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No.SEP No.

Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
TotalTarif(59+CMG)
0240R01811.8E+009 AI LIE
### 11/9/2015 J-4-20-II
5,435,900
0240R01811.9E+009 YASIYRA A
### 11/4/2015 J-1-02-I
8,849,300
0240R01811.9E+009 althaaf sud
### 11/9/2015 N-1-40-I
7,473,500
0240R01811.5E+009 BAIQ EKA A
### 11/2/2015 O-6-12-I
2,719,800
0240R01811.4E+009 H.MUSTIKA
### 11/3/2015 N-1-20-II
###
0240R01811.9E+009 LALU MUSY'
### 11/2/2015 N-1-40-I
6,227,300
0240R01811.4E+009 MUSLIM
### 11/3/2015 M-1-20-II
###
0240R01811.8E+009 ENDANG SE
###
### N-1-11-III
###
0240R01811.3E+009 MADE SRIA
### 11/3/2015 A-4-10-II 2,542,800
0240R01811.5E+008 ALTHALARIQ
### 11/1/2015 D-4-13-I
2,192,300
0240R01811.8E+009 safnir
### 11/1/2015 Z-4-12-II 3,464,100
0240R01811.1E+009 M. JULIO
### 11/5/2015 J-4-16-I
4,908,400
0240R01811.1E+009 MISBAH
### 11/3/2015 N-1-40-I
6,227,300
0240R01811.3E+009 FAQIHUDDI11/1/2015 11/3/2015 N-4-10-I
2,741,100
0240R01811.9E+009 BAIQ ANGG11/2/2015 11/6/2015 K-1-13-I
4,021,200
0240R01811.9E+009 GHANIYA F 11/2/2015 11/5/2015 B-4-13-I
3,295,000
0240R01811.9E+009 NI WAYAN 11/3/2015 11/4/2015 W-4-12-II 2,150,200
0240R01818.5E+008 DW MD SU 11/3/2015 11/7/2015 A-4-13-III 2,857,900
0240R01811.5E+008 MUHIBBATU11/3/2015 11/7/2015 J-4-20-I
3,842,200
0240R01811.8E+009 H FAISAL 11/3/2015 11/5/2015 I-4-20-I
4,549,700
0240R01811.4E+008 BQ. HALIM 11/4/2015 11/5/2015 L-1-50-I
7,201,400
0240R01811.4E+009 H.MUSTIKA 11/5/2015 11/9/2015 N-4-12-II 3,281,400
0240R01811.5E+009 IDA NURLA 11/5/2015 11/8/2015 O-6-10-I
5,681,700
0240R01811.5E+008 SUHARTI 11/5/2015 11/8/2015 E-4-12-III 7,167,200
0240R01811.4E+009 ARBIYANTO11/5/2015 11/7/2015 M-1-20-I 9,392,500
0240R01811.5E+008 SUMIATI.H 11/5/2015 11/7/2015 N-4-10-II 4,571,100
0240R01811.9E+009 NURAINI 11/6/2015 11/7/2015 A-4-14-I
3,919,200
0240R01811.9E+009 DEWI PUTRI11/6/2015 11/9/2015 O-6-10-II 6,269,700
0240R01811.4E+008 MAHSUN .
11/6/2015 11/9/2015 M-1-70-II
###
0240R01811.1E+009 AULIVIA HA11/7/2015
### M-4-16-III 8,642,200
0240R01811.1E+009 NI NYOMAN11/7/2015 11/8/2015 K-4-17-I
2,444,900
0240R01811.6E+009 IRMA SURYA11/8/2015
### O-6-12-I
2,719,800
0240R01811.9E+009 eli fatriani, 11/8/2015
### O-6-12-I
2,719,800
0240R01811.5E+008 EFFY JUNIA 11/9/2015
### L-1-50-I
6,173,200
0240R01811.1E+009 HERY KANA11/9/2015
### I-4-22-III 5,987,400
0240R01811.3E+009 fariha faza 11/9/2015
### K-1-50-I
4,393,000
0240R01811.5E+008 SALSA BILA11/9/2015
### M-1-50-I 6,881,200
0240R01818.3E+008 HANAPI
11/9/2015
### N-1-40-I
6,227,300
0240R01811.9E+009 HJ. MUNAW11/9/2015
### M-4-17-I 2,736,500
0240R01811.9E+009 MANERLY F
###
### O-6-10-II 6,269,700
0240R01811.4E+008 BAIQ MASI
###
### N-1-20-I
###
0240R01818.4E+008 M ZAIN HD 11/9/2015
### N-1-40-I
6,227,300
0240R01811.2E+009 Dewi Hendr11/9/2015
### K-4-17-I
2,444,900
0240R01811.2E+009 NAZARONI
###
### N-1-20-I
###

0240R01811.3E+009 IDAWATI
###
### N-4-10-II
0240R01818.3E+008 FAIRUZ
###
### M-1-20-I
0240R01811.2E+009 NI KADEQ S
###
### K-1-13-I
0240R01811.3E+009 KAVIN ALGH
###
### K-1-14-I
0240R01811.1E+009 M. RIDWAN
###
### N-4-12-II
0240R01811.5E+008 BAIQ UMIAT
###
### K-1-40-I
0240R01811.5E+008 DRS. MUH.
###
### N-4-15-I
0240R01811.5E+008 IDA BGS E
###
### N-1-40-I
0240R01811.3E+009 H. ABD. HA
###
### N-1-40-I
0240R01811.4E+009 BAIQ HALI
###
### L-1-50-I
0240R01811.4E+009 H. MAHSUN
###
### V-1-14-I
0240R01811.5E+008 NURMI
###
### K-4-18-I
0240R01811.4E+008 HERMANTO
###
### C-4-11-I
0240R01811.6E+008 NURJANAH
###
### G-4-22-III
0240R01811.5E+008 YUSUF JAM
###
### J-4-17-I
0240R01818.4E+008 AMAQ ROH
###
### V-1-14-II
0240R01818.5E+008 SATIAMAH
###
### N-1-20-III
0240R01811.1E+009 NI LUH ART
###
### Z-4-12-III
0240R01811.9E+009 M. ALI MUS11/2/2015 11/7/2015 N-1-20-II
0240R01811.5E+008 PAMUJI BUD
###
### O-6-10-II
0240R01818.3E+008 AHMAT GET
###
### V-1-14-I
0240R01811.5E+008 ABDUL MAJ
###
### N-1-20-I
0240R01811.1E+009 I GUSTI AY
###
### O-6-13-I
0240R01811.6E+009 MAYA AFRIL
###
### O-6-13-I
0240R01811.9E+009 NI WAYAN
###
### W-1-11-I
0240R01811.1E+009 AGUS SAKB
###
### I-4-12-II
0240R01811.7E+008 MASTUNAH
###
### O-6-10-I
0240R01811.4E+008 SUYATNI
###
### J-4-16-III
0240R01811.5E+008 ABDUL RAZ
###
### G-4-14-II
0240R01811.8E+009 AVISA ANA
###
### M-1-50-I
0240R01811.4E+008 RAHMAWATI
###
### O-6-13-I
0240R01811.5E+008 ALTHALARIQ
###
### D-4-13-I
0240R01811.5E+008 FERA FITRI
###
### O-6-13-I
0240R01811.9E+009 MUHAMMAD
###
### K-4-17-I
0240R01811.8E+009 DANISH SA
###
### K-4-17-I
0240R01811.6E+009 TRENY YUS
###
### M-1-50-I
0240R01811.4E+008 MULIANI
###
### W-1-20-I
0240R01811.9E+009 inaq nurhay
###
### N-1-20-I
0240R01818.5E+008 I WAYAN S
###
### N-1-40-I
0240R01811.4E+009 M. AMINUD
###
### N-1-40-I
0240R01811.8E+009 RATNA IND
###
### K-1-13-I
0240R01811.1E+009 IRDIANA
###
### L-1-50-I
0240R01811.4E+008 MARSIH
###
### K-4-11-I
0240R01811.5E+008 TITIK AGUS
###
### D-4-13-I
0240R01811.5E+008 DRS. ZAIN
###
### N-1-20-I

3,265,100
9,392,500
3,446,400
4,322,500
2,344,100
8,018,500
2,723,200
8,718,300
8,718,300
6,173,200
6,244,600
3,926,500
3,288,900
2,697,800
3,388,000
7,592,500
###
4,129,600
###
6,269,700
6,244,600
###
2,844,500
2,438,100
2,757,200
6,005,700
5,681,700
###
7,530,400
6,881,200
2,844,500
2,192,300
2,844,500
2,852,500
2,852,500
5,897,600
7,447,600
###
6,227,300
8,718,300
4,021,200
6,173,200
1,878,100
2,192,300
###

0240R01811.9E+009 YUARLITA
###
0240R01818.3E+008 FATAHILLA
###
0240R01818.4E+008 IKBAL
###
0240R01811.5E+009 HAMIZAN Z
###
0240R01818.3E+008 INAQ NAYU
###
0240R01811.5E+008 ABDURRAHI
###
0240R01811.5E+008 DJARWATIN
###
0240R01811.4E+008 NI MADE DI
###
0240R01811.5E+008 ABDULLAH 11/9/2015
98

### O-6-10-I
### N-1-40-I
### N-4-16-I
### K-4-17-I
### N-1-20-II
### V-1-14-I
### M-4-17-I
### K-1-14-I
### N-1-20-I

5,681,700
6,227,300
2,617,500
2,444,900
###
7,494,300
2,736,500
5,042,400
###

Total Klaim(Grp+CMG)
5,435,900
8,849,300
7,473,500
2,719,800
16,133,300
6,227,300
13,177,100
19,366,900
2,542,800
2,192,300
3,464,100
4,908,400
6,227,300
2,741,100
4,021,200
3,295,000
2,150,200
2,857,900
3,842,200
4,549,700
7,201,400
3,281,400
5,681,700
7,167,200
9,392,500
4,571,100
3,919,200
6,269,700
16,155,500
8,642,200
2,444,900
2,719,800
2,719,800
6,173,200
5,987,400
4,393,000
6,881,200
6,227,300
2,736,500
6,269,700
14,253,900
6,227,300
2,444,900
12,217,600

3,265,100
9,392,500
3,446,400
4,322,500
2,344,100
8,018,500
2,723,200
8,718,300
8,718,300
6,173,200
6,244,600
3,926,500
3,288,900
2,697,800
3,388,000
7,592,500
13,148,100
4,129,600
11,522,700
6,269,700
6,244,600
14,253,900
2,844,500
2,438,100
2,757,200
6,005,700
5,681,700
11,416,300
7,530,400
6,881,200
2,844,500
2,192,300
2,844,500
2,852,500
2,852,500
5,897,600
7,447,600
12,217,600
6,227,300
8,718,300
4,021,200
6,173,200
1,878,100
2,192,300
14,253,900

