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Nomor : B/30/022024 15 Februari 2024

Lampiran : 1 berkas

Yth.
Direktur BLUD RSUD Nabire
di
Tempat

Perihal : Surat Tagihan Iuran BPJS Ketenagakerjaan Tenaga Kontrak RSUD


Nabire

Dengan hormat,

Sehubungan dengan pembayaran terakhir TENAGA KONTRAK RSUD NABIRE (NPP


20129038) di bulan Februari 2023, maka dengan ini kami lampirkan rincian tagihan untuk
pembayaran iuran BPJS Ketenagakerjaan bulan Maret 2023 – Januari 2024 dan Daftar Upah
Tenaga Kerja terlampir.

Nama Perusahaan : TENAGA KONTRAK RSUD NABIRE


NPP : 20129038
Jumlah Tenaga Kerja : 361
Bulan Pembayaran Iuran: Maret 2023, April 2023, Mei 2023, Juni 2023, Juli 2023,
Agustus 2023, September 2023, Oktober 2023, November 2023,
Desember 2023, dan Januari 2024
Jumlah Iuran per Bulan : Rp 2.046.870,-
Total Iuran 1 Bulan : Rp 22.515.570,-

Demikian disampaikan, atas perhatian dan kerjasamanya diucapkan terima kasih.

Dokumen ini ditandatangani secara elektronik menggunakan sertifikat elektronik dari Sertifikasi Elektronik (BSrE), Badan Siber dan Sandi Negara.
Jl. Sam Ratulangi Nabire, Oyehe
T 0984-22555 W www.bpjsketenagakerjaan.go.id
IG/IG/KP 03.02
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 1 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Iuran


