LAPORAN RIIL PENGGUNAAN KUPON BBM TAHUN 2022

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
JANUARI 2022 1/2/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/4/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/5/2022 TRI ERWANTO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
1/7/2022 DHANA SETIAWAN Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergensi √
1/8/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
1/8/2022 TRI ERWANTO Rp 50,000 KR 2.1 N MAX N 4453 AP Stay Emergency √
1/8/2022 TRI ERWANTO Rp 50,000 KR 2.3 N MAX N 4456 AP Stay Emergency √
1/9/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergensi √
1/9/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/13/2022 DHANA SETIAWAN Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/13/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/14/2022 DHANA SETIAWAN Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/15/2022 DHANA SETIAWAN Rp 100,000 Genset Mako PSC 119 √
1/17/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/18/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
1/18/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/19/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/20/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/21/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/23/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/24/2022 TRI ERWANTO Rp 200,000 1 REBORN N 8524 AP Pamkes √
1/26/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/28/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/30/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
1/30/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
1/31/2022 TRI ERWANTO Rp 50,000 KR 2.1 N MAX N 4453 AP Stay Emergency √
1/31/2022 TRI ERWANTO Rp 50,000 KR 2.2 N MAX N 4454 AP Stay Emergency √
1/31/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
TOTAL PENGGUNAAN KUPON BBM JANUARI 2022 Rp 4,100,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
FEBRUARI 2022 2/2/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/2/2022 F. WILLY SAHPUTRA Rp 300,000 2 INNOVA N 8184 BP Pelayanan Emergency Covid-19 √
2/3/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/5/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/6/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/8/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/8/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
2/9/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/10/2022 LIBERATUS ALFA Rp 200,000 2 INNOVA N 8184 BP Stay Emergency √
2/10/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/11/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
 2/11/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
2/13/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/14/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/14/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
2/15/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/16/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 1 REBORN N 8524 AP Stay Emergency √
2/16/2022 LIBERATUS ALFA Rp 200,000 2 INNOVA N 8184 BP Stay Emergency √
2/16/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/16/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.1 N MAX N 4453 AP Stay Emergency √
2/16/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.2 N MAX N 4454 AP Stay Emergency √
2/17/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/18/2022 R. OCY HARYOTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/20/2022 DHANA SETIAWAN Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/21/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/22/2022 LIBERATUS ALFA Rp 200,000 2 INNOVA N 8184 BP Stay Emergency √
2/22/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/23/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/23/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 2 INNOVA N 8184 BP Stay Emergency √
2/24/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
2/24/2022 DHANA SETIAWAN Rp 60,000 KR 2.1 N MAX N 4453 AP Pemakaman Jenazah Covid-19 √
2/25/2022 DHANA SETIAWAN Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/25/2022 SATRIA CAKRA PAMUNGKAS Rp 40,000 KR 2.2 N MAX N 4454 AP Stay Emergency √
2/25/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
2/26/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Stay Emergency √
2/26/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
2/27/2022 TRI ERWANTO Rp 100,000 2 INNOVA N 8184 BP Pelayanan Emergency Covid-19 √
2/28/2022 LIBERATUS ALFA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
TOTAL PENGGUNAAN KUPON BBM FEBRUARI 2022 Rp 6,400,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
MARET 2022 3/1/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/1/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
3/2/2022 APIN SUNARKO Rp 100,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
3/3/2022 DHANA SETIAWAN Rp 60,000 KR 2.1 N MAX N 4453 AP Pemakaman Jenazah Covid-19 √
3/4/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/4/2022 R. OCY HARYOTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/4/2022 TRI ERWANTO Rp 40,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
3/4/2022 LIBERATUS ALFA Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/4/2022 LIBERATUS ALFA Rp 200,000 2 INNOVA N 8184 BP Stand by Emergency √
3/5/2022 DHANA SETIAWAN Rp 100,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