5,681,700
6,227,300
2,617,500
2,444,900
11,522,700
7,494,300
2,736,500
5,042,400
14,253,900
602,172,400

No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
TotalTarif(59+CMG)
0240R01811.5E+008 DRA.NURR 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SUSANTO 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 ROSIDI
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SUGIANTO 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 JAMILATUN 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 m iskak
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 SRI WATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+009 YULI ANDRI11/2/2015 11/2/2015 Z-3-23-0
398,700
0240R01811.9E+009 LIMAWATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 HJ MASKAN11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 RUSNI
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 AFWAN HAF11/2/2015 11/2/2015 Q-5-31-0
131,100
0240R01811.3E+009 SUPRIA HAT11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 fariha faza 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 IDA AYU PU11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 NURUL PAT11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 IR. MOHAM11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 DEMAS ADI11/2/2015 11/2/2015 I-3-13-0
331,300
0240R01811.5E+008 I WAYAN M 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 S.HANNA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 RUSNIK
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 HJ. ANJAS 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 GUSTI BAG 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 LALU AKIL 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 SAPTA MA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 DRA.hj. BAIQ
11/2/2015
ROCHYAWATI
11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 SYAHRUDDI11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+008 SUMINAR B11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 ADITYA AR 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 HJ. NURHAY11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 MACHFUD 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+008 IMO
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 NURHAYATI 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.4E+008 RUKMA CA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 DESAK NY 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.9E+009 ARIES FRA 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.3E+009 I GUSTI AY 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.1E+009 TRI WISNU 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.5E+008 ISHAR
11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.6E+009 ERINA ARIA11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01818.4E+008 SUPARLAN 11/2/2015 11/2/2015 Q-5-44-0
161,900
0240R01811.8E+009 SALEHATI 11/2/2015 11/2/2015 Z-3-23-0
398,700
0240R01811.4E+009 syamsiah 11/2/2015 11/2/2015 Z-3-27-0
185,100
0240R01811.3E+009 abdul maat11/2/2015 11/2/2015 Q-5-44-0
161,900

0240R01811.1E+009 ANDHIKA T 11/2/2015


0240R01818.3E+008 AMAQ SEB 11/3/2015
0240R01811.5E+008 CH.SUTIATI11/3/2015
0240R01811.5E+008 I DEWA MA 11/3/2015
0240R01811.9E+009 RIDA SOFIA11/3/2015
0240R01811.1E+009 NI KADEK N11/3/2015
0240R01811.6E+009 KADEK YUL11/3/2015
0240R01811.3E+009 ATHAR
11/3/2015
0240R01811.5E+008 ABDULLAH 11/3/2015
0240R01818.4E+008 HERMAN 11/3/2015
0240R01811.4E+008 SUMARNO 11/3/2015
0240R01811.5E+008 IDA BAGUS11/3/2015
0240R01811.9E+009 I MADE SU 11/3/2015
0240R01811.4E+008 BAIQ MASI 11/3/2015
0240R01811.4E+008 HIDAYATI 11/3/2015
0240R01811.1E+009 TRI WISNU 11/3/2015
0240R01811.5E+008 TALITHA DE11/3/2015
0240R01811.1E+009 MADE ANDI11/3/2015
0240R01811.6E+009 ERINA ARIA11/3/2015
0240R01811.5E+008 DRA.HJ. N 11/3/2015
0240R01811.5E+008 DOMINIKUS11/3/2015
0240R01811.5E+008 BOIQ DASW11/3/2015
0240R01811.9E+009 ST. HADIDJ 11/3/2015
0240R01811.1E+009 NI KADEK 11/3/2015
0240R01811.6E+009 DANISH AL 11/3/2015
0240R01811.5E+008 DRS. SUHI 11/3/2015
0240R01811.5E+008 HJ. NUR AIN11/3/2015
0240R01811.5E+008 OKA WIJAYA11/4/2015
0240R01811.5E+008 RADEN DIRE
11/4/2015
0240R01811.8E+009 HJ.NURHAS11/4/2015
0240R01811.8E+009 ALIMAH
11/4/2015
0240R01811.9E+009 LIM WIGNJ 11/4/2015
0240R01811.5E+008 SRI HARTAT11/4/2015
0240R01811.4E+008 H.YAHYA 11/4/2015
0240R01811.5E+008 NURHAYATI 11/4/2015
0240R01811.3E+009 KARTINI
11/4/2015
0240R01811.5E+008 MARDIALIN11/4/2015
0240R01811.4E+009 wahyu hida11/4/2015
0240R01811.8E+009 LIE KA HIE 11/4/2015
0240R01811.4E+008 QONITATUN11/4/2015
0240R01811.6E+009 PUTRI RIY 11/4/2015
0240R01811.5E+008 NURUL PAT11/4/2015
0240R01811.5E+008 JACUB ALI 11/4/2015
0240R01811.5E+008 NY. CANDR 11/4/2015
0240R01811.4E+008 LALU MOH 11/4/2015

11/2/2015 Z-3-23-0
11/3/2015 N-3-14-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-25-0
11/3/2015 Z-3-23-0
11/3/2015 Z-3-25-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-19-0
11/3/2015 N-3-14-0
11/3/2015 Z-3-27-0
11/3/2015 Q-5-44-0
11/3/2015 Z-3-27-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-43-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 J-3-13-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-44-0
11/3/2015 Q-5-31-0
11/3/2015 J-3-13-0
11/3/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 I-3-13-0
11/4/2015 Z-3-25-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-43-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0

398,700
228,900
161,900
161,900
324,600
398,700
324,600
161,900
1,181,900
228,900
185,100
161,900
185,100
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
248,500
161,900
161,900
131,100
248,500
161,900
161,900
161,900
331,300
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900

0240R01811.4E+008 SAEPUDIN 11/4/2015


0240R01811.5E+008 AMANAH 11/4/2015
0240R01811.5E+008 RAMIUN
11/4/2015
0240R01811.5E+009 TJIOE TJAI 11/4/2015
0240R01811.9E+009 MARCE TH 11/4/2015
0240R01811.9E+009 RADEN MUH
11/4/2015
0240R01811.4E+009 BAHRIAH 11/4/2015
0240R01811.9E+009 i ketut eka 11/4/2015
0240R01811.3E+009 IDAWATI
11/4/2015
0240R01811.9E+009 NI KADEK O11/4/2015
0240R01811.9E+009 wahida
11/5/2015
0240R01811.4E+009 RADEMAH 11/5/2015
0240R01811.1E+009 NI NENGAH11/5/2015
0240R01811.5E+008 YULI HIDAY11/5/2015
0240R01811.3E+009 BAEHAKI S 11/5/2015
0240R01811.4E+009 LIZA HAKER11/5/2015
0240R01811.4E+008 HIDAYATI 11/5/2015
0240R01811.1E+009 AULIVIA HA11/5/2015
0240R01811.5E+008 I DEWA MA 11/5/2015
0240R01811.3E+009 I GUSTI AY 11/5/2015
0240R01811.5E+008 CH.SUTIATI11/5/2015
0240R01811.3E+009 NURMALAS11/5/2015
0240R01811.5E+008 DRS. H A N 11/5/2015
0240R01811.1E+009 JERO SUMB11/5/2015
0240R01811.4E+008 NI LUH SUK11/5/2015
0240R01818.4E+008 SUPARLAN 11/5/2015
0240R01811.9E+009 ripaan
11/5/2015
0240R01811.5E+008 KALSUM, A 11/5/2015
0240R01811.4E+008 KETUT KAN11/5/2015
0240R01811.4E+008 SUYATNI 11/5/2015
0240R01811.5E+008 BAIK NILAW11/5/2015
0240R01811.5E+008 LALU MUHA11/5/2015
0240R01811.4E+008 SATRIO BU 11/5/2015
0240R01811.4E+009 MUSLIM
11/5/2015
0240R01811.4E+009 WAHYU SA 11/5/2015
0240R01811.5E+008 HJ. KERNIA 11/5/2015
0240R01811.1E+009 KURNIAWA 11/5/2015
0240R01811.8E+009 RAFA ARYA 11/6/2015
0240R01811.1E+009 AULIVIA HA11/6/2015
0240R01811.3E+009 H.ABD.HADI11/6/2015
0240R01811.4E+009 maria ha. 11/6/2015
0240R01812.1E+008 ST AYSYAH 11/6/2015
0240R018197807566 UMI ROSID 11/6/2015
0240R01811.4E+009 HAERIAH 11/6/2015
0240R01811.4E+009 IDA AYU KA11/6/2015

11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-40-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-28-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Q-5-44-0
11/4/2015 Z-3-27-0
11/5/2015 Z-3-25-0
11/5/2015 Z-3-23-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-23-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 J-3-13-0
11/5/2015 Z-3-27-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/6/2015 Q-5-26-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0

161,900
161,900
161,900
127,000
161,900
112,000
161,900
161,900
161,900
185,100
324,600
398,700
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
248,500
185,100
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900

0240R01811.3E+009 VERA NOVIT11/6/2015


0240R01811.9E+009 yap hwie s 11/6/2015
0240R01811.9E+009 SRI WAHYU11/6/2015
0240R01811.5E+008 ABDULLAH 11/6/2015
0240R01811.9E+009 HJ. NANI 11/7/2015
0240R01811.9E+009 aryani wir 11/7/2015
0240R01811.3E+009 TOTO BUDI11/7/2015
0240R01811.5E+008 NURHIDAYA11/7/2015
0240R01811.4E+008 MUKTHI
11/7/2015
0240R01811.5E+008 aisyah ham11/7/2015
0240R01811.4E+009 sumiatih 11/7/2015
0240R01811.9E+009 ZULFIKAR 11/7/2015
0240R01811.8E+009 NASIFAH M 11/7/2015
0240R01811.4E+008 BQ. HALIM 11/7/2015
0240R01811.8E+009 ADITYA AR 11/7/2015
0240R01811.9E+009 MARCE TH 11/7/2015
0240R01811.5E+008 SUKARTI ID11/7/2015
0240R01811.5E+008 RADEN DIRE
11/7/2015
0240R01811.9E+009 ARIES FRA 11/7/2015
0240R01811.3E+009 siti zahrah 11/7/2015
0240R01811.8E+009 VALENTINO11/7/2015
0240R01811.6E+009 RINA SALAS11/7/2015
0240R01811.1E+009 M. JULIO 11/7/2015
0240R01811.4E+008 RUKMA CA 11/9/2015
0240R01811.5E+008 IDA BAGUS11/9/2015
0240R01811.5E+008 SRI MARLIA11/9/2015
0240R01811.5E+009 HENDRO S 11/9/2015
0240R01811.4E+008 IDA AYU KE11/9/2015
0240R01811.4E+009 NADIYA
11/9/2015
0240R01811.9E+009 bambang j 11/9/2015
0240R01811.4E+008 DIAN HEND11/9/2015
0240R01811.5E+008 S.HANNA 11/9/2015
0240R01811.8E+009 RICKY LUK 11/9/2015
0240R01811.5E+008 SUHARNI 11/9/2015
0240R01811.5E+008 BAIQ SUAR 11/9/2015
0240R01811.6E+009 NONI ANGG11/9/2015
0240R01811.8E+009 SUHARTAK 11/9/2015
0240R01811.5E+008 I WAYAN K 11/9/2015
0240R01811.8E+009 ZAINAB
11/9/2015
0240R01811.9E+009 I MADE SU 11/9/2015
0240R01811.5E+008 ABDUL KAPP
11/9/2015
0240R01811.9E+009 IDA BAGUS11/9/2015
0240R01811.8E+009 IDA AYU M 11/9/2015
0240R01811.4E+008 LALU MASH11/9/2015
0240R01811.5E+008 NURFAHMI 11/9/2015

