DaftarGaji - PPPK Kesehatan

Halaman : 1
PEMERINTAH KABUPATEN BOALEMO

DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ DINAS KESEHATAN ] PPPK DINAS KESEHATAN TAHUN 2022
(010) D60600301000012 BULAN : MARET 2024
NAMA PEGAWAI PENGHASILAN POTONGAN

TANGGAL LAHIR STS GAJI POKOK TUNJ. ESELON TUNJ. TERPENCIL TUNJ BPJSKES 4% POT. PAJAK TAPERA PK
NIP KAWIN TUNJ. ISTRI/SMI TUNJ. FUNG UMUM TKD TUNJ. JKK POT. BPJS KES TAPERA PEG
STATUS PEGAWAI / GOLONGAN ANAK TUNJ. ANAK TUNJ. FUNGSIONAL TUNJ. BERAS TUNJ. JKM POT IWP 1% HUTANG/LAIN2 TANDA TANGAN
NO
NPWP JML JUMLAH TUNJ. KHUSUS TUNJ. PAJAK TAPERA PK JHT BULOG NO REKENING
JIWA PEMBULATAN POT. TAPERUM SEWA RUMAH
JML. KOTOR POT. JKK JML. POTONGAN
POT. JKM JUMLAH BERSIH
drg RISA PRIHANITA K-1 3,339,100 0 0 162,592 0 0

1 333,910 0 0 8,014 162,592 0
02-11-1976
66,782 325,000 217,260 24,042 40,648 0
1 197611022023212001 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 39 0 0
4,476,739 8,014 356,839 01502110033281
698125044822000
24,042 4,119,900
ANDI ASMIYAH BS S.Farm.Apt K-1 3,339,100 0 0 165,263 0 0
2 333,910 0 0 8,014 165,263 0
13-07-1983
133,564 325,000 289,680 24,042 41,316 0
2 198307132023212006 0 123,714 0 ..................
3,806,574 0 0
( PPPK - 10 ) MKG: 0 4 76 0 0
4,618,649 8,014 362,349 01502060097506
419770144822000
24,042 4,256,300
dr. PAJRIANI K-1 3,339,100 0 0 162,592 0 0
1 333,910 0 0 8,014 162,592 0
05-10-1983
66,782 325,000 217,260 24,042 40,648 0
3 198310052023212008 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 39 0 0
4,476,739 8,014 356,839 04502110008303
169090123804000
24,042 4,119,900
NURLIAH MT S.Farm.Apt TK - 0 3,339,100 0 0 146,564 0 0
0 0 0 0 8,014 146,564 0
07-06-1987
0 325,000 72,420 24,042 36,641 0
4 198706072023212009 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 42 0 0
3,915,182 8,014 323,782 01502060050131
809599095822000
24,042 3,591,400
DEWI NURAIN USMAN S.Farm.Apt K-0 3,339,100 0 0 146,564 0 0
0 0 0 0 8,014 146,564 0
21-11-1990
0 325,000 72,420 24,042 36,641 0
5 199011212023212011 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 42 0 0
3,915,182 8,014 323,782 01502060097521
769691429822000
24,042 3,591,400
MUHAMMAD ILYAS S.Kep, Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
28-06-1988
0 300,000 72,420 24,042 36,391 0
6 198806282023211003 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 03602060019611
863005559822000
24,042 3,566,700
Halaman : 2
(010) D60600301000012 BULAN : MARET 2024

NO
AMELIA MARCELINA IZAAK S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0

0 0 0 0 8,014 145,564 0
27-09-1988
0 300,000 72,420 24,042 36,391 0
7 198809272023212004 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060051656
857928626822000
24,042 3,566,700
INDRIANI R. PANO S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
12-03-1989
0 300,000 72,420 24,042 36,391 0
8 198903122023212007 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060096611
433781044822000
24,042 3,566,700
ZULAIHA MANDJURUNGI S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
06-09-1990
0 300,000 72,420 24,042 36,391 0
9 199009062023212006 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060097252
607879491822000
24,042 3,566,700
MOHAMAD FADLI F. MOPANGGA S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
06-05-1991
0 300,000 72,420 24,042 36,391 0
10 199105062023211003 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060096423
628224578822000
24,042 3,566,700
SURTIN M. KADIR S.Kep, Ns K-1 3,339,100 0 0 164,263 0 0
2 333,910 0 0 8,014 164,263 0
19-06-1991
133,564 300,000 289,680 24,042 41,066 0
11 199106192023212009 0 123,714 0 ..................
3,806,574 0 0
( PPPK - 10 ) MKG: 0 4 26 0 0
4,592,599 8,014 361,099 01502060097451
653911925822000
24,042 4,231,500
NOVITA DALANGGO S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
27-03-1992
0 300,000 72,420 24,042 36,391 0
12 199203272023212010 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060097683
430746727822000
24,042 3,566,700
Halaman : 3
(010) D60600301000012 BULAN : MARET 2024

NO
LINA SUPARLIN S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0

0 0 0 0 8,014 145,564 0
17-04-1992
0 300,000 72,420 24,042 36,391 0
13 199204172023212009 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060050201
849042288822000
24,042 3,566,700
LIAN S. DUENGO S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
21-09-1992
0 300,000 72,420 24,042 36,391 0
14 199209212023212016 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 04502110014371
908814601822000
24,042 3,566,700
TANSAUBAN GANDI RUSMAN S.Kep.Ns K-1 3,339,100 0 0 161,592 0 0
1 333,910 0 0 8,014 161,592 0
11-11-1992
66,782 300,000 217,260 24,042 40,398 0
15 199211112023211002 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 04102110012276
928310598822000
24,042 4,095,200
RATNANITA HUSAIN S.Kep,Ns K-1 3,339,100 0 0 158,920 0 0
0 333,910 0 0 8,014 158,920 0
11-11-1992
0 300,000 144,840 24,042 39,730 0
16 199211112023212013 0 119,373 0 ..................
3,673,010 0 0
( PPPK - 10 ) MKG: 0 2 53 0 0
4,308,879 8,014 350,079 01502060096401
924415987822000
24,042 3,958,800
SAFITRI IYABU S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
14-01-1993
0 300,000 72,420 24,042 36,391 0
17 199301142023212010 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060051936
637908633822000
24,042 3,566,700
MIRNAWATI MALAE S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
25-01-1993
0 300,000 72,420 24,042 36,391 0
18 199301252023212010 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060097230
928188218822000
24,042 3,566,700
Halaman : 4
(010) D60600301000012 BULAN : MARET 2024

