,400 Rp 23,024 Rp 23,024


19850818 201003 1 003

63 Zakiah, Am. Kg Pengatur (II/c) Rp 2,466,100 Rp 24,661 Rp 24,661


19860524 201103 2 002

64 Pamor Adi Pengatur (II/c) Rp 2,113,800 Rp 21,138 Rp 21,138


Prasetyo,A.Md.OP
19860603 201003 1 002

65 Rosmawar,A.Md.Kep Pengatur (II/c) Rp 2,657,300 Rp 26,573 Rp 26,573


19761230 201003 2 001

66 Ermawati,A.Md.AK Pengatur (II/c) Rp 2,657,300 Rp 26,573 Rp 26,573


19800716 201003 2 002

67 Afdhaliah,AMF Pengatur (II/c) Rp 2,569,900 Rp 25,699 Rp 25,699


19800505 201003 2 001

68 Mulyana,A.Md.PIK Pengatur (II/c) Rp 2,657,300 Rp 26,573 Rp 26,573


19791010 201003 2 001

69 Eva Devi Pengatur (II/c) Rp 2,527,400 Rp 25,274 Rp 25,274


19770107 200701 2
001

70 Mistora Pengatur (II/c) Rp 2,842,600 Rp 28,426 Rp 28,426


19780314 200801
2 002

71 Ernawati Pengatur (II/c) Rp 2,417,600 Rp 24,176 Rp 24,176


19780515 200801 2
003

72 Hasniati Pengatur (II/c) Rp 2,842,600 Rp 28,426 Rp 28,426


19740225 200801
2 001

73 Marziah Pengatur Muda Tk.I Rp 2,711,200 Rp 27,112 Rp 27,112


19621007 200111 2 (II/b)
002

74 Nurhayati Pengatur Muda Tk.I Rp 2,619,200 Rp 26,192 Rp 26,192


19700705 199906 2 (II/b)
001
75 Moehammad Daniel Pengatur Muda Tk.I Rp 2,619,200 Rp 26,192 Rp 26,192
19751203 200701 1 002 (II/b)

76 Helwani Pengatur Muda Tk.I Rp 2,488,500 Rp 24,885 Rp 24,885


19650405 200701 2 (II/b)
003

77 Radiah Pengatur Muda (II/a) Rp 2,345,700 Rp 23,457 Rp 23,457


19710727 200009
2 001

78 Tasnim Pengatur Muda (II/a) Rp 2,105,400 Rp 21,054 Rp 21,054


19741024 200504 1
002

79 M.Yusuf Murhaban Juru (I/c) Rp 2,048,000 Rp 20,480 Rp 20,480


19721018 199911 1 001

80 Zakaria Juru Muda Tk. I (I/b) Rp 1,580,800 Rp 15,808 Rp 15,808


19800423 199905 1
001

81 Jumiah Juru Muda Tk. I (I/b) Rp 1,924,400 Rp 19,244 Rp 19,244


19730315
199911 2 001

Total Rp 230,488,500 Rp 1,671,543 Rp 1,636,268 Rp - Rp 3,307,811

Mengetahui : Peureulak, 03 Juni 2013


Direktur Rumah Sakit Rehabilitasi Medik Bendahara Rumah Sakit Rehabilitasi Medik
Kabupaten Aceh Timur Kabupaten Aceh Timur

dr.AHMAD ALAMSYAH,S.Sp.RM AGUSSALIM


Pembina / NIP.19660830 200112 1 002 NIP. 19740828 199911 1 007

Catatan:
1. Jumlah Penyetor Zakat : 18 Orang
2. Jumlah Penyetor Infaq : 63 Orang
3. Jumlah Penyetor Shadaqah : -

Jumlah Penyetor ZIS : 81 Orang


121,887

#VALUE!

14.432.766.5-102.000
3,307,811

79

Rp 3,307,811

79

138,000
50,000
80,000
250,000
400,000
DAFTAR GAJI GOL IV, III, II dan I
BULAN : JULI 2013

POTONG POTONG DAFTAR POTONG JUMLAH


NO NAMA JUMLAH GAJI MESJID Pot. Insentif Koperasi ZAKAT
BPD BRI GAJI MANDIRI BERSIH

1 Dr. Ahmad Alamsyah 4,809,400 10,000 2,000 5,000 3,466,667 120,235 1,205,498

2 dr. Quranayati 3,482,900 10,000 2,000 5,000 87,073 3,378,828

3 Azhar 4,266,600 - 2,000 5,000 106,665 4,152,935

4 Samsul 3,799,500 1,925,000 1,098,200 10,000 2,000 94,988 669,313

5 Harmainar, SE 3,875,700 1,592,002 10,000 2,000 5,000 96,893 2,169,806

6 Yulidar 3,958,900 3,325,297 10,000 2,000 5,000 98,973 517,631

7 Ruaida 4,018,300 10,000 2,000 5,000 100,458 3,900,843

8 dr. Novitasari 3,333,000 850,055 10,000 2,000 83,325 2,387,620

9 Sarianto 4,548,200 3,700,497 10,000 2,000 113,705 721,998

10 Rafiah 3,918,900 1,680,606 10,000 2,000 97,973 2,128,322

11 Zaharni 3,790,900 10,000 2,000 94,773 3,684,128

12 dr. Dedi Fachrizal 3,380,000 10,000 2,000 67,000 84,500 3,216,500

13 Veronica Br Surbakti 3,380,000 10,000 2,000 84,500 3,283,500

14 Irmayana Hardi 3,493,000 10,000 2,000 87,325 3,393,675

15 Nurlita, AMK 2,982,100 1,741,822 10,000 2,000 29,821 1,198,457

16 Isriani 3,016,600 1,708,929 10,000 2,000 75,415 1,220,256

17 Nurul Asma 3,130,200 1,662,500 10,000 2,000 29,390 1,426,310

18 Husniati 3,538,900 2,416,424 10,000 2,000 5,000 88,473 1,017,004

19 Dr.Rina 2,501,100 10,000 2,000 25,011 2,464,089

20 Dr.Falila Meutiya 2,780,100 1,583,475 10,000 2,000 27,801 1,156,824

21 drg. Nurul Hikmah Rangkuti 2,824,600 10,000 2,000 28,246 2,784,354

22 Zulfikar, AMK 3,015,800 2,137,691 10,000 2,000 5,000 75,395 785,714

23 Nilawati 3,174,900 3,166,950 10,000 2,000 5,000 29,390 (38,440)

24 Nurdila Damayanti, A.M.Ke 2,949,800 1,300,000 10,000 2,000 29,498 1,608,302

25 Munidar, AMK 2,696,100 10,000 2,000 5,000 26,961 2,652,139

26 Laila Gusti, AMF 2,889,800 10,000 2,000 22,000 28,898 2,826,902

27 Nurhafifah 2,987,500 1,329,166 10,000 2,000 29,875 1,616,459

28 Tizahara 2,909,900 2,375,212 10,000 2,000 5,000 29,099 488,589

29 Andriani, AMK 2,623,300 1,741,822 10,000 2,000 26,233 843,245

30 Wardiah 2,799,200 1,900,170 10,000 2,000 27,992 859,038

31 Adies Rillova, SE 2,339,200 10,000 2,000 23,392 2,303,808

32 Wardah,S.Kep. 2,390,200 10,000 2,000 23,902 2,354,298

33 Marlina,S.Kep 2,876,900 2,139,016 10,000 2,000 28,769 697,115

34 Desi Meiliani,S.Spi 2,584,400 850,055 10,000 2,000 25,844 1,696,501

35 Fitria Handayani,SKM 2,390,200 966,695 10,000 2,000 23,902 1,387,603

36 Syarifah Rahmiati 2,914,800 10,000 2,000 16,000 29,148 2,857,652

37 Rafiah, AMK 2,964,900 1,575,000 10,000 2,000 5,000 29,649 1,343,251

38 Evita, AMK 2,964,900 1,526,441 10,000 2,000 29,649 1,396,810

39 Nurlaili, AMK 2,460,100 1,741,822 10,000 2,000 5,000 24,601 676,677

40 Muliana, AMK 2,964,900 1,541,666 10,000 2,000 29,649 1,381,585

41 Dewi Sartika, AMK 2,964,900 1,062,452 10,000 2,000 29,649 1,860,799

42 Juli Astuti, AMK 2,854,200 1,650,000 10,000 2,000 5,000 28,542 1,158,658

43 Fitriyani, AM.Keb 2,780,500 1,250,000 10,000 2,000 27,805 1,490,695

44 Tisara, AMK 2,460,100 750,000 10,000 2,000 24,601 1,673,499

45 Nuraini 3,235,100 2,375,212 10,000 2,000 5,000 80,878 762,011

46 Hawani 2,987,500 2,375,212 10,000 2,000 5,000 29,875 565,413

47 Nurendawati 2,752,200 10,000 2,000 27,522 2,712,678

48 Nasriah, AMAK 2,374,500 1,400,000 10,000 2,000 5,000 23,745 933,755

49 Asliyah, AMK 2,618,600 700,071 10,000 2,000 26,186 1,880,343

50 Eka Marlinsyah 2,618,600 1,074,989 10,000 2,000 16,000 26,186 1,489,425

51 Derlina Kharisma, Amg 2,618,600 2,058,517 10,000 2,000 16,000 26,186 505,897

52 Pocut Keumala Fauma, Amf 2,249,900 1,008,333 10,000 2,000 22,000 22,499 1,185,068
53 Agussalim 2,881,500 1,979,344 10,000 2,000 5,000 28,815 856,341