11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/6/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-25-0
11/7/2015 Q-5-44-0
11/7/2015 Z-3-23-0
11/7/2015 Z-3-27-0
11/7/2015 Z-3-27-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 I-3-13-0
11/9/2015 Z-3-23-0
11/9/2015 Z-3-25-0
11/9/2015 I-3-13-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-38-0
11/9/2015 J-3-13-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-42-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 N-3-14-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0

161,900
161,900
161,900
161,900
161,900
324,600
161,900
324,600
161,900
161,900
324,600
161,900
398,700
185,100
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
331,300
398,700
324,600
331,300
161,900
161,900
161,900
202,800
248,500
161,900
138,500
161,900
161,900
228,900
161,900
161,900
161,900
161,900
1,181,900

0240R01811.4E+008 SUMARNO 11/9/2015


0240R01811.5E+008 MURNIATI 11/9/2015
0240R01811.1E+009 SIHAR M. 11/9/2015
0240R01811.9E+009 ZULFIKAR 11/9/2015
0240R01811.3E+009 H. ABD. HA11/9/2015
0240R01811.9E+009 ni made da11/9/2015
0240R01811.9E+009 ZUL HIDAYA11/9/2015
0240R01811.4E+008 SITI TURAY 11/9/2015
0240R01811.5E+008 SALEH
11/9/2015
0240R01811.5E+008 ST HADIJAH11/9/2015
0240R01811.5E+008 IBRAHIM GA11/9/2015
0240R01811.9E+009 HILMAH
11/9/2015
0240R01811.4E+008 MUHAMAD 1
F1/9/2015
0240R01811.3E+009 TOTO BUDI11/9/2015
0240R01811.5E+008 DRA.HJ. N 11/9/2015
0240R01811.3E+009 HASAN
11/9/2015
0240R01811.5E+008 ABDULLAH 11/9/2015
0240R01811.8E+009 sri rahmaw11/9/2015
0240R01811.2E+008 RORO JON 11/9/2015
0240R01811.3E+009 MARYAM 11/9/2015
0240R01811.3E+009 NURJIDAH 11/9/2015
0240R01811.4E+009 SALIMAH Z 11/9/2015
0240R01811.5E+008 FITRIA ZU 11/9/2015
0240R01811.6E+009 I WAYAN WI11/9/2015
0240R01811.6E+008 IMO
11/9/2015
0240R01811.5E+008 I GST.NGU 11/9/2015
0240R01811.4E+009 BAHRIAH 11/9/2015
0240R01811.5E+008 RAHMA YAS11/9/2015
0240R01811.5E+008 SULASMI,
###
0240R01811.4E+008 M I S N A N
###
0240R01811.9E+009 FITRIYATUL
###
0240R01811.6E+009 KADEK YUL
###
0240R01811.1E+009 MUNIRAH
###
0240R01811.4E+008 BQ. HALIM
###
0240R01811.6E+009 YUSITA KAR
###
0240R01811.1E+009 MOH. FAUZ
###
0240R01811.5E+008 KHAIRUL Y
###
0240R01811.3E+009 TOTO BUDI
###
0240R01811.5E+008 ABDUL WA
###
0240R01811.5E+008 INDUNG SEJ
###
0240R01811.5E+008 DRS. MUH.
###
0240R01811.9E+009 HJ. NANI
###
0240R01811.5E+009 NI WAYAN S
###
0240R01811.8E+009 NI WAYAN A
###
0240R01811.3E+009 HASAN
###

11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-19-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Z-3-23-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
11/9/2015 Q-5-44-0
### Q-5-44-0
### Z-3-18-0
### Z-3-23-0
### Z-3-25-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0

161,900
161,900
398,700
161,900
1,181,900
161,900
161,900
1,181,900
161,900
161,900
398,700
398,700
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
980,000
398,700
324,600
161,900
185,100
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900

0240R01811.8E+009 MUHAMAD
0240R01811.9E+009 JAPURAH
0240R01811.4E+008 DRA.DIAH
0240R01811.3E+009 NUR AMALI
0240R01811.5E+008 AMANAH
0240R01811.5E+008 RAMLAH
0240R01811.5E+008 NURMA AB
0240R01811.4E+008 H. SUTADJI
0240R018153392814 UDIN
0240R01811.9E+009 LIANNI KRI
0240R01811.5E+008 MUCHLASU
0240R01811.5E+008 NI NENGAH
0240R01811.5E+008 SUHARTI
0240R01811.5E+008 PAMUJI BUD
0240R01818.3E+008 ALIMAH
0240R01811.5E+008 BAMBANG
0240R01811.5E+008 MULYANI H
0240R01811.4E+009 SYECHA BIN
0240R01811.6E+008 MUHAMMA
0240R01811.6E+009 P. RUDOLF
0240R01811.9E+009 HARIADI B
0240R01811.5E+008 SALSA BILA
0240R01811.4E+009 H. MARZUK
0240R01811.9E+009 ayu agustin
0240R01811.5E+008 HASANUDD
0240R01811.4E+008 QONITATUN
0240R01818.5E+008 MUNIR
0240R01811.5E+008 RAMIUN
0240R01811.5E+008 ISTIANI
0240R01812.1E+008 MOH.ARMIN
0240R01811.9E+009 ROSIDA
0240R01811.5E+008 DRA.HJ. N
0240R01811.5E+008 H A D Y
0240R01811.1E+009 JONI VENS
0240R01811.9E+009 ROSIDA
0240R01811.8E+009 sri lestari
0240R01811.5E+008 ETI HERAWATI
0240R01811.5E+008 SALAHUDDI
0240R01811.5E+008 IANATUL M.
0240R01811.8E+009 muhammad
0240R01811.2E+009 NI KADEK
0240R01811.8E+009 AI LIE
0240R01811.5E+008 SYAFRUDDIN
0240R01811.9E+009 I MADE PUT
0240R01811.1E+009 MISBAH

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### Q-5-43-0
### J-3-16-0
### J-3-16-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-18-0
### Q-5-43-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-42-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Z-3-19-0
### Z-3-25-0
### Q-5-44-0
### Z-3-25-0
### Q-5-44-0
### Z-3-23-0
### Z-3-23-0
### Q-5-44-0

161,900
198,100
264,600
264,600
161,900
161,900
161,900
161,900
980,000
198,100
161,900
161,900
161,900
324,600
161,900
161,900
161,900
161,900
331,300
138,500
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
161,900
324,600
161,900
1,181,900
324,600
161,900
324,600
161,900
398,700
398,700
161,900

0240R01811.1E+009 BOBY YOSC


0240R01811.8E+009 EVIE MOES
0240R01811.3E+009 H. M. AMIN
0240R01811.3E+009 PUTRI AULI
0240R01811.8E+009 BISMILAHD
0240R01811.5E+008 EFFY JUNIA
0240R01811.4E+009 ewa hazwar
0240R01818.5E+008 DW MD SU
0240R01811.5E+008 ISTIANI
0240R01811.9E+009 ni komang a
0240R01811.5E+008 LUH CANDI
0240R01811.5E+008 SITI ENY C
0240R01811.9E+009 ripaan
0240R01811.1E+009 HM SAHIDA
0240R01818.4E+008 SUPARLAN
0240R01811.4E+009 BAHRIAH
0240R01811.9E+009 ZULFIKAR
0240R01811.5E+008 BOIQ DASW
0240R01811.1E+009 JERO SUMB
0240R01811.4E+008 KETUT KAN
0240R01811.8E+009 TUHFATUL
0240R01812.1E+008 BAIQ SYARI
0240R01811.4E+009 HERIYANTO
0240R01811.1E+009 AHMAD ALI
0240R01811.5E+008 SRI RAHMI
0240R01812.0E+008 DRH I NEN
0240R01812.0E+008 LALU RIVAL
0240R01811.8E+009 SRI WAHYU
0240R01811.3E+009 RITA SUSAN
0240R01811.9E+009 ISLAHUDDI
0240R01811.9E+009 fabien alai
0240R01811.9E+009 I MADE SU
0240R01811.5E+008 LALU WIRA
0240R01818.3E+008 AMAQ AYUN
0240R01811.4E+008 MARSIH
0240R01811.4E+009 IDA AYU KA
0240R01811.9E+009 LALU MUSY'
0240R01811.5E+008 SITI FATIM
0240R01811.5E+008 NURUL MA
0240R018140244872 MAULANA S
0240R01811.3E+009 RIDWAN M
0240R01811.4E+008 I MADE WI
0240R01811.9E+009 althaaf sud
0240R01811.3E+009 H. M. AMIN
0240R01811.5E+008 BAIQ SUKAR

###
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###
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###
###
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###
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###
###
###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### U-3-16-0
### Q-5-44-0
### U-3-16-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0

398,700
161,900
161,900
161,900
398,700
185,100
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
172,200
161,900
172,200
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900