NO
NURAIN P. ASPIANI SALEH S.Kep, Ns K-1 3,339,100 0 0 161,592 0 0

1 333,910 0 0 8,014 161,592 0
03-03-1993
66,782 300,000 217,260 24,042 40,398 0
19 199303032023212012 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 01502060096600
538278813822000
24,042 4,095,200
ZURIYATI S. MANTO S.Kep,Ns K-1 3,339,100 0 0 164,263 0 0
2 333,910 0 0 8,014 164,263 0
12-05-1993
133,564 300,000 289,680 24,042 41,066 0
20 199305122023212010 0 123,714 0 ..................
3,806,574 0 0
( PPPK - 10 ) MKG: 0 4 26 0 0
4,592,599 8,014 361,099 01502060096843
538337858822000
24,042 4,231,500
POPPY SASMITA USU S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
24-08-1993
0 300,000 72,420 24,042 36,391 0
21 199308242023212012 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060096482
612281501822000
24,042 3,566,700
ROSNIATI ISHAK S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
03-10-1993
0 300,000 72,420 24,042 36,391 0
22 199310032023212011 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060096471
925744591822000
24,042 3,566,700
JEFRI SAHI S.Kep,Ns K-1 3,339,100 0 0 161,592 0 0
1 333,910 0 0 8,014 161,592 0
14-11-1993
66,782 300,000 217,260 24,042 40,398 0
23 199311142023211003 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 01502060096806
867239709822000
24,042 4,095,200
SUHARTINI S.Kep,Ns K-1 3,339,100 0 0 161,592 0 0
1 333,910 0 0 8,014 161,592 0
17-11-1993
66,782 300,000 217,260 24,042 40,398 0
24 199311172023212010 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 01502060097543
616622312822000
24,042 4,095,200
Halaman : 5
(010) D60600301000012 BULAN : MARET 2024

NO
KHOIRUL NUR KHOLIS S.Tr.Kep,Ns K-1 3,339,100 0 0 161,592 0 0

1 333,910 0 0 8,014 161,592 0
14-10-1994
66,782 300,000 217,260 24,042 40,398 0
25 199410142023211004 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 01502060050400
907465108822000
24,042 4,095,200
ELMI SULISTIYANA HARUN S.Kep, Ns K-1 3,339,100 0 0 164,263 0 0
2 333,910 0 0 8,014 164,263 0
26-10-1994
133,564 300,000 289,680 24,042 41,066 0
26 199410262023212012 0 123,714 0 ..................
3,806,574 0 0
( PPPK - 10 ) MKG: 0 4 26 0 0
4,592,599 8,014 361,099 01502060096950
924582398822000
24,042 4,231,500
SITI NURMAYA THALIB S.Kep, Ns K-1 3,339,100 0 0 161,592 0 0
1 333,910 0 0 8,014 161,592 0
04-03-1995
66,782 300,000 217,260 24,042 40,398 0
27 199503042023212008 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 04502060010394
908814296822000
24,042 4,095,200
KHAIRUNNISA ALBAKIR S.Kep, Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
16-05-1995
0 300,000 72,420 24,042 36,391 0
28 199505162023212011 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 03602060035523
951073394822000
24,042 3,566,700
HERNILAH MAHLUK K-1 3,339,100 0 0 161,592 0 0
1 333,910 0 0 8,014 161,592 0
18-02-1996
66,782 300,000 217,260 24,042 40,398 0
29 199602182023212005 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 04502060016112
960180255822000
24,042 4,095,200
FAHTIAR ADAM S.Kep, Ns TK - 0 3,339,100 0 0 145,564 0 0
0 0 0 0 8,014 145,564 0
04-11-1996
0 300,000 72,420 24,042 36,391 0
30 199611042023211001 0 108,521 0 ..................
3,339,100 0 0
( PPPK - 10 ) MKG: 0 1 92 0 0
3,889,232 8,014 322,532 01502060078853
418246765822000
24,042 3,566,700
Halaman : 6
(010) D60600301000012 BULAN : MARET 2024

NO
ARVO RAMADHAN M. ISMAIL S.Tr.Kep,Ns K-1 3,339,100 0 0 161,592 0 0

1 333,910 0 0 8,014 161,592 0
02-02-1997
66,782 300,000 217,260 24,042 40,398 0
31 199702022023211003 0 121,543 0 ..................
3,739,792 0 0
( PPPK - 10 ) MKG: 0 3 89 0 0
4,450,789 8,014 355,589 01502060087990
433028826822000
24,042 4,095,200
DILFA MUHSIN S.KM TK - 0 3,203,600 0 0 149,744 0 0
0 0 0 0 7,689 149,744 0
30-12-1996
0 540,000 72,420 23,066 37,436 0
32 199612302023212016 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,996,552 7,689 322,052 01502110039813
941969396822000
23,066 3,674,500
ISMAIL RAHMAN HULALATA S.K.M TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
10-04-1983
0 300,000 72,420 23,066 35,036 0
33 198304102023211005 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 00702110126874
536830441822000
23,066 3,436,900
HIAN MATIAN WALENTA SKM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
10-01-1988
0 300,000 72,420 23,066 35,036 0
34 198801102023212009 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 04502110008675
861120491822000
23,066 3,436,900
FARASISKAWATI NTEYA S.K.M TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
23-04-1988
0 300,000 72,420 23,066 35,036 0
35 198804232023212005 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 03602060019740
95562643782200
23,066 3,436,900
MARLIN K. LIMONU S.K.M TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
23-03-1989
0 300,000 72,420 23,066 35,036 0
36 198903232023212020 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 00302110081770
392337184822000
23,066 3,436,900
Halaman : 7
(010) D60600301000012 BULAN : MARET 2024

NO
ISRA KASIM SKM K-1 3,203,600 0 0 158,084 0 0

2 320,360 0 0 7,689 158,084 0
21-06-1989
128,144 300,000 289,680 23,066 39,521 0
37 198906212023212015 0 118,693 0 ..................
3,652,104 0 0
( PPPK - 09 ) MKG: 0 4 30 0 0
4,430,653 7,689 347,053 04502110008745
860913169822000
23,066 4,083,600
SRI YEYEN SAMAI SKM K-1 3,203,600 0 0 158,084 0 0
2 320,360 0 0 7,689 158,084 0
06-09-1989
128,144 300,000 289,680 23,066 39,521 0
38 198909062023212007 0 118,693 0 ..................
3,652,104 0 0
( PPPK - 09 ) MKG: 0 4 30 0 0
4,430,653 7,689 347,053 01502060050536
536993421822000
23,066 4,083,600
NINING GUSASI SKM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
23-10-1989
0 300,000 72,420 23,066 35,036 0
39 198910232023212028 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 04502110009331
423312578822000
23,066 3,436,900
OVAN POTALE SKM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
09-11-1989
0 300,000 72,420 23,066 35,036 0
40 198911092023211004 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060049993
928348390822000
23,066 3,436,900
NIRNANINGSI R. JAHJA S.Gz K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
24-05-1990
64,072 300,000 217,260 23,066 38,880 0
41 199005242023212007 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060038043
943818336822000
23,066 3,949,900
ISRAN KARIM SKM K-1 3,203,600 0 0 152,958 0 0
0 320,360 0 0 7,689 152,958 0
22-11-1990
0 300,000 144,840 23,066 38,240 0
42 199011222023211002 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 01502060055285
962882437822000
23,066 3,816,100
Halaman : 8
(010) D60600301000012 BULAN : MARET 2024