3/6/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/6/2022 APIN SUNARKO Rp 200,000 2 INNOVA N 8184 BP Pelayanan Emergency Covid-19 √
3/6/2022 APIN SUNARKO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/7/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/7/2022 LIBERATUS ALFA Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/7/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
 3/8/2022 DHANA SETIAWAN Rp 60,000 KR 2.1 N MAX N 4453 AP Pemakaman Jenazah Covid-19 √
3/9/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/9/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/11/2022 R. OCY HARYOTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/11/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/12/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Pelayanan Emergency √
3/12/2022 TRI ERWANTO Rp 40,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
3/13/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/14/2022 DHANA SETIAWAN Rp 100,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
3/15/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/15/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/15/2022 LIBERATUS ALFA Rp 100,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
3/15/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
3/16/2022 LIBERATUS ALFA Rp 100,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
3/17/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/17/2022 TRI ERWANTO Rp 200,000 1 REBORN N 8524 AP Stand by Emergency √
3/17/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/18/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/18/2022 TRI ERWANTO Rp 60,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
3/18/2022 TRI ERWANTO Rp 40,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
3/18/2022 TRI ERWANTO Rp 40,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
3/18/2022 LIBERATUS ALFA Rp 100,000 2 INNOVA N 8184 BP Pelayanan Emergency √
3/19/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/20/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/21/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 1 REBORN N 8524 AP Pengantaran KABID & KASIE ke Surabaya √
3/22/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 1 REBORN N 8524 AP Penjemputan KABID & KASIE dari Surabaya √
3/22/2022 APIN SUNARKO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/24/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/25/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/27/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/27/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
3/29/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/30/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
3/30/2022 TRI ERWANTO Rp 60,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
TOTAL PENGGUNAAN KUPON BBM MARET 2022 Rp 8,100,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
APRIL.2022 4/1/2022 F. WILLY SAHPUTRA Rp 100,000 1 REBORN N 8524 AP Pamkes √
4/2/2022 TRI ERWANTO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/4/2022 TRI ERWANTO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/4/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/5/2022 LIBERATUS ALFA Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/6/2022 TRI ERWANTO Rp 40,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
4/8/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/8/2022 YOSEP DWIANTORO Rp 100,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
4/8/2022 DHANA SETIAWAN Rp 100,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
 4/8/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/8/2022 LIBERATUS ALFA Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
4/9/2022 F. WILLY SAHPUTRA Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/10/2022 TRI ERWANTO Rp 50,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
4/10/2022 DHANA SETIAWAN Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
4/10/2022 TRI ERWANTO Rp 200,000 1 REBORN N 8524 AP Pamkes √
4/11/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/11/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Pamkes √
4/12/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
4/13/2022 TRI ERWANTO Rp 100,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/14/2022 TRI ERWANTO Rp 150,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
4/14/2022 TRI ERWANTO Rp 50,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
4/14/2022 TRI ERWANTO Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
4/14/2022 TRI ERWANTO Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/15/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
4/16/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/17/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
4/18/2022 APIN SUNARKO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/19/2022 LIBERATUS ALFA Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/20/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/21/2022 APIN SUNARKO Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/21/2022 TRI ERWANTO Rp 40,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
4/21/2022 TRI ERWANTO Rp 40,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
4/21/2022 TRI ERWANTO Rp 40,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
4/22/2022 LIBERATUS ALFA Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
4/22/2022 LIBERATUS ALFA Rp 200,000 3 TRAVELLO N 9004 AP Stand by Emergency √