0240R01811.5E+008 BAIQ UMIAT


0240R01811.3E+009 I NYOMAN B
0240R01811.5E+008 MASYWARA
0240R0181 5131563 DJONNY EF
0240R01811.5E+008 H A D Y
0240R01811.5E+008 IANATUL M.
0240R01811.9E+009 i ketut eka
0240R01811.2E+009 HJ NURAZI
0240R01811.5E+008 NURHAYATI
0240R01811.5E+008 RUMINAH
0240R01811.5E+008 MAYA SARI
0240R01811.4E+009 M. SALEH
0240R01811.7E+008 LALE NURT
0240R01811.9E+009 HAIKAL AL
0240R01811.8E+009 AI LIE
0240R01811.5E+008 IANATUL M.
0240R01811.8E+009 WINARDI
0240R01811.5E+008 OKA PUTRA
0240R01811.4E+008 BQ. HALIM
0240R01811.8E+009 I MADE SU
0240R01811.4E+009 BAIQ HALI
0240R01811.3E+009 I GUSTI AY
0240R01811.5E+008 NURHAYATI
0240R01811.5E+008 MARSIMIN
0240R01811.5E+008 JUMAWAL
0240R01811.1E+009 KURNIAWA
0240R01811.4E+008 SATRIO BU
0240R01811.3E+009 NI KETUT S
0240R01811.9E+009 NI WAYAN
0240R01812.0E+008 IBRAHIM H
0240R01811.4E+008 LALU MUK
0240R01811.5E+008 HASBULLA
0240R01811.3E+009 NI KETUT S
0240R01811.3E+009 H. M. AMIN
0240R01811.4E+009 M. SALEH
0240R018148093862 TITIN MULY
0240R01811.5E+008 MACHMUd
0240R01811.9E+009 DEWI PUTRI
0240R01811.9E+009 SUSANTO
0240R01811.9E+009 ROSALINA
0240R01811.4E+009 FRANSISCA
0240R01811.4E+008 RUSNI
0240R01811.4E+008 SITI ZOHR
0240R01811.3E+009 SUPRIA HAT
0240R01811.3E+009 BAIQ DESI

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### J-3-13-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0

161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
202,800
161,900
161,900
161,900
161,900
185,100
161,900
398,700
185,100
398,700
161,900
161,900
161,900
248,500
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900

0240R01811.3E+009 MUKTI RAH


0240R01811.1E+009 ILHAM RATI
0240R01811.3E+009 fariha faza
0240R01811.2E+009 YOYOH ROD
0240R01811.5E+008 KHADISAH
0240R01811.4E+008 ABD.MUGNI
0240R01811.3E+009 BAYANI
0240R01811.4E+008 WAYAN SRI
0240R01811.5E+009 ANDRIYANT
0240R01811.9E+009 IDA BAGUS
0240R01811.5E+008 NI NENGAH
0240R01811.9E+009 KAMHAR
0240R01811.1E+009 BOBY YOSC
0240R01811.5E+008 M KASIM
0240R01818.3E+008 HANAPI
0240R01811.9E+009 ma'ruf
0240R01811.5E+008 ABDUL MAJ
0240R01818.4E+008 HERMAN
0240R018137266366 NI NYOMAN
0240R01811.5E+008 EFFY JUNIA
0240R01811.8E+009 I MADE SU
0240R01811.4E+009 SELLY ZAIN
0240R01811.1E+009 DESAK NY
0240R01811.3E+009 MADE SIAN
0240R01811.9E+009 HJ. MUNAW
0240R01811.5E+008 BENDESA I
0240R01811.4E+009 ni ketut sar
0240R01811.1E+009 MADE ANDI
0240R01811.1E+009 I NYOMAN
0240R01811.5E+008 DJARWATIN
0240R01811.6E+009 ERINA ARIA
0240R01811.5E+008 FITRIA ZU
0240R01811.2E+009 HJ NURAZI
0240R01811.4E+008 H. L. SUMA
0240R01811.4E+009 IDA AYU KA
0240R01811.5E+008 ABDULLAH
0240R01811.8E+009 KANAYA AZ
0240R01811.1E+009 KOMANG K
0240R01811.9E+009 AHMAD
0240R01818.3E+008 MAHUDI
0240R01811.4E+009 yusti hartin
0240R01811.8E+009 MELIANA IN
0240R01811.5E+008 a. GANI H.
0240R01812.0E+008 LALU RIVAL
0240R01811.5E+008 SYAHRUDDI

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### Z-3-19-0
### Z-3-27-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-44-0
### Z-3-18-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-42-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Z-3-19-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0

161,900
1,181,900
185,100
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
331,300
161,900
980,000
161,900
161,900
1,181,900
161,900
161,900
185,100
161,900
138,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
185,100
1,181,900
161,900
161,900
161,900
161,900
161,900
161,900

0240R01811.6E+008 SUMINAR B
###
0240R01811.9E+009 PUTRIANI
###
0240R01811.4E+008 H. L. SUMA
###
0240R01811.1E+009 NI KADEK N
###
0240R01818.5E+008 MUKSIN
###
0240R01811.7E+008 KAMARIAH
###
0240R01811.9E+009 SING TANA
###
0240R01811.5E+008 BAMBANG 11/9/2015
0240R01811.5E+008 a. GANI H. 11/7/2015
0240R01811.9E+009 yeny salma11/5/2015
0240R01811.5E+008 EFFY JUNIA 11/5/2015
0240R01811.3E+009 BAYANI
11/5/2015
0240R01811.3E+009 BAYANI
11/2/2015
0240R01811.3E+009 rahma yanf
###
0240R01811.8E+009 RAFA ARYA
###
0240R01811.9E+009 LIMAWATI
###
0240R01811.8E+009 AI LIE
###
0240R01811.9E+009 wahida
###
0240R01811.9E+009 salmah
###
0240R01811.4E+009 M. SALEH
###
0240R01811.3E+009 ANANDA SE
###
0240R01811.3E+009 H. M. AMIN
###
0240R01811.3E+009 PUTRI AULI
###
0240R01811.5E+008 MARIANA,
###
0240R01811.5E+008 ARIFIN
###
0240R01811.3E+009 I GUSTI AY
###
0240R01811.4E+008 LALU ABDU
###
0240R01811.9E+009 yap hwie s
###
0240R01811.5E+008 SAMSUL RI
###
0240R01811.5E+008 HAFSAH
###
0240R01811.5E+008 MANSYUR
###
0240R01811.4E+009 ANG CHAI
###
0240R01811.4E+008 KETUT KAN
###
0240R01811.8E+009 MUHAMMAD
###
0240R01811.4E+008 HIDAYATI
###
0240R01811.5E+008 BAIQ RUMA
###
0240R01811.4E+008 SUYATNI
###
0240R01811.5E+008 SUNDARI
###
0240R01811.5E+008 BENDESA I
###
0240R01811.5E+008 HJ. KERNIA
###
0240R01811.9E+009 JAPURAH
###
0240R01811.3E+009 siti zahrah
###
0240R01811.8E+009 I WAYAN K
###
0240R01811.5E+008 BAIQ HARTI
###
0240R01811.4E+009 R Bagus Pu
###

### Q-5-44-0
### Z-3-23-0
### Z-3-27-0
### Z-3-23-0
### Z-3-23-0
### Q-5-33-0
### Q-5-44-0
11/9/2015 Q-5-44-0
11/7/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Q-5-44-0
11/5/2015 Z-3-27-0
11/2/2015 Z-3-27-0
### Q-5-26-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Z-3-25-0
### Z-3-23-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-26-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0

161,900
398,700
185,100
398,700
398,700
159,000
161,900
161,900
161,900
161,900
161,900
185,100
185,100
193,500
161,900
161,900
202,800
324,600
398,700
185,100
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900

0240R01811.5E+008 SUKARTI ID
0240R01811.9E+009 SUSANTO
0240R01811.9E+009 ROSALINA
0240R01811.5E+008 YUNIDA
0240R01811.7E+008 LALE NURT
0240R01811.5E+008 KARTINI,S.
0240R01811.9E+009 LENI LILIAN
0240R01811.9E+009 YUARLITA
0240R01811.5E+009 HENDRO S
0240R01812.0E+008 I GUSTI M
0240R01811.5E+008 DRS. I WAY
0240R01811.5E+008 MAHJUNI
0240R01811.3E+009 minardi
0240R01811.8E+009 H.ZOHDI
0240R01811.4E+008 ZAINAL ABI
0240R01811.3E+009 fariha faza
0240R01811.8E+009 ENGLY LUM
0240R01811.3E+009 ATHAR
0240R01811.8E+009 NI MADE KA
0240R01811.3E+009 HUSIN HAS
0240R01811.8E+009 nengah pur
0240R01811.6E+009 RINA SALAS
0240R01811.8E+009 NI NENGAH
0240R01811.5E+008 ABDULLAH
0240R01811.3E+009 NI KOMANG
0240R01811.4E+009 M. SALEH
0240R01811.8E+009 humairo r
0240R01811.3E+009 MUHAMMAD
0240R01811.5E+008 WAYAN ARS
0240R01811.5E+008 M KASIM
0240R01811.4E+008 H.PRAYOGA,
0240R01811.5E+008 HJ.SULIANTI
0240R01811.5E+008 SUKIANDI
0240R01811.6E+008 SRI HARTAT
0240R01811.5E+008 FAHMI YOE
0240R01811.4E+008 MARSIH
0240R01811.5E+008 ADNAN AD
0240R01811.4E+008 FITRIWATI,
0240R01811.8E+009 RINALDI I
0240R01811.5E+008 ROSTYATI A
0240R01811.1E+009 AFIA RUBEK
0240R01811.9E+009 SURIATI
0240R01811.5E+008 IDM.ALIT K
0240R01811.4E+008 NI KETUT NI
0240R01811.5E+008 SELAMET H

###
###
###
###
###
###
###
###
###
###
###
###
###
###
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###
###
###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-14-0
### Z-3-23-0
### Z-3-25-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### I-3-13-0
### I-3-13-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-42-0
### Z-3-18-0
### Q-5-25-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0

161,900
161,900
161,900
161,900
161,900
212,200
398,700
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
185,100
161,900
161,900
161,900
161,900
398,700
161,900
331,300
331,300
161,900
161,900
398,700
138,500
980,000
136,500
161,900
398,700
161,900
161,900
161,900
161,900
398,700