No NIK No Peserta Nama TK Upah Rapel Jumlah
Pegawai Lahir Keps JHT JKM JKK JP
1 9171030407540004 20046411045 A.K.MALLISA 04-07-1954 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
2 3525140410750022 20046408934 ABRAHAM YUSAK 04-10-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
3 9104010604920007 20046408942 ADAM Y. R. RAHANGIAR 06-04-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
4 9104017101880002 20046411060 ADE PUTRIANI ANWAR 31-01-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
5 3201372101760003 20046408959 ADHY 21-01-1976 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
6 9104015704890001 20046408090 ADRIANA LUKKO 17-04-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
7 9104015603940003 20046408009 AENU 16-03-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
8 9104015106920004 20046409007 AGNES R. PARINDING 11-06-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
9 3175074808850013 20046407936 AGNES RETNO 08-08-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WIJAYANTI
10 9104017112740004 20046411268 AGUSTINA TENOUYE 08-08-1983 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
11 7371090308880002 20046410898 AGUSTINUS PESA 03-08-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
12 9104016611970001 20046409221 AKSAMINA DELILA 26-11-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MENAI
13 9104075004960002 20046410088 ALBERTINA 10-04-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ZONGGONAU
14 9104010803900002 20046408975 ALFONS NAWIPA 08-03-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
15 9104014404930001 20046408983 ALFRITA BIETHS 04-04-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
16 9104075908990001 20046407886 ALVIANTI NUR VITRA 19-08-1999 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NINGRUM
17 9104011708820009 20046410740 AMANAT 17-08-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
18 9104011905940004 20046409015 AMBROSUS BATBUAL 19-05-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
19 9104014104980004 20046409023 AMELYA KAEMPUGE 01-04-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
20 9104015404970003 20046408819 ANA MARIA 14-04-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MANDABAYAN
21 9104011006010002 20046409031 ANDRI YAURANDA 10-06-2001 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NIWARI
22 9104074603860001 20046409056 ANISA NURHALIMAH 06-03-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
23 1371064204840015 20046408868 ANITHA 02-04-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
24 9171051006900005 20046407860 ANTONIUS DOGOMO 10-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
25 9104014203740003 20046411243 APRIANA HEDE 02-03-1974 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
26 7373046404940001 20046409049 APRIANI SAUL SILAMMA 30-04-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
27 9104015404960004 20046408876 APRILIA HATIJA 14-04-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MANUMPIL
28 9104012508900004 20046408264 ARI ANGGA 25-08-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
29 9104160908680001 20046410989 ASEP RUHIYAT 09-08-1968 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
30 9104016107020001 20046409072 AYU SETYANINGSIH 21-07-2002 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
31 9104014106960006 20046409064 AYU.R.ABIDONDIFU 01-06-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
32 9104010804000003 20046409080 AYUB SETIAWAN 08-04-2000 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAMANDEY
33 9104010901860006 20046410070 BAMBANG HERMANTO 09-01-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
34 9104010202920007 20046407928 BAMBANG SETIAWAN 02-02-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
35 9104016407930002 20046407662 BANNE TANDIARRANG 16-10-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
36 9104012011930003 20046410237 BAYU SEGARA ADJIE 20-11-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
37 9104011507800008 20046411490 BENYAMIN KEIYA 15-07-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
38 9104010609870007 20046408645 BERNARD MAREI 06-09-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 2 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
39 9104015707760005 20046410625 BERTHA BIDAU 17-07-1976 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
40 9104014609820002 20046410617 BIBAN 06-09-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
41 9104015909900005 20046407951 BOKI ALWIA 19-09-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
42 9104012210930003 20046408132 BONNY PABETTING 22-10-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
43 9104021704980001 20046409213 CHRISTIAN HALOMOAN 17-04-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NABABAN
44 7371114412870005 20046411011 CHRISTIN LOLONGAN 04-12-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
45 1212074111890002 20046408900 DAHLIA SIRAIT 01-11-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
46 6403032705940002 20046408595 DANI SUNTARA 27-05-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
KOGOYA
47 9104016003860004 20046410609 DANITA ROMBE LAYUK 20-03-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
48 9104010110750009 20046410690 DARMAN 01-10-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
49 9104016512820004 20046411458 DELIN KADEPA 25-12-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
50 9104016912890002 20046411680 DESI NURSANTY 29-12-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NURMANSYAH
51 9104016412830007 20046410914 DESIRA BANGGULU 24-12-1983 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
52 9104017012990004 20046408603 DESSY DIANA ANJALI 30-12-1999 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RUMAYAUW
53 1407050202920005 20046409239 DIAN MUCTAR 24-01-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NAPITUPULU
54 7326114107860001 20046410906 DIANA 07-01-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
55 9104075004970001 20046409247 DIANA FARWAS 10-04-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
56 9104012203930001 20046410120 DIDIK HARIADI 22-03-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
57 3523194712940001 20046409262 DINA WAHYUTI WIJAYA 07-12-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
58 9104014307930002 20046409254 DWI FATMA IRIANI 03-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
59 9104072411870001 20046411086 EBIN SUDARMANU 24-11-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
60 9104015302810003 20046409270 EDITH TABITA RUTH 13-02-1981 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WAME
61 9104011005800002 20046407837 EDWARD MELKIANUS 10-05-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
KABIAY
62 9104014105900001 20046408306 EKA DWIRAHAYU 01-05-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
FITRIANI
63 9104075802970001 20046409288 EKA ISTIRAHAYU 18-02-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
64 9104016810810002 20046409296 EKANITA KORWA 28-10-1981 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
65 9104012709900001 20046408587 EKNETIUS STEVEN SEO 27-09-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
66 9104222601870001 20046409304 EKO HARIYANTO 26-01-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
67 9104012505960011 20046409312 EKO NANDA FEBRIAN 25-05-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
68 9104015003950001 20046410732 ELLA BTE PATABANG 10-03-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
69 9104014109930003 20046411748 ELSA PANGESTIKA 01-09-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
70 9104016207930004 20046409320 ELSIE YOLANDA SOUISA 22-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
71 9104015603880005 20046410757 ERAWATI 16-03-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
72 1212040905870002 20046407845 ERICH TADARA 09-05-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MANURUNG
73 7316075909930002 20046409338 ERVIANA 13-09-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
74 9104016903790001 20046410963 EVLIN BOGAR 29-03-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
75 1402044508840003 20046409346 FADILAH 05-08-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
76 9104014702890005 20046411334 FEBIELSELANI 07-02-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
PAUWANG

