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PEMERINTAH KAB. KEP.

SIAU TAGULANDANG BIARO


DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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 EVITA N.W.JANIS K -0 5,266,100 2,025,000 0 291,644 112,258 0 1 .............
0 0 0 0 12,639 291,644 0
0 0 72,420 37,916 72,911
08-04-1966 1 5,266,100 0 112,258 0
196604081988032012 MKG:31 0 421,288 0 01302030017232
Pembina Utama Muda-4C 79 0 0
14.195.732.4-825.000 7,818,056 12,639 948,656 0
37,916 6,869,400
2 dr. ALVA C. MANGUNDAP, M.Si K -0 3,666,900 1,260,000 0 197,076 3,758 0 2 .............
0 0 0 0 8,801 197,076 0
0 0 72,420 26,402 49,269
01-12-1983 1 3,666,900 0 3,758 0
198312012011021001 MKG:12 0 293,352 0 01302030023219
Pembina-4A 1 0 0
16.226.181.2-825.000 5,235,358 8,801 578,658 0
26,402 4,656,700
3 AGNES AGUSTINA DAVID, S.KEP K -1 3,666,900 980,000 0 200,544 10,446 0 3 .............
0 366,690 0 0 8,801 200,544 0
0 0 144,840 26,402 50,136
14-08-1988 2 4,033,590 0 10,446 0
198808142011022001 MKG:12 0 322,687 0
Pembina-4A 0 01302030024893
93 0
16.561.117.9-823.000 5,404,716 8,801 619,016 0
26,402 4,785,700
SUB TOTAL PERGOLONGAN : IV 12,599,900 4,265,000 0 689,264 126,462 0
PEG: 3 366,690 0 0 30,241 689,264 0
IST: 1 JIWA= 4 0 0 289,680 90,720 172,316
12,966,590 0 126,462 0
ANK: 0 0 1,037,327 0
173 0 0
18,458,130 30,241 2,146,330
90,720 16,311,800
4 LINDA SATRIA WALANGITAN, S.KEP K -1 3,518,100 980,000 0 199,625 16,288 0 4 .............
2 351,810 0 0 8,443 199,625 0
140,724 0 289,680 25,330 49,906
10-05-1985 4 4,010,634 0 16,288 0
198510052010012020 MKG:12 0 320,851 0 01302030008899
Penata Tk.I-3D 43 0 0
47.649.862.1-825.000 5,530,043 8,443 620,443 0
25,330 4,909,600
5 FRANSISKUS V. LONDO, SE K -0 3,628,900 540,000 0 166,756 0 0 5 .............
0 0 0 0 8,709 166,756 0
0 0 72,420 26,128 41,689
23-02-1974 1 3,628,900 0 0 0
197402232009021002 MKG:14 0 290,312 0 01302030015028
Penata Tk.I-3D 81 0 0
77.485.080.4-825.000 4,442,994 8,709 533,594 0
26,128 3,909,400
6 YINRYANI SHERRY KANTALE TK-0 3,518,100 540,000 0 162,324 0 0 6 .............
0 0 0 0 8,443 162,324 0
0 0 72,420 25,330 40,581
08-01-1984 1 3,518,100 0 0 0
198408012010012011 MKG:12 0 281,448 0
Penata Tk.I-3D 0 01302030004778
9 0
89.500.665.8-825.000 4,326,626 8,443 518,126 0
25,330 3,808,500
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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
7 YUANITA BUDIMAN, S. KEP K -1 3,628,900 0 0 186,575 0 0 7 .............
1 362,890 0 0 8,709 186,575 0
72,578 600,000 217,260 26,128 46,644
04-05-1984 3 4,064,368 0 0 0
198404052009022003 MKG:14 0 325,149 0 01302030015223
Penata Tk.I-3D 65 0 0
77.478.307.0-825.000 5,103,105 8,709 593,205 0
26,128 4,509,900
8 TERFINA MAHAGANTI K -1 4,650,600 0 0 226,226 38,375 0 8 .............
0 465,060 0 0 11,161 226,226 0
0 540,000 144,840 33,484 56,557
26-01-1967 2 5,115,660 0 38,375 0
196701261987032006 MKG:30 0 409,253 0 01302030017531
Penata Tk.I-3D 10 0 0
14.973.325.5-825.000 6,109,756 11,161 775,056 0
33,484 5,334,700
9 HERDY JHON KASIM K -1 3,743,100 0 0 192,285 0 0 9 .............
2 374,310 0 0 8,983 192,285 0
149,724 540,000 289,680 26,950 48,071
07-06-1973 4 4,267,134 0 0 0
197307062000121002 MKG:16 0 341,371 0
Penata Tk.I-3D 0 01302030010055
28 0
89.726.049.3-825.000 5,325,060 8,983 617,660 0
26,950 4,707,400
10 IRWAN WATULANGKOU K -0 3,628,900 0 0 166,756 0 0 10 .............
0 0 0 0 8,709 166,756 0
0 540,000 72,420 26,128 41,689
24-11-1978 1 3,628,900 0 0 0
197811242006041005 MKG:14 0 290,312 0
Penata Tk.I-3D 0 01302030010882
81 0
79.475.838.3-825.000 4,442,994 8,709 533,594 0
26,128 3,909,400
11 NELVY RELLY LAHINDA K -1 3,628,900 0 0 187,078 1,088 0 11 .............
2 362,890 0 0 8,709 187,078 0
145,156 540,000 289,680 26,128 46,769
13-04-1983 4 4,136,946 0 1,088 0
198304132006042007 MKG:14 0 330,956 0
Penata Tk.I-3D 0 01302030010845
99 0
79.475.840.9-825.000 5,189,728 8,709 600,728 0
26,128 4,589,000
12 MEIXON AFANDI TOGELANG,ST K -1 3,518,100 0 0 179,211 0 0 12 .............
1 351,810 0 0 8,443 179,211 0
70,362 540,000 217,260 25,330 44,803
01-06-1984 3 3,940,272 0 0 0
198401062010011007 MKG:12 0 315,222 0 01302030017608
Penata Tk.I-3D 93 0 0
89.962.155.1-825.000 4,910,609 8,443 573,009 0
25,330 4,337,600
13 LUSIA LENDA TURLEL, SKM K -1 3,518,100 0 0 179,211 0 0 13 .............
1 351,810 0 0 8,443 179,211 0
70,362 540,000 217,260 25,330 44,803
02-05-1988 3 3,940,272 0 0 0
198802052010012008 MKG:12 0 315,222 0
Penata Tk.I-3D 0 01302030017581
93 0
58.917.921.7-825.000 4,910,609 8,443 573,009 0
25,330 4,337,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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
14 TINEKE S HIMPONG K -1 4,508,600 0 0 205,778 14,463 0 14 .............
0 450,860 185,000 0 10,821 205,778 0
0 0 144,840 32,462 51,445
01-05-1971 2 4,959,460 0 14,463 0
197101051992032010 MKG:28 0 396,757 0 01302030008929
Penata Tk.I-3D 2 0 0
87.221.205.5-825.000 5,552,826 10,821 711,726 0
32,462 4,841,100
15 TINEKE P. JACOB, SKM K -1 3,518,100 0 0 167,825 0 0 15 .............
2 351,810 185,000 0 8,443 167,825 0
140,724 0 289,680 25,330 41,956
17-08-1984 4 4,010,634 0 0 0
198408172010012023 MKG:12 0 320,851 0 01302030016719
Penata Tk.I-3D 93 0 0
58.917.912.6-825.000 4,687,005 8,443 564,405 0
25,330 4,122,600
16 YOOLA Y. KAWENAS K -1 3,481,600 980,000 0 195,176 7,829 0 16 .............
1 348,160 0 0 8,356 195,176 0
69,632 0 217,260 25,068 48,794
20-01-1979 3 3,899,392 0 7,829 0
197901202002122002 MKG:14 0 311,951 0
Penata-3C 0 01302030008772
93 0
88.572.010.2-825.000 5,333,174 8,356 597,174 0
25,068 4,736,000
17 CONNY L BAWOTONG K -1 3,375,300 980,000 0 193,114 8,946 0 17 .............
2 337,530 0 0 8,101 193,114 0
135,012 0 289,680 24,302 48,278
10-07-1981 4 3,847,842 0 8,946 0
198110072006042016 MKG:12 0 307,827 0
Penata-3C 0 01302030010833
83 0
79.457.842.5-825.000 5,352,068 8,101 590,568 0
24,302 4,761,500
18 INE LAN GANDARIA K -0 3,481,600 0 0 160,864 0 0 18 .............
0 0 0 0 8,356 160,864 0
0 540,000 72,420 25,068 40,216
15-07-1980 1 3,481,600 0 0 0
198007152002122004 MKG:14 0 278,528 0
Penata-3C 0 01302030015892
24 0
89.013.996.7-825.000 4,288,332 8,356 513,032 0
25,068 3,775,300
19 CHARLES H.ANWA,SKM K -1 3,375,300 0 0 175,514 0 0 19 .............
2 337,530 0 0 8,101 175,514 0
135,012 540,000 289,680 24,302 43,878
17-05-1986 4 3,847,842 0 0 0
198605172010011005 MKG:12 0 307,827 0 01302030017554
Penata-3C 83 0 0
89.500.625.2-825.000 4,885,522 8,101 559,622 0
24,302 4,325,900
20 MEYKE MATANTU, AMG K -1 3,272,200 0 0 165,577 0 0 20 .............
0 327,220 0 0 7,853 165,577 0
0 540,000 144,840 23,560 41,394
19-05-1982 2 3,599,420 0 0 0
198205192010012008 MKG:10 0 287,954 0
Penata-3C 0 01302030004067
88 0
58.917.923.3-825.000 4,481,338 7,853 526,338 0
23,560 3,955,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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
21 HENDRA F.ELIAS, A.Md.Kep K -1 3,272,200 0 0 165,577 0 0 21 .............
0 327,220 0 0 7,853 165,577 0
0 540,000 144,840 23,560 41,394
29-04-1988 2 3,599,420 0 0 0
198804292011021001 MKG:10 0 287,954 0 01302030008814
Penata-3C 88 0 0
4,481,338 7,853 526,338 0
23,560 3,955,000
22 SRI WULAN BAWEKES K -1 3,781,400 0 0 180,007 0 0 22 .............
1 378,140 0 0 9,075 180,007 0
75,628 265,000 217,260 27,226 45,002
23-01-1976 3 4,235,168 0 0 0
197601231995032002 MKG:22 0 338,813 0 01302030021156
Penata Muda Tk.I-3B 87 0 0
79.475.834.2-825.000 4,933,823 9,075 600,123 0
27,226 4,333,700
23 VONI RORINTULUS K -0 3,554,000 0 0 158,446 0 0 23 .............
2 0 0 0 8,530 158,446 0
142,160 265,000 217,260 25,589 39,612
18-04-1977 3 3,696,160 0 0 0
197704182006042017 MKG:18 0 295,693 0
Penata Muda Tk.I-3B 0 01302030009466
85 0
89.726.043.6-825.000 4,371,070 8,530 527,870 0
25,589 3,843,200
24 ELVIS CH. LAHENGKING K -1 3,238,300 0 0 155,676 0 0 24 .............
1 323,830 0 0 7,772 155,676 0
64,766 265,000 217,260 23,316 38,919
25-12-1975 3 3,626,896 0 0 0
197512252003121009 MKG:12 0 290,152 0
Penata Muda Tk.I-3B 0 01302030018753
15 0
88.572.005.2-825.000 4,295,935 7,772 515,835 0
23,316 3,780,100
25 SRIBBET MISIRE K -0 3,238,300 0 0 136,932 0 0 25 .............
0 0 185,000 0 7,772 136,932 0
0 0 72,420 23,316 34,233
02-08-1976 1 3,238,300 0 0 0
197602082005011005 MKG:12 0 259,064 0
Penata Muda Tk.I-3B 0 01302030021571
77 0
16.468.025.8-825.000 3,663,817 7,772 461,317 0
23,316 3,202,500
26 MATHILDA E. MAHAMBENG, AMd.Far K -1 3,139,400 0 0 145,534 0 0 26 .............
0 313,940 185,000 0 7,535 145,534 0
0 0 144,840 22,604 36,383
10-10-1986 2 3,453,340 0 0 0
198610102009022002 MKG:10 0 276,267 0 01302030017487
Penata Muda Tk.I-3B 70 0 0
79.475.812.8-825.000 3,958,923 7,535 488,323 0
22,604 3,470,600
27 SINDY CLODYA MARTHIN,AMDKEP K -1 2,920,100 0 0 142,757 0 0 27 .............
2 292,010 0 0 7,008 142,757 0
116,804 240,000 289,680 21,025 35,689
24-09-1989 4 3,328,914 0 0 0
198909242011022001 MKG: 9 0 266,313 0
Penata Muda-3A 0 01302030024947
8 0
4,029,392 7,008 472,792 0
21,025 3,556,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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
28 KRISYE WISLIN WALELANGI K -1 2,920,100 0 0 140,557 0 0 28 .............
2 292,010 185,000 0 7,008 140,557 0
116,804 0 289,680 21,025 35,139
02-10-1991 4 3,328,914 0 0 0
199110022010012001 MKG: 8 0 266,313 0 01302030015946
Penata Muda-3A 58 0 0
58.917.824.3-825.000 3,972,242 7,008 470,042 0
21,025 3,502,200
29 RINY MULIKU ,S.K.M K -1 2,579,400 0 0 120,894 0 0 29 .............
0 257,940 185,000 0 6,191 120,894 0
0 0 144,840 18,572 30,223
17-10-1991 2 2,837,340 0 0 0
199110172022032010 MKG: 1 0 226,987 0
Penata Muda-3A 30 0 0
65.530.844.3-825.000 3,312,867 6,191 402,867 0
18,572 2,910,000
30 ERIK LOMBO ,S.Tr.Gs TK-0 2,579,400 0 0 110,576 0 0 30 .............
0 0 185,000 0 6,191 110,576 0
0 0 72,420 18,572 27,644
02-02-1995 1 2,579,400 0 0 0
199502022022031009 MKG: 1 0 206,352 0
Penata Muda-3A 0 01302030032273
76 0
93.623.853.4-821.000 2,972,235 6,191 369,335 0
18,572 2,602,900
31 JULIA CHRISTIN PULUMBARA ,S.K.M TK-0 2,579,400 0 0 110,576 0 0 31 .............
0 0 185,000 0 6,191 110,576 0
0 0 72,420 18,572 27,644
06-07-1996 1 2,579,400 0 0 0
199607062022032016 MKG: 1 0 206,352 0
Penata Muda-3A 76 0 0
65.529.690.3-825.00 2,972,235 6,191 369,335 0
18,572 2,602,900
SUB TOTAL PERGOLONGAN : III 95,796,400 4,020,000 0 4,677,427 86,989 0
PEG: 28 6,958,780 1,480,000 0 229,909 4,677,427 0
IST: 20 JIWA= 72 1,645,448 7,035,000 5,214,240 689,735 1,169,355
104,400,628 0 86,989 0
ANK: 24 0 8,352,051 0
1,738 0 0
127,835,666 229,909 15,205,466
689,735 112,630,200
32 ZANDRA E JACOBUS, AMD FAR K -1 3,590,300 0 0 170,445 0 0 32 .............
1 359,030 0 0 8,617 170,445 0
71,806 240,000 217,260 25,850 42,611
23-02-1971 3 4,021,136 0 0 0
197102231991032001 MKG:29 0 321,691 0 01302030024996
Pengatur Tk.I-2D 6 0 0
66.955.584.9-825.000 4,683,314 8,617 569,214 0
25,850 4,114,100
33 SIANNE TRIO M. LOMBO ,, TK-0 2,716,000 0 0 115,840 0 0 33 .............
A.Md.Far 0 0 180,000 0 6,518 115,840 0
0 0 72,420 19,555 28,960
03-10-1988 1 2,716,000 0 0 0
198810032014032001 MKG:11 0 217,280 0
Pengatur Tk.I-2D 0 01302030025642
20 0
3,110,353 6,518 388,153 0
19,555 2,722,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] DINAS KESEHATAN
(012) D60101401200001 BULAN : NOPEMBER 2023 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
34 ROUFRITS LINGGAR K -1 2,605,800 0 0 126,024 0 0 34 .............
2 260,580 180,000 0 6,254 126,024 0
104,232 0 289,680 18,762 31,506
09-09-1982 4 2,970,612 0 0 0
198209092011021001 MKG:11 0 237,649 0 01302030024481
Pengatur-2C 63 0 0
3,591,395 6,254 420,195 0
18,762 3,171,200
35 ISKE FATRIANI TINGKUE K -0 2,605,800 0 0 111,432 0 0 35 .............
0 0 180,000 0 6,254 111,432 0
0 0 72,420 18,762 27,858
09-12-1990 1 2,605,800 0 0 0
199012092011022001 MKG:11 0 208,464 0 01302030023414
Pengatur-2C 2 0 0
57.782.441.0-825.000 2,994,670 6,254 372,770 0
18,762 2,621,900
36 STEFFI CORRA BULAHARI K -1 2,605,800 0 0 123,940 0 0 36 .............
1 260,580 180,000 0 6,254 123,940 0
52,116 0 217,260 18,762 30,985
07-01-1992 3 2,918,496 0 0 0
199207012011022001 MKG:11 0 233,480 0
Pengatur-2C 0 01302030023930
9 0
87.849.812.0-825.000 3,464,721 6,254 413,421 0
18,762 3,051,300
SUB TOTAL PERGOLONGAN : 14,123,700 0 0 647,681 0 0
PEG: 5 880,190 720,000 0 33,897 647,681 0
IST: 3 JIWA= 12 228,154 240,000 869,040 101,691 161,920
15,232,044 0 0 0
ANK: 4 0 1,218,564 0
100 0 0
17,844,453 33,897 2,163,753
101,691 15,680,700
TOTAL PER SATKER 122,520,000 8,285,000 0 6,014,372 213,451 0
PEG: 36 8,205,660 2,200,000 0 294,047 6,014,372 0
IST: 24 JIWA= 88 1,873,602 7,275,000 6,372,960 882,146 1,503,591
ANK: 28 132,599,262 0 213,451 0
0 10,607,942 0
0 0
2,011 294,047 19,515,549
164,138,249
882,146 144,622,700