NO
NINGSIH ABDULLAH S,KM K-1 3,203,600 0 0 155,521 0 0

1 320,360 0 0 7,689 155,521 0
24-01-1991
64,072 300,000 217,260 23,066 38,880 0
43 199101242023212015 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 04502110009320
423448034822000
23,066 3,949,900
FERONIKA NUSI SKM K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
29-04-1991
64,072 300,000 217,260 23,066 38,880 0
44 199104292023212021 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060097532
427506068822000
23,066 3,949,900
NUR AGUSTIN YUSUF S.KM K-0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
12-08-1991
0 300,000 72,420 23,066 35,036 0
45 199108122023212026 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060038371
657124483822000
23,066 3,436,900
MUTMAINAH LATIDI S.Gz K-1 3,203,600 0 0 158,084 0 0
2 320,360 0 0 7,689 158,084 0
02-01-1992
128,144 300,000 289,680 23,066 39,521 0
46 199201022023212014 0 118,693 0 ..................
3,652,104 0 0
( PPPK - 09 ) MKG: 0 4 30 0 0
4,430,653 7,689 347,053 01502060050175
934737941822000
23,066 4,083,600
AYU ANDRIANI SUDAI SKM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
10-01-1992
0 300,000 72,420 23,066 35,036 0
47 199201102023212007 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060049766
536610033822000
23,066 3,436,900
FINA ELIS SURYANI SAMPAN S.KM K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
26-06-1992
64,072 300,000 217,260 23,066 38,880 0
48 199206262023212028 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060052323
536273667822000
23,066 3,949,900
Halaman : 9
(010) D60600301000012 BULAN : MARET 2024

NO
YOLANDA KEINTJEM S.KM TK - 0 3,203,600 0 0 140,144 0 0

0 0 0 0 7,689 140,144 0
17-12-1992
0 300,000 72,420 23,066 35,036 0
49 199212172023212030 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060049556
536787260822000
23,066 3,436,900
FARNI SAMSI MOODUTO S.KM K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
13-01-1993
64,072 300,000 217,260 23,066 38,880 0
50 199301132023212012 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060049980
928017706822000
23,066 3,949,900
MELISA I. BAKI SKM K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
14-02-1993
64,072 300,000 217,260 23,066 38,880 0
51 199302142023212010 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060049582
536870355822000
23,066 3,949,900
ANDRIS KIAYI S.KM K-0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
02-05-1993
0 300,000 72,420 23,066 35,036 0
52 199305022023211008 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 00702110068531
922533666822000
23,066 3,436,900
MEYISKEE DEDETO S.Gz JD - 0 3,203,600 0 0 142,707 0 0
1 0 0 0 7,689 142,707 0
18-05-1993
64,072 300,000 144,840 23,066 35,677 0
53 199305182023212009 0 106,199 0 ..................
3,267,672 0 0
( PPPK - 09 ) MKG: 0 2 64 0 0
3,886,038 7,689 315,338 01502060046701
908275035822000
23,066 3,570,700
NURSYAHID ABDULLAH S.K.M K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
15-09-1993
64,072 300,000 217,260 23,066 38,880 0
54 199309152023211004 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060095266
841834559822000
23,066 3,949,900
Halaman : 10
(010) D60600301000012 BULAN : MARET 2024

NO
YAKOP TAGOLI S.Gz K-1 3,203,600 0 0 155,521 0 0

1 320,360 0 0 7,689 155,521 0
04-10-1993
64,072 300,000 217,260 23,066 38,880 0
55 199310042023211006 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060049792
822594172822000
23,066 3,949,900
FRILIA ANGELINA ASIKU S.Tr.Keb K-1 3,203,600 0 0 152,958 0 0
0 320,360 0 0 7,689 152,958 0
27-04-1994
0 300,000 144,840 23,066 38,240 0
56 199404272023212005 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 01502060096294
861803286822000
23,066 3,816,100
NURLELA DJ. BAGOU S.Tr.Keb K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
05-07-1994
64,072 300,000 217,260 23,066 38,880 0
57 199407052023212020 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060054810
942982570822000
23,066 3,949,900
MELISA USMAN S.K.M K-1 3,203,600 0 0 152,958 0 0
0 320,360 0 0 7,689 152,958 0
04-08-1994
0 300,000 144,840 23,066 38,240 0
58 199408042023212006 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 01502060049604
536812944822000
23,066 3,816,100
LUTHFIAH ALBAKIR S.Tr.Keb K-1 3,203,600 0 0 152,958 0 0
0 320,360 0 0 7,689 152,958 0
13-01-1995
0 300,000 144,840 23,066 38,240 0
59 199501132023212011 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 03602060028265
937340156822000
23,066 3,816,100
FITRIYANI ANDINI PAREWA S.KM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
28-02-1995
0 300,000 72,420 23,066 35,036 0
60 199502282023212013 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060097005
624036398822000
23,066 3,436,900
Halaman : 11
(010) D60600301000012 BULAN : MARET 2024

NO
FITRINA AGULI S.Tr.Keb TK - 0 3,203,600 0 0 140,144 0 0

0 0 0 0 7,689 140,144 0
06-03-1995
0 300,000 72,420 23,066 35,036 0
61 199503062023212008 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 04502060008423
861263366822000
23,066 3,436,900
PERAWATI DAMA S.Tr.Keb K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
27-07-1995
64,072 300,000 217,260 23,066 38,880 0
62 199507272023212008 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060073894
963473897822000
23,066 3,949,900
SRI SETIAWATI S.Tr.Keb K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
16-10-1995
64,072 300,000 217,260 23,066 38,880 0
63 199510162023212016 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502060071083
942418948822000
23,066 3,949,900
NOVALIN BAU S.KM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
20-11-1995
0 300,000 72,420 23,066 35,036 0
64 199511202023212016 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502110037853
917835068822000
23,066 3,436,900
YULIYANA S.Tr.Keb K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
17-01-1996
64,072 300,000 217,260 23,066 38,880 0
65 199601172023212008 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 04102110014660
860975408822000
23,066 3,949,900
LIA ASTUTI S.KM K-1 3,203,600 0 0 155,521 0 0
1 320,360 0 0 7,689 155,521 0
28-01-1996
64,072 300,000 217,260 23,066 38,880 0
66 199601282023212006 0 116,611 0 ..................
3,588,032 0 0
( PPPK - 09 ) MKG: 0 3 99 0 0
4,291,667 7,689 341,767 01502110044396
535685531822000
23,066 3,949,900
Halaman : 12
(010) D60600301000012 BULAN : MARET 2024