54 Risnawati 2,439,800 10,000 2,000 24,398 2,403,402

55 Mildawati 2,941,500 1,495,604 10,000 2,000 16,000 29,415 1,388,481

56 Nurfianda, A.Md. Kep 2,113,800 10,000 2,000 21,138 2,080,662

57 Faisal Suhada, AMTRR 2,113,800 1,583,475 10,000 2,000 16,000 21,138 481,187

58 Fitriana 2,569,900 891,672 10,000 2,000 5,000 25,699 1,635,529

59 Muhibbuddin 2,642,000 1,312,500 10,000 2,000 22,000 26,420 1,269,080

60 Mulya Nanda,AMF 2,113,800 985,407 10,000 2,000 21,138 1,095,255

61 Sri Irmayani, Am, TE 2,362,400 10,000 2,000 23,624 2,326,776

62 M.Ardi Hartanto,A.Md.O 2,302,400 475,042 10,000 2,000 23,024 1,792,334

63 Zakiah, Am. Kg 2,466,100 10,000 2,000 24,661 2,429,439

64 Pamor Adi Prasetyo,A.Md.OP 2,113,800 850,055 10,000 2,000 21,138 1,230,607

65 Rosmawar,A.Md.Kep 2,657,300 10,000 2,000 26,573 2,618,727

66 Ermawati,A.Md.AK 2,657,300 1,791,648 10,000 2,000 26,573 827,079

67 Afdhaliah,AMF 2,569,900 1,583,475 10,000 2,000 25,699 948,726

68 Mulyana,A.Md.PIK 2,657,300 1,791,648 10,000 2,000 26,573 827,079

69 Eva Devi 2,527,400 724,927 10,000 2,000 5,000 25,274 1,760,199

70 Mistora 2,842,600 10,000 2,000 28,426 2,802,174

71 Ernawati 2,417,600 10,000 2,000 24,176 2,381,424

72 Hasniati 2,842,600 10,000 2,000 28,426 2,802,174

73 Marziah 2,711,200 1,354,300 10,000 2,000 5,000 2,524,167 27,112 (1,211,379)

74 Nurhayati 2,619,200 2,058,517 10,000 2,000 16,000 5,000 26,192 501,491

75 Moehammad Daniel 2,619,200 1,741,822 10,000 2,000 5,000 26,192 834,186

76 Helwani 2,488,500 10,000 2,000 5,000 24,885 2,446,615

77 Radiah 2,345,700 10,000 2,000 5,500 23,457 2,304,743

78 Tasnim 2,105,400 1,050,000 10,000 2,000 22,000 21,054 1,000,346

79 M.Yusuf Murhaban 2,048,000 925,000 10,000 2,000 22,000 5,000 20,480 1,063,520

80 Zakaria 1,580,800 1,187,606 10,000 2,000 22,000 15,808 343,386

81 Jumiah 1,924,400 1,425,127 10,000 2,000 19,244 468,029

Total 230,915,600 84,327,039 4,161,429 800,000 162,000 300,500 125,000 5,990,834 3,307,811 131,740,988

568,000

(14,583,900) 15,921,900 -

19,085,424

(15,313,220) 114,178,371

1,197,700 230,915,600 230,915,600 108,000 17,562,620

84,327,039 146,588,561 131,740,991

114,178,371 32,410,190 139,109

427,100 32,410,190

32,410,190

32,410,190 yang diambil ke Bank

32,410,190 32,410,190

230,915,600 137,174,233
83,773,948 22,759,590
107,558,730

39,582,922 159,933,823

=
lk 118,000
pr 158,000

Bank 2,018,500 (813,002)


Bank CS 4,718,600
Bank

548,500
Bank

Bank 2,553,500 825,328 #VALUE!

Bank

Bank 3,168,500 984,435


Bank 2,540,000 1,144,128
Bank

Bank

Bank

Bank

#VALUE!
Bank

Bank

Bank

212,000 (250,440)
Bank

Bank

Bank 2,159,000 667,902


Bank

Bank

Bank

Bank

Bank

Bank

Bank

Bank

Bank 622,000 721,251


Bank Bln agustus pot. 80.000
Bank

Bank 718,100
Bank 366,500 567,255
Bank 1,926,500 #VALUE!
Bank

Bank

Bank 783,500 233,504


Bank

Bank
Bank

Bank

Bank

Bank 939,500 696,029


631,500 #VALUE!
Bank 751,500 517,580
Bank 676,000 720,810
Bank 1,328,000 552,343
Bank 1,858,000 (368,575)
Bank 19,000 486,897
Bank 660,500 524,568
Bank

Bank

Bank

Bank

Bank

Bank

Bank

(184,000) (1,027,379)
Bank 413,500 87,991

880,000 (45,814)
Bank 1,854,500 592,115

Byr bang maun 150000

Byr Kak Wani 50000 214993700

1,095,255

1,792,334

827,079

948,726

827,079

2,618,727

#VALUE!

#VALUE!

2,357,000
(55,282,000)