4/23/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/25/2022 SATRIA CAKRA PAMUNGKAS Rp 40,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
4/26/2022 LIBERATUS ALFA Rp 300,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/26/2022 F. WILLY SAHPUTRA Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pamkes √
4/27/2022 TRI ERWANTO Rp 60,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
4/27/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 1 REBORN N 8524 AP Pelayanan Emergency √
4/28/2022 DHANA SETIAWAN Rp 40,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
4/28/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
4/29/2022 TRI ERWANTO Rp 300,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
4/29/2022 TRI ERWANTO Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
TOTAL PENGGUNAAN KUPON BBM APRIL 2022 Rp 6,200,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
MEI 2022 5/1/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
5/1/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
5/1/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
5/1/2022 TRI ERWANTO Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
5/2/2022 LIBERATUS ALFA Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
5/2/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
5/3/2022 F. WILLY SAHPUTRA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pamkes √
 5/4/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/5/2022 TRI ERWANTO Rp 200,000 5 PREGIO N 8136 BP Pamkes √
5/5/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/6/2022 TRI ERWANTO Rp 40,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
5/6/2022 DHANA SETIAWAN Rp 50,000 KR 2.1 N MAX N 4453 AP Stand by Emergency √
5/6/2022 DHANA SETIAWAN Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
5/6/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
5/8/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Pamkes √
5/9/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/9/2022 APIN SUNARKO Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
5/9/2022 APIN SUNARKO Rp 100,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
5/10/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
5/11/2022 TRI ERWANTO Rp 40,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
5/11/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/13/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Pelayanan Emergency √
5/13/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/16/2022 R. OCY HARYOTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/17/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/20/2022 TRI ERWANTO Rp 100,000 3 TRAVELLO N 9004 AP Pelayanan Emergency √
5/20/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/21/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
5/22/2022 TRI ERWANTO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
5/22/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/24/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/25/2022 YOSEP DWIANTORO Rp 100,000 5 PREGIO N 8136 BP Pelayanan Emergency √
5/28/2022 APIN SUNARKO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/28/2022 LIBERATUS ALFA Rp 200,000 2 INNOVA N 8184 BP Pelayanan Emergency √
5/29/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
5/29/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
5/30/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Penjemputan Tamu dari Dinkes Provinsi √
TOTAL PENGGUNAAN KUPON BBM MEI 2022 Rp 6,380,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
JUNI 2022 6/2/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/3/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/5/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Event √
6/6/2022 LIBERATUS ALFA Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/6/2022 TRI ERWANTO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
6/6/2022 APIN SUNARKO Rp 200,000 1 REBORN N 8524 AP Stand by Emergency √
6/6/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
6/7/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/7/2022 LIBERATUS ALFA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
6/7/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/11/2022 APIN SUNARKO Rp 200,000 2 INNOVA N 8184 BP Pelayanan Emergency √
6/13/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/13/2022 F. WILLY SAHPUTRA Rp 500,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
 6/14/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
6/15/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 3 TRAVELLO N 9004 AP Stand by Emergency √
6/15/2022 APIN SUNARKO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/15/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/16/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/16/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/18/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/19/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/20/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/20/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/21/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
6/22/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/23/2022 F. WILLY SAHPUTRA Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
6/23/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/24/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Event √
6/24/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
6/24/2022 TRI ERWANTO Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