NO
MARSELIA KALUKU S.Tr.Keb K-1 3,203,600 0 0 152,958 0 0

0 320,360 0 0 7,689 152,958 0
06-03-1996
0 300,000 144,840 23,066 38,240 0
67 199603062023212014 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 01502060035956
959557703822000
23,066 3,816,100
RIWENINGSIH S.KM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
15-06-1996
0 300,000 72,420 23,066 35,036 0
68 199606152023212014 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 04502110014555
536637861822000
23,066 3,436,900
SUPRIYADI UMAR S.KM K-1 3,203,600 0 0 152,958 0 0
0 320,360 0 0 7,689 152,958 0
17-10-1996
0 300,000 144,840 23,066 38,240 0
69 199610172023211006 0 114,529 0 ..................
3,523,960 0 0
( PPPK - 09 ) MKG: 0 2 69 0 0
4,152,582 7,689 336,482 04502110015410
637749839822000
23,066 3,816,100
INDRI SABTIANI R. DUDE S.Tr.Keb TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
28-12-1996
0 300,000 72,420 23,066 35,036 0
70 199612282023212004 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060066835
909509929822000
23,066 3,436,900
VILIENSI WAHYU A. ABD. AZIS S.Tr.Keb TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
13-10-1997
0 300,000 72,420 23,066 35,036 0
71 199710132023212006 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060096880
951728062822000
23,066 3,436,900
MIARNI HARUN S.KM TK - 0 3,203,600 0 0 140,144 0 0
0 0 0 0 7,689 140,144 0
15-05-1998
0 300,000 72,420 23,066 35,036 0
72 199805152023212005 0 104,117 0 ..................
3,203,600 0 0
( PPPK - 09 ) MKG: 0 1 33 0 0
3,746,952 7,689 310,052 01502060075493
411067390822000
23,066 3,436,900
Halaman : 13
(010) D60600301000012 BULAN : MARET 2024

NO
SUB TOTAL PERGOLONGAN : III 234,859,700 0 0 10,854,588 0 0
12,056,570 0 0 563,683 10,854,588 0
2,483,516 21,965,000 10,645,740 1,691,008 2,713,648 0
PEG : 72 249,399,786 0 0 0 8,105,496 0
IST : 37 JIWA = 147 4,818 0 0
ANK : 38 295,124,623 563,683 23,928,423
1,691,008 271,196,200
QOHHARUDDIN BASRA A.Md.Rad TK - 0 2,858,800 0 0 128,752 0 0
0 0 0 0 6,861 128,752 0
11-08-1988
0 360,000 72,420 20,583 32,188 0
73 198808112023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,447,495 6,861 281,295 01502060096666
425959228822000
20,583 3,166,200
FAHMI MUSTARI A.Md.Rad TK - 0 2,858,800 0 0 128,752 0 0
0 0 0 0 6,861 128,752 0
14-07-1993
0 360,000 72,420 20,583 32,188 0
74 199307142023211003 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,447,495 6,861 281,295 01502060096983
963156237822000
20,583 3,166,200
HARIJA J. NALO A.Md.Kes K-1 2,858,800 0 0 142,474 0 0
1 285,880 0 0 6,861 142,474 0
02-06-1996
57,176 360,000 217,260 20,583 35,619 0
75 199606022023212007 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,949,097 6,861 309,597 01502060060524
538085770822000
20,583 3,639,500
SEFTIAN S. MOOTALU A.Md.Kes K-1 2,858,800 0 0 140,187 0 0
0 285,880 0 0 6,861 140,187 0
23-09-1996
0 360,000 144,840 20,583 35,047 0
76 199609232023212003 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,817,180 6,861 304,880 01502060096386
945703957822000
20,583 3,512,300
HASNA JERITA A.Md.Kes TK - 0 2,858,800 0 0 128,752 0 0
0 0 0 0 6,861 128,752 0
07-05-1997
0 360,000 72,420 20,583 32,188 0
77 199705072023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,447,495 6,861 281,295 04102110019755
537683088822000
20,583 3,166,200
Halaman : 14
(010) D60600301000012 BULAN : MARET 2024

NO
MARNI AHMAD A.Md.Kes K-1 2,858,800 0 0 142,474 0 0

1 285,880 0 0 6,861 142,474 0
17-07-1997
57,176 360,000 217,260 20,583 35,619 0
78 199707172023212006 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,949,097 6,861 309,597 01502060005290
932634363822000
20,583 3,639,500
SOFTIA KARLIN M.S ABUDI A.Md.Kes K-1 2,858,800 0 0 140,187 0 0
0 285,880 0 0 6,861 140,187 0
04-09-1997
0 360,000 144,840 20,583 35,047 0
79 199709042023212004 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,817,180 6,861 304,880 00702110171534
420430159822000
20,583 3,512,300
MUDATSIR ARDIN ASWAD A.Md. Kep K-0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
16-02-1985
0 240,000 72,420 20,583 30,988 0
80 198502162023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050514
856378468822000
20,583 3,047,400
SUHAELI NINGSIH A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
12-07-1985
114,352 240,000 289,680 20,583 34,990 0
81 198507122023212009 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060096924
429041114822000
20,583 3,647,900
LINDA HUSAIN A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
08-09-1985
114,352 240,000 289,680 20,583 34,990 0
82 198509082023212008 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060097016
924583818822000
20,583 3,647,900
ROLIN HASAN AMK K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
05-05-1986
0 240,000 144,840 20,583 33,847 0
83 198605052023211007 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060051542
813365046822000
20,583 3,393,500
Halaman : 15
(010) D60600301000012 BULAN : MARET 2024

NO
HIJERAH VERAWATI A.M.K TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
14-08-1986
0 240,000 72,420 20,583 30,988 0
84 198608142023212008 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502110008830
774874077822000
20,583 3,047,400
ZULFIKAR A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
20-12-1986
57,176 240,000 217,260 20,583 34,419 0
85 198612202023211003 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060051811
742282395809000
20,583 3,520,700
AGUS A. SAPALI A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
17-08-1987
57,176 240,000 217,260 20,583 34,419 0
86 198708172023211007 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060051671
760737585822000
20,583 3,520,700
EDY SANTOSO A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
26-12-1987
0 240,000 72,420 20,583 30,988 0
87 198712262023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060051995
635554025822000
20,583 3,047,400
SRI YULAN DUMBELA A.Md.Farm K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
30-07-1988
114,352 240,000 289,680 20,583 34,990 0
88 198807302023212007 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008686
860840248822000
20,583 3,647,900
NURAIN AKASEH AMG K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
28-03-1989
114,352 240,000 289,680 20,583 34,990 0
89 198903282023212007 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060051155
603187113822000
20,583 3,647,900
Halaman : 16
(010) D60600301000012 BULAN : MARET 2024

