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IFR-1

Third WSLIC - PAMSIMAS


Project Sources and Uses of Funds
for the quarter ending 31/12/2009
currency: IDR

Sources of Funds
GOI ( Counterpart; RPMurni; Outstanding; SBUN)
The World Bank
Other Donor/lender
Total Sources of Fund

Current
Quarter /ii
1

Actual / i
Year-To
Date
2

Cumulative
To-Date/iii
3

Current
Quarter /ii
4

Planned
Year-To
Date
5

Cumulative
To-Date/iii
6

364,757,936,147

461,089,406,660

461,089,406,660

38,042,503,000
368,328,180,993

38,042,503,000
495,295,001,000

38,042,503,000
495,295,001,000

90%

86%

86%

364,757,936,147

461,089,406,660

461,089,406,660

406,370,683,993

533,337,504,000

533,337,504,000

90%

86%

86%

1,605,158,100

1,889,319,100

1,889,319,100

3,499,999,993

4,500,000,000

4,500,000,000

46%

42%

42%

15,367,369,095

21,527,190,995

21,527,190,995

9,374,530,000

11,847,826,000

11,847,826,000

164%

182%

182%

307,996,029,647

394,306,592,306

394,306,592,306

327,743,431,000

407,149,681,000

407,149,681,000

94%

97%

97%

39,789,379,305

43,366,304,259

43,366,304,259

27,710,220,000

71,797,494,000

71,797,494,000

144%

60%

60%

364,757,936,147

461,089,406,660

461,089,406,660

368,328,180,993

495,295,001,000

495,295,001,000

99%

93%

93%

38,042,503,000

38,042,503,000

38,042,503,000

406,370,683,993

533,337,504,000

533,337,504,000

90%

86%

86%

Current
Quarter /ii
7=1/4

Variance %
Year-To
Cumulative
Date
To-Date/iii
8=5/5
9=3/6

Uses of Funds (by Category)


1 GOODS,WKSHOPS PT.A&E
2 GOODS,WKSHOPS PT.B
3 Grants
4 Consultant Services
Sub Total
*

Non Bank Financed (Rupiah Murni)


Total Uses of Fund

364,757,936,147

461,089,406,660

461,089,406,660

NOTE:
must reconcile with
Form IFR2
1 Sources of Fund:
Actual: include WB portions and GOI counterpart funds
Planned: to be completed with the appoved budget; especially for the current quarter this must be completed with the previous quarter's cash forecast
2 Uses of Fund
Actual: project expenditures by categories for the WB portions plus GOI counterpart funds
Planned: "Year todate" to be completed with the appoved budget (DIPA); " Cummulative todate" to be completed with amount in PAD
3 "Current Quarter" covers the expenditures claimed to be eligible reported in the quarter
4 "Year to Date" covers accumulative expenditures during the year
5 "Cummulative to Date" covers expenditures since the beginning of the project until the current quarter
6 "Non Bank Financed" covers GOI expenditures related to the project other than the GOI counterpart funds

IFR-2

Third WSLIC - PAMSIMAS


Project Uses of Funds by Category
for the quarter ending 31/12//2009
Expenditures in the Current Quarter
Uses of Funds (by Category) */

Total

APBN PLN

Rp

Rp

1 GOODS,WKSHOPS PT.A&E

APBN
Rp
2

APBD

Community
Contribution

Rp

Rp

SBUN
Rp

Outstan
ding

charged to WB
Sp.Acc

Rp

Rp

charged to WB
Sp.Acct
US$

1,605,158,100

1,605,158,100

1,605,158,100

169,037.06

15,367,369,095

15,367,369,095

15,367,369,095

1,596,681.73

307,996,029,647

307,996,029,647

307,996,029,647

32,317,818.76

4 Consultant Services

39,789,379,305

39,789,379,305

39,789,379,305

4,184,065.93

Total Uses of Fund

364,757,936,147

364,757,936,147.35

364,757,936,147

38,267,603.48

Average Exchange rate:

9,531.77

2 GOODS,WKSHOPS PT.B
3 Grants

must reconcile
with Form IFR1

Expenditures in Year to Date


Uses of Funds (by Category) */

Total

APBN PLN

Rp
10

11

3,114,172,232.00

1,889,319,100.00

21,527,190,995.00

21,527,190,995.00

403,234,197,259.00

394,306,592,306.00

4 Consultant Services

43,366,304,259.35

43,366,304,259.35

Total Uses of Fund

471,241,864,745.35

461,089,406,660.35

1 GOODS,WKSHOPS PT.A&E
2 GOODS,WKSHOPS PT.B
3 Grants

APBN

APBD

Community
Contribution

Rp

Rp

Rp

12

13

Outstan
ding

SBUN

14

15

Rp

US$
17

18

1,889,319,100

196,651.14

21,527,190,995

2,276,662.76

394,306,592,306

40,235,228.24

43,366,304,259

4,608,465.36

461,089,406,660

47,317,007.50

Average Exchange rate:

9,744.69

8,927,604,953.00
-

charged to WB
Sp.Acct

16

1,224,853,132.00

10,152,458,085.00

9049404.02

charged to WB
Sp.Acc

must reconcile
with Form IFR1

Cumulative Expenditures to Date


Uses of Funds (by Category) */

Total

APBN PLN

Rp
19

20

3,114,172,232.00

1,889,319,100.00

21,527,190,995.00

21,527,190,995.00

403,234,197,259.00

394,306,592,306.00

4 Consultant Services

43,366,304,259.35

43,366,304,259.35

Total Uses of Fund

471,241,864,745.35

461,089,406,660.35

1 GOODS,WKSHOPS PT.A&E
2 GOODS,WKSHOPS PT.B
3 Grants

must reconcile with


Form IFR1

*/ Please have a seperate line item if the WB' financing percentage is different

APBN

APBD

Community
Contribution

Rp

Rp

Rp

21

22

Outstan
ding

SBUN

23

24

1,224,853,132.00
8,927,604,953.00
-

10,152,458,085.00

25

charged to WB
Sp.Acc

charged to WB
Sp.Acct

Rp

US$
26

27

1,889,319,100

196,651.14

21,527,190,995

2,276,662.76

394,306,592,306

40,235,228.24

43,366,304,259

4,608,465.36

461,089,406,660

47,317,007.50

Average Exchange rate:

9,744.69

1-A

Third WSLIC - PAMSIMAS


Designated/Special Account Activity Statement
for the Reporting Period 31/12/2009
Bank and Account No.: 601.280.411
USD

Part I
1. Cummulative advances to end of current reporting period
2. Cummulative expenditures to end of last reporting period
3. Outstanding advances to be accounted (1-2)

54,174,606.14
11,235,537.95
42,939,068.19

Part II
4. Opening SA balance at beginning of reporting period (as of June 30,2009)
5. Add/Substract:Cummulative adjustments (if any) *
6.
Advances from the World Bank during reporting period
7.add 5 and 6
8. Outstanding advances to be accounted for (4+7) (must be same as item 3)
9. Closing SA balance at end of current reporting (as of Dec 31, 2009)
10. Add/substract: Cummulative adjusment (if any) **
11.
Expenditures for current reporting period
12. Add 10+11
13. Add 9+12

39,451,240.38
3,487,827.81
3,487,827.81
42,939,068.19
3,297,107.65
1,374,350.96
38,267,603.48
39,641,954.44
42,939,062.09

14. Difference (if any) 8-13 ***

6.10

Part III
15. Total Forecasted amount to be paid by World Bank
16. Less: Closing SA balance (as per item 9 )
17.
Cumulative adjustment (if any) ****
18. Add 16+17

18,626,515.35
3,297,107.65
3,297,107.65

19. Cash requirement from WB for next six months (15-18)


20. Amount requested for advance to SA (rounding)
===================
* Explanation for item 5 (if not zero):

FMR & AW Ref.

15,329,407.70
16,000,000.00

Amount (+/-)
3,487,827.81

Remarks
See list of backlogs

3,487,827.81
** Explanation for item 10 (if not Zero):
Backlog
Pending Issues

FMR & AW Ref.


Ref: Attachment
Ref: Attachment

Amount (+/-)
Remarks
1,520,054.86 See list of backlogs
(145,703.90) see list reconciliation WA
1,374,350.96

*** Explanation for item 14 (if not Zero):

FMR & AW Ref.

Amount (+/-)
6.10

**** Explanation for item 17 (if not Zero):

FMR & AW Ref.

Amount (+/-)

Remarks
Rounded to be 1

Remarks

1-B
Third WSLIC - PAMSIMAS
Summary Sheet for Payments of Contracts Subject to Prior Review
Quarter : 4 31/12/2009

1
2
Item
Disbursement Category
No.
Cat
Description
No.
1

GOODS,
WKSHOPS,
TRAINING PT.A&E
Subtotal

GOODS,
WKSHOPS,
TRAINING PT.B
Subtotal
.
GRANTS

2a
BI Statement
Date Of

Ite
Ye Pa
m
ar ge
No

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

(GOI+IBRD+PPN)

Subtotal
4

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

Ln/Cr/TF No. : Cr 4204


Sheet No.
10
11
Amount of
Exchange
WB portion
Rate
paid
Applied

12
Amount
Charged
to SA
(USD eqv)

13
WB's
contract
ref.
**/

CONSULTANT
SERVICE

100

7/31/2009 11

37 JAKARTA

854727C

7/30/2009 No. 05/PMAC/PKPAM-SS/III/2009 Tgl 20 Maret PT.


2009
Rifa Bestari

14,503,470,000

1,450,347,000

1,450,347,000

9,940.00

11/6/2009 11

23 JAKARTA VI

855968C 03/11/2009 No. KU. 08.08/Kontrak/Pamsimas/20/III/2009, 02/03/2009


PT. Lenggogeni

45,346,794,200

651,847,172

651,847,172

9,497.00

145,910.16
68,637.17

11/6/2009 11

24 JAKARTA VI

855969C 03/11/2009

PT Indomas Mulia

12,993,556,800

1,299,355,680

1,299,355,680

9,497.00

136,817.49

11/6/2009 11 10 110 JAKARTA VI

856003C 06/11/2009 Kontrak No 26/PMAC/PKPAM-SB/VIII/2009

PT Tridarma Fifita In Joint Venture


16.026.379.000
PT Amurwa
USD
Intl.
108,880

1,602,637,900

1,602,637,900

9,428.00

169,987.05

11/6/2009 11 10 111 JAKARTA VI

856008C 06/11/2009 No. 02/PKK/PMAC-C11/2009 Tgl 9/10/2009

PT Yogya Karya

11,800,136,000

1,073,967,500

1,073,967,500

9,428.00

113,912.55

856185C 11/11/2009 kontrak No 03/PKK/PMAC.C12/2009) tanggal 1PT


Oktober
Widha2009

16,418,885,000

1,641,888,500

1,641,888,500

9,358.00

175,452.93

856350C 24/11/2009 No. UM.01.03/PMAC/PKPAMG-GO/4450/2009 Tgl


PT.08
Kogas
SeptDriyap
2009 Konsultan Jaksel

17,025,239,196

1,702,523,920

1,702,523,920

9,451.00

180,142.20

11/23/2009 11

35 JAKARTA VI

11/30/2009 11

3 JAKARTA VI

11/30/2009 11

9 105 JAKARTA VI

856467C 26/11/2009 No. KU 08.08/Kontrak/Pamsimas/20/III/2009 TglPT.


2 Maret
Lenggogeni
2009

45,346,794,200

2,118,700,410

2,118,700,410

9,366.00

226,211.87

11/30/2009 11

9 106 JAKARTA VI

856453C 26/11/2009 No. 663.10/030/SPP-Pamsimas/SK.AM-KS/2009


PT.
TglAmurwa
27 Agustus
Internasional
2009

14,337,940,800

1,433,794,088

1,433,794,088

9,366.00

153,085.00

10

11/30/2009 11

9 107 JAKARTA VI

856471C 26/11/2009 SPK No. KU.08.08/A M/14/2009 Tgl 27 AgustusPT.


2009
Perentjana Djaja

17,521,800,000

1,177,352,500

1,177,352,500

9,366.00

125,704.94

11

12/7/2009 11

856562C

17,521,800,000

1,752,180,000

1,752,180,000

9,389.00

186,620.51

93 JAKARTA VI

4/12/2009 No. KU 08.08/79/SP/BLN/PKPamss/2009 Tgl 01PT.


OktSurya
2009 Abadi Konsultan

12

12/15/2009 11 12 133 JAKARTA VI

856796C 10/12/2009 No. 663.10/030/SPP-Pamsimas/SK.AM-KS/2009


PTTgl
Amurwa
27 Agustus
Internasional
2009

14,337,940,800

180,263,500

180,263,500

9,388.00

19,201.48

13

12/15/2009 11 20 233 JAKARTA VI

856852C 11/12/2009 No. 412/Pamsimas/PKPAM-NTT/2009 Tgl 4 Desember


AHT Group
2009Consultants

18,988,856,087

1,898,885,608

1,898,885,608

9,395.00

202,116.62

14

12/15/2009 11 26 302 PEKANBARU

723648N 14/11/2009 No. 23/PMAC/VII/PKPAM.

15

12/15/2009 11 35 412 JAKARTA VI

856906C 15/12/2009 No. 05/PMAC/PKPAM-SS/III/2009 Tgl 20 Maret PT.


2009
Rifa Bestari

16

12/15/2009 11 35 413 JAKARTA VI

856910C 15/12/2009 no 26/PMA/PKPAM-SB/VIII/2009

17

12/15/2009 11 35 414 JAKARTA VI

18

12/23/2009 11

19

12/23/2009 11 28 329 JAKARTA VI

20

9,381,080,000

957,368,000

957,368,000

9,425.00

101,577.51

45,346,794,200

754,827,575

754,827,575

9,425.00

80,087.81

16.026.379.000 USD 108,880

712,821,842

712,821,842

9,425.00

75,630.96

856911C 15/12/2009 No. 05/PMAC/PKPAM-SS/III/2009 Tgl 20 Maret PT.


2009
Rifa Bestari

14,503,470,000

1,020,032,697

1,020,032,697

9,425.00

108,226.28

857014C 16/12/2009 No. KU.08.08/Kontrak/Pamsimas/20/III/2009 TglPT.


2 Maret
Lenggogeni
2009

45,346,794,200

1,084,403,678

1,084,403,678

9,433.00

114,958.52

857437C 22/12/2009 SPK No. KU.08.08/A M/14/2009 Tgl 27 AgustusPT.


2009
Perentjana Djaja

17,521,800,000

745,024,500

745,024,500

9,457.00

78,780.22

12/23/2009 11 30 358 JAKARTA VI

857465C 23/12/2009 No. KU.08.08/PKPAMJB/S-03 Tgl 15 Juni 2009 PT. Perentjana Djaja

3,414,070,000

996,069,000

996,069,000

9,457.00

105,326.11

21

12/23/2009 11 30 359 JAKARTA VI

857467C 23/12/2009 No. KU.08.08/PKPAMJB/S-03 Tgl 15 Juni 2009 PT. Perentjana Djaja

61,358.87

22

12/31/2009 11

2 JAKARTA VI

857428C 28/12/2009 No. KU 08.08/79/SP/BLN/PKPamss/2009 Tgl 01PT.


OktSurya
2009 Abadi Konsultan

23

12/31/2009 11

3 JAKARTA VI

857491C 28/12/2009 No. 28/PMAC/PKPAM-SB/XII/2009

24

12/31/2009 11

24

80 JAKARTA VI

94 SERANG

PT. Tri Darma Fifita

3,414,070,000

580,270,867

580,270,867

9,457.00

17,521,800,000

506,250,000

506,250,000

9,393.00

53,896.52

PT. Arkonin Engineering Manggala Pratama


12,063,270,000

1,206,327,000

1,206,327,000

9,393.00

128,428.30

3,414,070,000

372,444,000

372,444,000

9,433.00

39,483.09

26,919,582,937

26,919,582,937

788736N 22/12/2009 No. KU.08.08/PKPAMJB/S-03 Tgl 15 Juni 2009 PT. Perentjana Djaja

Subtotal
5

PT. Intersys Kelola Maju

2,851,554.16

Unallocated
Subtotal
GRAND TOTAL
*/ Please have a seperate line item if the WB' financing percentage is different
**/ Please check these ref. through Client Connection

26,919,582,937

26,919,582,937

2,851,554.16

1-C

Third WSLIC - PAMSIMAS


Summary Statement of Expenditures (Sum-SOE)
for those NOT Subject to Prior Review
Quarter : 4 31/12/2009

1
Item
No.

2
Disbursement Category
Cat No.

Description

3
Threshold
for
SOEs
(USD eqv)

4
Number of
SP2D
covered

5
Country of
supplier/
consultant/
training

Ln/Cr/TF No. : Cr 4204 - IND


Sheet No. :
8
9
10
Amount of
Average
Amount
WB portion
Exchange
Charged
paid
Rate
to SA
(USD eqv)

6
Total Paid
to Contractors/
Expenditures
(GOI+IBRD+PPN)

7
WB
Financing
%

14 Indonesia

1,605,158,100

100

1,605,158,100

9,496

169,037.06

(1)

Category 1 */

(2)

449 Indonesia

15,357,869,095

100

15,357,869,095

9,625

1,595,671.20

(3)

Category 2
.
Category 3

1,696 Indonesia

295,068,587,243

100

295,068,587,243

9,536

30,942,705.22

(4)

Category 4

68 Indonesia

8,335,116,948

100

8,335,116,948

9,804

850,150.38

320,366,731,386

100

320,366,731,386

9,547

33,557,563.86

GRAND TOTAL

2,227

*/ Please have a seperate line item if the WB' financing percentage is different

1-C2
Third WSLIC - PAMSIMAS
Statement of Expenditures for those NOT Subject to Prior Review
Quarter : 4 31/12/2009
Ln/Cr/TF No. : Cr 4204
1

Item
No.

Disburs. Category
Cat Description

1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
14

GOODS,
WKSHOPS,
TRAINING
PT.A&E

Date Of

18-Sep-09
30-Oct-09
30-Oct-09
30-Oct-09
11-Nov-09
13-Nov-09
13-Nov-09
23-Nov-09
7-Dec-09
7-Dec-09
7-Dec-09
7-Dec-09
7-Dec-09
23-Dec-09

Ite
Ye Pa
m
ar ge
No

3a
Office
Issuing
SP2D

11 2 20 Jakarta
11 1
6 Jakarta
11 1
7 Jakarta
11 3 30 Jakarta
11 2 21 Jakarta
11 6 66 Jakarta
11 6 67 Jakarta
11 2 22 Jakarta
11 3 30 Jakarta
11 3 31 Jakarta
11 6 60 Jakarta
11 10 117 Jakarta
11 10 119 Jakarta
11 27 319 Jakarta

IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV

3b
Cross-Ref
SP2D
No.