0240R01811.3E+009 IDAWATI
0240R01811.8E+009 VALENTINO
0240R01811.5E+008 IMAM SUJAD
0240R01811.5E+008 IMAM SURY
0240R01811.1E+009 NI NENGAH
0240R01811.1E+009 AFIA RUBEK
0240R01811.4E+008 IDA KETUT
0240R01811.6E+008 SRI HARTAT
0240R01811.5E+008 SELAMET H
0240R01812.1E+008 DRS.H.M.D
0240R01811.9E+009 MANERLY F
0240R01811.3E+009 aluh ZAEN
0240R01811.3E+009 MUKTI RAH
0240R01811.4E+009 M. SALEH
0240R01811.5E+008 MOCHTAR A
0240R01811.5E+008 SITI NURHA
0240R01811.6E+009 YUSMI ZAKI
0240R01811.2E+009 NI KADEQ S
0240R01811.1E+009 MARDI
0240R01811.5E+008 DESAK KT.J
0240R01811.3E+009 ANANDA SE
0240R01811.5E+008 HUMAIRO SA
0240R01811.5E+008 SOFYAN AR
0240R01811.5E+009 I GUSTI AY
0240R01811.3E+009 FIKRIADIN
0240R01811.3E+009 I GEDE SE
0240R01811.8E+009 RABITAH
0240R01811.5E+009 B YUNIARTI
0240R01811.5E+008 ABUBAKAR
0240R01811.8E+009 AVISA ANA
0240R01811.4E+008 SUDIRMAN
0240R01811.4E+008 MARSIH
0240R01811.5E+008 ADNAN AD
0240R01811.9E+009 ni ketut urt
0240R01811.9E+009 inaq nurhay
0240R01811.4E+009 BAIQ HALI
0240R01811.5E+008 SUJIHARTINI
0240R01812.1E+008 MOH.ARMIN
0240R01811.3E+009 I NYOMAN B
0240R01811.3E+009 NI KETUT
0240R01818.4E+008 SUPARLAN
0240R01811.5E+008 YULI PANCA
0240R01811.5E+008 HJ. HUSNAYATI
0240R01811.9E+009 ZULFIKAR
0240R01811.8E+009 MARZOAN H

###
###
###
###
###
###
###
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###
###
###
###
###
###
###
###
###
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###
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###
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###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### I-3-14-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0

161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
212,200
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
202,800
161,900
161,900

0240R01811.9E+009 FITRIA AGU


0240R01812.1E+008 DRS.H.M.D
0240R01811.5E+008 SULASMI,
0240R01811.5E+008 NI NENGAH
0240R01811.5E+008 IFNU SUMO
0240R01811.3E+009 ROCHMA ER
0240R01811.5E+008 INDRA FIR
0240R01811.5E+008 SYAMRIAL F
0240R01811.4E+009 M. AMINUD
0240R01818.3E+008 FATAHILLA
0240R01811.8E+009 INDRIYANTI
0240R01811.5E+008 RINA ZOHRI
0240R01811.5E+008 EFFY JUNIA
0240R01811.5E+008 WAYAN ARS
0240R01811.8E+009 ang tjoe ta
0240R01811.5E+008 NURUL AINI
0240R01811.4E+008 hj. SAKDIA
0240R01811.5E+008 DESAK KT.J
0240R01811.4E+009 M. SALEH
0240R01811.3E+009 siti zahrah
0240R01811.8E+009 NI PUTU VA
0240R01811.3E+009 NI KETUT
0240R01811.1E+009 KOMANG K
0240R01811.5E+008 DRS.MUHAM
0240R01811.4E+008 SAHARMAN
0240R01811.5E+008 I GST.NGU
0240R01811.5E+008 HJ. NUR AIN
0240R01811.5E+008 a. GANI H.
0240R01811.5E+008 HUSNUNNA
0240R01811.4E+008 LALU MUK
0240R01811.3E+009 HIZRUL AEN
0240R01811.5E+008 DRS.MUHAM
0240R01811.9E+009 marino ima
0240R01811.5E+008 a. GANI H.
0240R01811.9E+009 SYAMSURRI
0240R01818.4E+008 I WAYAN RA
575

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### J-3-13-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-19-0
### Q-5-44-0
### Z-3-19-0
### Q-5-32-0
### Q-5-44-0
### Q-5-43-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### I-3-13-0
### Z-3-23-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Z-3-23-0
### Q-5-44-0
### Z-3-27-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### L-3-12-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0

248,500
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
1,181,900
151,700
161,900
198,100
185,100
161,900
161,900
161,900
331,300
398,700
185,100
161,900
161,900
161,900
161,900
398,700
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
155,900
161,900
161,900
161,900

Total Klaim(Grp+CMG)
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
131,100
161,900
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
185,100
161,900

398,700
228,900
161,900
161,900
324,600
398,700
324,600
161,900
1,181,900
228,900
185,100
161,900
185,100
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900
248,500
161,900
161,900
131,100
248,500
161,900
161,900
161,900
331,300
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
198,100
161,900
161,900

161,900
161,900
161,900
127,000
161,900
112,000
161,900
161,900
161,900
185,100
324,600
398,700
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
248,500
185,100
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900

161,900
161,900
161,900
161,900
161,900
324,600
161,900
324,600
161,900
161,900
324,600
161,900
398,700
185,100
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
398,700
331,300
398,700
324,600
331,300
161,900
161,900
161,900
202,800
248,500
161,900
138,500
161,900
161,900
228,900
161,900
161,900
161,900
161,900
1,181,900

161,900
161,900
398,700
161,900
1,181,900
161,900
161,900
1,181,900
161,900
161,900
398,700
398,700
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
980,000
398,700
324,600
161,900
185,100
161,900
161,900
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900

161,900
198,100
264,600
264,600
161,900
161,900
161,900
161,900
980,000
198,100
161,900
161,900
161,900
324,600
161,900
161,900
161,900
161,900
331,300
138,500
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
161,900
324,600
161,900
1,181,900
324,600
161,900
324,600
161,900
398,700
398,700
161,900

398,700
161,900
161,900
161,900
398,700
185,100
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
172,200
161,900
172,200
161,900
161,900
161,900
161,900
161,900
161,900
1,181,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900

161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
202,800
161,900
161,900
161,900
161,900
185,100
161,900
398,700
185,100
398,700
161,900
161,900
161,900
248,500
161,900
398,700
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
161,900

161,900
1,181,900
185,100
331,300
161,900
161,900
161,900
161,900
161,900
161,900
161,900
331,300
161,900
980,000
161,900
161,900
1,181,900
161,900
161,900
185,100
161,900
138,500
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
185,100
1,181,900
161,900
161,900
161,900
161,900
161,900
161,900

161,900
398,700
185,100
398,700
398,700
159,000
161,900
161,900
161,900
161,900
161,900
185,100
185,100
193,500
161,900
161,900
202,800
324,600
398,700
185,100
161,900
161,900
161,900
161,900
331,300
161,900
161,900
161,900
398,700
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
161,900
161,900
193,500
161,900
161,900
161,900
161,900

161,900
161,900
161,900
161,900
161,900
212,200
398,700
324,600
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
202,800
161,900
185,100
161,900
161,900
161,900
161,900
398,700
161,900
331,300
331,300
161,900
161,900
398,700
138,500
980,000
136,500
161,900
398,700
161,900
161,900
161,900
161,900
398,700

161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
185,100
212,200
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
161,900
185,100
161,900
161,900
161,900
161,900
202,800
161,900
161,900

248,500
161,900
161,900
161,900
161,900
161,900
1,181,900
161,900
1,181,900
151,700
161,900
198,100
185,100
161,900
161,900
161,900
331,300
398,700
185,100
161,900
161,900
161,900
161,900
398,700
161,900
185,100
161,900
161,900
161,900
161,900
161,900
161,900
155,900
161,900
161,900
161,900
123,506,300

NoSEP No.Kartu
NmPst
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+008 AISYAH HAMID
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.5E+009 ANDRIYANTO
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+008 ANIMA SUPRIATNI
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.5E+008 BAMBANG SISWARTO
0240R01811.1E+009 BONIFACIUS TEGUH PRIYADI
0240R01811.1E+009 BONIFACIUS TEGUH PRIYADI
0240R01811.5E+009 CIU LIE SWE
0240R01811.1E+009 DESAK NYOMAN W

RJ/RI
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.1E+009 DESAK NYOMAN W


0240R01811.1E+009 DESAK NYOMAN W
0240R01811.1E+009 DESAK NYOMAN W
0240R01811.1E+009 DESAK NYOMAN W
0240R01811.1E+009 DESAK NYOMAN W
0240R01811.1E+009 DESAK NYOMAN W
0240R01811.1E+009 DESAK NYOMAN W
0240R01811.5E+008 DJARWATININGSIH
0240R01811.5E+008 DJARWATININGSIH
0240R01811.5E+008 DRS. SUHIRMAN
0240R01811.5E+008 DRS. SUHIRMAN
0240R01811.5E+008 DRS. SUHIRMAN
0240R01811.5E+008 DRS. SUHIRMAN
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.3E+009 H. ABD. HADI JAFAR SYIHAB
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.4E+009 HERIYANTO WIJAYA
0240R01811.9E+009 HJ. NANI SUWARNY
0240R01811.9E+009 HJ. NANI SUWARNY
0240R01811.2E+009 HJ. NURAZIZAH
0240R01811.2E+009 HJ. NURAZIZAH
0240R01811.2E+009 HJ. NURAZIZAH
0240R01811.2E+009 HJ. NURAZIZAH
0240R01811.4E+009 HJ. ZOHRIAH
0240R01811.4E+009 HJ. ZOHRIAH
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01811.3E+009 I GUSTI AYU LAKSMI
0240R01812.1E+008 I WAYAN SUTAPA
0240R01812.1E+008 I WAYAN SUTAPA
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.5E+008 IDA AYU PUTU WIRAWATI


0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IDA AYU PUTU WIRAWATI
0240R01811.5E+008 IFNU SUMONO
0240R01811.5E+008 IFNU SUMONO
0240R01811.5E+008 IFNU SUMONO
0240R01811.5E+008 IFNU SUMONO
0240R01811.5E+008 IFNU SUMONO
0240R01811.5E+008 IFNU SUMONO
0240R01811.6E+008 IMO
0240R01811.6E+008 IMO
0240R01811.6E+008 IMO
0240R01811.6E+008 IMO
0240R01811.6E+008 IMO
0240R01812.0E+008 IR. AINUN HANIAH
0240R01812.0E+008 IR. AINUN HANIAH
0240R01812.0E+008 IR. AINUN HANIAH
0240R01812.0E+008 IR. AINUN HANIAH
0240R01812.0E+008 IR. AINUN HANIAH
0240R01812.0E+008 IR. AINUN HANIAH
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R01811.5E+008 IR. MOHAMAD YUNAN
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R018148782889 ISLAMUNNAULI BAIQ
0240R01811.9E+009 IZUDIN KARIMI
0240R01811.9E+009 IZUDIN KARIMI
0240R01811.9E+009 IZUDIN KARIMI

