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PEMERINTAH KABUPATEN MAYBRAT

DAFTAR PEMBAYARAN GAJI INDUK ASN


[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 SALMON NAUW, S.Kep DD-0 4,463,000 0 150,000 193,261 6,733 0 1 .............
2 0 190,000 550,000 10,711 193,261 0
178,520 0 325,770 32,134 48,315
02-05-1972 3 4,641,520 0 6,733 0
197205021993021001 MKG:22 0 371,322 325,770
( Pembina Tk.I-4B 0 0
17 0
00000000000000 6,100,146 10,711 988,246 0
32,134 5,111,900
2 DR FARLIEN FONDA MAINAKE JD-0 4,194,600 0 150,000 175,384 13,625 0 2 .............
0 0 190,000 550,000 10,067 175,384 0
0 0 108,590 30,201 43,846
06-04-1970 1 4,194,600 0 13,625 0
197004062002122004 MKG:18 0 335,568 108,590
( Pembina Tk.I-4B 0 0
14 0
00000000000000 5,422,481 10,067 717,281 0
30,201 4,705,200
3 PABER HUTAHAEAN, SE.M.KES K -1 4,151,100 2,025,000 150,000 270,290 83,067 0 3 .............
2 415,110 0 525,000 9,963 270,290 0
166,044 0 434,360 29,888 67,573
02-04-1970 4 4,732,254 0 83,067 0
197004021993031010 MKG:20 0 378,580 434,360
( Pembina-4A 0 0
99 0
00000000000000 8,259,921 9,963 1,273,721 0
29,888 6,986,200
4 MAURIDS KAMBU, S. KM K -1 4,416,700 1,260,000 150,000 251,802 60,513 0 4 .............
2 441,670 0 525,000 10,600 251,802 0
176,668 0 434,360 31,800 62,950
23-04-1968 4 5,035,038 0 60,513 0
196804231995031001 MKG:24 0 402,803 434,360
( Pembina-4A 0 0
15 0
00000000000000 7,759,128 10,600 1,254,828 0
31,800 6,504,300
5 PETRONELA S. WAFOM, S.St.,M.Kes TK-0 4,151,100 980,000 150,000 205,244 47,983 0 5 .............
0 0 0 525,000 9,963 205,244 0
0 0 108,590 29,888 51,311
19-06-1972 1 4,151,100 0 47,983 0
197206192000122004 MKG:20 0 332,088 108,590
( Pembina-4A 0 0
99 0
00000000000000 6,207,867 9,963 785,067 0
29,888 5,422,800
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 YULIAN SESA, A.Md K -1 4,281,800 0 150,000 202,850 2,692 0 6 .............
2 428,180 190,000 525,000 10,276 202,850 0
171,272 0 434,360 30,829 50,713
01-06-1966 4 4,881,252 0 2,692 0
196606011988121002 MKG:23 0 390,500 434,360
( Pembina-4A 0 0
61 0
00000000000000 6,427,320 10,276 1,122,220 0
30,829 5,305,100
7 YANCE KAITANA, S.KM.,M.Kes K -1 4,024,400 0 150,000 191,113 0 0 7 .............
2 402,440 190,000 525,000 9,659 191,113 0
160,976 0 434,360 28,976 47,778
20-06-1975 4 4,587,816 0 0 0
197506201997031009 MKG:19 0 367,025 434,360
( Pembina-4A 0 0
87 0
74.706.410.3-951.000 6,117,011 9,659 1,078,911 0
28,976 5,038,100
8 DR. SONNY EDYSON FATTI K -1 3,782,400 0 150,000 180,077 0 0 8 .............
2 378,240 190,000 525,000 9,078 180,077 0
151,296 0 434,360 27,233 45,019
05-11-1972 4 4,311,936 0 0 0
197211052005021006 MKG:14 0 344,955 434,360
( Pembina-4A 0 0
38 0
00000000000000 5,827,722 9,078 1,040,722 0
27,233 4,787,000
SUB TOTAL PERGOLONGAN : IV 33,465,100 4,265,000 1,200,000 1,670,021 214,613 0
PEG: 8 2,065,640 950,000 4,250,000 80,317 1,670,021 0
IST: 5 JIWA= 25 1,004,776 0 2,714,750 240,949 417,505
36,535,516 0 214,613 0
ANK: 12 0 2,922,841 2,714,750
430 0 0
52,121,596 80,317 8,260,996
240,949 43,860,600
9 MARTHA NAA K -1 3,743,100 980,000 125,000 206,891 20,096 0 9 .............
1 374,310 0 500,000 8,983 206,891 0
74,862 0 325,770 26,950 51,723
17-05-1971 3 4,192,272 0 20,096 0
197105171993012002 MKG:17 0 335,382 325,770
( Penata Tk.I-3D 0 0
33 0
00000000000000 6,385,995 8,983 975,795 0
26,950 5,410,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
10 NICODEMUS YUMAME, AKM K -1 3,518,100 980,000 125,000 199,625 0 0 10 .............
2 351,810 0 500,000 8,443 199,625 0
140,724 0 434,360 25,330 49,906
30-11-1979 4 4,010,634 0 0 0
197911302005022003 MKG:12 0 320,851 434,360
( Penata Tk.I-3D 0 0
23 0
00000000000000 6,283,415 8,443 1,038,515 0
25,330 5,244,900
11 SALMON MELIANUS SESA, SKM. M.KES TK-0 0 980,000 0 39,200 0 0 11 .............
0 0 0 0 0 39,200 0
0 0 0 0 9,800
27-03-1975 1 0 0 0 0
197503271998031005 MKG: 0 0 0 0
( Penata Tk.I-3D 0 0 0
1,019,200 0 49,000 0
0 970,200
12 JORMIKA BAHO, S.Keb K -1 3,982,600 540,000 125,000 203,207 1,413 0 12 .............
2 398,260 0 500,000 9,558 203,207 0
159,304 0 434,360 28,675 50,802
28-06-1973 4 4,540,164 0 1,413 0
197306282000122003 MKG:20 0 363,213 434,360
( Penata Tk.I-3D 0 0
51 0
00000000000000 6,382,428 9,558 1,091,228 0
28,675 5,291,200
13 COSMAS TENAU, AMK K -1 3,861,000 540,000 125,000 197,662 0 0 13 .............
2 386,100 0 500,000 9,266 197,662 0
154,440 0 434,360 27,799 49,415
17-06-1971 4 4,401,540 0 0 0
197106171996031003 MKG:18 0 352,123 434,360
( Penata Tk.I-3D 0 0
98 0
00000000000000 6,235,725 9,266 1,070,625 0
27,799 5,165,100
14 MARTHINA NAUW, A.MK TK-0 3,743,100 540,000 125,000 171,324 6,113 0 14 .............
0 0 0 500,000 8,983 171,324 0
0 0 108,590 26,950 42,831
25-02-1978 1 3,743,100 0 6,113 0
197802252002122005 MKG:16 0 299,448 108,590
( Penata Tk.I-3D 0 0
79 0
00000000000000 5,230,139 8,983 664,239 0
26,950 4,565,900
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
15 NESTI IRENE YULENSIA WAFOM, A.MK TK-0 3,518,100 540,000 125,000 162,324 0 0 15 .............
0 0 0 500,000 8,443 162,324 0
0 0 108,590 25,330 40,581
25-07-1983 1 3,518,100 0 0 0
198307252005022003 MKG:12 0 281,448 108,590
( Penata Tk.I-3D 0 0
29 0
00000000000000 4,987,816 8,443 626,716 0
25,330 4,361,100
16 ENGELIN YEANETTY,S,SI.APT K -1 3,410,600 540,000 125,000 171,666 0 0 16 .............
0 341,060 0 500,000 8,185 171,666 0
0 0 217,180 24,556 42,917
23-04-1978 2 3,751,660 0 0 0
197804232010042002 MKG:10 0 300,133 217,180
( Penata Tk.I-3D 0 0
90 0
00000000000000 5,338,337 8,185 764,637 0
24,556 4,573,700
17 MARTEN LUTHER HARRA, A.Md.Kep K -1 3,410,600 0 125,000 162,923 0 0 17 .............
2 341,060 185,000 500,000 8,185 162,923 0
136,424 0 434,360 24,556 40,731
23-05-1980 4 3,888,084 0 0 0
198005232006051001 MKG:11 0 311,047 434,360
( Penata Tk.I-3D 0 0
94 0
00000000000000 5,328,202 8,185 981,802 0
24,556 4,346,400
18 YOKBETH KARETH, SKM TK-0 3,591,200 540,000 125,000 165,248 0 0 18 .............
0 0 0 475,000 8,619 165,248 0
0 0 108,590 25,857 41,312
26-04-1976 1 3,591,200 0 0 0
197604262006052001 MKG:16 0 287,296 108,590
( Penata-3C 8 0 0
000000000000000 5,039,522 8,619 636,922 0
25,857 4,402,600
19 YULINDA M. KAMBUAYA,AMK K -1 3,272,200 540,000 125,000 170,812 0 0 19 .............
2 327,220 0 475,000 7,853 170,812 0
130,888 0 434,360 23,560 42,703
26-03-1983 4 3,730,308 0 0 0
198303262005022002 MKG:10 0 298,425 434,360
( Penata-3C 20 0 0
00000000000000 5,506,913 7,853 977,713 0
23,560 4,529,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
20 ORTIZAN YUMAME, S.SI,Apt TK-0 3,272,200 540,000 125,000 152,488 0 0 20 .............
0 0 0 475,000 7,853 152,488 0
0 0 108,590 23,560 38,122
18-10-1984 1 3,272,200 0 0 0
198410182010041001 MKG:10 0 261,776 108,590
( Penata-3C 0 0
98 0
00000000000000 4,704,789 7,853 592,389 0
23,560 4,112,400
21 SAMSUL BAHRI UMASUGI,S,KM K -1 3,272,200 540,000 125,000 170,812 0 0 21 .............
2 327,220 0 475,000 7,853 170,812 0
130,888 0 434,360 23,560 42,703
10-04-1987 4 3,730,308 0 0 0
198704102010041002 MKG:10 0 298,425 434,360
( Penata-3C 0 0
20 0
9701051004870001 5,506,913 7,853 977,713 0
23,560 4,529,200
22 BALANDINA WAY, SH TK-0 3,075,500 540,000 125,000 144,620 0 0 22 .............
0 0 0 475,000 7,381 144,620 0
0 0 108,590 22,144 36,155
08-03-1970 1 3,075,500 0 0 0
197003082000112001 MKG: 7 0 246,040 108,590
( Penata-3C 0 0
95 0
00000000000000 4,498,330 7,381 564,930 0
22,144 3,933,400
23 VANYA ANITA HOWAY, S.KM K -1 3,375,300 0 125,000 161,314 0 0 23 .............
2 337,530 185,000 475,000 8,101 161,314 0
135,012 0 434,360 24,302 40,328
12-02-1984 4 3,847,842 0 0 0
198402122010042002 MKG:12 0 307,827 434,360
( Penata-3C 0 0
13 0
00000000000000 5,260,932 8,101 976,232 0
24,302 4,284,700
24 MELFIA SAGRIM, S.KM TK-0 3,375,300 0 125,000 142,412 0 0 24 .............
0 0 185,000 475,000 8,101 142,412 0
0 0 108,590 24,302 35,603
31-05-1985 1 3,375,300 0 0 0
198505312010042001 MKG:12 0 270,024 108,590
( Penata-3C 0 0
27 0
00000000000000 4,443,732 8,101 589,032 0
24,302 3,854,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 6

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
25 TUTIANA KAMBUAYA A.MK TK-0 3,272,200 0 125,000 138,288 0 0 25 .............
0 0 185,000 475,000 7,853 138,288 0
0 0 108,590 23,560 34,572
20-09-1984 1 3,272,200 0 0 0
198409202008012006 MKG:11 0 261,776 108,590
( Penata-3C 0 0
48 0
00000000000000 4,335,539 7,853 574,639 0
23,560 3,760,900
26 YANTI SINGGIR, A.MK K -1 3,272,200 0 125,000 151,377 0 0 26 .............
0 327,220 185,000 475,000 7,853 151,377 0
0 0 217,180 23,560 37,844
07-10-1984 2 3,599,420 0 0 0
198410072008012013 MKG:11 0 287,954 217,180
( Penata-3C 0 0
78 0
00000000000000 4,784,468 7,853 725,768 0
23,560 4,058,700
27 MERCY PASULU , S.KM K -1 3,272,200 0 125,000 156,612 0 0 27 .............
2 327,220 185,000 475,000 7,853 156,612 0
130,888 0 434,360 23,560 39,153
04-09-1984 4 3,730,308 0 0 0
198409042010042002 MKG:10 0 298,425 434,360
( Penata-3C 0 0
70 0
00000000000000 5,137,763 7,853 959,963 0
23,560 4,177,800
28 AULIA SARUNGALLO, S.Farm.Apt TK-0 3,272,200 0 125,000 138,288 0 0 28 .............
0 0 185,000 475,000 7,853 138,288 0
0 0 108,590 23,560 34,572
27-08-1985 1 3,272,200 0 0 0
198508272010042003 MKG:10 0 261,776 108,590
( Penata-3C 0 0
48 0
00000000000000 4,335,539 7,853 574,639 0
23,560 3,760,900
29 ADOLPINA MALLUKA,S.KM K -1 3,272,200 0 125,000 156,612 0 0 29 .............
2 327,220 185,000 475,000 7,853 156,612 0
130,888 0 434,360 23,560 39,153
12-08-1986 4 3,730,308 0 0 0
198608122010042003 MKG:10 0 298,425 434,360
( Penata-3C 0 0
70 0
00000000000000 5,137,763 7,853 959,963 0
23,560 4,177,800
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 7

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
30 ALFONSINA DUWIT , S.KM K -1 3,172,300 0 125,000 149,519 0 0 30 .............
1 317,230 185,000 475,000 7,614 149,519 0
63,446 0 325,770 22,841 37,380
29-03-1985 3 3,552,976 0 0 0
198503292010042004 MKG: 9 0 284,238 325,770
( Penata-3C 0 0
42 0
00000000000000 4,843,762 7,614 827,362 0
22,841 4,016,400
31 PASKALINA ARLINCE WANANE,S.KM K -1 3,172,300 0 125,000 152,057 0 0 31 .............
2 317,230 185,000 475,000 7,614 152,057 0
126,892 0 434,360 22,841 38,014
03-04-1985 4 3,616,422 0 0 0
198504032010042001 MKG: 8 0 289,314 434,360
( Penata-3C 0 0
6 0
00000000000000 5,018,300 7,614 944,200 0
22,841 4,074,100
32 SINICE MAHRICE NAA, SKM TK-0 3,075,500 0 125,000 130,420 0 0 32 .............
0 0 185,000 475,000 7,381 130,420 0
0 0 108,590 22,144 32,605
09-03-1989 1 3,075,500 0 0 0
198903092015012002 MKG: 6 0 246,040 108,590
( Penata-3C 0 0
45 0
00000000000000 4,129,080 7,381 547,180 0
22,144 3,581,900
33 YOSMINA BASNA, Amd.Keb TK-0 3,139,400 540,000 125,000 147,176 0 0 33 .............
0 0 0 450,000 7,535 147,176 0
0 0 108,590 22,604 36,794
04-01-1972 1 3,139,400 0 0 0
197201042006052001 MKG:10 0 251,152 108,590
( Penata Muda Tk.I-3B 0 0
46 0
00000000000000 4,540,351 7,535 573,851 0
22,604 3,966,500
34 YULIANUS FRABUKU, S.SOS K -1 2,950,600 540,000 125,000 156,147 0 0 34 .............
2 295,060 0 450,000 7,081 156,147 0
118,024 0 434,360 21,244 39,037
15-02-1979 4 3,363,684 0 0 0
197902152012031001 MKG: 7 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
48 0
00000000000000 5,097,564 7,081 926,964 0
21,244 4,170,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 8