474890L
359582N
359583N
360903N
361689N
366293N
366294N
366851N
372994N
372995N
373856N
375084N
375085N
384387N

4
Date of
Payment
(SP2D)

9/16/2009
26/10/2009
26/10/2009
29/10/2009
02/11/2009
13/11/2009
13/11/2009
16/11/2009
12/1/2009
12/1/2009
12/3/2009
12/4/2009
12/4/2009
21/12/2009

5
Contract
No.
and Date

No. 413.3/847/V Tgl 7 Sept 2009


No. 413.3/774/V tgl. 20 Agust 2009
No. 413.3/889/V tgl. 20 Agust 2009
No. 413.3/961/V Tgl 9 Okt 2009
No. 413.3/779/V Tgl 21/08/2009
SPK No. 413.3/865/V Tgl 12 Okt 2009
SPK No. 413.3/955/V Tgl 8 Okt 2009
No. 413.3/864.A/V Tgl 12/10/2009
414.3/1045/V tagl 2 Nov 2009
414.3/1000/V tagl 21/10/ 2009
Penggantian Dana Rek. Kas Negara
PMD
PMD
Workshop tkt prop. utk Legislatif & eksktf

6
Supplier/
Contractor
Name

PT Sukapura Mulia Persada


CV. Mardika Tara Jakarta Timur
CV. Copa Nusa Indah Jakarta Pusat
PT. Sukapura Mulia Persada Jaktim
CV USA Persada Prima
CV. Mardika Tara Jakarta Timur
CV. IKO BANA Jakarta Timur
CV Multi Dina Khalisia
PT. Kencana Royalindo
PT. Graha Bandung Kencana
Dirjen Perbendaharan Jakarta
Dirjen Perbendaharan Jakarta
Dirjen Perbendaharan Jakarta
Graha Bandung Kencana/ Ditjen Bangda

Subtotal
2

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48

2a
BI Statement

GOODS,
WKSHOPS,
TRAINING PT.B

7-Nov-08
7-Nov-08
7-Nov-08
7-Nov-08
14-Nov-08
14-Nov-08
14-Nov-08
21-Nov-08
21-Nov-08
21-Nov-08
21-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
28-Nov-08
5-Dec-08
5-Dec-08
5-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-08
15-Dec-09

10 1 11
10 2 12
10 2 13
10 2 14
10 2 18
10 4 39
10 4 40
10 2 17
10 2 18
10 2 19
10 2 20
10 3 31
10 3 33
10 3 34
10 3 35
10 4 36
10 5 56
10 5 57
10 5 58
10 6 70
10 6 71
10 7 72
10 2 19
10 2 20
10 2 21
10 2 15
10 2 16
10 2 17
10 2 18
10 5 52
10 5 53
10 8 94
10 8 95
10 11 122

PARE-PARE
PARE-PARE
PARE-PARE
PARE-PARE
MAJENE
LARANTUKA
SRAGEN
SRAGEN
Sragen
SRAGEN
SRAGEN
SRAGEN
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PATI
PATI
PATI
PARE-PARE
PARE-PARE
PARE-PARE
MAKALE
MAKALE
BUKIT TINGGI
PURWODADI
Purwodadi
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
SRAGEN

658637J
658638J
658639J
658640J
955979J
169916I
483784I
483830I
483831I
483832I
483833I
484034I
734833J
734834J
734835J
734836J
196152K
196153K
196154K
660187J
660188J
660190J
554913H
554915H
250733K
735215J
735384J
735385J
735386J
735389J
735390J
735547J
735548J
484812I

24/10/2008
24/10/2008
24/10/2008
24/10/2008
31/10/2008
11/10/2008
11/10/2008
12/11/2008
12/11/2008
12/11/2008
12/11/2008
19/11/2008
19/11/2008
19/11/2008
19/11/2008
19/11/2008
24/11/2008
24/11/2008
24/11/2008
25/11/2008
25/11/2008
25/11/2008
5/11/2008
5/11/2008
24/11/2008
4/12/2008
5/12/2008
5/12/2008
5/12/2008
9/12/2008
9/12/2008
10/12/2008
10/12/2008
12/12/2008

Belanja Plthn utk MPA-PHAST dan CLTS


Belanja Barang non operasional

BUN dinkes Kab. Sidenreng Rappang


BUN Umum Dinkes Kab. Sidrap
Sewa kendaraan plthn MPA-PHAST & CLTS
BUN Umum Dinkes Kab. Sidrap
Belanja Prjlnan Plthn MPA-PHAST & CLTS Bend. Pengel. Dinkes Kab. Sidrap
Sewa dlm rangka Plthn MPA-PHAST & CLTS BUN Umum kab. Dinkes Kab. Majene
Bend Pengeluaran PAMSIMAS
Bend. Pengel. Dinkes Kab. Sragen
Pelatiahan MPA-PHAST & CLTS
Hotel Indah Jaya
Bend. Pengel. Dinkes Kab. Karanganyar
Bend. Pengel. Dinkes Kab. Karanganyar
Bend. Pengel. Dinkes Kab. Karanganyar
Pelatiahn Hiegine & Sanitasi untuk guru
Bend. Peng. PAMSIMAS/Kab Karanganyar
Belanja sewa
BUN Umum dinkes kab. Grobogan
Belanja Barang Non operasional
BUN Umum dinkes kab. Grobogan
Belanja Perjalanan
BUN Umum dinkes kab. Grobogan
belanja barang non operasional
Bend. Pengel. Dinkes Kab, Purwodadi
Belanja Barang
Bend. Pengel. Dinkes Kab. Pati
Belanja bahan
Bend. Pengel. Dinkes Kab. Pati
Perjalanan
Bend. Pengel. Dinkes Kab. Pati
BUN Umum Dinkes Kab. Sidrap
BUN Umum Dinkes Kab. Sidrap
Belanja Perjalanan Workshop CLTS
Bend. Pengel. Dinkes Kan. Sidrap
Bend. Pengl. Dinkes Kab Tsnatoraja
Bend. Pengel. Dinkes kab Tanatoraja
Belanja Barang non operasional
Bend. Pengel. Dinkes Kab Limapuluh Kota
Belanja Barang Non operasional
Bend. Pengel. Dinkes Kab. Grobogan
Belanja sewa
BUN untuk dibukukan/Dinkes Kab Blora
Belanja barang operasional
BUN untuk dibukukan/Dinkes Kab Blora
Belanja Perjalanan
BUN untuk dibukukan Dinkes Kab Blora
Belanja Perjalanan
BUN untuk dibukukan/Dinkes Kab Blora
Belanja Barang non operasional
BUN untuk dibukukan/Dinkes Kab Blora
Belanja Bahan
BUN u/dibukukan dinkes kab. Grobogan
Belanja Perjalanan Dalam Negeri
BUN untuk dibukukan
Promosi Kesehatan di Kab. Karanganyar
Bend. Pengel. Dinkes Kab. Karanganyar

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

10
Amount of
WB portion
paid

431,640,000
27,370,000
15,045,800
52,660,300
18,768,000
25,950,000
14,732,000
12,893,000
288,000,000
346,680,000
122,500,000
150,531,000
9,240,000
89,148,000

431,640,000
27,370,000
15,045,800
52,660,300
18,768,000
25,950,000
14,732,000
12,893,000
288,000,000
346,680,000
122,500,000
150,531,000
9,240,000
89,148,000

1,605,158,100

1,605,158,100

1,000,000
18,000,000
500,000
9,000,000
840,000
9,791,000
8,430,000
14,850,000
2,000,000
4,400,000
1,000,000
8,430,000
1,000,000
20,000,000
18,000,000
10,000,000
30,000,000
1,000,000
18,000,000
500,000
7,000,000
9,000,000
9,000,000
7,000,000
9,800,000
10,000,000
500,000
291,000
9,000,000
16,200,000
300,000
1,200,000
5,400,000
1,260,000

1,000,000
18,000,000
500,000
9,000,000
840,000
9,791,000
8,430,000
14,850,000
2,000,000
4,400,000
1,000,000
8,430,000
1,000,000
20,000,000
18,000,000
10,000,000
30,000,000
1,000,000
18,000,000
500,000
7,000,000
9,000,000
9,000,000
7,000,000
9,800,000
10,000,000
500,000
291,000
9,000,000
16,200,000
300,000
1,200,000
5,400,000
1,260,000

11
Exchange
Rate
Applied

9,781
9,376
9,376
9,637
9,562
9,368
9,368
9,301
9,369
9,369
9,398
9,389
9,389
9,451

12
Amount
Charged
to SA
(USD eqv)

44,130.46
2,919.16
1,604.71
5,464.39
1,962.77
2,770.07
1,572.59
1,386.20
30,739.67
37,002.88
13,034.69
16,032.70
984.13
9,432.65
169,037.06

10,800
10,800
10,800
10,800
11,000
11,913
11,913
11,957
11,957
11,957
11,957
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,214
12,214
12,214
12,224
12,224
12,224
11,363
11,363
11,363
11,363
11,050
11,050
11,050
11,050
11,100

92.59
1,666.67
46.30
833.33
76.36
821.88
707.63
1,241.95
167.27
367.99
83.63
679.84
80.65
1,612.90
1,451.61
806.45
2,419.35
80.65
1,451.61
40.94
573.11
736.86
736.26
572.64
801.70
880.05
44.00
25.61
792.04
1,466.06
27.15
108.60
488.69
113.51

6 of 86

Item
No.

Disburs. Category
Cat Description

49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

2a
BI Statement
Date Of
23-Dec-08
23-Dec-08
23-Dec-08
23-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
15-Jan-09
7-May-09
7-May-09
15-May-09
15-May-09

Ite
Ye Pa
m
ar ge
No
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

5
19
31
37
1
1
1
12
12
15
15
15
15
16
16
16
16
16
16
16
17
19
19
19
19
20
20
20
20
20
37
37
38
38
1
1
2
2
2
2
2
2
3
3
3
4
4
5
8
8
8
12
13
13
13
13
14
2
3
1
1

52
225
364
437
8
9
10
133
134
176
177
178
179
180
181
182
183
185
187
189
194
218
221
222
223
233
234
235
236
237
432
434
446
448
10
11
12
13
14
15
22
23
24
25
30
40
41
57
92
94
95
142
144
145
146
147
156
23
24
1
3

3a
Office
Issuing
SP2D

MAJENE
MAKASSAR II
LUBUK SIKA
PELAIHARI
PALEMBANG
PALEMBANG
PALEMBANG
LAHAT
LAHAT
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PURWODADI
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
MAKALE
MAKALE
MAKALE
BANJARNEGARA
BANJARNEGARA
BANJARNEGARA
BANJARNEGARA
BANJARNEGARA

SRAGEN
SRAGEN
SRAGEN
SRAGEN
TERNATE
TERNATE
TERNATE
TERNATE
TERNATE
TERNATE
SURAKARTA
SURAKARTA
SURAKARTA
SURAKARTA
MASOHI
MASOHI
MASOHI
SOLOK
BUKITTINGGI
BUKITTINGGI
BUKITTINGGI
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
PATI
BANJARMASIN
BANJARMASIN
PALEMBANG
PEKANBARU

3b
Cross-Ref
SP2D
No.

957224J
833338I
166188K
493352J
074510K
074511K
074512K
869033J
869034J
736120J
736121J
736123J
736127J
736128J
736129J
736131J
736132J
909239K
909240K
909238K
909237K
909236K
555857H
555858H
555859H
425924K
425926K
425930K
425928K
425929K
484330I
484332I
434326J
434329I
561727K
561807K
561808K
561809K
561810K
561811K
439863K
439864K
439865K
439866K
037791K
037789K
037790K
420415J
258429K
258431K
258432K
172122K
172124K
172125K
172126K
172127K
197291K
779245K
779246K
086652I
663919L

4
Date of
Payment
(SP2D)

15/12/2008
18/12/2008
18/12/2008
22/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
28/12/2008
28/12/2008
28/11/2008
28/11/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
3/12/2008
19/11/2008
19/11/2008
19/11/2008
17/12/2008
18/12/2008
18/12/2008
18/12/2008
18/12/2008
22/12/2008
5/5/2009
5/5/2009
11/5/2009
11/5/2009

5
Contract
No.
and Date
Pelatihan Hiegiene dan Sanitasi u/ guru
Belanja perjalanan dinas
Pelatihan MPA-PHAST dan Sanitasi
Belanja Bahan non operasional
Belanja Perjalanan u/plthn
Belanja sewa kendaraan
Belanja barang non operasional
Belanja Perjalanan Workshop CLTS
Belanja Perjalanan Dinas
Belanja Sewa
Belanja barang non operasional
Belanja Bahan
Belanja Perjalanan Dalam Negri
Belanja Bahan
Belanja barang non operasional
Belanja Perjalanan Dalam Negeri
Belanja Sewa
Perjalanan Dinas Dalam Negeri
Belanja Barang Non Operasional
Belanja Bahan

Workshop CLTS

Belanja Perjalanan
Belanja Barang
Belanja Sewa
Perjalanan Dinas Dalam Negeri
Perjlanan Dalam Negeri
Perjlanan Dalam Negeri
Belanja barang non operasional
Perjalanan Dinas Dalam Negeri
Belanja Bahan

Prjln Dinas dalam rangka Pelatihan CLTS


Perjlanan Dalam Negeri

6
Supplier/
Contractor
Name
BUN untuk dibukukan/dinkes kab. Majene
DJPB Dinkes Kab. Gowa
Bend. Pengl. Dinkes Kab. Pasaman
UPTD SKB Kab. Tanah laut
Dirjen Perbendaharaan/Dinkes Kab OI
Dirjen Perbendaharaan/Dinkes Kab OI
Dirjen Perbendaharaan/Dinkes Kab OI
Bendum. dinkes kab. Muara Enim
Bendum. dinkes kab. Muara Enim
BUN/dinkes kab. Blora
BUN/dinkes kab. Blora
BUN/dinkes kab. Blora
BUN/dinkes kab. Grobogan
BUN/dinkes kab. Grobogan
BUN/dinkes Kab. Grobogan
BUN/dinkes kab. Grobogan
BUN/dinkes kab. Grobogan
DJPB Jkrt dinkes kab. Kampar
DJPB Jkrt dinkes kab. Kampar
DJPB Jkrt dinkes kab. Kampar
DJPB Jkrt dinkes kab. Kampar
Dirjen Perbendaharaan Jakarta
BUNDinkes Kab Tanatoraja
BUN/dinkes Kab Tanatoraja
BUNDinkes Kab Tanatoraja
Bendahara Umum/Dinkes Kab. Wonosobo
Bendahara Umum/Dinkes Kab Wonosobo
Bendahara Umum/Dinkes Kab Wonosobo
Bendahara Umum/Dinkes Kab Wonosobo
BUN/dinkes Kab wonosobo
BUN/Dinkes kab kaaranganyar
Bend. Peng. Dinkes Kab. Kranganyar
Bendahara Umum
Bendahara Umum
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
BUN, Dinkes Kab Mateng
BUN
BUN
bun/Dinkes Kab Solok Selatan
bun/Dinkes Kab. Limapuluh Kota
bun/Dinkes Kab. Limapuluh Kota
bun/Dinkes Kab. Limapuluh Kota
bun/ Dinkes Kota Sawahlunto
bun/ Dinkes Kota Sawahlunto
bun/ Dinkes Kota Sawahlunto
bun/ Dinkes Kota Sawahlundo
bun/ Dinkes Kota Sawahlunto
bunDinkes Kab. Rembang
Bend Pengel Satker Dinkes Prop Kalsel
Bend Pengel Satker Dinkes Prop Kalsel
Bend Pengel Satker Dinkes Prop Sumsel
Bendahara Pengeluaran Dinkes Prop Riau

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

160,000
19,800,000
10,800,000
25,000,000
41,200,000
24,000,000
1,000,000
7,000,000
9,000,000
12,600,000
500,000
44,109,000
1,000,000
9,000,000
1,500,000
8,000,000
5,400,000
1,000,000
5,750,000
27,000,000
1,000,000
1,000,000
4,700,000
1,758,000
1,000,000
1,000,000
50,700,000
6,500,000
31,300,000
1,000,000
9,000,000
8,410,000
17,450,000
2,700,000
1,000,000
500,000
700,000
500,000
3,000,000
1,000,000
37,800,000
47,000,000
4,700,000
1,000,000
37,800,000
51,700,000
1,000,000
7,500,000
17,350,000
15,500,000
1,000,000
13,175,000
10,200,000
4,950,000
4,375,000
6,665,000
1,700,000
68,790,000
2,000,000
10,150,000
36,675,000

9
WB
Financing
%

10
Amount of
WB portion
paid

160,000
19,800,000
10,800,000
25,000,000
41,200,000
24,000,000
1,000,000
7,000,000
9,000,000
12,600,000
500,000
44,109,000
1,000,000
9,000,000
1,500,000
8,000,000
5,400,000
1,000,000
5,750,000
27,000,000
1,000,000
1,000,000
4,700,000
1,758,000
1,000,000
1,000,000
50,700,000
6,500,000
31,300,000
1,000,000
9,000,000
8,410,000
17,450,000
2,700,000
1,000,000
500,000
700,000
500,000
3,000,000
1,000,000
37,800,000
47,000,000
4,700,000
1,000,000
37,800,000
51,700,000
1,000,000
7,500,000
17,350,000
15,500,000
1,000,000
13,175,000
10,200,000
4,950,000
4,375,000
6,665,000
1,700,000
68,790,000
2,000,000
10,150,000
36,675,000

11
Exchange
Rate
Applied

10,950
10,945
11,025
11,025
11,094
11,094
11,094
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,895
10,895
10,895
10,895
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,950
10,950
11,025
11,025
11,025
11,025
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
11,120
11,120
11,120
11,120
11,221
11,221
11,221
11,168
11,168
11,168
11,168
11,168
11,168
10,452
10,452
10,363
10,256

12
Amount
Charged
to SA
(USD eqv)

14.61
1,809.05
979.59
2,267.57
3,713.72
2,163.33
90.14
639.27
821.92
1,150.68
45.66
4,028.22
91.32
821.92
136.99
730.59
493.15
91.79
527.77
2,478.20
91.79
91.32
429.22
160.55
91.32
91.32
4,630.14
593.61
2,858.45
91.32
816.33
762.81
1,582.77
244.90
90.95
45.48
63.67
45.48
272.85
90.95
3,437.93
4,274.67
427.47
90.95
3,399.28
4,649.28
89.93
674.46
1,546.21
1,381.34
89.12
1,179.71
913.32
443.23
391.74
596.79
152.22
6,581.52
191.35
979.45
3,575.96

7 of 86

Item
No.

Disburs. Category
Cat Description

110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170

2a
BI Statement
Date Of
15-May-09
15-May-09
15-May-09
15-May-09
15-May-09
15-May-09
29-May-09
29-May-09
29-May-09
29-May-09
5-Jun-09
5-Jun-09
5-Jun-09
5-Jun-09
5-Jun-09
5-Jun-09
5-Jun-09
15-Jun-09
23-Jun-09
23-Jun-09
23-Jun-09
23-Jun-09
23-Jun-09
30-Jun-09
30-Jun-09
7-Jul-09
7-Jul-09
7-Jul-09
7-Jul-09
7-Jul-09
23-Jul-09
23-Jul-09
23-Jul-09
31-Jul-09
31-Jul-09
7-Aug-09
7-Aug-09
8/21/2009
8/21/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
9/7/2009
9/7/2009
9/7/2009
9/7/2009
9/7/2009
9/18/2009
9/18/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

1
1
1
1
1
4
1
2
2
2
1
1
1
3
3
3
3
1
3
3
4
4
4
1
1
3
3
3
3
3
1
1
2
1
1
5
5
2
2
1
1
3
3
3
3
3
3
4
4
4
4
5
5
5
1
1
1
1
2
2
2

4
5
6
7
8
39
11
12
13
14
8
9
10
26
31
32
33
3
34
35
36
37
39
7
8
28
29
30
31
32
8
10
12
1
6
58
59
16
17
3
4
29
30
31
33
34
35
44
45
46
47
48
49
50
1
2
3
4
13
17
23

3a
Office
Issuing
SP2D

PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PALEMBANG
PALEMBANG
JAKARTA VI
JAKARTA VI
JAKARTA VI
PEKANBARU
PEKANBARU
PEKANBARU
BANJARMASIN
PADANG
PADANG
PADANG
KUPANG
PALEMBANG
PEKANBARU
PALEMBANG
PALEMBANG
PALEMBANG
JAKARTA VI
JAKARTA VI
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
PALEMBANG
PADANG
PADANG
PALEMBANG
GORONTALO
MAMUJUK
MAMUJUK
MAMUJU
MAMUJU
MAMUJU
MAMUJU
PALEMBANG
PEKANBARU
PEKANBARU
PALU
BANDUNG I
BANDUNG I
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
BANDUNG I
BANDUNG I

3b
Cross-Ref
SP2D
No.

663920L
663921L
663922L
663923L
663925L
086940L
088747K
853650C
853654C
853655C
936131L
936132L
936133L
833325L
877169L
877170L
877171L
233891L
042381M
938156L
042382M
042383M
042626M
854271C
854275C
160844M
160845M
160846M
160847M
160848M
046031M
283501M
283535M
046836M
162340M
112488M
112489M
112834M
112839M
113228M
113229M
821870M
454961M
454974M
257746M
247780M
247781M
166016M
166017M
166018M
166019M
166020M
166021M
166022M
455635M
455638M
455770M
455771M
455884M
249908M
302314N

4
Date of
Payment
(SP2D)

11/5/2009
11/5/2009
11/5/2009
11/5/2009
11/5/2009
11/5/2009
25/5/2009
26/5/2009
26/5/2009
26/5/2009
2/6/2009
2/6/2009
2/6/2009
2/6/2009
4/6/2009
4/6/2009
4/6/2009
8/6/2009
19/6/2009
22/6/2009
19/6/2009
19/6/2009
22/6/2009
26/6/2009
26/6/2009
29/06/09
29/06/09
29/06/09
29/06/09
29/06/09
7/16/2009
7/17/2009
7/17/2009
7/23/2009
7/14/2009
4/8/2009
4/8/2009
12/8/2009
12/8/2009
20/08/2009
20/08/2009
25/08/2009
26/08/2009
26/08/2009
26/08/2009
27/08/2009
27/08/2009
26/08/2009
26/08/2009
26/08/2009
26/08/2009
26/08/2009
26/08/2009
26/08/2009
1/9/2009
1/9/2009
1/9/2009
1/9/2009
2/9/2009
11/9/2009
14/09/09

5
Contract
No.
and Date
Belanja Bahan
Belanja Sewa
Perjalanan Dinas Dalam Negeri
Belanja Bahan
Pemb. LS. honor instruktur Platihn CLTS
Jasa Profesi dlm rangka Pelatihan CLTS
Prjalanan Dinas Narasumber Plthn CLTS
belanja Perjalanan Lainnya
Belanja Barang Non Operasional
Belanja jasa

Belanja Sewa
Pmbyrn Honor Instrktur Plthn MPA-PHAST
Belanja Bahan
Advokasi dan Sosialisasi PAMSIMAS
Perjalanan lainnya
Belanja Barang Non Operasional
belanja Perjalanan Lainnya

Perjalanan lainnya

Honor Instruktur Pelatihan MPA-PHAST


Perjalanan lainnya
Perjalanan lainnya
Plthn CLTS Prog PAMS Dinkes Sulbar
Plthn CLTS Prog PAMS Dinkes Sulbar
Belanja Keperluan Lainnya
Belanja Bahan (LS)
Pelatihan HS guru tk Kabupaten

Plthn CLTS seKab. Touna Dinkes Prop Sulteng

Belanja barang non operasional


Belanja Jasa

Belanja Bahan
Belanja Sewa
Perjalanan Dalam Negeri
Belanja Perjalanan Dalam Negeri
Belanja Bahan
belanja Perjalanan Lainnya
belanja Perjalanan Lainnya

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Bendahara Pengeluaran Dinkes Prop Riau


Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bend Pengel Satker Dinkes Prop Sumsel
Bend Pengel Satker Dinkes Prop Sumsel
Ditjen Perbendaharaan
Ditjen Perbendaharaan
Ditjen Perbendaharaan
Bendum u/ Dibukukan/Dinkes Prop Riau
Bendum u/ Dibukukan/Dinkes Prop Riau
Bendum u/ Dibukukan/Dinkes Prop Riau
Bend Pengel Satker Dinkes Prop Kalsel
DJPB Dinkes Prop Sumbar
DJPB Dinkes Prop Sumbar
DJPB Dinkes Prop Sumbar
Bend Pengel Dinkes Prop NTT
Bend Pengel Satker Dinkes Prop Sumsel
Bendahara Pengeluaran Dinkes Prop Riau
Bend Pengel Satker Dinkes Prop Sumsel
Bend Pengel Satker Dinkes Prop Sumsel
Bend Pengel Satker Dinkes Prop Sumsel
Ditjen Perbendaharaan
Ditjen Perbendaharaan
BUN
BUN
BUN
BUN
BUN
Bend Pengel Satker Dinkes Prop Sumsel
Bendum u/Dibukukan Dinkes Prop Sumbar
Bendum u/Dibukukan Dinkes Prop Sumbar
Bend Pengel Satker Dinkes Prop Sumsel
bend. Pengel dinkes gorintalo
Bend. Peng. Prog. Lingk. Sehat prop. Sulbar
Bend. Peng. Prog. Lingk. Sehat prop. Sulbar
Bend. Peng. Prog. Lingk. Sehat prop. Sulbar
Wisma Kartika
Bend Peng Prog Lingk Sht Dinkes Prop Sulbar
Bend Peng Prog Lingk Sht Dinkes Prop Sulbar
Bend Pengel Satker Dinkes Prop Sumsel
Bendum u/Dibukukan/Dinkes Prop Riau
Bendum u/Dibukukan/Dinkes Prop Riau
CV Karya Ikal Tunggal
Bend Pengel Satker Dinked Prop Jawa Barat
Bend Pengel Satker Dinked Prop Jawa Barat
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendum U/Dibukukan/Dinkes Prop Gorontalo
Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bendahara Pengeluaran Dinkes Prop Riau
Bend Peng Satker DinKes Prop. Riau
Bend Pengel Satker Dinked Prop Jawa Barat
Bend Pengel Satker Dinked Prop Jawa Barat

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

997,500
500,000
36,140,000
1,000,000
1,600,000
1,600,000
11,780,000
619,906,000
29,069,000
4,160,000
9,000,000
6,000,000
377,040,000
3,600,000
3,000,000
3,000,000
179,065,000
126,501,600
13,000,000
2,000,000
9,000,000
16,510,000
44,940,000
8,683,000
46,068,000
19,260,000
46,720,000
2,780,000
12,500,000
2,400,000
47,550,000
15,000,000
2,584,000
2,000,000
25,380,000
28,820,000
28,820,000
49,500,000
49,500,000
43,200,000
72,000,000
11,780,000
18,800,000
49,000,000
44,000,000
5,000,000
9,500,000
10,200,000
4,500,000
2,400,000
11,700,000
3,360,000
1,000,000
12,500,000
12,500,000
500,000
4,800,000
39,925,000
1,000,000
4,750,000
12,960,000

9
WB
Financing
%

10
Amount of
WB portion
paid

997,500
500,000
36,140,000
1,000,000
1,600,000
1,600,000
11,780,000
619,906,000
29,069,000
4,160,000
9,000,000
6,000,000
377,040,000
3,600,000
3,000,000
3,000,000
179,065,000
126,501,600
13,000,000
2,000,000
9,000,000
16,510,000
44,940,000
8,683,000
46,068,000
19,260,000
46,720,000
2,780,000
12,500,000
2,400,000
47,550,000
15,000,000
2,584,000
2,000,000
25,380,000
28,820,000
28,820,000
49,500,000
49,500,000
43,200,000
72,000,000
11,780,000
18,800,000
49,000,000
44,000,000
5,000,000
9,500,000
10,200,000
4,500,000
2,400,000
11,700,000
3,360,000
1,000,000
12,500,000
12,500,000
500,000
4,800,000
39,925,000
1,000,000
4,750,000
12,960,000

11
Exchange
Rate
Applied

10,256
10,256
10,256
10,256
10,256
10,360
10,279
10,279
10,279
10,279
10,199
10,199
10,199
10,179
10,112
10,112
10,112
9,935
10,323
10,323
10,323
10,323
10,386
10,079
10,079
10,230
10,230
10,230
10,230
10,230
10,129
10,129
10,129
9,945
9,995
9,920
9,920
10,000
10,000
9,976
9,976
9,985
9,985
9,985
10,094
10,094
10,094
10,060
10,060
10,060
10,060
10,060
10,060
10,060
10,069
10,069
10,069
10,069
10,104
9,870
9,908

12
Amount
Charged
to SA
(USD eqv)

97.26
48.75
3,523.79
97.50
156.01
154.44
1,146.03
60,308.01
2,828.00
404.71
882.44
588.29
36,968.33
353.67
296.68
296.68
17,708.17
12,732.92
1,259.32
193.74
871.84
1,599.34
4,326.98
861.49
4,570.69
1,882.70
4,566.96
271.75
1,221.90
234.60
4,694.44
1,480.90
255.11
201.11
2,539.27
2,905.24
2,905.24
4,950.00
4,950.00
4,330.39
7,217.32
1,179.77
1,882.82
4,907.36
4,359.03
495.34
941.15
1,013.92
447.32
238.57
1,163.02
334.00
99.40
1,242.54
1,241.43
49.66
476.71
3,965.14
98.97
481.26
1,308.03

8 of 86

Item
No.

Disburs. Category
Cat Description

171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231

2a
BI Statement
Date Of
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/30/2009
9/30/2009
9/30/2009
10/7/2009
10/7/2009
10/7/2009
10/7/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

3a
Office
Issuing
SP2D

3 25 PALU
2 13 PALU
2 14 PALU
3 30 MAMUJU
3 31 JAKARTA VI
3 32 JAKARTA VI
3 33 JAKARTA VI
3 34 JAKARTA VI
1
3 JAKARTA VI
1
4 JAKARTA VI
1
8 SEMARANG
1
2 BANDUNG I
1
3 BANDUNG I
1
5 SEMARANG II
1
6 SEMARANG II
1 11 MAMUJUK
2 13 MAMUJUK
2 15 PALEMBANG
3 25 SEMARANG II
3 27 PALEMBANG
1
1 PALU
1
2 SEMARANG II
1
7 MAMUJUK
1
8 MAMUJUK
3 33 SEMARANG II
3 34 SEMARANG II
4 41 SEMARANG II
4 42 SEMARANG II
4 43 SEMARANG II
1
1 BANDUNG I
1
2 BANDUNG I
1
3 BANDUNG I
1
9 PALU
2 13 PALEMBANG
2 14 SEMARANG II
2 21 KUPANG
4 43 SEMARANG II
4 44 SEMARANG II
4 45 SEMARANG II
4 46 SEMARANG II
4 47 SEMARANG II
5 48 SEMARANG II
5 49 SEMARANG II
5 50 SEMARANG II
5 58 SEMARANG II
6 61 GORONTALO
6 62 GORONTALO
6 65 SEMARANG II
7 72 SEMARANG II
7 74 SEMARANG II
7 80 PALU
8 84 MAKASAR II
8 86 MAKASAR II
8 88 MAKASAR II
8 90 MAKASAR II
8 91 MAKASAR II
8 92 MAKASAR II
9 99 PALU
9 101 PALU
9 103 PALU
9 105 PALU

3b
Cross-Ref
SP2D
No.

207164N
207532N
207540N
114149M
855494C
855496C
855499C
855502C
855525C
855526C
294852M
303831N
303832N
295107M
295087M
577054N
577048N
827306M
295747M
827965M
210179N
296099M
577488N
577490N
296493M
296494M
296575M
296578M
296634M
306951N
306949N
306950N
211305N
830126M
296872M
230612N
297197M
297201M
297202M
297205M
297207M
297208M
297210M
297213M
296895M
549080N
549081N
297472M
297477M
297482M
212715N
944960L
944961L
944963L
944964L
944965L
944966L
212705N
212706N
212707N
212708N

4
Date of
Payment
(SP2D)

14/09/09
15/09/09
15/09/09
9/9/2009
17/09/09
17/09/09
17/09/09
17/09/09
25/09/09
25/09/09
30/09/09
2/10/2009
2/10/2009
5/10/2009
5/10/2009
2/10/2009
2/11/2009
8/10/2009
13/10/2009
14/10/2009
15/10/2009
16/10/2009
15/10/2015
15/10/2016
21/10/2009
21/10/2009
22/10/2009
22/10/2009
22/10/2009
26/10/2009
26/10/2009
26/10/2009
26/10/2009
28/10/2009
28/10/2009
28/10/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
28/10/2009
04/11/2009
04/11/2009
05/11/2009
05/11/2009
05/11/2009
04/11/2009
05/11/2009
05/11/2009
05/11/2009
05/11/2009
05/11/2009
05/11/2009
04/11/2009
04/11/2009
04/11/2009
04/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Biaya Paket Pelatihan CLTS se kab. DonggalaCV


dinkes
BukitProp
Tursina
Sulteng
Penggantian Dana Rekening Kas Negara AtasDirjen
SP2DPerbendaharaan
GU Tgl 15 Sept (Dinkes
2009 N0.Prop
207507N/051/109
Sulteng)
Penggantian Dana Rekening Kas Negara AtasDirjen
SP2DPerbendaharaan
GU Tgl 15 Sept (Dinkes
2009 N0.Prop
207431N/051/109
Sulteng)
Pelatihan CLTS Program PAMSIMAS
Dinkes Prop. Sulbar
Belanja barang non operasional
Ditjen Perbendaharaan
belanja Perjalanan Lainnya
Ditjen Perbendaharaan
belanja Perjalanan Lainnya
Ditjen Perbendaharaan
Belanja barang non operasional
Ditjen Perbendaharaan
Ditjen Perbendaharaan
Ditjen Perbendaharaan
Belanja Perjalanan dinas Pelatihan CLTS
Bend Pengel Dinkes Prop Jateng
belanja Perjalanan Lainnya
Bend Pengel Satker Dinked Prop Jawa Barat
Pelatihan HS
Bend Pengel Satker Dinked Prop Jawa Barat
Belanja Perjalanan dinas Pelatihan CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan dinas Pelatihan CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Pembayaran Belanja Perjlanan Lainnya
Bend Pengeluaran Dinkes Prop Sulbar
Bahan
Bend Pengeluaran Dinkes Prop Sulbar
Belanja prjln dinas u/Advokasi Aktifasi
Bend. Peng Satker Dinkes Prop. Sumsel
Belanja Perjalanan dinas Pelatihan CLTS
Bend Pengel Dinkes Prop jateng
Belanja Perjalanan Dinas
Bend Peng Satker DinKes Prop. Sumsel
Biaya Paket Meeting Workshop CLTS
CV Eka Jaya, Ds. Wosu Bungsu
Belanja Perjalanan dinas Pelatihan CLTS
Bend Pengel dinkes Prop Jateng
perjalanan Lainnya
Belanja Bahan
Bend Peng Program Lingkungan Sehat
Belanja Prjln Dinas u/Plthn CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Prjln Dinas u/Plthn CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Prjln Dinas u/Plthn CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Prjln Dinas u/Plthn MPA-PHAST
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Prjln Dinas u/Plthn CLTS
Bend. Pengeluaran Dinkes Prop. Jateng
Penggantian UP untuk Belanja Bahan
Bend. Pengeluaran Satker Dinkes Jabar
Penggantian UP untuk Belanja Bahan
Bend. Pengeluaran Satker Dinkes Jabar
Penggantian UP untuk Belanja Bahan
Bend. Pengeluaran Satker Dinkes Jabar
Pemb By Prjln Dinas Psrt Workshop CLTS Bend. Pengeluaran Dinkes Prop. Sulteng
Pembayaran Belanja Perjalanan dinas
Bend. Peng Satker Dinkes Prop. Sumsel
Bel Prjln Dinas u/ Plthn HS-Guru
Pembayaran Biaya Perjalanan Lainnya
Bend. Pengeluaran Dinkes Prop. NTT
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinkes Prop. Jateng
Belanja Perjalanan Dinas u/HS-Guru
Bend. Pengeluaran Dinas Prop. Jateng
BUN
BUN
workshop prog hygiene sanitasi sekolah
Bend Pengel Dinkes Prop Jateng
Belanja Prjalnan dinas u/plthn HSS Guru
Bend Pengel Dinkes Prop Jateng
Belanja Prjalnan dinas u/plthn HSS Guru
Bend Pengel Dinkes Jateng
Peng. UP u/Keperluan Belanja Prjln
Bend. Pengeluaran Dinkes Prop. Sulteng
No.1935/DK-1/P2PL-3/IX/2009 Tgl 11/3/09 Wisma Herawati Kab Wajo
No.1937/DK-1/P2PL-3/IX/2009 Tgl 11/3/09 Hotel Delta
No.1934/DK-1/P2PL-3/IX/2009 tgl 11/9/09
PT Marannu City Hotel
No.1971/DK-1/P2PL-3/IX/2009 tgl 15/9/09
Wisma Subur
No.1951/DK-1/P2PL-3/IX/2009 tgl 16/9/09
Hotel Bukit Kenari Parepare
No.1911/DK-1/P2PL-3/IX/2009 tgl 10/9/09
Hotel Bukit Kenari Parepare
Peng UP u/Keperluan Belanja Bahan
Bend. Pengeluaran Dinkes Prop. Sulteng
Peng UP u/Keperluan Belanja Bahan
Bend. Pengeluaran Dinkes Prop. Sulteng
Peng UP u/Keperluan Belanja Bahan
Bend. Pengeluaran Dinkes Prop. Sulteng
Peng UP u/Keperluan Belanja Sewa
Bend. Pengeluaran Dinkes Prop. Sulteng

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

18,000,000
3,000,000
50,305,000
49,500,000
29,436,950
440,707,000
16,143,100
4,474,500
57,852,100
20,933,800
123,058,000
8,250,000
215,350,000
125,260,000
374,926,000
51,720,000
3,000,000
6,000,000
305,880,000
14,400,000
18,000,000
379,300,000
103,440,000
3,000,000
315,226,000
191,760,000
56,680,000
63,880,000
58,112,000
25,500,000
5,000,000
25,014,000
17,280,000
29,520,000
41,570,000
6,240,000
41,570,000
36,802,000
37,052,000
41,570,000
41,570,000
41,570,000
41,108,000
41,570,000
41,570,000
8,700,000
3,280,000
81,010,000
41,570,000
34,402,000
2,400,000
19,008,000
19,008,000
19,008,000
19,008,000
19,008,000
19,008,000
5,510,000
1,000,000
1,000,000
1,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

18,000,000
3,000,000
50,305,000
49,500,000
29,436,950
440,707,000
16,143,100
4,474,500
57,852,100
20,933,800
123,058,000
8,250,000
215,350,000
125,260,000
374,926,000
51,720,000
3,000,000
6,000,000
305,880,000
14,400,000
18,000,000
379,300,000
103,440,000
3,000,000
315,226,000
191,760,000
56,680,000
63,880,000
58,112,000
25,500,000
5,000,000
25,014,000
17,280,000
29,520,000
41,570,000
6,240,000
41,570,000
36,802,000
37,052,000
41,570,000
41,570,000
41,570,000
41,108,000
41,570,000
41,570,000
8,700,000
3,280,000
81,010,000
41,570,000
34,402,000
2,400,000
19,008,000
19,008,000
19,008,000
19,008,000
19,008,000
19,008,000
5,510,000
1,000,000
1,000,000
1,500,000

11
Exchange
Rate
Applied

9,886
9,781
9,781
9,580
9,532
9,532
9,532
9,532
9,660
9,660
9,633
9,598
9,598
9,527
9,527
9,368
9,368
9,374
9,398
9,333
9,313
9,313
9,477
9,477
9,428
9,428
9,433
9,433
9,433
9,376
9,376
9,376
9,517
9,547
9,547
9,637
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,605
9,506
9,506
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458
9,458

12
Amount
Charged
to SA
(USD eqv)

1,820.76
306.72
5,143.13
5,167.01
3,088.22
46,234.47
1,693.57
469.42
5,988.83
2,167.06
12,774.63
859.55
22,436.97
13,147.90
39,354.05
5,520.92
320.24
640.07
32,547.35
1,542.91
1,932.78
40,728.01
10,914.85
316.56
33,435.09
20,339.41
6,008.69
6,771.97
6,160.50
2,719.71
533.28
2,667.88
1,815.70
3,092.07
4,354.25
647.50
4,377.17
3,875.12
3,901.44
4,377.17
4,377.17
4,377.17
4,328.52
4,377.17
4,327.95
915.21
345.05
8,565.24
4,395.22
3,637.34
253.75
2,009.73
2,009.73
2,009.73
2,009.73
2,009.73
2,009.73
582.58
105.73
105.73
158.60

9 of 86

Item
No.

Disburs. Category
Cat Description

232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292

2a
BI Statement
Date Of
11/6/2009
11/6/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

10
10
1
1
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
6
6
2
2
4
4
4
4
4
4
4
4
4
4
5
5
6
6
6
6
6
7
7
7
7
7
8
8
8
10
10
3
3
3
3
5
5
6
6

115
116
11
12
13
14
15
16
17
18
19
22
23
24
25
26
27
28
31
32
33
34
64
65
20
23
36
37
38
39
40
41
42
43
44
45
56
57
61
62
63
65
70
72
78
79
80
81
86
87
88
110
112
28
29
30
31
54
55
69
70

3a
Office
Issuing
SP2D

PALU
PALU
PALEMBANG
PALEMBANG
SEMARANG 2
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
MAKASAR II
KUPANG
KUPANG
KUPANG
KUPANG
PEKANBARU
PEKANBARU
JAKARTA VI
JAKARTA VI
SEMARANG 2
SEMARANG 2
BANDUNG I
PALU
SEMARANG II
SERANG
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
PEKANBARU
PEKANBARU
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
BANDUNG I
BANDUNG I
BANDUNG I
BANDUNG I
MANOKWARI
MANOKWARI
MANOKWARI
KUPANG
MAKASAR II
KUPANG
PALU
PALU
PALU
BANDUNG I
BANDUNG I
MANOKWARI
MANOKWARI

3b
Cross-Ref
SP2D
No.

212942N
213014N
831589M
831590M
297682M
082890N
082891N
082893N
082894N
082896N
082897N
827453N
231783N
231784N
231785N
231806N
715885N
715888N
856060C
856065C
298055M
298040M
309814N
213867N
298414M
782090N
298566M
298570M
298588M
298567M
298569M
298571M
298572M
298574M
717148N
717149N
833151M
833152M
833540M
833537M
298687M
298691M
298685M
298868M
310770N
310864N
310865N
310866N
436189M
436190M
436191M
233292N
828640N
233816N
215314N
215315N
215316N
311706N
311707N
436373M
436450M

4
Date of
Payment
(SP2D)

05/11/2009
05/11/2009
6/11/2009
6/11/2009
9/11/2009
9/11/2009
9/11/2009
9/11/2009
9/11/2009
9/11/2009
9/11/2009
10/11/2009
9/11/2009
9/11/2009
9/11/2009
10/11/2009
10/11/2009
10/11/2009
11/11/2009
11/11/2009
11/11/2009
11/11/2009
13/11/2009
12/11/2009
11/16/2009
10/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
16/11/2009
16/11/2009
18/11/2009
18/11/2009
18/11/2009
16/11/2009
16/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
16/11/2009
16/11/2009
16/11/2009
19/11/2009
19/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
24/11/2009
24/11/2009
17/11/2009
18/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

7,200,000
7,200,000
9,428
3,000,000
3,000,000
9,428
9,000,000
9,000,000
9,373
11,500,000
11,500,000
9,373
21,982,000
21,982,000
9,373
1,485,000
1,485,000
9,373
10,900,000
10,900,000
9,373
2,000,000
2,000,000
9,373
7,200,000
7,200,000
9,373
2,400,000
2,400,000
9,373
104,085,000
104,085,000
9,373
16,500,000
16,500,000
9,405
87,560,000
87,560,000
9,405
7,700,000
7,700,000
9,405
4,000,000
4,000,000
9,405
699,870,000
699,870,000
9,405
Belanja Perjalanan Dinas Dalam Negeri
26,555,000
26,555,000
9,405
Belanja Bahan
1,000,000
1,000,000
9,405
Belanja barang non operasional
16,613,500
16,613,500
9,373
perjalanan Lainnya
195,244,100
195,244,100
9,373
Pelatihan HS-Guru Kab Purbalingga
41,570,000
41,570,000
9,373
Pelatihan HS-Guru Kab Banyumas
41,570,000
41,570,000
9,373
Belanja Perjalan Dalam Negeri Lainnya
32,600,000
32,600,000
9,368
Pemb Prjln Dinas u/workshop
16,380,000
16,380,000
9,368
Plthn Monitoring Pelaksanaan STBM
60,000,000
60,000,000
9,301
Keperluan Perjalanan dan Lainnya
Bend. Dinkes Prop. Banten
94,440,000
94,440,000
9,348
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,358
SPTB No50063 090017/XI/2009
6,000,000
6,000,000
9,358
DirJen Perbendaharaan, Dinkes Prop. Riau
170,970,000
170,970,000
9,358
SP2D Pengganti 833077/014/109
DirJen Perbendaharaan
48,000,000
48,000,000
9,358
reksus pengganti SP2D No 833706M
DirJen Perbendaharaan
137,520,000
137,520,000
9,358
Belanja Perjalanan Dinas dalam rangka Advokasi
Benddan
peng
Penyelenggaraan
Satker DinKes Sosialisasi/workshop/diseminasi/seminar/publikasi
Prop. Sumsel
4,565,000
4,565,000
9,378
Pembayaran belanja perjalanan dinas dalam rangka
Bend peng
Surveilans
Satker dan
DinKes
Monitoring,
Prop. Sumsel
Penyelenggaraan Sosialisasi/Workshop/Diseminasi/Seminar/
38,590,000
Publikasi 38,590,000
dana PHLN Reg. No.
9,378
10764001
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,378
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,378
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,378
Belanja Perjlnan Dinas u/Plthn HS-Guru
41,570,000
41,570,000
9,378
Belanja Perjalanan Dinas Dalam Negeri
Bend. Pengeluaran Satker Dinkes Jabar
44,175,000
44,175,000
9,378
Penggantian UP Untuk Belanja Bahan
Bend. Pengeluaran Satker Dinkes Jabar
14,740,000
14,740,000
9,378
Penggantian UP Untuk Belanja PDN
Bend. Pengeluaran Satker Dinkes Jabar
36,000,000
36,000,000
9,378
Penggantian UP Untuk Belanja Bahan
Bend. Pengeluaran Satker Dinkes Jabar
27,000,000
27,000,000
9,378
Pembayaran Biaya Perjalanan Dinas
BPDK Prop Papua Barat
82,320,000
82,320,000
9,425
Pembayaran Biaya Perjalanan Dinas
BPDK Prop Papua Barat
19,200,000
19,200,000
9,425
Pembayaran Biaya Perjalanan Dinas
BPDK Prop Papua Barat
5,190,000
5,190,000
9,425
Pembayaran Belanja Perjalanan Dinas
Bend. Peng. Dinkes Prop. NTT
150,050,000
150,050,000
9,423
By Penginapan&Knsmsi workshop CLTS
CV. Nirpha
19,008,000
19,008,000
9,423
Pembayaran belanja Jalan Lainnya
Bend. Peng. Dinkes Prov. NTT
378,780,000
378,780,000
9,451
No. 443/22.43/Diskes. PMK 3 Tgl 23 Okt 2009Dinkes
( Pembayaran
Prop. Sulteng
Biaya (Kegiatan
CV. Minners
Paket
Pratama)
Meeting Workshop Opsi Sanitasi
12,000,000
Spesifik)
12,000,000
9,451
Pemb By Plthn Monitoring Plaksanaan STMB CV Winners Pratama
12,600,000
12,600,000
9,451
Biaya Paket Meeting Workshop Monitoring CV Winners Pratama
12,000,000
12,000,000
9,451
Belanja PDDN u/rangka Wokshop CLTS
Bend. Peng. Satker Dinkes Jabar
165,900,000
165,900,000
9,451
Belanja Perjalanan Dinas Dalam Negeri
Bend. Peng. Satker Dinkes Jabar
29,400,000
29,400,000
9,451
Pembayaran Biaya Perjalanan Dinas
Bend Pengel Dinas Prop
21,560,000
21,560,000
9,498
Pembayaran Biaya Perjalanan Dinas
Bend Pengel Dinas Prop
81,600,000
81,600,000
9,498
Peng UP u/Keperluan Belanja Bahan
Peng UP u/Keperluan Belanja perjalanan
Belanja Prjln u/Surveilance & monitoring
Belanja non operasional
Belanja Prjln Dinas u/Pelatihan HS-Guru
Peng UP u/Belanja Barang Non Opr
Peng UP u/Belanja Perjalanan Lainnya
Penggantian UP u/Belanja Bahan
Penggantian UP u/Belanja Bahan
Peng UP u/Belanja Perjalanan Lainnya
Peng UP u/Belanja Perjalanan Lainnya
1677/DK-1/P2PL-3/VIII/2009 28/8/09