918,000

138,000 918,000
50,000 #VALUE!
80,000 #VALUE!
250,000 114,178,371
400,000 #VALUE!
159,661,400
3,127,200
162,788,600

48,610,229
64,974,700

97,813,900

34,397,728
1,655,800

1,588,600

67,200 67,200

181,600

201,600
DAFTAR NAMA PEGAWAI NEGERI SIPIL (PNS)
PADA RUMAH SAKIT REHABILITASI MEDIK
KABUPATEN ACEH TIMUR

No Nama NIP No Rekening Jumlah Gaji

1 HAJJAH ZAHARNI 19720130 199401 2 001 043.02.03.002194-6 3,684,128

2 NURAINI 19700106 199403 2 003 043.02.03.003802-8

3 WARDIAH 19800520 199905 2 002 043.02.03.-005442-6 859,038

4 NURHAFIFAH USMAN 19670213 199906 2 001 043.02.03.005445-8 1,616,459

5 NURHAYATI M.DAUD 19700705 199906 2 001 043.02.03.005467-9 501,491

6 TIZAHARA 19790410 199906 2 001 043.02.03.005491-0 488,589

7 HUSNIATI 19620802 199302 2 001 043.02.03.005656-6 1,017,004

8 HAWANI, MHR 390 014 611 043.02.03.010248-3 565,413

9 AGUSSALIM 19740828 199911 1 007 043,02,05,600056-2 856,341

10 HELWANI 19650405 200701 2 003 043.02.03.570566-1 2,446,615

11 NILAWATI 19711127 200003 2 005 043.02.03.580176-4

12 EVA DEVI 19770107 200701 2 001 043.02.03.590236-2 1,760,199

13 RAFIAH A MK 19800107 200701 2 001 043.02.03.590237-4 1,343,251

14 NURLITA AMK 19780929 200312 2 004 043.02.03.590240-4 1,198,457

15 RUAIDA 19690929 199203 2 002 043.02.03.590241-6 3,900,843

16 NUR ENDAWATI 19781028 200312 2 002 043.02.03.590243-1 2,712,678

17 NASRIAH AMAK 19760701 200701 2 002 043.02.03.590265-9 933,755

18 MUNIDAR 19750515 200604 2 003 043.02.03.590269-6 2,652,139

19 LAILA GUSTI ,AMF 19801004 200604 2 006 043.02.03.580527-7 2,826,902

20 IRMAYANA HARDI 19810418 200604 2 007 043.02.03.590356-0 3,393,675

21 NURDILA DAMAYANTI 19820525 200504 2 001 043.02.03.009990-3 1,608,302

22 FITRIANA 19841213 200604 2 003 043.02.03.590491-7 1,635,529

23 DR.HJ QURANAYATI 19681115 20001 2 002 043.02.03.590529-6 3,378,828

24 DR NOVITA SARI 19741115 20005 2 001 043.02.03.590530-2 2,387,620

25 DR.AHMAD ALAMSYAH 19660830 20011 2 002 043.02.03.580376-0 1,205,498

26 RISNAWATI 19800801 200801 2 001 043.02.03.009442-5 2,403,402

27 HJ. MISTORA 19780314 200801 2 002 043.02.03.590891-0 2,802,174

28 JULI ASTUTI 19810714 200801 2 001 043.02.03.003451-6 1,158,658

29 ADIES RILLOVA, SE 19840424 200604 2 007 043.02.03.610402-7 2,303,808

30 EVITA 19790303 200801 2 003 043.02.03.009371-8 1,396,810

31 MILDAWATI 19790921 200801 2 003 043.02.03.590892-3 1,388,481

32 FITRIYANI, AM.KEB 19811210 200801 2 003 043.02.03.590895-9 1,490,695

33 DEWI SARTIKA 19791231 200801 2 009 043.02.03.571002-3 1,860,799

34 HARMAINAR 19660802 198603 2 001 043.02.03.005523-3 2,169,806

35 TISARA NURDIN 19820212 200801 2 003 043.02.03.570565-9 1,673,499


1 2 3 4 5

36 HASNIATI 19740225 200801 2 001 043.02.03.590896-1 2,802,174

37 DEDI FACHRIZAL 19781201 200904 1 001 043.02.03.590884-4 3,216,500

38 NURLAILI 19790507 200801 2 001 043.02.03.590893-5 676,677

39 ERNAWATI 19780515 200801 2 003 043.02.03.590898-4 2,381,424

40 MULIANA 19790909 200801 2 003 043.02.03.009233-7 1,381,585

41 EKA MARLIANSYAH 19870615 200904 2 006 043.02.03.600004-1 1,489,425

42 ASLIYAH 19840525 200904 2 009 043.02.03.590883-2 1,880,343

43 POCUT KEUMALA FAUMA 19880407 200904 2 002 043.02.03.600064-7 1,185,068

44 VERONIKA BR SURBAKTI 19800221 200904 2 003 043.02.03.600087-8 3,283,500

45 WARDAH 19840715 201003 2 002 043,02,03,601367-8 2,354,298

46 ROSMAWAR 19761230 201003 2 001 043,02,03,580443-0 2,618,727

47 MULYANA 19791010 201003 2 001 043,02,03,601355-0 827,079

48 ERMAWATI 19800716 201003 2 002 043,02,03,601356-3 827,079

49 FALILA MEUTIYA 19810708 201003 2 001 043.02.03.610054-1 1,156,824

50 AZHAR 19621127 198803 1 003 043.02.03.009611-2 4,152,935

51 MARLINA SKEP 19840715 201003 2 003 043.02.03.610106-3 697,115

52 DERLINA KHARISMA 19871211 200904 2 003 043.02.03.600147-1 505,897

53 PAMOR ADI PRASETYO 19860603 201003 1 002 043.02.03.610010-0 1,230,607

54 MUHAMMAD ARDI HARTANTO 19850818 201003 1 003 043.02.03.601347-2 1,792,334

55 ISRIYANI 19720313 200312 2 004 043.02.03.560187-8 1,220,256

56 JUMIAH 19730315 199911 2 001 043.02.03.610419-2

57 NURUL HIKMAH RANGKUTI 19831122 201103 2 001 043.02.03.610510-1 2,784,354

58 SRI IRMAYANI 19880611 201103 2 001 043.02.03.610523-8 2,326,776

59 ZAKIAH 19860524 201103 2 002 043.02.03.610522-6 2,429,439

60 DESI MEILIANI SPSI 19820507 201103 2 001 043.02.03.620002-8 1,696,501

61 AFDHALIAH 19800505 201003 2 001 043.02.03.620023-5 948,726

62 dr. RINA 19810929 201003 2 001 043.02.03.610190-7

63 MULYA NANDA 19871210 201003 2 001 043.02.03.620257-8 1,095,255

64 NURFIANDA 19801102 201003 2 001 043.02.03.620336-4 2,080,662

65 RAFIAH 19720124 199303 2 001 043.02.03.570274-9 2,128,322

66 FITRIA HANDAYANI 19830818 201103 2 001 043.02.03.620213-1 1,387,603

Total - - 114,178,371
114,178,368

Peureulak, 28 Juni 2013


Bendahara Pengeluaran
Rumah Sakit Rehabilitasi Medik
Kab. Aceh Timur

AGUSSALIM
NIP. 19740828 199911 1 007
3,684,128

859,038

1,616,459

501,491

488,589

1,017,004

565,413

856,341

2,446,615

1,760,199

1,343,251

1,198,457

3,900,843

2,712,678

933,755

2,652,139

2,826,902

3,393,675

1,608,302

1,635,529

3,378,828

2,387,620

1,205,498

2,403,402

2,802,174

1,158,658

2,303,808

1,396,810

1,388,481

1,490,695

1,860,799

2,169,806

1,673,499
2,802,174

3,216,500

676,677

2,381,424

1,381,585

1,489,425

1,880,343

1,185,068

3,283,500

2,354,298

2,618,727

827,079

827,079

1,156,824

4,152,935

697,115

505,897

1,230,607

1,792,334

1,220,256

2,784,354

2,326,776

2,429,439

1,696,501

948,726

1,095,255

2,080,662

2,128,322

1,387,603

114,178,371

3
DAFTAR PEMBAYARAN RAPEL GAJI
BULAN JANUARI S/D MEI

JUMLAH
NO NAMA JUMLAH RAPEL TANDA TANGAN
DITERIMA

1 Dr. Ahmad Alamsyah 1,034,500 1,034,500 1


2
2 dr. Quranayati 957,500 957,500
3
3 Azhar 1,226,000 1,226,000
4
4 Samsul 1,017,000 1,017,000
5
5 Harmainar, SE 1,239,000 1,239,000
6
6 Yulidar 1,047,000 1,047,000
7
7 Ruaida 1,104,500 1,104,500
8
8 dr. Novitasari 781,000 781,000
9
9 Sarianto 1,359,000 1,359,000
10
10 Rafiah 1,047,000 1,047,000
11
11 Zaharni 1,005,000 1,005,000
12
12 dr. Dedi Fachrizal 737,000 737,000
13
13 Veronica Br Surbakti 737,000 737,000
14
14 Irmayana Hardi 750,500 750,500
15
15 Nurlita, AMK 791,000 791,000
16
16 Isriani 762,000 762,000
17
17 Nurul Asma 1,042,500 1,042,500
18
18 Husniati 1,072,000 1,072,000
19
19 Dr.Rina 607,000 607,000
20
20 Dr.Falila Meutiya 667,500 667,500
21
21 drg. Nurul Hikmah Rangkuti 720,000 720,000
22
22 Zulfikar, AMK 733,000 733,000
23
23 Nilawati 819,000 819,000
24
24 Nurdila Damayanti, A.M.Kep 703,000 703,000
25
25 Munidar, AMK 678,500 678,500
26
26 Laila Gusti, AMF 703,000 703,000
27
27 Nurhafifah 786,000 786,000
28
28 Tizahara 743,000 743,000
29
29 Andriani, AMK 728,500 728,500
30
30 Wardiah 691,000 691,000
31
31 Adies Rillova, SE 617,000 617,000
32
32 Wardah,S.Kep. 582,500 582,500
33
33 Marlina,S.Kep 664,500 664,500
34
34 Desi Meiliani,S.Spi 616,000 616,000
35
35 Fitria Handayani,SKM 582,500 582,500
36
36 Syarifah Rahmiati 703,000 703,000
37
37 Rafiah, AMK 743,000 743,000
38
38 Evita, AMK 743,000 743,000
39
39 Nurlaili, AMK 652,000 652,000
40
40 Muliana, AMK 743,000 743,000

41 Dewi Sartika, AMK 743,000 743,000 41


42
42 Juli Astuti, AMK 730,000 730,000
43
43
43 Fitriyani, AM.Keb 678,500 678,500

44 Tisara, AMK 652,000 652,000 44


45
45 Nuraini 925,000 925,000
46
46 Hawani 786,000 786,000
47
47 Nurendawati 688,000 688,000
48
48 Nasriah, AMAK 626,000 626,000
49
49 Asliyah, AMK 626,000 626,000
50
50 Eka Marlinsyah 626,000 626,000
51
51 Derlina Kharisma, Amg 626,000 626,000
52
52 Pocut Keumala Fauma, Amf 559,000 559,000
53
53 Agussalim 754,000 754,000
54
54 Risnawati 635,000 635,000
55
55 Mildawati 754,000 754,000
56
56 Nurfianda, A.Md. Kep 506,500 506,500
57
57 Faisal Suhada, AMTRR 506,500 506,500
58
58 Fitriana 577,500 577,500
59
59 Muhibbuddin 647,500 647,500
60
60 Mulya Nanda,AMF 506,500 506,500
61
61 Sri Irmayani, Am, TE 557,000 557,000
62
62 M.Ardi Hartanto,A.Md.OT 557,000 557,000
63
63 Zakiah, Am. Kg 567,000 567,000
64
64 Pamor Adi Prasetyo,A.Md.OP 506,500 506,500
65
65 Rosmawar,A.Md.Kep 577,500 577,500
66
66 Ermawati,A.Md.AK 577,500 577,500
67
67 Afdhaliah,AMF 577,500 577,500
68
68 Mulyana,A.Md.PIK 577,500 577,500
69
69 Eva Devi 683,500 683,500
70
70 Mistora 724,000 724,000
71
71 Ernawati 670,500 670,500
72
72 Hasniati 724,000 724,000
73
73 Marziah 656,500 656,500
74
74 Nurhayati 621,500 621,500
75
75 Moehammad Daniel 656,500 656,500
76
76 Helwani 586,500 586,500
77
77 Radiah 531,500 531,500
78
78 Tasnim 451,000 451,000
79
79 M.Yusuf Murhaban 500,000 500,000
80
80 Zakaria 344,500 344,500
81
81 Jumiah 370,000 370,000