NO
JULMAWAN A. TOLANA A.Md. Kep K-1 2,858,800 0 0 139,961 0 0

2 285,880 0 0 6,861 139,961 0
07-06-1989
114,352 240,000 289,680 20,583 34,990 0
90 198906072023211004 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008443
767600042822000
20,583 3,647,900
FATMAWATY MARHANANG A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
07-07-1989
0 240,000 72,420 20,583 30,988 0
91 198907072023212010 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050385
058776501822000
20,583 3,047,400
WAHYUDI A.Md.Farm K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
20-09-1989
114,352 240,000 289,680 20,583 34,990 0
92 198909202023211004 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060097823
768478711822000
20,583 3,647,900
SRY HASLINDA A. MAHADJANI AMG K-0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
29-11-1989
0 240,000 72,420 20,583 30,988 0
93 198911292023212015 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060051343
416077923822000
20,583 3,047,400
REIVAN ANGREIANI MANTU A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
29-12-1989
0 240,000 72,420 20,583 30,988 0
94 198912292023212011 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502060000745
860911668822000
20,583 3,047,400
ASNI UMAR SULEMAN A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
03-01-1990
114,352 240,000 289,680 20,583 34,990 0
95 199001032023212006 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060095115
421405507822000
20,583 3,647,900
Halaman : 17
(010) D60600301000012 BULAN : MARET 2024

NO
SARTIKA HASAN A.Md. Kep JD - 0 2,858,800 0 0 128,526 0 0

2 0 0 0 6,861 128,526 0
09-02-1990
114,352 240,000 217,260 20,583 32,132 0
96 199002092023212011 0 96,627 0 ..................
2,973,152 0 0
( PPPK - 07 ) MKG: 3 3 47 0 0
3,586,429 6,861 284,729 01502060051446
908197148822000
20,583 3,301,700
HENDRA BIN NASIR KARIM A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
24-02-1990
0 240,000 72,420 20,583 30,988 0
97 199002242023211009 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050245
907483507822000
20,583 3,047,400
SRI HANDAYANI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
27-07-1990
0 240,000 72,420 20,583 30,988 0
98 199007272023212011 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050632
429881980822000
20,583 3,047,400
SURONO A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
22-08-1990
114,352 240,000 289,680 20,583 34,990 0
99 199008222023211003 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008782
860914258822000
20,583 3,647,900
YULANDA ABDULLAH AMG K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
08-02-1991
114,352 240,000 289,680 20,583 34,990 0
100 199102082023212008 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060097580
428134472822000
20,583 3,647,900
ADITIA NAWAWI A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
02-03-1991
114,352 240,000 289,680 20,583 34,990 0
101 199103022023211005 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008885
861341931822000
20,583 3,647,900
Halaman : 18
(010) D60600301000012 BULAN : MARET 2024

NO
LAILA IBRAHIM A.Md. Kep K-1 2,858,800 0 0 135,387 0 0

0 285,880 0 0 6,861 135,387 0
01-04-1991
0 240,000 144,840 20,583 33,847 0
102 199104012023212012 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502090011881
536889272822000
20,583 3,393,500
VERAWATI IGIRISA AMG TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
21-04-1991
0 240,000 72,420 20,583 30,988 0
103 199104212023212008 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060074933
531523553822000
20,583 3,047,400
YOLANDA EKA PUTRI IBRAHIM A.Md.Farm K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
17-10-1991
114,352 240,000 289,680 20,583 34,990 0
104 199110172023212017 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008432
932864135822000
20,583 3,647,900
SARTIKA RAHMAN A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
26-11-1991
0 240,000 72,420 20,583 30,988 0
105 199111262023212008 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 02902060023531
431351865822000
20,583 3,047,400
EVI NURVITA A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
30-11-1991
114,352 240,000 289,680 20,583 34,990 0
106 199111302023212011 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110008476
928321249822000
20,583 3,647,900
ULIN AMIR A.Md. Kep K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
03-01-1992
0 240,000 144,840 20,583 33,847 0
107 199201032023211004 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 00302110089481
431135995822000
20,583 3,393,500
Halaman : 19
(010) D60600301000012 BULAN : MARET 2024

NO
ARIYANTO MASPEKEH A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
09-01-1992
0 240,000 72,420 20,583 30,988 0
108 199201092023211004 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096784
769539602822000
20,583 3,047,400
SUGIYARTI A.Md.Gz K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
20-01-1992
57,176 240,000 217,260 20,583 34,419 0
109 199201202023212018 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502110008480
238604706822000
20,583 3,520,700
KARTIKA HANDAYANI Y. LACANO A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
24-02-1992
0 240,000 72,420 20,583 30,988 0
110 199202242023212012 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502090011844
658915061822000
20,583 3,047,400
SILSIANENG MASIU A.Md.Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
28-02-1992
0 240,000 72,420 20,583 30,988 0
111 199202282023212012 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096272
634666804822000
20,583 3,047,400
I GUSTI LP. SUPANDJI A.Md. Kep K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
06-07-1992
0 240,000 144,840 20,583 33,847 0
112 199207062023211009 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060051833
536730179822000
20,583 3,393,500
HENDRIK HASAN A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
09-07-1992
57,176 240,000 217,260 20,583 34,419 0
113 199207092023211004 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502060008191
943010264822000
20,583 3,520,700
Halaman : 20
(010) D60600301000012 BULAN : MARET 2024

NO
AFRIYANTI ARAFAH A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
17-07-1992
0 240,000 72,420 20,583 30,988 0
114 199207172023212015 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060097462
961095106723000
20,583 3,047,400
NIKMA INADO A.Md.Gz K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
21-09-1992
114,352 240,000 289,680 20,583 34,990 0
115 199209212023212017 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060049560
536789571822000
20,583 3,647,900
LISAWANTI Y. RADEN AMG TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
01-10-1992
0 240,000 72,420 20,583 30,988 0
116 199210012023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502110014964
905310421822000
20,583 3,047,400
NURFATNI A.Md.Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
15-10-1992
57,176 240,000 217,260 20,583 34,419 0
117 199210152023212014 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060051483
943551382822000
20,583 3,520,700
RISMAN AMAK K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
05-11-1992
0 240,000 144,840 20,583 33,847 0
118 199211052023211005 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 00302110145610
851824136822000
20,583 3,393,500
LINDA SULEMAN A.Md.Farm K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
13-03-1993
57,176 240,000 217,260 20,583 34,419 0
119 199303132023212015 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060096235
859253056822000
20,583 3,520,700
Halaman : 21
(010) D60600301000012 BULAN : MARET 2024