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.9E+009 IZUDIN KARIMI


0240R01811.5E+008 KHAIRUL YAMIN
0240R01811.5E+008 KHAIRUL YAMIN
0240R01811.5E+008 KHAIRUL YAMIN
0240R01811.5E+008 KHAIRUL YAMIN
0240R01811.5E+008 KHAIRUL YAMIN
0240R01811.7E+008 LALE NURTASNIM
0240R01811.7E+008 LALE NURTASNIM
0240R01811.7E+008 LALE NURTASNIM
0240R01811.7E+008 LALE NURTASNIM
0240R01811.7E+008 LALE NURTASNIM
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01812.0E+008 LALU RIVALIQAL PAYANTA
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 M. YUSUF
0240R01811.5E+008 MACHMUD
0240R01811.5E+008 MACHMUD
0240R01811.5E+008 MACHMUD
0240R01811.5E+008 MACHMUD
0240R01811.5E+008 MACHMUD
0240R01811.5E+008 MACHMUD
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.1E+009 MADE ANDIKA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+009 MARIA HA
0240R01811.4E+008 MUDIN
0240R01811.9E+009 MUHAMAD ALI BAGIS
0240R01811.9E+009 MUHAMAD ALI BAGIS
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.8E+009 NI MADE MULIANA
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.9E+009 NI NENGAH MARTINI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI NENGAH SURATNI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NI WAYAN WARSI
0240R01811.5E+008 NURHAYATI SITI
0240R01811.5E+008 NURHAYATI SITI
0240R01811.5E+008 NURHIDAYAH
0240R01811.5E+008 NURHIDAYAH
0240R01811.5E+008 NURHIDAYAH
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.3E+009 RIDWAN MANGATHUR


0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RIDWAN MANGATHUR
0240R01811.3E+009 RITA SUSANTI
0240R01811.3E+009 RITA SUSANTI
0240R01811.3E+009 RITA SUSANTI
0240R01811.3E+009 RITA SUSANTI
0240R01811.3E+009 RITA SUSANTI
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.4E+008 RUKMA CANDRA
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01811.5E+008 SITI ENY CHAERANY
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01812.1E+008 ST. AYSYAH AR GAFAR
0240R01811.5E+008 ST. HAFSAH
0240R01811.5E+008 ST. HAFSAH
0240R01811.5E+008 ST. HAFSAH
0240R01811.5E+008 ST. HAFSAH
0240R01811.5E+008 ST. HAFSAH
0240R01811.5E+008 ST. HAFSAH
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN
0240R01811.4E+008 SUHARMAN

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

0240R01811.4E+008 SUHARMAN
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SUJIHARTINI. HJ. SE
0240R01811.5E+008 SURJO PUTRO UTOMO. SE
0240R01811.5E+008 SURJO PUTRO UTOMO. SE
0240R01811.4E+009 SYECHA BINTI ALI BAGIS
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R018197807566 UMI ROSIDAH
0240R01811.4E+009 WONG TJIN NI
0240R01811.4E+009 WONG TJIN NI

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

Tgl.MasukTgl.Keluar Inacbg Total Tarif


###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
11/3/2015 11/3/2015 Z-3-12-0
241,200
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
11/6/2015 11/6/2015 M-3-16-0
154,100
11/4/2015 11/4/2015 Z-3-12-0
241,200
11/2/2015 11/2/2015 M-3-16-0
154,100
11/9/2015 11/9/2015 M-3-16-0
154,100
11/6/2015 11/6/2015 Z-3-12-0
241,200
11/3/2015 11/3/2015 Z-3-12-0
241,200
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### Z-3-12-0
241,200
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
###
### M-3-16-0
154,100
11/5/2015 11/5/2015 M-3-16-0
154,100
11/3/2015 11/3/2015 Z-3-12-0
241,200
###
### M-3-16-0
154,100

###
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/9/2015
11/4/2015
###
###
11/7/2015
11/4/2015
###
###
###
###
11/9/2015
11/5/2015
11/4/2015
###
###
###
###
###
###
###
11/5/2015
11/2/2015
11/9/2015
11/7/2015
11/4/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###

### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 M-3-16-0
11/9/2015 M-3-16-0
11/4/2015 M-3-16-0
### Z-3-12-0
### M-3-16-0
11/7/2015 M-3-16-0
11/4/2015 Z-3-12-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
11/9/2015 M-3-10-0
11/5/2015 M-3-16-0
11/4/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/5/2015 M-3-16-0
11/2/2015 M-3-16-0
11/9/2015 M-3-16-0
11/7/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0

154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
241,200
154,100
154,100
241,200
441,400
441,400
441,400
441,400
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100

###
###
###
###
###
11/7/2015
11/4/2015
###
###
###
11/9/2015
11/5/2015
11/2/2015
11/7/2015
11/6/2015
11/5/2015
11/4/2015
11/3/2015
###
###
###
###
11/9/2015
11/2/2015
###
###
###
###
###
###
###
11/9/2015
11/7/2015
11/5/2015
11/3/2015
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/2/2015
###
###
###

### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/7/2015 Z-3-12-0
11/4/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 Z-3-12-0
11/5/2015 Z-3-12-0
11/2/2015 Z-3-12-0
11/7/2015 M-3-10-0
11/6/2015 M-3-10-0
11/5/2015 M-3-10-0
11/4/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
11/9/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
11/9/2015 M-3-10-0
11/7/2015 M-3-10-0
11/5/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 Z-3-12-0
11/2/2015 Z-3-12-0
### M-3-10-0
### M-3-16-0
### M-3-16-0

154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
241,200
241,200
241,200
441,400
441,400
441,400
441,400
441,400
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100
241,200
241,200
241,200
441,400
154,100
154,100

11/4/2015
###
###
###
11/5/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
11/7/2015
11/5/2015
11/3/2015
###
###
###
###
###
###
###
###
###
###
###
11/9/2015
11/6/2015
11/4/2015
###
###
###
###

11/4/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/5/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
11/7/2015 M-3-10-0
11/5/2015 Z-3-12-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-10-0

441,400
154,100
154,100
154,100
154,100
154,100
441,400
441,400
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
441,400
441,400
241,200
441,400
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
441,400
441,400

###
###
###
###
11/7/2015
###
###
###
###
###
###
###
###
###
###
11/9/2015
11/6/2015
11/4/2015
11/2/2015
###
###
###
11/5/2015
###
###
###
11/9/2015
11/7/2015
11/5/2015
11/3/2015
###
###
###
11/6/2015
11/4/2015
11/2/2015
11/9/2015
11/3/2015
###
11/5/2015
11/3/2015
###
###
###
###

### M-3-10-0
### M-3-10-0
### M-3-10-0
### M-3-10-0
11/7/2015 M-3-10-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/4/2015 Z-3-12-0
11/2/2015 Z-3-12-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
11/5/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
11/9/2015 M-3-16-0
11/7/2015 M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/6/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
11/9/2015 M-3-16-0
11/3/2015 Z-3-12-0
### M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0

441,400
441,400
441,400
441,400
441,400
154,100
241,200
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
241,200
241,200
241,200
241,200
154,100
154,100
241,200
154,100
154,100
441,400
154,100
154,100
241,200
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
241,200
241,200
154,100
154,100
154,100
154,100

###
###
###
###
###
11/9/2015
11/5/2015
11/3/2015
###
###
###
###
###
11/5/2015
11/3/2015
###
###
###
###
###
###
11/6/2015
11/4/2015
11/2/2015
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
11/9/2015

### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0
11/5/2015 Z-3-12-0
11/3/2015 Z-3-12-0
### M-3-10-0
### M-3-10-0
### Z-3-12-0
### M-3-10-0
### M-3-10-0
11/5/2015 M-3-10-0
11/3/2015 M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/6/2015 M-3-16-0
11/4/2015 M-3-16-0
11/2/2015 M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
11/9/2015 M-3-16-0

154,100
154,100
241,200
154,100
154,100
154,100
241,200
241,200
441,400
441,400
241,200
441,400
441,400
441,400
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
241,200
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100

11/6/2015 11/6/2015 M-3-16-0


###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
11/9/2015 11/9/2015 M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
###
### M-3-16-0
11/9/2015 11/9/2015 M-3-16-0
###
### M-3-16-0
###
### M-3-16-0

154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100

NoSEP

0240R01811150000828

0240R01811150001242
0240R01811150001242

No.Kartu

Nama Pasien

1439169524 BAHRIAH

205206412 I WAYAN SUTAPA


205206412 I WAYAN SUTAPA

RJ/RI

Tgl.MasukTgl.Keluar
Biaya Klaim
Keterangan

###

###

154,100 Cek NOSEP, No.Kartu Tgl.Masuk,Jenis Perawatan dan Kelas

2
2

###
###

###
###

154,100 No.SEP Dobel


154,100 No.SEP Dobel

enis Perawatan dan Kelas Rawat Ada Yg Tidak Sesuai

Action

No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.9E+009 HJ. NANI 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 KHAIRUL Y 11/2/2015 11/2/2015 M-3-16-0
0240R01811.8E+009 NI MADE M 11/2/2015 11/2/2015 Z-3-12-0
0240R01811.2E+009 HJ NURAZI 11/2/2015 11/2/2015 M-3-16-0
0240R01812.0E+008 IR. AINUN 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 IFNU SUMO11/2/2015 11/2/2015 Z-3-12-0
0240R018148782889 ISLAMUNNA11/2/2015 11/2/2015 Z-3-12-0
0240R01811.5E+008 NI WAYAN 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+008 SITI ENY C 11/2/2015 11/2/2015 M-3-16-0
0240R01811.5E+009 ANDRIYANT11/2/2015 11/2/2015 M-3-16-0
0240R01811.4E+008 RUKMA CA 11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 M YUSUF 11/3/2015 11/3/2015 M-3-10-0
0240R01811.4E+008 ANIMA SUPR
11/3/2015 11/3/2015 Z-3-12-0
0240R01811.6E+008 IMO
11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 IR. MOHAM11/3/2015 11/3/2015 M-3-10-0
0240R01811.5E+008 NURHAYATI 11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 aisyah ham11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+009 CIU LIE SW 11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 NI NENGAH11/3/2015 11/3/2015 Z-3-12-0
0240R01811.5E+008 NURHIDAYA11/3/2015 11/3/2015 Z-3-12-0
0240R01811.3E+009 RITA SUSAN11/3/2015 11/3/2015 Z-3-12-0
0240R01811.8E+009 NI MADE M 11/4/2015 11/4/2015 Z-3-12-0
0240R01811.9E+009 Izudin kari 11/4/2015 11/4/2015 M-3-10-0
0240R01811.1E+009 DESAK NY 11/4/2015 11/4/2015 M-3-16-0
0240R01811.5E+008 SITI ENY C 11/4/2015 11/4/2015 M-3-16-0
0240R01811.1E+009 MADE ANDI11/4/2015 11/4/2015 M-3-16-0
0240R018148782889 ISLAMUNNA11/4/2015 11/4/2015 Z-3-12-0
0240R01811.5E+009 ANDRIYANT11/4/2015 11/4/2015 Z-3-12-0
0240R01811.3E+009 H.ABD.HADI11/4/2015 11/4/2015 M-3-10-0
0240R01811.5E+008 DJARWATIN11/4/2015 11/4/2015 M-3-16-0
0240R01811.6E+008 IMO
11/4/2015 11/4/2015 M-3-10-0
0240R01811.5E+008 IDA AYU PU11/4/2015 11/4/2015 M-3-16-0
0240R01811.2E+009 HJ NURAZI 11/4/2015 11/4/2015 M-3-16-0
0240R01811.5E+008 DRS. SUHI 11/4/2015 11/4/2015 Z-3-12-0
0240R01811.5E+008 NI WAYAN 11/4/2015 11/4/2015 M-3-16-0
0240R01811.1E+009 BONIFACIUS11/5/2015 11/5/2015 M-3-16-0
0240R01811.3E+009 RITA SUSAN11/5/2015 11/5/2015 Z-3-12-0
0240R01811.4E+008 RUKMA CA 11/5/2015 11/5/2015 M-3-10-0
0240R01811.9E+009 ni nengah m
11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 M YUSUF 11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 KHAIRUL Y 11/5/2015 11/5/2015 M-3-16-0
0240R01811.3E+009 H.ABD.HADI11/5/2015 11/5/2015 M-3-16-0
0240R01811.5E+008 NI NENGAH11/5/2015 11/5/2015 Z-3-12-0
0240R01811.5E+008 IFNU SUMO11/5/2015 11/5/2015 Z-3-12-0