58,106,000 58,106,000

Peureulak, 17 Juni 2013


Bendahara Pengeluaran
Rumah Sakit Rehabilitasi Medik
Kab. Aceh Timur

AGUSSALIM
NIP. 19740828 199911 1 001
1,655,800

1,588,600

67,200 67,200

201,600

181,600
PERUBAHAN GAJI PEGAWAI
RUMAH SAKIT REHABILITASI MEDIK KAB. ACEH TIMUR UNTUK BULAN AGUSTUS 2013

NO NAMA NIP URAIAN PERUBAHAN TMT KET

1 Marlina, S. Kep 19810901 201003 2 003 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
2 Wardah, S. Kep 19840715 201003 2 002 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
3 Nasriah, A. MAK 19760701 200701 2 002 Kenaikan Pangkat III/a 01-08-2013 01-04-2013
4 dr. Falila Meutiya 19810708 201003 2 001 Kenaikan Pangkat III/c 01-08-2013 01-04-2013
5 Munidar, AMK 19750515 200604 2 003 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
6 Fitriana 19841213 200604 2 003 Kenaikan Pangkat II/d 01-08-2013 01-04-2013
7 Nurlita, S.S.T 19780929 200312 2 004 Kenaikan Pangkat III/c 01-08-2013 01-04-2013
8 Nurdila Damayanti, S.ST 19820525 200504 2 001 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
9 Isriyani, S.S.T 19720313 200312 2 004 Kenaikan Pangkat III/c 01-08-2013 01-04-2013
10 Husniati, A.md 19620802 199302 2 001 Kenaikan Pangkat III/c 01-08-2013 01-04-2013
11 Zaharni 19720130 199401 2 001 Kenaikan Pangkat III/d 01-08-2013 01-04-2013
12 Laila Gusti, AMF 19801004 200604 2 006 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
13 Andriani, AMK 19770502 200604 2 015 Kenaikan Pangkat III/b 01-08-2013 01-04-2013
14 Afdhaliah, AMF 19800505 201003 2 001 Kenaikan Pangkat II/d 01-08-2013 01-04-2013
15 Mulya Nanda, AMF 19871210 201003 2 001 Kenaikan Pangkat II/d 01-08-2013 01-04-2013
16 drg. Nurul Hikmah Rangkuti 19831122 201103 2 001 Kenaikan Fungsional 01-08-2013 01-06-2013
17
18
19
20
21
22
23
24
DAFTAR RAPEL KENAIKAN GAJI POKOK
BULAN : JANUARI S/D MARET 2012

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH

1 Dr. Ahmad Alamsyah 806,400 20,000 786,400 1

2 dr. Novitasari 580,800 20,000 560,800 2


3 Harmainar, SE 907,200 20,000 887,200 3

4 dr. Quranayati 678,600 20,000 658,600 4


5 Azhar 899,700 20,000 879,700 5

6 Ruaida 814,200 20,000 794,200 6


7 Yulidar 742,200 20,000 722,200 7

8 Zaharni 742,200 20,000 722,200 8


9 Nilawati 585,300 20,000 565,300 9

10 Laila Gusti, AMF 525,600 20,000 505,600 10


11 Rafiah, AMK 561,000 20,000 541,000 11

12 Nurendawati 539,700 20,000 519,700 12


13 Syarifah Rahmiati 504,600 20,000 484,600 13

14 Nasriah, AMAK 467,100 20,000 447,100 14


15 Munidar, AMK 507,300 20,000 487,300 15

16 Fitriana 458,400 20,000 438,400 16


17 drg. Nurul Hikmah Rangkuti 423,300 20,000 403,300 17

18 Zulfikar, AMK 544,800 20,000 524,800 18


19 Nurul Asma 763,200 20,000 743,200 19

20 Husniati 787,500 20,000 767,500 20


21 M. Dahlan, SE 609,300 20,000 589,300 21

22 dr. Dedi Fachrizal 528,900 20,000 508,900 22


23 Veronica Br Surbakti 480,900 20,000 460,900 23

24 Tizahara 554,700 20,000 534,700 24


25 Nurlita, AMK 619,800 20,000 599,800 25

26 Irmayana Hardi 538,500 20,000 518,500 26


27 Adies Rillova, SE 461,100 20,000 441,100 27

28 Nuraini 655,800 20,000 635,800 28


29 Nurdila Damayanti, A.M.Kep 554,700 20,000 534,700 29

30 Abdul Manan 725,400 20,000 705,400 30


31 Hawani 538,200 20,000 518,200 31

32 Nurhafifah 585,300 20,000 565,300 32


33 Agussalim 510,600 20,000 490,600 33

34 Muhibbuddin 510,600 20,000 490,600 34


35 Evita, AMK 532,500 20,000 512,500 35

36 Asliyah, AMK 450,600 20,000 430,600 36


37 Eka Marlinsyah 442,500 20,000 422,500 37

38 Derlina Kharisma, Amg 442,500 20,000 422,500 38


39 Pocut Keumala Fauma, Amf 402,300 20,000 382,300 39

40 Faisal Suhada, AMTRR 402,300 20,000 382,300 40


41 Marziah 516,600 20,000 496,600 41

42 Wardiah 544,800 20,000 524,800 42


43 Juli Astuti, AMK 495,600 20,000 475,600 43

44 Fitriyani, AM.Keb 486,900 20,000 466,900 44


45 Tisara, AMK 442,500 20,000 422,500 45

46 Nurlaili, AMK 467,100 20,000 447,100 46


47 Muliana, AMK 504,600 20,000 484,600 47

48 Dewi Sartika, AMK 504,600 20,000 484,600 48


49 Munzir, AMK 402,300 20,000 382,300 49

50 Nurhayati 489,600 20,000 469,600 50


51 Ernawati 502,800 20,000 482,800 51

52 Eva Devi 512,700 20,000 492,700 52


53 Mildawati 567,300 20,000 547,300 53

54 Mistora 544,200 20,000 524,200 54


55 Hasniati 544,200 20,000 524,200 55

56 Moehammad Daniel 489,600 20,000 469,600 56


57 Helwani 439,800 20,000 419,800 57

58 Tasnim 360,900 20,000 340,900 58


59 Risnawati 472,200 20,000 452,200 59

60 Radiah 421,800 20,000 401,800 60


61 M.Yusuf Murhaban 375,000 20,000 355,000 61

62 Zakaria 276,300 20,000 256,300 62


63 Jumiah 297,600 20,000 277,600 63

64 Dr.Rina 455,400 20,000 435,400 64


65 Dr.Falila Meutiya 528,900 20,000 508,900 65

66 Wardah,S.Kep. 461,100 20,000 441,100 66


67 Marlina,S.Kep 516,600 20,000 496,600 67

68 Pamor Adi Prasetyo,A.Md.OP 304,500 20,000 284,500 68


69 Mulya Nanda,AMF 402,300 20,000 382,300 69

70 M.Ardi Hartanto,A.Md.OT 304,500 20,000 284,500 70


71 Mulyana,A.Md.PIK 347,100 20,000 327,100 71

72 Afdhaliah,AMF 426,600 20,000 406,600 72


73 Ernawati,A.Md.AK 450,600 20,000 430,600 73

74 Rosmawar,A.Md.Kep 347,100 20,000 327,100 74


75 Dr.Sibran Malasi, Sp.OG 798,600 20,000 778,600 75

76 Isriani 598,800 20,000 578,800 76


77 Desi Meiliani,S.Spi 391,500 20,000 371,500 77

78 Fitria Handayani,SKM 349,500 20,000 329,500 78


79 Zakiah, Am. Kg 335,100 20,000 315,100 79

80 Rahmat Noprizal,Am.Kg 304,500 20,000 284,500 80


81 Sri Irmayani, Am, TE 304,500 20,000 284,500 81

Total 41,671,800 1,620,000 40,051,800


#VALUE!

136,266,500
TOTAL CEK
137,176,000
mansur 114,178,371
(41,671,800) 51,787,987
1,292,000 (28,790,358)
1 452,000
330,000
=