NO
GITA PRASTIKA S. INAKU A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
22-03-1993
0 240,000 72,420 20,583 30,988 0
120 199303222023212012 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060054390
420382608822000
20,583 3,047,400
INTAN FITRIA RUKMANA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
23-03-1993
0 240,000 72,420 20,583 30,988 0
121 199303232023212016 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096891
844247338822000
20,583 3,047,400
HASNAWATI ABDULRAHMAN OTOLUWA TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
10-04-1993 0 240,000 72,420 20,583 30,988 0
122 199304102023212010 2,858,800 0 0 0 92,911 0 ..................
1 79 0 0
( PPPK - 07 ) MKG: 3
3,322,695 6,861 275,295 01502110032393
908792989822000 20,583 3,047,400
SURIATI A.Md.AK K-1 2,858,800 0 0 137,674 0 0

1 285,880 0 0 6,861 137,674 0
07-05-1993
57,176 240,000 217,260 20,583 34,419 0
123 199305072023212017 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060097344
963023734822000
20,583 3,520,700
EKA WAHYU DJAKATARA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
11-06-1993
0 240,000 72,420 20,583 30,988 0
124 199306112023212012 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060000241
943551085822000
20,583 3,047,400
Halaman : 22
(010) D60600301000012 BULAN : MARET 2024

NO
TITI JULIA SUNE A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
30-07-1993
0 240,000 72,420 20,583 30,988 0
125 199307302023212010 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096106
621809292822000
20,583 3,047,400
AFRIYANTO DAI A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
01-08-1993
57,176 240,000 217,260 20,583 34,419 0
126 199308012023211003 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502110054115
856224712822000
20,583 3,520,700
NOVA FRAZILIA ISA A.Md.Gz K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
04-11-1993
57,176 240,000 217,260 20,583 34,419 0
127 199311042023212012 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01802110065276
869111757822000
20,583 3,520,700
NURHUDA HATTA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
25-11-1993
0 240,000 72,420 20,583 30,988 0
128 199311252023212011 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060094872
935366625822000
20,583 3,047,400
SAMSUL LAMATOWA A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
15-12-1993
114,352 240,000 289,680 20,583 34,990 0
129 199312152023211005 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110009121
910590983822000
20,583 3,647,900
RIFKAWATI ALI A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
28-12-1993
0 240,000 72,420 20,583 30,988 0
130 199312282023212005 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060097403
651849382822000
20,583 3,047,400
Halaman : 23
(010) D60600301000012 BULAN : MARET 2024

NO
NOVITA UGE A.md.Keb TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
09-01-1994
0 240,000 72,420 20,583 30,988 0
131 199401092023212012 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04102110021085
823640081822000
20,583 3,047,400
RIZKY HAMIDAH ASSAGAF A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
23-02-1994
0 240,000 72,420 20,583 30,988 0
132 199402232023212007 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060094592
428376693822000
20,583 3,047,400
WILAWANTI SALIKO A.Md.Farm K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
02-03-1994
0 240,000 144,840 20,583 33,847 0
133 199403022023212013 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060096305
530822964822000
20,583 3,393,500
APRILIA MOHAMAD A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
23-04-1994
114,352 240,000 289,680 20,583 34,990 0
134 199404232023212010 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502090011936
624919536822000
20,583 3,647,900
MOH. ANTO A.Md.Gz K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
07-05-1994
114,352 240,000 289,680 20,583 34,990 0
135 199405072023211007 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060051295
932757099822000
20,583 3,647,900
SOFYAN HASAN A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
02-07-1994
57,176 240,000 217,260 20,583 34,419 0
136 199407022023211003 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060095152
924421936822000
20,583 3,520,700
Halaman : 24
(010) D60600301000012 BULAN : MARET 2024

NO
TRIYANTI PAMBI A.Md. Kep K-1 2,858,800 0 0 135,387 0 0

0 285,880 0 0 6,861 135,387 0
07-07-1994
0 240,000 144,840 20,583 33,847 0
137 199407072023212016 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060050525
429138860822000
20,583 3,393,500
YULIANTI ISMAIL M. ALI A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
20-07-1994
114,352 240,000 289,680 20,583 34,990 0
138 199407202023212012 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060097204
635237407822000
20,583 3,647,900
STELAWATI IGIRISA A.md.Keb K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
25-10-1994
57,176 240,000 217,260 20,583 34,419 0
139 199410252023212011 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 03602060019681
862839511822000
20,583 3,520,700
TRI OKTAVIANA DAMAYANTI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
27-10-1994
0 240,000 72,420 20,583 30,988 0
140 199410272023212007 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04102110018764
426233516822000
20,583 3,047,400
ALDY UTOMO PUTRA HARYONO A.Md.A.K K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
01-11-1994
57,176 240,000 217,260 20,583 34,419 0
141 199411012023211001 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060008645
635439854822000
20,583 3,520,700
MAYA HUSIN AMU A.Md.KL K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
19-01-1995
0 240,000 144,840 20,583 33,847 0
142 199501192023212006 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 04502060014896
601386535822000
20,583 3,393,500
Halaman : 25
(010) D60600301000012 BULAN : MARET 2024

NO
SITI NUR AINUN HASAN A.md.Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
24-01-1995
0 240,000 72,420 20,583 30,988 0
143 199501242023212009 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050702
932755895822000
20,583 3,047,400
SRISANTI A RAHMAN TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
27-01-1995
0 240,000 72,420 20,583 30,988 0
144 199501272023212005 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096751
924675598822000
20,583 3,047,400
VIVI FITRIANTI A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
07-03-1995
114,352 240,000 289,680 20,583 34,990 0
145 199503072023212006 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 01502060051785
949349674822000
20,583 3,647,900
NI MADE DWIARTI A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
08-05-1995
0 240,000 72,420 20,583 30,988 0
146 199505082023212015 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060052150
805546842822000
20,583 3,047,400
CHINDY CHINTIYA SINGAL A.Md. Keb K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
12-05-1995
0 240,000 144,840 20,583 33,847 0
147 199505122023212010 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060097392
924764137822000
20,583 3,393,500
MIRANDA POBI A.md.Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
25-05-1995
0 240,000 72,420 20,583 30,988 0
148 199505252023212010 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060066474
943442087822000
20,583 3,047,400
Halaman : 26
(010) D60600301000012 BULAN : MARET 2024