0240R01811.5E+008 IR. MOHAM11/5/2015


0240R01811.6E+008 IMO
11/5/2015
0240R01811.5E+008 NURHIDAYA11/5/2015
0240R01811.9E+009 HJ. NANI 11/5/2015
0240R01811.4E+008 SAHARMAN11/6/2015
0240R018148782889 ISLAMUNNA11/6/2015
0240R01811.1E+009 MADE ANDI11/6/2015
0240R01811.4E+008 ANIMA SUPR
11/6/2015
0240R01811.1E+009 DESAK NY 11/6/2015
0240R01811.5E+008 NI WAYAN 11/6/2015
0240R01811.8E+009 NI MADE M 11/6/2015
0240R01811.5E+009 ANDRIYANT11/6/2015
0240R01811.5E+008 SITI ENY C 11/6/2015
0240R01811.6E+008 IMO
11/6/2015
0240R01811.6E+008 IMO
11/7/2015
0240R01811.4E+009 maria ha. 11/7/2015
0240R01811.2E+009 HJ NURAZI 11/7/2015
0240R01811.5E+008 NI NENGAH11/7/2015
0240R01811.5E+008 M YUSUF 11/7/2015
0240R01811.5E+008 DRS. SUHI 11/7/2015
0240R01811.5E+008 IR. MOHAM11/7/2015
0240R01811.5E+008 IDA AYU PU11/7/2015
0240R01811.1E+009 DESAK NY 11/9/2015
0240R018148782889 ISLAMUNNA11/9/2015
0240R01811.4E+008 ANIMA SUPR
11/9/2015
0240R01811.1E+009 MADE ANDI11/9/2015
0240R01811.2E+009 HJ NURAZI 11/9/2015
0240R01812.0E+008 IR. AINUN 11/9/2015
0240R01811.3E+009 H.ABD.HADI11/9/2015
0240R01811.4E+008 SAHARMAN11/9/2015
0240R01811.5E+008 DJARWATIN11/9/2015
0240R01811.5E+008 IR. MOHAM11/9/2015
0240R01811.5E+008 IFNU SUMO11/9/2015
0240R01811.3E+009 RITA SUSAN11/9/2015
0240R01811.5E+008 SURJO PUT 11/9/2015
0240R01811.8E+009 NI MADE M 11/9/2015
0240R018197807566 UMI ROSID 11/9/2015
0240R01811.5E+008 NURHAYATI 11/9/2015
0240R01811.5E+008 NI NENGAH11/9/2015
0240R01811.3E+009 H.ABD.HADI
###
0240R01811.3E+009 RITA SUSAN
###
0240R01811.5E+008 SITI ENY C
###
0240R01811.5E+008 M YUSUF
###
0240R01811.5E+009 ANDRIYANT
###
0240R01811.9E+009 ni nengah m
###

11/5/2015 M-3-10-0
11/5/2015 M-3-10-0
11/5/2015 Z-3-12-0
11/5/2015 M-3-16-0
11/6/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 Z-3-12-0
11/6/2015 M-3-16-0
11/6/2015 Z-3-12-0
11/6/2015 M-3-16-0
11/6/2015 M-3-16-0
11/6/2015 M-3-10-0
11/7/2015 M-3-10-0
11/7/2015 M-3-10-0
11/7/2015 M-3-16-0
11/7/2015 M-3-16-0
11/7/2015 M-3-10-0
11/7/2015 M-3-16-0
11/7/2015 M-3-10-0
11/7/2015 Z-3-12-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-10-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-10-0
11/9/2015 Z-3-12-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
11/9/2015 M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0

0240R01811.4E+009 maria ha.


0240R01811.5E+008 IDA AYU PU
0240R01811.5E+008 aisyah ham
0240R01811.5E+008 BAMBANG

###
###
###
###

### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0

TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
441,400 441,400
241,200 241,200
441,400 441,400
441,400 441,400
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
241,200 241,200
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200
441,400 441,400
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
441,400 441,400
241,200 241,200
241,200 241,200
154,100 154,100
154,100 154,100
241,200 241,200
241,200 241,200

441,400
441,400
241,200
154,100
154,100
241,200
241,200
241,200
241,200
154,100
241,200
154,100
154,100
441,400
441,400
441,400
154,100
154,100
441,400
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
154,100
154,100

441,400
441,400
241,200
154,100
154,100
241,200
241,200
241,200
241,200
154,100
241,200
154,100
154,100
441,400
441,400
441,400
154,100
154,100
441,400
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
241,200
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
441,400
154,100
154,100

441,400
154,100
154,100
154,100

441,400
154,100
154,100
154,100

Action

No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.4E+008 RUKMA CA
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.5E+008 I GST.NGU
###
### Z-3-27-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R018148782889 ISLAMUNNA
###
### M-3-16-0
0240R01811.5E+008 KHAIRUL Y
###
### M-3-16-0
0240R01811.5E+008 DRS. SUHI
###
### M-3-16-0
0240R01811.9E+009 Izudin kari
###
### M-3-16-0
0240R01811.8E+009 NI MADE M
###
### M-3-16-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R01811.4E+009 BAHRIAH
###
### M-3-16-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R01811.3E+009 H.ABD.HADI
###
### M-3-10-0
0240R01812.0E+008 IR. AINUN
###
### M-3-16-0
0240R018148782889 ISLAMUNNA
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-16-0
0240R01811.5E+008 aisyah ham
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### Z-3-12-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.8E+009 SITI RAHM
###
### Q-5-44-0
0240R01811.9E+009 ni nengah m
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.8E+009 NI MADE M
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+008 BAMBANG
###
### M-3-16-0
0240R018197807566 UMI ROSID
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+008 IFNU SUMO
###
### M-3-16-0
0240R01811.4E+009 HJ. ZOHRIA
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0

0240R01811.4E+009 maria ha.


0240R01811.5E+008 M YUSUF
0240R01811.5E+008 SITI ENY C
0240R018148782889 ISLAMUNNA
0240R01811.5E+008 IFNU SUMO
0240R01811.3E+009 marthin ru
0240R018197807566 UMI ROSID
0240R01811.4E+009 HERIYANTO
0240R01811.5E+008 IR. MOHAM
0240R01811.4E+009 maria ha.
0240R01811.4E+009 HJ. ZOHRIA
0240R01811.8E+009 NI MADE M
0240R01812.1E+008 ST AYSYAH
0240R01811.5E+008 ST HAFSAH
0240R01811.5E+008 BAMBANG
0240R01812.0E+008 LALU RIVAL
0240R01811.4E+009 BAHRIAH
0240R01811.4E+008 RUKMA CA
0240R01811.5E+008 BAMBANG
0240R01811.4E+008 SAHARMAN
0240R01811.3E+009 RITA SUSAN
0240R01811.5E+008 KHAIRUL Y
0240R01811.5E+008 IDA AYU PU
0240R018197807566 UMI ROSID
0240R01811.9E+009 SRI WAHYU
0240R01811.5E+009 ANDRIYANT
0240R01811.1E+009 DESAK NY
0240R01811.3E+009 RIDWAN M
0240R01811.5E+008 MACHMUd
0240R01811.4E+008 M I S N A N
0240R01811.5E+008 aisyah ham
0240R01811.5E+008 NI NENGAH
0240R01811.9E+009 ni nengah m
0240R01812.1E+008 ST AYSYAH
0240R01811.5E+008 ST HAFSAH
0240R01811.4E+009 maria ha.
0240R01811.5E+008 SITI ENY C
0240R01812.0E+008 IR. AINUN
0240R01811.5E+008 IFNU SUMO
0240R01811.5E+008 BAMBANG
0240R01811.8E+009 NI MADE M
0240R01812.0E+008 LALU RIVAL
0240R01811.4E+009 HERIYANTO
0240R01811.5E+008 DRS. SUHI
0240R01811.5E+008 BAMBANG

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### M-3-10-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### Z-3-12-0
### Q-5-44-0
### M-3-16-0
### M-3-10-0
### Z-3-12-0
### Z-3-12-0
### Z-3-12-0
### M-3-10-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0

0240R01818.5E+008 MUKSIN
0240R01811.4E+008 SAHARMAN
0240R01811.7E+008 LALE NURT
0240R01811.5E+008 MACHMUd
0240R01811.3E+009 I GUSTI AY
0240R01811.1E+009 BONIFACIUS
0240R01811.1E+009 DESAK NY
0240R01811.5E+009 ANDRIYANT
0240R01811.3E+009 RIDWAN M
0240R01811.5E+008 IR. MOHAM
0240R01811.5E+008 IDA AYU PU
0240R01811.4E+008 RUKMA CA
0240R01811.5E+008 M YUSUF
0240R01811.5E+008 BAMBANG
0240R01811.8E+009 NI MADE M
0240R01811.5E+008 aisyah ham
0240R01812.0E+008 LALU RIVAL
0240R01811.4E+009 HERIYANTO
0240R01811.5E+008 ST HAFSAH
0240R01811.5E+008 NI WAYAN
0240R01811.4E+009 BAHRIAH
0240R01811.9E+009 Izudin kari
0240R01812.1E+008 ST AYSYAH
106