#VALUE!
-

-
-

-
-

159,661,400
3,127,200
162,788,600

48,610,229
64,974,700

97,813,900

34,397,728
DAFTAR GAJI GOL IV, III, II dan I
BULAN GAJI 13 2012

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH

1 Dr. Ahmad Alamsyah 4,573,500 20,000 4,553,500 1

2 Dr.Sjibran Malasi, Sp.OG 4,553,500 20,000 4,533,500 2

3 Azhar 4,012,300 20,000 3,992,300 3

4 dr. Quranayati 3,328,500 20,000 3,308,500 4

5 Ruaida 3,773,900 20,000 3,753,900 5

6 Harmainar, SE 3,970,900 20,000 3,950,900 6

7 dr. Novitasari 3,302,900 20,000 3,282,900 7

8 Zaharni 3,549,900 20,000 3,529,900 8

9 Yulidar 3,549,900 20,000 3,529,900 9

10 dr. Dedi Fachrizal 2,865,400 20,000 2,845,400 10

11 Veronica Br Surbakti 2,540,700 20,000 2,520,700 11

12 Irmayana Hardi 2,806,600 20,000 2,786,600 12

13 Nurlita, AMK 2,962,200 20,000 2,942,200 13

14 Isriani 2,931,900 20,000 2,911,900 14

15 Nurul Asma 3,072,300 20,000 3,052,300 15

16 Husniati 3,288,500 20,000 3,268,500 16

17 M. Dahlan, SE 2,863,900 20,000 2,843,900 17

18 Dr.Rina 2,540,700 20,000 2,520,700 18

19 Dr.Falila Meutiya 2,762,300 20,000 2,742,300 19

20 drg. Nurul Hikmah Rangkuti 2,134,900 20,000 2,114,900 20

21 Nurdila Damayanti, A.M.Kep 2,795,700 20,000 2,775,700 21

22 Nilawati 2,835,300 20,000 2,815,300 22

23 Zulfikar, AMK 2,717,000 20,000 2,697,000 23

24 Munidar, AMK 2,673,200 20,000 2,653,200 24

25 Laila Gusti, AMF 2,735,700 20,000 2,715,700 25

26 Nurhafifah 2,832,000 20,000 2,812,000 26

27 Tizahara 2,680,700 20,000 2,660,700 27

28 Wardiah 2,637,000 20,000 2,617,000 28

29 Adies Rillova, SE 2,374,200 20,000 2,354,200 29

30 Wardah,S.Kep. 2,425,700 20,000 2,405,700 30

31 Marlina,S.Kep 2,680,800 20,000 2,660,800 31

32 Desi Meiliani,S.Spi 2,034,500 20,000 2,014,500 32

33 Fitria Handayani,SKM 1,836,300 20,000 1,816,300 33

34 Nurendawati 2,556,900 20,000 2,536,900 34

35 Rafiah, AMK 2,706,000 20,000 2,686,000 35

36 Evita, AMK 2,634,500 20,000 2,614,500 36


37 Nurlaili, AMK 2,340,400 20,000 2,320,400 37

38 Nasriah, AMAK 2,340,400 20,000 2,320,400 38

39 Muliana, AMK 2,565,100 20,000 2,545,100 39

40 Syarifah Rahmiati 2,565,100 20,000 2,545,100 40

41 Dewi Sartika, AMK 2,565,100 20,000 2,545,100 41

42 Juli Astuti, AMK 2,524,300 20,000 2,504,300 42

43 Fitriyani, AM.Keb 2,483,500 20,000 2,463,500 43

44 Tisara, AMK 2,279,500 20,000 2,259,500 44

45 Abdul Manan 3,036,800 20,000 3,016,800 45

46 Nuraini 2,873,500 20,000 2,853,500 46

47 Risnawati 2,315,300 20,000 2,295,300 47

48 Mildawati 2,676,500 20,000 2,656,500 48

49 Nurfianda, A.Md. Kep 2,140,000 20,000 2,120,000 49

50 Asliyah, AMK 2,368,000 20,000 2,348,000 50

51 Faisal Suhada, AMR 2,140,000 20,000 2,120,000 51

52 Fitriana 2,406,000 20,000 2,386,000 52

53 Eka Marlinsyah 2,330,000 20,000 2,310,000 53

54 Derlina Kharisma, Amg 2,368,000 20,000 2,348,000 54

55 Pocut Keumala Fauma, Amf 2,140,000 20,000 2,120,000 55

56 Hawani 2,545,900 20,000 2,525,900 56

57 Muhibbuddin 2,477,300 20,000 2,457,300 57

58 Agussalim 2,646,000 20,000 2,626,000 58

59 Mulya Nanda,AMF 2,140,000 20,000 2,120,000 59

60 Sri Irmayani, Am, TE 1,656,000 20,000 1,636,000 60

61 M.Ardi Hartanto,A.Md.OT 2,080,000 20,000 2,060,000 61

62 Zakiah, Am. Kg 1,803,600 20,000 1,783,600 62

63 Pamor Adi Prasetyo,A.Md.OP 2,140,000 20,000 2,120,000 63

64 Rosmawar,A.Md.Kep 2,406,000 20,000 2,386,000 64

65 Ermawati,A.Md.AK 2,368,000 20,000 2,348,000 65

66 Afdhaliah,AMF 2,406,000 20,000 2,386,000 66

67 Mulyana,A.Md.PIK 2,406,000 20,000 2,386,000 67

68 Eva Devi 2,394,000 20,000 2,374,000 68

69 Mistora 2,577,600 20,000 2,557,600 69

70 Ernawati 2,351,700 20,000 2,331,700 70

71 Hasniati 2,577,600 20,000 2,557,600 71

72 Marziah 2,449,900 20,000 2,429,900 72

73 Nurhayati 2,384,000 20,000 2,364,000 73

74 Moehammad Daniel 2,449,900 20,000 2,429,900 74

75 Helwani 2,320,200 20,000 2,300,200 75

76 Radiah 2,173,800 20,000 2,153,800 76

77 Tasnim 1,999,700 20,000 1,979,700 77

78 M.Yusuf Murhaban 1,945,500 20,000 1,925,500 78


79 Zakaria 1,588,700 20,000 1,568,700 79

80 Jumiah 1,739,900 20,000 1,719,900 80

81 Rahmat Noprizal, Am. Kg 1,656,000 20,000 1,636,000 81

Total 210,681,000 1,620,000 209,061,000

4,553,500 (63,621,615)

67,393,819

94,882,629

14,068,259
1,611,500

2,357,000
(35,047,400)

918,000

138,000 918,000
50,000 #VALUE!
80,000 #VALUE!
250,000 114,178,371
400,000 #VALUE!

159,661,400
3,127,200
162,788,600

48,610,229
64,974,700

97,813,900

34,397,728
DAFTAR RAPEL GAJI BULAN : NOPEMBER 2010 s/d APRIL 2012
PADA RUMAH SAKIT REHABILITASI MEDIK

NO NAMA JUMLAH GAJI KEUANGAN JUMLAH BERSIH TANDA TANGAN

1 Fitriani,AM.Keb 240,800 20,000 220,800


1.___________

2 Zulfikar,AMK 279,900 20,000 259,900 2.___________

3 Veronika BR.Surbakti S.Farm.Apt 337,200 20,000 317,200 3.___________

4 Irmayana Hardi S.Farm.Apt 655,600 20,000 635,600 4.___________

5 Asliyah,AMK 324,000 20,000 304,000 5.___________

6 Eka Marlinsyah,AMK 324,000 20,000 304,000 6.___________

7 Derlina Kharisma,AMG 324,000 20,000 304,000 7.___________

8 Pocut Keumala Fauma,AMF 289,200 20,000 269,200 8.___________

Total 2,774,700 160,000 2,614,700


DAFTAR RAPEL GAJI BULAN : DESEMBER 2010 S/D APRIL 2012
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH
1 Helwani 223,600 20,000 203,600 1.___________

2 Dr.Ahmad Alamsyah 1,022,000 20,000 1,002,000 2.___________

3 Munidar,AMK 62,900 20,000 42,900 3.___________

4 Moehammad Daniel 177,900 20,000 157,900 4.___________

5 Rosmawar,A.Md.Kep 113,000 20,000 93,000 5.___________

6 Eva Devi 47,600 20,000 27,600 6.___________

7 Ernawati 46,600 20,000 26,600 7.___________

8 Nurlita,AMK 58,900 20,000 38,900 8.___________

9 Nur endahwati 204,800 20,000 184,800 9.___________

10 Mildawati 269,000 20,000 249,000 10.__________

11 Mulyana,A.Md.PIK 113,000 20,000 93,000 11.__________

12 Afdhaliah,AMF 113,000 20,000 93,000 12.__________

13 Laila Gusti,AMF 65,200 20,000 45,200 13.__________

14 dr.Rina 115,800 20,000 95,800 14.__________

15 Adies Rillova,SE 57,100 20,000 37,100 15.__________

16 Muhammad Ardi 109,000 20,000 89,000 16.__________

17 Pamor Adi Prasetyo 99,000 20,000 79,000 17.__________

18 Agussalim 303,800 20,000 283,800 18.__________

19 dr.Novita Sari 427,000 20,000 407,000 19.__________

20 dr.Dedy Fachrizal 185,600 20,000 165,600 20.__________

Total 3,814,800 400,000 3,414,800


DAFTAR RAPEL TUNJANGAN FUNGSIONAL BULAN :FEB 2012 S/D MEI 2012
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH

1 Rosmawar,A.Md.Kep 120,000 20,000 100,000 1.___________

2 Mulyana,A.Md.PIK 180,000 20,000 160,000 2.___________

3 Afdhaliah,AMF 60,000 20,000 40,000 3.___________

4 Ernawati,A.Md.PIK 120,000 20,000 100,000 4.___________

5 dr.Rina 420,000 20,000 400,000 5.___________

6 Pamor Adi Prasetyo 60,000 20,000 40,000 6.___________

7 Mulya Nanda,AMF 180,000 20,000 160,000 7.___________

Total 1,140,000 140,000 1,000,000


DAFTAR RAPEL GAJI BULAN : FEBRUARI 2012
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH
1 Rosmawar,A.Md.Kep 378,600 20,000 358,600 1.___________

2 Mulyana,A.Md.Kep 378,600 20,000 358,600 2.___________

3 Muhammad Ardi 365,300 20,000 345,300 3.___________

4 Pamor Adi Prasetyo 332,100 20,000 312,100 4.___________

Total 1,454,600 80,000 1,374,600


DAFTAR RAPEL TUNJANGAN FUNGSIONAL BULAN :JUNI 2012
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH

1 dr.Dedy Fachrizal 425,000 20,000 405,000


1.___________

Total 425,000 20,000 405,000


DAFTAR RAPEL GAJI BULAN : OKTOBER 2011
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN TANDA TANGAN
BERSIH
1 zulfikar AMK 514,200 20,000 494,200
1.___________

Total 514,200 20,000 494,200


14,368,500

24,491,800 Jlh Uang

9,303,300

8,301,300

#VALUE!
DAFTAR RAPEL GAJI BULAN : NOPEMBER 2010
PADA RUMAH SAKIT REHABILITASI MEDIK

JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN JUMLAH BERSIH TANDA TANGAN
DITERIMA