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BIARO
(012) D60101401200002 BULAN : NOPEMBER 2023 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 FEBYLIN TUNGGAI, SKEP K -1 3,554,900 0 0 196,103 12,004 0 1 .............
2 355,490 0 0 8,532 196,103 0
142,196 850,000 289,680 25,595 49,026
02-07-1988 4 4,052,586 0 12,004 0
198802072011022001 MKG:10 0 324,207 0 01302030008942
Pembina-4A 67 0 0
16.620.108.7-825.000 5,434,567 8,532 615,467 0
25,595 4,819,100
SUB TOTAL PERGOLONGAN : IV 3,554,900 0 0 196,103 12,004 0
PEG: 1 355,490 0 0 8,532 196,103 0
IST: 1 JIWA= 4 142,196 850,000 289,680 25,595 49,026
4,052,586 0 12,004 0
ANK: 2 0 324,207 0
67 0 0
5,434,567 8,532 615,467
25,595 4,819,100
2 dr. MALINDA A. DAMAPOLII K -1 3,306,500 0 0 178,131 0 0 2 .............
1 330,650 0 0 7,936 178,131 0
66,130 750,000 217,260 23,807 44,533
14-11-1981 3 3,703,280 0 0 0
198111142014032001 MKG: 8 0 296,262 0
Penata Tk.I-3D 0 01302030025757
55 0
16.546.097.3-821.000 4,880,469 7,936 550,669 0
23,807 4,329,800
3 JUANDA KANTER ,S.Kep, Ns TK-0 3,075,500 0 0 147,020 0 0 3 .............
0 0 0 0 7,381 147,020 0
0 600,000 72,420 22,144 36,755
12-06-1988 1 3,075,500 0 0 0
198806122014031001 MKG: 6 0 246,040 0 01302030026220
Penata-3C 75 0 0
66.894.496.0-821.000 3,924,540 7,381 459,340 0
22,144 3,465,200
4 ESTERLIN LAHAGHARI K -1 3,481,600 0 0 178,761 0 0 4 .............
2 348,160 0 0 8,356 178,761 0
139,264 500,000 289,680 25,068 44,690
26-03-1988 4 3,969,024 0 0 0
198803262006042014 MKG:14 0 317,522 0 01302030019344
Penata-3C 8 0 0
4,970,897 8,356 574,397 0
25,068 4,396,500
5 ETIN M. SARI, S.S.T TK-0 2,860,500 0 0 126,420 0 0 5 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
23-05-1991 1 2,860,500 0 0 0
199105232019032016 MKG: 4 0 228,840 0 01302030030523
Penata Muda Tk.I-3B 25 0 0
82.234.053.5-311.000 3,386,826 6,865 414,326 0
20,596 2,972,500
6 VERONICA ASSA, S.Tr.Gz K -1 2,860,500 0 0 140,150 0 0 6 .............
1 286,050 0 0 6,865 140,150 0
57,210 300,000 217,260 20,596 35,038
02-03-1995 3 3,203,760 0 0 0
199503022019032023 MKG: 4 0 256,301 0
Penata Muda Tk.I-3B 0 01302030030114
19 0
83.486.853.1-824.000 3,888,650 6,865 458,950 0
20,596 3,429,700
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BIARO
(012) D60101401200002 BULAN : NOPEMBER 2023 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
7 GABRIELLA SASONGKE, SKM TK-0 2,860,500 0 0 126,420 0 0 7 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
03-10-1995 1 2,860,500 0 0 0
199510032019032015 MKG: 4 0 228,840 0 01302030029860
Penata Muda Tk.I-3B 25 0 0
91.622.051.0-825.000 3,386,826 6,865 414,326 0
20,596 2,972,500
8 LIRIA CHELAND BAWIHU ,S.FARM, TK-0 2,688,500 0 0 114,940 0 0 8 .............
APT 0 0 185,000 0 6,452 114,940 0
0 0 72,420 19,357 28,735
27-02-1996 1 2,688,500 0 0 0
199602272022032017 MKG: 0 0 215,080 0
Penata Muda Tk.I-3B 95 0 0
95.282.939.8-821.000 3,086,764 6,452 384,564 0
19,357 2,702,200
9 DELYUS R. BUDIMAN.KEP TK-0 3,012,000 0 0 130,080 0 0 9 .............
0 0 0 0 7,229 130,080 0
0 240,000 72,420 21,686 32,520
20-02-1985 1 3,012,000 0 0 0
198502202010011012 MKG:11 0 240,960 0
Penata Muda-3A 0 01302030019307
60 0
58.917.934.0-825.000 3,483,475 7,229 432,475 0
21,686 3,051,000
SUB TOTAL PERGOLONGAN : III 24,145,600 0 0 1,141,922 0 0
PEG: 8 964,860 185,000 0 57,949 1,141,922 0
IST: 3 JIWA= 15 262,604 2,990,000 1,086,300 173,850 285,481
25,373,064 0 0 0
ANK: 4 0 2,029,845 0
362 0 0
31,008,447 57,949 3,689,047
173,850 27,319,400
10 FANDRI PANTOLOSANG K -1 2,980,800 0 0 143,140 0 0 10 .............
1 298,080 0 0 7,154 143,140 0
59,616 240,000 217,260 21,462 35,785
15-12-1985 3 3,338,496 0 0 0
198512152008011004 MKG:17 0 267,080 0 01302030019228
Pengatur Tk.I-2D 9 0 0
3,967,521 7,154 474,621 0
21,462 3,492,900
11 SOPHIAN LEOPOL MAITULUNG K -1 2,889,800 0 0 139,063 0 0 11 .............
1 288,980 0 0 6,936 139,063 0
57,796 240,000 217,260 20,807 34,766
15-02-1969 3 3,236,576 0 0 0
196902152002121005 MKG:16 0 258,926 0 01302030021909
Pengatur Tk.I-2D 56 0 0
3,860,698 6,936 460,498 0
20,807 3,400,200
12 YUKE KARIMANG K -1 2,889,800 0 0 141,375 0 0 12 .............
2 288,980 0 0 6,936 141,375 0
115,592 240,000 289,680 20,807 35,344
27-09-1985 4 3,294,372 0 0 0
198509272003122002 MKG:16 0 263,550 0
Pengatur Tk.I-2D 0 01302030019240
42 0
16.225.973.3-825.000 3,993,212 6,936 468,012 0
20,807 3,525,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BIARO
(012) D60101401200002 BULAN : NOPEMBER 2023 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
13 OKTAVIN MATHEOS K -1 2,633,100 0 0 127,563 0 0 13 .............
1 263,310 0 0 6,319 127,563 0
52,662 240,000 217,260 18,958 31,891
10-06-1979 3 2,949,072 0 0 0
197910062003122008 MKG: 9 0 235,926 0 01302030021892
Pengatur Tk.I-2D 85 0 0
3,559,257 6,319 420,657 0
18,958 3,138,600
14 YAHTTRIA C.S. TUMADANG, A.Md.Ft K -1 2,605,800 0 0 128,424 0 0 14 .............
2 260,580 0 0 6,254 128,424 0
104,232 240,000 289,680 18,762 32,106
27-01-1988 4 2,970,612 0 0 0
198801272014032001 MKG:11 0 237,649 0 01302030025988
Pengatur-2C 63 0 0
66.594.769.3-823.000 3,653,795 6,254 423,195 0
18,762 3,230,600
15 JUNITA FRANSISCA SARI ,, AMKL K -1 2,605,800 0 0 128,424 0 0 15 .............
2 260,580 0 0 6,254 128,424 0
104,232 240,000 289,680 18,762 32,106
23-06-1992 4 2,970,612 0 0 0
199206232014032001 MKG:11 0 237,649 0
Pengatur-2C 0 01302030026233
63 0
70.018.656.2-821.000 3,653,795 6,254 423,195 0
18,762 3,230,600
16 SULISTIAWATI TAKAHINDANGEN, K -1 2,449,100 0 0 119,320 0 0 16 .............
A.Md.Far 1 244,910 0 0 5,878 119,320 0
48,982 240,000 217,260 17,634 29,830
14-01-1995 3 2,742,992 0 0 0
199501142019032013 MKG: 7 0 219,439 0
Pengatur-2C 0 01302030030442
17 0
82.961.127.6-823.000 3,343,101 5,878 392,101 0
17,634 2,951,000
17 NORIKE DEREK K -1 2,687,800 0 0 129,213 0 0 17 .............
1 268,780 0 0 6,451 129,213 0
53,756 220,000 217,260 19,352 32,303
20-01-1984 3 3,010,336 0 0 0
198401202010012006 MKG:13 0 240,827 0
Pengatur-2C 0 01302030024984
34 0
3,602,646 6,451 428,146 0
19,352 3,174,500
18 FEMMY J. AGIMAT K -1 2,500,000 0 0 122,800 0 0 18 .............
2 250,000 0 0 6,000 122,800 0
100,000 220,000 289,680 18,000 30,700
14-09-1984 4 2,850,000 0 0 0
198409142009022001 MKG:11 0 228,000 0 01302030019319
Pengatur Muda Tk.I-2B 20 0 0
3,506,500 6,000 405,500 0
18,000 3,101,000
SUB TOTAL PERGOLONGAN : 24,242,000 0 0 1,179,322 0 0
PEG: 9 2,424,200 0 0 58,182 1,179,322 0
IST: 9 JIWA= 31 696,868 2,120,000 2,245,020 174,544 294,831
27,363,068 0 0 0
ANK: 13 0 2,189,046 0
389 0 0
33,140,525 58,182 3,895,925
174,544 29,244,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BIARO
(012) D60101401200002 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 51,942,500 0 0 2,517,347 12,004 0
PEG: 18 3,744,550 185,000 0 124,663 2,517,347 0
IST: 13 JIWA= 50 1,101,668 5,960,000 3,621,000 373,989 629,338
ANK: 19 56,788,718 0 12,004 0
0 4,543,098 0
0 0
818 124,663 8,200,439
69,583,539
373,989 61,383,100

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BUHIAS
(012) D60101401200003 BULAN : NOPEMBER 2023 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 YATI HUMIANG K -1 3,272,200 0 0 166,595 0 0 1 .............
1 327,220 0 0 7,853 166,595 0
65,444 500,000 217,260 23,560 41,649
19-11-1984 3 3,664,864 0 0 0
198411192010012016 MKG:10 0 293,189 0 01302030009478
Penata-3C 14 0 0
4,580,146 7,853 532,846 0
23,560 4,047,300
2 dr, MELATI PARERA TK-0 2,773,200 0 0 123,928 0 0 2 .............
0 0 0 0 6,656 123,928 0
0 325,000 72,420 19,967 30,982
19-02-1991 1 2,773,200 0 0 0
199102192020122009 MKG: 2 0 221,856 0 01302030031293
Penata Muda Tk.I-3B 18 0 0
81.912.318.3-823.000 3,321,189 6,656 403,389 0
19,967 2,917,800
3 LILIANTI KATRIN LALINTIA K -1 2,773,200 0 0 139,458 0 0 3 .............
,S.FARM, APT 2 277,320 0 0 6,656 139,458 0
110,928 325,000 289,680 19,967 34,864
20-08-1992 4 3,161,448 0 0 0
199208202020122015 MKG: 2 0 252,916 0
Penata Muda Tk.I-3B 0 03202110024116
52 0
83.878.969.1-825.000 3,942,261 6,656 453,861 0
19,967 3,488,400
4 HANDRE SUMAREANGIN, S.K.M TK-0 2,773,200 0 0 122,928 0 0 4 .............
0 0 0 0 6,656 122,928 0
0 300,000 72,420 19,967 30,732
10-05-1993 1 2,773,200 0 0 0
199305102019031012 MKG: 3 0 221,856 0
Penata Muda Tk.I-3B 0 01302030030383
68 0
90.476.750.6-825.000 3,295,239 6,656 402,139 0
19,967 2,893,100
5 YOUS PICE TAKALAU K -1 3,665,900 0 0 174,832 0 0 5 .............
1 366,590 0 0 8,798 174,832 0
73,318 265,000 217,260 26,394 43,708
29-10-1974 3 4,105,808 0 0 0
197410292006042012 MKG:20 0 328,465 0
Penata Muda Tk.I-3B 0 01302030010200
5 0
87.223.176.6-825.000 4,798,097 8,798 582,197 0
26,394 4,215,900
6 LIVLY S.A. MAWEY. KEP K -1 3,043,600 0 0 149,388 0 0 6 .............
2 304,360 0 0 7,305 149,388 0
121,744 265,000 289,680 21,914 37,347
29-08-1989 4 3,469,704 0 0 0
198908292011022001 MKG: 8 0 277,576 0 01302030021934
Penata Muda Tk.I-3B 39 0 0
70.306.328.9-823.000 4,203,030 7,305 493,530 0
21,914 3,709,500
7 APRIN MOHAMAD ,AMG K -1 2,950,600 0 0 144,147 0 0 7 .............
2 295,060 0 0 7,081 144,147 0
118,024 240,000 289,680 21,244 36,037
09-08-1989 4 3,363,684 0 0 0
198908092014031001 MKG: 6 0 269,095 0
Penata Muda Tk.I-3B 0 01302030026002
68 0
66.928.420.0-822.000 4,065,904 7,081 477,604 0
21,244 3,588,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BUHIAS
(012) D60101401200003 BULAN : NOPEMBER 2023 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
8 PAHRIANI PAHARUDDIN ,A.Md.Keb K -1 2,950,600 0 0 139,426 0 0 8 .............
0 295,060 0 0 7,081 139,426 0
0 240,000 144,840 21,244 34,857
10-06-1992 2 3,245,660 0 0 0
199206102014032001 MKG: 6 0 259,653 0 01302030025873
Penata Muda Tk.I-3B 10 0 0
66.898.313.3-821.000 3,798,261 7,081 462,261 0
21,244 3,336,000
9 HELNI R. MANGOLO, S.Kep.Ns K -1 2,660,700 0 0 130,071 0 0 9 .............
0 266,070 0 0 6,386 130,071 0
0 325,000 144,840 19,157 32,518
09-12-1992 2 2,926,770 0 0 0
199212092019032016 MKG: 2 0 234,142 0 01302030029635
Penata Muda-3A 50 0 0
82.983.832-5827.000 3,552,274 6,386 422,274 0
19,157 3,130,000
10 FENNY PANTOLAENG, A.Md.Kep K -0 2,830,900 0 0 123,836 0 0 10 .............
0 0 0 0 6,794 123,836 0
0 265,000 72,420 20,382 30,959
21-02-1989 1 2,830,900 0 0 0
198902212014032004 MKG: 6 0 226,472 0
Penata Muda-3A 0 01302030025941
11 0
66.891.272.8-825.000 3,319,343 6,794 408,443 0
20,382 2,910,900
11 STEVANI MAART ,,A.Md.Kep TK-0 2,830,900 0 0 123,836 0 0 11 .............
0 0 0 0 6,794 123,836 0
0 265,000 72,420 20,382 30,959
24-09-1990 1 2,830,900 0 0 0
199009242014032002 MKG: 6 0 226,472 0
Penata Muda-3A 0 01302030025848
11 0
66.621.036.4-821.000 3,319,343 6,794 408,443 0
20,382 2,910,900
12 MEILIN GAWE, A.Md.Far K -1 2,579,400 0 0 125,157 0 0 12 .............
1 257,940 0 0 6,191 125,157 0
51,588 240,000 217,260 18,572 31,289
18-12-1990 3 2,888,928 0 0 0
199012182019032010 MKG: 1 0 231,114 0
Penata Muda-3A 0 01302030030475
15 0
97.350.912.8-825.000 3,496,123 6,191 412,323 0
18,572 3,083,800
SUB TOTAL PERGOLONGAN : III 35,104,400 0 0 1,663,602 0 0
PEG: 12 2,389,620 0 0 84,251 1,663,602 0
IST: 8 JIWA= 29 541,046 3,555,000 2,100,180 252,750 415,901
38,035,066 0 0 0
ANK: 9 0 3,042,806 0
361 0 0
45,691,210 84,251 5,459,310
252,750 40,231,900
13 ARTHER A. TAHENDUNG, A.Md K -1 2,301,800 0 0 110,879 0 0 13 .............
0 230,180 0 0 5,524 110,879 0
0 240,000 144,840 16,573 27,720
10-08-1995 2 2,531,980 0 0 0
199508102019031008 MKG: 4 0 202,558 0
Pengatur-2C 0 01302030030405
58 0
90.476.750.6-825.000 3,049,854 5,524 363,254 0
16,573 2,686,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS BUHIAS
(012) D60101401200003 BULAN : NOPEMBER 2023 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 : 2,301,800 0 0 110,879 0 0
PEG: 1 230,180 0 0 5,524 110,879 0
IST: 1 JIWA= 2 0 240,000 144,840 16,573 27,720
2,531,980 0 0 0
ANK: 0 0 202,558 0
58 0 0
3,049,854 5,524 363,254
16,573 2,686,600
TOTAL PER SATKER 37,406,200 0 0 1,774,481 0 0
PEG: 13 2,619,800 0 0 89,775 1,774,481 0
IST: 9 JIWA= 31 541,046 3,795,000 2,245,020 269,323 443,621
ANK: 9 40,567,046 0 0 0
0 3,245,364 0
0 0
419 89,775 5,822,564
48,741,064
269,323 42,918,500

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS HIUNG SIAU BARAT UTARA
(012) D60101401200004 BULAN : NOPEMBER 2023 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 ACI S. KAGHIADE, S.KEP K -1 3,518,100 0 0 184,425 0 0 1 .............
2 351,810 0 0 8,443 184,425 0
140,724 600,000 289,680 25,330 46,106
19-03-1985 4 4,010,634 0 0 0
198503192010012011 MKG:12 0 320,851 0 01302030012039
Penata Tk.I-3D 43 0 0
58.917.932.4-825.000 5,118,555 8,443 585,155 0
25,330 4,533,400
2 IMELDA LUMAHU, K -1 3,518,100 0 0 180,425 0 0 2 .............
2 351,810 0 0 8,443 180,425 0
140,724 500,000 289,680 25,330 45,106
23-02-1982 4 4,010,634 0 0 0
198202232008032002 MKG:13 0 320,851 0 01302030012593
Penata Tk.I-3D 43 0 0
5,014,555 8,443 580,155 0
25,330 4,434,400
3 IVANNA HOLE, AMD.KEP K -1 3,410,600 0 0 172,795 0 0 3 .............
1 341,060 0 0 8,185 172,795 0
68,212 500,000 217,260 24,556 43,199
17-02-1985 3 3,819,872 0 0 0
198502172010012021 MKG:11 0 305,590 0
Penata Tk.I-3D 0 01302030004200
57 0
58.917.909.2-825.000 4,742,725 8,185 554,325 0
24,556 4,188,400
4 TIFFANY LIA THIRO.KEP K -1 3,410,600 0 0 175,523 0 0 4 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
01-08-1987 4 3,888,084 0 0 0
198701082010012008 MKG:11 0 311,047 0
Penata Tk.I-3D 0 01302030012211
64 0
58.917.914.2-825.000 4,886,092 8,185 563,192 0
24,556 4,322,900
5 RUSYEGRAL KATILAHE, A.Md.Kep K -1 3,410,600 0 0 175,523 0 0 5 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
10-07-1988 4 3,888,084 0 0 0
198807102010012003 MKG:11 0 311,047 0
Penata Tk.I-3D 0 01302030025563
64 0
4,886,092 8,185 563,192 0
24,556 4,322,900
6 HENIKE SERANG. A.MD.KEP K -1 3,410,600 0 0 172,795 0 0 6 .............
1 341,060 0 0 8,185 172,795 0
68,212 500,000 217,260 24,556 43,199
11-04-1988 3 3,819,872 0 0 0
198811042010012009 MKG:11 0 305,590 0 01302030016999
Penata Tk.I-3D 57 0 0
58.917.951.4-825.000 4,742,725 8,185 554,325 0
24,556 4,188,400
7 PIPIT HASTARI, S.Farm.Apt K -1 2,981,500 0 0 163,571 0 0 7 .............
1 298,150 0 0 7,156 163,571 0
59,630 750,000 217,260 21,467 40,893
23-07-1991 3 3,339,280 0 0 0
199107232019032015 MKG: 4 0 267,142 0
Penata-3C 0 01302030030066
95 0
82.468.060.7-952.000 4,498,829 7,156 500,229 0
21,467 3,998,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS HIUNG SIAU BARAT UTARA
(012) D60101401200004 BULAN : NOPEMBER 2023 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
8 FREDERIKA KALAMPUNG, AMG K -0 3,272,200 0 0 150,888 0 0 8 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
02-08-1980 1 3,272,200 0 0 0
198002082011022002 MKG:10 0 261,776 0 01302030024935
Penata-3C 78 0 0
89.053.700.4-825.000 4,026,999 7,853 481,799 0
23,560 3,545,200
9 SRY SURYA L. BAWOLE, K -0 3,272,200 0 0 150,888 0 0 9 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
25-06-1985 1 3,272,200 0 0 0
198506252010012012 MKG:10 0 261,776 0 01302030018972
Penata-3C 78 0 0
4,026,999 7,853 481,799 0
23,560 3,545,200
10 KIEM SUSAN LAWENDATU ,, K -1 3,172,300 0 0 164,657 0 0 10 .............
A.Md.Kep 2 317,230 0 0 7,614 164,657 0
126,892 500,000 289,680 22,841 41,164
01-11-1983 4 3,616,422 0 0 0
198311012011022001 MKG: 9 0 289,314 0
Penata-3C 0 01302030028972
76 0
16.544.315.1-825.000 4,601,290 7,614 525,590 0
22,841 4,075,700
11 WIDYA N. KIRAUHE, S.Kep,Ns K -1 2,860,500 0 0 143,439 0 0 11 .............
2 286,050 0 0 6,865 143,439 0
114,420 325,000 289,680 20,596 35,860
24-02-1990 4 3,260,970 0 0 0
199002242019032011 MKG: 4 0 260,878 0
Penata Muda Tk.I-3B 0 01302030030136
88 0
81.616.925.4-821.000 4,046,638 6,865 467,638 0
20,596 3,579,000
12 dr, YOURAINE RUITANG K -1 2,773,200 0 0 137,239 0 0 12 .............
1 277,320 0 0 6,656 137,239 0
55,464 325,000 217,260 19,967 34,310
28-04-1990 3 3,105,984 0 0 0
199004282020122014 MKG: 2 0 248,479 0
Penata Muda Tk.I-3B 0 01302030031551
45 0
71.012.690.5-823.000 3,812,151 6,656 446,651 0
19,967 3,365,500
13 FRISCASARI, SKM K -1 3,043,600 0 0 150,788 0 0 13 .............
2 304,360 0 0 7,305 150,788 0
121,744 300,000 289,680 21,914 37,697
01-06-1990 4 3,469,704 0 0 0
199006012015032003 MKG: 8 0 277,576 0 01302030028278
Penata Muda Tk.I-3B 89 0 0
72.759.193.5-825.000 4,239,480 7,305 495,280 0
21,914 3,744,200
14 WAHYUNI KONDOALUMANG, S.Tr.Gz K -1 2,860,500 0 0 140,150 0 0 14 .............
1 286,050 0 0 6,865 140,150 0
57,210 300,000 217,260 20,596 35,038
11-09-1996 3 3,203,760 0 0 0
199609112019032009 MKG: 4 0 256,301 0
Penata Muda Tk.I-3B 0 01302030029974
19 0
91.644.960.6-825.000 3,888,650 6,865 458,950 0
20,596 3,429,700
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS HIUNG SIAU BARAT UTARA
(012) D60101401200004 BULAN : NOPEMBER 2023 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
15 LINDA SUSANTI TAHULENDING K -0 3,238,300 0 0 140,132 0 0 15 .............
0 0 0 0 7,772 140,132 0
0 265,000 72,420 23,316 35,033
04-03-1978 1 3,238,300 0 0 0
197804032005012012 MKG:12 0 259,064 0 01302030025231
Penata Muda Tk.I-3B 77 0 0
3,747,017 7,772 465,317 0
23,316 3,281,700
16 FERRA MOHEDE K -0 3,043,600 0 0 134,779 0 0 16 .............
1 0 0 0 7,305 134,779 0
60,872 265,000 144,840 21,914 33,695
28-02-1984 2 3,104,472 0 0 0
198402282010012013 MKG: 8 0 248,358 0 01302030011813
Penata Muda Tk.I-3B 41 0 0
58.917.915.9-825.000 3,678,351 7,305 446,051 0
21,914 3,232,300
17 dr, JUNITA BAUDA K -1 2,773,200 0 0 131,639 0 0 17 .............
1 277,320 185,000 0 6,656 131,639 0
55,464 0 217,260 19,967 32,910
17-01-1989 3 3,105,984 0 0 0
198901172020122015 MKG: 2 0 248,479 0
Penata Muda Tk.I-3B 0 01302030031190
45 0
664211216821000 3,666,551 6,656 439,651 0
19,967 3,226,900
18 HELLEN ASTRY KIRAUHE, A.Md.Kep K -1 2,920,100 0 0 143,757 0 0 18 .............
2 292,010 0 0 7,008 143,757 0
116,804 265,000 289,680 21,025 35,939
22-04-1982 4 3,328,914 0 0 0
198204222010012014 MKG: 8 0 266,313 0
Penata Muda-3A 0 01302030011886
58 0
87.849.734.6-825.000 4,055,442 7,008 474,042 0
21,025 3,581,400
19 ANGGREANI M.AAMBONG ,S.Tr K -1 2,660,700 0 0 126,599 0 0 19 .............
1 266,070 185,000 0 6,386 126,599 0
53,214 0 217,260 19,157 31,650
14-05-1996 3 2,979,984 0 0 0
199605142020122027 MKG: 2 0 238,399 0
Penata Muda-3A 0 0132030032111
5 0
95.970.519.5-825-000 3,534,391 6,386 422,191 0
19,157 3,112,200
SUB TOTAL PERGOLONGAN : III 59,550,500 0 0 2,940,012 0 0
PEG: 19 4,672,420 370,000 0 142,920 2,940,012 0
IST: 15 JIWA= 58 1,512,434 7,395,000 4,200,360 428,764 735,005
65,735,354 0 0 0
ANK: 24 0 5,258,831 0
1,122 0 0
81,213,532 142,920 9,505,532
428,764 71,708,000
20 ANACE JOHANA JACOB K -1 2,889,800 0 0 141,375 0 0 20 .............
2 288,980 0 0 6,936 141,375 0
115,592 240,000 289,680 20,807 35,344
16-11-1979 4 3,294,372 0 0 0
197911162005012010 MKG:15 0 263,550 0
Pengatur Tk.I-2D 0 01302030024260
42 0
3,993,212 6,936 468,012 0
20,807 3,525,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS HIUNG SIAU BARAT UTARA
(012) D60101401200004 BULAN : NOPEMBER 2023 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
21 HERNI KALARU K -1 2,801,500 0 0 137,348 0 0 21 .............
2 280,150 0 0 6,724 137,348 0
112,060 240,000 289,680 20,171 34,337
02-07-1982 4 3,193,710 0 0 0
198202072010012010 MKG:13 0 255,497 0 01302030016069
Pengatur Tk.I-2D 44 0 0
3,887,677 6,724 454,077 0
20,171 3,433,600
22 BRANDOLIE PUSUNG, A.Md.Far TK-0 2,449,100 0 0 107,564 0 0 22 .............
0 0 0 0 5,878 107,564 0
0 240,000 72,420 17,634 26,891
21-12-1997 1 2,449,100 0 0 0
199712212019031001 MKG: 7 0 195,928 0 01302030030781
Pengatur-2C 99 0 0
91.629.215.4-825.000 2,892,695 5,878 353,895 0
17,634 2,538,800
23 FAJAR SHANDY KANTOHE TULIA K -1 2,301,800 0 0 108,479 0 0 23 .............
,A.Md.KL 0 230,180 180,000 0 5,524 108,479 0
0 0 144,840 16,573 27,120
16-05-1993 2 2,531,980 0 0 0
199305162022031010 MKG: 4 0 202,558 0
Pengatur-2C 58 0 0
90.039.048.5-825.000 2,987,454 5,524 360,254 0
16,573 2,627,200
24 CICILYA CORRY KAREL ,A.Md.KL TK-0 2,301,800 0 0 99,272 0 0 24 .............
0 0 180,000 0 5,524 99,272 0
0 0 72,420 16,573 24,818
09-11-1992 1 2,301,800 0 0 0
199211092022032010 MKG: 3 0 184,144 0
Pengatur-2C 0 01302030031934
42 0
85.877.849.1-823.000 2,675,631 5,524 330,331 0
16,573 2,345,300
25 RUTLIANA MAKAPUNAS K -1 2,423,700 0 0 119,321 0 0 25 .............
2 242,370 0 0 5,817 119,321 0
96,948 220,000 289,680 17,451 29,830
18-07-1986 4 2,763,018 0 0 0
198607182009022002 MKG: 9 0 221,041 0
Pengatur Muda Tk.I-2B 0 01302030010122
73 0
3,415,360 5,817 393,460 0
17,451 3,021,900
SUB TOTAL PERGOLONGAN : 15,167,700 0 0 713,359 0 0
PEG: 6 1,041,680 360,000 0 36,403 713,359 0
IST: 4 JIWA= 16 324,600 940,000 1,158,720 109,209 178,340
16,533,980 0 0 0
ANK: 6 0 1,322,718 0
358 0 0
19,852,029 36,403 2,360,029
109,209 17,492,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS HIUNG SIAU BARAT UTARA
(012) D60101401200004 BULAN : NOPEMBER 2023 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 74,718,200 0 0 3,653,371 0 0
PEG: 25 5,714,100 730,000 0 179,323 3,653,371 0
IST: 19 JIWA= 74 1,837,034 8,335,000 5,359,080 537,973 913,345
ANK: 30 82,269,334 0 0 0
0 6,581,549 0
0 0
1,480 179,323 11,865,561
101,065,561
537,973 89,200,000