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 3 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
77 9208011002000003 20046407795 FEBRIAN 10-02-2000 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
78 9104013012910001 20046407753 FELIX XAVERIUS 30-08-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
YEUYANAN
79 7172034212930001 20046409353 FIDELIA IRALA 02-12-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
80 9104016912850004 20046411383 FINCE GOBAY 29-12-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
81 9104074311910001 20046407704 FIRDAN NOOR 03-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
82 9104014107840150 20046407969 FITRIA IRIYANI DJUMARI 01-07-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
83 9104014306860008 20046408785 FITRIANA 03-06-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
84 9104015005880005 20046408272 FITRIANI 10-05-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
85 1808135010960003 20046409106 FITRIYANI 10-12-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
86 9104015502930003 20046409114 FLORA RUMAIKEWI 15-02-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
87 7371092101910003 20046410104 FREDERIKUS MELA 21-01-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SINAAMA
88 9171035311890004 20046410229 FRISKA NOVRI 13-11-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
PONGBALA
89 9104012104930004 20046410161 FRITXON CHRISTIANTO 21-04-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MALLU
90 9110092709820001 20046409122 GERARD TANGGUMYAN 27-09-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
91 9104014205890002 20046408348 HAFNI 02-05-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAMADHANIESARI
PARDEDE
92 9104014601940003 20046409130 HAJRAH 06-01-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
93 7371025808900004 20046407688 HARTATI 18-08-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
94 1202094204950003 20046410252 HARTATY SRI AYU.Y. 02-04-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SIMANJUNTAK
95 9104223001950001 20046408074 HENDRA GOJALI SOTO 30-01-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
96 9104010307940002 20046408140 HENGKI NUBURI 03-07-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
97 9171056110910004 20046408157 HENNI PAULINA MAREI 21-10-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
98 9104015204860001 20046411094 HENNY TRIYANTI 12-04-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SAUDILLA
99 9104014405740001 20046410971 HERLINA MANUFANDU 04-05-1974 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
100 9104012903940006 20046408769 HERMAN TIAKKA 29-03-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
101 9104014102860004 20046411581 HERMIN PALIMBONG 01-02-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
102 9104014412890002 20046408280 HERVINA MARKUS 04-12-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
TAWANG
103 9104016812870004 20046410567 HESTIANI PAULLA 28-12-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
104 7317214612920001 20046408488 HILDAYANTI 06-12-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
105 9104011605840004 20046411516 HIRONIMUS PIGAI 16-05-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
106 9104021204890001 20046408736 HUGO DEREK SEMBOR 12-04-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
107 9104076312930001 20046409148 IDA MUSTIKA 23-12-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
108 9104016501970002 20046408124 IKA NURAFNI 25-01-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAMADHAN
109 9104010708860001 20046408116 ILHAM 07-08-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
110 9104016509950001 20046409155 ILORI SESILIA NOVIKA 25-09-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NOMOBOGRE
111 9104014910950006 20046409163 ILSA WAHYUNI 09-10-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
112 9104226001900001 20046411102 IMAH ROHMAWATI 20-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
113 9104015902920007 20046411722 IMANIYAR SRI WINARTI 19-02-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 4 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
114 9104016701900004 20046411672 INAMERI ALFONSINA 27-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SAMBERI
115 7371136902880002 20046408710 INDAH ASTRIA 29-02-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
116 9104016708860008 20046411110 INDAH PRASETYO 27-08-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WATININGRUM
117 9104016102920002 20046407944 INDAH RISMANDASARI 21-02-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
118 9104015911920005 20046409171 INDO SAPE 19-11-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
119 7371146008910008 20046410203 INGGRID JUDITH 20-08-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
PANGGOA
120 9104016401880004 20046411128 IRIANA SUHARSANTI 24-01-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
121 9104016401940002 20046408041 IRIANI 24-01-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
122 5304074103940002 20046409197 IRMAYANI FATIMA HIKA 01-03-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
123 9104015107820002 20046411607 ISABELLA MARSUKI 11-07-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
124 9109011707800017 20046409379 ISAK RUMAROPEN 17-07-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
125 9104016403890003 20046408652 IVON NOVELA 24-03-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SABAROFEK
126 9104014911900003 20046408694 JAYANTI MASHUD 09-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
127 7371095607890004 20046409742 JECHLIN OLIVIA 16-07-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RIKARDUS
128 9104016306950005 20046409759 JESSY KURNIA 23-06-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
129 9104014101860004 20046410674 JEXLIN MOTE 01-01-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