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 10% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
35 NATALIA KAMBUAYA, A.MK TK-0 0 540,000 0 21,600 0 0 35 .............
0 0 0 0 0 21,600 0
0 0 0 0 5,400
25-12-1982 1 0 0 0 0
198212252009092002 MKG: 0 0 0 0
( Penata Muda Tk.I-3B 0 0 0
561,600 0 27,000 0
0 534,600
36 YUSTANTI MALLUKA, SKM TK-0 3,043,600 0 125,000 129,144 0 0 36 .............
0 0 185,000 450,000 7,305 129,144 0
0 0 108,590 21,914 32,286
03-09-1987 1 3,043,600 0 0 0
198709032012032001 MKG: 8 0 243,488 108,590
( Penata Muda Tk.I-3B 0 0
74 0
00000000000000 4,070,627 7,305 542,727 0
21,914 3,527,900
37 PAULUS SEWIA, SH K -1 2,950,600 0 125,000 141,947 0 0 37 .............
2 295,060 185,000 450,000 7,081 141,947 0
118,024 0 434,360 21,244 35,487
06-07-1983 4 3,363,684 0 0 0
198307062014071001 MKG: 6 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
98 0
00000000000000 4,728,414 7,081 909,214 0
21,244 3,819,200
38 APOLONIUS. S GANISIUS FATEM, SH TK-0 2,950,600 0 80,000 125,424 0 0 38 .............
0 0 185,000 450,000 7,081 125,424 0
0 0 108,590 21,244 31,356
16-04-1984 1 2,950,600 0 0 0
198404162014081002 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 3,927,943 7,081 529,743 0
21,244 3,398,200
39 NIKODEMUS KARETH,SKM K -1 2,950,600 0 125,000 137,226 0 0 39 .............
0 295,060 185,000 450,000 7,081 137,226 0
0 0 217,180 21,244 34,307
10-11-1987 2 3,245,660 0 0 0
198711102015011002 MKG: 6 0 259,653 217,180
( Penata Muda Tk.I-3B 0 0
0 0
00000000000000 4,388,391 7,081 676,691 0
21,244 3,711,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 9

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
40 SERLINA SANGGA, SKM K -1 2,950,600 0 125,000 141,947 0 0 40 .............
2 295,060 185,000 450,000 7,081 141,947 0
118,024 0 434,360 21,244 35,487
10-04-1989 4 3,363,684 0 0 0
198904102015012001 MKG: 6 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
98 0
00000000000000 4,728,414 7,081 909,214 0
21,244 3,819,200
41 Dr. MULIANDA TK-0 2,150,800 0 125,000 93,432 0 0 41 .............
0 0 185,000 288,000 5,162 93,432 0
0 0 108,590 15,486 23,358
07-07-1982 1 2,150,800 0 0 0
198207072016021001 MKG: 0 0 172,064 108,590
( Penata Muda Tk.I-3B 0 0
22 0
00000000000000 2,971,492 5,162 418,092 0
15,486 2,553,400
42 ENOS DUWITH, AMK TK-0 3,106,900 0 125,000 131,676 0 0 42 .............
0 0 185,000 425,000 7,457 131,676 0
0 0 108,590 22,370 32,919
09-03-1974 1 3,106,900 0 0 0
197403092005021005 MKG:12 0 248,552 108,590
( Penata Muda-3A 0 0
71 0
00000000000000 4,112,064 7,457 551,564 0
22,370 3,560,500
43 TUWO SIPRIANTO, S.Farm, Apt K -1 2,920,100 0 125,000 140,557 0 0 43 .............
2 292,010 185,000 425,000 7,008 140,557 0
116,804 0 434,360 21,025 35,139
24-06-1980 4 3,328,914 0 0 0
198006242006051001 MKG: 8 0 266,313 434,360
( Penata Muda-3A 0 0
38 0
00000000000000 4,666,902 7,008 904,402 0
21,025 3,762,500
44 BEATRIK KAMBUAYA ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 44 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
25-11-1988 1 2,063,520 0 0 0
198811252020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 10

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
45 MARIKE ALFONITA SAGRIM ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 45 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
11-08-1992 1 2,063,520 0 0 0
199208112020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
46 LOISA JITMAU ,S.Kom TK-0 2,063,520 0 100,000 89,941 0 0 46 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
31-10-1996 1 2,063,520 0 0 0
199610312020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 113,506,560 9,960,000 4,380,000 5,431,800 27,622 0
PEG: 38 6,272,940 4,070,000 16,229,000 272,409 5,431,800 0
IST: 19 JIWA= 87 1,985,532 0 9,230,150 817,247 1,357,950
121,765,032 0 27,622 0
ANK: 30 0 9,741,207 9,230,150
1,825 0 0
172,185,085 272,409 26,878,385
817,247 145,306,700
47 EKLEFINA IRAPANUSSA K -1 2,605,800 0 100,000 126,024 0 0 47 .............
2 260,580 180,000 350,000 6,254 126,024 0
104,232 0 434,360 18,762 31,506
03-10-1976 4 2,970,612 0 0 0
197610032010042001 MKG:11 0 237,649 434,360
( Pengatur-2C 0 0
43 0
00000000000000 4,186,055 6,254 854,555 0
18,762 3,331,500
48 FERONIKA KAMBU ,AMK TK-0 1,841,440 0 80,000 80,858 0 0 48 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
06-02-1986 1 1,841,440 0 0 0
198602062020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 11

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
49 FILLOMINA ASSEM ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 49 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
18-07-1987 1 1,841,440 0 0 0
198707182020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
50 MERLIN SRAUN ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 50 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
13-05-1997 1 1,841,440 0 0 0
199705132020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
51 SELFIANA WAFOM K -1 2,423,700 0 100,000 117,721 0 0 51 .............
2 242,370 180,000 325,000 5,817 117,721 0
96,948 0 434,360 17,451 29,430
22-09-1978 4 2,763,018 0 0 0
197809222012032001 MKG: 9 0 221,041 434,360
( Pengatur Muda Tk.I-2B 0 0
53 0
70.462.489.9-951.000 3,943,420 5,817 825,820 0
17,451 3,117,600
52 HERRIK DACOSTA SALOSSA K -1 2,208,400 0 100,000 107,903 0 0 52 .............
2 220,840 180,000 325,000 5,300 107,903 0
88,336 0 434,360 15,900 26,976
01-04-1982 4 2,517,576 0 0 0
198204012004121002 MKG: 4 0 201,406 434,360
( Pengatur Muda Tk.I-2B 0 0
6 0
00000000000000 3,686,045 5,300 791,845 0
15,900 2,894,200
SUB TOTAL PERGOLONGAN : 12,762,220 0 540,000 594,222 0 0
PEG: 6 723,790 1,080,000 1,672,000 30,628 594,222 0
IST: 3 JIWA= 15 289,516 0 1,628,850 91,887 148,554
13,775,526 0 0 0
ANK: 6 0 1,102,041 1,628,850
369 0 0
19,413,482 30,628 3,596,182
91,887 15,817,300
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] DINAS KESEHATAN
(009) D60901100900001 BULAN : APRIL 2022 HALAMAN : 12

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 159,733,880 14,225,000 6,120,000 7,696,043 242,235 0
PEG: 52 9,062,370 6,100,000 22,151,000 383,354 7,696,043 0
IST: 27 JIWA= 127 3,279,824 0 13,573,750 1,150,083 1,924,009
ANK: 48 172,076,074 0 242,235 0
0 13,766,089 13,573,750
0 0
2,624 383,354 38,735,563
243,720,163
1,150,083 204,984,600

KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 DOMINGGAS ASMURUF, A.MK TK-0 3,518,100 540,000 125,000 162,324 0 0 1 .............
0 0 0 500,000 8,443 162,324 0
0 0 108,590 25,330 40,581
23-08-1977 1 3,518,100 0 0 0
197708232000122004 MKG:13 0 281,448 108,590
( Penata Tk.I-3D 0 0
29 0
00000000000000 4,987,816 8,443 626,716 0
25,330 4,361,100
2 ADRIANA IEK, AMK K -1 3,518,100 0 125,000 168,211 0 0 2 .............
1 351,810 0 500,000 8,443 168,211 0
70,362 265,000 325,770 25,330 42,053
29-01-1975 3 3,940,272 0 0 0
197501292000032003 MKG:13 0 315,222 325,770
( Penata Tk.I-3D 0 0
3 0
00000000000000 5,358,029 8,443 885,029 0
25,330 4,473,000
3 MERLIN HERLINA ISIR, A.MK TK-0 3,591,200 0 125,000 163,648 0 0 3 .............
0 0 0 475,000 8,619 163,648 0
0 500,000 108,590 25,857 40,912
10-05-1985 1 3,591,200 0 0 0
198505102008012006 MKG:16 0 287,296 108,590
( Penata-3C 0 0
8 0
00000000000000 4,997,922 8,619 634,922 0
25,857 4,363,000
4 YOSINA IEK K -1 3,375,300 0 125,000 173,914 0 0 4 .............
2 337,530 0 475,000 8,101 173,914 0
135,012 500,000 434,360 24,302 43,478
28-10-1982 4 3,847,842 0 0 0
198210282003122005 MKG:12 0 307,827 434,360
( Penata-3C 0 0
63 0
00000000000000 5,588,582 8,101 991,982 0
24,302 4,596,600
5 MINCE BOSAWER,A.MD,KEB K -1 3,272,200 0 125,000 169,212 0 0 5 .............
2 327,220 0 475,000 7,853 169,212 0
130,888 500,000 434,360 23,560 42,303
09-05-1974 4 3,730,308 0 0 0
197405092005022004 MKG:11 0 298,425 434,360
( Penata-3C 0 0
20 0
00000000000000 5,465,313 7,853 975,713 0
23,560 4,489,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 BERTHA AGUSTINA BOSAWER, A.MK TK-0 3,272,200 0 125,000 150,888 0 0 6 .............
0 0 0 475,000 7,853 150,888 0
0 500,000 108,590 23,560 37,722
07-03-1984 1 3,272,200 0 0 0
198403072008012011 MKG:11 0 261,776 108,590
( Penata-3C 0 0
98 0
00000000000000 4,663,189 7,853 590,389 0
23,560 4,072,800
7 ADMIN ARNI ICK, S.Kep TK-0 3,272,200 0 125,000 150,888 0 0 7 .............
0 0 0 475,000 7,853 150,888 0
0 500,000 108,590 23,560 37,722
24-04-1985 1 3,272,200 0 0 0
198504242005022003 MKG:11 0 261,776 108,590
( Penata-3C 0 0
98 0
00000000000000 4,663,189 7,853 590,389 0
23,560 4,072,800
8 ELVERINA SEPTER KARETH,AMK K -1 3,172,300 0 125,000 164,657 0 0 8 .............
2 317,230 0 475,000 7,614 164,657 0
126,892 500,000 434,360 22,841 41,164
14-09-1983 4 3,616,422 0 0 0
198309142010042002 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
00000000000000 5,345,950 7,614 959,950 0
22,841 4,386,000
9 FEBELINA ASMURUF, S. KEP TK-0 3,172,300 0 125,000 146,892 0 0 9 .............
0 0 0 475,000 7,614 146,892 0
0 500,000 108,590 22,841 36,723
01-09-1987 1 3,172,300 0 0 0
198709012009092003 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,558,244 7,614 576,444 0
22,841 3,981,800
10 SELFINA JITMAU TK-0 3,554,000 0 125,000 152,760 0 0 10 .............
0 0 0 450,000 8,530 152,760 0
0 265,000 108,590 25,589 38,190
08-09-1976 1 3,554,000 0 0 0
197609082006052003 MKG:18 0 284,320 108,590
( Penata Muda Tk.I-3B 0 0
10 0
00000000000000 4,689,479 8,530 617,979 0
25,589 4,071,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
11 MARTHAFINA YAAH, S.Kep TK-0 3,043,600 0 125,000 132,344 0 0 11 .............
0 0 0 425,000 7,305 132,344 0
0 265,000 108,590 21,914 33,086
10-03-1983 1 3,043,600 0 0 0
198303102008012029 MKG: 8 0 243,488 108,590
( Penata Muda Tk.I-3B 0 0
74 0
00000000000000 4,128,827 7,305 546,727 0
21,914 3,582,100
12 IKA NELCE WEJU, S.Kep,Ns TK-0 2,950,600 0 125,000 128,624 0 0 12 .............
0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
23-11-1987 1 2,950,600 0 0 0
198711232015012001 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
13 HUSNI,S.Farm TK-0 2,950,600 0 125,000 128,624 0 0 13 .............
0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
17-03-1990 1 2,950,600 0 0 0
199003172015012001 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
14 MAHRENI KARETH, AMK K -1 2,920,100 0 125,000 143,757 0 0 14 .............
2 292,010 0 425,000 7,008 143,757 0
116,804 265,000 434,360 21,025 35,939
17-09-1985 4 3,328,914 0 0 0
198509172010042001 MKG: 8 0 266,313 434,360
( Penata Muda-3A 0 0
38 0
00000000000000 4,750,102 7,008 908,402 0
21,025 3,841,700
15 AFRITA ANDRIANI RUHUKAIL, TK-0 2,830,900 0 125,000 123,836 0 0 15 .............
A.Md.Kep 0 0 0 425,000 6,794 123,836 0
0 265,000 108,590 20,382 30,959
20-05-1988 1 2,830,900 0 0 0
198805202012032100 MKG: 7 0 226,472 108,590
( Penata Muda-3A 0 0
31 0
00000000000000 3,905,533 6,794 517,033 0
20,382 3,388,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
16 SURATMI,AMK. K -1 2,744,500 0 125,000 135,749 0 0 16 .............
2 274,450 0 425,000 6,587 135,749 0
109,780 265,000 434,360 19,760 33,937
03-10-1989 4 3,128,730 0 0 0
198910032015012001 MKG: 4 0 250,298 434,360
( Penata Muda-3A 0 0
5 0
00000000000000 4,540,191 6,587 880,691 0
19,760 3,659,500
17 RUTH FLORENCE NAKOH, AMK TK-0 2,920,100 0 125,000 126,404 0 0 17 .............
0 0 0 425,000 7,008 126,404 0
0 240,000 108,590 21,025 31,601
04-07-1984 1 2,920,100 0 0 0
198407042010042001 MKG: 8 0 233,608 108,590
( Penata Muda-3A 0 0
9 0
00000000000000 3,973,136 7,008 528,236 0
21,025 3,444,900
SUB TOTAL PERGOLONGAN : III 54,078,300 540,000 2,125,000 2,522,732 0 0
PEG: 17 1,900,250 0 7,800,000 129,787 2,522,732 0
IST: 6 JIWA= 34 689,738 5,860,000 3,692,060 389,364 630,682
56,668,288 0 0 0
ANK: 11 0 4,533,463 3,692,060
557 0 0
79,727,788 129,787 11,898,088
389,364 67,829,700
18 NOVITA KAMBU, AMK K -1 2,716,000 0 100,000 133,450 0 0 18 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
04-09-1985 4 3,096,240 0 0 0
198509042012032001 MKG:12 0 247,699 434,360
( Pengatur Tk.I-2D 0 0
21 0
00000000000000 4,405,144 6,518 874,944 0
19,555 3,530,200
19 YOHANA HOMER, AMK TK-0 2,716,000 0 100,000 118,240 0 0 19 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
18-07-1989 1 2,716,000 0 0 0
198907182012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
20 ALEKSIUS JEHADI, AMK TK-0 2,633,100 0 100,000 114,924 0 0 20 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
07-07-1989 1 2,633,100 0 0 0
198907072015011001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
21 YURIKE NATALIA MAMUSUNG, AMG TK-0 2,633,100 0 100,000 114,924 0 0 21 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
15-12-1989 1 2,633,100 0 0 0
198912152015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
22 AHANTIANA ROSMERI WAY, AMG TK-0 2,633,100 0 100,000 114,924 0 0 22 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
15-04-1990 1 2,633,100 0 0 0
199004152015012003 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
23 HANA YOSMINA ATKANA, AMG TK-0 2,633,100 0 100,000 114,924 0 0 23 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
03-06-1990 1 2,633,100 0 0 0
199006032015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
24 ALVINA FINCE YUMAME, AMK TK-0 2,633,100 0 100,000 114,924 0 0 24 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
14-10-1990 1 2,633,100 0 0 0
199010142015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 HALAMAN : 6