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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 ADE M.M. BAWOLE, SKM K -1 3,782,400 0 0 203,452 16,858 0 1 .............
1 378,240 0 0 9,078 203,452 0
75,648 850,000 217,260 27,233 50,863
28-03-1974 3 4,236,288 0 16,858 0
197403282009032001 MKG:14 0 338,903 0 01302030027901
Pembina-4A 18 0 0
68.240.670.7-825.000 5,560,187 9,078 646,387 0
27,233 4,913,800
SUB TOTAL PERGOLONGAN : IV 3,782,400 0 0 203,452 16,858 0
PEG: 1 378,240 0 0 9,078 203,452 0
IST: 1 JIWA= 3 75,648 850,000 217,260 27,233 50,863
4,236,288 0 16,858 0
ANK: 1 0 338,903 0
18 0 0
5,560,187 9,078 646,387
27,233 4,913,800
2 SULTJE LOLENG, A.Md.Keb K -0 4,108,100 490,000 0 183,924 0 0 2 .............
0 0 0 0 9,859 183,924 0
0 0 72,420 29,578 45,981
28-03-1974 1 4,108,100 0 0 0
197403281993012001 MKG:22 0 328,648 0
Penata Tk.I-3D 0 01302030018832
9 0
79.813.760.0-825.000 4,893,890 9,859 597,990 0
29,578 4,295,900
3 JUSRIET R. NICODEMUS K -1 4,508,600 0 0 218,378 29,425 0 3 .............
0 450,860 0 0 10,821 218,378 0
0 500,000 144,840 32,462 54,595
04-11-1965 2 4,959,460 0 29,425 0
196511041990012001 MKG:28 0 396,757 0 01302030016771
Penata Tk.I-3D 52 0 0
68.193.738.9-825.000 5,895,438 10,821 742,438 0
32,462 5,153,000
4 ELMIS BACHMID JD-0 3,743,100 0 0 172,718 0 0 4 .............
1 0 0 0 8,983 172,718 0
74,862 500,000 144,840 26,950 43,180
08-03-1979 2 3,817,962 0 0 0
197903082000122004 MKG:16 0 305,437 0 01302030019174
Penata Tk.I-3D 15 0 0
89.033.974.0-825.000 4,671,468 8,983 557,268 0
26,950 4,114,200
5 YENI M. TAMASOLENG, A.Md.Kep K -1 3,628,900 0 0 182,575 0 0 5 .............
1 362,890 0 0 8,709 182,575 0
72,578 500,000 217,260 26,128 45,644
16-03-1983 3 4,064,368 0 0 0
198403202006042013 MKG:14 0 325,149 0 01302030018984
Penata Tk.I-3D 65 0 0
57.288.482.3-825.000 4,999,105 8,709 588,205 0
26,128 4,410,900
6 YUNITA H MATHEOS K -0 3,518,100 0 0 160,724 0 0 6 .............
0 0 0 0 8,443 160,724 0
0 500,000 72,420 25,330 40,181
06-07-1982 1 3,518,100 0 0 0
198206072006042015 MKG:13 0 281,448 0
Penata Tk.I-3D 0 01302030018868
9 0
57.288.484.9-825.000 4,285,026 8,443 516,126 0
25,330 3,768,900
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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
7 MARILY BADOA K -1 3,518,100 0 0 177,611 0 0 7 .............
1 351,810 0 0 8,443 177,611 0
70,362 500,000 217,260 25,330 44,403
13-01-1979 3 3,940,272 0 0 0
197901132009022001 MKG:12 0 315,222 0 01302030008917
Penata Tk.I-3D 93 0 0
79.473.566.2-825.000 4,869,009 8,443 571,009 0
25,330 4,298,000
8 SEILA MALONDA, A.Md.Kep K -1 3,518,100 0 0 180,425 0 0 8 .............
2 351,810 0 0 8,443 180,425 0
140,724 500,000 289,680 25,330 45,106
30-09-1984 4 4,010,634 0 0 0
198409302009022002 MKG:12 0 320,851 0 01302030018996
Penata Tk.I-3D 43 0 0
16.437.067.8-821.000 5,014,555 8,443 580,155 0
25,330 4,434,400
9 JEIN LIN TABANSA, AMD.KEB K -1 3,410,600 0 0 175,523 0 0 9 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
19-12-1986 4 3,888,084 0 0 0
198612192009022003 MKG:11 0 311,047 0
Penata Tk.I-3D 0 01302030008784
64 0
4,886,092 8,185 563,192 0
24,556 4,322,900
10 SOVIANI JEINNA BAWOLE, AMKL K -0 3,410,600 0 0 156,424 0 0 10 .............
0 0 0 0 8,185 156,424 0
0 500,000 72,420 24,556 39,106
01-05-1988 1 3,410,600 0 0 0
198801052010012008 MKG:10 0 272,848 0
Penata Tk.I-3D 0 01302030018893
34 0
58.917.940.7-825.000 4,172,219 8,185 501,119 0
24,556 3,671,100
11 PICE TATAMPIL, A.Md.Kep K -1 3,272,200 0 0 169,212 0 0 11 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
16-09-1984 4 3,730,308 0 0 0
198409162010012014 MKG:10 0 298,425 0
Penata-3C 0 01302030018910
40 0
58.917.937.3-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
12 ARISTI PANDENSOLANG ,Amd.Keb K -1 3,272,200 0 0 169,212 0 0 12 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
26-04-1988 4 3,730,308 0 0 0
198804262020012008 MKG:10 0 298,425 0 01302030003695
Penata-3C 40 0 0
58.917.957.1-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
13 DEYSKE N. PANDENSOLANG, K -1 3,272,200 0 0 169,212 0 0 13 .............
A.Md.Kep 2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
21-12-1988 4 3,730,308 0 0 0
198812212011022001 MKG:10 0 298,425 0
Penata-3C 0 01302030023402
40 0
79.813.759.2-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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
14 EFLIN RAROME ,, A.Md.Kep K -1 3,172,300 0 0 164,657 0 0 14 .............
2 317,230 0 0 7,614 164,657 0
126,892 500,000 289,680 22,841 41,164
08-12-1982 4 3,616,422 0 0 0
198212082010012010 MKG: 8 0 289,314 0 01302030028734
Penata-3C 76 0 0
78.915.599.1-825.000 4,601,290 7,614 525,590 0
22,841 4,075,700
15 AFRYANI R. M. NGGIRI, S.kEP.nS K -0 2,773,200 0 0 123,928 0 0 15 .............
0 0 0 0 6,656 123,928 0
0 325,000 72,420 19,967 30,982
17-04-1989 1 2,773,200 0 0 0
198904172019032012 MKG: 3 0 221,856 0 01302030029554
Penata Muda Tk.I-3B 18 0 0
76.913.268.9-922.000 3,321,189 6,656 403,389 0
19,967 2,917,800
16 dr, STEFI TINGGINEHE K -1 2,773,200 0 0 139,458 0 0 16 .............
2 277,320 0 0 6,656 139,458 0
110,928 325,000 289,680 19,967 34,864
27-09-1988 4 3,161,448 0 0 0
198809272020122012 MKG: 2 0 252,916 0
Penata Muda Tk.I-3B 0 01302030031632
52 0
944114727825000 3,942,261 6,656 453,861 0
19,967 3,488,400
17 FILLYA F. BUANGSAMPUHI, SKM K -1 2,860,500 0 0 140,150 0 0 17 .............
1 286,050 0 0 6,865 140,150 0
57,210 300,000 217,260 20,596 35,038
21-02-1995 3 3,203,760 0 0 0
199502212019032009 MKG: 4 0 256,301 0
Penata Muda Tk.I-3B 0 01302030030184
19 0
81.356.422.6-825.000 3,888,650 6,865 458,950 0
20,596 3,429,700
18 MERLINDA TELLENG TK-0 3,554,000 0 0 152,760 0 0 18 .............
0 0 0 0 8,530 152,760 0
0 265,000 72,420 25,589 38,190
24-05-1979 1 3,554,000 0 0 0
197905242005012009 MKG:18 0 284,320 0
Penata Muda Tk.I-3B 0 01302030018856
90 0
55.200.253.7-825.000 4,078,389 8,530 509,389 0
25,589 3,569,000
19 OCTAVIA SANDRA PONTO K -1 3,139,400 0 0 153,757 0 0 19 .............
2 313,940 0 0 7,535 153,757 0
125,576 265,000 289,680 22,604 38,439
18-10-1983 4 3,578,916 0 0 0
198310182006042012 MKG:10 0 286,313 0 01302030018935
Penata Muda Tk.I-3B 56 0 0
89.726.056.8-825.000 4,317,548 7,535 508,648 0
22,604 3,808,900
20 MELLY MARIA MASAMBE ,AMG TK-0 2,950,600 0 0 128,624 0 0 20 .............
0 0 0 0 7,081 128,624 0
0 265,000 72,420 21,244 32,156
30-05-1991 1 2,950,600 0 0 0
199105302014032001 MKG: 6 0 236,048 0
Penata Muda Tk.I-3B 0 01302030025903
84 0
66.593.298.4-823.000 3,445,053 7,081 425,153 0
21,244 3,019,900
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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
21 SUSAN JURIKE SASELAH.KEP K -1 3,139,400 0 0 143,157 0 0 21 .............
2 313,940 0 0 7,535 143,157 0
125,576 0 289,680 22,604 35,789
06-07-1980 4 3,578,916 0 0 0
198006072005012012 MKG:10 0 286,313 0 01302030018923
Penata Muda Tk.I-3B 6 0 0
89.726.055.0-825.000 4,041,898 7,535 495,398 0
22,604 3,546,500
22 ALICE LONDO K -0 2,920,100 0 0 126,404 0 0 22 .............
0 0 0 0 7,008 126,404 0
0 240,000 72,420 21,025 31,601
05-12-1983 1 2,920,100 0 0 0
198305122009022005 MKG: 8 0 233,608 0 01302030018821
Penata Muda-3A 89 0 0
44.712.784.1-823.000 3,387,046 7,008 419,646 0
21,025 2,967,400
23 JENDRY KULAS K -1 2,920,100 0 0 141,957 0 0 23 .............
2 292,010 0 0 7,008 141,957 0
116,804 220,000 289,680 21,025 35,489
07-12-1983 4 3,328,914 0 0 0
198307122009021003 MKG: 8 0 266,313 0
Penata Muda-3A 0 01302030022020
8 0
87.223.175.8-825.000 4,008,592 7,008 471,792 0
21,025 3,536,800
SUB TOTAL PERGOLONGAN : III 73,383,600 490,000 0 3,530,790 29,425 0
PEG: 22 4,640,580 0 0 176,118 3,530,790 0
IST: 14 JIWA= 60 1,550,600 8,205,000 4,345,200 528,362 882,698
79,574,780 0 29,425 0
ANK: 24 0 6,365,984 0
1,002 0 0
96,880,677 176,118 11,513,377
528,362 85,367,300
24 RISTON SURAT K -0 2,801,500 0 0 121,660 0 0 24 .............
0 0 0 0 6,724 121,660 0
0 240,000 72,420 20,171 30,415
30-04-1986 1 2,801,500 0 0 0
198604302009021001 MKG:13 0 224,120 0 01302030018901
Pengatur Tk.I-2D 15 0 0
89.033.975.7-825.000 3,262,490 6,724 403,090 0
20,171 2,859,400
25 INGGRIT ATI KABANGUNG JD-0 2,716,000 0 0 122,586 0 0 25 .............
2 0 0 0 6,518 122,586 0
108,640 240,000 217,260 19,555 30,646
01-04-1982 3 2,824,640 0 0 0
198201042009022001 MKG:11 0 225,971 0 01302030019011
Pengatur Tk.I-2D 17 0 0
79.813.753.5-825.000 3,430,576 6,518 405,276 0
19,555 3,025,300
26 NIRMALASARI, A.Md.Keb TK-0 2,552,700 0 0 111,708 0 0 26 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
30-11-1990 1 2,552,700 0 0 0
199011302019032016 MKG: 7 0 204,216 0
Pengatur Tk.I-2D 0 01302030030055
23 0
91.621.096.6-825.000 3,001,356 6,126 368,356 0
18,379 2,633,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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
27 MELISA A. RUMONDOR, A.Md.Keb TK-0 2,552,700 0 0 111,708 0 0 27 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
31-03-1993 1 2,552,700 0 0 0
199303312019032014 MKG: 7 0 204,216 0 01302030029602
Pengatur Tk.I-2D 23 0 0
84.894.654.7-821.000 3,001,356 6,126 368,356 0
18,379 2,633,000
28 CHENDRA I. MALENDES, A.Md.Keb TK-0 2,552,700 0 0 111,708 0 0 28 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
16-04-1995 1 2,552,700 0 0 0
199504162019032014 MKG: 7 0 204,216 0 01302030029753
Pengatur Tk.I-2D 23 0 0
83.401.006.8-825.000 3,001,356 6,126 368,356 0
18,379 2,633,000
29 POMI PEPRIANA, A.Md.Keb TK-0 2,474,700 0 0 108,588 0 0 29 .............
0 0 0 0 5,939 108,588 0
0 240,000 72,420 17,818 27,147
24-02-1992 1 2,474,700 0 0 0
199202242019032018 MKG: 6 0 197,976 0
Pengatur Tk.I-2D 0 01302030030512
3 0
82.833.765.9-311.000 2,919,468 5,939 357,468 0
17,818 2,562,000
30 LETISIA BASTIAN, A.Md.far K -1 2,474,700 0 0 120,467 0 0 30 .............
1 247,470 0 0 5,939 120,467 0
49,494 240,000 217,260 17,818 30,117
09-09-1994 3 2,771,664 0 0 0
199409092019032020 MKG: 6 0 221,733 0
Pengatur Tk.I-2D 0 01302030030464
26 0
80.961.372.2-821.000 3,373,174 5,939 396,074 0
17,818 2,977,100
SUB TOTAL PERGOLONGAN : 18,125,000 0 0 808,425 0 0
PEG: 7 247,470 0 0 43,498 808,425 0
IST: 1 JIWA= 11 158,134 1,680,000 796,620 130,499 202,106
18,530,604 0 0 0
ANK: 3 0 1,482,448 0
130 0 0
21,989,776 43,498 2,666,976
130,499 19,322,800
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS KISIHANG TAGULANDANG SELATAN
(012) D60101401200005 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 95,291,000 490,000 0 4,542,667 46,283 0
PEG: 30 5,266,290 0 0 228,694 4,542,667 0
IST: 16 JIWA= 74 1,784,382 10,735,000 5,359,080 686,094 1,135,667
ANK: 28 102,341,672 0 46,283 0
0 8,187,335 0
0 0
1,150 228,694 14,826,740
124,430,640
686,094 109,603,900

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS LIA
(012) D60101401200006 BULAN : NOPEMBER 2023 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 LIANA RAHTI LAHENGKING K -1 3,743,100 0 0 184,696 0 0 1 .............
0 374,310 0 0 8,983 184,696 0
0 500,000 144,840 26,950 46,174
03-09-1978 2 4,117,410 0 0 0
197803092002122002 MKG:16 0 329,393 0 01302030010468
Penata Tk.I-3D 17 0 0
89.826.045.1-825.000 4,982,896 8,983 596,196 0
26,950 4,386,700
2 FANI MANGANSING ,A.Md.Kep K -1 3,628,900 0 0 185,478 0 0 2 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
02-07-1984 4 4,136,946 0 0 0
198407022006042011 MKG:14 0 330,956 0 01302030013250
Penata Tk.I-3D 99 0 0
87.951.984.1-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
3 YOLANDA Z. BAWOLE K -1 3,375,300 0 0 171,213 0 0 3 .............
1 337,530 0 0 8,101 171,213 0
67,506 500,000 217,260 24,302 42,803
16-07-1977 3 3,780,336 0 0 0
197707162005012015 MKG:12 0 302,427 0
Penata-3C 0 01302030025240
34 0
4,701,246 8,101 548,846 0
24,302 4,152,400
4 METRI LAWERE K -1 3,375,300 0 0 173,914 0 0 4 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
11-11-2011 4 3,847,842 0 0 0
198508172008032005 MKG:12 0 307,827 0
Penata-3C 0 01302030018807
83 0
16.225.967.5-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
5 INDAH FEBRIANI SAPUTRI ,S.FARM, TK-0 2,773,200 0 0 123,928 0 0 5 .............
APT 0 0 0 0 6,656 123,928 0
0 325,000 72,420 19,967 30,982
14-02-1989 1 2,773,200 0 0 0
198902142020122009 MKG: 2 0 221,856 0
Penata Muda Tk.I-3B 0 01102030108395
18 0
72.465.853.9-821.000 3,321,189 6,656 403,389 0
19,967 2,917,800
6 dr, MIRACHEL DIRK SAMEL TK-0 2,773,200 0 0 123,928 0 0 6 .............
0 0 0 0 6,656 123,928 0
0 325,000 72,420 19,967 30,982
27-12-1992 1 2,773,200 0 0 0
199212272020121009 MKG: 2 0 221,856 0 01302030031245
Penata Muda Tk.I-3B 18 0 0
81.493.512.8-825.000 3,321,189 6,656 403,389 0
19,967 2,917,800
7 KATRIEN LUKAS K -1 3,665,900 0 0 174,832 0 0 7 .............
1 366,590 0 0 8,798 174,832 0
73,318 265,000 217,260 26,394 43,708
03-08-1972 3 4,105,808 0 0 0
197203082006042013 MKG:20 0 328,465 0
Penata Muda Tk.I-3B 0 01302030021168
5 0
4,798,097 8,798 582,197 0
26,394 4,215,900
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS LIA
(012) D60101401200006 BULAN : NOPEMBER 2023 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
8 ENGELISTA.R.MUMBA K -1 3,665,900 0 0 177,765 0 0 8 .............
2 366,590 0 0 8,798 177,765 0
146,636 265,000 289,680 26,394 44,441
03-12-1975 4 4,179,126 0 0 0
197503122006042018 MKG:20 0 334,330 0 01302030022288
Penata Muda Tk.I-3B 65 0 0
79.475.857.3-825.000 4,946,828 8,798 591,728 0
26,394 4,355,100
9 GREYTI LIANE JACOBUS, K -1 3,139,400 0 0 153,757 0 0 9 .............
2 313,940 0 0 7,535 153,757 0
125,576 265,000 289,680 22,604 38,439
23-09-1987 4 3,578,916 0 0 0
198709232010012005 MKG:10 0 286,313 0 01302030022616
Penata Muda Tk.I-3B 56 0 0
58.917.954.8-825.000 4,317,548 7,535 508,648 0
22,604 3,808,900
10 WULANDARI PUDEHOKANG ,, K -1 2,950,600 0 0 142,787 0 0 10 .............
A.Md.Keb 1 295,060 0 0 7,081 142,787 0
59,012 265,000 217,260 21,244 35,697
05-12-1991 3 3,304,672 0 0 0
199112052014032002 MKG: 6 0 264,374 0
Penata Muda Tk.I-3B 0 01302030026700
39 0
3,958,083 7,081 471,183 0
21,244 3,486,900
11 dr, LINDA MIS SARY KADISI K -1 2,688,500 0 0 129,996 0 0 11 .............
2 268,850 185,000 0 6,452 129,996 0
107,540 0 289,680 19,357 32,499
28-11-1989 4 3,064,890 0 0 0
198911282022032007 MKG: 1 0 245,191 0
Penata Muda Tk.I-3B 20 0 0
76.452.133.2-821.000 3,695,395 6,452 433,495 0
19,357 3,261,900
12 dr, BILL CHRIS ABEL BOGAR TK-0 2,688,500 0 0 114,940 0 0 12 .............
0 0 185,000 0 6,452 114,940 0
0 0 72,420 19,357 28,735
21-05-1994 1 2,688,500 0 0 0
199405212022031015 MKG: 1 0 215,080 0
Penata Muda Tk.I-3B 0 01302030031901
95 0
86.256.175.0-825.000 3,086,764 6,452 384,564 0
19,357 2,702,200
13 YOHANA MILDA RAMPUN ,, A.Md.Kep K -1 2,830,900 0 0 135,160 0 0 13 .............
0 283,090 0 0 6,794 135,160 0
0 265,000 144,840 20,382 33,790
22-02-1989 2 3,113,990 0 0 0
198902222014032002 MKG: 6 0 249,119 0 01302030025915
Penata Muda-3A 79 0 0
66.891.201.7-825.000 3,686,245 6,794 445,245 0
20,382 3,241,000
14 CHARTINE TAMALEROH ,S.Tr,Keb K -1 2,579,400 0 0 120,894 0 0 14 .............
0 257,940 185,000 0 6,191 120,894 0
0 0 144,840 18,572 30,223
17-11-1996 2 2,837,340 0 0 0
199611172022032033 MKG: 1 0 226,987 0
Penata Muda-3A 0 01302030031982
30 0
41.863.597.5-825.000 3,312,867 6,191 402,867 0
18,572 2,910,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS LIA
(012) D60101401200006 BULAN : NOPEMBER 2023 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 43,878,100 0 0 2,113,288 0 0
PEG: 14 3,564,320 555,000 0 105,307 2,113,288 0
IST: 11 JIWA= 38 859,756 3,975,000 2,751,960 315,920 528,320
48,302,176 0 0 0
ANK: 13 0 3,864,174 0
658 0 0
58,119,309 105,307 6,927,009
315,920 51,192,300
15 JULNIA S. PONTOLUMIU, A.Md.KG K -1 2,552,700 0 0 123,961 0 0 15 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
23-07-1994 3 2,859,024 0 0 0
199407232019032015 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 01302030029856
28 0
91.625.236.4-825.000 3,464,778 6,126 408,178 0
18,379 3,056,600
16 KENSIWI NAUMANG,A.Md K -1 2,374,300 0 0 115,969 0 0 16 .............
1 237,430 0 0 5,698 115,969 0
47,486 240,000 217,260 17,095 28,992
17-05-1997 3 2,659,216 0 0 0
199705172019032004 MKG: 5 0 212,737 0
Pengatur-2C 0 01302030030803
53 0
91.614.719.2-825.000 3,255,291 5,698 380,491 0
17,095 2,874,800
17 MEYTRI TIMPUA ,A.Md.K.G TK-0 2,374,300 0 0 102,172 0 0 17 .............
0 0 180,000 0 5,698 102,172 0
0 0 72,420 17,095 25,543
17-05-1996 1 2,374,300 0 0 0
199605172020121010 MKG: 5 0 189,944 0 01302030031083
Pengatur-2C 67 0 0
41.326.096.9-825.000 2,751,752 5,698 340,452 0
17,095 2,411,300
SUB TOTAL PERGOLONGAN : 7,301,300 0 0 342,102 0 0
PEG: 3 492,700 180,000 0 17,522 342,102 0
IST: 2 JIWA= 7 98,540 480,000 506,940 52,569 85,525
7,892,540 0 0 0
ANK: 2 0 631,403 0
148 0 0
9,471,821 17,522 1,129,121
52,569 8,342,700
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS LIA
(012) D60101401200006 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 51,179,400 0 0 2,455,390 0 0
PEG: 17 4,057,020 735,000 0 122,829 2,455,390 0
IST: 13 JIWA= 45 958,296 4,455,000 3,258,900 368,489 613,845
ANK: 15 56,194,716 0 0 0
0 4,495,577 0
0 0
806 122,829 8,056,130
67,591,130
368,489 59,535,000