130 9104012806870004 20046410948 JONI BANGUN 28-06-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
131 9104010601960005 20046408611 JOZHYAAS BILLY 06-01-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WAKUM
132 9171014907920002 20046410526 JULIA ANTONIA 09-07-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
FENETRUMA
133 9104015405920002 20046409767 JUMITA JUNAEDI 14-05-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
134 9104010409910004 20046409783 KALEP BINDOSANO 04-09-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
135 9104014505930007 20046409205 KAMELIA UNMEHOPA 05-05-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
136 9104210110920002 20046407746 KAREL RISAL ADOLOF 01-10-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NUBORAI
137 9104016111840001 20046411623 KARMILA WIAI 21-11-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
138 9104015101930005 20046409775 KATRIN SEMBOR 11-01-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
139 9104011906850003 20046408215 KORNELES KAIWAI 19-06-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
140 9104162911910002 20046408827 KORNELIS YOHANIS 29-11-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MAREI
141 9104014110850002 20046411136 KRISTIANA SRI LESTARI 01-10-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
142 9104014601860006 20046410138 KRISTIM BUNGAN 06-01-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
143 5371032510870003 20046409791 KRISTOFORUS TEME 25-10-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
144 9104014507890006 20046408546 KURIANA FERDERIKA 05-07-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAMANDEI
145 9104012507930001 20046410542 LA ODE SAPRI 25-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
146 9104014702950006 20046409809 LEA AYU WORABAI 07-02-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
147 9104016610840001 20046411524 LEONARDA PEKEI 26-10-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
148 9104015406950003 20046409817 LEOVORLINA BUNAI 14-06-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
149 7326116512910004 20046408504 LIA EKA PUTRI 25-12-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
150 9104017008880003 20046407811 LIDYA ASTRIA YUSUF 30-08-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
151 8171034607900004 20046407670 LIKE ERITA NURUNG 06-07-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 5 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
152 9104016006890001 20046411482 LINCE PIGAI 20-06-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
153 1604105203860009 20046409833 LINDA PURNAMASARI 12-03-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
154 9104016105900001 20046411029 LIS LINCH SINAGA 21-05-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
155 9104015710890005 20046408421 LISBETH ANNA MARANI 17-10-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
156 9104015802890002 20046409841 LOISA WAKEI 18-02-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
157 9104010810790006 20046410716 LUKI TANATI 09-10-1977 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
158 9104015203950002 20046409866 LUSIANA TANDI 12-03-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
159 7326084411930001 20046408033 LUSTIN SAMBO 04-11-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
160 9104014308890002 20046407894 LYIANA MARKUS 03-08-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
161 9104016512870001 20046411565 MAILI NATALIA 25-12-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ROSALINA YESNATH
162 9104223110940002 20046408173 MANUEL GUSTAP 31-10-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAMANDEI
163 9104014311900002 20046411573 MARANATHA NOVITA 03-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SIWI
164 9104015607880003 20046409874 MARDIYATI ABDUL HADI 16-07-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
HAJI BASIR
165 7371014506730006 20046410278 MARGARETAH 05-06-1973 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
166 9104015903700001 20046410922 MARGRETH THERESIA 19-03-1970 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
UKTOLSEJA
167 9104014204870007 20046411276 MARIA ETA DEGEI 02-04-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
168 9104014205790005 20046411367 MARIA GOBAI 02-05-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
169 3573055710980002 20046410302 MARIA MAGDHALENA 17-10-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
170 9104015603600001 20046411540 MARIA MOTE 16-03-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
171 8171015905920005 20046410294 MARIA THERESIA 19-05-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MEKUL
172 9104016004890006 20046407787 MARICE YULIANTI WAY 20-04-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
173 9104015504850004 20046411318 MARINEM 15-04-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
174 7326050110940002 20046410310 MARKUS LOLO TODING 01-10-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
175 7318121003870002 20046411649 MARSELINUS RAUF 10-03-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
176 9104014505870006 20046410336 MARTINA ADII 05-05-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
177 9104014801790008 20046407902 MARTINA PIGOME 08-01-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
178 9104016309930004 20046410328 MARYANI SACHRULLA 23-09-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
179 7371106804750003 20046411052 MAWARTIH SUSANTY 28-04-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
180 7105181005750003 20046410344 MAX SALIBANA 10-05-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
181 7318112807930001 20046408793 MEDIANTO TOMBI 28-06-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
182 9104014411970003 20046410377 MEISKE NASTASYA 04-11-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
CHRISTIAN