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
25 NATALIA OKTOVINA GAISENDI, AMG TK-0 2,633,100 0 100,000 114,924 0 0 25 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
26-12-1990 1 2,633,100 0 0 0
199012262015012003 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
26 HELSI PAULINA YUMAME, AMK TK-0 2,633,100 0 100,000 114,924 0 0 26 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
15-06-1991 1 2,633,100 0 0 0
199106152015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 79 0 0
0000000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
27 ELISA SIALLA PATABANG,Amd.Keb TK-0 2,633,100 0 100,000 114,924 0 0 27 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
17-06-1992 1 2,633,100 0 0 0
199206172015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
28 JULIA JEKLIN JITMAU,AMd K -1 2,633,100 0 100,000 129,669 0 0 28 .............
2 263,310 0 375,000 6,319 129,669 0
105,324 240,000 434,360 18,958 32,417
28-04-1993 4 3,001,734 0 0 0
199304282015012001 MKG: 9 0 240,139 434,360
( Pengatur Tk.I-2D 0 0
22 0
00000000000000 4,306,062 6,319 861,862 0
18,958 3,444,200
29 SELLY SUSIANTI HOMER, AMK TK-0 2,552,700 0 100,000 111,708 0 0 29 .............
0 0 0 375,000 6,126 111,708 0
0 240,000 108,590 18,379 27,927
24-09-1990 1 2,552,700 0 0 0
199009242015012001 MKG: 8 0 204,216 108,590
( Pengatur Tk.I-2D 0 0
43 0
00000000000000 3,512,546 6,126 476,946 0
18,379 3,035,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 HALAMAN : 7

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
30 KRISTINA BURA SALAMBA, AMD,KEB K -1 2,552,700 0 100,000 123,961 0 0 30 .............
1 255,270 0 375,000 6,126 123,961 0
51,054 240,000 325,770 18,379 30,990
07-03-1992 3 2,859,024 0 0 0
199203072016022001 MKG: 8 0 228,722 325,770
( Pengatur Tk.I-2D 0 0
88 0
00000000000000 4,048,348 6,126 733,948 0
18,379 3,314,400
31 JOHNCUN KAMBU, AMK K -1 2,449,100 0 100,000 118,879 0 0 31 .............
2 244,910 180,000 350,000 5,878 118,879 0
97,964 0 434,360 17,634 29,720
21-06-1979 4 2,791,974 0 0 0
197906212015011001 MKG: 7 0 223,358 434,360
( Pengatur-2C 0 0
4 0
00000000000000 3,998,729 5,878 829,829 0
17,634 3,168,900
32 JUBLINA SISKA PATILI ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 32 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
09-01-1986 1 1,841,440 0 0 0
198601092020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
33 WAYU BRIN ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 33 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
09-01-1992 1 1,841,440 0 0 0
199201092020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
34 YULIANTI KAMBU ,A.Md TK-0 1,841,440 0 80,000 80,858 0 0 34 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
24-01-1992 1 1,841,440 0 0 0
199201242020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 HALAMAN : 8

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
35 MARTINA KAMBU ,A.Md.Kep. TK-0 1,841,440 0 80,000 80,858 0 0 35 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
14-12-1992 1 1,841,440 0 0 0
199212142020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
36 YAN PITER RUMERE ,A.MD, KES K -1 1,841,440 0 80,000 88,223 0 0 36 .............
0 184,144 180,000 224,000 4,419 88,223 0
0 0 217,180 13,258 22,056
13-02-1993 2 2,025,584 0 0 0
199302132020121001 MKG: 3 0 162,047 217,180
( Pengatur-2C 19 0 0
00.000.000.0-000.000 2,832,683 4,419 507,183 0
13,258 2,325,500
37 SIANNY YOSINA WAY ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 37 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
24-09-1994 1 1,841,440 0 0 0
199409242020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
38 SILVALIN OKSALIDA NAKOH TK-0 1,841,440 0 80,000 80,858 0 0 38 .............
,A.Md.Kep 0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
10-03-1997 1 1,841,440 0 0 0
199703102020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 49,574,480 0 1,960,000 2,228,670 0 0
PEG: 21 1,219,234 1,440,000 6,793,000 118,970 2,228,670 0
IST: 5 JIWA= 33 362,982 3,120,000 3,583,470 356,930 557,164
51,156,696 0 0 0
ANK: 7 0 4,092,535 3,583,470
1,403 0 0
70,759,139 118,970 10,937,739
356,930 59,821,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO
(009) D60901100900002 BULAN : APRIL 2022 HALAMAN : 9

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 103,652,780 540,000 4,085,000 4,751,402 0 0
PEG: 38 3,119,484 1,440,000 14,593,000 248,757 4,751,402 0
IST: 11 JIWA= 67 1,052,720 8,980,000 7,275,530 746,294 1,187,846
ANK: 18 107,824,984 0 0 0
0 8,625,998 7,275,530
0 0
1,960 248,757 22,835,827
150,486,927
746,294 127,651,100

KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 MAGDALENA ISIR, S.ST TK-0 4,416,700 0 150,000 210,668 53,913 0 1 .............
0 0 0 525,000 10,600 210,668 0
0 850,000 108,590 31,800 52,667
18-10-1966 1 4,416,700 0 53,913 0
196610181991021012 MKG:24 0 353,336 108,590
( Pembina-4A 0 0
3 0
00000000000000 6,357,274 10,600 821,574 0
31,800 5,535,700
2 OTTOVINA DUWIT, S.Tr. Keb TK-0 4,281,800 0 150,000 191,272 31,138 0 2 .............
0 0 0 525,000 10,276 191,272 0
0 500,000 108,590 30,829 47,818
10-10-1971 1 4,281,800 0 31,138 0
197110101993012002 MKG:22 0 342,544 108,590
( Pembina-4A 0 0
62 0
00000000000000 5,828,967 10,276 762,467 0
30,829 5,066,500
SUB TOTAL PERGOLONGAN : IV 8,698,500 0 300,000 401,940 85,051 0
PEG: 2 0 0 1,050,000 20,876 401,940 0
IST: 0 JIWA= 2 0 1,350,000 217,180 62,629 100,485
8,698,500 0 85,051 0
ANK: 0 0 695,880 217,180
65 0 0
12,186,241 20,876 1,584,041
62,629 10,602,200
3 DR. YOHANA M. FERNANDEZ TK-0 3,743,100 0 125,000 179,724 16,088 0 3 .............
0 0 0 500,000 8,983 179,724 0
0 750,000 108,590 26,950 44,931
02-01-1968 1 3,743,100 0 16,088 0
196801022005022003 MKG:17 0 299,448 108,590
( Penata Tk.I-3D 0 0
79 0
00000000000000 5,458,514 8,983 684,714 0
26,950 4,773,800
4 MIRA MARIA KAMBU, S.KM TK-0 3,518,100 0 125,000 164,724 0 0 4 .............
0 0 0 500,000 8,443 164,724 0
0 600,000 108,590 25,330 41,181
08-11-1984 1 3,518,100 0 0 0
198411082010042003 MKG:12 0 281,448 108,590
( Penata Tk.I-3D 0 0
29 0
00000000000000 5,050,216 8,443 629,716 0
25,330 4,420,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 NOVITA SAGRIM, SKM TK-0 3,518,100 0 125,000 164,724 0 0 5 .............
0 0 0 500,000 8,443 164,724 0
0 600,000 108,590 25,330 41,181
06-11-1985 1 3,518,100 0 0 0
198511062010042003 MKG:12 0 281,448 108,590
( Penata Tk.I-3D 0 0
29 0
00000000000000 5,050,216 8,443 629,716 0
25,330 4,420,500
6 MARIA MURAFER, A.Md. Kep K -1 3,518,100 0 125,000 180,425 0 0 6 .............
2 351,810 0 500,000 8,443 180,425 0
140,724 500,000 434,360 25,330 45,106
06-03-1982 4 4,010,634 0 0 0
198203062006052003 MKG:12 0 320,851 434,360
( Penata Tk.I-3D 0 0
23 0
00000000000000 5,784,215 8,443 1,014,515 0
25,330 4,769,700
7 NOVITA HOWAY, A.Mk K -1 3,410,600 0 125,000 166,123 0 0 7 .............
2 341,060 0 500,000 8,185 166,123 0
136,424 265,000 434,360 24,556 41,531
22-08-1981 4 3,888,084 0 0 0
198108222005022009 MKG:11 0 311,047 434,360
( Penata Tk.I-3D 0 0
94 0
00000000000000 5,411,402 8,185 985,802 0
24,556 4,425,600
8 LUDIA ATOS BONTONG, A.MD, KEP K -1 3,375,300 0 125,000 173,914 0 0 8 .............
2 337,530 0 475,000 8,101 173,914 0
135,012 500,000 434,360 24,302 43,478
12-05-1977 4 3,847,842 0 0 0
197705122003122018 MKG:12 0 307,827 434,360
( Penata-3C 0 0
63 0
00000000000000 5,588,582 8,101 991,982 0
24,302 4,596,600
9 MERRY YANTI Y.LEMAUK, S.ST TK-0 3,375,300 0 125,000 155,012 0 0 9 .............
0 0 0 475,000 8,101 155,012 0
0 500,000 108,590 24,302 38,753
08-05-1983 1 3,375,300 0 0 0
198305082006052001 MKG:12 0 270,024 108,590
( Penata-3C 0 0
77 0
00000000000000 4,771,382 8,101 604,782 0
24,302 4,166,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
10 YANE AMERSI SUSIM, A.Md.Kep K -1 3,172,300 0 125,000 164,657 0 0 10 .............
2 317,230 0 475,000 7,614 164,657 0
126,892 500,000 434,360 22,841 41,164
31-01-1986 4 3,616,422 0 0 0
198601312009092002 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
00000000000000 5,345,950 7,614 959,950 0
22,841 4,386,000
11 FINCE DUDUNG RAYO,S.KM K -1 3,375,300 0 125,000 165,914 0 0 11 .............
2 337,530 0 475,000 8,101 165,914 0
135,012 300,000 434,360 24,302 41,478
21-07-1979 4 3,847,842 0 0 0
197907212010042001 MKG:12 0 307,827 434,360
( Penata-3C 0 0
63 0
00000000000000 5,380,582 8,101 981,982 0
24,302 4,398,600
12 RITA NELCE KAMBU,AMK TK-0 3,272,200 0 125,000 141,488 0 0 12 .............
0 0 0 475,000 7,853 141,488 0
0 265,000 108,590 23,560 35,372
17-11-1987 1 3,272,200 0 0 0
198711172010042001 MKG:10 0 261,776 108,590
( Penata-3C 0 0
48 0
00000000000000 4,418,739 7,853 578,639 0
23,560 3,840,100
13 RENI DUWITH, AMK K -1 3,272,200 0 125,000 159,812 0 0 13 .............
2 327,220 0 475,000 7,853 159,812 0
130,888 265,000 434,360 23,560 39,953
05-12-1987 4 3,730,308 0 0 0
198712052010042002 MKG:10 0 298,425 434,360
( Penata-3C 0 0
70 0
00000000000000 5,220,963 7,853 963,963 0
23,560 4,257,000
14 OKTOVINA SENTUF, A.Md.Kep TK-0 3,172,300 0 125,000 136,492 0 0 14 .............
0 0 0 475,000 7,614 136,492 0
0 240,000 108,590 22,841 34,123
09-04-1986 1 3,172,300 0 0 0
198603092010042001 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,287,844 7,614 563,444 0
22,841 3,724,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
15 dr. DANCE SRAUN TK-0 2,773,200 0 125,000 123,928 0 0 15 .............
0 0 0 450,000 6,656 123,928 0
0 325,000 108,590 19,967 30,982
31-12-1984 1 2,773,200 0 0 0
198412312015011001 MKG: 3 0 221,856 108,590
( Penata Muda Tk.I-3B 0 0
38 0
00000000000000 3,932,379 6,656 511,979 0
19,967 3,420,400
16 FLORIDA HOWAY, AMK TK-0 3,043,600 0 125,000 133,744 0 0 16 .............
0 0 0 450,000 7,305 133,744 0
0 300,000 108,590 21,914 33,436
20-01-1983 1 3,043,600 0 0 0
198301202009092004 MKG: 8 0 243,488 108,590
( Penata Muda Tk.I-3B 0 0
24 0
00000000000000 4,190,177 7,305 548,477 0
21,914 3,641,700
17 HEROSINA SOLOSSA, A.MD K -1 3,238,300 0 125,000 158,266 0 0 17 .............
2 323,830 0 450,000 7,772 158,266 0
129,532 265,000 434,360 23,316 39,567
11-10-1982 4 3,691,662 0 0 0
198210112006052001 MKG:12 0 295,333 434,360
( Penata Muda Tk.I-3B 0 0
38 0
00000000000000 5,155,414 7,772 958,614 0
23,316 4,196,800
18 BERTHY PATTI RADJAWANE,S.Kep K -1 3,043,600 0 125,000 149,388 0 0 18 .............
2 304,360 0 450,000 7,305 149,388 0
121,744 265,000 434,360 21,914 37,347
05-01-1972 4 3,469,704 0 0 0
197201052006051001 MKG: 8 0 277,576 434,360
( Penata Muda Tk.I-3B 0 0
19 0
00000000000000 4,922,690 7,305 927,890 0
21,914 3,994,800
19 FRANSISKA EUNIKE YAROLLO, S.Kep TK-0 2,950,600 0 125,000 128,624 0 0 19 .............
0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
12-01-1987 1 2,950,600 0 0 0
198701122015012001 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
20 MERLIN SAMPE LIMBONG,S.Kep.Ns K -1 2,950,600 0 125,000 140,426 0 0 20 .............
0 295,060 0 450,000 7,081 140,426 0
0 265,000 217,180 21,244 35,107
17-05-1989 2 3,245,660 0 0 0
198905172015012001 MKG: 6 0 259,653 217,180
( Penata Muda Tk.I-3B 0 0
0 0
00000000000000 4,471,591 7,081 680,691 0
21,244 3,790,900
21 RUTHILINA HERLINA BERTHINA TK-0 2,950,600 0 125,000 128,624 0 0 21 .............
SAFKAUR, SKM 0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
10-07-1989 1 2,950,600 0 0 0
198907102015012002 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
22 YONISE DUWITH, AMK TK-0 3,043,600 0 125,000 131,344 0 0 22 .............
0 0 0 450,000 7,305 131,344 0
0 240,000 108,590 21,914 32,836
26-06-1986 1 3,043,600 0 0 0
198606262010042001 MKG: 9 0 243,488 108,590
( Penata Muda Tk.I-3B 0 0
24 0
00000000000000 4,127,777 7,305 545,477 0
21,914 3,582,300
23 MAILENTINA SRAUN, AMK K -1 3,043,600 0 125,000 145,953 0 0 23 .............
1 304,360 0 450,000 7,305 145,953 0
60,872 240,000 325,770 21,914 36,488
13-05-1987 3 3,408,832 0 0 0
198705132010042001 MKG: 8 0 272,707 325,770
( Penata Muda Tk.I-3B 0 0
63 0
00000000000000 4,724,837 7,305 810,137 0
21,914 3,914,700
24 NIUS MARIPI, S.Farm.Apt TK-0 2,860,500 0 125,000 121,820 0 0 24 .............
0 0 185,000 450,000 6,865 121,820 0
0 0 108,590 20,596 30,455
13-12-1989 1 2,860,500 0 0 0
198912132015011001 MKG: 4 0 228,840 108,590
( Penata Muda Tk.I-3B 0 0
95 0
00000000000000 3,878,466 6,865 517,166 0
20,596 3,361,300
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 6

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
25 GEERTREDA TULASEKET TK-0 3,204,700 0 125,000 138,788 0 0 25 .............
0 0 0 425,000 7,691 138,788 0
0 265,000 108,590 23,074 34,697
15-09-1978 1 3,204,700 0 0 0
197809152007011016 MKG:14 0 256,376 108,590
( Penata Muda-3A 0 0
73 0
00000000000000 4,297,916 7,691 569,216 0
23,074 3,728,700
26 SARCE ISIR, SST TK-0 2,920,100 0 125,000 127,404 0 0 26 .............
0 0 0 425,000 7,008 127,404 0
0 265,000 108,590 21,025 31,851
01-09-1970 1 2,920,100 0 0 0
196609012003122003 MKG: 9 0 233,608 108,590
( Penata Muda-3A 0 0
59 0
00000000000000 3,999,186 7,008 529,486 0
21,025 3,469,700
27 SHERLITA YOHANIS, Amd.Keb TK-0 2,920,100 0 125,000 127,404 0 0 27 .............
0 0 0 425,000 7,008 127,404 0
0 265,000 108,590 21,025 31,851
11-12-1990 1 2,920,100 0 0 0
199012112015012001 MKG: 9 0 233,608 108,590
( Penata Muda-3A 0 0
59 0
00000000000000 3,999,186 7,008 529,486 0
21,025 3,469,700
28 FENTIANA KAMBU, AMK K -1 2,830,900 0 125,000 139,689 0 0 28 .............
2 283,090 0 425,000 6,794 139,689 0
113,236 265,000 434,360 20,382 34,922
04-12-1988 4 3,227,226 0 0 0
198812042012032001 MKG: 7 0 258,178 434,360
( Penata Muda-3A 0 0
74 0
00000000000000 4,643,525 6,794 894,325 0
20,382 3,749,200
29 APILENA NAUW, AMK K -1 2,830,900 0 125,000 139,689 0 0 29 .............
2 283,090 0 425,000 6,794 139,689 0
113,236 265,000 434,360 20,382 34,922
10-06-1989 4 3,227,226 0 0 0
198906102012032001 MKG: 7 0 258,178 434,360
( Penata Muda-3A 0 0
74 0
00000000000000 4,643,525 6,794 894,325 0
20,382 3,749,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 7