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MAKALEHI
(012) D60101401200007 BULAN : NOPEMBER 2023 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 GRACE SANGKILANG, K -1 3,272,200 0 0 166,595 0 0 1 .............
1 327,220 0 0 7,853 166,595 0
65,444 500,000 217,260 23,560 41,649
07-10-1982 3 3,664,864 0 0 0
198207102010012011 MKG:10 0 293,189 0 01302030021946
Penata-3C 14 0 0
57.782.438.6-825.000 4,580,146 7,853 532,846 0
23,560 4,047,300
2 DEY NOVA MASIANI, K -1 3,272,200 0 0 166,595 0 0 2 .............
1 327,220 0 0 7,853 166,595 0
65,444 500,000 217,260 23,560 41,649
21-12-1984 3 3,664,864 0 0 0
198412212010012011 MKG:10 0 293,189 0 01302030021612
Penata-3C 14 0 0
57.830.178.0-825.000 4,580,146 7,853 532,846 0
23,560 4,047,300
3 YOHANES ADITHYA KOIREWOA K -1 2,773,200 0 0 139,458 0 0 3 .............
,S.FARM, APT 2 277,320 0 0 6,656 139,458 0
110,928 325,000 289,680 19,967 34,864
30-06-1988 4 3,161,448 0 0 0
198806302020121010 MKG: 2 0 252,916 0
Penata Muda Tk.I-3B 0 01302030031525
52 0
74.706.244.6-821.000 3,942,261 6,656 453,861 0
19,967 3,488,400
4 ASNAT W. R. SEDU, SKM TK-0 2,860,500 0 0 126,420 0 0 4 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
29-08-1993 1 2,860,500 0 0 0
199308292019032009 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030029436
25 0
91.728.277.4-825.000 3,386,826 6,865 414,326 0
20,596 2,972,500
5 CHENTAINE V. MASSA, S.Tr.Gz K -1 2,860,500 0 0 142,439 0 0 5 .............
2 286,050 0 0 6,865 142,439 0
114,420 300,000 289,680 20,596 35,610
28-06-1994 4 3,260,970 0 0 0
199406282019032017 MKG: 4 0 260,878 0
Penata Muda Tk.I-3B 0 01302030030350
38 0
91.795.173-825.000 4,020,588 6,865 466,388 0
20,596 3,554,200
6 WASTI PINAMANGUN.KEP K -1 3,139,400 0 0 153,757 0 0 6 .............
2 313,940 0 0 7,535 153,757 0
125,576 265,000 289,680 22,604 38,439
01-08-1989 4 3,578,916 0 0 0
198901082011022001 MKG:10 0 286,313 0 01302030024066
Penata Muda Tk.I-3B 56 0 0
57.903.140.2-825.000 4,317,548 7,535 508,648 0
22,604 3,808,900
7 HELMI ALINI BANSALENG,AMD.KEB K -1 3,139,400 0 0 148,734 0 0 7 .............
0 313,940 0 0 7,535 148,734 0
0 265,000 144,840 22,604 37,183
17-04-1989 2 3,453,340 0 0 0
198904172011022001 MKG:10 0 276,267 0
Penata Muda Tk.I-3B 0 01302030021601
70 0
57.830.177.2-825.000 4,042,123 7,535 492,323 0
22,604 3,549,800
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MAKALEHI
(012) D60101401200007 BULAN : NOPEMBER 2023 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
8 LILIS INDRIANI ,, A.Md.Kep TK-0 2,950,600 0 0 128,624 0 0 8 .............
0 0 0 0 7,081 128,624 0
0 265,000 72,420 21,244 32,156
24-07-1988 1 2,950,600 0 0 0
198807242014032001 MKG: 6 0 236,048 0 01302030026063
Penata Muda Tk.I-3B 84 0 0
66.940.857.7-825.000 3,445,053 7,081 425,153 0
21,244 3,019,900
9 STEVEN KOJONG, A.Md.Kep K -1 2,830,900 0 0 138,689 0 0 9 .............
2 283,090 0 0 6,794 138,689 0
113,236 240,000 289,680 20,382 34,672
15-09-1978 4 3,227,226 0 0 0
197809152011021001 MKG: 6 0 258,178 0 01302030021624
Penata Muda-3A 44 0 0
16.226.166.3-825.000 3,922,815 6,794 458,715 0
20,382 3,464,100
10 TRISNA AWALINDA ,S. Kep. Ns TK-0 2,660,700 0 0 113,828 0 0 10 .............
0 0 185,000 0 6,386 113,828 0
0 0 72,420 19,157 28,457
02-03-1995 1 2,660,700 0 0 0
199503022020122022 MKG: 2 0 212,856 0
Penata Muda-3A 0 01302030031595
93 0
863963138821000 3,057,584 6,386 380,684 0
19,157 2,676,900
11 ANGRIANE FRANSISKA PIMPIN K -1 2,579,400 0 0 125,021 0 0 11 .............
,S.K.M 2 257,940 185,000 0 6,191 125,021 0
103,176 0 289,680 18,572 31,255
10-06-1994 4 2,940,516 0 0 0
199406102022032011 MKG: 1 0 235,241 0
Penata Muda-3A 0 0 0
65.538.814.8-825.000 3,564,980 6,191 416,280 0
18,572 3,148,700
SUB TOTAL PERGOLONGAN : III 32,339,000 0 0 1,550,160 0 0
PEG: 11 2,386,720 370,000 0 77,614 1,550,160 0
IST: 8 JIWA= 31 698,224 2,960,000 2,245,020 232,842 387,539
35,423,944 0 0 0
ANK: 12 0 2,833,915 0
490 0 0
42,860,070 77,614 5,082,070
232,842 37,778,000
12 SYIANIECE KAREL K -1 3,480,700 0 0 168,320 0 0 12 .............
2 348,070 0 0 8,354 168,320 0
139,228 240,000 289,680 25,061 42,080
26-08-1975 4 3,967,998 0 0 0
197508262007012017 MKG:27 0 317,440 0 01302030021961
Pengatur Tk.I-2D 42 0 0
57.782.263.8-825.000 4,699,455 8,354 561,255 0
25,061 4,138,200
13 RISNAWATI BR. SINAGA, A.Md.Keb K -1 2,633,100 0 0 129,669 0 0 13 .............
2 263,310 0 0 6,319 129,669 0
105,324 240,000 289,680 18,958 32,417
13-10-1989 4 3,001,734 0 0 0
198910132017052007 MKG: 9 0 240,139 0
Pengatur Tk.I-2D 0 01302030029005
42 0
88.017.239.0-119.000 3,686,402 6,319 427,502 0
18,958 3,258,900
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MAKALEHI
(012) D60101401200007 BULAN : NOPEMBER 2023 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
14 ROSSE N. MARGARET, ,A.Md.Kep K -1 2,552,700 0 0 126,003 0 0 14 .............
2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
04-12-1992 4 2,910,078 0 0 0
199212042019032015 MKG: 7 0 232,806 0 01302030029801
Pengatur Tk.I-2D 49 0 0
91.155.555.5-825.000 3,590,315 6,126 414,815 0
18,379 3,175,500
15 YOSEF T. SURAK, A.Md.Far K -1 2,552,700 0 0 126,003 0 0 15 .............
2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
06-06-1993 4 2,910,078 0 0 0
199306062019031015 MKG: 7 0 232,806 0 01302030030770
Pengatur Tk.I-2D 49 0 0
80.176.800.3-925.000 3,590,315 6,126 414,815 0
18,379 3,175,500
16 SANTALINA AMBAT, A.Md.KG TK-0 2,474,700 0 0 108,588 0 0 16 .............
0 0 0 0 5,939 108,588 0
0 240,000 72,420 17,818 27,147
14-07-1995 1 2,474,700 0 0 0
199507142019032016 MKG: 6 0 197,976 0
Pengatur Tk.I-2D 0 01302030030722
3 0
91.728.320.2-825.000 2,919,468 5,939 357,468 0
17,818 2,562,000
17 TAHI P. H. SITOMPUL, AMKL TK-0 2,449,100 0 0 107,564 0 0 17 .............
0 0 0 0 5,878 107,564 0
0 240,000 72,420 17,634 26,891
18-08-1994 1 2,449,100 0 0 0
199408182019031007 MKG: 7 0 195,928 0
Pengatur-2C 0 01302030030302
99 0
81.624.980.9-085.000 2,892,695 5,878 353,895 0
17,634 2,538,800
18 OLAIDA PULINGKARENG K -1 2,605,800 0 0 126,024 0 0 18 .............
2 260,580 180,000 0 6,254 126,024 0
104,232 0 289,680 18,762 31,506
01-04-1980 4 2,970,612 0 0 0
198001042011022001 MKG:11 0 237,649 0
Pengatur-2C 0 01302030002629
63 0
57.903.136.0-825.000 3,591,395 6,254 420,195 0
18,762 3,171,200
19 DAVIT ARIO TAMBAHANI ,A.Md.K.G TK-0 2,374,300 0 0 102,172 0 0 19 .............
0 0 180,000 0 5,698 102,172 0
0 0 72,420 17,095 25,543
09-12-1992 1 2,374,300 0 0 0
199212092020121012 MKG: 5 0 189,944 0 00102030194700
Pengatur-2C 67 0 0
41.438.855.3-823.000 2,751,752 5,698 340,452 0
17,095 2,411,300
SUB TOTAL PERGOLONGAN : 21,123,100 0 0 994,343 0 0
PEG: 8 1,382,500 360,000 0 50,694 994,343 0
IST: 5 JIWA= 23 553,000 1,440,000 1,665,660 152,086 248,586
23,058,600 0 0 0
ANK: 10 0 1,844,688 0
414 0 0
27,721,797 50,694 3,290,397
152,086 24,431,400
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MAKALEHI
(012) D60101401200007 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 53,462,100 0 0 2,544,503 0 0
PEG: 19 3,769,220 730,000 0 128,308 2,544,503 0
IST: 13 JIWA= 54 1,251,224 4,400,000 3,910,680 384,928 636,125
ANK: 22 58,482,544 0 0 0
0 4,678,603 0
0 0
904 128,308 8,372,467
70,581,867
384,928 62,209,400

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MINANGA TAGULANDANG UTARA
(012) D60101401200008 BULAN : NOPEMBER 2023 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 YULETNI MULINGKA, A.Md.Kep K -1 3,861,000 0 0 189,884 0 0 1 .............
0 386,100 0 0 9,266 189,884 0
0 500,000 144,840 27,799 47,471
23-07-1979 2 4,247,100 0 0 0
197907232002122008 MKG:18 0 339,768 0 01302030016691
Penata Tk.I-3D 99 0 0
89.033.972.4-825.000 5,118,988 9,266 614,188 0
27,799 4,504,800
2 BERNI SAHAE ,A.Md.Keb K -0 3,743,100 0 0 169,724 0 0 2 .............
0 0 0 0 8,983 169,724 0
0 500,000 72,420 26,950 42,431
23-03-1975 1 3,743,100 0 0 0
197503232006042001 MKG:16 0 299,448 0 01302030017062
Penata Tk.I-3D 59 0 0
79.772.704.7-825.000 4,521,236 8,983 547,536 0
26,950 3,973,700
3 YUL R. JACOBUS ,A.Md.Keb K -1 3,628,900 0 0 185,478 0 0 3 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
08-07-1980 4 4,136,946 0 0 0
198007082006042019 MKG:15 0 330,956 0
Penata Tk.I-3D 0 01302030016500
99 0
89.033.971.6-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
4 DEBY S. TAMAKA, K -0 3,410,600 0 0 156,424 0 0 4 .............
0 0 0 0 8,185 156,424 0
0 500,000 72,420 24,556 39,106
18-07-1985 1 3,410,600 0 0 0
198507182010012019 MKG:11 0 272,848 0
Penata Tk.I-3D 0 01302030016446
34 0
87.849.713.0-825.000 4,172,219 8,185 501,119 0
24,556 3,671,100
5 drg. MELANI V. MUKUAN K -1 2,981,500 0 0 161,186 0 0 5 .............
0 298,150 0 0 7,156 161,186 0
0 750,000 144,840 21,467 40,297
05-05-1989 2 3,279,650 0 0 0
198905052019032011 MKG: 4 0 262,372 0
Penata-3C 0 01302030029926
79 0
91.620.533.9-825.000 4,364,378 7,156 492,478 0
21,467 3,871,900
6 YANTI MALA, S.Farm, Apt TK-0 2,981,500 0 0 149,260 0 0 6 .............
0 0 0 0 7,156 149,260 0
0 750,000 72,420 21,467 37,315
14-04-1990 1 2,981,500 0 0 0
199004142019032021 MKG: 4 0 238,520 0 01302030030243
Penata-3C 15 0 0
70.933.994.9-825.000 3,981,818 7,156 453,718 0
21,467 3,528,100
7 IVON YULENCE MULALINDA K -1 3,375,300 0 0 173,914 0 0 7 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
08-12-1979 4 3,847,842 0 0 0
197912082005012010 MKG:12 0 307,827 0
Penata-3C 0 01302030016631
83 0
57.288.474.0-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MINANGA TAGULANDANG UTARA
(012) D60101401200008 BULAN : NOPEMBER 2023 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
8 DEBBI O. TAHULENDING ,A.Md.Kep K -1 3,272,200 0 0 169,212 0 0 8 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
07-11-1985 4 3,730,308 0 0 0
198511072010012006 MKG:10 0 298,425 0 01302030028126
Penata-3C 40 0 0
78.915.639.5-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
9 MARIATY SIMAK, A.Md.Keb K -1 3,272,200 0 0 157,195 0 0 9 .............
1 327,220 0 0 7,853 157,195 0
65,444 265,000 217,260 23,560 39,299
12-03-1986 3 3,664,864 0 0 0
198603122010012017 MKG:10 0 293,189 0 01302030016483
Penata-3C 64 0 0
58.917.906.8-825.000 4,335,796 7,853 521,096 0
23,560 3,814,700
10 dr. IVONNE R. DAMURA K -0 2,773,200 540,000 0 132,528 0 0 10 .............
0 0 0 0 6,656 132,528 0
0 0 72,420 19,967 33,132
12-09-1990 1 2,773,200 0 0 0
199009122019032014 MKG: 2 0 221,856 0
Penata Muda Tk.I-3B 0 01302030030696
68 0
16.148.844.0-821.000 3,544,839 6,656 414,139 0
19,967 3,130,700
11 MEINI F. L. TATUWO S.Kep,Ns K -0 2,860,500 0 0 127,420 0 0 11 .............
0 0 0 0 6,865 127,420 0
0 325,000 72,420 20,596 31,855
29-05-1992 1 2,860,500 0 0 0
199205292019032015 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030029263
75 0
91.635.367.5-825.000 3,412,876 6,865 415,576 0
20,596 2,997,300
12 WIKEN FATIHATI, S.Tr.Keb TK-0 2,860,500 0 0 127,420 0 0 12 .............
0 0 0 0 6,865 127,420 0
0 325,000 72,420 20,596 31,855
20-08-1996 1 2,860,500 0 0 0
199608202019032005 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030029473
75 0
91.621.155.7-825.000 3,412,876 6,865 415,576 0
20,596 2,997,300
13 LISMA, SKM TK-0 2,860,500 0 0 126,420 0 0 13 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
19-10-1993 1 2,860,500 0 0 0
199310192019032013 MKG: 4 0 228,840 0 01302030029510
Penata Muda Tk.I-3B 25 0 0
82.061.414.7-821.000 3,386,826 6,865 414,326 0
20,596 2,972,500
14 WISNAETY MANGERONGKONDA K -1 3,238,300 0 0 155,676 0 0 14 .............
1 323,830 0 0 7,772 155,676 0
64,766 265,000 217,260 23,316 38,919
12-10-1975 3 3,626,896 0 0 0
197510122005012014 MKG:12 0 290,152 0
Penata Muda Tk.I-3B 0 01302030016537
15 0
89.033.970.8-825.000 4,295,935 7,772 515,835 0
23,316 3,780,100
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MINANGA TAGULANDANG UTARA
(012) D60101401200008 BULAN : NOPEMBER 2023 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
15 RAHAYU JELLYSAPUTRI MAKATANGING K -1 2,950,600 0 0 142,787 0 0 15 .............
,A.Md.Keb 1 295,060 0 0 7,081 142,787 0
59,012 265,000 217,260 21,244 35,697
12-06-1991 3 3,304,672 0 0 0
199106122014032002 MKG: 6 0 264,374 0 01302030025794
Penata Muda Tk.I-3B 39 0 0
66.925.349.4-821.000 3,958,083 7,081 471,183 0
21,244 3,486,900
16 NELLY ESSING ,,A.Md.Kep K -1 2,830,900 0 0 139,689 0 0 16 .............
2 283,090 0 0 6,794 139,689 0
113,236 265,000 289,680 20,382 34,922
26-09-1991 4 3,227,226 0 0 0
199109262014032002 MKG: 6 0 258,178 0 01302030025851
Penata Muda-3A 94 0 0
3,948,865 6,794 459,965 0
20,382 3,488,900
17 PEGGY PRISLIA NGONGOLOY ,, TK-0 2,744,500 0 0 120,380 0 0 17 .............
A.Md.Keb 0 0 0 0 6,587 120,380 0
0 265,000 72,420 19,760 30,095
28-07-1991 1 2,744,500 0 0 0
199107282014032003 MKG: 5 0 219,560 0
Penata Muda-3A 0 01302030025927
35 0
66.963.961.9-825.000 3,228,682 6,587 396,382 0
19,760 2,832,300
SUB TOTAL PERGOLONGAN : III 53,645,300 540,000 0 2,584,597 0 0
PEG: 17 2,941,090 0 0 128,747 2,584,597 0
IST: 9 JIWA= 37 713,514 6,775,000 2,679,540 386,246 646,149
57,299,904 0 0 0
ANK: 11 0 4,583,993 0
998 0 0
70,395,032 128,747 8,329,732
386,246 62,065,300
18 FERLIN I. MAKANONENG K -1 2,801,500 0 0 137,348 0 0 18 .............
2 280,150 0 0 6,724 137,348 0
112,060 240,000 289,680 20,171 34,337
04-02-1985 4 3,193,710 0 0 0
198504022010012012 MKG:13 0 255,497 0 01302030016470
Pengatur Tk.I-2D 44 0 0
58.917.947.2-825.000 3,887,677 6,724 454,077 0
20,171 3,433,600
19 GREITTY HETTY MONINGKA K -1 2,716,000 0 0 131,277 0 0 19 .............
1 271,600 0 0 6,518 131,277 0
54,320 240,000 217,260 19,555 32,819
05-10-1977 3 3,041,920 0 0 0
197710052011022001 MKG:11 0 243,354 0 01302030023221
Pengatur Tk.I-2D 93 0 0
16.226.179.6-825.000 3,656,623 6,518 433,523 0
19,555 3,223,100
20 ARTHEMIS L MANUHO TK-0 2,716,000 0 0 118,240 0 0 20 .............
0 0 0 0 6,518 118,240 0
0 240,000 72,420 19,555 29,560
09-09-1991 1 2,716,000 0 0 0
199109092017052002 MKG:11 0 217,280 0
Pengatur Tk.I-2D 0 01302030029016
20 0
74.122.669.0-825.000 3,172,753 6,518 391,153 0
19,555 2,781,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS MINANGA TAGULANDANG UTARA
(012) D60101401200008 BULAN : NOPEMBER 2023 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
21 SRI S. N. KABUHUNG, A.Md.Kep K -1 2,552,700 0 0 121,919 0 0 21 .............
0 255,270 0 0 6,126 121,919 0
0 240,000 144,840 18,379 30,480
26-11-1988 2 2,807,970 0 0 0
198811262019032010 MKG: 7 0 224,638 0 01302030029646
Pengatur Tk.I-2D 8 0 0
90.784.534.1-825.000 3,339,242 6,126 401,542 0
18,379 2,937,700
22 NUR C. TAYAPU, A.Md.Far K -1 2,552,700 0 0 126,003 0 0 22 .............
2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
29-01-1991 4 2,910,078 0 0 0
199101292019032015 MKG: 7 0 232,806 0 01302030030254
Pengatur Tk.I-2D 49 0 0
91.620.380.5-825.000 3,590,315 6,126 414,815 0
18,379 3,175,500
23 INDRIYANI WAWANDA K -0 2,449,100 0 0 110,683 0 0 23 .............
2 0 0 0 5,878 110,683 0
97,964 220,000 217,260 17,634 27,671
07-04-1987 3 2,547,064 0 0 0
198707042010012014 MKG: 7 0 203,765 0
Pengatur-2C 0 01302030016884
12 0
16.226.182.0-825.000 3,118,531 5,878 365,631 0
17,634 2,752,900
SUB TOTAL PERGOLONGAN : 15,788,000 0 0 745,470 0 0
PEG: 6 1,062,290 0 0 37,890 745,470 0
IST: 4 JIWA= 17 366,452 1,420,000 1,231,140 113,673 186,368
17,216,742 0 0 0
ANK: 7 0 1,377,340 0
226 0 0
20,765,141 37,890 2,460,741
113,673 18,304,400
TOTAL PER SATKER 69,433,300 540,000 0 3,330,067 0 0
PEG: 23 4,003,380 0 0 166,637 3,330,067 0
IST: 13 JIWA= 54 1,079,966 8,195,000 3,910,680 499,919 832,517
ANK: 18 74,516,646 0 0 0
0 5,961,333 0
0 0
1,224 166,637 10,790,473
91,160,173
499,919 80,369,700