183 9104015609670001 20046410781 MELIANA MOTE 16-09-1967 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
184 3204336308930004 20046408678 MELISA AGAS 23-08-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
185 9104012905950001 20046411078 MELWANSA JAYA 29-05-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SAMPELAGA
186 9104017005820004 20046410658 MERRY MARTHEDA 30-05-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NINO
187 9104014904750003 20046410955 MERY MANSNANDIFU 09-04-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
188 3509106709890003 20046407829 MIFTAHUR ROHMAH 27-09-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
189 9126080203870001 20046410369 MIKAEL DOUW 02-03-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 6 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
190 7326066712920001 20046411706 MIRA MASALLE 27-12-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
191 9104016906920002 20046410179 MIRNAWATI MAKMUR 29-06-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
192 9104016610880001 20046408454 MISA ORPA HOMBA 26-10-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
193 7371116802900011 20046410187 MISBAH HAMSIAH 28-02-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
194 1703136205010001 20046410351 MISI MEILANI AZRIAL 22-05-2001 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
195 9104164208710001 20046411375 MONIKA GOBAY 02-08-1971 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
196 9104012305940002 20046410385 MONSA KELINTON 23-05-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
197 7302100906950002 20046410559 MUH.IRSYAL SYAM 09-06-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
198 9104010408930003 20046410419 MUHAMMAD BASYAR 04-08-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
199 9104013004920003 20046411631 MUHAMMAD FARID 30-04-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RAIS LUTHFIE
200 9104012808940002 20046408330 MUHAMMAD HIDAYAT 28-08-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
201 1401183011990002 20046410393 MUHAMMAD RIZAL 30-11-1999 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
202 7310086802920003 20046410427 MULIATI 28-02-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
203 1202096107960001 20046410443 MURNIKA HUTASOIT 21-07-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
204 9104010102820002 20046411144 MUSLIMIN ODE 01-02-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
205 9104015212960004 20046410435 MUZUNA 12-12-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
206 7373045707890001 20046407993 NAMSIRA BUARAN 17-07-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
207 9104016406770003 20046407878 NAOMI CATRIEN PATTY 24-06-1977 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
208 9104014112830005 20046411151 NASRIA 01-12-1983 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
209 9104015802860006 20046408322 NASRIANI 18-02-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
210 9104014112950003 20046410450 NATALIA DIANA 01-12-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ALANGKAS
211 5105035206800003 20046410468 NI LUH DEWI ARINI 12-06-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
212 9104016801940002 20046410484 NI PUTU AMANDA 28-01-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
PUTRI DEWI ADNYANI
213 9104017112870004 20046411169 NIKE 31-12-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
214 9104016403960003 20046410476 NINSI LELANTINA 24-03-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
REFASI
215 9104016310890005 20046411326 NIRWANA 23-10-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
216 9104011811900001 20046410682 NOEL YUBELINO MOTE 18-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
217 9104015611900003 20046408363 NOPIANTI NAPAN 16-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
218 9104016712860006 20046411177 NOVI WULANDARI 27-12-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
219 7318194611920001 20046410534 NOVILLA LITTU 06-11-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
220 9104014111890003 20046408371 NOVITASARI TAMMA 01-11-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
221 9104014606880002 20046411284 NUR FITRI PRATIWI 06-06-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SUARDI
222 3509125311930002 20046410500 NUR HALIMAH 13-11-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
223 9104014708970004 20046410518 NUR SAIDA 01-08-1997 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
224 1402076611860002 20046408884 NURAENI 26-11-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
225 9104010706910003 20046408447 NURDIN 13-06-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
226 1406145511880001 20046409403 NURHAIDA 15-11-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
227 3574046603910004 20046409411 NURI WULANDARI 26-03-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
228 7315076305930004 20046409437 NURJANNAH 23-05-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 7 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
229 9104015607980005 20046408207 NURJAYANTI MAN 16-07-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
230 9104015808960003 20046409429 NURMA SITA DEWI S. 18-08-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
231 9104015504920003 20046408405 NURMIATI 15-04-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
232 9104015307870005 20046411292 NURSAN 13-07-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
233 1811024107840010 20046409445 NURUL 01-07-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
234 9104014801900009 20046408355 NURUL HIDAYAH 08-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
235 9104012105950003 20046409452 ODI REMSA SANGGOLA 21-05-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
236 9104011112630001 20046410708 OHAN ROHANDI 11-12-1963 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