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
30 DIANA, A. Md. Keb K -1 2,744,500 0 125,000 133,554 0 0 30 .............
1 274,450 0 425,000 6,587 133,554 0
54,890 265,000 325,770 19,760 33,388
16-05-1986 3 3,073,840 0 0 0
198605162014082003 MKG: 4 0 245,907 325,770
( Penata Muda-3A 0 0
55 0
00000000000000 4,374,566 6,587 764,966 0
19,760 3,609,600
31 DORSILA HARA, AMK TK-0 2,920,100 0 125,000 126,404 0 0 31 .............
0 0 0 425,000 7,008 126,404 0
0 240,000 108,590 21,025 31,601
08-01-1986 1 2,920,100 0 0 0
198601082010042001 MKG: 8 0 233,608 108,590
( Penata Muda-3A 0 0
9 0
00000000000000 3,973,136 7,008 528,236 0
21,025 3,444,900
32 ROSITA HOWAY, AM.Keb K -1 2,830,900 0 125,000 138,689 0 0 32 .............
2 283,090 0 425,000 6,794 138,689 0
113,236 240,000 434,360 20,382 34,672
23-07-1988 4 3,227,226 0 0 0
198807232012032001 MKG: 6 0 258,178 434,360
( Penata Muda-3A 0 0
24 0
00000000000000 4,617,475 6,794 893,075 0
20,382 3,724,400
33 OKTOVINA LOKDEN ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 33 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
26-10-1994 1 2,063,520 0 0 0
199410262020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 95,886,820 0 3,850,000 4,476,688 16,088 0
PEG: 31 4,363,710 370,000 13,997,000 230,126 4,476,688 0
IST: 14 JIWA= 69 1,511,698 9,785,000 7,492,710 690,383 1,119,170
101,762,228 0 16,088 0
ANK: 24 0 8,140,979 7,492,710
1,421 0 0
142,671,644 230,126 22,166,144
690,383 120,505,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 8

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
34 MARLON LEMAUK K -1 2,801,500 0 100,000 137,348 0 0 34 .............
2 280,150 0 375,000 6,724 137,348 0
112,060 240,000 434,360 20,171 34,337
10-10-1984 4 3,193,710 0 0 0
198410102005021005 MKG:13 0 255,497 434,360
( Pengatur Tk.I-2D 0 0
24 0
00000000000000 4,507,337 6,724 888,437 0
20,171 3,618,900
35 FERRA ANITA BLESS, AMK TK-0 2,801,500 0 100,000 121,660 0 0 35 .............
0 0 0 375,000 6,724 121,660 0
0 240,000 108,590 20,171 30,415
24-08-1988 1 2,801,500 0 0 0
198808242012032001 MKG:13 0 224,120 108,590
( Pengatur Tk.I-2D 0 0
35 0
00000000000000 3,773,680 6,724 511,680 0
20,171 3,262,000
36 YULCE SUSIM K -1 2,716,000 0 100,000 133,450 0 0 36 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
05-02-1982 4 3,096,240 0 0 0
198202052006052001 MKG:12 0 247,699 434,360
( Pengatur Tk.I-2D 0 0
21 0
00000000000000 4,405,144 6,518 874,944 0
19,555 3,530,200
37 YULIANA LONGA, AMK K -1 2,716,000 0 100,000 133,450 0 0 37 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
27-07-1980 4 3,096,240 0 0 0
198007272012032001 MKG:11 0 247,699 434,360
( Pengatur Tk.I-2D 0 0
21 0
00000000000000 4,405,144 6,518 874,944 0
19,555 3,530,200
38 MERIANA SRAUN, AMK K -1 2,716,000 0 100,000 133,450 0 0 38 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
23-03-1983 4 3,096,240 0 0 0
198303232012032001 MKG:11 0 247,699 434,360
( Pengatur Tk.I-2D 0 0
21 0
00000000000000 4,405,144 6,518 874,944 0
19,555 3,530,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 9

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
39 ROSALINA, AM.Keb TK-0 2,716,000 0 100,000 118,240 0 0 39 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
12-08-1987 1 2,716,000 0 0 0
198708122012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
40 ALFONSINA HOWAY, Amd.Kep TK-0 2,716,000 0 100,000 118,240 0 0 40 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
14-04-1989 1 2,716,000 0 0 0
198904142012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
41 SANTHY ARUNGBUA, Amd.Gz TK-0 2,716,000 0 100,000 118,240 0 0 41 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
12-01-1990 1 2,716,000 0 0 0
199001122012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
42 AYU MARCELINA, A.MD.KEB K -1 2,716,000 0 100,000 133,450 0 0 42 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
13-03-1991 4 3,096,240 0 0 0
199103132012032001 MKG:11 0 247,699 434,360
( Pengatur Tk.I-2D 0 0
21 0
00000000000000 4,405,144 6,518 874,944 0
19,555 3,530,200
43 SAMUEL KAMBU, AMG TK-0 2,633,100 0 100,000 114,924 0 0 43 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
20-09-1986 1 2,633,100 0 0 0
198609202015011002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 10

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
44 SARINA REGINA KAMBU, AMG TK-0 2,633,100 0 100,000 114,924 0 0 44 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
16-09-1987 1 2,633,100 0 0 0
198709162015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
45 EVI TANGKEARUNG, AMK K -1 2,633,100 0 100,000 129,669 0 0 45 .............
2 263,310 0 375,000 6,319 129,669 0
105,324 240,000 434,360 18,958 32,417
08-10-1988 4 3,001,734 0 0 0
198810082015012001 MKG: 9 0 240,139 434,360
( Pengatur Tk.I-2D 0 0
22 0
00000000000000 4,306,062 6,319 861,862 0
18,958 3,444,200
46 DEVIANTI ISIR, AMG TK-0 2,633,100 0 100,000 114,924 0 0 46 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
03-03-1989 1 2,633,100 0 0 0
198903032015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
47 NOVITA NAA, AMK TK-0 2,633,100 0 100,000 114,924 0 0 47 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
26-11-1990 1 2,633,100 0 0 0
199011262015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
48 RICCI EVANDER HUTAPEA, AMd K -1 2,633,100 0 100,000 125,456 0 0 48 .............
0 263,310 0 375,000 6,319 125,456 0
0 240,000 217,180 18,958 31,364
28-08-1991 2 2,896,410 0 0 0
199108282015011001 MKG: 9 0 231,713 217,180
( Pengatur Tk.I-2D 0 0
67 0
00000000000000 3,979,390 6,319 630,990 0
18,958 3,348,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 11

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
49 SUHARNI, Amd.Keb K -1 2,633,100 0 100,000 129,669 0 0 49 .............
2 263,310 0 375,000 6,319 129,669 0
105,324 240,000 434,360 18,958 32,417
24-12-1991 4 3,001,734 0 0 0
199112242015012001 MKG: 9 0 240,139 434,360
( Pengatur Tk.I-2D 0 0
22 0
00000000000000 4,306,062 6,319 861,862 0
18,958 3,444,200
50 ELDA KADO' BARA ' Amd. Keb TK-0 2,633,100 0 100,000 114,924 0 0 50 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
16-09-1992 1 2,633,100 0 0 0
199209162015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
51 ORPAH RIDAYANTI SILO, Amd.Keb TK-0 2,633,100 0 100,000 114,924 0 0 51 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
07-10-1992 1 2,633,100 0 0 0
199210072015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
52 DORKAS KARETH, Amd,Keb TK-0 2,552,700 0 100,000 111,708 0 0 52 .............
0 0 0 375,000 6,126 111,708 0
0 240,000 108,590 18,379 27,927
14-12-1987 1 2,552,700 0 0 0
198712142015012001 MKG: 7 0 204,216 108,590
( Pengatur Tk.I-2D 0 0
43 0
00000000000000 3,512,546 6,126 476,946 0
18,379 3,035,600
53 DORKAS JUMTE, AMG TK-0 2,552,700 0 100,000 111,708 0 0 53 .............
0 0 0 375,000 6,126 111,708 0
0 240,000 108,590 18,379 27,927
24-12-1990 1 2,552,700 0 0 0
199012242015012001 MKG: 7 0 204,216 108,590
( Pengatur Tk.I-2D 0 0
43 0
00000000000000 3,512,546 6,126 476,946 0
18,379 3,035,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 12

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
54 TRIMEILAN SESA, A.Md.Far TK-0 2,633,100 0 100,000 114,124 0 0 54 .............
0 0 0 375,000 6,319 114,124 0
0 220,000 108,590 18,958 28,531
03-05-1990 1 2,633,100 0 0 0
199005032015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,576,170 6,319 487,170 0
18,958 3,089,000
55 ROSITA SAFLESSA, Amd.Keb TK-0 2,633,100 0 100,000 112,524 0 0 55 .............
0 0 180,000 375,000 6,319 112,524 0
0 0 108,590 18,958 28,131
28-02-1984 1 2,633,100 0 0 0
198402282015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,534,570 6,319 485,170 0
18,958 3,049,400
56 TANTI S.SIMANULLANG, A.Md.Keb K -1 2,633,100 0 100,000 123,056 0 0 56 .............
0 263,310 180,000 375,000 6,319 123,056 0
0 0 217,180 18,958 30,764
28-07-1990 2 2,896,410 0 0 0
199007282015012001 MKG: 9 0 231,713 217,180
( Pengatur Tk.I-2D 0 0
67 0
00000000000000 3,916,990 6,319 627,990 0
18,958 3,289,000
57 APILENA MALIBELA, AMK TK-0 2,301,800 0 100,000 101,672 0 0 57 .............
0 0 0 350,000 5,524 101,672 0
0 240,000 108,590 16,573 25,418
19-05-1983 1 2,301,800 0 0 0
198305192010042001 MKG: 3 0 184,144 108,590
( Pengatur-2C 0 0
62 0
00000000000000 3,224,221 5,524 441,921 0
16,573 2,782,300
58 YAKOMINA G.WAY K -1 2,526,200 0 100,000 123,995 0 0 58 .............
2 252,620 0 350,000 6,063 123,995 0
101,048 220,000 434,360 18,189 30,999
18-01-1983 4 2,879,868 0 0 0
198301182005022004 MKG:10 0 230,389 434,360
( Pengatur-2C 0 0
20 0
00000000000000 4,132,495 6,063 843,995 0
18,189 3,288,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 13

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
59 YERMINA AKSAMINA HOWAY, AMG TK-0 2,449,100 0 100,000 105,164 0 0 59 .............
0 0 180,000 350,000 5,878 105,164 0
0 0 108,590 17,634 26,291
03-06-1990 1 2,449,100 0 0 0
199006032015012003 MKG: 7 0 195,928 108,590
( Pengatur-2C 0 0
19 0
00000000000000 3,316,385 5,878 459,485 0
17,634 2,856,900
60 JULCE JULIANA NAUW ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 60 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
16-07-1989 1 1,841,440 0 0 0
198907162020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
61 YOLANDA K. ISIR ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 61 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
30-04-1992 1 1,841,440 0 0 0
199204302020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
62 AGUSTINA TRISIANI KAMBU ,A.Md. TK-0 1,841,440 0 80,000 80,858 0 0 62 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
12-08-1992 1 1,841,440 0 0 0
199208122020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
63 RIBEKA HOWAY ,A.Md. K -1 1,841,440 0 80,000 91,170 0 0 63 .............
2 184,144 180,000 224,000 4,419 91,170 0
73,658 0 434,360 13,258 22,792
04-10-1992 4 2,099,242 0 0 0
199210042020122001 MKG: 3 0 167,939 434,360
( Pengatur-2C 89 0 0
00.000.000.0-000.000 3,126,538 4,419 733,938 0
13,258 2,392,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 14

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
64 YURIKE PRISKILA NAA ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 64 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
28-07-1993 1 1,841,440 0 0 0
199307282020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
65 DESY WORAIT ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 65 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
04-12-1993 1 1,841,440 0 0 0
199312042020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
66 SELINDA KAMBU ,A.Md.Kep. TK-0 1,841,440 0 80,000 80,858 0 0 66 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
28-09-1994 1 1,841,440 0 0 0
199409282020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
67 ORA OKTOVINA WORORIK ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 67 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
22-10-1995 1 1,841,440 0 0 0
199510222020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
68 DELINA SUSIYANTI SOLOSSA ,A.Md. TK-0 1,841,440 0 80,000 80,858 0 0 68 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
22-11-1995 1 1,841,440 0 0 0
199511222020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU
(009) D60901100900003 BULAN : APRIL 2022 HALAMAN : 15

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
69 AMELIA FRIDA SALLATA K -1 2,349,700 0 100,000 112,987 0 0 69 .............
0 234,970 0 325,000 5,639 112,987 0
0 240,000 217,180 16,918 28,247
03-02-1993 2 2,584,670 0 0 0
199302032012032001 MKG: 7 0 206,774 217,180
( Pengatur Muda Tk.I-2B 0 0
51 0
00000000000000 3,602,445 5,639 587,745 0
16,918 3,014,700
SUB TOTAL PERGOLONGAN : 87,517,360 0 3,420,000 3,976,838 0 0
PEG: 36 3,091,524 2,160,000 12,016,000 210,029 3,976,838 0
IST: 12 JIWA= 66 931,974 5,720,000 7,166,940 630,117 994,203
91,540,858 0 0 0
ANK: 18 0 7,323,267 7,166,940
2,112 0 0
126,842,894 210,029 20,301,394
630,117 106,541,500
TOTAL PER SATKER 192,102,680 0 7,570,000 8,855,466 101,139 0
PEG: 69 7,455,234 2,530,000 27,063,000 461,031 8,855,466 0
IST: 26 JIWA= 137 2,443,672 16,855,000 14,876,830 1,383,129 2,213,858
ANK: 42 202,001,586 0 101,139 0
0 16,160,126 14,876,830
0 0
3,598 461,031 44,051,579
281,700,779
1,383,129 237,649,200

KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 PAULINA SABA, S.Kep K -1 3,306,500 540,000 125,000 172,376 0 0 1 .............
2 330,650 0 500,000 7,936 172,376 0
132,260 0 434,360 23,807 43,094
12-12-1986 4 3,769,410 0 0 0
198612122010042002 MKG: 9 0 301,553 434,360
( Penata Tk.I-3D 0 0
37 0
00000000000000 5,572,926 7,936 983,126 0
23,807 4,589,800
2 INDRIANA SARI,S.Farm.Apt K -1 3,075,500 0 125,000 170,243 0 0 2 .............
2 307,550 0 475,000 7,381 170,243 0
123,020 750,000 434,360 22,144 42,561
16-04-1979 4 3,506,070 0 0 0
197904162015012001 MKG: 6 0 280,486 434,360
( Penata-3C 0 0
77 0
00000000000000 5,490,275 7,381 957,175 0
22,144 4,533,100
3 FEDERIKA ASMURUF, A.Mk TK-0 3,481,600 0 125,000 159,264 0 0 3 .............
0 0 0 475,000 8,356 159,264 0
0 500,000 108,590 25,068 39,816
27-02-1980 1 3,481,600 0 0 0
198002272005022005 MKG:14 0 278,528 108,590
( Penata-3C 0 0
44 0
00000000000000 4,882,922 8,356 619,622 0
25,068 4,263,300
4 NOVITA NAUW, S.Kep.Ns TK-0 3,481,600 0 125,000 159,264 0 0 4 .............
0 0 0 475,000 8,356 159,264 0
0 500,000 108,590 25,068 39,816
11-04-1981 1 3,481,600 0 0 0
198104112005022003 MKG:14 0 278,528 108,590
( Penata-3C 0 0
44 0
00000000000000 4,882,922 8,356 619,622 0
25,068 4,263,300
5 APILIUS KAMBU, A.MK K -1 3,272,200 0 125,000 169,212 0 0 5 .............
2 327,220 0 475,000 7,853 169,212 0
130,888 500,000 434,360 23,560 42,303
14-04-1982 4 3,730,308 0 0 0
198204142008011017 MKG:11 0 298,425 434,360
( Penata-3C 0 0
20 0
00000000000000 5,465,313 7,853 975,713 0
23,560 4,489,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 YUNNITA YOHANA MBAUBEDARI, K -1 3,172,300 0 125,000 164,657 0 0 6 .............
A.Md.Kep 2 317,230 0 475,000 7,614 164,657 0
126,892 500,000 434,360 22,841 41,164
22-06-1982 4 3,616,422 0 0 0
198206222010042003 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
00000000000000 5,345,950 7,614 959,950 0
22,841 4,386,000
7 SANDRA LINDA KOFIAS, A.Md.Kep TK-0 3,172,300 0 125,000 146,892 0 0 7 .............
0 0 0 475,000 7,614 146,892 0
0 500,000 108,590 22,841 36,723
24-07-1984 1 3,172,300 0 0 0
198407242010042003 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,558,244 7,614 576,444 0
22,841 3,981,800
8 ARIANCE RUTCE NAA, AMK TK-0 3,172,300 0 125,000 146,892 0 0 8 .............
0 0 0 475,000 7,614 146,892 0
0 500,000 108,590 22,841 36,723
23-04-1985 1 3,172,300 0 0 0
198504232010042003 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,558,244 7,614 576,444 0
22,841 3,981,800
9 MARTHEN LUTER BLESIA, S.Kep K -1 3,272,200 0 125,000 159,812 0 0 9 .............
2 327,220 0 475,000 7,853 159,812 0
130,888 265,000 434,360 23,560 39,953
30-05-1985 4 3,730,308 0 0 0
198505302010041001 MKG:11 0 298,425 434,360
( Penata-3C 0 0
70 0
00000000000000 5,220,963 7,853 963,963 0
23,560 4,257,000
10 ANIKE NAA, AMK TK-0 3,172,300 0 125,000 137,492 0 0 10 .............
0 0 0 475,000 7,614 137,492 0
0 265,000 108,590 22,841 34,373
07-10-1984 1 3,172,300 0 0 0
198410072010042003 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
57 0
00000000000000 4,313,894 7,614 564,694 0
22,841 3,749,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
11 AGUSTINA HERLINA SNANFI,SKM K -1 2,950,600 0 125,000 144,187 0 0 11 .............
1 295,060 0 450,000 7,081 144,187 0
59,012 300,000 325,770 21,244 36,047
15-08-1987 3 3,304,672 0 0 0
198708152015012001 MKG: 6 0 264,374 325,770
( Penata Muda Tk.I-3B 0 0
49 0
00000000000000 4,678,003 7,081 798,703 0
21,244 3,879,300
12 LUMA ERNI SULE, S.Kep TK-0 2,950,600 0 125,000 128,624 0 0 12 .............
0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
12-04-1986 1 2,950,600 0 0 0
198604122015012001 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
13 YOKE YOHANA BLESS, SKM K -1 2,950,600 0 125,000 145,147 0 0 13 .............
2 295,060 0 450,000 7,081 145,147 0
118,024 265,000 434,360 21,244 36,287
26-06-1990 4 3,363,684 0 0 0
199006262015012003 MKG: 6 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
98 0
00000000000000 4,811,614 7,081 913,214 0
21,244 3,898,400
14 ESTER JUNITA IRIANTI SEMUNYA, TK-0 2,744,500 0 125,000 121,780 0 0 14 .............
AMKL 0 0 0 425,000 6,587 121,780 0
0 300,000 108,590 19,760 30,445
28-06-1988 1 2,744,500 0 0 0
198806282015012001 MKG: 4 0 219,560 108,590
( Penata Muda-3A 0 0
5 0
00000000000000 3,851,222 6,587 506,722 0
19,760 3,344,500
15 YULCE SRAUN,AMK K -1 2,830,900 0 125,000 137,424 0 0 15 .............
1 283,090 0 425,000 6,794 137,424 0
56,618 265,000 325,770 20,382 34,356
12-07-1987 3 3,170,608 0 0 0
198707122012032001 MKG: 7 0 253,649 325,770
( Penata Muda-3A 0 0
97 0
00000000000000 4,476,075 6,794 778,375 0
20,382 3,697,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
16 MONIKA YUMTE, Amd. Keb TK-0 2,744,500 0 125,000 120,380 0 0 16 .............
0 0 0 425,000 6,587 120,380 0
0 265,000 108,590 19,760 30,095
07-08-1987 1 2,744,500 0 0 0
198708072015012001 MKG: 4 0 219,560 108,590
( Penata Muda-3A 0 0
55 0
00000000000000 3,814,872 6,587 504,972 0
19,760 3,309,900
17 SELVENA NAA ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 17 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
10-09-1990 1 2,063,520 0 0 0
199009102020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
18 ARISU FANNY HOWAY ,S.Kep., Ns. TK-0 2,063,520 0 100,000 89,941 0 0 18 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
21-10-1990 1 2,063,520 0 0 0
199010212020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
19 DESSY RUTNA LILIANA NAA, S.Farm TK-0 2,063,520 0 100,000 89,941 0 0 19 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
07-12-1991 1 2,063,520 0 0 0
199112072021072001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
0000000000000 2,838,907 4,952 405,907 0
14,857 2,433,000
20 YOHANA WAFOM ,S.K.M TK-0 2,063,520 0 100,000 89,941 0 0 20 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
13-12-1992 1 2,063,520 0 0 0
199212132020122002 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
21 ROSALINA YUMAME, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 21 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
24-05-1995 1 2,063,520 0 0 0
199505242020122023 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.206.509.4-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 60,068,100 540,000 2,500,000 2,833,351 0 0
PEG: 21 2,483,080 925,000 8,760,000 144,162 2,833,351 0
IST: 8 JIWA= 43 877,602 5,940,000 4,669,370 432,490 708,337
63,428,782 0 0 0
ANK: 14 0 5,074,307 4,669,370
962 0 0
90,174,117 144,162 13,862,017
432,490 76,312,100
22 ARIANCE FINSEP KAMBUAYA, AMK TK-0 2,716,000 0 100,000 118,240 0 0 22 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
20-04-1987 1 2,716,000 0 0 0
198704202012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
23 AGUSTINUS SEMUNYA.AMG TK-0 2,633,100 0 100,000 114,924 0 0 23 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
14-08-1988 1 2,633,100 0 0 0
198808142015011002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
24 JELVIANI SAMPE MULE,Amd.Keb K -1 2,633,100 0 100,000 129,669 0 0 24 .............
2 263,310 0 375,000 6,319 129,669 0
105,324 240,000 434,360 18,958 32,417
01-06-1989 4 3,001,734 0 0 0
198906012015012003 MKG: 9 0 240,139 434,360
( Pengatur Tk.I-2D 0 0
22 0
75.867.052.5-951.000 4,306,062 6,319 861,862 0
18,958 3,444,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 HALAMAN : 6

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
25 NENSI EMA KARSAU,AMd.Keb TK-0 2,633,100 0 100,000 114,924 0 0 25 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
13-11-1990 1 2,633,100 0 0 0
199011132015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
26 HELDA YANTI TANDELE,Amd.Keb K -1 2,552,700 0 100,000 121,919 0 0 26 .............
0 255,270 0 375,000 6,126 121,919 0
0 240,000 217,180 18,379 30,480
13-08-1989 2 2,807,970 0 0 0
198908132016022001 MKG: 8 0 224,638 217,180
( Pengatur Tk.I-2D 0 0
48 0
00000000000000 3,886,622 6,126 618,722 0
18,379 3,267,900
27 OKTOVINA ISIR ,A.Md TK-0 1,841,440 0 80,000 80,858 0 0 27 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
02-10-1989 1 1,841,440 0 0 0
198910022020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
28 DESELINA ARNE ,A.Md, GZ TK-0 1,841,440 0 80,000 80,858 0 0 28 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
03-12-1992 1 1,841,440 0 0 0
199212032020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
29 YULCE KARETH ,A.Md.Keb. TK-0 1,841,440 0 80,000 80,858 0 0 29 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
07-07-1995 1 1,841,440 0 0 0
199507072020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU UTARA
(009) D60901100900004 BULAN : APRIL 2022 HALAMAN : 7

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : 18,692,320 0 740,000 842,250 0 0
PEG: 8 518,580 540,000 2,547,000 44,858 842,250 0
IST: 2 JIWA= 12 105,324 1,200,000 1,303,080 134,582 210,561
19,316,224 0 0 0
ANK: 2 0 1,545,298 1,303,080
535 0 0
26,668,529 44,858 4,080,629
134,582 22,587,900
TOTAL PER SATKER 78,760,420 540,000 3,240,000 3,675,601 0 0
PEG: 29 3,001,660 1,465,000 11,307,000 189,020 3,675,601 0
IST: 10 JIWA= 55 982,926 7,140,000 5,972,450 567,072 918,898
ANK: 16 82,745,006 0 0 0
0 6,619,605 5,972,450
0 0
1,497 189,020 17,942,646
116,842,646
567,072 98,900,000

KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS MARE
(009) D60901100900005 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 MARIYAM S.Kep K -1 3,172,300 0 125,000 168,657 0 0 1 .............
2 317,230 0 475,000 7,614 168,657 0
126,892 600,000 434,360 22,841 42,164
25-12-1986 4 3,616,422 0 0 0
198612252012032001 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
00000000000000 5,449,950 7,614 964,950 0
22,841 4,485,000
2 YUSUF KY, A.MD. KEP TK-0 3,172,300 0 125,000 138,892 0 0 2 .............
0 0 0 475,000 7,614 138,892 0
0 300,000 108,590 22,841 34,723
06-05-1984 1 3,172,300 0 0 0
198406052008011005 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,350,244 7,614 566,444 0
22,841 3,783,800
3 MARTHA BAME A.Md. Keb TK-0 3,139,400 0 125,000 136,176 0 0 3 .............
0 0 0 450,000 7,535 136,176 0
0 265,000 108,590 22,604 34,044
05-04-1969 1 3,139,400 0 0 0
196904052003122005 MKG:10 0 251,152 108,590
( Penata Muda Tk.I-3B 0 0
96 0
00000000000000 4,254,401 7,535 560,101 0
22,604 3,694,300
4 ARIANTO OKTAPAGIRIK ,S.Farm TK-0 2,150,800 0 100,000 93,432 0 0 4 .............
0 0 185,000 288,000 5,162 93,432 0
0 0 108,590 15,486 23,358
21-10-1993 1 2,150,800 0 0 0
199310212020121001 MKG: 0 0 172,064 108,590
( Penata Muda Tk.I-3B 22 0 0
00.000.000.0-000.000 2,946,492 5,162 418,092 0
15,486 2,528,400
5 NAFTALI YEWEN, A.MK TK-0 0 540,000 0 21,600 0 0 5 .............
0 0 0 0 0 21,600 0
0 0 0 0 5,400
12-05-1972 1 0 0 0 0
990180702 MKG: 0 0 0 0
( Penata Muda-3A 0 0
0 0
00000000000000 561,600 0 27,000 0
0 534,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS MARE
(009) D60901100900005 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 MARIANKE ASMURUF, AMG K -1 2,744,500 0 125,000 137,149 0 0 6 .............
2 274,450 0 425,000 6,587 137,149 0
109,780 300,000 434,360 19,760 34,287
28-03-1990 4 3,128,730 0 0 0
199003282015012002 MKG: 4 0 250,298 434,360
( Penata Muda-3A 0 0
55 0
00000000000000 4,576,641 6,587 882,441 0
19,760 3,694,200
7 YULITA BARU, Amd. Keb TK-0 2,744,500 0 125,000 120,380 0 0 7 .............
0 0 0 425,000 6,587 120,380 0
0 265,000 108,590 19,760 30,095
21-11-1987 1 2,744,500 0 0 0
198711212015012001 MKG: 4 0 219,560 108,590
( Penata Muda-3A 0 0
55 0
00000000000000 3,814,872 6,587 504,972 0
19,760 3,309,900
8 DONCE NAUW ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 8 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
01-12-1985 1 2,063,520 0 0 0
198512012020121001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
9 MARTHA KAMBU ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 9 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
30-03-1987 1 2,063,520 0 0 0
198703302020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
10 AGUSTINA DATU ,S.Kep, Ners TK-0 2,063,520 0 100,000 89,941 0 0 10 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
05-08-1993 1 2,063,520 0 0 0
199308052020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS MARE
(009) D60901100900005 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : III 23,314,360 540,000 1,025,000 1,086,109 0 0
PEG: 10 591,680 740,000 3,354,000 55,955 1,086,109 0
IST: 2 JIWA= 16 236,672 1,730,000 1,628,850 167,863 271,526
24,142,712 0 0 0
ANK: 4 0 1,931,418 1,628,850
432 0 0
34,470,921 55,955 5,141,721
167,863 29,329,200
11 MONIKA KINGHO TK-0 2,716,000 0 100,000 118,240 0 0 11 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
20-12-1972 1 2,716,000 0 0 0
197212202003122002 MKG:12 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
12 FERI SEAALTIEL BAME, AMKL TK-0 2,633,100 0 100,000 114,924 0 0 12 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
09-08-1984 1 2,633,100 0 0 0
198408092015011001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
13 YANTHI KRISTINA,Amd.Keb K -1 2,552,700 0 100,000 126,003 0 0 13 .............
2 255,270 0 375,000 6,126 126,003 0
102,108 240,000 434,360 18,379 31,501
15-11-1991 4 2,910,078 0 0 0
199111152015012001 MKG: 8 0 232,806 434,360
( Pengatur Tk.I-2D 0 0
29 0
00000000000000 4,209,975 6,126 849,175 0
18,379 3,360,800
14 NATALIA NATASYE ARNEY, AMK TK-0 2,605,800 0 100,000 111,432 0 0 14 .............
0 0 180,000 350,000 6,254 111,432 0
0 0 108,590 18,762 27,858
28-11-1988 1 2,605,800 0 0 0
198811282012032002 MKG:11 0 208,464 108,590
( Pengatur-2C 0 0
22 0
00000000000000 3,480,860 6,254 481,360 0
18,762 2,999,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS MARE
(009) D60901100900005 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
15 OKTOVINA FAWAN ,A.Md, Gz TK-0 1,841,440 0 80,000 80,858 0 0 15 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
28-10-1993 1 1,841,440 0 0 0
199310282020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
16 OKTOVINA YEWEN ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 16 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
05-10-1994 1 1,841,440 0 0 0
199410052020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
17 OKTOVINA SEMUNYA TK-0 2,423,700 0 100,000 105,748 0 0 17 .............
0 0 0 325,000 5,817 105,748 0
0 220,000 108,590 17,451 26,437
09-10-1983 1 2,423,700 0 0 0
198310092012032001 MKG: 9 0 193,896 108,590
( Pengatur Muda Tk.I-2B 0 0
33 0
00000000000000 3,306,339 5,817 457,939 0
17,451 2,848,400
SUB TOTAL PERGOLONGAN : 16,614,180 0 660,000 738,063 0 0
PEG: 7 255,270 540,000 2,248,000 39,872 738,063 0
IST: 1 JIWA= 10 102,108 940,000 1,085,900 119,621 184,515
16,971,558 0 0 0
ANK: 2 0 1,357,724 1,085,900
381 0 0
23,343,395 39,872 3,525,695
119,621 19,817,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS MARE
(009) D60901100900005 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 39,928,540 540,000 1,685,000 1,824,172 0 0
PEG: 17 846,950 1,280,000 5,602,000 95,827 1,824,172 0
IST: 3 JIWA= 26 338,780 2,670,000 2,714,750 287,484 456,041
ANK: 6 41,114,270 0 0 0
0 3,289,142 2,714,750
0 0
813 95,827 8,667,416
57,814,316
287,484 49,146,900