1 Dr.Novita Sari 1,695,000 20,000 1,675,000 1,675,000 1

2 Zulfikar ,AMK 204,000 20,000 184,000 184,000 2


3 Nurlita,AMK 240,000 20,000 220,000 220,000 3

4 Evita, AMK 120,000 15,000 105,000 105,000 4


5 Nurlaili , AMK 120,000 15,000 105,000 105,000 5

6 Eka Sahputra, AMK 120,000 15,000 105,000 105,000 6


7 Muliana, AMK 300,000 20,000 280,000 280,000 7

8 Dewi Sartika,AMK 120,000 15,000 105,000 105,000 8


9 Irmayana Hardi, S.Farm.A.Pt 280,000 20,000 260,000 260,000 9

10 Juli Astuti, AMK 300,000 20,000 280,000 280,000 10


11 Fitriani,AM.Keb 120,000 15,000 105,000 105,000 11

12 Tisara, AMK 120,000 15,000 105,000 105,000 12


13 13

14 14
15 15

16 16
17 17

Total 3,739,000 210,000 3,529,000 3,529,000


JUMLAH
NO NAMA JUMLAH GAJI KEUANGAN JUMLAH BERSIH TANDA TANGAN
DITERIMA
1 Helwani 181,500 20,000 161,500 161,500 1

2 Dr.Quranayati 49,200 20,000 29,200 29,200 2


3 Moehammad Daniel 72,400 20,000 52,400 52,400 3

4 Eva Devi 74,800 20,000 54,800 54,800 4


5 Ernawati 140,400 20,000 120,400 120,400 5

6 Nurlita 164,800 20,000 144,800 144,800 6


7 Nur endahwati 73,400 20,000 53,400 53,400 7

8 Tizahara 45,000 20,000 25,000 25,000 8


9 Laila Gusti 84,400 20,000 64,400 64,400 9

10 Harmainar, SE 196,400 20,000 176,400 176,400 10


11 Syarifah rahmiati 213,900 20,000 193,900 193,900 11

12 Irmayana Hardi 238,600 20,000 218,600 218,600 12


13 13

14 14
15 15

16 16
17 17

18 18
Total 1,534,800 240,000 1,294,800 1,294,800
1 2 3 8 9
35 Nurhayati 1,888,000 15,000 #VALUE!

36 Tasnim 1,658,500 15,000 #VALUE!

37 Fitriana 1,679,500 15,000 #VALUE!

38 Eva Devi 1,869,500 15,000 #VALUE!

39 M. Daniel 1,491,000 15,000 #VALUE!

40 Helwani 1,741,000 15,000 #VALUE!

41 Zulfikar, AMK 1,976,000 15,000 #VALUE!

Total 15,373,100 585,000 #VALUE!

DAFTAR GAJI GOL I

NO NAMA JUMLAH GAJI KEUANGAN JUMLAH BERSIH

42 M. Yusuf Murhaban 1,561,000 15,000 #VALUE!

43 Radiah 1,577,000 15,000 #VALUE!


44 Zakaria 1,326,500 15,000 #VALUE!

45 Jumiah 1,456,500 15,000 #VALUE!

Total 5,921,000 60,000 #VALUE!


BAHAN RAPEL PANGKAT
RUMAH SAKIT REHABILITASI MEDIK DAN PARU KAB. ACEH TIMUR

NO NAMA NIP URAIAN PERUBAHAN TMT KET

1 YULIDAR 140 306 814 Kenaikan Gaji Berkala 01-09-2009 01-07-2009


2 NILAWATI 140 351 687 Kenaikan Gaji Berkala 01-09-2009 01-07-2009
3 RUAIDA 140 285 898 Fungsional Perawat 01-09-2009 01-07-2009
4 MUNIDAR, A.MK 390 033 050 Fungsional Perawat 01-09-2009 01-08-2009
5 FITRIANA 390 033 063 Fungsional Perawat 01-09-2009 01-08-2009
6 SYARIFAH RAHMIATI 390 022 769 Fungsional Perawat 01-09-2009 01-08-2009
7 NURENDAWATI, A.MK 390 022 760 Fungsional Perawat 01-09-2009 01-08-2009
8 LAILA GUSTI, AMF 390 033 045 Fungsional Perawat 01-09-2009 01-08-2009
9 ZAHARNI 140 364 675 Fungsional Perawat 01-09-2009 01-08-2009
10 RADIAH 19710727 200009 2 001 Kenaikan Gaji Berkala 01-11-2009 01-09-2009
11 SAMSUL 19640412 199102 1 003 Kenaikan Pangkat 01-11-2009 01-10-2009
12 ZULFIKAR, AMK 19760606 200504 1 001 Kenaikan Pangkat 01-11-2009 01-10-2009
22 MARZIAH Perubahan masa kerja 01-02-2009 01-10-2008
23 MUHIBUDDIN Kenaikan Gaji Berkala 01-02-2009 01-05-2008
24 SYARIFAH RAHMIATI Kenaikan Pangkat 01-10-2008 01-04-2008
25 YULIDAR Kenaikan Pangkat 01-01-2009 01-10-2008
26 NILAWATI Kenaikan Pangkat 01-01-2009 01-10-2008
27 NASRIAH, A.MAK Menjadi Pegawai Negeri Sipil (PNS) 100% 01-06-2009 01-01-2007
28 HELWANI Menjadi Pegawai Negeri Sipil (PNS) 100% 01-06-2009 01-01-2007
29 RUAIDA Kenaikan Pangkat 01-06-2009 01-04-2009
30 WARDIAH Kenaikan Gaji Berkala 01-06-2009 01-05-2009
31 NURLITA, AMK Kenaikan Pangkat 01-04-2009 01-10-2008
REKAP SP2D PERJALANAN DINAS PADA RUMAH SAKIT REHABILITASI MEDIK KABUPATEN ACEH TIMUR TA. 2012
TUJUAN KODE TIKET MASKAPAI AIR PORT
JMLH AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
1 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/10042 1 hari 10044/ 2011 Peureulak Idi Rp 75,000
16 Des 2011

2 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/10094 1 hari 10095/ 2011 Peureulak Idi Rp 75,000
21 Des 2011

3 M. Ardi Hartanto, Staf 381/BL-GU/2012 094/10092 1 hari 10093/ 2011 Peureulak Idi Rp 60,000
Amd.OT 21 Des 2011

4 Wardiah, SE Staf T.U 381/BL-GU/2012 094/054 1 hari 055/ 2012 Peureulak Idi Rp 75,000
05 Jan 2012

5 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/121 1 hari 122/ 2012 Peureulak Idi Rp 75,000
12 Jan 2012

6 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/153 1 hari 154/ 2012 Peureulak Idi Rp 75,000
17 Jan 2012

7 Wardiah, SE Staf T.U 381/BL-GU/2012 094/162 1 hari 163/ 2012 Peureulak Idi Rp 75,000
18 Jan 2012

8 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/229 1 hari 220/ 2012 Peureulak Idi Rp 75,000
25 Jan 2012

9 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/275 1 hari 276/ 2012 Peureulak Idi Rp 75,000
01 Feb 2012

10 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/287 1 hari 288/ 2012 Peureulak Idi Rp 75,000
02 Feb 2012

11 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/304 1 hari 305/ 2012 Peureulak Idi Rp 75,000
06 Feb 2012

12 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/341 1 hari 342/ 2012 Peureulak Idi Rp 75,000
09 Feb 2012

13 M. Daniel Peng. Barang 381/BL-GU/2012 094/388 1 hari 388.a/ 2012 Peureulak Idi Rp 60,000
15 Feb 2012

14 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/414 1 hari 415/ 2012 Peureulak Idi Rp 75,000
15 Feb 2012

15 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/492 1 hari 493/ 2012 Peureulak Idi Rp 75,000
24 Feb 2012

16 M. Daniel Peng. Barang 381/BL-GU/2012 094/490 1 hari 491/ 2012 Peureulak Idi Rp 60,000
24 Feb 2012

17 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/495 1 hari 496/ 2012 Peureulak Idi Rp 75,000
28 Feb 2012

18 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/549 1 hari 550/ 2012 Peureulak Idi Rp 75,000
01 Maret 2012

19 M. Daniel Peng. Barang 381/BL-GU/2012 094/583 1 hari 584/ 2012 Peureulak Idi Rp 60,000
06 Maret 2012

20 M. Ardi Hartanto, Staf 381/BL-GU/2012 094/585 1 hari 586/ 2012 Peureulak Idi Rp 60,000
Amd.OT 06 Maret 2012

21 M. Ardi Hartanto, Staf 381/BL-GU/2012 094/621 2 hari 622/ 2012 Peureulak Idi Rp 120,000
Amd.OT 09 Maret 2012

22 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/621 2 hari 624/ 2012 Peureulak Idi Rp 150,000
09 Maret 2012

23 Husniati Bend.Penerimaan 381/BL-GU/2012 094/702 1 hari 703/ 2012 Peureulak Idi Rp 75,000
19 Maret 2012
24 Nilawati, AMK Bend. Peng. 381/BL-GU/2012 094/704 1 hari 705/ 012 Peureulak Idi Rp 75,000
19 Maret 2012