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-44-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Z-3-12-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0

TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
441,400 441,400
154,100 154,100
154,100 154,100
185,100 185,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
241,200 241,200
154,100 154,100
161,900 161,900
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100

441,400
441,400
154,100
154,100
154,100
161,900
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
161,900
154,100
154,100
241,200
241,200
161,900
154,100
441,400
241,200
241,200
241,200
441,400
154,100
241,200
154,100
154,100
241,200
154,100
154,100
241,200
154,100

441,400
441,400
154,100
154,100
154,100
161,900
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
161,900
154,100
154,100
241,200
241,200
161,900
154,100
441,400
241,200
241,200
241,200
441,400
154,100
241,200
154,100
154,100
241,200
154,100
154,100
241,200
154,100

161,900
154,100
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100

161,900
154,100
441,400
154,100
441,400
154,100
154,100
154,100
154,100
154,100
154,100
241,200
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100
154,100

Action

No.SEP No.Kartu
Nama Peserta
Tgl.MasukTgl.Pulang KdCBGs
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 MACHMUd
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.7E+008 LALE NURT
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.5E+008 BAMBANG
###
### Z-3-12-0
0240R01811.4E+008 RUKMA CA
###
### M-3-10-0
0240R01811.5E+008 NI WAYAN
###
### M-3-16-0
0240R01811.5E+008 SUJIHARTINI
###
### M-3-16-0
0240R01811.1E+009 MADE ANDI
###
### M-3-16-0
0240R01812.0E+008 LALU RIVAL
###
### M-3-16-0
0240R01811.9E+009 Selvy Dwi
###
### Z-3-25-0
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 KHAIRUL Y
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.4E+009 HERIYANTO
###
### M-3-16-0
0240R01811.5E+008 IR. MOHAM
###
### M-3-16-0
0240R01812.1E+008 ST AYSYAH
###
### M-3-16-0
0240R01811.5E+008 SURJO PUT
###
### M-3-16-0
0240R01811.5E+008 SITI ENY C
###
### M-3-16-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01811.5E+008 ST HAFSAH
###
### M-3-16-0
0240R01811.4E+008 SAHARMAN
###
### M-3-16-0
0240R01811.5E+008 MACHMUd
###
### M-3-16-0
0240R01811.5E+009 ANDRIYANT
###
### M-3-16-0
0240R01811.4E+009 maria ha.
###
### M-3-10-0
0240R01811.4E+009 BAHRIAH
###
### M-3-16-0
0240R01811.5E+008 IDA AYU PU
###
### M-3-16-0
0240R01811.4E+009 HERIYANTO
###
### M-3-16-0
0240R01811.1E+009 DESAK NY
###
### M-3-16-0
0240R01811.5E+008 NI NENGAH
###
### M-3-16-0
0240R01811.7E+008 LALE NURT
###
### M-3-10-0
0240R01811.5E+008 SUJIHARTINI
###
### M-3-16-0
0240R01811.3E+009 I GUSTI AY
###
### M-3-10-0
0240R01811.3E+009 RIDWAN M
###
### M-3-16-0
0240R01811.5E+008 aisyah ham
###
### M-3-16-0
0240R01811.9E+009 ripaan
###
### Q-5-44-0
0240R01811.5E+008 M YUSUF
###
### M-3-16-0
0240R01812.0E+008 IR. AINUN
###
### M-3-16-0
0240R01811.9E+009 Izudin kari
###
### M-3-10-0
0240R01811.4E+008 RUSNI
###
### Q-5-44-0
0240R01811.1E+009 SARIMINA
###
### Q-5-44-0
0240R01811.4E+009 SYECHA BIN
###
### Q-5-44-0

0240R01811.9E+009 muhamad al
0240R01811.5E+008 a. GANI H.
0240R01811.4E+009 maria ha.
0240R01818.3E+008 LALU BADR
0240R01811.4E+008 SAHARMAN
0240R01818.4E+008 I WAYAN RA
0240R01811.3E+009 BAYANI
0240R01811.5E+008 SITI ENY C
0240R01811.5E+008 JUMAWAL
0240R01811.5E+008 BONDAN WI
0240R01811.2E+009 SUYANTI ST
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 NURDIN AM
0240R01811.6E+009 TRENY YUS
0240R01811.9E+009 khalish mah
0240R01811.5E+008 NI WAYAN
0240R01811.5E+008 IR. MOHAM
0240R01811.5E+009 EVA KARTIN
0240R01812.1E+008 I WAYAN SU
0240R01811.5E+008 NURHAYATI,
0240R01811.5E+008 IMAM SURY
0240R01811.4E+009 WONG TJIN
0240R01811.4E+009 FRANSISCA
0240R01811.5E+008 NURHAYATI
0240R01811.5E+008 MACHMUd
0240R01811.4E+009 BAIQ HALI
0240R01811.4E+008 MUDIN
0240R01812.0E+008 LALU RIVAL
0240R01811.5E+009 ANDRIYANT
0240R01811.5E+008 HJ. HUSNAYATI
0240R01811.5E+008 SAMSUL RI
0240R01811.5E+008 RANTI UTAM
0240R01811.5E+008 MAHMUD
0240R01811.8E+009 NURMAH
0240R01811.5E+008 NURHIDAYA
0240R01811.5E+008 MARIA GRA
0240R01811.4E+009 WONG TJIN
0240R01811.4E+009 BAHRIAH
0240R01811.8E+009 NI MADE M
0240R01811.1E+009 MADE ANDI
0240R01811.3E+009 RIDWAN M
0240R01812.0E+008 ISNAINI B
0240R01811.1E+009 KOMANG K
0240R01811.4E+009 SYECHA BIN
0240R01811.1E+009 DWI DEDE

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### M-3-16-0
### Q-5-44-0
### M-3-10-0
### Q-5-38-0
### M-3-16-0
### N-3-14-0
### Q-5-31-0
### M-3-16-0
### Q-5-42-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### Z-3-27-0
### Q-5-42-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Z-3-27-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-38-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### Q-5-44-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### Q-5-44-0
### Z-3-27-0
### M-3-16-0
### Q-5-44-0

0240R01811.8E+009 VALENTINO
0240R01811.5E+008 SULASMI,
0240R01811.5E+008 TRI PUSPIT
0240R01811.5E+008 IDA AYU PU
0240R01811.8E+009 DANISH SA
0240R01811.2E+009 sopiana
0240R01811.5E+008 SUJIHARTINI
0240R01811.4E+009 HERIYANTO
0240R01811.1E+009 NI WAYAN M
0240R01811.8E+009 NI KADEK T
0240R01811.8E+009 SUHARTAK
0240R01811.4E+008 IDA AYU P
0240R01818.5E+008 SATIAMAH
0240R01811.7E+008 LALE NURT
0240R01811.1E+009 ARIFUDDIN
0240R01811.5E+008 LALU ALI A
0240R01811.4E+008 SAHARMAN
0240R01811.4E+008 RUKMA CA
0240R01811.4E+009 BAHRIAH
0240R01811.5E+008 MACHMUd
0240R01811.5E+009 ANDRIYANT
0240R01812.1E+008 I WAYAN SU
0240R01811.5E+008 NI NENGAH
0240R01811.4E+009 maria ha.
0240R01812.0E+008 LALU RIVAL
0240R01811.5E+008 aisyah ham
0240R01811.3E+009 I GUSTI AY
0240R01812.1E+008 I WAYAN SU
0240R01812.0E+008 IR. AINUN
0240R01811.8E+009 NI MADE M
0240R01811.5E+008 IR. MOHAM
0240R01811.4E+009 HERIYANTO
0240R01811.1E+009 MADE ANDI
0240R01811.7E+008 LALE NURT
0240R01811.4E+009 maria ha.
0240R01811.5E+008 SITI ENY C
0240R01812.0E+008 LALU RIVAL
0240R01811.9E+009 muhamad al
0240R01811.4E+009 WONG TJIN
0240R01811.3E+009 I GUSTI AY
0240R01811.4E+009 BAHRIAH
0240R01811.3E+009 RIDWAN M
0240R01811.5E+008 M YUSUF
86

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

### Q-5-26-0
### Q-5-42-0
### Z-3-23-0
### M-3-16-0
### Q-5-25-0
### Z-3-25-0
### M-3-16-0
### M-3-16-0
### Z-3-19-0
### Z-3-19-0
### Z-3-23-0
### Q-5-44-0
### Q-5-44-0
### M-3-10-0
### Z-3-19-0
### Q-5-44-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### Q-5-42-0
### Z-3-12-0
### M-3-16-0
### M-3-10-0
### M-3-16-0
### M-3-16-0
### Q-5-42-0

TotalTarifTotal
(59+CMG)
Klaim(Grp+CMG)
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
241,200 241,200
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
324,600 324,600
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
161,900 161,900
154,100 154,100
154,100 154,100
441,400 441,400
161,900 161,900
161,900 161,900
161,900 161,900

154,100
161,900
441,400
202,800
154,100
228,900
131,100
154,100
138,500
161,900
161,900
154,100
161,900
185,100
138,500
154,100
154,100
161,900
154,100
398,700
161,900
161,900
161,900
161,900
154,100
185,100
154,100
154,100
154,100
202,800
161,900
161,900
161,900
161,900
154,100
161,900
154,100
161,900
154,100
154,100
154,100
161,900
185,100
154,100
161,900

154,100
161,900
441,400
202,800
154,100
228,900
131,100
154,100
138,500
161,900
161,900
154,100
161,900
185,100
138,500
154,100
154,100
161,900
154,100
398,700
161,900
161,900
161,900
161,900
154,100
185,100
154,100
154,100
154,100
202,800
161,900
161,900
161,900
161,900
154,100
161,900
154,100
161,900
154,100
154,100
154,100
161,900
185,100
154,100
161,900

193,500 193,500
138,500 138,500
398,700 398,700
154,100 154,100
136,500 136,500
324,600 324,600
154,100 154,100
154,100 154,100
1,181,900 1,181,900
1,181,900 1,181,900
398,700 398,700
161,900 161,900
161,900 161,900
441,400 441,400
1,181,900 1,181,900
161,900 161,900
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
138,500 138,500
241,200 241,200
154,100 154,100
441,400 441,400
154,100 154,100
154,100 154,100
138,500 138,500

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