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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 AISAH BUKHORI K -0 3,901,500 0 0 190,060 0 0 1 .............
0 0 0 0 9,364 190,060 0
0 850,000 72,420 28,091 47,515
06-02-1983 1 3,901,500 0 0 0
198306022005012009 MKG:16 0 312,120 0 01302030013056
Pembina-4A 15 0 0
15.519.156.2-825.000 5,051,450 9,364 587,150 0
28,091 4,464,300
2 ELLAN S. KUERA, S.KEP.NS K -1 3,782,400 0 0 206,477 23,713 0 2 .............
2 378,240 0 0 9,078 206,477 0
151,296 850,000 289,680 27,233 51,619
29-01-1978 4 4,311,936 0 23,713 0
197801292008032001 MKG:14 0 344,955 0 01302030024534
Pembina-4A 58 0 0
79.475.829.2-825.000 5,718,175 9,078 663,075 0
27,233 5,055,100
SUB TOTAL PERGOLONGAN : IV 7,683,900 0 0 396,537 23,713 0
PEG: 2 378,240 0 0 18,442 396,537 0
IST: 1 JIWA= 5 151,296 1,700,000 362,100 55,324 99,134
8,213,436 0 23,713 0
ANK: 2 0 657,075 0
73 0 0
10,769,625 18,442 1,250,225
55,324 9,519,400
3 JUNITA SUSANTY ANTARIA K -1 3,518,100 0 0 184,425 0 0 3 .............
2 351,810 0 0 8,443 184,425 0
140,724 600,000 289,680 25,330 46,106
04-06-1988 4 4,010,634 0 0 0
198806042011022001 MKG:12 0 320,851 0 01302030024017
Penata Tk.I-3D 43 0 0
87.849.745.2-825.000 5,118,555 8,443 585,155 0
25,330 4,533,400
4 RINTAWATI SASAMIRA K -0 4,370,900 0 0 194,836 0 0 4 .............
0 0 0 0 10,490 194,836 0
0 500,000 72,420 31,470 48,709
18-04-1966 1 4,370,900 0 0 0
196604181992032009 MKG:26 0 349,672 0 01302030008802
Penata Tk.I-3D 61 0 0
14.973.324.8-825.000 5,180,177 10,490 635,177 0
31,470 4,545,000
5 MARYANTI PANGULIMANG.KEP K -1 3,982,600 0 0 198,420 10,354 0 5 .............
1 398,260 0 0 9,558 198,420 0
79,652 500,000 217,260 28,675 49,605
23-01-1976 3 4,460,512 0 10,354 0
197601232000032005 MKG:20 0 356,841 0 01302030008671
Penata Tk.I-3D 74 0 0
87.221.207.1-825.000 5,424,853 9,558 653,453 0
28,675 4,771,400
6 EVELYN BOGAR KEP K -1 3,861,000 0 0 196,062 11,129 0 6 .............
2 386,100 0 0 9,266 196,062 0
154,440 500,000 289,680 27,799 49,015
17-07-1979 4 4,401,540 0 11,129 0
197907172003122010 MKG:18 0 352,123 0
Penata Tk.I-3D 0 01302030010936
18 0
79.475.837.5-825.000 5,435,494 9,266 645,394 0
27,799 4,790,100
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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
7 JULITA MULUMBOT, AMG K -1 3,743,100 0 0 190,685 5,067 0 7 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
18-09-1979 4 4,267,134 0 5,067 0
197909182004012001 MKG:16 0 341,371 0 01302030008966
Penata Tk.I-3D 28 0 0
88.571.997.1-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
8 ROSITA KINSALE, A.Md.Kep K -1 3,743,100 0 0 190,685 5,067 0 8 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
21-06-1980 4 4,267,134 0 5,067 0
198006212005012013 MKG:16 0 341,371 0 01302030008826
Penata Tk.I-3D 28 0 0
88.571.999.7-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
9 DIAN TRISNA. A.MD.KEP K -0 3,743,100 0 0 169,724 0 0 9 .............
0 0 0 0 8,983 169,724 0
0 500,000 72,420 26,950 42,431
04-12-1982 1 3,743,100 0 0 0
198204122005012006 MKG:16 0 299,448 0
Penata Tk.I-3D 0 01302030012763
59 0
47.649.888.6-825.000 4,521,236 8,983 547,536 0
26,950 3,973,700
10 NOVIANE TATIMU K -1 3,628,900 0 0 185,478 0 0 10 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
21-07-1985 4 4,136,946 0 0 0
198507212006042001 MKG:14 0 330,956 0
Penata Tk.I-3D 0 01302030008954
99 0
88.572.002.9-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
11 SESKA SUMENDA K -1 3,518,100 0 0 177,611 0 0 11 .............
1 351,810 0 0 8,443 177,611 0
70,362 500,000 217,260 25,330 44,403
15-06-1979 3 3,940,272 0 0 0
197906152003122007 MKG:13 0 315,222 0
Penata Tk.I-3D 0 01302030008759
93 0
88.571.668.9-825.000 4,869,009 8,443 571,009 0
25,330 4,298,000
12 dr. SUN MISTAR HARTO WUNGOW K -1 3,075,500 0 0 167,782 0 0 12 .............
1 307,550 0 0 7,381 167,782 0
61,510 750,000 217,260 22,144 41,946
28-11-1985 3 3,444,560 0 0 0
198511282017051001 MKG: 6 0 275,565 0 01302030029020
Penata-3C 91 0 0
16.889.267.7-821.000 4,609,218 7,381 514,818 0
22,144 4,094,400
13 RAHEL FEYBE, S.Farm,Apt K -1 2,981,500 0 0 165,956 0 0 13 .............
2 298,150 0 0 7,156 165,956 0
119,260 750,000 289,680 21,467 41,489
24-02-1985 4 3,398,910 0 0 0
198502242019032005 MKG: 4 0 271,913 0
Penata-3C 0 01302030029462
12 0
16.341.133.3-825.000 4,633,181 7,156 507,981 0
21,467 4,125,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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
14 dr. MARINI N. TIWOW TK-0 2,981,500 0 0 149,260 0 0 14 .............
0 0 0 0 7,156 149,260 0
0 750,000 72,420 21,467 37,315
27-11-1988 1 2,981,500 0 0 0
198811272019032006 MKG: 4 0 238,520 0 01302030030556
Penata-3C 15 0 0
91.634.750.3-825.000 3,981,818 7,156 453,718 0
21,467 3,528,100
15 MEIGY L. LUKAS, S.Kep K -1 3,172,300 0 0 168,657 0 0 15 .............
2 317,230 0 0 7,614 168,657 0
126,892 600,000 289,680 22,841 42,164
08-05-1988 4 3,616,422 0 0 0
198805082015032001 MKG: 8 0 289,314 0 01302030028503
Penata-3C 76 0 0
4,705,290 7,614 530,590 0
22,841 4,174,700
16 JACQUELINE A. PANDENSOLANG K -0 3,375,300 0 0 155,012 0 0 16 .............
0 0 0 0 8,101 155,012 0
0 500,000 72,420 24,302 38,753
02-07-1985 1 3,375,300 0 0 0
198507202009022002 MKG:12 0 270,024 0
Penata-3C 0 01302030008875
57 0
79.475.814.4-825.000 4,135,192 8,101 496,192 0
24,302 3,639,000
17 CHRISTIN K. MANGAPENG, AMD.KEP K -1 3,375,300 0 0 173,914 0 0 17 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
21-10-1985 4 3,847,842 0 0 0
198510212009022002 MKG:12 0 307,827 0
Penata-3C 0 01302030008850
83 0
4,843,922 8,101 557,622 0
24,302 4,286,300
18 YULIANDREW F. HARINDAH K -0 3,375,300 0 0 155,012 0 0 18 .............
0 0 0 0 8,101 155,012 0
0 500,000 72,420 24,302 38,753
23-04-1987 1 3,375,300 0 0 0
198704232009022004 MKG:12 0 270,024 0
Penata-3C 0 01302030014474
57 0
79.475.815.1-825.000 4,135,192 8,101 496,192 0
24,302 3,639,000
19 OLIVIA J. SAGHEGHE, AMD.KEP K -1 3,272,200 0 0 169,212 0 0 19 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
13-10-1984 4 3,730,308 0 0 0
198410132009022001 MKG:11 0 298,425 0 01302030008863
Penata-3C 40 0 0
88.572.003.7-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
20 TRISYE ERAWATI LONDO.KEB K -1 3,272,200 0 0 169,212 0 0 20 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
06-10-1982 4 3,730,308 0 0 0
198210062010012008 MKG:10 0 298,425 0
Penata-3C 0 01302030008796
40 0
000000003825000 4,720,653 7,853 541,353 0
23,560 4,179,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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
21 dr. ZWINGLIE E. SANDAG TK-0 2,981,500 0 0 119,260 0 0 21 .............
0 0 0 0 7,156 119,260 0
0 0 72,420 21,467 29,815
05-06-1985 1 2,981,500 0 0 0
198506052014031001 MKG: 4 0 238,520 0 01302030026041
Penata-3C 15 0 0
66.889.127.8-823.000 3,201,818 7,156 416,218 0
21,467 2,785,600
22 IRMA N. MENDE, S.Tr.Keb K -1 2,860,500 0 0 141,150 0 0 22 .............
1 286,050 0 0 6,865 141,150 0
57,210 325,000 217,260 20,596 35,288
21-11-1992 3 3,203,760 0 0 0
199211212019032016 MKG: 4 0 256,301 0 01302030030291
Penata Muda Tk.I-3B 69 0 0
90.819.713.0-225.000 3,914,700 6,865 460,200 0
20,596 3,454,500
23 PERSI M. B. HOKE K -1 3,900,500 0 0 185,342 0 0 23 .............
1 390,050 0 0 9,361 185,342 0
78,010 265,000 217,260 28,084 46,336
05-06-1972 3 4,368,560 0 0 0
197205062006042026 MKG:24 0 349,485 0
Penata Muda Tk.I-3B 0 01302030011709
1 0
5,073,608 9,361 618,608 0
28,084 4,455,000
24 SYPORA KANSIL TK-0 3,665,900 0 0 157,236 0 0 24 .............
0 0 0 0 8,798 157,236 0
0 265,000 72,420 26,394 39,309
11-03-1976 1 3,665,900 0 0 0
197611032006042002 MKG:20 0 293,272 0
Penata Muda Tk.I-3B 0 01302030011084
61 0
58.917.824.3-825.000 4,195,809 8,798 525,009 0
26,394 3,670,800
25 CHRISLERINY KAWANGUNG K -1 4,280,800 0 0 199,180 10,458 0 25 .............
1 428,080 185,000 0 10,274 199,180 0
85,616 0 217,260 30,822 49,795
16-01-1969 3 4,794,496 0 10,458 0
196901161988092001 MKG:30 0 383,560 0
Penata Muda Tk.I-3B 0 01302030011102
99 0
14.973.323.0-825.000 5,447,589 10,274 684,089 0
30,822 4,763,500
26 NIXON SOLEMAN KUHEBA K -0 3,340,300 0 0 141,012 0 0 26 .............
0 0 185,000 0 8,017 141,012 0
0 0 72,420 24,050 35,253
13-11-1970 1 3,340,300 0 0 0
197011132014081001 MKG:14 0 267,224 0 01302030028692
Penata Muda Tk.I-3B 57 0 0
71.196.511.1-825.000 3,770,856 8,017 475,556 0
24,050 3,295,300
27 JESIKA SIALLAGAN, A.Md.Keb ,, TK-0 2,830,900 0 0 122,836 0 0 27 .............
A.Md.Keb 0 0 0 0 6,794 122,836 0
0 240,000 72,420 20,382 30,709
25-10-1990 1 2,830,900 0 0 0
199010252014032003 MKG: 6 0 226,472 0
Penata Muda-3A 0 01302030025678
61 0
3,293,393 6,794 407,193 0
20,382 2,886,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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
SUB TOTAL PERGOLONGAN : III 86,850,400 0 0 4,227,959 42,075 0
PEG: 25 5,618,570 370,000 0 208,439 4,227,959 0
IST: 16 JIWA= 67 1,815,068 11,045,000 4,852,140 625,322 1,056,989
94,284,038 0 42,075 0
ANK: 26 0 7,542,726 0
1,337 0 0
115,656,310 208,439 13,703,510
625,322 101,952,800
28 STIENTJE TATUMPE K -1 2,801,500 0 0 135,107 0 0 28 .............
1 280,150 0 0 6,724 135,107 0
56,030 240,000 217,260 20,171 33,777
08-07-1981 3 3,137,680 0 0 0
198108072009022001 MKG:13 0 251,014 0
Pengatur Tk.I-2D 0 01302030008978
51 0
88.572.001.1-825.000 3,756,993 6,724 446,793 0
20,171 3,310,200
29 RETNO NAUMANG K -1 2,801,500 0 0 135,107 0 0 29 .............
1 280,150 0 0 6,724 135,107 0
56,030 240,000 217,260 20,171 33,777
03-01-1987 3 3,137,680 0 0 0
198703012009022002 MKG:13 0 251,014 0
Pengatur Tk.I-2D 0 01302030008644
51 0
3,756,993 6,724 446,793 0
20,171 3,310,200
30 CICILIA SUENAUNG, A.Md.KG K -1 2,552,700 0 0 123,961 0 0 30 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
26-08-1993 3 2,859,024 0 0 0
199308262019032012 MKG: 7 0 228,722 0 01302030029565
Pengatur Tk.I-2D 28 0 0
76.238.736.3-823.000 3,464,778 6,126 408,178 0
18,379 3,056,600
31 IVONE CHAROLIN SABANARI K -1 2,449,100 0 0 118,520 0 0 31 .............
1 244,910 0 0 5,878 118,520 0
48,982 220,000 217,260 17,634 29,630
01-12-1984 3 2,742,992 0 0 0
198412012010012013 MKG: 7 0 219,439 0 01302030012854
Pengatur-2C 17 0 0
78.803.945.1-821.000 3,322,301 5,878 391,101 0
17,634 2,931,200
32 PINGKAN PAMI MEERIAM MOMOR ,, K -0 2,605,800 0 0 104,232 0 0 32 .............
AMKL 0 0 0 0 6,254 104,232 0
0 0 72,420 18,762 26,058
04-05-1981 1 2,605,800 0 0 0
198105042014032001 MKG:11 0 208,464 0 01302030025952
Pengatur-2C 2 0 0
70.116.797.5-825.000 2,807,470 6,254 363,770 0
18,762 2,443,700
33 ENDY IROTH ,A.Md.K.G K -1 2,374,300 0 0 115,468 0 0 33 .............
2 237,430 180,000 0 5,698 115,468 0
94,972 0 289,680 17,095 28,867
23-06-1985 4 2,706,702 0 0 0
198506232020122005 MKG: 5 0 216,536 0
Pengatur-2C 0 01302030031326
21 0
81.442.683.9-823.000 3,314,664 5,698 383,664 0
17,095 2,931,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ONDONG SIAU BARAT
(012) D60101401200009 BULAN : NOPEMBER 2023 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
34 YANTI HARINDAH ,A.Md.Gz K -1 2,374,300 0 0 111,669 0 0 34 .............
0 237,430 180,000 0 5,698 111,669 0
0 0 144,840 17,095 27,917
18-04-1997 2 2,611,730 0 0 0
199704182020122019 MKG: 5 0 208,938 0 01302030031304
Pengatur-2C 85 0 0
41.343.609.8-825.000 3,071,117 5,698 371,317 0
17,095 2,699,800
SUB TOTAL PERGOLONGAN : 17,959,200 0 0 844,064 0 0
PEG: 7 1,535,340 360,000 0 43,102 844,064 0
IST: 6 JIWA= 19 307,068 940,000 1,375,980 129,307 211,016
19,801,608 0 0 0
ANK: 6 0 1,584,127 0
255 0 0
23,494,316 43,102 2,811,616
129,307 20,682,700
TOTAL PER SATKER 112,493,500 0 0 5,468,560 65,788 0
PEG: 34 7,532,150 730,000 0 269,983 5,468,560 0
IST: 23 JIWA= 91 2,273,432 13,685,000 6,590,220 809,953 1,367,139
ANK: 34 122,299,082 0 65,788 0
0 9,783,928 0
0 0
1,665 269,983 17,765,351
149,920,251
809,953 132,154,900