TUJUAN KODE TIKET MASKAPAI AIR PORT


JMLH AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
25 Harmainar, SE Kasubbag T.U 381/BL-GU/2012 094/737 1 hari 738/ 2012 Peureulak Idi Rp 75,000
21 Maret 2012

26 M. Daniel Peng. Barang 381/BL-GU/2012 094/758 1 hari 759/ 2012 Peureulak Idi Rp 60,000
26 Maret 2012

27 M. Ardi Hartanto, Staf 381/BL-GU/2012 094/758 1 hari 759.a/ 2012 Peureulak Idi Rp 60,000
Amd.OT 26 Maret 2012

28 M. Ardi Hartanto, Staf 564/BL-GU/2012 10037/094 4 hari 10038/090/2011 Peureulak Jakarta 1,000,000 6,260,000 Rp 7,260,000
Amd.OT 2011 26 Des 2011

29 Direktur 564/BL-GU/2012 606/094 5 hari 635/090/2012 Idi Yogyakarta 1,000,000 6,260,000 Rp 7,260,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 23 Feb 2012

30 Harmainar, SE Kasubbag T.U 564/BL-GU/2012 571/094 2 hari 572/090/ 2012 Peureulak Medan 300,000 1,100,000 Rp 1,400,000
2012 06 Maret 2012

31 Direktur 564/BL-GU/2012 807/094 5 hari 845/090/2012 Idi Bangkok 10,000,000 1,846,200 Rp 11,846,200
dr. Ahmad
Alamsyah, S. Sp.RM 2012 08 Maret 2012

32 M. Daniel Peng. Barang 564/BL-GU/2012 720/094 3 hari 721/090/2012 Peureulak B. Aceh 225,000 1,475,000 Rp 1,700,000
2012 20 Maret 2012

33 Yulidar Kasie. Penunjang 564/BL-GU/2012 718/094 3 hari 719/090/2012 Peureulak B. Aceh 450,000 1,850,000 Rp 2,300,000
Medik 2012 20 Maret 2012

34 Direktur 564/BL-GU/2012 1034/094 4 hari 1097/090/2012 Idi B. Aceh 800,000 2,600,000 Rp 3,400,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 26 Maret 2012

35 Direktur 564/BL-GU/2012 1142/094 3 hari 1222/090/2012 Idi B. Aceh 600,000 2,000,000 Rp 2,600,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 02 April 2012

36 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1262/094 1 hari 1262.a/090/2012 Peureulak Idi Rp 75,000
2012 10 Mei 2012

37 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1239/094 1 hari 1240/090/2012 Peureulak Idi Rp 75,000
2012 08 Mei 2012

38 Husniati Bend.Penerimaan 866/BL-GU/2012 1237/094 1 hari 1238/090/2012 Peureulak Idi Rp 75,000


2012 08 Mei 2012

39 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1207/094 1 hari 1208/090/2012 Peureulak Idi Rp 75,000
2012 04 Mei 2012

40 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1180/094 1 hari 1181/090/2012 Peureulak Idi Rp 75,000
2012 02 Mei 2012

41 Adies Rillova, SE Pembantu Bend. 866/BL-GU/2012 1097/094 1 hari 1098/090/2012 Peureulak Idi Rp 75,000
2012 24 April 2012

42 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1095/094 1 hari 1096/090/2012 Peureulak Idi Rp 75,000
2012 24 April 2012

43 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 1086/094 1 hari 1087/090/2012 Peureulak Idi Rp 75,000
2012 23 April 2012

44 Nilawati, AMK Bend. Peng. 866/BL-GU/2012 968/094 1 hari 969/090/2012 Peureulak Idi Rp 75,000
2012 11 April 2012

45 Wardiah, SE Staf T.U 866/BL-GU/2012 785/094 1 hari 783/090/2012 Peureulak Idi Rp 75,000
2012 29 Maret 2012
46 Adies Rillova, SE Pembantu Bend. 866/BL-GU/2012 278/094 1 hari 279/090/2012 Peureulak Idi Rp 75,000
2012 01 Feb 2012

AIR PORT
JMLH TUJUAN KODE TIKET MASKAPAI AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
47 Adies Rillova, SE Pembantu Bend. 866/BL-GU/2012 028/094 1 hari 029/090/2012 Peureulak Idi Rp 75,000
2012 03 Jan 2012
48 Adies Rillova, SE Pembantu Bend. 1309/BL-GU/2012 560/094 1 hari 561/090/2012 Peureulak Idi Rp 75,000
2012 02 Maret 2012
49 Adies Rillova, SE Pembantu Bend. 1309/BL-GU/2012 918/094 1 hari 919/090/2012 Peureulak Idi Rp 75,000
2012 05 Maret 2012
50 Wardiah, SE Staf T.U 1309/BL-GU/2012 955/094 1 hari 965/090/2012 Peureulak Idi Rp 75,000
2012
51 Adies Rillova, SE Pembantu Bend. 1309/BL-GU/2012 1169/094 1 hari 1170/090/2012 Peureulak Idi Rp 75,000
2012 01 Mei 2012
52 Direktur 1309/BL-GU/2012 1715/094 6 hari 1851/090/2012 Idi Bali 1,200,000 6,060,000 Rp 7,260,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 14 Mei 2012
53 Direktur 1309/BL-GU/2012 2124/094 4 hari 2300/090/2012 Idi Jakarta 4,000,000 2,460,000 Rp 6,460,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 18 Juni 2012

54 Harmainar, SE Kasubbag T.U 1622/BL-GU/2012 1783/094 5 hari 1784/090/2012 Peureulak B. Aceh 750,000 2,950,000 Rp 3,700,000
2012 08 Juli 2012

55 M. Ardi Hartanto, Staf 1622/BL-GU/2012 1785/094 5 hari 1786/090/2012 Peureulak B. Aceh 375,000 2,325,000 Rp 2,700,000
Amd.OT 2012 08 Juli 2012

56 Nilawati, AMK Bend. Peng. 1622/BL-GU/2012 1781/094 5 hari 1782/090/2012 Peureulak B. Aceh 750,000 2,950,000 Rp 3,700,000
2012 08 Juli 2012

57 Direktur 2082/BL-GU/2012 2388/094 6 hari 2590/090/2012 Idi Jakarta 6,000,000 2,460,000 Rp 8,460,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 09 Juli 2012 Utara

58 M. Daniel Peng. Barang 2082/BL-GU/2012 3146/094 4 hari 3147/090/2012 Peureulak Jakarta 2,000,000 2,460,000 Rp 4,460,000
2012 30 Agus 2012

59 Wardiah, SE Staf T.U 2082/BL-GU/2012 658/094 1 hari 659/090/2012 Peureulak Idi Rp 75,000
2012 16 April 2012

60 Wardiah, SE Staf T.U 2082/BL-GU/2012 1011/094 1 hari 1012/090/2012 Peureulak Idi Rp 75,000
2012 14 April 2012

61 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1223/094 1 hari 1224/090/2012 Peureulak Idi Rp 75,000
2012 07 Mei 2012
62 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1303/094 1 hari 1304/090/2012 Peureulak Idi Rp 75,000
2012 16 Mei 2012
63 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1305/094 1 hari 445/090/2012 Peureulak Idi Rp 75,000
2012 16 Mei 2012
64 Wardiah, SE Staf T.U 2082/BL-GU/2012 1292/094 1 hari 1293/090/2012 Peureulak Idi Rp 75,000
2012 15 April 2012
65 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1312/094 1 hari 1313/090/2012 Peureulak Idi Rp 75,000
2012 21 Mei 2012
66 M. Daniel Bend. Peng. 2082/BL-GU/2012 1333/094 1 hari 1334/090/2012 Peureulak Idi Rp 60,000
2012 23 Mei 2012
67 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1336/094 1 hari 1335/090/2012 Peureulak Idi Rp 75,000
2012 23 Mei 2012
68 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1349/094 1 hari 1348/090/2012 Peureulak Idi Rp 75,000
2012 25 Mei 2012
69 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1461/094 1 hari 1460/090/2012 Peureulak Idi Rp 75,000
2012 04 Juni 2012
70 Adies Rillova, SE Pembantu Bend. 2082/BL-GU/2012 1462/094 1 hari 1463/090/2012 Peureulak Idi Rp 75,000
2012 04 Juni 2012
71 Husniati Bend.Penerimaan 2082/BL-GU/2012 1523/094 1 hari 1524/090/2012 Peureulak Idi Rp 75,000
2012 11 Juni 2012
72 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1527/094 1 hari 1528/090/2012 Peureulak Idi Rp 75,000
2012 11 Juni 2012

