DAFTAR PEMBAYARAN BIAYA TRANSPORTASI PETUGAS DESA

DALAM RANGKA KEGIATAN PELAYANAN IMUNISASI DI DESA/KELURAHAN

DI WILAYAH KERJA UPTD PUSKESMAS NANGARORO
BULAN MARET 2020
an. Maria Yasinta Djue Ruba, dkk

JUMLAH UANG
JUMLAH BIAYA/HARI STATUS TANDA-
NO NAMA/NIP NO/TANGGAL SPT LOKASI YANG DITERIMA NO REKENING BANK
HARI (Rp) TRANSAKSI TANGAN
(Rp)

Maria Yasinta Djue Ruba 445.094/PUSK.NRR/2170/III/2020 NTT CABANG

1 Desa Utetoto 1 50,000 50,000 04002.02.006973-0
19841121 201705 2 004 11 Maret 2020 MBAY

Tiberius Yusu Soba 445.094/PUSK.NRR/2186/III/2020 Kelurahan NTT CABANG

2 1 50,000 50,000 04002.02.006940-8
Nangaroro MBAY
19871110 201001 1 006 12 Maret 2020
Monika Iki 445.094/PUSK.NRR/2200/III/2020 NTT CABANG
3 Desa Nataute 1 50,000 50,000 04002.02.006995-1
19870127 201705 2 002 12 Maret 2020 MBAY

Kristina Adel Oka 445.094/PUSK.NRR/2246/III/2020 NTT CABANG

4 Desa Odaute 1 50,000 50,000 04002.02.006952-4
19880308 201705 2 001 13 Maret 2020 MBAY

Sofia Anyelina Coo 445.094/PUSK.NRR/2267/III/2020 NTT CABANG

5 Desa Ulupulu I 1 50,000 50,000 04002.02.006964-1
MBAY
19920430 201705 2 001 14 Maret 2020
Maria K. Tudharma 445.094/PUSK.NRR/2269/III/2020 NTT CABANG
6 Desa Bidoa 1 50,000 50,000 04002.02.006947-1
MBAY
19900409 201705 2 002 14 Maret 2020
Florentina Ngatu 445.094/PUSK.NRR/2330/III/2020 NTT CABANG
7 Desa Kotakeo II 1 50,000 50,000 04002.02.006965-2
19911123 201705 2 002 16 Maret 2020 MBAY

Ermelinda Sulu Jogo 445.094/PUSK.NRR/2335/III/2020 NTT CABANG

8 Desa Woedoa 1 50,000 50,000 04002.02.006959-7
MBAY
19870828 201705 2 003 16 Maret 2020

Sisilia Owa 445.094/PUSK.NRR/2338/III/2020 NTT CABANG

9 Desa Kotakeo I 1 50,000 50,000 04002.02.006966-4
19900429 201705 2 001 16 Maret 2020 MBAY

Maria Lupita Mogi 445.094/PUSK.NRR/2339/III/2020 NTT CABANG

10 Desa Kotakeo 1 50,000 50,000 04002.02.006971-8
19920511 201705 2 001 16 Maret 2020 MBAY
 Kresensia Poto 445.094/PUSK.NRR/2374/III/2020 NTT CABANG
11 Desa Woewutu 1 50,000 50,000 04002.02.006948-2
19910406 201705 2 001 17 Maret 2020 MBAY

Skolastika Bina Bidu 445.094/PUSK.NRR/2376/III/2020 NTT CABANG

12 Desa Wokowoe 1 50,000 50,000 04002.02.006970-6
MBAY
19901210 201705 2 001 17 Maret 2020
Hendrika Elfina Enga Paa 445.094/PUSK.NRR/2377/III/2020 Desa NTT CABANG
13 1 50,000 50,000 04002.02.006946-9
Pagomogo MBAY
19870903 201705 2 004 17 Maret 2020

Maria A. Bay Witu Leo 445.094/PUSK.NRR/2417/III/2020 NTT CABANG

14 Desa Degalea 1 50,000 50,000 04002.02.006945-7
19890502 201705 2 002 18 Maret 2020 MBAY

Raida M. Nasir 445.094/PUSK.NRR/2450/III/2020 NTT CABANG

15 Desa Ulupulu 1 50,000 50,000 04002.02.006968-8
19870401 201705 2 003 19 Maret 2020 MBAY

Nirwana Moh. Saleh 445.094/PUSK.NRR/2479/III/2020 NTT CABANG

16 Desa Podenura 1 50,000 50,000 04002.02.006949-4
19880522 201705 2 005 20 Maret 2020 MBAY

Surahmin Pua Upa 445.094/PUSK.NRR/2524/III/2020 NTT CABANG

17 Desa Tonggo 1 50,000 50,000 04002.02.006951-2
MBAY
19870416 201705 2 003 21 Maret 2020
Hardiyanti Rukmana 445.094/PUSK.NRR/2533/III/2020 NTT CABANG
18 Desa Riti 1 50,000 50,000 04002.02.007007-0
19870727 201705 2 004 21 Maret 2020 MBAY

Stefanie Yohanista Tiba 445.094/PUSK.NRR/2562/III/2020 Desa NTT CABANG

19 1 50,000 50,000 04002.02.006958-5
Wokodekororo MBAY
19891020 201705 2 002 24 Maret 2020
TOTAL 950,000 950,000

Setuju dibayar oleh : Lunas dibayar :

Kuasa Pengguna Anggaran Bendahara Pengeluaran Pembantu
UPTD Puskesmas Nangaroro UPTD Puskesmas Nangaroro

MARIA MARSELINA NGOLE, A.Md.Keb IRMGARDIS MAXRIN, A.Md.Kep

NIP. 19720513 199212 2 001 NIP. 19850329 201001 2 033