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SALILI SIAU TENGAH
(012) D60101401200010 BULAN : NOPEMBER 2023 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 GRACE MARTHA MONGKAREN ,, K -1 3,306,500 0 0 174,776 0 0 1 .............
S.Kep, Ns 2 330,650 0 0 7,936 174,776 0
132,260 600,000 289,680 23,807 43,694
19-10-1989 4 3,769,410 0 0 0
198910192014032002 MKG: 8 0 301,553 0 01302030025897
Penata Tk.I-3D 57 0 0
70.116.617.5-825.000 4,865,666 7,936 551,766 0
23,807 4,313,900
2 HELISTIN KALANGIT, AMD.KEP K -0 4,108,100 0 0 187,610 0 0 2 .............
1 0 0 0 9,859 187,610 0
82,162 500,000 144,840 29,578 46,903
08-12-1971 2 4,190,262 0 0 0
197212081998032008 MKG:22 0 335,221 0 01302030003634
Penata Tk.I-3D 22 0 0
77.478.305.4-825.000 5,062,171 9,859 609,171 0
29,578 4,453,000
3 EDHIVATIA R. BUKASIANG, K -1 3,743,100 0 0 190,685 5,067 0 3 .............
A.Md.Kep 2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
25-06-1983 4 4,267,134 0 5,067 0
198306252005012005 MKG:16 0 341,371 0
Penata Tk.I-3D 0 01302030013135
28 0
87.951.985.8-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
4 FEBY J. MEGAMA K -1 3,628,900 0 0 182,575 0 0 4 .............
1 362,890 0 0 8,709 182,575 0
72,578 500,000 217,260 26,128 45,644
02-01-1984 3 4,064,368 0 0 0
198202012006042026 MKG:14 0 325,149 0
Penata Tk.I-3D 0 01302030013299
65 0
87.951.986.6-825.000 4,999,105 8,709 588,205 0
26,128 4,410,900
5 NOVA EVALIN TAOLE, AMG K -1 3,410,600 0 0 175,523 0 0 5 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
10-09-1979 4 3,888,084 0 0 0
197910092010012007 MKG:11 0 311,047 0
Penata Tk.I-3D 0 01302030025009
64 0
57.902.989.5-825.000 4,886,092 8,185 563,192 0
24,556 4,322,900
6 RINNY KAUMBUR, S.Kep K -1 3,272,200 0 0 169,212 0 0 6 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
10-06-1982 4 3,730,308 0 0 0
198210062010012009 MKG:10 0 298,425 0 01302030013354
Penata-3C 40 0 0
58.917.955.5-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
7 NARISWARI F. K. TANTU, S.Tr.Keb TK-0 2,860,500 0 0 127,420 0 0 7 .............
0 0 0 0 6,865 127,420 0
0 325,000 72,420 20,596 31,855
11-02-1997 1 2,860,500 0 0 0
199702112019032005 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030030615
75 0
91.637.543.9-825.000 3,412,876 6,865 415,576 0
20,596 2,997,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SALILI SIAU TENGAH
(012) D60101401200010 BULAN : NOPEMBER 2023 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
8 dr, GLORIA FEBRINI HENGKENGBALA TK-0 2,773,200 0 0 123,928 0 0 8 .............
0 0 0 0 6,656 123,928 0
0 325,000 72,420 19,967 30,982
16-02-1991 1 2,773,200 0 0 0
199102162020122009 MKG: 2 0 221,856 0 01302030031514
Penata Muda Tk.I-3B 18 0 0
71.999.703.3-825.000 3,321,189 6,656 403,389 0
19,967 2,917,800
9 SAZIDHA FEBRIA ABAY ,S.Si, Apt K -1 2,773,200 0 0 135,021 0 0 9 .............
0 277,320 0 0 6,656 135,021 0
0 325,000 144,840 19,967 33,755
28-02-1991 2 3,050,520 0 0 0
199102282020122013 MKG: 2 0 244,042 0 01302030031396
Penata Muda Tk.I-3B 37 0 0
803689250823000 3,682,041 6,656 439,441 0
19,967 3,242,600
10 ADRIANEKE GAGHAUBE K -1 3,781,400 0 0 176,982 0 0 10 .............
0 378,140 0 0 9,075 176,982 0
0 265,000 144,840 27,226 44,245
01-12-1969 2 4,159,540 0 0 0
196901122006042007 MKG:22 0 332,763 0
Penata Muda Tk.I-3B 0 01302030012076
28 0
16.225.935.2-825.000 4,782,691 9,075 590,291 0
27,226 4,192,400
11 drg, ALTRIANY SASEA K -1 2,773,200 0 0 131,639 0 0 11 .............
1 277,320 185,000 0 6,656 131,639 0
55,464 0 217,260 19,967 32,910
01-04-1989 3 3,105,984 0 0 0
198904012020122010 MKG: 2 0 248,479 0
Penata Muda Tk.I-3B 0 03020300314000
45 0
414687285825000 3,666,551 6,656 439,651 0
19,967 3,226,900
12 ARSITO KUNCORO, SKM K -1 2,660,700 0 0 129,071 0 0 12 .............
0 266,070 0 0 6,386 129,071 0
0 300,000 144,840 19,157 32,268
11-06-1995 2 2,926,770 0 0 0
199506112019031003 MKG: 2 0 234,142 0
Penata Muda-3A 0 01302030029495
0 0
91.727.316.1-825.000 3,526,224 6,386 421,024 0
19,157 3,105,200
13 CINDIE A. P. DUMAT K -1 2,920,100 0 0 143,757 0 0 13 .............
2 292,010 0 0 7,008 143,757 0
116,804 265,000 289,680 21,025 35,939
01-04-1981 4 3,328,914 0 0 0
198101042010012011 MKG: 8 0 266,313 0 01302030012945
Penata Muda-3A 58 0 0
58.917.910.0-825.000 4,055,442 7,008 474,042 0
21,025 3,581,400
14 JEYNE MANGEMBULUDE K -1 2,830,900 0 0 139,689 0 0 14 .............
2 283,090 0 0 6,794 139,689 0
113,236 265,000 289,680 20,382 34,922
14-07-1986 4 3,227,226 0 0 0
198607142009022003 MKG: 6 0 258,178 0
Penata Muda-3A 0 01302030013331
94 0
87.951.988.8-825.000 3,948,865 6,794 459,965 0
20,382 3,488,900
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SALILI SIAU TENGAH
(012) D60101401200010 BULAN : NOPEMBER 2023 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
15 RIFKA MUMBA, A.Md.Keb K -1 2,660,700 0 0 130,928 0 0 15 .............
2 266,070 0 0 6,386 130,928 0
106,428 240,000 289,680 19,157 32,732
08-03-1988 4 3,033,198 0 0 0
198803082019032010 MKG: 2 0 242,656 0 01302030029985
Penata Muda-3A 10 0 0
75.191.284.2-821.000 3,719,359 6,386 431,859 0
19,157 3,287,500
16 NOVITA S. SIMANJUNTAK, A.Md TK-0 2,660,700 0 0 116,028 0 0 16 .............
.KEB 0 0 0 0 6,386 116,028 0
0 240,000 72,420 19,157 29,007
10-11-1992 1 2,660,700 0 0 0
199211102019032017 MKG: 2 0 212,856 0 01302030030140
Penata Muda-3A 43 0 0
76.980.823.9-121.000 3,114,734 6,386 383,434 0
19,157 2,731,300
SUB TOTAL PERGOLONGAN : III 50,164,000 0 0 2,434,844 5,067 0
PEG: 16 3,776,150 185,000 0 120,393 2,434,844 0
IST: 12 JIWA= 45 1,095,968 5,650,000 3,258,900 361,180 608,711
55,036,118 0 5,067 0
ANK: 17 0 4,402,891 0
684 0 0
67,052,186 120,393 7,933,086
361,180 59,119,100
17 NOVIANTY BAKARI, AMKG K -1 2,552,700 0 0 123,961 0 0 17 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
19-11-1990 3 2,859,024 0 0 0
199011192019032012 MKG: 7 0 228,722 0 01302030030313
Pengatur Tk.I-2D 28 0 0
91.720.121.2-825.000 3,464,778 6,126 408,178 0
18,379 3,056,600
18 RIANTY P. PANGANDAHENG, AMKL K -1 2,552,700 0 0 121,919 0 0 18 .............
0 255,270 0 0 6,126 121,919 0
0 240,000 144,840 18,379 30,480
05-08-1994 2 2,807,970 0 0 0
199408052019032016 MKG: 7 0 224,638 0 01302030030000
Pengatur Tk.I-2D 8 0 0
85.440.583.4-825.000 3,339,242 6,126 401,542 0
18,379 2,937,700
19 CHRISTIN U. KANSIL, A.Md,Far TK-0 2,552,700 0 0 111,708 0 0 19 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
28-12-1997 1 2,552,700 0 0 0
199712282019032003 MKG: 7 0 204,216 0 01302030030814
Pengatur Tk.I-2D 23 0 0
91.633.564.1-825.000 3,001,356 6,126 368,356 0
18,379 2,633,000
20 STELLA DJOHAN K -1 2,687,800 0 0 130,013 0 0 20 .............
1 268,780 0 0 6,451 130,013 0
53,756 240,000 217,260 19,352 32,503
27-12-1981 3 3,010,336 0 0 0
198112272009022003 MKG:13 0 240,827 0
Pengatur-2C 0 01302030004213
34 0
3,623,446 6,451 429,146 0
19,352 3,194,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SALILI SIAU TENGAH
(012) D60101401200010 BULAN : NOPEMBER 2023 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
21 MARIO MAKAUNTUNG,AMKL TK-0 2,449,100 0 0 107,564 0 0 21 .............
0 0 0 0 5,878 107,564 0
0 240,000 72,420 17,634 26,891
14-03-1988 1 2,449,100 0 0 0
198803142019031008 MKG: 7 0 195,928 0 01302030029506
Pengatur-2C 99 0 0
76.836.505.8-821.000 2,892,695 5,878 353,895 0
17,634 2,538,800
22 OKTAVIA NINI AMBAR K -1 2,687,800 0 0 127,613 0 0 22 .............
1 268,780 180,000 0 6,451 127,613 0
53,756 0 217,260 19,352 31,903
20-10-1989 3 3,010,336 0 0 0
198910202010012002 MKG:13 0 240,827 0 01302030013110
Pengatur-2C 34 0 0
89.962.147.8-825.000 3,561,046 6,451 426,146 0
19,352 3,134,900
SUB TOTAL PERGOLONGAN : 15,482,800 0 0 722,778 0 0
PEG: 6 1,048,100 180,000 0 37,158 722,778 0
IST: 4 JIWA= 13 158,566 1,200,000 941,460 111,475 180,694
16,689,466 0 0 0
ANK: 3 0 1,335,158 0
226 0 0
19,882,563 37,158 2,387,263
111,475 17,495,300
TOTAL PER SATKER 65,646,800 0 0 3,157,622 5,067 0
PEG: 22 4,824,250 365,000 0 157,551 3,157,622 0
IST: 16 JIWA= 58 1,254,534 6,850,000 4,200,360 472,655 789,405
ANK: 20 71,725,584 0 5,067 0
0 5,738,049 0
0 0
910 157,551 10,320,349
86,934,749
472,655 76,614,400

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

dr. SEMUEL E.RAULE, M.Kes KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196704021998031003 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SAWANG SIAU TIMUR SELATAN
(012) D60101401200011 BULAN : NOPEMBER 2023 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 WISNY S. MULIKU, SKM K -1 3,628,900 0 0 184,175 0 0 1 .............
1 362,890 0 0 8,709 184,175 0
72,578 540,000 217,260 26,128 46,044
05-08-1981 3 4,064,368 0 0 0
198108052008032004 MKG:14 0 325,149 0 01302030017529
Penata Tk.I-3D 65 0 0
68.240.619.4-825.000 5,040,705 8,709 590,205 0
26,128 4,450,500
2 NATALIEN BANUALAWO ,S.Kep. K -1 3,743,100 0 0 190,685 5,067 0 2 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
25-12-1979 4 4,267,134 0 5,067 0
197912252005012018 MKG:16 0 341,371 0 01302030017566
Penata Tk.I-3D 28 0 0
77.478.306.2-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
3 MURNI TAMAKA ,A.Md.Kep K -1 3,743,100 0 0 187,691 0 0 3 .............
1 374,310 0 0 8,983 187,691 0
74,862 500,000 217,260 26,950 46,923
29-07-1982 3 4,192,272 0 0 0
198207292005012009 MKG:16 0 335,382 0
Penata Tk.I-3D 0 01302030010510
73 0
89.726.054.9-825.000 5,133,229 8,983 605,929 0
26,950 4,527,300
4 STEVILYN TUMELENG, A.Md.Kep K -1 3,628,900 0 0 185,478 0 0 4 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
25-09-1984 4 4,136,946 0 0 0
198409252006042012 MKG:14 0 330,956 0
Penata Tk.I-3D 0 01302030010432
99 0
89.726.052.7-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
5 WIDYASTUTI KAGILING K -0 3,518,100 0 0 160,724 0 0 5 .............
0 0 0 0 8,443 160,724 0
0 500,000 72,420 25,330 40,181
30-06-1984 1 3,518,100 0 0 0
198406302008022001 MKG:12 0 281,448 0
Penata Tk.I-3D 0 01302030010419
9 0
89.726.047.7-825.000 4,285,026 8,443 516,126 0
25,330 3,768,900
6 NIESYE LAHUTUNG K -0 3,518,100 0 0 166,353 0 0 6 .............
2 0 0 0 8,443 166,353 0
140,724 500,000 217,260 25,330 41,588
27-09-1985 3 3,658,824 0 0 0
198509272008032002 MKG:12 0 292,706 0 01302030010340
Penata Tk.I-3D 10 0 0
89.726.046.9-825.000 4,576,220 8,443 534,420 0
25,330 4,041,800
7 dr. SOLAIMAN R. M. GAGOLA K -1 2,981,500 540,000 0 152,786 0 0 7 .............
0 298,150 0 0 7,156 152,786 0
0 0 144,840 21,467 38,197
18-11-1991 2 3,279,650 0 0 0
199111182019031008 MKG: 4 0 262,372 0
Penata-3C 0 01302030030906
79 0
80.780.721.9-823.000 4,145,978 7,156 481,978 0
21,467 3,664,000
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SAWANG SIAU TIMUR SELATAN
(012) D60101401200011 BULAN : NOPEMBER 2023 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
8 DWI HANDAYANI, S.Farm,Apt K -1 2,981,500 0 0 165,956 0 0 8 .............
2 298,150 0 0 7,156 165,956 0
119,260 750,000 289,680 21,467 41,489
02-11-1987 4 3,398,910 0 0 0
198711022019032013 MKG: 4 0 271,913 0 01302030030092
Penata-3C 12 0 0
64.168.555.7-821.000 4,633,181 7,156 507,981 0
21,467 4,125,200
9 DENIS TAMBENG ,A.Md.KL K -1 3,481,600 0 0 175,976 0 0 9 .............
1 348,160 0 0 8,356 175,976 0
69,632 500,000 217,260 25,068 43,994
24-11-1979 3 3,899,392 0 0 0
197911242006041006 MKG:14 0 311,951 0 01302030019368
Penata-3C 93 0 0
46.639.792.4-825.000 4,826,145 8,356 565,345 0
25,068 4,260,800
10 VIATY A. WANGKA, K -1 3,272,200 0 0 163,977 0 0 10 .............
0 327,220 0 0 7,853 163,977 0
0 500,000 144,840 23,560 40,994
09-08-1985 2 3,599,420 0 0 0
198509082010012011 MKG:10 0 287,954 0
Penata-3C 0 01302030010251
88 0
58.917.905.0-825.000 4,439,738 7,853 524,338 0
23,560 3,915,400
11 LETTI BARANTIAN K -1 3,481,600 0 0 170,761 0 0 11 .............
2 348,160 0 0 8,356 170,761 0
139,264 300,000 289,680 25,068 42,690
13-10-1979 4 3,969,024 0 0 0
197910132006042015 MKG:14 0 317,522 0
Penata-3C 0 01302030010471
8 0
89.826.068.3-825.000 4,762,897 8,356 564,397 0
25,068 4,198,500
12 CEIN TAMAKA, S.Kep.Ns TK-0 2,860,500 0 0 127,420 0 0 12 .............
0 0 0 0 6,865 127,420 0
0 325,000 72,420 20,596 31,855
24-12-1987 1 2,860,500 0 0 0
198712242019031005 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030030711
75 0
76.039.183.9-825.000 3,412,876 6,865 415,576 0
20,596 2,997,300
13 FATMAWATI LUBIS, S.Tr.Keb K -1 2,860,500 0 0 138,862 0 0 13 .............
0 286,050 0 0 6,865 138,862 0
0 325,000 144,840 20,596 34,716
23-03-1993 2 3,146,550 0 0 0
199303232019032015 MKG: 4 0 251,724 0 01302030029532
Penata Muda Tk.I-3B 50 0 0
91.631.035.2-825.000 3,782,763 6,865 452,763 0
20,596 3,330,000
14 RICKY C. LINTOGARENG, SKM K -0 3,043,600 0 0 133,744 0 0 14 .............
0 0 0 0 7,305 133,744 0
0 300,000 72,420 21,914 33,436
01-12-1990 1 3,043,600 0 0 0
199012012015031002 MKG: 8 0 243,488 0
Penata Muda Tk.I-3B 0 01302030028630
4 0
3,578,987 7,305 439,887 0
21,914 3,139,100
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SAWANG SIAU TIMUR SELATAN
(012) D60101401200011 BULAN : NOPEMBER 2023 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
15 EVIVANIA MAMEROH, S.Tr.Gz K -0 2,860,500 0 0 126,420 0 0 15 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
24-05-1995 1 2,860,500 0 0 0
199505242019032018 MKG: 4 0 228,840 0 01302030030335
Penata Muda Tk.I-3B 25 0 0
91.630.849.7-825.000 3,386,826 6,865 414,326 0
20,596 2,972,500
16 MEGALINA TUMBIO K -1 3,781,400 0 0 183,032 0 0 16 .............
2 378,140 0 0 9,075 183,032 0
151,256 265,000 289,680 27,226 45,758
22-01-1975 4 4,310,796 0 0 0
197501222006042020 MKG:22 0 344,864 0 01302030010111
Penata Muda Tk.I-3B 46 0 0
89.762.044.4-825.000 5,084,855 9,075 609,955 0
27,226 4,474,900
17 MARLIN KALAWASI JD-0 3,238,300 0 0 145,313 0 0 17 .............
2 0 0 0 7,772 145,313 0
129,532 265,000 217,260 23,316 36,328
03-03-1983 3 3,367,832 0 0 0
198303032006042015 MKG:12 0 269,427 0
Penata Muda Tk.I-3B 0 01302030010493
63 0
89.726.069.1-825.000 4,026,556 7,772 482,156 0
23,316 3,544,400
18 JULIFKE LUAS K -1 3,106,900 0 0 152,275 0 0 18 .............
2 310,690 0 0 7,457 152,275 0
124,276 265,000 289,680 22,370 38,069
30-07-1986 4 3,541,866 0 0 0
198607302006042004 MKG:12 0 283,349 0
Penata Muda-3A 0 01302030004079
72 0
87.849.744.5-825.000 4,278,720 7,457 503,520 0
22,370 3,775,200
19 APRIYANI LIKE PONTO K -0 2,920,100 0 0 127,404 0 0 19 .............
0 0 0 0 7,008 127,404 0
0 265,000 72,420 21,025 31,851
04-04-1981 1 2,920,100 0 0 0
198104042010012014 MKG: 8 0 233,608 0
Penata Muda-3A 0 01302030010161
39 0
14.217.789.8-821.000 3,412,996 7,008 420,896 0
21,025 2,992,100
SUB TOTAL PERGOLONGAN : III 62,650,400 540,000 0 3,039,032 5,067 0
PEG: 19 4,069,120 0 0 150,359 3,039,032 0
IST: 12 JIWA= 50 1,316,264 7,400,000 3,621,000 451,085 759,758
68,035,784 0 5,067 0
ANK: 19 0 5,442,864 0
938 0 0
83,243,265 150,359 9,848,165
451,085 73,395,100
20 GRACE SANGGEL, AMD, KEP K -1 2,889,800 0 0 139,063 0 0 20 .............
1 288,980 0 0 6,936 139,063 0
57,796 240,000 217,260 20,807 34,766
01-08-1988 3 3,236,576 0 0 0
198801082009022005 MKG:15 0 258,926 0
Pengatur Tk.I-2D 0 01302030024753
56 0
3,860,698 6,936 460,498 0
20,807 3,400,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS SAWANG SIAU TIMUR SELATAN
(012) D60101401200011 BULAN : NOPEMBER 2023 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
21 YOLAND L. BR SITEPU, A.Md.Farm TK-0 2,552,700 0 0 111,708 0 0 21 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
22-01-1995 1 2,552,700 0 0 0
199501222019032016 MKG: 7 0 204,216 0 01302030029451
Pengatur Tk.I-2D 23 0 0
80.477.337.2-124.000 3,001,356 6,126 368,356 0
18,379 2,633,000
SUB TOTAL PERGOLONGAN : 5,442,500 0 0 250,771 0 0
PEG: 2 288,980 0 0 13,062 250,771 0
IST: 1 JIWA= 4 57,796 480,000 289,680 39,186 62,693
5,789,276 0 0 0
ANK: 1 0 463,142 0
79 0 0
6,862,054 13,062 828,854
39,186 6,033,200
TOTAL PER SATKER 68,092,900 540,000 0 3,289,803 5,067 0
PEG: 21 4,358,100 0 0 163,421 3,289,803 0
IST: 13 JIWA= 54 1,374,060 7,880,000 3,910,680 490,271 822,451
ANK: 20 73,825,060 0 5,067 0
0 5,906,006 0
0 0
1,017 163,421 10,677,019
90,105,319
490,271 79,428,300