Bend. Pengeluaran Dinkes Prop. Sulteng


Bend. Pengeluaran Dinkes Prop. Sulteng
Bend Peng Satker DinKes Prop. Sumsel
Bend Pengel. Satker Dinkes Prop Sumsel
Bend. Pengeluaran Dinkes Prop. Jateng
Bend. Pengeluaran Satker Dinkes Sumbar
Bend. Pengeluaran Satker Dinkes Sumbar
Bend. Pengeluaran Satker Dinkes Sumbar
Bend. Pengeluaran Satker Dinkes Sumbar
Bend. Pengeluaran Satker Dinkes Sumbar
Bend. Pengeluaran Satker Dinkes Sumbar
CV Wahyuni Kab. Barru
Bend Pengel Dinkes Prop NTT
Bend Pengel Dinkes Prop NTT
Bend Pengel Dinkes Prop NTT
Bend Pengel Dinkes Prop NTT
Bend Pengel. Satker Dinkes Prop Riau
Bend Pengel. Satker Dinkes Prop Riau
DirJen Perbendaharaan
DirJen Perbendaharaan
Bend. Pengeluaran Dinkes Prop. Jateng
Bend. Pengeluaran Dinkes Prop. Jateng
Bend. Peng. Satker Dinkes Jabar
Bend. Pengeluaran Dinkes Prop. Sulteng

12
Amount
Charged
to SA
(USD eqv)

763.68
318.20
960.20
1,226.93
2,345.25
158.43
1,162.91
213.38
768.16
256.05
11,104.77
1,754.39
9,309.94
818.71
425.31
74,414.67
2,823.50
106.33
1,772.48
20,830.48
4,435.08
4,435.08
3,479.93
1,748.51
6,450.92
10,102.70
4,442.19
4,442.19
4,442.19
4,442.19
4,442.19
4,442.19
4,442.19
4,442.19
641.16
18,269.93
5,129.30
14,695.45
486.78
4,114.95
4,432.71
4,432.71
4,432.71
4,432.71
4,710.49
1,571.76
3,838.77
2,879.08
8,734.22
2,037.14
550.66
15,923.80
2,017.19
40,078.30
1,269.71
1,333.19
1,269.71
17,553.70
3,110.78
2,269.95
8,591.28

10 of 86

Item
No.

Disburs. Category
Cat Description

293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353

2a
BI Statement
Date Of
11/30/2009
11/30/2009
11/30/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

8
8
9
2
2
3
3
3
3
3
5
5
5
5
5
5
5
5
5
5
8
8
9
9
14
14
1
1
1
1
1
1
1
2
3
3
3
3
3
5
6
7
12
19
21
21
21
21
21
21
21
23
24
24
24
24
24
24
25
25
25

94
95
97
16
23
25
26
27
28
29
49
50
51
52
53
54
55
56
57
59
94
95
96
97
161
162
2
4
5
6
7
8
10
21
24
25
26
27
28
50
63
83
138
227
240
242
244
247
248
249
250
273
277
278
279
280
281
283
290
292
294

3a
Office
Issuing
SP2D

TERNATE
TERNATE
PEKANBARU
PALEMBANG
BANJARMASIN
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
BANDUNG I
BANDUNG I
BANDUNG I
BANDUNG I
MAKASSAR II
MAKASSAR II
PALEMBANG
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
BANDUNG I
MANOKWARI
BANDUNG I
KUPANG
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
MAKASSAR II
KUPANG
KUPANG
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II

3b
Cross-Ref
SP2D
No.

804275N
804276N
718722N
835382M
818671M
216714N
216715N
216716N
216717N
216718N
217097N
217098N
217099N
217100N
217101N
217102N
217103N
217104N
217105N
217106N
314077N
314076N
314075N
314074N
831260N
831262N
837737M
218236N
218237N
218238N
218239N
218240N
218235N
218323N
218241N
218242N
218243N
218244N
218245N
218481N
315657N
437696M
315982N
237531N
984715N
984729N
984699N
984687N
984705N
984705N
984713N
832654N
237967N
237968N
984962N
984963N
984966N
984967N
984940N
984956N
984941N

4
Date of
Payment
(SP2D)

24/11/2009
24/11/2009
25/11/2009
30/11/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
12/2/2009
4/12/2009
4/12/2009
4/12/2009
4/12/2009
7/12/200
7/12/200
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
9/12/2009
9/12/2009
9/12/2009
10/12/2009
10/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

Pembayaran LS By Prjln Petugas PKM


Bend. Peng. Dinkes Prop. Malut
Pembayaran LS By Prjln Petugas PKM
Bend. Peng. Dinkes Prop. Malut
PDDN Petugas Puskesmas Ke desa
Bend Peng Satker DinKes Prop. Riau
Belanja Perjalanan Dinas
BP. Satker Dinkes Prop. Sumsel
Penggantian UP untuk Belanja Beban
Satker Dinkes Prop. Kalsel
By Keg Workshop Opsi Sanitasi Spesifik
Dirjen Perbendaharaan
Biaya Kegiatan Peningkatan Kemandirian danDirjen
kebutuhan
Perbendaharaan
masyarakat Terhadap sanitasi
Biaya Kegiatan Monitoring Perubahan Perilaku
Dirjen Perbendaharaan
By Keg Pelatihan Monitoring u/STBM
Dirjen Perbendaharaan
By Kegiatan Monev Implementasi desa
Dirjen Perbendaharaan
By Kegiatan Monev Implementasi desa
Bendh. Pengeluaran Dinkes Prop. Sulteng
By keg u/Monitoring Perubahan Perilaku
Bendh. Pengeluaran Dinkes Prop. Sulteng
Biaya Kegiatan peningkatan kemandirian & kebutuhan
Bendh. Pengeluaran
Masyarakat Dinkes Prop. Sulteng
Monitoring Surveilan Kualitas Air Minum
Bendh. Pengeluaran Dinkes Prop. Sulteng
By keg u/Monitoring Perubahan Perilaku
Bendh. Pengeluaran Dinkes Prop. Sulteng
Monitoring Surveilan Kualitas Air Minum
Bendh. Pengeluaran Dinkes Prop. Sulteng
Biaya keg u/monev Implementasi desa
Bendh. Pengeluaran Dinkes Prop. Sulteng
Bendh. Pengeluaran Dinkes Prop. Sulteng
Biaya Kegiatan u/Pemicuan CLTS
Bendh. Pengeluaran Dinkes Prop. Sulteng
Biaya Paket Meeting workshop CLTS
CV. Usaha Lestari
Bend. Pengeluaran Satker Dinkes Jabar
Bend. Pengeluaran Satker Dinkes Jabar
Bend. Pengeluaran Satker Dinkes Jabar
Bend. Pengeluaran Satker Dinkes Jabar
Penggantian UP
BP. Dinkes Sulsel
Penggantian UP
BP. Dinkes Sulsel
Belanja PDDN u/Advokasi PAMSIMAS
Bend Peng Satker DinKes Prop. Sumsel
Pningkatan Kmandirian Masy thd Sanitasi
Bend. Pengeluaran Dinkes Prop. Sulteng
Fasiliats Implementasi Sklh dan Masy.
Bend. Pengeluaran Dinkes Prop. Sulteng
Monitoring Perubahan Perilaku
Bend. Pengeluaran Dinkes Prop. Sulteng
Bend. Pengeluaran Dinkes Prop. Sulteng
Pemicuan CLTS
Bend. Pengeluaran Dinkes Prop. Sulteng
Pningkatan Kmandirian Masy thd Sanitasi
Bend. Pengeluaran Dinkes Prop. Sulteng
Fasiliats Implementasi Sklh dan Masy.
Bend. Pengeluaran Dinkes Prop. Sulteng
Pemicuan CLTS
Bend. Pengeluaran Dinkes Prop. Sulteng
Monitoring Implementasi Desa
Bend. Pengeluaran Dinkes Prop. Sulteng
Monitoring Surveilance kualitas Air Minum
Bend. Pengeluaran Dinkes Prop. Sulteng
Pengganti Bahan Reagen
Bend. Pengeluaran Dinkes Prop. Sulteng
Bend. Pengeluaran Dinkes Prop. Sulteng
Pelatihan Hyigiene Sanitasi Guru
Bend. Peng. Dinkes Prop. Sulteng
BP. Satker Dinkes Jabar
Pembayaran Belanja Bahan
CV. Alia Jaya
BP. Satker Dinkes Jabar
Pemb Belanja Perjalanan Dinas Lainnya
Bend. Peng. Dinkes Prop. NTT
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Pelatihan Hyigiene Sanitasi Guru
Wisma Subur Dinkes Prop Sulsel
Bend. Peng. Dinkes Prop. NTT
Bend. Peng. Dinkes Prop. NTT
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng
Blanja prjalanan dinas u/workshop CLTS
Bend. Peng. Dinkes Prop. Jateng

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

78,000,000
24,000,000
18,000,000
91,900,000
62,200,000
34,145,000
9,600,000
4,800,000
14,715,000
6,600,000
3,920,000
3,920,000
7,840,000
4,800,000
4,800,000
660,000
4,800,000
9,600,000
6,000,000
18,000,000
1,000,000
22,000,000
54,400,000
14,400,000
4,000,000
4,000,000
4,400,000
9,600,000
3,000,000
4,800,000
2,000,000
3,000,000
24,000,000
4,800,000
3,600,000
4,800,000
4,800,000
14,400,000
1,000,000
15,420,000
19,500,000
36,200,000
32,600,000
42,090,000
31,680,000
31,680,000
30,744,000
31,680,000
28,178,000
26,064,000
31,680,000
24,750,000
14,400,000
55,760,000
31,680,000
31,680,000
31,680,000
31,680,000
30,444,000
31,680,000
31,680,000

9
WB
Financing
%

10
Amount of
WB portion
paid

78,000,000
24,000,000
18,000,000
91,900,000
62,200,000
34,145,000
9,600,000
4,800,000
14,715,000
6,600,000
3,920,000
3,920,000
7,840,000
4,800,000
4,800,000
660,000
4,800,000
9,600,000
6,000,000
18,000,000
1,000,000
22,000,000
54,400,000
14,400,000
4,000,000
4,000,000
4,400,000
9,600,000
3,000,000
4,800,000
2,000,000
3,000,000
24,000,000
4,800,000
3,600,000
4,800,000
4,800,000
14,400,000
1,000,000
15,420,000
19,500,000
36,200,000
32,600,000
42,090,000
31,680,000
31,680,000
30,744,000
31,680,000
28,178,000
26,064,000
31,680,000
24,750,000
14,400,000
55,760,000
31,680,000
31,680,000
31,680,000
31,680,000
30,444,000
31,680,000
31,680,000

11
Exchange
Rate
Applied

9,413
9,413
9,413
9,438
9,369
9,369
9,369
9,369
9,369
9,369
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,389
9,389
9,389
9,389
9,408
9,408
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,423
9,423
9,470
9,388
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413

12
Amount
Charged
to SA
(USD eqv)

8,286.41
2,549.67
1,912.25
9,737.23
6,638.92
3,644.47
1,024.66
512.33
1,570.61
704.45
417.11
417.11
834.22
510.75
510.75
70.23
510.75
1,021.49
638.43
1,915.30
106.51
2,343.17
5,794.01
1,533.71
425.17
425.17
468.04
1,021.17
319.11
510.58
212.74
319.11
2,552.92
510.58
382.94
510.58
510.58
1,531.75
106.37
1,636.42
2,069.40
3,822.60
3,472.52
4,480.04
3,372.01
3,372.01
3,272.38
3,372.01
2,999.25
2,774.24
3,372.01
2,629.34
1,529.80
5,923.72
3,365.56
3,365.56
3,365.56
3,365.56
3,234.25
3,365.56
3,365.56

11 of 86

Item
No.

Disburs. Category
Cat Description

354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

25
25
25
25
26
35
35
35
36
36
37
38
38
38
6
8
8
8
9
9
9
9
9
10
10
18
19
27
27
28
30
30
30
47
48
48
48
48
48
48
48
48
48
49
49
50
50
50
50
50
50
7
7
7
7
7
10
10
10
10
10

295
297
298
299
300
415
416
417
424
426
433
450
451
452
69
86
87
89
103
104
105
106
107
108
109
206
218
317
318
325
354
355
357
563
565
568
569
570
571
572
573
574
575
585
587
588
593
594
595
596
597
73
74
75
76
77
113
114
115
116
117

3a
Office
Issuing
SP2D

SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
BANDUNG I
BANDUNG I
BANDUNG I
BANDUNG I
BANDUNG I
PALEMBANG
PADANG
PADANG
PADANG
KUPANG
MAKASSAR II
MAKASSAR II
JAKARTA VI
MAKASSAR II
MAKASSAR II
MAKASSAR II
MAKASSAR II
MAKASSAR II
MAKASSAR II
PALEMBANG
SERANG
MANOKWARI
PADANG
PADANG
AMBON
PALU
PALU
JAKARTA VI
PALU
JAKARTA VI
JAKARTA V
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
MAKASAR II
BANJARMASIN
MAKASAR II
BANJARMASIN
MAKASAR II

3b
Cross-Ref
SP2D
No.

984942N
984944N
984945N
984954N
984955N
317426N
317427N
317428N
317615N
317616N
035094O
091710N
091656N
091667N
238370N
833651N
833650N
857116C
833956N
833952N
833953N
833954N
833955N
833958N
036098O
787598N
439018M
092742N
093207N
661304N
221399N
221400N
857481C
222222N
857493C
019840O
222212N
222216N
222217N
222218N
222219N
222220N
222221N
093325N
094010N
094011N
094007N
094008N
094009N
094012N
094013N
726044N
726045N
726046N
726047N
726048N
835219N
061052O
835220N
061053O
835207N

4
Date of
Payment
(SP2D)

14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
16/12/2009
15/12/2009
15/12/2009
21/12/2009
21/12/2009
22/12/2009
21/12/2009
21/12/2009
23/12/2009
21/12/2009
23/12/2009
23/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
23/12/2009
23/12/2009
23/12/2009
23/12/2009
23/12/2009
23/12/2009
23/12/2009
23/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009

5
Contract
No.
and Date
Blanja prjalanan dinas u/workshop CLTS
Blanja prjalanan dinas u/workshop CLTS
Blanja prjalanan dinas u/workshop CLTS
Blanja prjalanan dinas u/workshop CLTS
Blanja prjalanan dinas u/workshop CLTS
Belanja Perjalanan Dinas Dalam Negeri
Belanja Perjalanan Dinas Dalam Negeri
Belanja Perjalanan Dinas Dalam Negeri
Honor u/kgiatan plaksanaan CLTS/STBM
Pembayaran Biaya Perjalanan dinas
Pemb Biaya Perjalanan Dinas Lainnya
Pemb Biaya Perjalanan Dinas Lainnya
Pelatihan Giegiene Sanitasi Guru
Workshop Monitoring Dan Target NDG'S
Belanja Perjalanan Lainnya
Pelatihan Giegiene Sanitasi Guru
Pelatihan Giegiene Sanitasi Guru
Pelatihan Giegiene Sanitasi Guru
Pelatihan Giegiene Sanitasi Guru
Pelatihan Giegiene Sanitasi Guru
Pelatihan Giegiene Sanitasi Guru
Belanja Perjalanan Dinas

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Bend. Peng. Dinkes Prop. Jateng


Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
BP. Satker Dinkes Jabar
BP. Satker Dinkes Jabar
BP. Satker Dinkes Jabar
BP. Satker Dinkes Jabar
BP. Satker Dinkes Jabar
BP. Satker Dinkes Sumsel
Bend. Peng. Satker Dinkes Sumbar
Bend. Peng. Satker Dinkes Sumbar
Bend. Peng. Satker Dinkes Sumbar
Bend. Peng. Dinkes Prop. NTT
PT.Marannu City Hotel Tator Dinkes Prop Sulsel
Hotel Pakarena Makassar Transit Dinkes Prop Sulsel

SUBRKUN Kuasa BUN


Wisma Herawati Dinkes Prop Sulsel
Hotel Delta Dinkes Prop Sulsel
Hotel Bukit Kenari Dinkes Prop Sulsel
Hotel Darma Nusantara Dinkes Prop Sulsel
CV. Nirpha Dinkes Prop Sulsel
Hotel Bukit Kenari Dinkes Prop Sulsel
BP Satker Dinkes Prop Sumsel
Bend. Dinkes Prop. Banten
Pembayaran Belanja Sewa Kendaraan
CV. Forda Jaya
Bend. Peng. Dinkes Prop. Sumbar
Bend. Peng. Dinkes Prop. Sumbar
Dinkes Prop Maluku
CV. Vinelusi
Pelatihan Hiegiene dan Sanitasi
CV. Usaha Lestari Kel. Salakan
Pelatihan Hiegiene dan Sanitasi
CV. Citra Mulia Kel. Lolu Selatan
Belanja Perjalanan Lainnya
SubRKUN Kuasa BUN Pusat
Monitoring Prubahan Prilaku
Bend. Peng. Dinkes Prop. Sulteng
Belanja Barang Non Operasional
SubRKUN Kuasa BUN Pusat
Pengadaan Pencetakan Pedoman
PT. Brisa Karya Permata
Pelatihan Hiegiene dan Sanitasi
CV. Citra Anugerah
Peningkatan Kemandirian Masyarakat
Bend. Peng. Dinkes Prop. Sulteng
Pelatihan CLTS
Bend. Peng. Dinkes Prop. Sulteng
Monitoring Prubahan Prilaku
Bend. Peng. Dinkes Prop. Sulteng
Pelatihan Hiegiene dan Sanitasi
Bend. Peng. Dinkes Prop. Sulteng
Implementasi Sekolah dan Masyarakat
Bend. Peng. Dinkes Prop. Sulteng
Workshop CLTS
CV. G. G Putra jaya/ Dinkes Prop Sulteng
Sosialisasi/Diseminasi/Seminar/Publikasi Sanitasi Bend.
Sekolah
Peng. Satker Dinkes Sumbar
Surveilans dan Monitoring
Bend. Peng. Satker Dinkes Sumbar
Surveilans dan Monitoring
Bend. Peng. Satker Dinkes Sumbar
Bend. Peng. Satker Dinkes Sumbar
Surveilans dan Monitoring
Bend. Peng. Satker Dinkes Sumbar
Bend. Peng. Satker Dinkes Sumbar
Surveilans dan Monitoring
Bend. Peng. Satker Dinkes Sumbar
Surveilans dan Monitoring
Bend. Peng. Satker Dinkes Sumbar
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Kalsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Kalsel
Dirjen Perbendaharaan/dinkes Prop Sulsel

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

28,590,000
31,680,000
30,444,000
30,444,000
31,680,000
2,400,000
2,400,000
2,400,000
2,000,000
1,600,000
40,380,000
116,045,000
129,440,000
19,200,000
42,980,000
24,750,000
16,500,000
40,350,600
24,750,000
24,750,000
24,750,000
24,750,000
24,750,000
24,750,000
19,160,000
43,200,000
1,500,000
16,570,000
12,420,000
4,800,000
24,750,000
12,000,000
85,881,350
4,800,000
4,102,500
98,550,000
24,750,000
9,600,000
6,000,000
4,800,000
19,820,000
4,800,000
18,000,000
38,820,000
29,650,000
14,640,000
8,900,000
10,210,000
2,200,000
7,720,000
13,480,000
53,940,000
2,000,000
40,000,000
6,000,000
239,835,000
2,000,000
17,000,000
2,050,000
471,600,000
1,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

28,590,000
31,680,000
30,444,000
30,444,000
31,680,000
2,400,000
2,400,000
2,400,000
2,000,000
1,600,000
40,380,000
116,045,000
129,440,000
19,200,000
42,980,000
24,750,000
16,500,000
40,350,600
24,750,000
24,750,000
24,750,000
24,750,000
24,750,000
24,750,000
19,160,000
43,200,000
1,500,000
16,570,000
12,420,000
4,800,000
24,750,000
12,000,000
85,881,350
4,800,000
4,102,500
98,550,000
24,750,000
9,600,000
6,000,000
4,800,000
19,820,000
4,800,000
18,000,000
38,820,000
29,650,000
14,640,000
8,900,000
10,210,000
2,200,000
7,720,000
13,480,000
53,940,000
2,000,000
40,000,000
6,000,000
239,835,000
2,000,000
17,000,000
2,050,000
471,600,000
1,000,000

11
Exchange
Rate
Applied

9,413
9,413
9,413
9,413
9,413
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,433
9,433
9,433
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,498
9,498
9,451
9,451
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,398
9,398
9,398
9,398
9,398
9,386
9,386
9,386
9,386
9,386

12
Amount
Charged
to SA
(USD eqv)

3,037.29
3,365.56
3,234.25
3,234.25
3,365.56
254.64
254.64
254.64
212.20
169.76
4,284.35
12,312.47
13,733.69
2,037.14
4,556.34
2,623.77
1,749.18
4,275.33
2,622.38
2,622.38
2,622.38
2,622.38
2,622.38
2,622.38
2,030.09
4,548.33
157.93
1,753.25
1,314.15
507.56
2,617.11
1,268.90
9,081.25
507.56
433.81
10,420.85
2,617.11
1,015.12
634.45
507.56
2,095.80
507.56
1,903.35
4,104.90
3,135.24
1,548.06
941.10
1,079.62
232.63
816.33
1,425.40
5,739.52
212.81
4,256.22
638.43
25,519.79
213.08
1,811.21
218.41
50,245.05
106.54

12 of 86

Item
No.