237 9104015512830004 20046410773 OLIFIA H. BURDAM 15-12-1983 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
238 9104016005940003 20046409486 ORPA ARUNG SALEDA 20-05-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
239 9104014901820007 20046411433 ORRA DEGEI 09-01-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
240 9104011505920014 20046408926 OTNIEL ADII 15-05-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
241 9104012106820002 20046411300 PARIYONO 21-06-1982 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
242 9104011412610001 20046408579 PARYONO 14-12-1961 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
243 9104010707800002 20046407910 PAULUS TEKEGE 07-07-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
244 9104011411930003 20046408017 PAULUS TH. 14-11-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WORUMBOY
245 9104010912920008 20046408744 PAULUS YOHANES 09-12-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RONSUMBRE
246 9104015708890005 20046411532 PERPETUA BUTU 17-08-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
247 9104170801910001 20046407696 PETRUS MINAI 08-01-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
248 7324015002910001 20046410195 PEVRIANTY RABA 19-02-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
KO'KA'
249 9104015012900006 20046408496 PUTRI FARIDATUL 10-12-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
CHUSNAH
250 9104014809890004 20046411342 RA'DA 08-09-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
251 9104014211940002 20046409478 RABIATUL ADAWIA 02-11-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
252 9104012901890001 20046408231 RAIMON YOSEP 28-01-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RUMATRAI
253 9104016203900002 20046411730 RATNA 22-03-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ANDRIANITASARI
254 9104016401750002 20046410799 REGINA MANUFANDU 24-01-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
255 9104167112900001 20046410807 RESKINA 31-12-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
256 3318105807900004 20046408470 RIADUL JANNAH 18-07-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
257 7317185111880002 20046408389 RICHA RANDA 11-11-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
258 9104015412790001 20046411193 RINA HIPKA 14-12-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
259 9104012808890007 20046408520 RINUS TA'DUNG 28-08-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
260 9171032301940004 20046410575 RISKI 23-01-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
261 9104016907840002 20046411714 RISMAULI 29-07-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
262 9104075709880001 20046410831 RIYANTI 17-09-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
263 9104014512910002 20046408728 RIZKY DESTYOWATI 05-12-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
CANDRA RAHAYU
264 9104014909880003 20046410153 ROCHA IFAHYANA 09-09-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SIAGIAN
265 9104015101940001 20046410062 ROSALINA JOISIEN RINA 11-01-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ASYEREM
266 9104015505910005 20046410146 ROSITA MURNIA SARI 15-05-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 8 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
267 9104014802860009 20046410849 ROSNA AYORBABA 08-02-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
268 9106015705960001 20046409502 ROSNIATI IDA DESVERA 17-05-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
269 9104010407780003 20046411599 RUDOLF YULIUS 04-07-1978 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MASSORA RANTETANA
270 9104015507930003 20046408843 RUKIA D. SILABAN 15-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
271 9104011308810002 20046407803 RUSDI 13-08-1981 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
272 9104015009900006 20046407738 RUTH DORLINCE 10-09-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RARAAWI
273 9104010708850004 20046411409 SALPON PEKEI 07-08-1985 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
274 9104074110980001 20046409585 SALTI ALFIYAH NINGSIH 01-10-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
275 9104016207000004 20046409510 SAMSIA BINTI FELAMBA 15-07-2000 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
276 9104016209870004 20046410245 SANATI KAIBIBAI 22-09-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
277 1223055510750004 20046409619 SANI 15-10-1975 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
278 9104014308910003 20046411664 SANTI PATRISIA 03-08-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ARONGGEAR
279 1407044510880004 20046409536 SAODAH 05-10-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
280 9104016206880001 20046407977 SARA ELENA REJAUW 22-06-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
281 9104015007720001 20046410641 SARCE ROSMINA 10-07-1972 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
TANATI
282 1213061006730002 20046409973 SAWALUDDIN 10-06-1973 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
283 9105010212900002 20046407852 SEFNAT INGGERUHI 17-03-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
284 9104022009960001 20046409544 SEFNAT MANUARON 20-09-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
285 7318135904860003 20046411698 SELFI KABOLO' 19-04-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
286 9104116005950001 20046409528 SELLY AYOMI 20-05-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
287 9104011211890006 20046408256 SENDI 12-11-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
NOVATRIANANTO
288 9104015407930001 20046408066 SESILIA SRI YANTI 14-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
GADDY
289 7172074709902003 20046409601 SHINTA DELITA WUISAN 07-09-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