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 LINDAWATI TANDILILING,S.KM K -1 3,554,900 0 150,000 196,103 0 0 1 .............
2 355,490 0 525,000 8,532 196,103 0
142,196 850,000 434,360 25,595 49,026
08-10-1985 4 4,052,586 0 0 0
198510082010042001 MKG:11 0 324,207 434,360
( Pembina-4A 0 0
47 0
00000000000000 6,242,223 8,532 1,037,823 0
25,595 5,204,400
SUB TOTAL PERGOLONGAN : IV 3,554,900 0 150,000 196,103 0 0
PEG: 1 355,490 0 525,000 8,532 196,103 0
IST: 1 JIWA= 4 142,196 850,000 434,360 25,595 49,026
4,052,586 0 0 0
ANK: 2 0 324,207 434,360
47 0 0
6,242,223 8,532 1,037,823
25,595 5,204,400
2 RUTH SUSANA ATANAY, S.KEP. NS K -1 3,743,100 0 125,000 194,685 0 0 2 .............
2 374,310 0 500,000 8,983 194,685 0
149,724 600,000 434,360 26,950 48,671
13-12-1979 4 4,267,134 0 0 0
197912092000122001 MKG:17 0 341,371 434,360
( Penata Tk.I-3D 8 0 0
00000000000000000000 6,157,120 8,983 1,055,020 0
26,950 5,102,100
3 KORNELES ASSEM, A.MD.KEP K -1 4,237,500 0 125,000 213,230 12,738 0 3 .............
2 423,750 0 500,000 10,170 213,230 0
169,500 500,000 434,360 30,510 53,308
21-06-1964 4 4,830,750 0 12,738 0
196406211988031009 MKG:24 0 386,460 434,360
( Penata Tk.I-3D 18 0 0
0000000000 6,656,776 10,170 1,140,776 0
30,510 5,516,000
4 ABRAHAM HORA, A.MK K -1 3,861,000 0 125,000 196,062 0 0 4 .............
2 386,100 0 500,000 9,266 196,062 0
154,440 500,000 434,360 27,799 49,015
08-01-1975 4 4,401,540 0 0 0
197501082001041001 MKG:18 0 352,123 434,360
( Penata Tk.I-3D 0 0
98 0
00000000000000 6,194,125 9,266 1,068,625 0
27,799 5,125,500
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 HERLINA ERWIN, Apt K -1 3,075,500 0 125,000 170,243 0 0 5 .............
2 307,550 0 475,000 7,381 170,243 0
123,020 750,000 434,360 22,144 42,561
07-03-1988 4 3,506,070 0 0 0
198803072015012001 MKG: 6 0 280,486 434,360
( Penata-3C 0 0
77 0
00000000000000 5,490,275 7,381 957,175 0
22,144 4,533,100
6 THERESIA TAA, AMd.Keb TK-0 3,272,200 0 125,000 150,888 0 0 6 .............
0 0 0 475,000 7,853 150,888 0
0 500,000 108,590 23,560 37,722
01-01-1960 1 3,272,200 0 0 0
197501132005022003 MKG:11 0 261,776 108,590
( Penata-3C 0 0
98 0
00000000000000 4,663,189 7,853 590,389 0
23,560 4,072,800
7 THEOPILUS BARU, S.Kep K -1 3,272,200 0 125,000 166,595 0 0 7 .............
1 327,220 0 475,000 7,853 166,595 0
65,444 500,000 325,770 23,560 41,649
25-03-1984 3 3,664,864 0 0 0
198403252005021002 MKG:11 0 293,189 325,770
( Penata-3C 0 0
74 0
00000000000000 5,288,716 7,853 858,616 0
23,560 4,430,100
8 MERIANTI FRASAWI, A.MK TK-0 3,272,200 0 125,000 150,888 0 0 8 .............
0 0 0 475,000 7,853 150,888 0
0 500,000 108,590 23,560 37,722
27-05-1985 1 3,272,200 0 0 0
198505272009092001 MKG:10 0 261,776 108,590
( Penata-3C 0 0
98 0
00000000000000 4,663,189 7,853 590,389 0
23,560 4,072,800
9 AGUSTINA KAAF, A.Md, Kep K -1 3,172,300 0 125,000 164,657 0 0 9 .............
2 317,230 0 475,000 7,614 164,657 0
126,892 500,000 434,360 22,841 41,164
17-08-1982 4 3,616,422 0 0 0
198208172010042004 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
9210015708820001 5,345,950 7,614 959,950 0
22,841 4,386,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
10 TRUCE WAFOM, A.MG TK-0 3,172,300 0 125,000 146,892 0 0 10 .............
0 0 0 475,000 7,614 146,892 0
0 500,000 108,590 22,841 36,723
10-11-1982 1 3,172,300 0 0 0
198211102009092001 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,558,244 7,614 576,444 0
22,841 3,981,800
11 ROSALINA FANATAF,AMK TK-0 3,172,300 0 125,000 146,892 0 0 11 .............
0 0 0 475,000 7,614 146,892 0
0 500,000 108,590 22,841 36,723
15-08-1985 1 3,172,300 0 0 0
198508152010042001 MKG: 9 0 253,784 108,590
( Penata-3C 0 0
7 0
00000000000000 4,558,244 7,614 576,444 0
22,841 3,981,800
12 BERLINDA SINAI KOSHO,AMD.KEP K -1 3,172,300 0 125,000 159,581 0 0 12 .............
0 317,230 0 475,000 7,614 159,581 0
0 500,000 217,180 22,841 39,895
20-12-1986 2 3,489,530 0 0 0
198612202010042002 MKG: 9 0 279,162 217,180
( Penata-3C 0 0
27 0
00000000000000 4,996,773 7,614 726,273 0
22,841 4,270,500
13 DESI ADRIANA SORI,A.MK K -1 3,172,300 0 125,000 164,657 0 0 13 .............
2 317,230 0 475,000 7,614 164,657 0
126,892 500,000 434,360 22,841 41,164
21-12-1986 4 3,616,422 0 0 0
198612212010042003 MKG: 9 0 289,314 434,360
( Penata-3C 0 0
56 0
97.890.244.3-951.000 5,345,950 7,614 959,950 0
22,841 4,386,000
14 ADRIANA SANGKEK, A.MK TK-0 3,481,600 0 125,000 149,864 0 0 14 .............
0 0 0 475,000 8,356 149,864 0
0 265,000 108,590 25,068 37,466
15-04-1981 1 3,481,600 0 0 0
198104152005022007 MKG:14 0 278,528 108,590
( Penata-3C 0 0
94 0
00000000000000 4,638,572 8,356 607,872 0
25,068 4,030,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
15 YULIANA WAFOM K -1 3,272,200 0 125,000 159,812 0 0 15 .............
2 327,220 0 475,000 7,853 159,812 0
130,888 265,000 434,360 23,560 39,953
08-07-1976 4 3,730,308 0 0 0
197607082005012015 MKG:11 0 298,425 434,360
( Penata-3C 0 0
70 0
00000000000000 5,220,963 7,853 963,963 0
23,560 4,257,000
16 DOLFINA WAFON TK-0 3,272,200 0 125,000 141,488 0 0 16 .............
0 0 0 475,000 7,853 141,488 0
0 265,000 108,590 23,560 35,372
23-12-1976 1 3,272,200 0 0 0
197612232003122003 MKG:11 0 261,776 108,590
( Penata-3C 0 0
48 0
00000000000000 4,418,739 7,853 578,639 0
23,560 3,840,100
17 VERONIKA NSO, A.Md.KL K -1 3,272,200 0 125,000 156,195 0 0 17 .............
1 327,220 0 475,000 7,853 156,195 0
65,444 240,000 325,770 23,560 39,049
06-06-1977 3 3,664,864 0 0 0
197706062008012036 MKG:10 0 293,189 325,770
( Penata-3C 0 0
74 0
00000000000000 5,018,316 7,853 845,616 0
23,560 4,172,700
18 ANTONETA IDIE K -1 3,445,500 540,000 125,000 178,715 0 0 18 .............
2 344,550 0 450,000 8,269 178,715 0
137,820 0 434,360 24,808 44,679
14-09-1975 4 3,927,870 0 0 0
197509142006052005 MKG:16 0 314,230 434,360
( Penata Muda Tk.I-3B 0 0
39 0
00000000000000 5,689,061 8,269 1,005,061 0
24,808 4,684,000
19 REGINA TUROT , A.MK TK-0 2,950,600 0 125,000 130,024 0 0 19 .............
0 0 0 450,000 7,081 130,024 0
0 300,000 108,590 21,244 32,506
15-07-1978 1 2,950,600 0 0 0
197807152010042002 MKG: 7 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
54 0
00000000000000 4,092,593 7,081 535,493 0
21,244 3,557,100
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
20 AMELIA SAA, AMK TK-0 2,950,600 0 125,000 130,024 0 0 20 .............
0 0 0 450,000 7,081 130,024 0
0 300,000 108,590 21,244 32,506
28-08-1983 1 2,950,600 0 0 0
198308282010042002 MKG: 7 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
54 0
00000000000000 4,092,593 7,081 535,493 0
21,244 3,557,100
21 RASYIDI K -1 3,665,900 0 125,000 177,765 0 0 21 .............
2 366,590 0 450,000 8,798 177,765 0
146,636 265,000 434,360 26,394 44,441
12-06-1968 4 4,179,126 0 0 0
196806121998031011 MKG:21 0 334,330 434,360
( Penata Muda Tk.I-3B 0 0
45 0
00000000000000 5,666,488 8,798 1,026,088 0
26,394 4,640,400
22 MARTINUS KAWEN K -1 3,043,600 0 125,000 149,388 0 0 22 .............
2 304,360 0 450,000 7,305 149,388 0
121,744 265,000 434,360 21,914 37,347
01-02-1980 4 3,469,704 0 0 0
198002012005021009 MKG: 9 0 277,576 434,360
( Penata Muda Tk.I-3B 0 0
19 0
00000000000000 4,922,690 7,305 927,890 0
21,914 3,994,800
23 VERONIKA KOMBERTONGGO,A.MD.KEP K -1 3,043,600 0 125,000 146,953 0 0 23 .............
1 304,360 0 450,000 7,305 146,953 0
60,872 265,000 325,770 21,914 36,738
22-02-1985 3 3,408,832 0 0 0
198502222010042001 MKG: 9 0 272,707 325,770
( Penata Muda Tk.I-3B 0 0
13 0
00000000000000 4,750,787 7,305 811,387 0
21,914 3,939,400
24 MATHILDA AWAWATA, S.Kep K -1 2,950,600 0 125,000 145,147 0 0 24 .............
2 295,060 0 450,000 7,081 145,147 0
118,024 265,000 434,360 21,244 36,287
25-01-1985 4 3,363,684 0 0 0
198501252015012002 MKG: 6 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
98 0
00000000000000 4,811,614 7,081 913,214 0
21,244 3,898,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 6

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
25 DESIANA HOSYO, SKM TK-0 2,950,600 0 125,000 128,624 0 0 25 .............
0 0 0 450,000 7,081 128,624 0
0 265,000 108,590 21,244 32,156
19-12-1988 1 2,950,600 0 0 0
198812192015012001 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 4,056,143 7,081 533,743 0
21,244 3,522,400
26 NOVANA IDA HERLINA ATANAY, S.Kep K -1 2,860,500 0 125,000 138,750 0 0 26 .............
1 286,050 0 450,000 6,865 138,750 0
57,210 265,000 325,770 20,596 34,688
10-11-1989 3 3,203,760 0 0 0
198911102015012002 MKG: 4 0 256,301 325,770
( Penata Muda Tk.I-3B 0 0
29 0
00000000000000 4,535,770 6,865 782,970 0
20,596 3,752,800
27 FRANSISKA SAUSA SOLOSSA, SKM TK-0 2,950,600 0 125,000 125,424 0 0 27 .............
0 0 185,000 450,000 7,081 125,424 0
0 0 108,590 21,244 31,356
01-09-1986 1 2,950,600 0 0 0
198609012015012002 MKG: 6 0 236,048 108,590
( Penata Muda Tk.I-3B 0 0
4 0
00000000000000 3,972,943 7,081 529,743 0
21,244 3,443,200
28 YOSEPINA JITMAU, A. MK TK-0 3,409,800 0 125,000 146,992 0 0 28 .............
0 0 0 425,000 8,184 146,992 0
0 265,000 108,590 24,551 36,748
18-11-1971 1 3,409,800 0 0 0
19711182006052001 MKG:19 0 272,784 108,590
( Penata Muda-3A 0 0
32 0
00000000000000 4,513,149 8,184 597,849 0
24,551 3,915,300
29 YOSEPHA TENAU, A.Md. Keb TK-0 3,409,800 0 125,000 146,992 0 0 29 .............
0 0 0 425,000 8,184 146,992 0
0 265,000 108,590 24,551 36,748
20-01-1975 1 3,409,800 0 0 0
197501202006052001 MKG:19 0 272,784 108,590
( Penata Muda-3A 0 0
32 0
00000000000000 4,513,149 8,184 597,849 0
24,551 3,915,300
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 7

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
30 ANTONETA JITMAU TK-0 2,920,100 0 125,000 127,404 0 0 30 .............
0 0 0 425,000 7,008 127,404 0
0 265,000 108,590 21,025 31,851
16-09-1984 1 2,920,100 0 0 0
198409162006052001 MKG: 9 0 233,608 108,590
( Penata Muda-3A 0 0
59 0
00000000000000 3,999,186 7,008 529,486 0
21,025 3,469,700
31 LIVINA LIBERINA SITHIEN K -1 2,744,500 0 125,000 133,554 0 0 31 .............
KRIMADIBRI, Amk 1 274,450 0 425,000 6,587 133,554 0
54,890 265,000 325,770 19,760 33,388
20-06-1988 3 3,073,840 0 0 0
198806202015012001 MKG: 4 0 245,907 325,770
( Penata Muda-3A 0 0
55 0
00000000000000 4,374,566 6,587 764,966 0
19,760 3,609,600
32 SELVIANA TAA, Amd TK-0 2,744,500 0 125,000 120,380 0 0 32 .............
0 0 0 425,000 6,587 120,380 0
0 265,000 108,590 19,760 30,095
06-10-1989 1 2,744,500 0 0 0
198910062015012001 MKG: 4 0 219,560 108,590
( Penata Muda-3A 0 0
55 0
00000000000000 3,814,872 6,587 504,972 0
19,760 3,309,900
33 NOVITA TAHRIN, AMK TK-0 2,744,500 0 125,000 120,380 0 0 33 .............
0 0 0 425,000 6,587 120,380 0
0 265,000 108,590 19,760 30,095
05-11-1990 1 2,744,500 0 0 0
199011052015012003 MKG: 4 0 219,560 108,590
( Penata Muda-3A 0 0
55 0
00000000000000 3,814,872 6,587 504,972 0
19,760 3,309,900
34 MARTINUS SAA, S.KM K -1 3,012,000 0 125,000 143,738 0 0 34 .............
1 301,200 0 425,000 7,229 143,738 0
60,240 220,000 325,770 21,686 35,934
05-01-1982 3 3,373,440 0 0 0
198210052002121006 MKG:11 0 269,875 325,770
( Penata Muda-3A 0 0
69 0
00000000000000 4,641,932 7,229 804,232 0
21,686 3,837,700
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 8

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
35 ADOLINA KAAF ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 35 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
20-04-1988 1 2,063,520 0 0 0
198804202020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 107,754,220 540,000 4,225,000 5,112,824 12,738 0
PEG: 34 5,901,680 370,000 15,422,000 258,609 5,112,824 0
IST: 18 JIWA= 80 1,869,680 11,385,000 8,687,200 775,832 1,278,205
115,525,580 0 12,738 0
ANK: 28 0 9,242,048 8,687,200
1,673 0 0
162,316,456 258,609 25,367,456
775,832 136,949,000
36 YERMIA KAWEN K -1 3,480,700 0 100,000 165,535 0 0 36 .............
1 348,070 0 375,000 8,354 165,535 0
69,614 240,000 325,770 25,061 41,384
12-12-1963 3 3,898,384 0 0 0
196312121986031040 MKG:28 0 311,871 325,770
( Pengatur Tk.I-2D 0 0
71 0
72.195.530.0-951.000 5,138,175 8,354 877,975 0
25,061 4,260,200
37 RAHMATANG, A.MK K -1 2,801,500 0 100,000 137,348 0 0 37 .............
2 280,150 0 375,000 6,724 137,348 0
112,060 240,000 434,360 20,171 34,337
09-03-1984 4 3,193,710 0 0 0
198403092010042001 MKG:14 0 255,497 434,360
( Pengatur Tk.I-2D 24 0 0
00000000000000 4,507,337 6,724 888,437 0
20,171 3,618,900
38 AGNES TAA TK-0 2,716,000 0 100,000 118,240 0 0 38 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
10-08-1978 1 2,716,000 0 0 0
197808102005022013 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 9