Disburs. Category
Cat Description

415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
449

Date Of

Ite
Ye Pa
m
ar ge
No

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

10
11
11
11
11
11
11
11
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
13
13
13
13
14
14
14
14
14
14
14
15
15
15
15
18
18
18
19
19
19
19
19
19
19
19

119
120
121
124
125
126
127
129
133
134
138
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
166
167
168
169
170
171
213
214
215
218
219
220
221
222
223
224
225

MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
BANDUNG II
PALEMBANG
PALEMBANG
PALEMBANG
PALU
KUPANG
KUPANG
KUPANG
PALU
PALU
KUPANG
PALU
PALU
KUPANG
PALU
PALU
KUPANG
PALU
PALU
KUPANG
KUPANG
PALU
PALU
PALU
SERANG
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
GORONTALO
PALU
PALU
PALU
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG

835202N
835203N
835204N
835214N
835217N
835218N
835213N
321956N
037533O
037557O
037519O
223341N
241207N
241208N
241209N
223342N
223343N
241210N
223344N
223345N
241211N
223346N
223347N
241212N
223348N
223349N
241213N
241214N
223350N
223351N
223352N
788398N
220055O
220056O
220057O
220058O
220059O
220060O
223353N
223354N
223358N
237356O
237357O
237359O
237360O
237361O
237362O
237403O
237404O

29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
21/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009

11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008

10
10
10
10
10
10
10
10
10

3
7
7
7
7
7
7
7
7

32
73
74
75
76
77
78
79
80

PURWODADI
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN

734817J
051925K
051926K
051927K
051928K
051929K
051930K
051931K
051932K

18/11/2008
25/11/2008
25/11/2008
25/11/2008
25/11/2008
25/11/2008
25/11/2008
25/11/2008
25/11/2008

5
Contract
No.
and Date

6
Supplier/
Contractor
Name
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan/dinkes Prop Sulsel
Dirjen Perbendaharaan
Subrkun Kuasa BUN Pusat/Dinkes Prop Sumsel
Subrkun Kuasa BUN Pusat/Dinkes Prop Sumsel
Subrkun Kuasa BUN Pusat/Dinkes Prop Sumsel

Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Bend Dinkes Prop Banten
BUN
BUN
BUN
BUN
BUN
BUN
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Surveilans dan Monitoring Kualitas Air Minum

Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar

Surveilans dan Monitoring Kualitas Air Minum

Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar

Surveilans dan Monitoring Kualitas Air Minum

Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar


Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar
Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar
Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar
Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar
Subrkun Kuasa BUN Pusat/dinkes Prop Sumbar

Subtotal
3

464
465
466
467
468
469
470
471
472

2a
BI Statement

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

12
Amount
Charged
to SA
(USD eqv)

76,800,000
8,000,000
15,271,000
11,538,000
8,000,000
192,000,000
81,284,000
4,800,000
110,500,000
61,210,000
1,000,000
2,000,000
7,200,000
10,000,000
17,448,000
1,000,000
12,000,000
7,748,000
17,480,000
610,000
19,200,000
13,800,000
12,000,000
7,450,000
1,000,000
3,500,000
3,682,000
10,200,000
10,000,000
12,000,000
1,000,000
43,200,000
38,000,000
7,200,000
16,400,000
6,560,000
1,500,000
18,900,000
9,000,000
3,920,000
4,400,000
63,689,445
13,090,000
2,950,000
6,110,000
101,333,000
50,455,250
3,786,800
93,510,000
15,366,299,095

76,800,000
8,000,000
15,271,000
11,538,000
8,000,000
192,000,000
81,284,000
4,800,000
110,500,000
61,210,000
1,000,000
2,000,000
7,200,000
10,000,000
17,448,000
1,000,000
12,000,000
7,748,000
17,480,000
610,000
19,200,000
13,800,000
12,000,000
7,450,000
1,000,000
3,500,000
3,682,000
10,200,000
10,000,000
12,000,000
1,000,000
43,200,000
38,000,000
7,200,000
16,400,000
6,560,000
1,500,000
18,900,000
9,000,000
3,920,000
4,400,000
63,689,445
13,090,000
2,950,000
6,110,000
101,333,000
50,455,250
3,786,800
93,510,000
15,366,299,095

9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,386
9,386
9,386
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353

8,182.40
852.33
1,627.00
1,229.28
852.33
20,456.00
8,660.13
511.40
11,772.85
6,521.41
106.54
213.08
767.10
1,065.42
1,858.94
106.54
1,278.50
825.48
1,862.35
64.99
2,045.60
1,470.27
1,278.50
793.74
106.54
372.90
392.29
1,086.72
1,065.42
1,278.50
106.54
4,579.67
4,028.41
763.28
1,738.58
695.43
159.02
2,003.60
958.87
417.64
468.78
6,809.52
1,399.55
315.41
653.27
10,834.28
5,394.55
404.88
9,997.86
1,595,671.20

227,998,800
75,999,600
76,003,200
75,999,600
75,999,600
75,999,600
75,999,600
75,999,600
75,999,600

227,998,800
75,999,600
76,003,200
75,999,600
75,999,600
75,999,600
75,999,600
75,999,600
75,999,600

12,400
12,214
12,214
12,214
12,214
12,214
12,214
12,214
12,214

18,387.00
6,222.34
6,222.63
6,222.34
6,222.34
6,222.34
6,222.34
6,222.34
6,222.34

Grants
LKM
LKM Pasirsari kab. Pekalongan
LKM Kel. Jenggot Pekalongan
LKM Kuripan Kidul Kab. Pekalongan
LKM Kergon
LKM Baros Pekalongan
LKM Kel. Soko Kab. Pekalongan
LKM Kel. Bumirejo Kab. Pekloangan
LKM P. Baru Jl. Kunti

13 of 86

Item
No.

Disburs. Category
Cat Description

473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515

2a
BI Statement
Date Of
11/28/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/31/2008
1/15/2009
1/15/2009
2/27/2009
2/27/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/7/2009
5/15/2009

Ite
Ye Pa
m
ar ge
No
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

7
3
5
9
9
9
9
1
4
11
13
14
20
26
27
27
27
30
30
31
32
36
2
7
14
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2

81
32
56
96
97
99
100
1
47
120
149
159
234
311
313
315
317
348
349
363
382
427
23
72
163
5
6
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
22

3a
Office
Issuing
SP2D

PEKALONGAN
SRAGEN
SEMARANG I
PURWODADI
BANJARNEGARA
BANJARNEGARA
BANJARNEGARA
KUPANG
ATAMBUA
KUPANG
BANJARMASIN
TERNATE
TERNATE
WATANFONE
WATANFONE
SIJUNJUNG
WATANFONE
WATANFONE
WATANFONE
SOLOK
PURWODADI
TANJUNG
PEKANBARU
KOTABARU
TEGAL
KUPANG
KUPANG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG

3b
Cross-Ref
SP2D
No.

051933K
484604I
359339K
735555J
109821I
109935I
425258K
218662K
372854O
218943K
294099K
560068K
560238K
704324J
704325J
172036K
704326J
704322J
704323J
420177J
735858J
940437K
908914K
824130I
694060J
226214L
226215L
537461J
537463J
537464J
537465J
537466J
537467J
537468J
537469J
537663J
537664J
537665J
537785J
537786J
537787J
537462J
537842J

4
Date of
Payment
(SP2D)

25/11/2008
5/12/2008
11/12/2008
10/12/2008
18/12/2008
25/11/2008
4/12/2008
16/12/2008
15/12/2008
17/12/2008
18/12/2008
18/12/2008
19/12/2008
18/12/2008
18/12/2008
19/12/2008
18/12/2008
18/12/2008
18/12/2008
18/12/2008
18/12/2008
22/12/2008
23/12/2008
17/12/2008
2/12/2008
6/26/2009
6/26/2009
16/04/2009
16/04/2009
16/04/2009
16/04/2009
16/04/2009
16/04/2009
16/04/2009
16/04/2009
24/04/2009
24/04/2009
24/04/2009
30/04/2009
30/04/2009
16/04/2009
16/04/2009
4/5/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Lkm Kel. Bandengan Jl. SLT


LKM Sragen
LKM
LKM
LKM Tirta Mukti
LKM Cipta Karya DKK
LKM Cipta Karya DKK
LKM Defeu Manulai
Pembayaran Tahap I
LKM Pamsimas
LKM No Adi
LKM
BKM Penerima Bantuan
Para BKM Penerima Bantuan
LKM Abbanuangnge
LKM Tenonga
BLM LKM Kate Bawah
LKM Matirowalie
LKM Lapaukke
LKM Sappa
LKM Jorong Nagari
LKM
LKM Fortuna
No. 014/SPPB/Pamsimas/Rohul/XII/2008 Tgl LKM
11 des
Lestari
2008 Ds.Rimba Makmur Kab. RokHul
Tahap I
LKM Mandiri DKK Kab Tanah Bumbu
LKM
LKM oefe'u Manulai
LKM oefe'u Manulai
LKM Varanus Komodo
LKM Berkarot Dilabuan Bajo
LKM Lembo Nai Ds. Golo Sembea
LKM Ds. Nanga Bere di Labuan Bajo
LKM Bantang Cama Ds Dunta
LKM Tungku Mose ds. Pong Welak
LKM Bersinas Ds. Pangga Di Labuan
LKM Bantang Cama ds. Compang
No. KU. 08.08//IX/1938.c/Pamsimas/2008 Tgl LKM
06 Okt
Bantang
2008 Cama Kab. Manggarai
No. KU. 08.08//IX/1933.a/Pamsimas/2008 TglLKm
06 Okt
Cerdas
2008 wae Mulu Kab. Manggarai
No. KU. 08.08//IX/1936.c/Pamsimas/2008 Tgl LKM
06 Okt
Golo
2008
Wua Kab. Manggarai
No. KU. 08.08//IX/1937.c/Pamsimas/2008 Tgl LKM
06 Okt
Mekar
2008Karya Kab. Manggarai
No. KU. 08.08//IX/1936.a/Pamsimas/2008 TglLKM
06 Okt
Sambi
2008Geong Kab. Manggarai
No. KU. 08.08//IX/1932.a/Pamsimas/2008 TglLKM
06 Okt
Golo
2008
Rua QQ M. Rentang Kab. Manggarai
LKM Ds. Warloka Di Labuan Bajo
No. KU. 08.08//IX/1931.a/Pamsimas/2008 TglLKM
06 Okt
Wae
2008
Kuli Kab. Manggarai

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

75,999,600
456,000,000
455,997,600
455,997,600
227,999,700
227,988,000
455,976,000
154,000,000
346,500,000
38,500,000
616,000,000
192,500,000
154,000,000
38,500,000
38,500,000
210,747,940
38,500,000
38,500,000
38,500,000
143,169,458
592,470,000
77,000,000
38,500,000
346,500,000
101,332,000
308,000,000
308,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

75,999,600
456,000,000
455,997,600
455,997,600
227,999,700
227,988,000
455,976,000
154,000,000
346,500,000
38,500,000
616,000,000
192,500,000
154,000,000
38,500,000
38,500,000
210,747,940
38,500,000
38,500,000
38,500,000
143,169,458
592,470,000
77,000,000
38,500,000
346,500,000
101,332,000
308,000,000
308,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

12,214
11,363
10,995
11,050
11,050
11,050
11,050
11,020
10,950
10,895
10,945
10,945
10,995
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,094
11,120
11,193
11,915
11,920
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,415
10,412

12
Amount
Charged
to SA
(USD eqv)

6,222.34
40,130.25
41,473.18
41,266.75
20,633.46
20,632.40
41,264.80
13,974.59
31,643.84
3,533.73
56,281.41
17,587.94
14,006.37
3,492.06
3,492.06
19,115.46
3,492.06
3,492.06
3,492.06
12,985.89
53,738.78
6,984.13
3,470.34
31,160.07
9,053.16
25,849.77
25,838.93
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,393.18
7,395.31

14 of 86

Item
No.

Disburs. Category
Cat Description

516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574

2a
BI Statement
Date Of
5/15/2009
5/15/2009
5/29/2009
6/5/2009
6/5/2009
6/5/2009
6/23/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
6/30/2009
7/7/2009
7/7/2009
7/7/2009
7/7/2009
7/7/2009
7/7/2009
7/15/2009
7/23/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
7/31/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/7/2009
8/14/2009
8/14/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

4
4
3
1
4
4
3
1
1
2
2
2
2
2
2
2
2
2
1
1
1
2
3
3
2
2
2
2
3
3
4
4
4
4
4
4
5
5
5
5
1
2
2
2
2
2
2
3
3
4
4
4
4
4
4
5
5
1
1

44
45
25
4
36
40
26
1
9
12
13
14
15
16
17
18
19
20
6
7
8
20
33
34
18
21
20
21
24
35
40
43
44
45
46
47
48
49
50
53
7
12
13
14
15
16
17
28
29
40
41
42
43
44
45
49
51
9
10

3a
Office
Issuing
SP2D

RUTENG
RUTENG
BANJARMASIN
MARISA
SIJUNJUNG
PAINAN
KOTABARU
TERNATE
TERNATE
KOTA BARU
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
MARISA
BARABAI
BARABAI
BARABAI
KUPANG
SIJUNJUNG
SIJUNJUNG
POSO
KUPANG
PADANG
PADANG
SIJUNJUNG
PADANG
SIJUNJUNG
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
LAHAT
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
LB. LINGGAU
LAHAT
LUBUK LINGGAU
LUBUK LINGGAU

3b
Cross-Ref
SP2D
No.

538003J
538004J
832445L
036160L
174908K
284561J
296822L
028478M
028688M
296915L
945540L
945541L
945542L
945543L
945544L
945545L
945546L
036476L
593207L
593208L
593209L
176519M
576700L
576701L
906360L
178282M
284532M
284549M
577170L
284733M
577218L
761709L
761710L
761711L
761712L
761713L
761715L
761716L
761717L
761714L
830412K
285572M
285573M
285504M
285505M
285539M
285578M
285611M
285612M
285876M
285877M
285884M
285908M
285909M
285885M
740727L
830450K
740746L
740747L

4
Date of
Payment
(SP2D)

11/5/2009
11/5/2009
26/5/2009
28/5/2009
30/3/2009
22/5/2009
17/6/2009
24/6/2009
26/06/09
24/06/09
24/06/09
24/06/09
24/06/09
24/06/09
24/06/09
24/06/09
24/06/09
24/06/09
29/06/09
29/06/09
29/06/09
2/7/2009
1/7/2009
1/7/2009
9/7/2009
7/23/2009
7/28/2009
7/28/2009
7/23/2009
7/29/2009
7/24/2009
7/9/2009
7/9/2009
7/9/2009
7/9/2009
7/9/2009
7/9/2009
7/9/2009
7/9/2009
9/9/2009
29/07/09
4/8/2009
4/8/2009
4/8/2009
4/8/2009
4/8/2009
4/8/2009
4/8/2009
4/8/2009
6/8/2009
6/8/2009
6/8/2009
6/8/2009
6/8/2009
6/8/2009
3/8/2009
31/07/2009
4/8/2009
4/8/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. KU. 08.08/IX/1934.a/Pamsimas/2008 Tgl 06


LKM
Okt
Wae
2008
Kuli Kab. Manggarai
No. KU. 08.08/IX/1937.c/Pamsimas/2008 Tgl 06
LKM
Okt
Wae
2008
Pitu Kab. Manggarai
LKM Ds. Paku Alam
LKM
No. 04/Satker/Pamsimas-DR/II-2009
LKM Telaga Kab. Dharmasraya
Pembayaran Tahap II
LKM Kab. Pesisir Selatan
LKM Tirta Anugrah ds. Sangking
LKM Kota Tidore Kepulauan
tahap I
LKM Kab Halmahera Barat
Tahap I
LKM Mandiri Kab Tanah Bumbu
LKM Ds. Rantau Bakung
LKD Ds. Sialang Dua Dahan
LKM ds. Pondok Gelugur
LKM Ds. Batu Sawar
LKM ds. Lembah Dusun Gading
LKM Ds. Petala Bumi
LKM ds. Tanah Datar
LKM
LKM Bina Bersama Kab HSS
LKM Sumber Cahaya Kab HSS
LKM Mandiri Sejahtera
Pembayaran Tahap III
LKM Karena Kasih Ds. Kuli Dkk
No. 01/SPPB II/PIP/Pamsimas/DR/III/2009 TglLKM
4 Febr
Banyu
2009
SAKATO Jaya Kab. Dharmasraya
No. 04/SPPB II/PIP/Pamsimas/DR/III/2009 TglLKM
4 Febr
Telaga
2009Kab. Dharmasraya
Para Ketua LKM Kab. Touna una
LKM
LKM Batung Kota Padang
BKM Timbulun Indah Kota Padang
LKM Kota SawahLunto
LKM Kota Padang
LKM Kab Sawahlunto sijunjung
LKM Ds. Saunulu
LKM Ds. Lahakaba
LKM Ulahahan
LKM Dusun Maruru ds. Amahai
LKM Koriano Ds. Haruru
Bend. LKM Ds Seith
Bend. LKM Dusun mamua Ds. Hila
Bend. LKM Dusun Lauma Ds. Asilulu
LKM Ds. Tone Tanah
No. 640/09/LKM/Pamsimas/2008
LKM MANDIRI
LKM KORONG RIMBO KALAM
LKM SIPISANG SIPINANG
LKM BANDAR MANGGIS KAYU TANAM
LKM KAMPUNG TANJUNG
LKM KORONG SEI KASIKAN PATAMUAN
LKM KORONG PINCURAN SONSANG
LKM MARUNGGAI
LKM BUNGA TANJUNG
LKM PAMSIMAS
BKM MATO AIE
LKM INDARUNG MANDIRI
LKM SEI BEREMAS
LKM BATU GADANG
LKM BERINGIN
No. 01/SPPB II/Pamsimas/2009 Tgl 23/03/2009
LK JD MAKMUR Ds. Padu Raksa Kab. MURA
LKM BENING
No. 02/SPPB II/Pamsimas/2009 Tgl 23/03/2009
LKM Linggar Jati ds. Pangkalan Tarum
No. 03/SPPB II/Pamsimas/2009 Tgl 23/03/2009
LKM Lestari Ds Rantau Serik Kab. MURA

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
77,000,000
277,200,000
38,404,300
682,612,756
30,800,000
616,000,000
346,500,000
277,200,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
138,600,000
77,000,000
77,000,000
77,000,000
693,000,000
76,988,380
76,808,760
154,000,000
77,000,000
77,000,000
77,000,000
459,995,850
77,000,000
695,750,000
66,096,030
69,098,750
56,548,310
76,967,100
76,754,720
76,960,562
76,886,796
76,883,338
76,974,240
55,202,000
70,360,800
74,306,400
76,999,440
76,881,000
76,993,080
77,000,000
76,446,440
77,013,160
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
51,590,000
74,075,092
65,485,000
76,966,400

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
77,000,000
277,200,000
38,404,300
682,612,756
30,800,000
616,000,000
346,500,000
277,200,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
138,600,000
77,000,000
77,000,000
77,000,000
693,000,000
76,988,380
76,808,760
154,000,000
77,000,000
77,000,000
77,000,000
459,995,850
77,000,000
695,750,000
66,096,030
69,098,750
56,548,310
76,967,100
76,754,720
76,960,562
76,886,796
76,883,338
76,974,240
55,202,000
70,360,800
74,306,400
76,999,440
76,881,000
76,993,080
77,000,000
76,446,440
77,013,160
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
51,590,000
74,075,092
65,485,000
76,966,400

11
Exchange
Rate
Applied

10,442
10,442
10,268
10,263
10,039
10,039
10,375
10,383
10,079
10,235
10,235
10,235
10,235
10,235
10,235
10,235
10,235
10,235
10,255
10,255
10,255
10,114
10,230
10,230
10,160
10,013
9,920
9,920
9,970
9,925
9,990
9,920
9,920
9,920
9,920
9,920
9,920
9,920
9,920
9,920
9,890
9,801
9,801
9,801
9,801
9,801
9,801
9,801
9,801
9,846
9,846
9,846
9,846
9,846
9,846
9,920
9,920
9,945
9,945

12
Amount
Charged
to SA
(USD eqv)

7,374.07
7,374.07
7,499.03
27,009.65
3,825.51
67,996.09
2,968.67
59,327.75
34,378.41
27,083.54
7,523.20
7,523.20
7,523.20
7,523.20
7,523.20
7,523.20
7,523.20
13,541.77
7,508.53
7,508.53
7,508.53
68,518.88
7,525.75
7,508.19
15,157.48
7,690.00
7,762.10
7,762.10
46,138.00
7,758.19
69,644.64
6,662.91
6,965.60
5,700.43
7,758.78
7,737.37
7,758.12
7,750.69
7,750.34
7,759.50
5,581.60
7,178.94
7,581.51
7,856.28
7,844.20
7,855.64
7,856.34
7,799.86
7,857.68
7,820.43
7,820.43
7,820.43
7,820.43
7,820.43
7,820.43
5,200.60
7,467.25
6,584.72
7,739.21

15 of 86

Item
No.