290 9104015709920003 20046409577 SILVIA HIDAYANTI 17-09-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
291 9104010601890004 20046408462 SIMON HEIPON 06-01-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
292 9104014610870004 20046410872 SITI KHOLIFAH 06-10-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
293 9104016606960003 20046409569 SITI NUR AISYAH MUIS 26-06-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
294 9104074901920001 20046407761 SITTI HAJAR ARPA 09-01-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MATTONA
295 5205017110900001 20046409668 SRI WAHYUNIGSIH 31-10-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
296 9104014910810005 20046411615 SRI SAT IRIANTI 09-10-1981 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
297 7371107006920007 20046409676 SRIAYU HASTI 30-06-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
298 8171016506900001 20046409627 STELLA JUNETTE 25-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WATTIMURY
299 9104010901950004 20046409635 STEVANUS DENI 09-01-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
HAMBERI
300 1608121704890002 20046409692 SUHARNO 17-04-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
301 9104075710840002 20046410880 SUKARMI 17-10-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
302 9104014506900006 20046409643 SUKMAWATI BASLIM 05-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
303 9104010703870005 20046408835 SUNARTO 07-03-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
304 7315055901900002 20046407712 SURIYANI 19-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 9 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
305 9104015809940003 20046409650 SUSANDRI HERMALINA 18-09-1994 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SAROI
306 9105014910790006 20046411003 SUSTINA UMBORA 09-10-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
307 1802156506840002 20046409684 SUTRIANI 25-06-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
308 9171030306950004 20046409718 SYAHLAN PATTA 06-03-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
309 1171080603730002 20046408058 SYAMSINAR 06-03-1973 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
310 1212046507890001 20046408686 TAMIANNA TAMBUNAN 25-07-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
311 7404264409930001 20046409700 TETY SUMAYANTI 04-09-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
312 9104011003800002 20046411508 THIMOTIUS KUDIAI 10-03-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
313 9104016706900002 20046408561 TIKA PUSPITA SARI 27-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
314 9104015904930002 20046409882 TRONCILEN GINETTA 19-04-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
GIOVANNY
315 7471080107830029 20046410096 UDIN MBOCU 03-02-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
316 9104165010910001 20046409890 VALENTINA WIDYA 10-10-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
ORAPLEAN
317 9104016806900003 20046408439 VERA POPI BADAWIN 28-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
318 9104225304920001 20046408892 VIDIANA 13-04-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
319 9104014102930005 20046407985 VINI ALVIOLITA MORIN 01-02-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
320 7403154801930001 20046408850 WA ODE IRMASARI 08-01-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
321 9104012101950004 20046409908 WAHYUDIN GUNAWAN 21-01-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
322 1812024407930004 20046409916 WAHYUNI 04-07-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
323 9104024107780022 20046409932 WELMINA 01-07-1978 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
324 9104011902920003 20046408702 WENGGI KLADIUS 19-02-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RONGGAMUSI
325 9104010905800003 20046411391 WILEM ADII 09-05-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
326 7471076403920001 20046409924 WILHELMINA TORADA 24-03-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
327 9104010505740011 20046411466 WILLEM MOTE 05-05-1974 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
328 7322026603910002 20046410211 WIWI ELYANA 26-03-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
329 9104010806870005 20046411201 YACOB BOMA 08-06-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
330 9104031001770002 20046410724 YAN PETRUS SAUYAS 10-01-1977 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
331 9104016601900003 20046409940 YANE TURANG 26-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
332 9104015701870003 20046411227 YANUARIA KEIYA 17-01-1987 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
333 9106115601900001 20046409965 YEMIMA ALBERTHINA 16-01-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
SADA
334 9104016107810004 20046409957 YEMIMA YOUW 19-10-1981 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
335 9104015404790005 20046410930 YENNI BURDAM 14-04-1979 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
336 9104012206760002 20046411219 YESAYAS KAPI 22-06-1976 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
337 7317015808920001 20046409981 YESRI SUSANTI 18-08-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
338 9104016403910003 20046408025 YETI LEWINA SAMSANOI 24-03-1991 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
339 9104015105840009 20046408512 YOHANA MINCE MISIRO 11-05-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
340 9104012101790001 20046410997 YOHANIS SONDA 21-01-1976 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
PASORONG
341 9104016711830001 20046411441 YOLANDA PIGAI 26-08-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
342 7373056303920001 20046409999 YORINE WINDA PUTRI 23-03-1992 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
343 9104015911980002 20046410633 YOSMITA TEKEGE 19-11-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00