6/26/2022 LIBERATUS ALFA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Stand by Emergency √
6/27/2022 LIBERATUS ALFA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
6/28/2022 LIBERATUS ALFA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
6/30/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Pelayanan Emergency √
6/30/2022 APIN SUNARKO Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
TOTAL PENGGUNAAN KUPON BBM JUNI 2022 Rp 6,500,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
JULI 2022 7/1/2022 LIBERATUS ALFA Rp 200,000 1 REBORN N 8524 AP Pelayanan Emergency √
7/2/2022 APIN SUNARKO Rp 100,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
7/2/2022 LIBERATUS ALFA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
7/3/2022 DHANA SETIAWAN Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
7/4/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/6/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/6/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
7/7/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/8/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/9/2022 TRI ERWANTO Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
7/9/2022 F. WILLY SAHPUTRA Rp 150,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
7/10/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/11/2022 APIN SUNARKO Rp 200,000 1 REBORN N 8524 AP Pelayanan Emergency √
7/12/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/14/2022 F. WILLY SAHPUTRA Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/16/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 5 PREGIO N 8136 BP Pemakaman Jenazah Covid-19 √
7/16/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/18/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/18/2022 DHANA SETIAWAN Rp 300,000 1 REBORN N 8524 AP Dinas Luar √
7/19/2022 APIN SUNARKO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/19/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
 7/20/2022 TRI ERWANTO Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
7/21/2022 LIBERATUS ALFA Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/22/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
7/23/2022 F. WILLY SAHPUTRA Rp 200,000 1 REBORN N 8524 AP Pamkes √
7/23/2022 F. WILLY SAHPUTRA Rp 200,000 2 INNOVA N 8184 BP Pamkes √
6/25/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
6/26/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Event √
6/27/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
6/28/2022 LIBERATUS ALFA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
6/30/2022 TRI ERWANTO Rp 150,000 1 REBORN N 8524 AP Pamkes √
TOTAL PENGGUNAAN KUPON BBM JULI 2022 Rp 6,350,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
AGUSTUS 2022 8/1/2022 LIBERATUS ALFA Rp 200,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pelayanan Emergency √
8/1/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
8/2/2022 F. WILLY SAHPUTRA Rp 250,000 PUSKESMAS POLOWIJEN PREGIO N 8468 AP Pengembalian Unit Puskesmas √
8/2/2022 F. WILLY SAHPUTRA Rp 150,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/3/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/4/2022 F. WILLY SAHPUTRA Rp 300,000 5 HI-ACE N 9006 AP Pelayanan Emergency √
8/4/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
8/4/2022 APIN SUNARKO Rp 150,000 2 INNOVA N 8184 BP Event √
8/5/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/5/2022 LIBERATUS ALFA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
8/7/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/7/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/8/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/9/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/10/2022 LIBERATUS ALFA Rp 100,000 1 REBORN N 8524 AP Sweeper √
8/11/2022 LIBERATUS ALFA Rp 50,000 2 INNOVA N 8184 BP Sweeper √
8/11/2022 LIBERATUS ALFA Rp 100,000 2 INNOVA N 8184 BP Sweeper √
8/11/2022 LIBERATUS ALFA Rp 100,000 2 INNOVA N 8184 BP Sweeper √
8/11/2022 DHANA SETIAWAN Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/12/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/13/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/13/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/14/2022 LIBERATUS ALFA Rp 200,000 1 REBORN N 8524 AP Pamkes √
8/15/2022 DHANA SETIAWAN Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
8/15/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/16/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 2 INNOVA N 8184 BP Pamkes √
8/17/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/17/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/19/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
8/19/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
8/19/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
8/19/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/20/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
 8/21/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
8/21/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/22/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/24/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/25/2022 DHANA SETIAWAN Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
8/25/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/25/2022 LIBERATUS ALFA Rp 100,000 2 INNOVA N 8184 BP Pemakaman Jenazah Covid-19 √