Disburs. Category
Cat Description

575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633

2a
BI Statement
Date Of
8/14/2009
8/21/2009
8/21/2009
8/21/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
9/7/2009
9/7/2009
9/7/2009
9/15/2009
9/15/2009
9/18/2009
9/18/2009
9/30/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/15/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

2
2
2
2
1
2
2
2
2
2
3
3
3
3
4
2
2
3
2
2
2
3
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3

19
13
14
20
2
13
14
15
16
23
24
25
26
27
42
20
22
28
20
21
19
29
1
5
6
7
8
9
10
12
16
17
18
19
20
21
22
4
5
6
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

3a
Office
Issuing
SP2D

RENGAT
SIJUNJUNG
SIJUNJUNG
PADANG
GORONTALO
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
MAKASSAR II
SOLOK
SOLOK
BANTAENG
WAINGAPU
WAINGAPU
MAMUJU
MAKALE
PALOPO
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
TERNATE
PEKALONGAN
SEKAYU
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
SOLOK
SOLOK
SOLOK

3b
Cross-Ref
SP2D
No.

946443L
577566L
577567L
287796M
165281M
285703J
285704J
285705J
285706J
285638J
285639J
285700J
285701J
285702J
138935M
498548L
498549L
862719L
847495L
847496L
114421M
057232L
724864L
544105M
544106M
544107M
544108M
544109M
544113M
544114M
347196N
347197N
347198N
347200N
347201N
347202N
347199N
528451M
551880M
460567M
545080M
545081M
545087M
545088M
545090M
545091M
545092M
545142M
545143M
545144M
545145M
545146M
545147M
545148M
545149M
545150M
499839L
499840L
499841L

4
Date of
Payment
(SP2D)

5/8/2009
11/8/2009
11/8/2009
20/08/09
19/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
21/08/2009
28/08/2009
13/08/09
13/08/09
3/9/2009
9/9/2009
9/9/2009
14/09/09
7/9/2009
16/09/09
2/10/2009
2/10/2009
2/10/2009
2/10/2009
2/10/2009
2/10/2009
2/10/2009
7/10/2009
7/10/2009
7/10/2009
7/10/2009
7/10/2009
7/10/2009
7/10/2009
19/10/2009
14/10/2009
14/10/2009
16/10/2009
16/10/2009
16/10/2009
16/10/2009
16/10/2009
16/10/2009
16/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009
19/10/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

LKM Gelugur Jaya


No. 02/SPPB II/PIP/Pamsimas/DR/III/2009 TglLKM
4 Febr
AIA2009
TALANG DESA MARGA MAKMUR
No. 03/SPPB II/PIP/Pamsimas/DR/III/2009 TglLKM
4 Febr
Ulu2009
Toluang Ds. Timpeh Kampung
LKM Tanjung Balik VII Koto Lareh
BKM
No. 08/XII/Pamsimas/CK/PU-PS/2008
Ketua LKM Simaung Cumateh Kab. Pesisir Selatan
No. 16/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung lImau Gadang Kab. Pesisir Selatan
No. 14/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung Koto Rawang Kab. Pesisir Selatan
No. 09/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung Air Beralih Kab. Pesisir Selatan
No. 11/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung Pasie Laweh Kab. Pesisir Selatan
No. 10/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung Akad Kab. Pesisir Selatan
No. 12/XII/Pamsimas/CK/PU-PS/2008
LKM Kampung Air Batu Pesisir Kab. Pesisir Selatan
No. 18/XII/Pamsimas/CK/PU-PS/2008
LKM Taratak Sei Lundang Kec. Koto XI Tarusan
No. 07/XII/Pamsimas/CK/PU-PS/2008
LKM Talawi Kab. Pesisir Selatan
LKM
LKM JY Makmur Jorong Sabi
LK Batu Tajam Jorong Subarang
LKM Kab. Bulukumba
9/9/2009
LKM Eta Lara Desa Bondo Tera
9/9/2009
LKM Bali Ledo Ds. Ledo Sumba Barat
Tahap I
LKM tompopuring kab Mamuju
LKM
LKM
LKP Jorong Koto
LKM Sungai Patai
LKM Lurah Ampang
LKM Galanggang Baringin
LKM JORONG GANTIANG
LKM Galondang
LKM Koto Tuo Jorong SIM
No. 07/IX/Pamsimas/CK/PU-PS/2009
LKM Kp Tanjung Gadang Kab. Pesisir Selatan
Pembayaran Tahap I
LKM Kp Bukik Kaciak Kab Pesisir Selatan
No. 02/IX/Pamsimas/CK/PU-PS/2009
LKM Kampung Duku Kab. Pesisir Selatan
No. 05/IX/Pamsimas/CK/PU-PS/2009
LKM Kampung Pauh Kab. Pesisir Selatan
No. 03/IX/Pamsimas/CK/PU-PS/2009
LKM Lagan Gadang Hilir Baganti Kab. Pesisir Selatan
No. 01/IX/Pamsimas/CK/PU-PS/2009
LKM Kp Siguntur Tua Kab. Pesisir Selatan
No. 04/IX/Pamsimas/CK/PU-PS/2009
LKM Kp Bayang Janiah Kab. Pesisir Selatan
Tahap III
LKM Kab Halmahera Barat
No. 01/SPPB II/Pamsimas/PPK/IX/2009 s.d 15/SPPB
Para LKM/Desa
II/Pamsimas/PPK/IX/2009
(15) Kab. Pekalongan
Tgl 16 Sept 2009
Tahap I
LKM Kab. Muba
Pembayaran Tahap I
LKM Jorong Tjg Bunga Kab Lima Puluh Koto
Pembayaran Tahap I
LKM Jorong Atas Kab Lima Puluh Koto
Pembayaran Tahap I
LKM Bersatu Kab Lima puluh Koto
Pembayaran Tahap I
LKM Pnck Kunang Taram Kab Lima puluh Koto
Pembayaran Tahap I
LKM Alai Sejahtera Kab Lima Puluh Koto
Pembayaran Tahap I
LKM Murni Koto Ronah Kab Lima Puluh koto
Pembayaran Tahap I
LKM Pabatungan Kab Lima puluh Koto
Tahap I
LKM Pauh Taruko Tanjung Raya Kab. Agam
Tahap I
LKM Jorong Gumarang Kab Agam
Tahap I
LKM Jorong Cicawan Kab Agam
Tahap I
LKM Jorong Aia Tabik Kab Agam
Tahap I
LKM Jorong Pagadih Hilia Kab Agam
Tahap I
LKM Jorong Palupuah Kab Agam
Tahap I
LKM jorong Parabek Kab. Agam
Tahap I
LKM Jorong Pandam Kab. Agam
Tahap I
LKM Jorong Pauah Kab Agam
No. 06/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 Koord. LKM Harapan Baru Kab. Solok
No. 04/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 Koord. LKM Tirta elok Saiyo,Kab. Solok
No. 01/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 Koord. LKM Jambu Sepakat Kab. Solok

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
70,093,940
66,883,628
76,996,000
960,000,000
77,000,000
75,975,340
75,956,300
75,781,860
74,704,280
76,037,360
74,362,960
77,000,000
75,794,656
400,828,000
70,000,000
77,000,000
693,000,000
77,000,000
77,000,000
38,500,000
693,000,000
524,058,060
56,000,000
77,000,000
69,972,700
77,000,000
77,000,000
76,755,140
68,605,740
38,480,260
28,875,980
38,463,180
38,376,520
38,491,320
38,486,770
38,041,080
693,000,000
577,500,000
231,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,483,620
38,500,000
37,942,100
34,756,400
38,500,000
38,500,000
30,979,200
38,500,000
36,158,140
69,272,031
77,000,000
67,607,372

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
70,093,940
66,883,628
76,996,000
960,000,000
77,000,000
75,975,340
75,956,300
75,781,860
74,704,280
76,037,360
74,362,960
77,000,000
75,794,656
400,828,000
70,000,000
77,000,000
693,000,000
77,000,000
77,000,000
38,500,000
693,000,000
524,058,060
56,000,000
77,000,000
69,972,700
77,000,000
77,000,000
76,755,140
68,605,740
38,480,260
28,875,980
38,463,180
38,376,520
38,491,320
38,486,770
38,041,080
693,000,000
577,500,000
231,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,483,620
38,500,000
37,942,100
34,756,400
38,500,000
38,500,000
30,979,200
38,500,000
36,158,140
69,272,031
77,000,000
67,607,372

11
Exchange
Rate
Applied

9,945
10,000
10,000
10,040
9,976
10,035
10,035
10,035
10,035
10,035
10,035
10,035
10,035
10,035
10,049
10,150
10,150
10,138
9,958
9,958
9,830
9,580
9,644
9,368
9,368
9,368
9,368
9,368
9,368
9,368
9,421
9,421
9,421
9,421
9,421
9,421
9,421
9,430
9,477
9,477
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365
9,365

12
Amount
Charged
to SA
(USD eqv)

7,742.58
7,009.39
6,688.36
7,668.92
96,230.95
7,673.14
7,571.04
7,569.14
7,551.75
7,444.37
7,577.22
7,410.36
7,673.14
7,553.03
39,887.35
6,896.55
7,586.21
68,356.68
7,732.48
7,732.48
3,916.58
72,338.20
54,340.32
5,977.80
8,219.47
7,469.33
8,219.47
8,219.47
8,193.33
7,323.41
4,084.52
3,065.07
4,082.71
4,073.51
4,085.69
4,085.21
4,037.90
73,488.87
60,937.01
24,374.80
4,111.05
4,111.05
4,111.05
4,111.05
4,111.05
4,111.05
4,111.05
4,109.30
4,111.05
4,051.48
3,711.31
4,111.05
4,111.05
3,307.98
4,111.05
3,860.99
7,396.91
8,222.10
7,219.15

16 of 86

Item
No.

Disburs. Category
Cat Description

634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694

2a
BI Statement
Date Of
10/23/2009
10/23/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

3
4
1
1
1
2
2
2
2
2
2
3
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
6

31
44
4
5
11
15
16
17
19
20
22
32
1
2
3
4
5
6
7
9
10
11
12
14
15
16
17
18
19
20
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
52
53
54
55
56
57
60
63
64
66
68
69
70

3a
Office
Issuing
SP2D

SOLOK
BUKIT TINGGI
BANDUNG I
PEKALONGAN
TASIK MALAYA
PEKALONGAN
SOLOK
SOLOK
MAJENE
BANJAR NEGARA
KUPANG
PURWOKERTO
PURWOREJO
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
PURWODADI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
SOLOK
BUKIT TINGGI
MAMUJUK
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI

3b
Cross-Ref
SP2D
No.

499842L
545199M
306925N
552189N
037282N
552220M
499971L
499973L
928228L
430850K
230622N
723174M
621833M
507703N
507704N
507705N
507706N
507707N
673663L
545638M
545639M
545642M
545643M
545649M
545650M
507697N
507700N
507701N
507702N
507699N
212141N
212142N
212143N
212144N
212145N
212146N
212147N
212186N
212187N
830777M
830778M
830779M
830780M
830781M
830782M
830783M
830784M
830785M
830921M
848435L
848436L
848437L
848438L
797133N
542938M
578149N
545954M
545955M
545956M
545957M
545958M

4
Date of
Payment
(SP2D)

19/10/2009
20/10/2009
26/10/2009
23/10/2009
27/10/2010
27/10/2009
26/10/2009
26/10/2009
28/10/2009
28/10/2009
28/10/2009
30/10/2009
29/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
29/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
29/10/2009
30/10/2009
30/10/2009
29/10/2009
30/10/2009
30/10/2009
30/10/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
03/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
09/09/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009
02/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

No. 02/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 Koord. LKM Tonggak Tujuh Kab. Solok

Tahap I
Belanja Perjalanan Dalam Negeri
No. 050/1123.01 s/d 15/X/2009

LKM Jorong Saribulan Kab Agam


Bend. Pengeluaran Satker Dinkes Jabar
Para Satlak Pamsimas Kota Pekalongan
LKM kab tasikmalaya
No.01/SPPB II/ Pamsimas/PPK/IX/2009 sd 15/SPPB
Para LKM/Desa
II/ Pamsimas/PPK/IX/2009
(15) Kab. Pekalongan
Tgl 16 Sept 2009
No. 08/SPPB II thp3/Pamsimas_SLK/PU/XI/2009 Tgl
Koord.
28 September
LKM Batu2009
Tajam Kab. Solok
No. 05/SPPB II thp3/Pamsimas_SLK/PU/XI/2009 Tgl
Koord.
28 September
LKM Harapan
2009 Bunda Kab Solok
LKM Baitul Totoli
No. 01/PK2-Pamsimas/2009 Tgl 13 Okt 2009
15 LKM
LKM Nekmese Ds. Manubelon
No. 050/1972.A s/d O/2009 Tgl 3 Okt 2009 15 LKM
LKM
LKM Kec. Langke
BKM Golo Curu Kel Karot Kec. Lang
BKM Bina Sejahtera Kel. Tenda
BKM Rejelele Kel Pitak
BKM Bantang Cama Kel Wali
LKM
No.03/SPPB II/PIP/Pamsimas/X/2009
LKM Pams Jrg Kandang Sampie Kab. Tanah Datar
No.01/SPPB II/PIP/Pamsimas/X/2009
LKM Pamsimas Nag Andaleh Kab.Tanah Datar
No.05/SPPB II/PIP/Pamsimas/X/2009
LKM Pmsimas Batang Tarok Kab.Tanah Datar
No.06/SPPB II/PIP/Pamsimas/X/2009
LKM Pamsimas Jr. Cubadak Kab. Tanah Datar
No.01/SPPB II/PIP/Pamsimas/X/2009
LKM Pamsimas Mawar I Lb Jantan Lintau Buo Utara
No.02/SPPB II/PIP/Pamsimas/X/2009
LKM Pamsimas Pangian Kab. Tanah datar
BKM Nera Golo Dukal Kel Golo Dukal
BKM Compang Carep Kel Carep
BKM Wela Pau
BKM Peduli Kasih Kel Mbaumuku
BKM Batang Cama I Kel Waso
No. 10/SPPB II/Desa Tanalanto/X/-2009
LKM Intan Kab. Parigi Moutong
No. 03/SPPB II/Desa Pesona/X/-2009
LKM Sumber Agung Kab. Parigi Moutong
No. 01/SPPB II/Desa Donggulu/X/-2009
LKM Songulara Kab. Parigi Moutong
No. 09/SPPB II/Desa Margapura/X/-2009
LKM Sumber Makmur Kab.Parigi Moutong
No. 09/SPPB II/Desa Palapi/X/-2009
LKM Apoto Jojo Kab. Parigi Moutong
No. 12/SPPB II/Desa Maleali/X/-2009
LKM Tirta Lestari Kab. Parigi Moutong
No. 02/SPPB II/Desa Tada Timur/X/-2009
LKM Sintuvu Ntodea Kab. Parigi Moutong
No. 04/SPPB II/Desa Toraranga/X/-2009
LKM Ds. Toraranga Kab. Parigi Moutong
LKM ds. Tolole kec. Ampibabo
No. 09/SPPB II/Pamsimas/OI/X/2009
LKM Cinta Manis Kandis Kab. OI
No. 63/SPPB II/Pamsimas/OI/X/2009
LKM Serasan Kab. OI
No. 11/SPPB II/Pamsimas/OI/X/2009
LKM Belanti Raya Kab. OI
No. 06/SPPB II/Pamsimas/OI/X/2009
LKM Sukananti Kab. OI
No. 10/SPPB II/Pamsimas/OI/X/2009
LKM Perdana Jaya Ds. Sukamarga Kab. OI
No. 62/SPPB II/Pamsimas/OI/X/2009
LKM Melati ds. Rama kasih Kab. OI
No. 64/SPPB II/Pamsimas/OI/X/2009
LKM Air Mata Usang Kabung Kab. OI
No.08/SPPB II/Pamsimas/OI/X/2009
LKM Putri Pinang Masak kab. OI
No. 61/SPPB II/Pamsimas/OI/X/2009
LKM Harapan Maju Kab. OI
No.02/SPPB II/Pamsimas/OI/X/2009
LKM Mekar Jaya Kab. OI
LKM Letikaduban Kab. Sumba Barat
LKM Tanarara Ds. Tanarara Kab. Sumba Barat
LKM Dedekadu Kab. Sumba Barat
LKM Maringi Ate Desa Lapale Kab. Sumba Barat
LKM Kab. Sumba Barat
LKM Koto Tuo Jorong SIM
tahap II
LKM Uhai Tumbur, LKM Sejatera Kab. Mamuju
No. 03/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Lurah
2009 Dalam Kab. Agam
No. 05/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Pauah
2009 Kab. Agam
No. 10/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Aia
2009
Tabik Kab. Agam
No. 11/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Pagadih
2009
Hilia Kab. Agam
No. 12/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Palupuah
2009
Kab. Agam

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
38,500,000
3,000,000
577,500,000
577,500,000
1,155,000,000
77,000,000
68,600,000
60,000,000
577,500,000
77,000,000
577,500,000
577,500,000
45,000,000
60,000,000
60,000,000
60,000,000
60,000,000
577,500,000
38,500,000
38,500,000
38,500,000
33,845,680
38,500,000
38,500,000
60,000,000
60,000,001
60,000,002
60,000,003
60,000,004
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,001
38,500,002
38,500,003
38,500,004
38,500,005
38,500,006
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
286,338,916
68,605,740
154,000,000
76,811,700
72,316,280
69,512,800
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
38,500,000
3,000,000
577,500,000
577,500,000
1,155,000,000
77,000,000
68,600,000
60,000,000
577,500,000
77,000,000
577,500,000
577,500,000
45,000,000
60,000,000
60,000,000
60,000,000
60,000,000
577,500,000
38,500,000
38,500,000
38,500,000
33,845,680
38,500,000
38,500,000
60,000,000
60,000,001
60,000,002
60,000,003
60,000,004
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,001
38,500,002
38,500,003
38,500,004
38,500,005
38,500,006
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
286,338,916
68,605,740
154,000,000
76,811,700
72,316,280
69,512,800
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,365
9,480
9,376
9,423
9,517
9,595
9,595
9,595
9,685
9,685
9,637
9,497
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,610
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,497
9,557
9,605
9,605
9,605
9,605
9,605
9,506
9,506
9,506
9,506
9,506
9,506
9,506

12
Amount
Charged
to SA
(USD eqv)

8,222.10
4,061.18
319.97
61,286.21
60,680.89
120,375.20
8,025.01
7,149.56
6,195.15
59,628.29
7,990.04
60,808.68
60,093.65
4,682.62
6,243.50
6,243.50
6,243.50
6,243.50
60,093.65
4,006.24
4,006.24
4,006.24
3,521.92
4,006.24
4,006.24
6,243.50
6,243.50
6,243.50
6,243.50
6,243.50
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,053.91
4,028.46
8,016.66
8,016.66
8,016.66
8,016.66
29,811.44
7,217.10
16,200.29
8,080.34
7,607.44
7,312.52
8,100.15
8,100.15

17 of 86

Item
No.

Disburs. Category
Cat Description

695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755

2a
BI Statement
Date Of
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009

Ite
Ye Pa
m
ar ge
No
11 7
11 7
11 7
11 7
11 7
11 7
11 7
11 7
11 7
11 8
11 8
11 8
11 8
11 8
11 8
11 9
11 9
11 9
11 9
11 9
11 9
11 9
11 9
11 10
11 1
11 1
11 1
11 1
11 1
11 1
11 1
11 1
11 1
11 1
11 2
11 3
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 4
11 5
11 5
11 5
11 5
11 5
11 5
11 5
11 5
11 5
11 5
11 6
11 6
11 6

73
75
76
77
78
79
81
82
83
85
87
89
93
94
95
96
97
98
100
102
104
106
107
109
1
2
3
4
5
6
7
8
9
10
21
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
54
55
57
58
59
60
61
62

3a
Office
Issuing
SP2D

BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
LUWUK
SUMEDANG
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
SUMEDANG
SUMEDANG
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
TERNATE
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
SOLOK
SOLOK
PATI
PELAIHARI
TERNATE
SIJUNJUNG
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
MAGELANG
KUDUS
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
SOLOK
KUPANG
SURAKARTA
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
PURWOKERTO
BANJARMASIN

3b
Cross-Ref
SP2D
No.