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
39 VENTIANA KOSAMAH, A.Md.Kep TK-0 2,716,000 0 100,000 118,240 0 0 39 .............
0 0 0 375,000 6,518 118,240 0
0 240,000 108,590 19,555 29,560
24-02-1988 1 2,716,000 0 0 0
198802242012032001 MKG:11 0 217,280 108,590
( Pengatur Tk.I-2D 0 0
40 0
00000000000000 3,683,943 6,518 499,743 0
19,555 3,184,200
40 EFRIYANI PALIN, Amd.Keb TK-0 2,633,100 0 100,000 114,924 0 0 40 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
26-11-1988 1 2,633,100 0 0 0
198811262015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
41 YULIANCE ASMURUF, AMK TK-0 2,633,100 0 75,000 114,924 0 0 41 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
24-07-1990 1 2,633,100 0 0 0
199007242015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,571,970 6,319 488,170 0
18,958 3,083,800
42 LINCE TANDI, Amd. Kep K -1 2,552,700 0 100,000 126,003 0 0 42 .............
2 255,270 0 375,000 6,126 126,003 0
102,108 240,000 434,360 18,379 31,501
10-04-1979 4 2,910,078 0 0 0
197904102016022001 MKG: 8 0 232,806 434,360
( Pengatur Tk.I-2D 0 0
29 0
00000000000000 4,209,975 6,126 849,175 0
18,379 3,360,800
43 NENI YANTI PAKANDA,A.md.Keb K -1 2,552,700 0 100,000 126,003 0 0 43 .............
2 255,270 0 375,000 6,126 126,003 0
102,108 240,000 434,360 18,379 31,501
26-03-1990 4 2,910,078 0 0 0
199003262016022001 MKG: 8 0 232,806 434,360
( Pengatur Tk.I-2D 0 0
29 0
00000000000000 4,209,975 6,126 849,175 0
18,379 3,360,800
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 10

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
44 MINCE ATANAY, AMKL K -1 2,552,700 0 100,000 126,003 0 0 44 .............
2 255,270 0 375,000 6,126 126,003 0
102,108 240,000 434,360 18,379 31,501
12-05-1986 4 2,910,078 0 0 0
198605122012032001 MKG: 7 0 232,806 434,360
( Pengatur Tk.I-2D 0 0
29 0
74.149.255.7-951.000 4,209,975 6,126 849,175 0
18,379 3,360,800
45 MERI YANTI SALOSSA, AMK K -1 2,552,700 0 100,000 126,003 0 0 45 .............
2 255,270 0 375,000 6,126 126,003 0
102,108 240,000 434,360 18,379 31,501
06-01-1988 4 2,910,078 0 0 0
198801062015012002 MKG: 7 0 232,806 434,360
( Pengatur Tk.I-2D 0 0
29 0
00000000000000 4,209,975 6,126 849,175 0
18,379 3,360,800
46 SINAR AISYAH, AMK K -1 2,474,700 0 100,000 122,446 0 0 46 .............
2 247,470 0 375,000 5,939 122,446 0
98,988 240,000 434,360 17,818 30,612
24-05-1990 4 2,821,158 0 0 0
199005242015012001 MKG: 6 0 225,693 434,360
( Pengatur Tk.I-2D 0 0
47 0
00000000000000 4,116,768 5,939 836,868 0
17,818 3,279,900
47 THERESIA TENAU, Amd TK-0 2,633,100 0 100,000 112,524 0 0 47 .............
0 0 180,000 375,000 6,319 112,524 0
0 0 108,590 18,958 28,131
29-07-1985 1 2,633,100 0 0 0
198507292015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,534,570 6,319 485,170 0
18,958 3,049,400
48 THERESIA YUMTE, AMK TK-0 2,633,100 0 125,000 112,524 0 0 48 .............
0 0 180,000 375,000 6,319 112,524 0
0 0 108,590 18,958 28,131
23-10-1988 1 2,633,100 0 0 0
198810232015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,559,570 6,319 485,170 0
18,958 3,074,400
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 11

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
49 HASMAH ,AMK TK-0 1,841,440 0 80,000 80,858 0 0 49 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
15-03-1987 1 1,841,440 0 0 0
198703152020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
50 AGUSTINA WAFOM ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 50 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
04-04-1989 1 1,841,440 0 0 0
198904042020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
51 IMADUDDIN ,A.Md.Kep K -1 1,841,440 0 80,000 91,170 0 0 51 .............
2 184,144 180,000 224,000 4,419 91,170 0
73,658 0 434,360 13,258 22,792
05-07-1989 4 2,099,242 0 0 0
198907052020121001 MKG: 3 0 167,939 434,360
( Pengatur-2C 89 0 0
00.000.000.0-000.000 3,126,538 4,419 733,938 0
13,258 2,392,600
52 BERNADETTA KOCU ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 52 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
11-06-1990 1 1,841,440 0 0 0
199006112020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
53 RICARDO BARU ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 53 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
25-09-1990 1 1,841,440 0 0 0
199009252020121001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 12

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
54 OKTOSELVIANA TUROT ,A.Md.Kep TK-0 1,841,440 0 80,000 80,858 0 0 54 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
12-10-1991 1 1,841,440 0 0 0
199110122020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
55 LENNA YENNY KOCU ,A.Md, GZ TK-0 1,841,440 0 80,000 80,858 0 0 55 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
24-11-1991 1 1,841,440 0 0 0
199111242020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
56 DEASIANA JEAN JITMAU ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 56 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
01-12-1991 1 1,841,440 0 0 0
199112012020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
57 YULMINA SAFLEMBOLO ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 57 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
17-09-1993 1 1,841,440 0 0 0
199309172020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
58 PAULUS BUTAR BUTAR ,Amd.Kep TK-0 1,841,440 0 80,000 80,858 0 0 58 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
07-10-1993 1 1,841,440 0 0 0
199310072020121001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 13

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
59 RUFINA MAGDALENA FRABUKU TK-0 1,841,440 0 80,000 80,858 0 0 59 .............
,A.Md.AK. 0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
13-08-1997 1 1,841,440 0 0 0
199708132020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
60 ALFRIDA ASMURUF, A.MK K -1 2,349,700 0 100,000 115,946 0 0 60 .............
2 234,970 0 325,000 5,639 115,946 0
93,988 220,000 434,360 16,918 28,987
10-06-1979 4 2,678,658 0 0 0
197906102005022004 MKG: 8 0 214,293 434,360
( Pengatur Muda Tk.I-2B 0 0
22 0
00000000000000 3,896,543 5,639 816,143 0
16,918 3,080,400
61 ANNA M BENGA OLA TK-0 2,349,700 0 100,000 102,788 0 0 61 .............
0 0 0 325,000 5,639 102,788 0
0 220,000 108,590 16,918 25,697
18-04-1981 1 2,349,700 0 0 0
198104182012032001 MKG: 7 0 187,976 108,590
( Pengatur Muda Tk.I-2B 0 0
73 0
00000000000000 3,228,708 5,639 447,608 0
16,918 2,781,100
62 RUFINA KORAIN K -1 2,208,400 0 100,000 109,503 0 0 62 .............
2 220,840 0 325,000 5,300 109,503 0
88,336 220,000 434,360 15,900 27,376
30-03-1980 4 2,517,576 0 0 0
198103292006052001 MKG: 4 0 201,406 434,360
( Pengatur Muda Tk.I-2B 0 0
6 0
00000000000000 3,727,645 5,300 793,845 0
15,900 2,933,800
SUB TOTAL PERGOLONGAN : 62,095,740 0 2,480,000 2,848,704 0 0
PEG: 27 2,536,724 2,340,000 8,314,000 149,020 2,848,704 0
IST: 10 JIWA= 56 945,076 3,300,000 6,081,040 447,082 712,173
65,577,540 0 0 0
ANK: 19 0 5,246,201 6,081,040
1,734 0 0
91,539,120 149,020 15,484,220
447,082 76,054,900
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT
(009) D60901100900006 BULAN : APRIL 2022 HALAMAN : 14

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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 173,404,860 540,000 6,855,000 8,157,631 12,738 0
PEG: 62 8,793,894 2,710,000 24,261,000 416,161 8,157,631 0
IST: 29 JIWA= 140 2,956,952 15,535,000 15,202,600 1,248,509 2,039,404
ANK: 49 185,155,706 0 12,738 0
0 14,812,456 15,202,600
0 0
3,454 416,161 41,889,499
260,097,799
1,248,509 218,208,300

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT TIMUR
(009) D60901100900007 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 YAKOBUS Y.SASIOR TK-0 3,375,300 540,000 80,000 156,612 0 0 1 .............
0 0 0 475,000 8,101 156,612 0
0 0 108,590 24,302 39,153
19-01-1983 1 3,375,300 0 0 0
198301192005021003 MKG:13 0 270,024 108,590
( Penata-3C 0 0
77 0
00000000000000 4,767,982 8,101 606,782 0
24,302 4,161,200
2 ADRIANUS KISA, SKM K -1 2,950,600 0 125,000 145,147 0 0 2 .............
2 295,060 0 450,000 7,081 145,147 0
118,024 265,000 434,360 21,244 36,287
26-09-1986 4 3,363,684 0 0 0
198609262015011001 MKG: 6 0 269,095 434,360
( Penata Muda Tk.I-3B 0 0
98 0
00000000000000 4,811,614 7,081 913,214 0
21,244 3,898,400
3 BALANDINA FRAKUBU K -1 3,012,000 0 125,000 146,947 0 0 3 .............
2 301,200 0 425,000 7,229 146,947 0
120,480 240,000 434,360 21,686 36,737
14-09-1975 4 3,433,680 0 0 0
197509142003122010 MKG:10 0 274,694 434,360
( Penata Muda-3A 0 0
51 0
00000000000000 4,833,953 7,229 921,653 0
21,686 3,912,300
4 SRI WAHYUNI LESTARI ,S.Kep,Ners K -1 2,063,520 0 100,000 99,846 0 0 4 .............
1 206,352 185,000 272,000 4,952 99,846 0
41,270 0 325,770 14,857 24,961
10-10-1987 3 2,311,142 0 0 0
198710102020122001 MKG: 0 0 184,891 325,770
( Penata Muda-3A 10 0 0
00.000.000.0-000.000 3,313,577 4,952 655,277 0
14,857 2,658,300
5 JULIANCE TENAU ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 5 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
21-06-1988 1 2,063,520 0 0 0
198806212020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT TIMUR
(009) D60901100900007 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 MARIANGKE JITMAU ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 6 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
30-05-1991 1 2,063,520 0 0 0
199105302020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
7 NOVARIA IRIYANTI SAA, S.TR. KEP TK-0 2,063,520 0 100,000 89,941 0 0 7 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
16-02-1994 1 2,063,520 0 0 0
199402162020122017 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205024756
47 0
42.252.823.2-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
8 MARLINA KOSHO, A.MD. AK TK-0 2,063,520 0 100,000 89,941 0 0 8 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
28-02-1994 1 2,063,520 0 0 0
199402282020122032 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.253.428.9-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
9 TIN SALURAPA ,S.Kep,Ners TK-0 2,063,520 0 100,000 89,941 0 0 9 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
03-07-1994 1 2,063,520 0 0 0
199407032020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 21,719,020 540,000 930,000 998,257 0 0
PEG: 9 802,612 1,110,000 2,982,000 52,123 998,257 0
IST: 3 JIWA= 17 279,774 505,000 1,846,030 156,374 249,563
22,801,406 0 0 0
ANK: 5 0 1,824,114 1,846,030
471 0 0
31,921,661 52,123 5,126,461
156,374 26,795,200
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT TIMUR
(009) D60901100900007 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
10 KLEMENTINA KAMAT, Amd.Keb TK-0 2,633,100 0 100,000 114,924 0 0 10 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
24-02-1987 1 2,633,100 0 0 0
198702242015012001 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
11 YASINTHA MENGE ,A.Md.Keb. TK-0 1,841,440 0 80,000 80,858 0 0 11 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
15-07-1987 1 1,841,440 0 0 0
198707152020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
12 ALBERTINA FATEM ,A.Md. TK-0 1,841,440 0 80,000 80,858 0 0 12 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
23-03-1991 1 1,841,440 0 0 0
199103232020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
13 SUSIANTI ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 13 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
03-11-1992 1 1,841,440 0 0 0
199211032020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
14 PETRONELLA MATE TK-0 2,578,800 0 100,000 111,952 0 0 14 .............
0 0 0 325,000 6,189 111,952 0
0 220,000 108,590 18,567 27,988
11-10-1975 1 2,578,800 0 0 0
197510112005022003 MKG:13 0 206,304 108,590
( Pengatur Muda Tk.I-2B 0 0
92 0
00000000000000 3,469,190 6,189 479,590 0
18,567 2,989,600
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT TIMUR
(009) D60901100900007 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : 10,736,220 0 440,000 469,450 0 0
PEG: 5 0 540,000 1,372,000 25,765 469,450 0
IST: 0 JIWA= 5 0 460,000 542,950 77,299 117,361
10,736,220 0 0 0
ANK: 0 0 858,897 542,950
438 0 0
14,664,122 25,765 2,091,722
77,299 12,572,400
TOTAL PER SATKER 32,455,240 540,000 1,370,000 1,467,707 0 0
PEG: 14 802,612 1,650,000 4,354,000 77,888 1,467,707 0
IST: 3 JIWA= 22 279,774 965,000 2,388,980 233,673 366,924
ANK: 5 33,537,626 0 0 0
0 2,683,011 2,388,980
0 0
909 77,888 7,218,183
46,585,783
233,673 39,367,600

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT SELATAN
(009) D60901100900008 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 SALOMINA WAFOM, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
09-01-1990 1 2,063,520 0 0 0
199001092020122020 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205024782
47 0
42.230.265.3-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 ARISTOTELES SAA,S.Farm TK-0 2,063,520 0 125,000 89,941 0 0 2 .............
0 0 185,000 340,000 4,952 89,941 0
0 0 108,590 14,857 22,485
09-08-1990 1 2,063,520 0 0 0
199008092021071001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
76.071.183.8-951.000 2,931,907 4,952 405,907 0
14,857 2,526,000
3 DESSY SARLOTHA KAMBU ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 3 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
11-12-1991 1 2,063,520 0 0 0
199112112020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
4 NOVITA SORRY, S.Tr. Kep TK-0 2,063,520 0 100,000 89,941 0 0 4 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
11-08-1993 1 2,063,520 0 0 0
199311082020122038 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205081193
47 0
42.216.612.4-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 8,254,080 0 425,000 359,764 0 0
PEG: 4 0 740,000 1,156,000 19,808 359,764 0
IST: 0 JIWA= 4 0 0 434,360 59,428 89,940
8,254,080 0 0 0
ANK: 0 0 660,328 434,360
188 0 0
11,448,628 19,808 1,623,628
59,428 9,825,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT SELATAN
(009) D60901100900008 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 YERMIKA ASMURUF ,A.Md TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
01-01-1992 1 1,841,440 0 0 0
199201012020122002 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
6 JEANE VNESIA NIO ,A.Md.Keb. TK-0 1,841,440 0 80,000 80,858 0 0 6 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
25-01-1992 1 1,841,440 0 0 0
199201252020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 3,682,880 0 160,000 161,716 0 0
PEG: 2 0 360,000 448,000 8,838 161,716 0
IST: 0 JIWA= 2 0 0 217,180 26,516 40,428
3,682,880 0 0 0
ANK: 0 0 294,630 217,180
178 0 0
5,065,308 8,838 749,308
26,516 4,316,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT SELATAN
(009) D60901100900008 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 11,936,960 0 585,000 521,480 0 0
PEG: 6 0 1,100,000 1,604,000 28,646 521,480 0
IST: 0 JIWA= 6 0 0 651,540 85,944 130,368
ANK: 0 11,936,960 0 0 0
0 954,958 651,540
0 0
366 28,646 2,372,936
16,513,936
85,944 14,141,000