NO
ABDUL RAHMAT R. YALINI A.Md. Kep K-1 2,858,800 0 0 137,674 0 0

1 285,880 0 0 6,861 137,674 0
09-06-1995
57,176 240,000 217,260 20,583 34,419 0
149 199506092023211004 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060097635
965259971822000
20,583 3,520,700
ISNAWATI LIPUTO A.Md. Kep K-1 2,858,800 0 0 139,961 0 0
2 285,880 0 0 6,861 139,961 0
22-06-1995
114,352 240,000 289,680 20,583 34,990 0
150 199506222023212009 0 105,919 0 ..................
3,259,032 0 0
( PPPK - 07 ) MKG: 3 4 97 0 0
3,956,214 6,861 308,314 04502110009316
860848498822000
20,583 3,647,900
GUSTI NGURAH RUSTAWAN A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
27-06-1995
0 240,000 72,420 20,583 30,988 0
151 199506272023211004 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060059765
928358126822000
20,583 3,047,400
RIZKIANTO HUWOLO A.Md. A.K TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
13-08-1995
0 240,000 72,420 20,583 30,988 0
152 199508132023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060097602
925655136822000
20,583 3,047,400
AGUS SUDRAJAT A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
18-08-1995
0 240,000 72,420 20,583 30,988 0
153 199508182023211004 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060070000
924421746822000
20,583 3,047,400
NUR IMAMAH A.Md. Keb K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
05-09-1995
57,176 240,000 217,260 20,583 34,419 0
154 199509052023212012 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502110008852
805793387822000
20,583 3,520,700
Halaman : 27
(010) D60600301000012 BULAN : MARET 2024

NO
DIA ADE FATMA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
08-10-1995
0 240,000 72,420 20,583 30,988 0
155 199510082023212013 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096795
867260812822000
20,583 3,047,400
NUR NOVYA MUHRIJA A.Md. Keb K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
10-11-1995
0 240,000 144,840 20,583 33,847 0
156 199511102023212011 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060096585
951660448822000
20,583 3,393,500
ASNI THALIB A.Md.Farm K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
21-11-1995
57,176 240,000 217,260 20,583 34,419 0
157 199511212023212006 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502110017005
932865645822000
20,583 3,520,700
LIANTI S. LAHATI A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
06-12-1995
0 240,000 72,420 20,583 30,988 0
158 199512062023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04902110045280
935810689822000
20,583 3,047,400
LUT FIAN ISLIM A.Md.Gz TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
06-12-1995
0 240,000 72,420 20,583 30,988 0
159 199512062023212007 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060002566
536894108822000
20,583 3,047,400
EBRINDA LANANGAWA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
16-12-1995
0 240,000 72,420 20,583 30,988 0
160 199512162023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060049836
943004655822000
20,583 3,047,400
Halaman : 28
(010) D60600301000012 BULAN : MARET 2024

NO
VARADILAH PAKAJA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
18-12-1995
0 240,000 72,420 20,583 30,988 0
161 199512182023212010 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 02902060025406
624708848822000
20,583 3,047,400
NURDIYAH NGABITO A.Md. Keb K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
07-01-1996
0 240,000 144,840 20,583 33,847 0
162 199601072023212008 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060060060
938423126822000
20,583 3,393,500
AL ARFAN M. BANO A.md.Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
23-04-1996
0 240,000 72,420 20,583 30,988 0
163 199604232023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060050713
954761904822000
20,583 3,047,400
NURMAWADAH M A.Md. Keb K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
09-06-1996
57,176 240,000 217,260 20,583 34,419 0
164 199606092023212012 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060067281
964245971822000
20,583 3,520,700
JUNAIDI AKBAR DJUMURA A.md.Kep K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
26-06-1996
0 240,000 144,840 20,583 33,847 0
165 199606262023211002 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502090011951
429989429822000
20,583 3,393,500
MOHAMAD RAHMAN LAMUSU A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
22-07-1996
57,176 240,000 217,260 20,583 34,419 0
166 199607222023211003 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502110011372
913737383822000
20,583 3,520,700
Halaman : 29
(010) D60600301000012 BULAN : MARET 2024

NO
ISNA I. KALILA A.Md.Gz TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
07-08-1996
0 240,000 72,420 20,583 30,988 0
167 199608072023212011 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060071676
535748172822000
20,583 3,047,400
ANDITA TRIKUSUMA PANU A.md.Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
12-08-1996
0 240,000 72,420 20,583 30,988 0
168 199608122023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502090011800
392143384822000
20,583 3,047,400
SRI NURHAYATI DJ YONU A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
16-08-1996
57,176 240,000 217,260 20,583 34,419 0
169 199608162023212010 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502060097576
612221531822000
20,583 3,520,700
ARFAN T. ENTENGO A.Md. Kep K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
24-09-1996
57,176 240,000 217,260 20,583 34,419 0
170 199609242023211003 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 01502090011866
953541836822000
20,583 3,520,700
REGINA K.S BOYOLA A.md.Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
09-10-1996
0 240,000 72,420 20,583 30,988 0
171 199610092023212004 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502110011641
913737342822000
20,583 3,047,400
TAUFIK RIZKYA PASUNE A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
30-10-1996
0 240,000 72,420 20,583 30,988 0
172 199610302023211004 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502110035823
949390637822000
20,583 3,047,400
Halaman : 30
(010) D60600301000012 BULAN : MARET 2024

NO
EPA INDRIANI A.Md. Keb K-1 2,858,800 0 0 135,387 0 0

0 285,880 0 0 6,861 135,387 0
28-11-1996
0 240,000 144,840 20,583 33,847 0
173 199611282023212005 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060060292
411906035822000
20,583 3,393,500
NUR FAHMIYA ILAHUDE A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
05-12-1996
0 240,000 72,420 20,583 30,988 0
174 199612052023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 00302060003175
953953270822000
20,583 3,047,400
FANIE ISRADIANTY A.Md,Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
21-12-1996
0 240,000 72,420 20,583 30,988 0
175 199612212023212003 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096132
435926712822000
20,583 3,047,400
RESVIKA A. MBUINGA A.md.Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
29-12-1996
0 240,000 72,420 20,583 30,988 0
176 199612292023212006 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060073846
930687165822000
20,583 3,047,400
YULIANA MALANUA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
01-01-1997
0 240,000 72,420 20,583 30,988 0
177 199701012023212007 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096740
924673668822000
20,583 3,047,400
RISKA TANANI A.Md.Kes TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
05-01-1997
0 240,000 72,420 20,583 30,988 0
178 199701052023212005 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060071186
537243180822000
20,583 3,047,400
Halaman : 31
(010) D60600301000012 BULAN : MARET 2024