545959M
545960M
545961M
545962M
871454M
008241M
817124N
817125N
817126N
817132N
817133N
817134N
008242M
008243M
817103N
817104N
817105N
817106N
817107N
817116N
817117N
817118N
817119N
802334N
546125M
546226M
546227M
546234M
546235M
546237M
797292N
797297N
889240L
511567M
802639N
121277N
703896M
703897M
703898M
703899M
703900M
642840M
568239N
546644M
546645M
546646M
546660M
546661M
546662M
546671M
546672M
546673M
797369N
232227N
004276N
814973M
814974M
814976M
814977M
723821M
814978M

4
Date of
Payment
(SP2D)

02/11/2009
02/11/2009
02/11/2009
02/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
03/11/2009
06/11/2009
3/11/2009
4/10/2009
4/11/2009
4/11/2009
4/11/2009
4/11/2009
5/11/2009
5/11/2009
5/11/2009
5/11/2009
10/11/2009
6/11/2009
6/11/2009
6/11/2009
6/11/2009
6/11/2009
6/11/2009
6/11/2009
6/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
10/11/2009
9/11/2009
11/11/2009
11/11/2009
12/11/2009
12/11/2009
12/11/2009
12/11/2009
13/11/2009
12/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

No. 13/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM


10 Sept
Pauh2009
Taruko Kab. Agam
76,967,240
No. 14/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Gumarang
2009
I Kab. Agam
77,000,000
No. 15/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jrg. Cicawan
2009
Kab. Agam
75,884,200
No. 16/SPPB II/PIP/Pamsimas/AG/IX/2009 TglLKM
10 Sept
Jr. Sari
2009
Bulan Nag. Tigo Balai Kab. Agam
77,000,000
Para LKM Kab. Bangkep
577,500,000
Tahap II
2 LKM Kab. Pasaman
154,000,000
No.007/II/SAT_PMS/CLP/2009
LKM Arga tirto Kab. Cilacap
38,500,000
No.013/II/SAT_PMS/CLP/2009
LKM Tirta Dadi Ds. Sidamulya Kab. Cilacap
38,500,000
No.003/II/SAT_PMS/CLP/2009
LKM Maruyung Ds. Karangsari Kab. Cilacap
38,500,000
No.002/II/SAT_PMS/CLP/2009
LKM Tirta Kamulyan DsKarangreja Kab.Cilacap
38,500,000
No.012/II/SAT_PMS/CLP/2009
LKM Tirta Rau ds. Citembong Kab. Cilacap
38,500,000
No.004/II/SAT_PMS/CLP/2009
LKM Mbulu Gudhe Cilibang Kab. Cilacap
38,500,000
No.016/PIP/Pamsimas/SPPB-II/DPU/2009 s.dLKM
No. Kab.
022/PIP/Pamsimas/SPPB
Sumedang
II/DPU/2009 Tgl 23 Februari 2009 506,889,000
Tahap I
LKM Sri Mandiri
539,000,000
No.011/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Bina Tirta Desa Binangun Kab. Cilacap
38,500,000
No.005/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Tirta Kencana Kab. Cilacap
38,500,000
No.014/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Lingga Mulya Kab Cilacap
38,500,000
No.015/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Cikahuripan Ds. Pamulihan Kab. Cilacap
38,500,000
No.009/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Tirto Luhur Ds Cikedondong Kab. Cilacap
38,500,000
No.006/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Tirta Mandala Giri Kab. Cilacap
38,500,000
No. 010/II/SAT-PMS/CLP/2009 tgl 14/10/09 LKM Tirta Wana Sari Ds Bulaksari Kab. Cilacap
38,500,000
No. 008/II/SAT-PMS/CLP/2009 tgl 14/10/09 LKM Tirta Mulya Kab. Cilacap
38,500,000
No.001/II/SAT-PMS/CLP/2009 Tgl 14/10/09 LKM Amanah Kab. Cilacap
38,500,000
Tahao III
LKM Kota Tidore Kepulauan
231,000,000
No. 02/SPPB II/PIP/Pamsimas/AG/VIII/2009 Tgl 10Agust
LKM Jrg.
2009
Sariak Ateh Lukok Kab. Agam
77,000,000
No. 010.b/SPPB II-010/Pamsimas/PU-LK/2009 TglLKM
26 Okt
Batu
2009
Payung Kab. Lima Puluh Koto
38,500,000
No. 011.b/SPPB II-011/Pamsimas/PU-LK/2009 TglLKM
26 Okt
sungai
2009 Ipuah Kab. Lima Puluh Koto
38,500,000
No. 012.b/SPPB II-012/Pamsimas/PU-LK/2009 TglLKM
26 Okt
spkt
2009
Koto Malintang Kab. Lima Puluh Koto
34,684,440
No. 013.b/SPPB II-013/Pamsimas/PU-LK/2009 TglLKM
26 Okt
Amanah
2009 Kab. Lima Puluh Koto
37,249,520
No. 005.b/SPPB II-005/Pamsimas/PU-LK/2009 TglLKM
22 Okt
Pams
2009Jorong Ateh Kab. Lima Puluh Koto
38,500,000
No.09/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 TglKoord.
19 OktLKM
2009Jaya Makmur Kab. Solok
70,000,000
No.03/SPPB II-thp3/Pamsimas-SLK/PU/X/2009 TglKoord.
27 OktLKM
2009Sehati Kab Solok
72,985,640
No. 01/ SPPB II-Pamsimas/2009 Tgl 14 Sept 2009Para BKM/LKM (15Desa) Kab. Rembang
577,500,000
No.161 s.d 181/Satker-PIP Pamsimas/2009 Tgl
LKM
26 Okt 2009
539,000,000
No.04-06/SPPB/Pamsimas/KIK/2009
LKM
231,000,000
Pembayaran Tahap II
LKM Kab Sawahlunto sijunjung
616,000,000
No. 640/SPPB II/Garunggang/Pamsimas/HSS/2009
LKM
Tgl Garuggang
20 Okt 2009 Damai Kab HSS
38,500,000
No. 640/SPPB II/Klp/Pamsimas/HSS/2009 Tgl 20 Okt
LKM2009
Sumber Rezeki Ds. Kalumpang Kab. HSS
38,500,000
No. 640/SPPB II/krg bln/Pamsimas/HSS/2009 Tgl LKM
20 OktSumber
2009 Sejahtera Kab. HSS
38,500,000
No. 640/SPPB II/blnt/Pamsimas/HSS/2009 Tgl 20 LKM
Okt 2009
Berkat Sehat Ds. Belanti Kab. HSS
38,500,000
No. 640/SPPB II/samuda/Pamsimas/HSS/2009 TglLKM
20 Okt
Makmur
2009 Bersama Ds. Samuda Kab. HSS
38,500,000
No. 050/2179 A-1/25/2009 Tgl 27 Okt 2009
8 LKM Pamsimas Kab. Magelang
307,992,320
No. 050/2179 A-1/25/2009 Tgl 27 Okt 2009
8 LKM Pamsimas Kab. Magelang
577,500,000
No.13/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab Tanah Datar
38,500,000
No.14/SPPB II/PIP/Pamsimas/X/2009 Tgl 04 nov
LKM2009
Pamsimas Kab tanah Datar
38,500,000
No.15/SPPB II/PIP/Pamsimas/X/2009 Tgl 04 nov
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No.07/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No.08/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No.09/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No.10/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
36,839,460
No.11/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No.12/SPPB II/PIP/Pamsimas/X/2009 Tgl 27 Okt
LKM2009
Pamsimas Kab. Tanah Datar
38,500,000
No 07/SPPB-II thp2/Pamsimas-SLK/PU/X/2009
LKM
TglSei
27 Durian
Okt 2009
Kab Solok
55,717,880
Tahap II
LKM kab. Timor Tengah
462,000,000
15 LKM
577,500,000
No.027/Pamsimas/DPU/X/2009 Tgl 19/10/09
LKM Gawi Bersama Kab. Banjar
38,500,000
No.025/Pamsimas/DPU/X/2009 Tgl 19/10/09
LKM Putra Bulu Kab. Banjar
38,500,000
No.029/Pamsimas/DPU/X/2009 Tgl 19/10/09
LKM Ds. Aranio Kab Banjar
38,500,000
No.030/Pamsimas/DPU/X/2009 Tgl 19/10/09
LKM Ds. Tiwingan lama Kab. Banjar
38,500,000
15 LKM
577,500,000
No.026/Pamsimas/DPU/X/2009 Tgl 19 Okt 2009
LKM Palawangan Kab. Banjar
38,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

76,967,240
77,000,000
75,884,200
77,000,000
577,500,000
154,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
506,889,000
539,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
231,000,000
77,000,000
38,500,000
38,500,000
34,684,440
37,249,520
38,500,000
70,000,000
72,985,640
577,500,000
539,000,000
231,000,000
616,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
307,992,320
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
36,839,460
38,500,000
38,500,000
55,717,880
462,000,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
38,500,000

11
Exchange
Rate
Applied

9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,506
9,428
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,405
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,420
9,356
9,356
9,368
9,368
9,368
9,368
9,368
9,368

12
Amount
Charged
to SA
(USD eqv)

8,096.70
8,100.15
7,982.77
8,100.15
60,751.10
16,200.29
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
53,323.06
56,701.03
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
4,050.07
24,501.48
8,174.10
4,087.05
4,087.05
3,682.00
3,954.30
4,087.05
7,431.00
7,747.94
61,305.73
57,218.68
24,561.40
65,392.78
4,087.05
4,087.05
4,087.05
4,087.05
4,087.05
32,695.58
61,305.73
4,087.05
4,087.05
4,087.05
4,087.05
4,087.05
4,087.05
3,910.77
4,087.05
4,087.05
5,914.85
49,380.08
61,725.10
4,109.74
4,109.74
4,109.74
4,109.74
61,646.03
4,109.74

18 of 86

Item
No.

Disburs. Category
Cat Description

756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810

2a
BI Statement
Date Of
11/13/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

6
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
7
7
7
7
7
7
7
8
8
8

63
1
2
3
4
5
6
7
8
9
10
11
13
15
16
17
18
19
21
24
25
26
27
28
29
30
31
32
33
46
47
48
49
50
51
52
53
54
55
64
66
67
68
69
71
73
74
75
76
77
82
83
84
85
89

3a
Office
Issuing
SP2D

BANJARMASIN
SRAGEN
RANGKASBITUNG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
PEKALONGAN
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
LUBUKSIKAPING
PATI
BARABAI
KLATEN
BANTAENG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
GORONTALO
POSO
PEKALONGAN

3b
Cross-Ref
SP2D
No.

814975M
372304M
095925N
232639N
232640N
232641N
232644N
232645N
232642N
232643N
815266M
815267M
815218M
815256M
815257M
815258M
815265M
815219M
815264M
552812M
121430N
121431N
121432N
121433N
857062N
889354L
704181M
872880M
864575L
833122M
833123M
833124M
833125M
833126M
833127M
833128M
833129M
833130M
833131M
547074M
547075M
547076M
547077M
547078M
547110M
547111M
547112M
547113M
547114M
547124M
547125M
547126M
550226N
922089N
552907M

4
Date of
Payment
(SP2D)

12/11/2009
11/11/2009
11/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/13/2009
11/11/2009
11/11/2009
11/11/2009
11/11/2009
11/11/2009
11/11/2009
11/11/2009
11/12/2009
11/11/2009
11/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
13/11/2009
13/11/2009
16/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No.028/Pamsimas/DPU/X/2009 Tgl 19 Okt 2009


LKM Ds. Mandiangin Barat Kab. Banjar
No. 01/X/SPPB2/PAMS/2009 DST Tgl 10 Okt 15
2009
LKM Kab. Karanganyar
Tahap I
LKM Kab. Lebak
No. 02/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Nekamese Kab. Kupang
No. 03/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Oemathonis Kab. Kupang
No. 04/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Suka Maju Kab. Kupang
No. 07/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Lilai Kab. Kupang
No. 01/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Lima Saudara Kab. Kupang
No. 05/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Harapan Kab. Kupang
No. 06/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
Manekat Kab. Kupang
No.024/Pamsimas/DPU/X/2009 Tgl 02 Nov 2009
LKM Karya Berama Kab. Banjar
No.016/Pamsimas/DPU/X/2009 Tgl 26 OKt 2009
LKM Bangun Jaya kab. Banjar
No.020/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM Sumber Makmur Kab. Banjar
No.019/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM Tirta Mulya Kab. Banjar
No.018/Pamsimas/DPU/X/2009 Tgl 26 Okt 2009
LKM Maju Bersama Kab. Banjar
No.017/Pamsimas/DPU/X/2009 Tgl 26 Okt 2009
LKM sungkai Baru Kab. Banjar
No.023/Pamsimas/DPU/X/2009 Tgl 02 Nov 2009
LKM Sumber Harapan Kab Banjar
No.021/Pamsimas/DPU/X/2009 Tgl 12 Nov 2009
LKM Telaga Bening Kab. Banjar
No.022/Pamsimas/DPU/X/2009 Tgl 02 Nov 2009
LKM Beruntung Bersama Kab. Banjar
No. 050/1123.01/X/2009 sd No. 050/1123.15/X/2009
Para Satlak
Tgl 15
Pamsimas
Okt 2009 Kota Pekalongan
No. 05/SPPB II/PIP/Pamsimas/DR/IX/2009 TglLKM
26 Okt
Asam
2009
Sakato Kab. Dharmasraya
No. 06/SPPB II/PIP/Pamsimas/DR/IX/2009 TglLKM
26 Okt
Tirta2009
Sari Kab. Dharmasraya
No. 07/SPPB II/PIP/Pamsimas/DR/IX/2009 TglLKM
26 Okt
tirta2009
Jaya Kab. Dharmasraya
No. 08/SPPB II/PIP/Pamsimas/DR/IX/2009 TglLKM
26 Okt
Pincuran
2009 Kab. Dharmasraya
LKM Kab. Pasaman
No. 422/03.502960/Pamsimas/SPPB II/2009 Tgl
LKM
15 Okt 2009
No. 640/SPPB II/LHG/Pamsimas/HSS/2009 Tgl
LKM
20 Hutan
Okt 2009
Meratus Kab. HSS
LKM Kab. Klaten
Pembayaran TahapI (15desa)
Para Ketua LKM/BKM/TPK Kab. Bulukumba
No. 61/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Harapan Maju Kab. OI
No. 63/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Serasan Kab. OI
No. 06/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Sukananti Ds. Sukananti Rantau Alai
No. 09/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Cinta Manis Kab. OI
No. 62/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Melati ds. Rama kasih Kab. OI
No. 10/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Perdana Jaya Ds. Sukamarga Kab. OI
No. 11/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Belanti Raya Kab. OI
No. 11/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Air Mata Usang Kabung Kab. OI
No. 08/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Putri Pinang Masak kab. OI
No. 07/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Mekar Jaya Kab. OI
No. 007.b/SPPB II-07/Pamsimas/PU-LK/2009LKM
Tgl 06/11/2009
Jorong Atas Kab Lima Puluh Koto
No. 005.b/SPPB II-05/Pamsimas/PU-LK/2009LKM
Tgl 06/11/2009
Bersatu
No. 014.b/SPPB II-14/Pamsimas/PU-LK/2009LKM
Tgl 06/11/2009
Aie Angek
No. 003/SPPB II-03/Pamsimas/PU-LK/2009 Tgl
LKM
06/11/2009
Dua Saudara Balik Bukit
No. 006/SPPB II-06/Pamsimas/PU-LK/2009 Tgl
LKM
06/11/2009
Jorong Tanjuang Bunga
No. 07/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
BKM Saraso
Tgl 09/10/2009
Satlak Pamsimas
No. 08/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
LKM Koto
Tgl 09/10/2009
Panjang Dalam
No. 01/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
BKM Sepakat
Tgl 09/10/2009
Kel Subarang Batuang
No. 02/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
LKM Pincuran
Tgl 09/10/2009
kel. Kota Panjang Padang
No. 03/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
LKM sarasah
Tgl 09/10/2009
Kel Parambahan
No. 04/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
BKM Amanah
Tgl 09/10/2009
Pamsimas Kel. Tambago
No. 05/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
LKM Padang
Tgl 09/10/2009
Sikabu Kel. Padang Sikabu
No. 06/SPPB II/Pamsimas/Pamsimas-PYK/X-2009
BKM Amanah
Tgl 09/10/2009
Satlak Pamsimas
15 LKM Kab. Gorontalo
LKM Kab Poso
No. 050/393.1.22/2009 s.d 050/393.1.28/2009Para Ketua LKM Se Kab. Batang

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

38,500,000
577,500,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
36,996,960
38,444,804
38,500,000
38,477,432
428,983,600
423,500,000
38,500,000
539,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
33,319,200
36,050,500
38,500,000
38,500,000
38,500,000
29,785,850
29,662,500
38,500,000
577,500,000
462,000,000
269,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

38,500,000
577,500,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
36,996,960
38,444,804
38,500,000
38,477,432
428,983,600
423,500,000
38,500,000
539,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
33,319,200
36,050,500
38,500,000
38,500,000
38,500,000
29,785,850
29,662,500
38,500,000
577,500,000
462,000,000
269,500,000

11
Exchange
Rate
Applied

9,368
9,348
9,348
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,301
9,348
9,348
9,348
9,348
9,348
9,348
9,348
9,348
9,348
9,348
9,358
9,358
9,358
9,358
9,358
9,358
9,358
9,358
9,358
9,358
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425

12
Amount
Charged
to SA
(USD eqv)

4,109.74
61,777.92
61,777.92
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
4,139.34
123,555.84
3,957.74
4,112.62
4,118.53
4,116.11
45,890.42
45,303.81
4,118.53
57,659.39
61,777.92
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,228.25
8,169.76
8,169.76
4,084.88
4,084.88
8,169.76
3,535.19
3,824.99
4,084.88
4,084.88
4,084.88
3,160.30
3,147.21
4,084.88
61,273.21
49,018.57
28,594.16

19 of 86

Item
No.

Disburs. Category
Cat Description

811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871

2a
BI Statement
Date Of
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

8
8
8
8
8
8
9
9
9
9
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
12
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3

90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
109
114
115
116
117
118
119
120
121
122
123
124
125
126
128
130
131
132
1
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

3a
Office
Issuing
SP2D

PEKALONGAN
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
BANJARNEGARA
MAMUJUK
BANJARMASIN
KLATEN
PURWODADI
POSO
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
PEKALONGAN
GARUT
BATURAJA
PALU
TASIKMALAYA
PEKANBARU
PEKANBARU
MAMUJUK
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWOREJO
ENDE
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWOKERTO
TEGAL

3b
Cross-Ref
SP2D
No.

552975M
948806L
948807L
948808L
948809L
948810L
948811L
948812L
948813L
948814L
948815L
948816L
948844L
948845L
948846L
948847L
431213K
578854N
816250M
873078M
674064L
922128N
174501M
174502M
174503M
174504M
174505M
174506M
174507M
553009M
822395N
883558N
214891N
038859N
718111N
718112N
579070N
438234N
438235N
438236N
438237N
438238N
438239N
438240N
438241N
438242N
622503M
513185N
547443M
547444M
547449M
547450M
547456M
438228N
438229N
438230N
438231N
438232N
438233N
724254M
863074N

4
Date of
Payment
(SP2D)

16/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
13/11/2009
16/11/2009
16/11/2009
16/11/2009
16/11/2009
12/11/2009
13/11/2009
18/11/2009
16/11/2009
17/11/2009
16/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
19/11/2009
23/11/2009
23/11/2009
23/11/2009
11/18/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
18/11/2009
19/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
24/11/2009
23/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

01/SPPB.II/PAMSIMAS/PPK/IX/2009 s/d 15/SPPB.II/PAMSIMAS/IX/2009


LKM

LKM Tanjung Siantar


LKM Ds. Rotan Semelur
No. 02.05/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Ds. Simpang Kateman
No. 05.15/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 lKM Bunga Tanjung
No. 05.14/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Barokah
No. 05.13/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Gemilang
No. 03.09/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Sepakat Berkarya
No. 02.06/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Mitra Surya Ds. Terusan Kempas
No. 04.12/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Nyiur Gemilang
No. 04.10/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Kerang Jaya
No. 04.11/SPPB/LKM/XI/2009 Tgl 06 Nov 2009 LKM Maju Bersama Ds. Sungai Asam
LKM SIMPANG JAYA
LKM Ds. Teluk Tuasan
LKM Berkah
LKM Kuala Selat Jaya
No. 050/1502/CK/Pamsimas/2009 Tgl 17 Okt 15
2009
LKM
LKM Pamsimas Mamuju Utara
009/PPK-Pamsimas/ DPU CK/2009 sd 023/PPK-Pamsimas/
15 LKM
DPU CK/2009 Tgl 22Okt 2009
LKM Kab Boyolali
LKM
LKM
No. 03.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Mekar Jaya
No. 04.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Inrello Desa Inrello Kab. Wajo
No. 07.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Batujaya Desa Batu Kab. Wajo
No. 08.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Bottotanre Desa Bottotanre Kab. Wajo
No. 11.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Minangtellue Desa Minangtellue
No. 12.1/SPPB II/Pamsimas/PU/X/2009 Tgl 26/10/2009
LKM Dewata Desa Wewangrewu Kab. Wajo
No. 13.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM Macolli Loloe Kab. Wajo
050/393.1.29/2009 s/d 050/393.1.36/2009
Para LKM Pamsimas Kab. Batang
Tahap I
15 LKM Pamsimas
Tahap III
LKM Kab Oku Selatan
No. 08/SPPB II-Desa Ongka/X/2009 Tgl 6 OktLKM
2009Sarambu Kab. Parigi Moutong
LKM Kab. Tasikmalaya
LKM Kab Kampar
No. 03 s.d 06, No. 13 s.d 15 /642.2/01/Pamsimas-Kontrak/2009
Para LKM Pamsimas
Tgl Kab.
19 Okt
Kampar
2009
LKM Bahagia, LKM Simbar Allo Kab. Mamuju
No. 007/BAP/Pamsimas/SBG/SPPB II/IX/2009 TglLKM
07 Okt
Cipta
2009Rasa Ds. Bojonegara Kab. Subang
No. 008/BAP/Pamsimas/SBG/SPPB II/IX/2009 TglLKM
07 Okt
Motekar
2009 Ds. Curugreja Kab. Subang
No. 009/BAP/Pamsimas/SBG/SPPB II/IX/2009 TglLKM
09 Okt
Tirta
2009
Mugiri Ds. Cikujang Kab. Subang
No. 10/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 07
LKM
OktBinangkit
2009
Ds. Anggasari Kab. Subang
No. 11/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 12
LKM
OktMukti
2009 Lestari Kab. Subang
No. 12/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 04
BKM
NOvBina
2009Bakti Kab. Subang
No. 13/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 04
LKM
NOv
Tirta
2009
Bening Ds. Kihiyang Kab. Subang
No. 14/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 04
LKM
NOv
Cipta
2009Laksana Ds. Cipancar Kab. Subang
No. 15/BAP/Pamsimas/SBG/SPPB II/IX/2009 Tgl 12
LKM
OKtBening
2009 Hati Ds. Cijambe Kab. Subang
LKM
LKM
NO. 08/SPPB II/PIP/Pamsimas/AG/IX/2009 Tgl
LKM
10 Jorong
Nov 2009
Pandam Nagari Sariak Kab. Agam
NO. 07/SPPB II/PIP/Pamsimas/AG/IX/2009 Tgl
LKM
10 Kab.
Nov 2009
Agam
NO. 09/SPPB II/Pamsimas-PYK/IX/2009 Tgl 09
LKM
Nov
Neraca
2009 Satlak Pamsi Kota Payakumbuh
NO. 10/SPPB II/Pamsimas-PYK/IX/2009 Tgl 09
BKM
NovFajar
2009Mandiri Kota Payakumbuh
NO. 11/SPPB II/Pamsimas-PYK/IX/2009 Tgl 09
BKM
NovMenara
2009 \Kota Payakumbuh
No. 001/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Cikarisma
30 Sept 2009
Ds. Karangsari,Kab. Subang
No. 002/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Cipanglaan
30 Sept 2009
Ds. Cibeusi Kab Subang
No. 003/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Tirta
06 OKt
Rasa
2009
Ds. Bojongkeding Kab. Subang
No. 004/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Tirta
06 Okt
Hurip
2009
Ds. Ponggang Kab. Subang
No. 005/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Tirta
06 Okt
Sari
2009
Ds. Wanasari Kab. Subang
No. 006/BAP/Pamsimas/SBG/SPPB II/IX/2009LKM
Tgl Fharele
06 Okt 2009
Ds. Cihambulu Kab. Subang
LKM
15 LKM Pamsimas Kab. Tegal
No. 01.01/SPPB/LKM/XI/2009 Tgl 06 Nov 2009
No. 02.04/SPPB/LKM/XI/2009 Tgl 06 Nov 2009