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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 FEMY LIDAYA, SKM K -1 3,782,400 0 0 206,477 23,713 0 1 .............
2 378,240 0 0 9,078 206,477 0
151,296 850,000 289,680 27,233 51,619
23-08-1983 4 4,311,936 0 23,713 0
198308232009022005 MKG:14 0 344,955 0 01302030008841
Pembina-4A 58 0 0
87.221.206.3-825.000 5,718,175 9,078 663,075 0
27,233 5,055,100
2 IMELDA KALANGI, S.Kep, Ns K -1 3,666,900 0 0 198,277 11,017 0 2 .............
1 366,690 0 0 8,801 198,277 0
73,338 850,000 217,260 26,402 49,569
14-09-1978 3 4,106,928 0 11,017 0
197809142010012005 MKG:12 0 328,554 0 01302030017049
Pembina-4A 35 0 0
58.917.716.1-825.000 5,418,720 8,801 622,620 0
26,402 4,796,100
SUB TOTAL PERGOLONGAN : IV 7,449,300 0 0 404,754 34,730 0
PEG: 2 744,930 0 0 17,879 404,754 0
IST: 2 JIWA= 7 224,634 1,700,000 506,940 53,635 101,188
8,418,864 0 34,730 0
ANK: 3 0 673,509 0
93 0 0
11,136,895 17,879 1,285,695
53,635 9,851,200
3 RINI TAMANSA JD-0 3,628,900 0 0 172,059 0 0 3 .............
1 0 0 0 8,709 172,059 0
72,578 600,000 144,840 26,128 43,015
17-11-1980 2 3,701,478 0 0 0
198011172006042013 MKG:14 0 296,118 0 01302030016458
Penata Tk.I-3D 15 0 0
15.881.478.0-821.000 4,653,229 8,709 546,029 0
26,128 4,107,200
4 BASTIANA MAKAINAS, A.Md.Kep K -0 4,508,600 0 0 200,344 5,642 0 4 .............
0 0 0 0 10,821 200,344 0
0 500,000 72,420 32,462 50,086
30-12-1967 1 4,508,600 0 5,642 0
196712301990072002 MKG:28 0 360,688 0 01302030010421
Penata Tk.I-3D 54 0 0
89.726.0501-825.000 5,330,343 10,821 660,043 0
32,462 4,670,300
5 TELMIE LAOH K -1 4,508,600 0 0 221,985 36,933 0 5 .............
1 450,860 0 0 10,821 221,985 0
90,172 500,000 217,260 32,462 55,496
02-12-1970 3 5,049,632 0 36,933 0
197002121990012001 MKG:28 0 403,971 0 01302030016926
Penata Tk.I-3D 75 0 0
16.226.168.9-825.000 6,069,168 10,821 761,668 0
32,462 5,307,500
6 JEFRY GASPAR K -1 4,108,100 0 0 207,329 0 0 6 .............
2 410,810 0 0 9,859 207,329 0
164,324 500,000 289,680 29,578 51,832
06-01-1972 4 4,683,234 0 0 0
197206011995031003 MKG:22 0 374,659 0
Penata Tk.I-3D 0 01302030017037
77 0
57.930.889.1-825.000 5,719,757 9,859 673,257 0
29,578 5,046,500
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
7 CHRISTANTI HAMEL, A.Md.Keb K -1 3,861,000 0 0 196,062 11,129 0 7 .............
2 386,100 0 0 9,266 196,062 0
154,440 500,000 289,680 27,799 49,015
24-09-1980 4 4,401,540 0 11,129 0
198009242002122000 MKG:18 0 352,123 0 01302030017207
Penata Tk.I-3D 18 0 0
57.780.228.3-825.000 5,435,494 9,266 645,394 0
27,799 4,790,100
8 YUNIKE MAKAKOMBO, A.Md.Kep K -1 3,628,900 0 0 185,478 0 0 8 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
06-03-1983 4 4,136,946 0 0 0
198306032006042010 MKG:14 0 330,956 0 01302030016810
Penata Tk.I-3D 99 0 0
57.780.226.7-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
9 LENDA KAKAMBONG, AMD.FAR K -1 3,518,100 0 0 180,425 0 0 9 .............
2 351,810 0 0 8,443 180,425 0
140,724 500,000 289,680 25,330 45,106
25-08-1982 4 4,010,634 0 0 0
198208252009022002 MKG:12 0 320,851 0
Penata Tk.I-3D 0 01302030016859
43 0
68.193.734.8-825.000 5,014,555 8,443 580,155 0
25,330 4,434,400
10 FERNANDO S. E. MANANGKA, TK-0 2,981,500 0 0 149,260 0 0 10 .............
S.Si.Apt 0 0 0 0 7,156 149,260 0
0 750,000 72,420 21,467 37,315
24-09-1985 1 2,981,500 0 0 0
198509242019031004 MKG: 4 0 238,520 0
Penata-3C 0 01302030029952
15 0
97.359.908.6-824.000 3,981,818 7,156 453,718 0
21,467 3,528,100
11 dr.FAISAL B. EDAH K -1 2,981,500 0 0 163,571 0 0 11 .............
1 298,150 0 0 7,156 163,571 0
59,630 750,000 217,260 21,467 40,893
20-02-1988 3 3,339,280 0 0 0
198802202019031008 MKG: 4 0 267,142 0
Penata-3C 0 01302030030630
95 0
71.382.849.9-821.000 4,498,829 7,156 500,229 0
21,467 3,998,600
12 drg. MEIDY A. PULU JD-0 2,981,500 0 0 151,645 0 0 12 .............
1 0 0 0 7,156 151,645 0
59,630 750,000 144,840 21,467 37,911
20-04-1990 2 3,041,130 0 0 0
199004202019032016 MKG: 4 0 243,290 0 01302030030221
Penata-3C 31 0 0
16.839.259.5-821.000 4,116,269 7,156 461,469 0
21,467 3,654,800
13 RAMLI TAMANGENDAR K -1 3,591,200 0 0 183,759 0 0 13 .............
2 359,120 0 0 8,619 183,759 0
143,648 500,000 289,680 25,857 45,940
27-08-1976 4 4,093,968 0 0 0
197608271998031006 MKG:17 0 327,517 0
Penata-3C 0 01302030022033
9 0
5,101,892 8,619 591,692 0
25,857 4,510,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
14 YOHETI TAKAENDENGAN K -1 3,481,600 0 0 178,761 0 0 14 .............
2 348,160 0 0 8,356 178,761 0
139,264 500,000 289,680 25,068 44,690
23-02-1981 4 3,969,024 0 0 0
198102232006042008 MKG:14 0 317,522 0 01302030017000
Penata-3C 8 0 0
57.780.227.5-825.000 4,970,897 8,356 574,397 0
25,068 4,396,500
15 MEYTY BAWOTONG, A.Md.Keb JD-0 3,375,300 0 0 160,412 0 0 15 .............
2 0 0 0 8,101 160,412 0
135,012 500,000 217,260 24,302 40,103
03-02-1983 3 3,510,312 0 0 0
198302032008022001 MKG:12 0 280,825 0 01302030019231
Penata-3C 56 0 0
4,420,443 8,101 513,743 0
24,302 3,906,700
16 YUNITA M. MULALINDA.KEP K -1 3,375,300 0 0 171,213 0 0 16 .............
1 337,530 0 0 8,101 171,213 0
67,506 500,000 217,260 24,302 42,803
15-06-1984 3 3,780,336 0 0 0
198406152009022003 MKG:12 0 302,427 0
Penata-3C 0 01302030019186
34 0
4,701,246 8,101 548,846 0
24,302 4,152,400
17 SARTIKA TARIMAKASE, AMD,KEP K -1 3,375,300 0 0 173,914 0 0 17 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
18-10-1987 4 3,847,842 0 0 0
198710182009022000 MKG:12 0 307,827 0
Penata-3C 0 01302030016872
83 0
68.193.736.3-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
18 YENI T. NICODEMUS.A.Md.KEP K -1 3,272,200 0 0 169,212 0 0 18 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
16-05-1985 4 3,730,308 0 0 0
198505162010012011 MKG:10 0 298,425 0
Penata-3C 0 01302030016902
40 0
58.917.950.6-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
19 FATMA PAHRUM ,A.Md.Kep K -1 3,272,200 0 0 166,595 0 0 19 .............
1 327,220 0 0 7,853 166,595 0
65,444 500,000 217,260 23,560 41,649
08-01-1987 3 3,664,864 0 0 0
198701082010012001 MKG:10 0 293,189 0 00702030064270
Penata-3C 14 0 0
77.693.725.2-822.000 4,580,146 7,853 532,846 0
23,560 4,047,300
20 NUR M. TARIMAKASE.S.Kep K -0 3,272,200 0 0 150,888 0 0 20 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
18-10-1987 1 3,272,200 0 0 0
198710182010012006 MKG:10 0 261,776 0
Penata-3C 0 01302030016801
78 0
68.193.739.7-825.000 4,026,999 7,853 481,799 0
23,560 3,545,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
21 MEIDYA I. AMBAR K -1 3,375,300 0 0 161,813 0 0 21 .............
1 337,530 0 0 8,101 161,813 0
67,506 265,000 217,260 24,302 40,453
16-05-1981 3 3,780,336 0 0 0
198105162009022002 MKG:12 0 302,427 0 01302030019277
Penata-3C 84 0 0
4,456,896 8,101 537,096 0
24,302 3,919,800
22 YORANTI R. PALINGU. A.MD.KEB K -1 3,272,200 0 0 157,195 0 0 22 .............
1 327,220 0 0 7,853 157,195 0
65,444 265,000 217,260 23,560 39,299
02-07-1986 3 3,664,864 0 0 0
198602072010012019 MKG:10 0 293,189 0 01302030016896
Penata-3C 64 0 0
87.849.710.6-825.000 4,335,796 7,853 521,096 0
23,560 3,814,700
23 ROMARIO M. ANTHONIE, S.Kep.Ns TK-0 2,860,500 0 0 127,420 0 0 23 .............
0 0 0 0 6,865 127,420 0
0 325,000 72,420 20,596 31,855
20-10-1991 1 2,860,500 0 0 0
199110202019031005 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030029613
75 0
76.724.063.3-825.000 3,412,876 6,865 415,576 0
20,596 2,997,300
24 NOVIA A. LANTAA, S.Tr.Keb K -0 2,860,500 0 0 129,708 0 0 24 .............
1 0 0 0 6,865 129,708 0
57,210 325,000 144,840 20,596 32,427
26-11-1995 2 2,917,710 0 0 0
199511262019032012 MKG: 4 0 233,417 0
Penata Muda Tk.I-3B 0 01302030030501
94 0
98.404.871.0-117.000 3,544,813 6,865 423,013 0
20,596 3,121,800
25 INTAN M. AKUBA, S.Tr.Gz TK-0 2,860,500 0 0 126,420 0 0 25 .............
0 0 0 0 6,865 126,420 0
0 300,000 72,420 20,596 31,605
08-02-1996 1 2,860,500 0 0 0
199602082019032010 MKG: 4 0 228,840 0
Penata Muda Tk.I-3B 0 01302030030324
25 0
91.629.128.9-825.000 3,386,826 6,865 414,326 0
20,596 2,972,500
26 ISYE TAHULENDING K -1 3,340,300 0 0 162,918 0 0 26 .............
2 334,030 0 0 8,017 162,918 0
133,612 265,000 289,680 24,050 40,729
17-06-1981 4 3,807,942 0 0 0
198106172002122006 MKG:14 0 304,635 0 01302030016861
Penata Muda Tk.I-3B 42 0 0
57.854.898.4-825.000 4,557,649 8,017 540,349 0
24,050 4,017,300
27 MELKISEDEK KAMLASI, A.Md.Gz K -1 3,445,500 0 0 166,715 0 0 27 .............
2 344,550 0 0 8,269 166,715 0
137,820 240,000 289,680 24,808 41,679
11-11-1979 4 3,927,870 0 0 0
197911112000031005 MKG:16 0 314,230 0
Penata Muda Tk.I-3B 0 01302030016963
59 0
87.849.714.8-825.000 4,657,401 8,269 555,701 0
24,808 4,101,700
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
28 dr, LILY LENDA PRATIWI KOLINUG TK-0 2,773,200 0 0 118,328 0 0 28 .............
0 0 185,000 0 6,656 118,328 0
0 0 72,420 19,967 29,582
21-08-1989 1 2,773,200 0 0 0
198908212020122007 MKG: 2 0 221,856 0 00102030081989
Penata Muda Tk.I-3B 18 0 0
711579201821000 3,175,589 6,656 396,389 0
19,967 2,779,200
29 HISTIANTY KAGUASEHI,A.Md.Keb K -0 2,830,900 0 0 123,836 0 0 29 .............
0 0 0 0 6,794 123,836 0
0 265,000 72,420 20,382 30,959
06-03-1982 1 2,830,900 0 0 0
198206032010012015 MKG: 6 0 226,472 0 01302030016975
Penata Muda-3A 11 0 0
58.917.952.2-825.000 3,319,343 6,794 408,443 0
20,382 2,910,900
30 IVANA MANGOTO, A.Md.Kep K -1 2,830,900 0 0 137,424 0 0 30 .............
1 283,090 0 0 6,794 137,424 0
56,618 265,000 217,260 20,382 34,356
25-09-1989 3 3,170,608 0 0 0
198909252015032003 MKG: 6 0 253,649 0
Penata Muda-3A 0 01302030028333
37 0
72.858.981.3-825.000 3,817,505 6,794 452,605 0
20,382 3,364,900
31 KRISTINA MUHALING K -1 2,920,100 0 0 142,757 0 0 31 .............
2 292,010 0 0 7,008 142,757 0
116,804 240,000 289,680 21,025 35,689
08-07-1985 4 3,328,914 0 0 0
198508072010012012 MKG: 8 0 266,313 0
Penata Muda-3A 0 01302030016914
8 0
57.780.229.1-825.000 4,029,392 7,008 472,792 0
21,025 3,556,600
SUB TOTAL PERGOLONGAN : III 97,091,900 0 0 4,737,446 53,704 0
PEG: 29 6,215,830 185,000 0 233,020 4,737,446 0
IST: 18 JIWA= 81 2,338,442 12,605,000 5,866,020 699,063 1,184,359
105,646,172 0 53,704 0
ANK: 34 0 8,451,694 0
1,361 0 0
130,026,786 233,020 15,359,286
699,063 114,667,500
32 LISTIANI ANTHONIE, A.Md.Keb K -1 2,552,700 0 0 126,003 0 0 32 .............
2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
03-09-1991 4 2,910,078 0 0 0
199109032017052001 MKG: 8 0 232,806 0 01302030029042
Pengatur Tk.I-2D 49 0 0
74.129.176.9-825.000 3,590,315 6,126 414,815 0
18,379 3,175,500
33 SAURMA A. MANURUNG,A.Md.Keb K -1 2,552,700 0 0 123,961 0 0 33 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
02-08-1990 3 2,859,024 0 0 0
199008022019032011 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 01302030029322
28 0
98.404.871.0117.000 3,464,778 6,126 408,178 0
18,379 3,056,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
34 INDAR J. KUSUMANINGRUM, K -1 2,552,700 0 0 126,003 0 0 34 .............
A.Md.Keb 2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
16-08-1994 4 2,910,078 0 0 0
199408162019032015 MKG: 7 0 232,806 0 01302030029576
Pengatur Tk.I-2D 49 0 0
76.946.801.8-646.000 3,590,315 6,126 414,815 0
18,379 3,175,500
35 MEILANY D. BEE, A.Md.KG TK-0 2,552,700 0 0 111,708 0 0 35 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
03-05-1996 1 2,552,700 0 0 0
199605032019032010 MKG: 7 0 204,216 0 01302030030044
Pengatur Tk.I-2D 23 0 0
91.630.683.0-825.000 3,001,356 6,126 368,356 0
18,379 2,633,000
36 NOVITA MANANEKE ,A.Md.Kep K -1 2,301,800 0 0 110,321 0 0 36 .............
1 230,180 180,000 0 5,524 110,321 0
46,036 0 217,260 16,573 27,580
15-07-1992 3 2,578,016 0 0 0
199207152022032013 MKG: 4 0 206,241 0
Pengatur-2C 45 0 0
93.364.566.5-825.000 3,107,739 5,524 366,239 0
16,573 2,741,500
37 MIKE REJOCE DALONTO ,A.Md.Kep TK-0 2,301,800 0 0 99,272 0 0 37 .............
0 0 180,000 0 5,524 99,272 0
0 0 72,420 16,573 24,818
17-11-1998 1 2,301,800 0 0 0
199811172022032011 MKG: 4 0 184,144 0
Pengatur-2C 0 01302030032365
42 0
65.529.836.2-825.000 2,675,631 5,524 330,331 0
16,573 2,345,300
SUB TOTAL PERGOLONGAN : 14,814,400 0 0 697,268 0 0
PEG: 6 995,990 360,000 0 35,552 697,268 0
IST: 4 JIWA= 16 301,306 960,000 1,158,720 106,662 174,317
16,111,696 0 0 0
ANK: 6 0 1,288,935 0
236 0 0
19,430,134 35,552 2,302,734
106,662 17,127,400
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TAGULANDANG
(012) D60101401200012 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 119,355,600 0 0 5,839,468 88,434 0
PEG: 37 7,956,750 545,000 0 286,451 5,839,468 0
IST: 24 JIWA= 104 2,864,382 15,265,000 7,531,680 859,360 1,459,864
ANK: 43 130,176,732 0 88,434 0
0 10,414,138 0
0 0
1,690 286,451 18,947,715
160,593,815
859,360 141,646,100

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TALAWID SIAU BARAT SELATAN
(012) D60101401200013 BULAN : NOPEMBER 2023 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 ELS BAWEKES ,S.Kep.Ns K -0 4,603,500 0 0 218,140 26,550 0 1 .............
0 0 0 0 11,048 218,140 0
0 850,000 72,420 33,145 54,535
08-03-1971 1 4,603,500 0 26,550 0
197108031993032002 MKG:24 0 368,280 0 01302030003971
Pembina Tk.I-4B 95 0 0
82.240.614.8-825.000 5,814,898 11,048 711,698 0
33,145 5,103,200
SUB TOTAL PERGOLONGAN : IV 4,603,500 0 0 218,140 26,550 0
PEG: 1 0 0 0 11,048 218,140 0
IST: 0 JIWA= 1 0 850,000 72,420 33,145 54,535
4,603,500 0 26,550 0
ANK: 0 0 368,280 0
95 0 0
5,814,898 11,048 711,698
33,145 5,103,200
2 EFFIE PREDRIKA MOSE, S.KEP K -1 3,518,100 0 0 178,796 0 0 2 .............
0 351,810 0 0 8,443 178,796 0
0 600,000 144,840 25,330 44,699
08-01-1985 2 3,869,910 0 0 0
198508012010012015 MKG:12 0 309,593 0
Penata Tk.I-3D 0 01302030010134
42 0
58.917.920.9-825.000 4,827,361 8,443 566,861 0
25,330 4,260,500
3 REYFI TOLI, S.KEP K -1 3,518,100 0 0 181,611 0 0 3 .............
1 351,810 0 0 8,443 181,611 0
70,362 600,000 217,260 25,330 45,403
14-01-1988 3 3,940,272 0 0 0
198801142010012004 MKG:12 0 315,222 0 01302030021636
Penata Tk.I-3D 93 0 0
57.782.265.3-825.000 4,973,009 8,443 576,009 0
25,330 4,397,000
4 OCTAVIANA BINDURA K -1 3,743,100 0 0 190,685 5,067 0 4 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
28-10-1980 4 4,267,134 0 5,067 0
198010282006042022 MKG:16 0 341,371 0 01302030012532
Penata Tk.I-3D 28 0 0
15.873.927.6-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
5 DONNY REYMER UNSONG TK-0 3,628,900 0 0 165,156 0 0 5 .............
0 0 0 0 8,709 165,156 0
0 500,000 72,420 26,128 41,289
16-07-1984 1 3,628,900 0 0 0
198407162006041002 MKG:15 0 290,312 0 01302030012571
Penata Tk.I-3D 81 0 0
16.468.017.5-825.000 4,401,394 8,709 531,594 0
26,128 3,869,800
6 MARDEVI BANUALAWO, ,S.Kep. K -1 3,628,900 0 0 185,478 0 0 6 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
08-03-1984 4 4,136,946 0 0 0
198403082006042007 MKG:14 0 330,956 0
Penata Tk.I-3D 0 01302030012881
99 0
57.764.539.3-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TALAWID SIAU BARAT SELATAN
(012) D60101401200013 BULAN : NOPEMBER 2023 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
7 CHATERINE H. KASENDA, A.Md.Keb K -1 3,518,100 0 0 177,611 0 0 7 .............
1 351,810 0 0 8,443 177,611 0
70,362 500,000 217,260 25,330 44,403
23-11-1983 3 3,940,272 0 0 0
198311232008032001 MKG:12 0 315,222 0 01302030012477
Penata Tk.I-3D 93 0 0
15.873.877.3-825.000 4,869,009 8,443 571,009 0
25,330 4,298,000
8 dr. FRETTY V. LANGI K -1 2,981,500 0 0 163,571 0 0 8 .............
1 298,150 0 0 7,156 163,571 0
59,630 750,000 217,260 21,467 40,893
14-02-1990 3 3,339,280 0 0 0
199002142019032016 MKG: 4 0 267,142 0 01302030029694
Penata-3C 95 0 0
71.079.723.4-823.000 4,498,829 7,156 500,229 0
21,467 3,998,600
9 FEYBE GANDARIA, AMG K -1 3,375,300 0 0 173,914 0 0 9 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
28-02-1977 4 3,847,842 0 0 0
197702282009022002 MKG:12 0 307,827 0
Penata-3C 0 01302030012702
83 0
57.764.541.9-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
10 DIANA BUKASIANG K -1 3,375,300 0 0 173,914 0 0 10 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
31-08-1986 4 3,847,842 0 0 0
198608312006042002 MKG:12 0 307,827 0
Penata-3C 0 01302030025253
83 0
88.375.457.4-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
11 LOISA PANGERAPAN. AMD.KEP K -1 3,272,200 0 0 166,595 0 0 11 .............
1 327,220 0 0 7,853 166,595 0
65,444 500,000 217,260 23,560 41,649
25-10-1982 3 3,664,864 0 0 0
198210252010012008 MKG:10 0 293,189 0
Penata-3C 0 01302030024406
14 0
15.873.683.5-825.000 4,580,146 7,853 532,846 0
23,560 4,047,300
12 SINTIA DEWI TINGEHE K -0 3,272,200 0 0 150,888 0 0 12 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
30-09-1985 1 3,272,200 0 0 0
198509302010012010 MKG:10 0 261,776 0 01302030012661
Penata-3C 78 0 0
58.351.793.3-825.000 4,026,999 7,853 481,799 0
23,560 3,545,200
13 RATNA R. WALELANGI, AMD. KEP TK-0 3,272,200 0 0 150,888 0 0 13 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
13-11-1985 1 3,272,200 0 0 0
198511132011022001 MKG:10 0 261,776 0
Penata-3C 0 01302030024740
78 0
87.849.753.6-825.000 4,026,999 7,853 481,799 0
23,560 3,545,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TALAWID SIAU BARAT SELATAN
(012) D60101401200013 BULAN : NOPEMBER 2023 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
14 DIESYE MULINGKA, AMD.KEP K -0 3,272,200 0 0 150,888 0 0 14 .............
0 0 0 0 7,853 150,888 0
0 500,000 72,420 23,560 37,722
12-01-1987 1 3,272,200 0 0 0
198712012009022001 MKG:10 0 261,776 0 01302030012647
Penata-3C 78 0 0
57.764.536.9-825.000 4,026,999 7,853 481,799 0
23,560 3,545,200
15 SRI WAHYUNI TINIHADA ,S.Si, Apt K -1 2,773,200 0 0 135,021 0 0 15 .............
0 277,320 0 0 6,656 135,021 0
0 325,000 144,840 19,967 33,755
05-01-1992 2 3,050,520 0 0 0
199201052020122031 MKG: 2 0 244,042 0 01302030031341
Penata Muda Tk.I-3B 37 0 0
71.999.703.3-825.000 3,682,041 6,656 439,441 0
19,967 3,242,600
16 FEBRIANNE S.PADOMA,AMDKEP K -1 3,139,400 0 0 151,245 0 0 16 .............
1 313,940 0 0 7,535 151,245 0
62,788 265,000 217,260 22,604 37,811
02-10-1990 3 3,516,128 0 0 0
199002102011022001 MKG:10 0 281,290 0
Penata Muda Tk.I-3B 0 01302030024391
13 0
57.764.5427-825.000 4,179,785 7,535 500,485 0
22,604 3,679,300
17 SUCIATI EKA PATROLI ,S. Kep. Ns TK-0 2,660,700 0 0 119,428 0 0 17 .............
0 0 0 0 6,386 119,428 0
0 325,000 72,420 19,157 29,857
12-12-1994 1 2,660,700 0 0 0
199412122020122030 MKG: 2 0 212,856 0
Penata Muda-3A 0 01302030031256
93 0
95.276.153.4-821.000 3,203,184 6,386 387,684 0
19,157 2,815,500
SUB TOTAL PERGOLONGAN : III 52,949,400 0 0 2,615,689 5,067 0
PEG: 16 3,684,320 0 0 127,077 2,615,689 0
IST: 11 JIWA= 40 893,490 7,865,000 2,896,800 381,235 653,921
57,527,210 0 5,067 0
ANK: 13 0 4,602,177 0
1,088 0 0
71,419,166 127,077 8,385,166
381,235 63,034,000
18 NIKSON KENE, A.Md.Far K -1 2,552,700 0 0 126,003 0 0 18 .............
2 255,270 0 0 6,126 126,003 0
102,108 240,000 289,680 18,379 31,501
10-11-1992 4 2,910,078 0 0 0
199211102019031009 MKG: 7 0 232,806 0 01302030030265
Pengatur Tk.I-2D 49 0 0
81.063.284.4-821.000 3,590,315 6,126 414,815 0
18,379 3,175,500
19 ELISA PIETER, A.Md.KG K -1 2,552,700 0 0 123,961 0 0 19 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
28-02-1994 3 2,859,024 0 0 0
199402282019032019 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 01302030030173
28 0
91.738.603.9-825.000 3,464,778 6,126 408,178 0
18,379 3,056,600
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS TALAWID SIAU BARAT SELATAN
(012) D60101401200013 BULAN : NOPEMBER 2023 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
20 MARTINUS KAKAMPU, A.Md.KL K -1 2,449,100 0 0 117,360 0 0 20 .............
0 244,910 0 0 5,878 117,360 0
0 240,000 144,840 17,634 29,340
18-05-1994 2 2,694,010 0 0 0
198905182019031005 MKG: 7 0 215,521 0 01302030029904
Pengatur-2C 11 0 0
90.625.236.4-825.000 3,219,733 5,878 385,733 0
17,634 2,834,000
21 MEIYANTI MANDAK ,AMG K -1 2,374,300 0 0 115,969 0 0 21 .............
1 237,430 0 0 5,698 115,969 0
47,486 240,000 217,260 17,095 28,992
02-05-1989 3 2,659,216 0 0 0
198905022020122017 MKG: 5 0 212,737 0 01302030031234
Pengatur-2C 53 0 0
86.068.687.2-825.000 3,255,291 5,698 380,491 0
17,095 2,874,800
22 VERONIKA M.I THE PUHUN ,A.Md.Gz TK-0 2,301,800 0 0 99,272 0 0 22 .............
0 0 180,000 0 5,524 99,272 0
0 0 72,420 16,573 24,818
11-01-1998 1 2,301,800 0 0 0
199801112022032014 MKG: 4 0 184,144 0
Pengatur-2C 42 0 0
65.514.295.8-825.000 2,675,631 5,524 330,331 0
16,573 2,345,300
SUB TOTAL PERGOLONGAN : 12,230,600 0 0 582,565 0 0
PEG: 5 992,880 180,000 0 29,352 582,565 0
IST: 4 JIWA= 13 200,648 960,000 941,460 88,060 145,641
13,424,128 0 0 0
ANK: 4 0 1,073,930 0
183 0 0
16,205,748 29,352 1,919,548
88,060 14,286,200
TOTAL PER SATKER 69,783,500 0 0 3,416,394 31,617 0
PEG: 22 4,677,200 180,000 0 167,477 3,416,394 0
IST: 15 JIWA= 54 1,094,138 9,675,000 3,910,680 502,440 854,097
ANK: 17 75,554,838 0 31,617 0
0 6,044,387 0
0 0
1,366 167,477 11,016,412
93,439,812
502,440 82,423,400