8/26/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/28/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/30/2022 LIBERATUS ALFA Rp 150,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
8/31/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
TOTAL PENGGUNAAN KUPON BBM AGUSTUS 2022 Rp 8,400,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
SEPTEMBER.2022 9/2/2022 LIBERATUS ALFA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
9/2/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/2/2022 TRI ERWANTO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/2/2022 TRI ERWANTO Rp 350,000 1 REBORN N 8524 AP Pamkes √
9/5/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/6/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/7/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Pamkes √
9/8/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/8/2022 R. OCY HARYOTO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
9/8/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/9/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/10/2022 APIN SUNARKO Rp 100,000 1 REBORN N 8524 AP Pelayanan Emergency √
9/10/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/11/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/12/2022 APIN SUNARKO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/13/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/14/2022 DHANA SETIAWAN Rp 200,000 1 REBORN N 8524 AP Stand by Emergency √
9/14/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/15/2022 TRI ERWANTO Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
9/15/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/17/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 2 INNOVA N 8184 BP Pamkes √
9/17/2022 LIBERATUS ALFA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/19/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/19/2022 LIBERATUS ALFA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
9/20/2022 TRI ERWANTO Rp 150,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/21/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/22/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/22/2022 TRI ERWANTO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
9/24/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/25/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/26/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
 9/28/2022 LIBERATUS ALFA Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
9/29/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
9/29/2022 LIBERATUS ALFA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
9/29/2022 LIBERATUS ALFA Rp 50,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
9/30/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
9/30/2022 F. WILLY SAHPUTRA Rp 100,000 2 INNOVA N 8184 BP Pamkes √
TOTAL PENGGUNAAN KUPON BBM SEPTEMBER 2022 Rp 7,500,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
OKTOBER 2022 10/1/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/2/2022 ANGGA ADITYA W. Rp 100,000 1 REBORN N 8524 AP Pemakaman Jenazah Covid-19 √
10/2/2022 ANGGA ADITYA W. Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
10/2/2022 DHANA SETIAWAN Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-20 √
10/3/2022 F. WILLY SAHPUTRA Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/3/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-20 √
10/3/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
10/3/2022 SATRIA CAKRA PAMUNGKAS Rp 50,000 KR 2.3 N MAX N 4456 AP Stand by Emergency √
10/4/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/4/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/4/2022 LIBERATUS ALFA Rp 100,000 2 INNOVA N 8184 BP Event √
10/5/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/5/2022 DHANA SETIAWAN Rp 100,000 1 REBORN N 8524 AP Stand by Emergency √
10/6/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/7/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/8/2022 LIBERATUS ALFA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
10/9/2022 APIN SUNARKO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/9/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 1 REBORN N 8524 AP Stand by Emergency √
10/10/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Event √
10/11/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/11/2022 ANGGA ADITYA W. Rp 200,000 2 INNOVA N 8184 BP Pamkes √
10/12/2022 DHANA SETIAWAN Rp 100,000 1 REBORN N 8524 AP Pamkes √
10/13/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/14/2022 DHANA SETIAWAN Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/14/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/17/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/18/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/18/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/18/2022 F. WILLY SAHPUTRA Rp 100,000 2 INNOVA N 8184 BP Pamkes √
10/18/2022 F. WILLY SAHPUTRA Rp 100,000 1 REBORN N 8524 AP Transportasi √
10/19/2022 F. WILLY SAHPUTRA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/20/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/20/2022 LIBERATUS ALFA Rp 200,000 1 REBORN N 8524 AP Pamkes √
10/21/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/23/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Event √
10/23/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
10/24/2022 F. WILLY SAHPUTRA Rp 500,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
 10/24/2022 LIBERATUS ALFA Rp 100,000 1 REBORN N 8524 AP Pamkes √