IG189650 KNR1101
Tanggal : 15-02-2024 11:34:22
DAFTAR UPAH TENAGA KERJA Hal : 10 / 10
BLTH MUTASI : 03-2023

Kantor Cabang : 105 - NABIRE OYEHE


NPP - Div : 20129038 - 000
Nama Pemberi Kerja/Badan Usaha : TENAGA KONTRAK RSUD NABIRE

No Tanggal BLTH Rapel


No NIK No Peserta Pegawai Nama TK Lahir Keps Upah Jumlah
JHT JKM JKK JP
344 7172030708930002 20046408223 YOUCE ALBERTUS 07-08-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
WILLAR
345 9104014307840001 20046408397 YUBELINA PIGAI 03-07-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
346 9104014706900005 20046408538 YUHANNA 07-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
347 9104015211900003 20046408553 YULIANA 12-11-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
348 9104015707720002 20046411417 YULIANA IYAI 17-07-1972 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
349 9104016512930003 20046410112 YULIANA RAMLI 25-12-1993 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
350 9104014806900003 20046410005 YULIANCE KUDIAI 08-06-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
351 9104012708980001 20046411250 YULIANUS PIGAI 27-03-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
352 9104015107650003 20046411557 YULITA ADII 06-07-1980 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
353 9104012207950005 20046410765 YULIUS MAURITS 22-07-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
MANDIBODIBO
354 7318115707890001 20046410823 YULIYANTI TANGA 17-07-1989 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
355 9104015406880002 20046407720 YUNITA ISMAIL 14-06-1988 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
356 7371136406860005 20046410815 YUNITA KIDING ALLO 24-06-1986 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
357 9104015406950005 20046408637 YUNITA YUMTE 14-06-1995 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
358 9104015204900003 20046408777 YUSAN MARICE WAYOI 12-04-1990 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
359 9104015205840007 20046410047 YUSTINA RACHEL 12-05-1984 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
RUMATRAY
360 9104014904980002 20046410054 YUYUN SRIWAHYUNI 16-03-1998 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
361 9104014302960007 20046408751 ZALIMA 03-02-1996 08-2020 1,050,000.00 0.00 0.00 3,150.00 2,520.00 0.00 5,670.00
JUMLAH 379,050,000.00 0.00 0.00 1,137,150.00 909,720.00 0.00 2,046,870.00

IG189650 KNR1101

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