NO
BAHRUDIN M. LAPALI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
10-03-1997
0 240,000 72,420 20,583 30,988 0
179 199703102023211002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502090011973
429532278822000
20,583 3,047,400
NURMUTIA GENTI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
05-05-1997
0 240,000 72,420 20,583 30,988 0
180 199705052023212013 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096692
924782436822000
20,583 3,047,400
REGITA PASUANI A.Md. Keb K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
13-05-1997
0 240,000 144,840 20,583 33,847 0
181 199705132023212004 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 04502110015642
968528893822000
20,583 3,393,500
NIKMA LAMADI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
24-05-1997
0 240,000 72,420 20,583 30,988 0
182 199705242023212005 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060085002
423426832822000
20,583 3,047,400
NURNANINGSI A. LIBUNELO A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
27-07-1997
0 240,000 72,420 20,583 30,988 0
183 199707272023212011 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060073916
961733532822000
20,583 3,047,400
ANISA DYAHPRATIWI SADU A.Md.Gz TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
10-11-1997
0 240,000 72,420 20,583 30,988 0
184 199711102023212003 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060096644
536924905822000
20,583 3,047,400
Halaman : 32
(010) D60600301000012 BULAN : MARET 2024

NO
NOVITA R. BAGU A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

0 0 0 0 6,861 123,952 0
26-11-1997
0 240,000 72,420 20,583 30,988 0
185 199711262023212002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502110011652
908816630822000
20,583 3,047,400
DINDA LAUBANA A.Md.Kes K-1 2,858,800 0 0 137,674 0 0
1 285,880 0 0 6,861 137,674 0
31-03-1998
57,176 240,000 217,260 20,583 34,419 0
186 199803312023212004 0 104,060 0 ..................
3,201,856 0 0
( PPPK - 07 ) MKG: 3 3 63 0 0
3,824,297 6,861 303,597 04502110016655
011537180822000
20,583 3,520,700
FACHRUL ROZI KATILI A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
22-06-1998
0 240,000 72,420 20,583 30,988 0
187 199806222023211001 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 04502110013693
949390967822000
20,583 3,047,400
SRI OKTAVIANI MOHA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
03-10-1998
0 240,000 72,420 20,583 30,988 0
188 199810032023212001 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060074056
965303977822000
20,583 3,047,400
MIRANDA HARUN A.Md. Keb TK - 0 2,858,800 0 0 123,952 0 0
0 0 0 0 6,861 123,952 0
07-12-1998
0 240,000 72,420 20,583 30,988 0
189 199812072023212002 0 92,911 0 ..................
2,858,800 0 0
( PPPK - 07 ) MKG: 3 1 79 0 0
3,322,695 6,861 275,295 01502060071816
429503832822000
20,583 3,047,400
NINDRIANI YUSUF A.Md.Gz K-1 2,858,800 0 0 135,387 0 0
0 285,880 0 0 6,861 135,387 0
04-04-1999
0 240,000 144,840 20,583 33,847 0
190 199904042023212001 0 102,202 0 ..................
3,144,680 0 0
( PPPK - 07 ) MKG: 3 2 29 0 0
3,692,380 6,861 298,880 01502060078363
429214794822000
20,583 3,393,500
Halaman : 33
(010) D60600301000012 BULAN : MARET 2024

NO
SUB TOTAL PERGOLONGAN : II 337,338,400 0 0 15,464,960 0 0
16,581,040 0 0 809,598 15,464,960 0
3,544,912 29,160,000 17,235,960 2,428,794 3,866,251 0
PEG : 118 357,464,352 0 0 0 11,617,591 0
IST : 58 JIWA = 238 8,430 0 0
ANK : 62 422,572,094 809,598 34,187,194
2,428,794 388,384,900
TOTAL PER SATKER 572,198,100 0 0 26,319,548 0 0
28,637,610 0 0 1,373,281 26,319,548 0
6,028,428 51,125,000 27,881,700 4,119,802 6,579,899 0
PEG : 190 606,864,138 0 0 0 19,723,087 0
IST : 95 JIWA = 385 13,248 0 0
ANK : 100 717,696,717 1,373,281 58,115,617
4,119,802 659,581,100
TILAMUTA, 23 FEBRUARI 2024
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
SUTRIANI LUMULA YANTI MOLI

NIP 197403101992122001 NIP 197204062006042027 NIP

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PEMERINTAH KABUPATEN BOALEMO

NAMA PEGAWAI PENGHASILAN POTONGAN

drg RISA PRIHANITA K-1 3,339,100 0 0 162,592 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

AMELIA MARCELINA IZAAK S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

LINA SUPARLIN S.Kep,Ns TK - 0 3,339,100 0 0 145,564 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

NURAIN P. ASPIANI SALEH S.Kep, Ns K-1 3,339,100 0 0 161,592 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

KHOIRUL NUR KHOLIS S.Tr.Kep,Ns K-1 3,339,100 0 0 161,592 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

ARVO RAMADHAN M. ISMAIL S.Tr.Kep,Ns K-1 3,339,100 0 0 161,592 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

ISRA KASIM SKM K-1 3,203,600 0 0 158,084 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

NINGSIH ABDULLAH S,KM K-1 3,203,600 0 0 155,521 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

YOLANDA KEINTJEM S.KM TK - 0 3,203,600 0 0 140,144 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

YAKOP TAGOLI S.Gz K-1 3,203,600 0 0 155,521 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

FITRINA AGULI S.Tr.Keb TK - 0 3,203,600 0 0 140,144 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

MARSELIA KALUKU S.Tr.Keb K-1 3,203,600 0 0 152,958 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

NAMA PEGAWAI PENGHASILAN POTONGAN

MARNI AHMAD A.Md.Kes K-1 2,858,800 0 0 142,474 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

HIJERAH VERAWATI A.M.K TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

JULMAWAN A. TOLANA A.Md. Kep K-1 2,858,800 0 0 139,961 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

SARTIKA HASAN A.Md. Kep JD - 0 2,858,800 0 0 128,526 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

LAILA IBRAHIM A.Md. Kep K-1 2,858,800 0 0 135,387 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

ARIYANTO MASPEKEH A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

AFRIYANTI ARAFAH A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

GITA PRASTIKA S. INAKU A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

SURIATI A.Md.AK K-1 2,858,800 0 0 137,674 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

TITI JULIA SUNE A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

NOVITA UGE A.md.Keb TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

TRIYANTI PAMBI A.Md. Kep K-1 2,858,800 0 0 135,387 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

SITI NUR AINUN HASAN A.md.Kep TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

ABDUL RAHMAT R. YALINI A.Md. Kep K-1 2,858,800 0 0 137,674 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

DIA ADE FATMA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0

NAMA PEGAWAI PENGHASILAN POTONGAN

VARADILAH PAKAJA A.Md. Kep TK - 0 2,858,800 0 0 123,952 0 0