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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 dr., dr. MEISKE LIEM K -1 3,446,400 0 0 205,156 23,050 0 1 .............
2 344,640 0 0 8,271 205,156 0
137,856 1,200,000 289,680 24,814 51,289
07-05-1980 4 3,928,896 0 23,050 0
198005072014032001 MKG: 8 0 314,312 0 01302030026014
Pembina-4A 25 0 0
70.115.990.7-825.000 5,679,892 8,271 626,892 0
24,814 5,053,000
SUB TOTAL PERGOLONGAN : IV 3,446,400 0 0 205,156 23,050 0
PEG: 1 344,640 0 0 8,271 205,156 0
IST: 1 JIWA= 4 137,856 1,200,000 289,680 24,814 51,289
3,928,896 0 23,050 0
ANK: 2 0 314,312 0
25 0 0
5,679,892 8,271 626,892
24,814 5,053,000
2 SYLVIA ABRITA MALOHING JD-0 3,628,900 0 0 169,156 0 0 2 .............
0 0 0 0 8,709 169,156 0
0 600,000 72,420 26,128 42,289
05-10-1982 1 3,628,900 0 0 0
198210052006042016 MKG:14 0 290,312 0
Penata Tk.I-3D 0 01302030010869
81 0
79.457.844.1-825.000 4,505,394 8,709 536,594 0
26,128 3,968,800
3 FARI A. A. MULYONO, S.KEP K -1 3,518,100 0 0 181,611 0 0 3 .............
1 351,810 0 0 8,443 181,611 0
70,362 600,000 217,260 25,330 45,403
18-12-1987 3 3,940,272 0 0 0
198712182010012003 MKG:12 0 315,222 0 01302030008905
Penata Tk.I-3D 93 0 0
47.649.877.9-825.000 4,973,009 8,443 576,009 0
25,330 4,397,000
4 STEVANTI D. D. SAHAMBANGUNG, S K -1 3,518,100 0 0 182,025 0 0 4 .............
2 351,810 0 0 8,443 182,025 0
140,724 540,000 289,680 25,330 45,506
08-08-1983 4 4,010,634 0 0 0
198308082010012017 MKG:12 0 320,851 0 01302030011205
Penata Tk.I-3D 43 0 0
58.917.959.7-825.000 5,056,155 8,443 582,155 0
25,330 4,474,000
5 SISCA ENGGELINE MOHEDE K -1 4,508,600 0 0 225,592 44,442 0 5 .............
2 450,860 0 0 10,821 225,592 0
180,344 500,000 289,680 32,462 56,398
09-02-1968 4 5,139,804 0 44,442 0
196809021989102001 MKG:28 0 411,184 0 01302030015934
Penata Tk.I-3D 98 0 0
79.475.826.8-825.000 6,242,899 10,821 780,899 0
32,462 5,462,000
6 TRISNAWATI D SUMELUNG K -1 4,370,900 0 0 212,320 22,588 0 6 .............
0 437,090 0 0 10,490 212,320 0
0 500,000 144,840 31,470 53,080
20-10-1967 2 4,807,990 0 22,588 0
196710201991032016 MKG:26 0 384,639 0
Penata Tk.I-3D 0 01302030011150
89 0
79.458.276.0-825.000 5,729,787 10,490 714,587 0
31,470 5,015,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
7 LUSYE.E.MALUMBOT JD-0 4,108,100 0 0 184,324 0 0 7 .............
0 0 0 0 9,859 184,324 0
0 500,000 72,420 29,578 46,081
09-01-1974 1 4,108,100 0 0 0
197401091993032008 MKG:23 0 328,648 0 01302030011096
Penata Tk.I-3D 9 0 0
79.475.832.6-825.000 4,904,290 9,859 598,490 0
29,578 4,305,800
8 TILDA MALUEGHA K -0 4,108,100 0 0 184,324 0 0 8 .............
0 0 0 0 9,859 184,324 0
0 500,000 72,420 29,578 46,081
03-02-1970 1 4,108,100 0 0 0
197003021991032008 MKG:22 0 328,648 0 01302030015911
Penata Tk.I-3D 9 0 0
794758318825000 4,904,290 9,859 598,490 0
29,578 4,305,800
9 FEBI E MAKALARE K -1 3,743,100 0 0 187,691 0 0 9 .............
1 374,310 0 0 8,983 187,691 0
74,862 500,000 217,260 26,950 46,923
17-01-1979 3 4,192,272 0 0 0
197901172003122006 MKG:16 0 335,382 0
Penata Tk.I-3D 0 01302030010790
73 0
79.475.836.7-825.000 5,133,229 8,983 605,929 0
26,950 4,527,300
10 SRIWAHYUNI BAWOLE, S.Kep K -1 3,743,100 0 0 190,685 5,067 0 10 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
27-11-1979 4 4,267,134 0 5,067 0
197911272006042024 MKG:16 0 341,371 0
Penata Tk.I-3D 0 01302030013381
28 0
14.973.985.8-825.000 5,288,527 8,983 620,727 0
26,950 4,667,800
11 IMELDA LUAS, A.Md K -1 3,628,900 0 0 185,478 0 0 11 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
26-03-1978 4 4,136,946 0 0 0
197803262002122007 MKG:15 0 330,956 0
Penata Tk.I-3D 0 01302030015855
99 0
79.475.835.9-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
12 JAENNE A. MARTHIN K -1 3,628,900 0 0 185,478 0 0 12 .............
2 362,890 0 0 8,709 185,478 0
145,156 500,000 289,680 26,128 46,369
20-01-1976 4 4,136,946 0 0 0
197601202003042001 MKG:14 0 330,956 0 01302030011141
Penata Tk.I-3D 99 0 0
79.475.851.6-825.000 5,147,040 8,709 597,640 0
26,128 4,549,400
13 STINCE TOHIS K -1 3,518,100 0 0 180,425 0 0 13 .............
2 351,810 0 0 8,443 180,425 0
140,724 500,000 289,680 25,330 45,106
23-09-1985 4 4,010,634 0 0 0
198509232008022001 MKG:12 0 320,851 0
Penata Tk.I-3D 0 01302030013161
43 0
58.904.567.3-825.000 5,014,555 8,443 580,155 0
25,330 4,434,400
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
14 ASTI F. KASENDA K -1 3,410,600 0 0 175,523 0 0 14 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
25-02-1985 4 3,888,084 0 0 0
198502252008032005 MKG:11 0 311,047 0 01302030011059
Penata Tk.I-3D 64 0 0
79.475.849.0-825.000 4,886,092 8,185 563,192 0
24,556 4,322,900
15 ROSALIA N. DAWID ,S.Kep. K -1 3,410,600 0 0 175,523 0 0 15 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
30-01-1982 4 3,888,084 0 0 0
198201302010012007 MKG:10 0 311,047 0 01302030025125
Penata Tk.I-3D 64 0 0
47.279.146.6-825.000 4,886,092 8,185 563,192 0
24,556 4,322,900
16 MEYSKEL GRACE LANO.KEP K -1 3,410,600 0 0 175,523 0 0 16 .............
2 341,060 0 0 8,185 175,523 0
136,424 500,000 289,680 24,556 43,881
24-02-1987 4 3,888,084 0 0 0
198702242010012010 MKG:10 0 311,047 0
Penata Tk.I-3D 0 01302030011311
64 0
58.917.946.4-825.000 4,886,092 8,185 563,192 0
24,556 4,322,900
17 AKHMAD MUHLASIN, S.Farm,A.pt K -1 2,981,500 0 0 163,571 0 0 17 .............
1 298,150 0 0 7,156 163,571 0
59,630 750,000 217,260 21,467 40,893
11-11-1989 3 3,339,280 0 0 0
198911112019031010 MKG: 4 0 267,142 0
Penata-3C 0 00402030071505
95 0
75.523.952.2-734.000 4,498,829 7,156 500,229 0
21,467 3,998,600
18 DEVY F. TAMARA K -1 3,591,200 0 0 183,759 0 0 18 .............
2 359,120 0 0 8,619 183,759 0
143,648 500,000 289,680 25,857 45,940
15-12-1974 4 4,093,968 0 0 0
197412152002122006 MKG:16 0 327,517 0
Penata-3C 0 01302030020899
9 0
79.475.851.6-825.000 5,101,892 8,619 591,692 0
25,857 4,510,200
19 SUSAN MAHAGANTI K -1 3,375,300 0 0 171,213 0 0 19 .............
1 337,530 0 0 8,101 171,213 0
67,506 500,000 217,260 24,302 42,803
25-04-1980 3 3,780,336 0 0 0
198004252003122005 MKG:13 0 302,427 0 01302030010985
Penata-3C 34 0 0
79.475.852.4-825.000 4,701,246 8,101 548,846 0
24,302 4,152,400
20 YULITA TOMBENG K -1 3,375,300 0 0 173,914 0 0 20 .............
2 337,530 0 0 8,101 173,914 0
135,012 500,000 289,680 24,302 43,478
07-04-1982 4 3,847,842 0 0 0
198204072008022001 MKG:12 0 307,827 0
Penata-3C 0 01302030015830
83 0
79.475.847.4-825.000 4,843,922 8,101 557,622 0
24,302 4,286,300
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
21 NELCI G. SAHAMBANGUNG, AMKL K -1 3,272,200 0 0 169,212 0 0 21 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
19-03-1977 4 3,730,308 0 0 0
197703192010012006 MKG:10 0 298,425 0 01302030016045
Penata-3C 40 0 0
58.917.960.5-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
22 EIFLINDA TUNDUNDATU, A.Md.Kep K -1 3,272,200 0 0 169,212 0 0 22 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
09-02-1988 4 3,730,308 0 0 0
198802092011022001 MKG:10 0 298,425 0 01302030020218
Penata-3C 40 0 0
58.854.896.8-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
23 JULIANA IRENE PONTO.KEP K -1 3,272,200 0 0 169,212 0 0 23 .............
2 327,220 0 0 7,853 169,212 0
130,888 500,000 289,680 23,560 42,303
30-07-1988 4 3,730,308 0 0 0
198807302010012003 MKG:10 0 298,425 0
Penata-3C 0 01302030022640
40 0
58.917.966.2-825.000 4,720,653 7,853 541,353 0
23,560 4,179,300
24 SHEILA SHANTI GEREUW, AMG K -1 3,172,300 0 0 152,719 0 0 24 .............
1 317,230 0 0 7,614 152,719 0
63,446 265,000 217,260 22,841 38,180
22-02-1984 3 3,552,976 0 0 0
198402222010012016 MKG: 9 0 284,238 0
Penata-3C 0 01302030008838
82 0
47.649.840.7-825.000 4,218,492 7,614 505,592 0
22,841 3,712,900
25 dr. BOBBY INKIRIWANG K -1 3,075,500 0 0 140,243 0 0 25 .............
2 307,550 0 0 7,381 140,243 0
123,020 0 289,680 22,144 35,061
09-12-1980 4 3,506,070 0 0 0
198009122011021001 MKG: 6 0 280,486 0
Penata-3C 0 01302030024029
97 0
16.620.140.0-825.000 3,965,615 7,381 485,315 0
22,144 3,480,300
26 drg, JEANETTE GAMPU K -1 2,773,200 0 0 139,458 0 0 26 .............
2 277,320 0 0 6,656 139,458 0
110,928 325,000 289,680 19,967 34,864
22-06-1987 4 3,161,448 0 0 0
198706222020122007 MKG: 2 0 252,916 0 01302030031271
Penata Muda Tk.I-3B 52 0 0
80.035.282.5-825.000 3,942,261 6,656 453,861 0
19,967 3,488,400
27 dr, MIKHAEL ABRAHAM K -1 2,773,200 0 0 137,239 0 0 27 .............
1 277,320 0 0 6,656 137,239 0
55,464 325,000 217,260 19,967 34,310
11-07-1991 3 3,105,984 0 0 0
199107112020121010 MKG: 2 0 248,479 0
Penata Muda Tk.I-3B 0 01302030031352
45 0
849465117825000 3,812,151 6,656 446,651 0
19,967 3,365,500
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
28 ELVA MAVELA TENGKER K -1 3,665,900 0 0 177,765 0 0 28 .............
2 366,590 0 0 8,798 177,765 0
146,636 265,000 289,680 26,394 44,441
30-12-1976 4 4,179,126 0 0 0
197612302006042019 MKG:20 0 334,330 0 01302030013202
Penata Muda Tk.I-3B 65 0 0
87.951.987.4-825.000 4,946,828 8,798 591,728 0
26,394 4,355,100
29 MISYE DIANE LANGKUN K -1 3,238,300 0 0 158,266 0 0 29 .............
2 323,830 0 0 7,772 158,266 0
129,532 265,000 289,680 23,316 39,567
29-03-1983 4 3,691,662 0 0 0
198303292005012010 MKG:12 0 295,333 0 01302030010820
Penata Muda Tk.I-3B 58 0 0
79.475.853.2-825.000 4,435,754 7,772 524,254 0
23,316 3,911,500
30 YUMIKE M. MAKAHINSADE, AMD.KEP K -1 3,238,300 0 0 158,266 0 0 30 .............
2 323,830 0 0 7,772 158,266 0
129,532 265,000 289,680 23,316 39,567
06-11-1986 4 3,691,662 0 0 0
198611062009022002 MKG:12 0 295,333 0
Penata Muda Tk.I-3B 0 01302030004298
58 0
15.313.120.6-825.000 4,435,754 7,772 524,254 0
23,316 3,911,500
31 ELVIS HANGAU, AMD.KEP K -1 3,043,600 0 0 149,388 0 0 31 .............
2 304,360 0 0 7,305 149,388 0
121,744 265,000 289,680 21,914 37,347
21-09-1982 4 3,469,704 0 0 0
198209212009021002 MKG: 9 0 277,576 0
Penata Muda Tk.I-3B 0 01302030023505
39 0
4,203,030 7,305 493,530 0
21,914 3,709,500
32 MEIRLYN ANDINY SAWELLO ,, SKM K -1 3,043,600 0 0 149,388 0 0 32 .............
2 304,360 0 0 7,305 149,388 0
121,744 265,000 289,680 21,914 37,347
12-05-1990 4 3,469,704 0 0 0
199005122014032001 MKG: 8 0 277,576 0
Penata Muda Tk.I-3B 0 01302030026166
39 0
66.991.456.6-825.000 4,203,030 7,305 493,530 0
21,914 3,709,500
33 JEIN N. TAHULENDING, A.Md.Keb K -1 2,950,600 0 0 145,147 0 0 33 .............
2 295,060 0 0 7,081 145,147 0
118,024 265,000 289,680 21,244 36,287
17-01-1990 4 3,363,684 0 0 0
199001172015032004 MKG: 6 0 269,095 0 01302030028621
Penata Muda Tk.I-3B 18 0 0
4,091,854 7,081 478,854 0
21,244 3,613,000
34 MIRYAM CHRISTIN MUNTIAHA TK-0 2,688,500 0 0 114,940 0 0 34 .............
,S.FARM, APT 0 0 185,000 0 6,452 114,940 0
0 0 72,420 19,357 28,735
26-11-1992 1 2,688,500 0 0 0
199211262022032009 MKG: 1 0 215,080 0
Penata Muda Tk.I-3B 95 0 0
92.481.228.2-048.000 3,086,764 6,452 384,564 0
19,357 2,702,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
35 KESYA BANI ,S. Kep. Ns TK-0 2,688,500 0 0 114,940 0 0 35 .............
0 0 185,000 0 6,452 114,940 0
0 0 72,420 19,357 28,735
12-08-1993 1 2,688,500 0 0 0
199308122022032015 MKG: 1 0 215,080 0
Penata Muda Tk.I-3B 95 0 0
41.654.189.4-422.000 3,086,764 6,452 384,564 0
19,357 2,702,200
36 RIENEKE KUERA, AMD.KEP K -1 2,920,100 0 0 141,420 0 0 36 .............
1 292,010 0 0 7,008 141,420 0
58,402 265,000 217,260 21,025 35,355
10-06-1984 3 3,270,512 0 0 0
198410062009022003 MKG: 9 0 261,641 0 01302030015387
Penata Muda-3A 24 0 0
15.313.121.4-825.000 3,922,249 7,008 466,449 0
21,025 3,455,800
37 KRISTIANI WATI SINERI K -1 2,920,100 0 0 141,420 0 0 37 .............
1 292,010 0 0 7,008 141,420 0
58,402 265,000 217,260 21,025 35,355
22-09-1985 3 3,270,512 0 0 0
198509222009022004 MKG: 8 0 261,641 0
Penata Muda-3A 0 01302030013071
24 0
87.951.983.5-825.000 3,922,249 7,008 466,449 0
21,025 3,455,800
38 WINDA YANTI NARASIANG ,, K -1 2,744,500 0 0 135,749 0 0 38 .............
A.Md.Kep 2 274,450 0 0 6,587 135,749 0
109,780 265,000 289,680 19,760 33,937
08-09-1990 4 3,128,730 0 0 0
199009082014032002 MKG: 4 0 250,298 0
Penata Muda-3A 0 01302030025939
25 0
3,845,531 6,587 446,331 0
19,760 3,399,200
39 VALLEN A. MAKAGANSA, A.Md.Kep K -0 2,744,500 0 0 120,380 0 0 39 .............
0 0 0 0 6,587 120,380 0
0 265,000 72,420 19,760 30,095
06-11-1990 1 2,744,500 0 0 0
199011062014032001 MKG: 4 0 219,560 0
Penata Muda-3A 0 01302030026397
35 0
70.116.757.9-825.000 3,228,682 6,587 396,382 0
19,760 2,832,300
40 YULETRIA KANSIL K -1 3,106,900 0 0 149,075 0 0 40 .............
2 310,690 185,000 0 7,457 149,075 0
124,276 0 289,680 22,370 37,269
21-08-1983 4 3,541,866 0 0 0
198308212007012002 MKG:12 0 283,349 0 01302030020230
Penata Muda-3A 72 0 0
4,195,520 7,457 499,520 0
22,370 3,696,000
SUB TOTAL PERGOLONGAN : III 130,182,200 0 0 6,421,574 72,097 0
PEG: 39 11,021,560 555,000 0 312,433 6,421,574 0
IST: 33 JIWA= 128 3,725,714 15,055,000 9,269,760 937,309 1,605,394
144,929,474 0 72,097 0
ANK: 56 0 11,594,360 0
2,220 0 0
177,554,867 312,433 20,943,167
937,309 156,611,700
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
41 RIAWATI TAKASILI, A.Md.Keb K -0 2,633,100 0 0 114,924 0 0 41 .............
0 0 0 0 6,319 114,924 0
0 240,000 72,420 18,958 28,731
05-01-1992 1 2,633,100 0 0 0
199201052017052001 MKG: 9 0 210,648 0 01302030029053
Pengatur Tk.I-2D 59 0 0
74.129.259.3-825.000 3,085,780 6,319 379,580 0
18,958 2,706,200
42 KRISTIN D. MANALU, A.Md.Farm TK-0 2,552,700 0 0 111,708 0 0 42 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
16-05-1995 1 2,552,700 0 0 0
199505162019032023 MKG: 7 0 204,216 0 01302030029440
Pengatur Tk.I-2D 23 0 0
80.934.459.1-127.000 3,001,356 6,126 368,356 0
18,379 2,633,000
43 NATALIA PAPARANG K -1 2,605,800 0 0 126,024 0 0 43 .............
2 260,580 180,000 0 6,254 126,024 0
104,232 0 289,680 18,762 31,506
26-12-1990 4 2,970,612 0 0 0
199012262011022001 MKG:11 0 237,649 0
Pengatur-2C 0 01302030023310
63 0
16.226.165.2-825.000 3,591,395 6,254 420,195 0
18,762 3,171,200
44 SYNTIA YUNIKE UMBUR ,A.Md.Keb K -1 2,301,800 0 0 112,162 0 0 44 .............
2 230,180 180,000 0 5,524 112,162 0
92,072 0 289,680 16,573 28,041
29-06-1993 4 2,624,052 0 0 0
199306292022032009 MKG: 4 0 209,924 0
Pengatur-2C 33 0 0
93.462.107.9-825.000 3,228,024 5,524 372,224 0
16,573 2,855,800
SUB TOTAL PERGOLONGAN : 10,093,400 0 0 464,818 0 0
PEG: 4 490,760 360,000 0 24,223 464,818 0
IST: 2 JIWA= 10 196,304 480,000 724,200 72,672 116,205
10,780,464 0 0 0
ANK: 4 0 862,437 0
178 0 0
12,906,555 24,223 1,540,355
72,672 11,366,200
PEMERINTAH KAB. KEP. SIAU TAGULANDANG BIARO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ DINAS KESEHATAN ] PUSKESMAS ULU SIAU
(012) D60101401200014 BULAN : NOPEMBER 2023 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
TOTAL PER SATKER 143,722,000 0 0 7,091,548 95,147 0
PEG: 44 11,856,960 915,000 0 344,927 7,091,548 0
IST: 36 JIWA= 142 4,059,874 16,735,000 10,283,640 1,034,795 1,772,888
ANK: 62 159,638,834 0 95,147 0
0 12,771,109 0
0 0
2,423 344,927 23,110,414
196,141,314
1,034,795 173,030,900

KEPALA DINAS KESEHATAN ONDONG,24 OKTOBER 2023


BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

EVITA N.W.JANIS KRISYE WISLIN WALELANGI NATALIA KOUNTUL


NIP 196604081988032012 199110022010012001 199212272011022001

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