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT UTARA
(009) D60901100900009 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 NOVITA FRORINCE KONJOL ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
04-05-1986 1 2,063,520 0 0 0
198605042020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 ANASTASIA BERENTA SAA TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
,S.Kep.Ners 0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
01-02-1988 1 2,063,520 0 0 0
198802012020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
3 DEBBY KURNIATY ISWANTO ,S.Kep, TK-0 2,063,520 0 100,000 89,941 0 0 3 .............
Ns. 0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
06-03-1992 1 2,063,520 0 0 0
199203062020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 6,190,560 0 300,000 269,823 0 0
PEG: 3 0 555,000 816,000 14,856 269,823 0
IST: 0 JIWA= 3 0 0 325,770 44,571 67,455
6,190,560 0 0 0
ANK: 0 0 495,246 325,770
141 0 0
8,516,721 14,856 1,217,721
44,571 7,299,000
4 BERNADETA H. AMELIA MOA, AMD. TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
ANAKES 0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
11-09-1984 1 1,841,440 0 0 0
198409112020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 0 2320205022222
89 0
42.253.342.2-951.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AIFAT UTARA
(009) D60901100900009 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 EVARISTA ROSA SEDIK ,Amd.Keb TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
23-04-1987 1 1,841,440 0 0 0
198704232020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 3,682,880 0 160,000 161,716 0 0
PEG: 2 0 360,000 448,000 8,838 161,716 0
IST: 0 JIWA= 2 0 0 217,180 26,516 40,428
3,682,880 0 0 0
ANK: 0 0 294,630 217,180
178 0 0
5,065,308 8,838 749,308
26,516 4,316,000
TOTAL PER SATKER 9,873,440 0 460,000 431,539 0 0
PEG: 5 0 915,000 1,264,000 23,694 431,539 0
IST: 0 JIWA= 5 0 0 542,950 71,087 107,883
ANK: 0 9,873,440 0 0 0
0 789,876 542,950
0 0
319 23,694 1,967,029
13,582,029
71,087 11,615,000

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO BARAT
(009) D60901100900010 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 SUSRIANTI JITMAU, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
03-01-1989 1 2,063,520 0 0 0
198901032020122011 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205024911
47 0
90.328.521.1-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 ONESIMUS WAY, S.KM TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
07-10-1992 1 2,063,520 0 0 0
199210072020121014 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.217.181.9-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
3 OLLA BEATRIK FRASAWI, S.Tr.Kep TK-0 2,063,520 0 100,000 89,941 0 0 3 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
24-10-1994 1 2,063,520 0 0 0
199410242020122018 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.271.715.7-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 6,190,560 0 300,000 269,823 0 0
PEG: 3 0 555,000 816,000 14,856 269,823 0
IST: 0 JIWA= 3 0 0 325,770 44,571 67,455
6,190,560 0 0 0
ANK: 0 0 495,246 325,770
141 0 0
8,516,721 14,856 1,217,721
44,571 7,299,000
4 MINA KOLINGGIA ,A.Md, Gz TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
03-01-1992 1 1,841,440 0 0 0
199201032020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO BARAT
(009) D60901100900010 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 NAOMI F. KAMBUAYA ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
16-11-1994 1 1,841,440 0 0 0
199411162020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 3,682,880 0 160,000 161,716 0 0
PEG: 2 0 360,000 448,000 8,838 161,716 0
IST: 0 JIWA= 2 0 0 217,180 26,516 40,428
3,682,880 0 0 0
ANK: 0 0 294,630 217,180
178 0 0
5,065,308 8,838 749,308
26,516 4,316,000
TOTAL PER SATKER 9,873,440 0 460,000 431,539 0 0
PEG: 5 0 915,000 1,264,000 23,694 431,539 0
IST: 0 JIWA= 5 0 0 542,950 71,087 107,883
ANK: 0 9,873,440 0 0 0
0 789,876 542,950
0 0
319 23,694 1,967,029
13,582,029
71,087 11,615,000

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO TENGAH
(009) D60901100900011 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 FERNI FEBELINA HOWAY ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
03-12-1986 1 2,063,520 0 0 0
198612032020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 MIDA SOVALINA NAUW, S.Kep. Ns TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
29-03-1994 1 2,063,520 0 0 0
199403292020122028 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205024723
47 0
42.216.674.4-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 4,127,040 0 200,000 179,882 0 0
PEG: 2 0 370,000 544,000 9,904 179,882 0
IST: 0 JIWA= 2 0 0 217,180 29,714 44,970
4,127,040 0 0 0
ANK: 0 0 330,164 217,180
94 0 0
5,677,814 9,904 811,814
29,714 4,866,000
3 MARTHA KAMBU ,A.MD TK-0 1,841,440 0 80,000 80,858 0 0 3 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
16-03-1991 1 1,841,440 0 0 0
199103162020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
4 ERNIATI ,Amd.Keb TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
19-07-1991 1 1,841,440 0 0 0
199107192020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO TENGAH
(009) D60901100900011 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 RIKA ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
15-09-1992 1 1,841,440 0 0 0
199209152020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
6 VERONIKA TANGKELAYUK ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 6 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
07-02-1995 1 1,841,440 0 0 0
199502072020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 7,365,760 0 320,000 323,432 0 0
PEG: 4 0 720,000 896,000 17,676 323,432 0
IST: 0 JIWA= 4 0 0 434,360 53,032 80,856
7,365,760 0 0 0
ANK: 0 0 589,260 434,360
356 0 0
10,130,616 17,676 1,498,616
53,032 8,632,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO TENGAH
(009) D60901100900011 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 11,492,800 0 520,000 503,314 0 0
PEG: 6 0 1,090,000 1,440,000 27,580 503,314 0
IST: 0 JIWA= 6 0 0 651,540 82,746 125,826
ANK: 0 11,492,800 0 0 0
0 919,424 651,540
0 0
450 27,580 2,310,430
15,808,430
82,746 13,498,000

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO UTARA
(009) D60901100900012 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 MELISA ATKANA ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
03-05-1990 1 2,063,520 0 0 0
199005032020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 SARLOTA ASMURUF, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
26-10-1990 1 2,063,520 0 0 0
199010262020122019 MKG: 0 0 165,082 108,590
( Penata Muda-3A 0 2320205024944
47 0
42.245.859.6-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 4,127,040 0 200,000 179,882 0 0
PEG: 2 0 370,000 544,000 9,904 179,882 0
IST: 0 JIWA= 2 0 0 217,180 29,714 44,970
4,127,040 0 0 0
ANK: 0 0 330,164 217,180
94 0 0
5,677,814 9,904 811,814
29,714 4,866,000
3 BERNADETA PALAYUKAN ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 3 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
03-05-1989 1 1,841,440 0 0 0
198905032020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
4 ONA TRIVONA WAY ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
17-10-1989 1 1,841,440 0 0 0
198910172020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AITINYO UTARA
(009) D60901100900012 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 ROSSA ISIR ,A.Md.Keb. TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
23-08-1996 1 1,841,440 0 0 0
199608232020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 5,524,320 0 240,000 242,574 0 0
PEG: 3 0 540,000 672,000 13,257 242,574 0
IST: 0 JIWA= 3 0 0 325,770 39,774 60,642
5,524,320 0 0 0
ANK: 0 0 441,945 325,770
267 0 0
7,597,962 13,257 1,123,962
39,774 6,474,000
TOTAL PER SATKER 9,651,360 0 440,000 422,456 0 0
PEG: 5 0 910,000 1,216,000 23,161 422,456 0
IST: 0 JIWA= 5 0 0 542,950 69,488 105,612
ANK: 0 9,651,360 0 0 0
0 772,109 542,950
0 0
361 23,161 1,935,776
13,275,776
69,488 11,340,000

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU JAYA
(009) D60901100900013 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 MARIA LIDIA SIMAT TK-0 2,150,800 0 100,000 93,432 0 0 1 .............
0 0 185,000 288,000 5,162 93,432 0
0 0 108,590 15,486 23,358
11-09-1990 1 2,150,800 0 0 0
199009112020122001 MKG: 0 0 172,064 108,590
( Penata Muda Tk.I-3B 22 0 0
00.000.000.0-000.000 2,946,492 5,162 418,092 0
15,486 2,528,400
2 PAULUS RONALDO KAMBUAYA, S.Kep TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
18-07-1992 1 2,063,520 0 0 0
199207182020121015 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.244.263.2-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
3 SARA YULINCE ASMURUF, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 3 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
03-06-1995 1 2,063,520 0 0 0
199506032020122029 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.205.063.3-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
4 KRISTINA ETHIN DUWIT ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 4 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
24-08-1995 1 2,063,520 0 0 0
199508242020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
5 TRIFONITA NATALIA BLESS ,S.KM TK-0 2,063,520 0 100,000 89,941 0 0 5 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
06-12-1995 1 2,063,520 0 0 0
199512062020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU JAYA
(009) D60901100900013 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : III 10,404,880 0 500,000 453,196 0 0
PEG: 5 0 925,000 1,376,000 24,970 453,196 0
IST: 0 JIWA= 5 0 0 542,950 74,914 113,298
10,404,880 0 0 0
ANK: 0 0 832,392 542,950
210 0 0
14,302,120 24,970 2,041,720
74,914 12,260,400
6 REGINA WAA ,A.Md.Keb TK-0 1,841,440 0 80,000 80,858 0 0 6 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
02-05-1989 1 1,841,440 0 0 0
198905022020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
7 YUNICE SAKMA ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 7 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
22-06-1992 1 1,841,440 0 0 0
199206222020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 3,682,880 0 160,000 161,716 0 0
PEG: 2 0 360,000 448,000 8,838 161,716 0
IST: 0 JIWA= 2 0 0 217,180 26,516 40,428
3,682,880 0 0 0
ANK: 0 0 294,630 217,180
178 0 0
5,065,308 8,838 749,308
26,516 4,316,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU JAYA
(009) D60901100900013 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 14,087,760 0 660,000 614,912 0 0
PEG: 7 0 1,285,000 1,824,000 33,808 614,912 0
IST: 0 JIWA= 7 0 0 760,130 101,430 153,726
ANK: 0 14,087,760 0 0 0
0 1,127,022 760,130
0 0
388 33,808 2,791,028
19,367,428
101,430 16,576,400

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU SELATAN
(009) D60901100900014 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 YULIA TRESIA SOLOSSA, S.Farm TK-0 2,063,520 0 100,000 89,941 0 0 1 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
26-08-1990 1 2,063,520 0 0 0
199008262021072001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
0000000000000000000 2,838,907 4,952 405,907 0
14,857 2,433,000
2 ANASTASIA ALFIANA NAUW, S.KEP TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
14-04-1994 1 2,063,520 0 0 0
199404142020122034 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
42.235.645.1-951.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 4,127,040 0 200,000 179,882 0 0
PEG: 2 0 370,000 544,000 9,904 179,882 0
IST: 0 JIWA= 2 0 0 217,180 29,714 44,970
4,127,040 0 0 0
ANK: 0 0 330,164 217,180
94 0 0
5,677,814 9,904 811,814
29,714 4,866,000
3 DEWANTARA MOYU, AMK TK-0 2,633,100 0 100,000 114,924 0 0 3 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
02-05-1989 1 2,633,100 0 0 0
198905022015012002 MKG: 9 0 210,648 108,590
( Pengatur Tk.I-2D 0 0
79 0
00000000000000 3,596,970 6,319 488,170 0
18,958 3,108,800
4 MARIA TUROT ,A.Md TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
30-09-1992 1 1,841,440 0 0 0
199209302020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU SELATAN
(009) D60901100900014 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
5 ANITA SEMUNYA, A.Md. TK-0 1,841,440 0 80,000 80,858 0 0 5 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
06-08-1993 1 1,841,440 0 0 0
199308062019012002 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
96.791.524.0-951.000 2,532,654 4,419 374,654 0
13,258 2,158,000
SUB TOTAL PERGOLONGAN : 6,315,980 0 260,000 276,640 0 0
PEG: 3 0 360,000 823,000 15,157 276,640 0
IST: 0 JIWA= 3 0 240,000 325,770 45,474 69,159
6,315,980 0 0 0
ANK: 0 0 505,278 325,770
257 0 0
8,662,278 15,157 1,237,478
45,474 7,424,800
TOTAL PER SATKER 10,443,020 0 460,000 456,522 0 0
PEG: 5 0 730,000 1,367,000 25,061 456,522 0
IST: 0 JIWA= 5 0 240,000 542,950 75,188 114,129
ANK: 0 10,443,020 0 0 0
0 835,442 542,950
0 0
351 25,061 2,049,292
14,340,092
75,188 12,290,800

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU TIMUR
(009) D60901100900015 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 HANNA GRACE KAMBUAYA ,S.Kep,Ns. K -1 2,063,520 0 100,000 101,497 0 0 1 .............
2 206,352 185,000 272,000 4,952 101,497 0
82,541 0 434,360 14,857 25,374
14-01-1990 4 2,352,413 0 0 0
199001142020122002 MKG: 0 0 188,193 434,360
( Penata Muda-3A 54 0 0
00.000.000.0-000.000 3,465,133 4,952 769,233 0
14,857 2,695,900
2 DORSILA SRAUN ,S.KM. TK-0 2,063,520 0 100,000 89,941 0 0 2 .............
0 0 185,000 272,000 4,952 89,941 0
0 0 108,590 14,857 22,485
13-12-1994 1 2,063,520 0 0 0
199412132020122001 MKG: 0 0 165,082 108,590
( Penata Muda-3A 47 0 0
00.000.000.0-000.000 2,838,907 4,952 405,907 0
14,857 2,433,000
SUB TOTAL PERGOLONGAN : III 4,127,040 0 200,000 191,438 0 0
PEG: 2 206,352 370,000 544,000 9,904 191,438 0
IST: 1 JIWA= 5 82,541 0 542,950 29,714 47,859
4,415,933 0 0 0
ANK: 2 0 353,275 542,950
101 0 0
6,304,040 9,904 1,175,140
29,714 5,128,900
3 YONITA WAA ,A.Md.Gz TK-0 1,841,440 0 80,000 80,858 0 0 3 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
14-01-1990 1 1,841,440 0 0 0
199001142020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
4 SARA WAFOM ,A.Md.Keb. TK-0 1,841,440 0 80,000 80,858 0 0 4 .............
0 0 180,000 224,000 4,419 80,858 0
0 0 108,590 13,258 20,214
09-09-1993 1 1,841,440 0 0 0
199309092020122001 MKG: 3 0 147,315 108,590
( Pengatur-2C 89 0 0
00.000.000.0-000.000 2,532,654 4,419 374,654 0
13,258 2,158,000
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] PUSKESMAS AYAMARU TIMUR
(009) D60901100900015 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : 3,682,880 0 160,000 161,716 0 0
PEG: 2 0 360,000 448,000 8,838 161,716 0
IST: 0 JIWA= 2 0 0 217,180 26,516 40,428
3,682,880 0 0 0
ANK: 0 0 294,630 217,180
178 0 0
5,065,308 8,838 749,308
26,516 4,316,000
TOTAL PER SATKER 7,809,920 0 360,000 353,154 0 0
PEG: 4 206,352 730,000 992,000 18,742 353,154 0
IST: 1 JIWA= 7 82,541 0 760,130 56,230 88,287
ANK: 2 8,098,813 0 0 0
0 647,905 760,130
0 0
279 18,742 1,924,448
11,369,348
56,230 9,444,900

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

NIP
PEMERINTAH KABUPATEN MAYBRAT
DAFTAR PEMBAYARAN GAJI INDUK ASN
[ DINAS KESEHATAN ] RUMAH SAKIT PRATAMA
(009) D60901100900016 BULAN : APRIL 2022 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 TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 BALANDINA FATEM, S.Kep TK-0 3,782,400 540,000 150,000 172,896 10,279 0 1 .............
0 0 0 525,000 9,078 172,896 0
0 0 108,590 27,233 43,224
06-11-1978 1 3,782,400 0 10,279 0
197811062003122009 MKG:15 0 302,592 108,590
( Pembina-4A 0 0
16 0
00000000000000 5,325,492 9,078 673,892 0
27,233 4,651,600
SUB TOTAL PERGOLONGAN : IV 3,782,400 540,000 150,000 172,896 10,279 0
PEG: 1 0 0 525,000 9,078 172,896 0
IST: 0 JIWA= 1 0 0 108,590 27,233 43,224
3,782,400 0 10,279 0
ANK: 0 0 302,592 108,590
16 0 0
5,325,492 9,078 673,892
27,233 4,651,600
TOTAL PER SATKER 3,782,400 540,000 150,000 172,896 10,279 0
PEG: 1 0 0 525,000 9,078 172,896 0
IST: 0 JIWA= 1 0 0 108,590 27,233 43,224
ANK: 0 3,782,400 0 10,279 0
0 302,592 108,590
0 0
16 9,078 673,892
5,325,492
27,233 4,651,600

Plt. KEPALA DINAS KESEHATAN KUMURKEK,01 APRIL 2022


BENDAHARA PENGELUARAN
BENDAHARA GAJI

PABER HUTAHAEAN, SE.M.KES MELFIA SAGRIM, S.KM VANYA ANITA HOWAY, S.KM
NIP 197004021993031010 198505312010042001 198402122010042002

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