10/24/2022 APIN SUNARKO Rp 200,000 2 INNOVA N 8184 BP Pamkes √
10/24/2022 APIN SUNARKO Rp 100,000 6 LUXIO N 1696 AP Stand by Pemakaman √
10/25/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/25/2022 F. WILLY SAHPUTRA Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
10/26/2022 SATRIA CAKRA PAMUNGKAS Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/27/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 2 INNOVA N 8184 BP Pamkes √
10/28/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/29/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/31/2022 SATRIA CAKRA PAMUNGKAS Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
10/31/2022 F. WILLY SAHPUTRA Rp 50,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
10/31/2022 F. WILLY SAHPUTRA Rp 250,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
10/31/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
TOTAL PENGGUNAAN KUPON BBM OKTOBER 2022 Rp 10,000,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
NOVEMBER.2022 11/1/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/2/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
11/3/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Stand by Mako PSC 119 √
11/3/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/4/2022 SATRIA CAKRA PAMUNGKAS Rp 150,000 3 TRAVELLO N 9004 AP Pamkes √
11/5/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/6/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/6/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 2 INNOVA N 8184 BP Stand by Mako PSC 119 √
11/7/2022 APIN SUNARKO Rp 100,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
11/8/2022 SATRIA CAKRA PAMUNGKAS Rp 250,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/10/2022 ANGGA ADITYA WARDHANA Rp 200,000 1 REBORN N 8524 AP Pamkes √
11/10/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/11/2022 TRI ERWANTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/11/2022 TRI ERWANTO Rp 100,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/12/2022 SATRIA CAKRA PAMUNGKAS Rp 100,000 KR 2.2 N MAX N 4454 AP Stand by Emergency √
11/13/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 2 INNOVA N 8184 BP Stand by Mako PSC 119 √
11/13/2022 LIBERATUS ALFA Rp 200,000 1 REBORN N 8524 AP Pamkes √
11/13/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/15/2022 APIN SUNARKO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/16/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pamkes √
11/16/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/18/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/18/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 2 INNOVA N 8184 BP Pamkes √
11/18/2022 LIBERATUS ALFA Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/20/2022 TRI ERWANTO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
11/21/2022 R. OCY HARYOTO Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/21/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
 11/23/2022 SATRIA CAKRA PAMUNGKAS Rp 200,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/24/2022 TRI ERWANTO Rp 80,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
11/25/2022 TRI ERWANTO Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/26/2022 LIBERATUS ALFA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/26/2022 TRI ERWANTO Rp 400,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/28/2022 SATRIA CAKRA PAMUNGKAS Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
11/28/2022 APIN SUNARKO Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
11/28/2022 APIN SUNARKO Rp 100,000 2 INNOVA N 8184 BP Pamkes √
11/30/2022 F. WILLY SAHPUTRA Rp 300,000 4 HI-ACE N 9006 AP Pelayanan Emergency √
TOTAL PENGGUNAAN KUPON BBM OKTOBER 2022 Rp 7,780,000

NOMINAL AMBIL NOMOR PLAT NOTA KEMBALI

BULAN TANGGAL NAMA PENGAMBIL KUPON UNIT TYPE AMBULANCE KETERANGAN PENGGUNAAN KUPON BBM
KUPON BBM KENDARAAN SUDAH BELUM
12/1/2022 F. WILLY SAHPUTRA Rp 200,000 6 LUXIO N 1696 AP Pemakaman Jenazah Covid-19 √
KETERANGAN :
: Nota pembelian BBM sudah diserahkan ke Dinas

: Total kupon BBM yang terpakai dan nota pembelian belum diserahkan ke Dinas :
28/09/2022 s.d. 30/09/2022 : Rp 700.000,-
01/10/2022 s.d. 07/10/2022 : Rp 2.500.000,- †
Rp 3,200,000

: Total penggunaan kupon BBM mulai dari Januari s.d. Oktober 2022 :
Januari Rp 4,100,000
Februari Rp 6,400,000
Maret Rp 8,100,000
April Rp 6,200,000
Mei Rp 6,500,000
Juni Rp 6,500,000
Juli Rp 6,350,000
Agustus Rp 8,400,000
September Rp 7,500,000
Oktober Rp 10,000,000 Rp 70,050,000
Rp 700,000

Rp 2,500,000

Rp 3,200,000
Rp 3,300,000
Rp 3,600,000
Rp 3,800,000
Rp 3,900,000
Rp 4,100,000
Rp 4,300,000
Rp 4,500,000
Rp 4,800,000
Rp 5,000,000
Rp 5,200,000
Rp 5,300,000
Rp 5,400,000
Rp 5,600,000
Rp 5,800,000
Rp 6,000,000
Rp 6,300,000
Rp 6,400,000
Rp 6,600,000
Rp 7,100,000
Rp 7,200,000
Rp 7,400,000
Rp 7,500,000
Rp 7,800,000
Rp 7,900,000
Rp 8,300,000
Rp 8,500,000
Rp 8,800,000
Rp 8,800,000
Rp 9,500,000
Rp 9,550,000
Rp 9,800,000
Rp 10,000,000

Rp 200,000
Rp 400,000
Rp 500,000
Rp 700,000
Rp 850,000
Rp 1,150,000
Rp 1,450,000
Rp 1,650,000
Rp 1,750,000
Rp 2,000,000
Rp 2,200,000
Rp 2,500,000
Rp 2,700,000
Rp 2,800,000
Rp 2,900,000
Rp 3,100,000
Rp 3,300,000
Rp 3,600,000
Rp 3,800,000
Rp 4,000,000
Rp 4,300,000
Rp 4,500,000
Rp 4,700,000
Rp 4,900,000
Rp 5,100,000
Rp 5,300,000
Rp 5,300,000
Rp 5,800,000
Rp 5,880,000
Rp 6,180,000
Rp 6,480,000
Rp 6,880,000
Rp 7,180,000
Rp 7,380,000
Rp 7,480,000
Rp 7,780,000

Rp 200,000