AIR PORT
JMLH TUJUAN KODE TIKET MASKAPAI AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
73 Husniati Bend.Penerimaan 2082/BL-GU/2012 1540/094 1 hari 1541/090/2012 Peureulak Idi Rp 75,000
2012 12 Juni 2012
74 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1564/094 1 hari 1565/090/2012 Peureulak Idi Rp 75,000
2012 14 Juni 2012
75 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1564/094 1 hari 1565/090/2012 Peureulak Idi Rp 75,000
2012 14 Juni 2012
76 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1621/094 1 hari 1620/090/2012 Peureulak Idi Rp 75,000
2012 19 Juni 2012
77 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1621.a/094 1 hari 1622/090/2012 Peureulak Idi Rp 75,000
2012 19 Juni 2012
78 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1679/094 1 hari 1680/090/2012 Peureulak Idi Rp 75,000
2012 26 Juni 2012
79 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1701/094 1 hari 1702/090/2012 Peureulak Idi Rp 75,000
2012 28 Juni 2012
80 Nilawati, AMK Bend. Peng. 2082/BL-GU/2012 1727/094 1 hari 1728/090/2012 Peureulak Idi Rp 75,000
2012 02 Juli 2012
81 Harmainar, SE Kasubbag T.U 2082/BL-GU/2012 1729/094 1 hari 1730/090/2012 Peureulak Idi Rp 75,000
2012 02 Juli 2012
82 Direktur 263/BL-GU/2012 3031/094 4 hari 5085/090/2012 Idi Jakarta 4,000,000 2,460,000 Rp 6,460,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 28 Agustus 2012
83 Harmainar, SE Kasubbag T.U 263/BL-GU/2012 2123/094 3 hari 2123.a/090/2012 Peureulak B. Aceh 450,000 1,850,000 Rp 2,300,000
2012 28 Agus 2012
84 Pamor Adi Prasetiyo Kasubbag T.U 263/BL-GU/2012 2124/094 3 hari 2124.a/090/2012 Peureulak B. Aceh 225,000 1,475,000 Rp 1,700,000
Amd. OP 2012 28 Agus 2012
85 Direktur 263/BL-GU/2012 3693/094 5 hari 6374/090/2012 Idi Jakarta 5,000,000 2,460,000 Rp 7,460,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 19 Sept 2012
86 Agussalim PPTK OTSUS 263/BL-GU/2012 2290/094 5 hari 2291/090/2012 Peureulak Jakarta 2,500,000 2,460,000 Rp 4,960,000
2012 12 Sept 2012
87 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2456/094 6 hari 2457/090/2012 Peureulak B. Aceh 1,800,000 2,600,000 Rp 4,400,000
2012 28 Sept 2012
88 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2458/094 5 hari 2459/090/2012 Peureulak B. Aceh 750,000 2,950,000 Rp 3,700,000
2012 28 Sept 2012
89 M. Daniel Peng. Barang 3043/BL-GU/2012 2179/094 2 hari 2195/090/2012 Peureulak B. Aceh 150,000 1,050,000 Rp 1,200,000
2012 04 Sept 2012
90 Direktur 3043/BL-GU/2012 3921/094 5 hari 6622/090/2012 Idi Solo 1,000,000 6,260,000 Rp 7,260,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 03 Oktober 2012
91 M. Daniel Peng. Barang 3043/BL-GU/2012 1525/094 1 hari 1526/090/2012 Peureulak Idi Rp 60,000
2012 04 Sept 2012
92 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 1738/094 1 hari 1739/090/2012 Peureulak Idi Rp 75,000
2012 03 Juli 2012
93 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 1763/094 1 hari 1764/090/2012 Peureulak Idi Rp 75,000
2012 05 Juli 2012
94 Adies Rillova, SE Pembantu Bend. 3043/BL-GU/2012 1765/094 1 hari 1766/090/2012 Peureulak Idi Rp 75,000
2012 05 Juli 2012
95 Nurul Asma Staf 3043/BL-GU/2012 1789/094 1 hari 1790/090/2012 Peureulak Idi Rp 75,000
2012 09 Juli 2012
96 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 1938/094 1 hari 1939/090/2012 Peureulak Idi Rp 75,000
2012 24 Juli 2012
97 M. Daniel Peng. Barang 3043/BL-GU/2012 1940/094 1 hari 1941/090/2012 Peureulak Idi Rp 60,000
2012 24 Juni 2012

AIR PORT
JMLH TUJUAN KODE TIKET MASKAPAI AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
98 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 1950/094 1 hari 1951/090/2012 Peureulak Idi Rp 75,000
2012 30 Juli 2012
99 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 1941/094 1 hari 1942/090/2012 Peureulak Idi Rp 75,000
2012 01 Agus 2012
100 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 1956/094 1 hari 1957/090/2012 Peureulak Idi Rp 75,000
2012 06 Agus 2012
101 Wardiah, SE Staf T.U 3043/BL-GU/2012 2012/094 1 hari 2013/090/2012 Peureulak Idi Rp 75,000
2012 09 Agus 2012
102 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2019/094 1 hari 2030/090/2012 Peureulak Idi Rp 75,000
2012 10 Agus 2012
103 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2039/094 1 hari 2040/090/2012 Peureulak Idi Rp 75,000
2012 13 Agus 2012
104 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2070/094 1 hari 2071/090/2012 Peureulak Idi Rp 75,000
2012 16 Agus 2012
105 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2378/094 1 hari 2379/090/2012 Peureulak Idi Rp 75,000
2012 20 Agus 2012
106 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2012.a/094 1 hari 2496/090/2012 Peureulak Idi Rp 75,000
2012 03 Sept2012
107 Adies Rillova, SE Pembantu Bend. 3043/BL-GU/2012 22218/094 1 hari 2219/090/2012 Peureulak Idi Rp 75,000
2012 05 Sept2012
108 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2309/094 1 hari 2310/090/2012 Peureulak Idi Rp 75,000
2012 13 Sept2012
109 Wardiah, SE Staf T.U 3043/BL-GU/2012 2329/094 1 hari 2330/090/2012 Peureulak Idi Rp 75,000
2012 15 Sept2012
110 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2216/094 1 hari 2217/090/2012 Peureulak Idi Rp 75,000
2012 15 Sept 2012
111 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2377/094 1 hari 2378/090/2012 Peureulak Idi Rp 75,000
2012 20 Sept 2012
112 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2434/094 1 hari 2435/090/2012 Peureulak Idi Rp 75,000
2012 26 Sept 2012
113 Harmainar, SE Kasubbag T.U 3043/BL-GU/2012 2110/094 1 hari 2111/090/2012 Peureulak Idi Rp 75,000
2012 27 Sept 2012
114 Nurlita, S. ST Ka. Rwt Inap 3043/BL-GU/2012 2486/094 5 hari 2486/090/2012 Peureulak Idi Rp 375,000
2012 02 Okt 2012
115 Tisara, AMK Ka. Rwt Inap 3043/BL-GU/2012 2484/094 5 hari 2485/090/2012 Peureulak Idi Rp 300,000
2012 02 Okt 2012
116 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2532/094 1 hari 2532.a/090/2012 Peureulak Idi Rp 75,000
2012 08 Okt 2012
117 Husniati Bend.Penerimaan 3043/BL-GU/2012 2586/094 1 hari 2587/090/2012 Peureulak Idi Rp 75,000
2012 15 Okt 2012
118 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2378/094 1 hari 2585/090/2012 Peureulak Idi Rp 75,000
2012 15 Okt 2012
119 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2719/094 1 hari 2720/090/2012 Peureulak Idi Rp 75,000
2012 01 Nop 2012
120 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2732/094 1 hari 2733/090/2012 Peureulak Idi Rp 75,000
2012 02 Nop 2012
121 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2773/094 1 hari 2774/090/2012 Peureulak Idi Rp 75,000
2012 07 Nop 2012
122 Nilawati, AMK Bend. Peng. 3043/BL-GU/2012 2784/094 1 hari 2785/090/2012 Peureulak Idi Rp 75,000
2012 08 Nop 2012
123 Direktur 4077/BL-NIHIL/ 4306/094 4 hari 7031/090/2012 Idi B. Aceh 600,000 2,400,000 Rp 3,000,000
dr. Ahmad
Alamsyah, S. Sp.RM 2012 2012 01 Nop 2012

AIR PORT
JMLH TUJUAN KODE TIKET MASKAPAI AIRPORT
TGL TGL UANG HARGA TIKET TAX HARGA SELURUH
NO.SP2D DAN HARI NO. SPPD DAN UANG TAX
NO. NAMA JABATAN NO. SPT BERANG KEBERANG KEPULANG AKOMODASI KEBERANGKAT KEBERAN TIKET BIAYA YG DI
TANGGAL PADA TGL. DARI KE PULANG BERANGKAT PULANG HARIAN (RP.) PULANG
KAT KATAN AN (RP.) AN (RP.) GKATAN PULANG SPJ KAN
SPT (RP.)
(RP.)
124 Agussalim PPTK OTSUS 4077/BL-NIHIL/ 2724/094 3 hari 2729/090/2012 Peureulak B. Aceh 225,000 1,475,000 Rp 1,700,000
2012 2012 01 Nop 2012
125 M. Ardi Hartanto, PPTK OTSUS 4077/BL-NIHIL/ 2724/094 3 hari 2730/090/2012 Peureulak B. Aceh 225,000 1,475,000 Rp 1,700,000
Amd.OT 2012 2012 01 Nop 2012
126 dr. Ahmad Direktur 3554/BL-LS/ 4655/094 4 hari 7405/090/2012 Idi Jakarta 1,600,000 4,860,000 Rp 6,460,000
Alamsyah, S. Sp.RM 2012 2012 04 Des 2012

Mengetahui : Peureulak, 31 Desember 2012


Direktur Rumah Sakit Rehabilitasi Medik Bendahara Pengeluaran
Kabupaten Aceh Timur Rumah Sakit Rehabilitasi Medik
Kabupaten Aceh Timur

dr.Ahmad Alamsyah,S.Sp.RM Nilawati, AMK


Pembina / NIP.19660830 200112 1 002 NIP.19701127 200003 2 005

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