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
337,433,600
577,500,000
577,500,000
1,155,000,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
308,000,000
577,500,000
100,639,000
38,500,000
1,155,000,000
269,500,000
308,000,000
154,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
500,500,000
77,000,000
61,958,400
25,373,600
26,369,100
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
577,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
337,433,600
577,500,000
577,500,000
1,155,000,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
308,000,000
577,500,000
100,639,000
38,500,000
1,155,000,000
269,500,000
308,000,000
154,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
500,500,000
77,000,000
61,958,400
25,373,600
26,369,100
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
577,500,000

11
Exchange
Rate
Applied

9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,423
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,533
9,421
9,421
9,421
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,451
9,451

12
Amount
Charged
to SA
(USD eqv)

122,546.42
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
4,084.88
61,273.21
35,801.97
61,286.21
60,982.05
121,964.10
60,982.05
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
32,523.76
60,982.05
10,627.14
4,038.60
122,598.45
28,606.31
32,692.92
16,213.94
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
60,802.27
52,695.30
8,106.97
6,523.31
2,671.47
2,776.28
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
122,209.29
61,104.65

20 of 86

Item
No.

Disburs. Category
Cat Description

872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932

2a
BI Statement
Date Of
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

3a
Office
Issuing
SP2D

3 32 DUMAI
3 33 DUMAI
3 34 DUMAI
3 35 DUMAI
4 36 CILACAP
4 37 CILACAP
4 38 CILACAP
4 39 CILACAP
4 40 CILACAP
4 41 CILACAP
4 42 CILACAP
4 43 CILACAP
4 44 CILACAP
4 45 CILACAP
4 46 CILACAP
4 47 CILACAP
5 48 CILACAP
5 49 CILACAP
5 50 CILACAP
5 51 KLATEN
5 52 SRAGEN
5 53 PURWODADI
5 56 KOTABARU
5 57 LUBUKSIKAPING
5 58 LUBUKSIKAPING
5 59 LUBUKSIKAPING
6 60 MAGELANG
6 61 DUMAI
6 62 DUMAI
6 63 DUMAI
6 64 DUMAI
6 65 DUMAI
6 66 DUMAI
6 67 POSO
6 68 POSO
6 71 SIJUNJUNG
7 72 KOTABARU
7 73 KOTABARU
7 74 KOTABARU
7 75 KOTABARU
7 76 KOTABARU
7 77 KOTABARU
7 79 KUPANG
7 80 KUPANG
7 81 KUPANG
7 82 KUPANG
7 83 KUPANG
8 84 KUPANG
8 85 KUPANG
8 86 KUPANG
8 87 PURWOKERTO
8 88 KUPANG
8 89 KUPANG
8 90 KUPANG
8 91 KUPANG
8 92 KUPANG
8 93 KUPANG
9 96 KUPANG
9 99 SEMARANG I
9 100 TANJUNG
9 101 PELAIHARI

3b
Cross-Ref
SP2D
No.

557524N
557525N
557526N
557527N
817757N
817758N
817759N
817760N
817761N
817762N
817763N
817764N
817765N
817780N
817781N
817782N
817787N
817788N
817789N
873140M
372540M
674164L
299371L
857241N
857242N
857243N
643516M
557518N
557519N
557520N
557521N
557522N
557523N
922201N
922253N
121653N
299365L
299366L
299367L
299368L
299369L
299370L
233989N
233979N
233980N
233990N
233981N
233982N
233983N
233984N
724376M
233991N
233985N
233986N
233992N
233987N
233993N
233994N
931655M
743065N
511785M

4
Date of
Payment
(SP2D)

18/11/2009
18/11/2009
18/11/2009
18/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
20/11/2009
17/11/2009
18/11/2009
19/11/2009
17/11/2009
19/11/2009
19/11/2009
19/11/2009
20/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
18/11/2009
19/11/2009
19/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
17/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
25/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
24/11/2009
25/11/2009
23/11/2009
23/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

N0.07/CK/APBN/10/2009 Tgl 21/10/2009


LKM Mandiri Sejahtera Kab. Bengkalis
N0.08/CK/APBN/10/2009 Tgl 21/10/2009
LKM Mandiri Jaya ds. Sekodi Kab. Bengkalis
N0.09/CK/APBN/10/2009 Tgl 21/10/2009
LKM Tirta Sembatah Kab. Bengkalis
N0.10/CK/APBN/10/2009 Tgl 21/10/2009
LKM Bina Desa Titi Akar Kab. Bengkalis
No. 002/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Kamulyan Desa Karangreja
No. 013/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Dadi
No. 007/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Argo Tirto Desa Kertajaya
No. 008/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Mulya Desa Karang Gintung
No. 005/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Kencana Desa Karang Gedang
No. 006/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Mandala Giri
No. 014/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Lingga Mulya desa Gunung Telu
No. 012/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Rau desa Citembong
No. 009/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirto Luhur Desa Cikedondong
No. 001/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Amanah Desa Ujung Alang
No. 010/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Tirta Wana Sari Desa Bulaksari
No. 015/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Cikahuripan Desa Pamulihan
No. 011/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Bina Tirta Desa Binangun
No. 004/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Mbulu Gudhe Desa Cilibang
No. 003/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM Maruyung
No. 602.1/543/Pamsimas/17 Tgl 14 Sept 2009LKM Sumber Urip Randulanang
15 LKM Kab. Sragen
LKM
602.1/15/PAMSIMAS/2009
LKM Peduli Desa kab. Kota baru
Pembayaran Tahap I
LKM Kab Pasaman Barat
Pembayaran Tahap I
LKM Kab Pasaman Barat
Pembayaran Tahap I
LKM Kab Pasaman Barat
No. 050/229.A-F/25/2009 Tgl 15 Nov 2009 6 LKM Pamsimas Kab. Magelang
N0.01/CK/APBN/10/2009 Tgl 21/10/2009
LKM Ketam Puith sepakat Kab. Bengkalis
N0.02/CK/APBN/10/2009 Tgl 21/10/2009
LKM tirta Jaya Pinggir Kab. Bengkalis
N0.03/CK/APBN/10/2009 Tgl 21/10/2009
LKM Tengganau Bersatu Kab Bengkalis
N0.04/CK/APBN/10/2009 Tgl 21/10/2009
LKM Tirta Abadi Ds. Tj Kapal Kab. Bengkalis
N0.05/CK/APBN/10/2009 Tgl 21/10/2009
LKM Mandiri Ds. Hutan Panjng Kab. Bengkalis
N0.06/CK/APBN/10/2009 Tgl 21/10/2009
LKM Bina Bersama Kab Bengkalis
LKM
LKM
No. 10 s.d 16 dan 18/SPPB II/PMS-SJJ/X/2009
LKM
TglPamsimas
26 Ot 2009
602.1/10/PAMSIMAS/2009
LKM Rakat Mufakat ds Semaras,Kab Kota Baru
602.1/II/PAMSIMAS/2009
LKM Karya Sandaran Ds terangKab. Kota Baru
602.1/12/PAMSIMAS/2009
LKM bening Lestari Ds.Sepagar Kab Kota Baru
602.1/13/PAMSIMAS/2009
LKM Saranjana Ds. Oka-oka Kab. Kota Baru
602.1/14/PAMSIMAS/2009
LKM Kepulauan Ds. Tanjung lala, Kota Baru
602.1/19/PAMSIMAS/2009
LKM Usaha Bersama Ds. Batang, Kota Baru
LKM Awaigid Desa Sidabui Kab Alor
LKM Ihing Don Ds. Oa'mate Kab. Alor
LKM Adang Bersatu Kel adang, Kab. Alor
LKM Wolu Desa Allumang Kab Alor
LKM Mandiri Ds. Alila Kab. Alor
LKM Bersatu Desa Belemana, Kab Alor
LKM Manaseli Desa Elok, kab. Alor
LKM jaya desa Leer, Kab. Alor
LKM Kab banyumas
LKM Langkuru ds. Langkuru Kab Alor
LKM Boloang Ds. Kalondama Tengah, Kab Alor
LKM Lantu Desa Subo, Kab Alor
LKM Lomleng Desa Taman Mataru, Kab Alor
LKM Leybuk Ds. Manmas, Kab Alor
LKM Bagalbui ds. Mataru Timur
LKM Araikang ds. Lakatuli, Kab. Alor
LKM, Kab. Kendal
No. 35 s.d 49/Pamsimas/HSU/2009
LKM Ds. Sasaran Lokasi Program Thn 2009
No. 161 s.d 181/Satker-PIP/Pamsimas/2009 Tgl
LKM
26Kab.
Okt 2009
Tanah Laut

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
577,500,000
577,500,000
38,500,000
108,599,638
109,338,978
95,799,676
231,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
115,500,000
461,900,000
299,200,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
577,500,000
539,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
577,500,000
577,500,000
38,500,000
108,599,638
109,338,978
95,799,676
231,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
115,500,000
461,900,000
299,200,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
577,500,000
539,000,000

11
Exchange
Rate
Applied

9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,460
9,460

12
Amount
Charged
to SA
(USD eqv)

4,053.48
4,053.48
4,053.48
4,053.48
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
4,053.48
60,802.27
60,802.27
4,053.48
11,433.95
11,511.79
10,086.30
24,320.91
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
12,160.45
48,631.29
31,501.37
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,053.48
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
122,702.65
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
4,090.09
61,351.32
61,046.51
56,976.74

21 of 86

Item
No.

Disburs. Category
Cat Description

933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993

2a
BI Statement
Date Of
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
11/30/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

9
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
3
3
3
3
3
4
4
4
4
4
4
4

104
109
110
111
112
113
114
115
116
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
17
18
19
20
21
24
32
33
34
35
36
37
38
39
40
41
42

3a
Office
Issuing
SP2D

TEGAL
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
TEGAL
TEGAL
PADANG
PADANG
PADANG
PADANG
SURAKARTA
PURWOREJO
ENDE
SIJUNJUNG
LUBUKSIKAPING
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
TANJUNG
PELAIHARI
SIJUNJUNG
SOLOK
SOLOK
SOLOK
SOLOK
MAMUJUK
MAMUJUK
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
PALU
PALU
PALU
PALU
PALU
MAKASSAR
TEGAL
KUDUS
SRAGEN
BANJARNEGARA
BUKIT TINGGI
SERANG
SERANG
PEKALONGAN
KOTABARU
KOTABARU
KOTABARU

3b
Cross-Ref
SP2D
No.

863175N
818209M
818215M
818241M
818162M
818164M
818163M
863359N
863260N
086884N
086887N
086889N
086892N
005380M
622641M
513334N
121787N
857356N
704493M
704494M
704495M
704497M
704498M
704499M
704496M
704500M
704501M
743087N
511825M
121819N
797834N
797835N
797839N
797845N
579589N
579691N
818437M
818438M
818439M
818440M
818441M
818442M
818443M
818444M
216311N
216315N
216316N
216322N
216323N
110018N
863388N
569171N
372794M
431614K
547956M
783952N
783984N
553448M
299546L
299547L
299548L

4
Date of
Payment
(SP2D)

25/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
24/11/2009
24/11/2009
25/11/2009
25/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
23/11/2009
24/11/2009
25/11/2009
26/11/2009
25/11/2009
25/11/2009
25/11/2009
25/11/2009
25/11/2009
25/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
30/11/2009
12/2/2009
12/1/2009
26/11/2009
30/11/2009
30/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009
26/11/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

15 LKM Kab. Pemalang


LKM Ds. Aranio Kab Banjar
LKM Ds. Mandiangin Barat Kab. Banjar
LKM Ds. Tiwingan lama Kab. Banjar
LKM Gawi Bersama Kab. Banjar
LKM Palawangan Kab. Banjar
LKM Putra Bulu Kab. Banjar
LKM
LKM
015/SPPB2-PAMSIMAS/DPU-2009
LKM Ds. Pauh Timur, Kota Pariaman
No. 017/SPPB II-Pamsimas/DPU/2009 Tgl 09LKM
Nov Pamsimas
2009
Air santok Kota Pariaman
No. 015/SPPB II-Pamsimas/DPU/2009 Tgl 06LKM
Nov Cubadak
2009
Air Kota Pariaman
No. 09/SPPB II-Pamsimas/DPU/2009 Tgl 09 Nov
LKM2009
Budi Luhur Jaya Bersama Kota Pariaman
Tahap I
LKM Hargomukti, Bugelan
LKM
LKM Ds. Tanaduen Kec. Kanoae, kab. Sikka
Pembayaran Tahap II
LKM Koto sinyamu Kab Sawahlunto sijunjung
Pembayaran Tahap I
LKM Saiyo Murni Kp Padang Kab Pasamana
640/SPPB II/MT/PAMSIMAS/HSS/2009
LKM Sabar Menanti Kab. HSS
Tahap I Kontrak NO 640/SPPBII/KMW/Pamsimas/HSS/2009
LKM Mangko Jaya
tgl Kab
30 Oktober
HSS 2009
640/SPPB II/Malinau/PAMSIMAS/HSS/2009 LKM Harapan Maju Kab HSS
Tahap I 640/SPPBII/KTMK/PAMSIMAS/HSS/2009
LKM Sindu Pati Kab HSS
Tahap I 640/SPPBII/B.T/PAMSIMAS/HSS/2009
LKM Bangkit Bersama Kab. HSS
Tahap I 640/SPPBII/Pantai Ulin/PAMSIMAS/HSS/2009
LKM Banyu Mas Kab HSS
Tahap I 640/SPPBII/MD/PAMSIMAS/HSS/2009
LKM Harapan Nyaman Kab. HSS
Tahap I 640/SPPBII/Ulin/PAMSIMAS/HSS/2009
LKM Ulin Serumpun Ds. Ulin Kab. HSS
Tahap I 640/SPPBII/MB/PAMSIMAS/HSS/2009
LKM Ruhut Rahayu Kab HSS
No. 01-15/PPK/Pamsimas/CK-PU/BLG/2009 Tgl
15 LKM
13 Nov
Pamsimas
2009
No. 181/Satker-PIP/Pamsimas/2009 Tgl 26 Okt
4 LKM
2009Kab. Tanah Laut
05/SPPB II PAMSIMAS-SWL/2009, 04, 02, 03,
Para
01, Penerrima
13, 14
BLM/LKM Sawahlunto
12/SPPB II-thpl-09/PAMSIMAS-SLK/PU/XI/2009
Koord. LKM Lundang Sepakat
10/SPPB II-thpl-09/PAMSIMAS-SLK/PU/XI/2009
Koord. LKM Karya Sinar Timbulun
Koord. LKM Pincuran Puti
Koord. LKM sinar Tiagan
Tahap III
Bendh. LKM Sejahtera Kab Mamuju
Tahap II
Para Ketua LKM Kab mamuju
No. 016/Pamsimas/DPU/X/2009 Tgl 26 Okt 2009
LKM Bangun Jaya kab. Banjar
017/PAMSIMAS/DPU/X/2009
LKM Sungkai Baru
No. 023/Pamsimas/DPU/X/2009 Tgl 02 Nov 2009
LKM Sumber Harapan Kab. Banjar
No. 024/Pamsimas/DPU/X/2009 Tgl 02 Nov 2009
LKM Karya Bersama Kab. Banjar
022/PAMSIMAS/DPU/XI/2009
LKM Beruntung Bersama
No. 021/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM Telaga Bening Kab. Banjar
No. 019/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM Tirta Mulya Kab. Banjar
No. 020/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM Sumber Makmur Kab. Banjar
No. 16/SPPB II-Ds. Tindak/X/2009 Tgl 06 Okt LKM
2009Uwebulla Ds. Tindaki Kab. Parigi Moutong
No. 15/SPPB II-Ds. Silutung/X/2009 Tgl 06 Okt
LKM
2009
Uve Navoe Kab. Parigi Moutong
No. 13/SPPB II-Ds. Kayu Agung/X/2009 Tgl 06
LKM
OktOgomapaccing
2009
Kab. Parigi Moutong
No. 14/SPPB II-Ds. Sinet/X/2009 Tgl 06 Okt 2009
LKM Ogomeas Ds. Siney Kab. Parigi Moutong
No. 12/SPPB II-Ds. Berabai/X/2009 Tgl 06 OktLKM
2009
Ds. Beraban Kab Parigi Moutong
LKM Pamsimas Kab. Gowa (15 Kab)
15 LKM Penerima Bantuan Pamsimas
15 LKM/BKM Kab. Kudus
15 LKM/BKM Kab. Sragen
tahap II
15 LKM
No. 05/SPPB II/PIP/Pamsimas/AG/VIII/2009 Tgl
15 LKM
10 Agustus
Pamsimas
2009
Tahap II
LKM Kab. Serang
Tahap I
LKM Kab. Serang
Para Ketua LKM Se Kab. Batang
No. 602.1/15/Pamsimas/2009 Tgl 4 Nov 2009LKM Tirto Mulyo
No. 602.1/17/Pamsimas/2009 Tgl 4 Nov 2009LKM Maju Bersama
No. 602.1/20/Pamsimas/2009 Tgl 4 Nov 2009LKM Kayuh Baimbai
029/PAMSIMAS/DPU/X/2009
028/PAMSIMAS/DPU/X/2009
030/PAMSIMAS/DPU/X/2009
027/PAMSIMAS/DPU/X/2009
026/PAMSIMAS/DPU/X/2009
025/PAMSIMAS/DPU/X/2009

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
231,000,000
346,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
1,155,000,000
38,500,000
79,750,000
38,495,700
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
308,000,000
498,495,850
37,939,230
38,500,000
38,500,000
38,500,000
77,000,000
154,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
1,155,000,000
1,155,000,000
1,155,000,000
1,155,000,000
74,236,000
462,000,000
231,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
231,000,000
346,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
1,155,000,000
38,500,000
79,750,000
38,495,700
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
308,000,000
498,495,850
37,939,230
38,500,000
38,500,000
38,500,000
77,000,000
154,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
1,155,000,000
1,155,000,000
1,155,000,000
1,155,000,000
74,236,000
462,000,000
231,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000

11
Exchange
Rate
Applied

9,366
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,485
9,485
9,485
9,485
9,485
9,485
9,485
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,369
9,369
9,416
9,416
9,416
9,416
9,416
9,416
9,416
9,416
9,416
9,416

12
Amount
Charged
to SA
(USD eqv)

61,659.19
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
24,488.50
36,732.75
4,081.42
4,081.42
4,081.42
4,081.42
61,221.24
121,835.44
4,061.18
8,412.45
4,060.73
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
60,917.72
32,489.45
52,556.23
3,999.92
4,059.04
4,059.04
4,059.04
8,118.08
16,236.16
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
4,079.25
4,079.25
4,079.25
4,079.25
4,079.25
61,639.45
123,278.90
122,663.55
122,663.55
122,663.55
7,893.59
49,065.42
24,532.71
122,663.55
4,088.79
4,088.79
4,088.79

22 of 86

Item
No.

Disburs. Category
Cat Description

994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054

2a
BI Statement
Date Of
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

4
4
4
4
5
5
6
6
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11

43
44
45
46
48
58
62
63
64
65
66
67
68
69
70
71
72
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
91
92
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
118
120
121
123
124
125
126

3a
Office
Issuing
SP2D

KOTABARU
KOTABARU
SOLOK
SOLOK
SURAKARTA
SEMARANG I
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
MAGELANG
MAGELANG
MAGELANG
SEKAYU
PURWODADI
MASOHI
PURWOKERTO
KUPANG
KUPANG
SIJUNJUNG
SIJUNJUNG
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
MASOHI
MASOHI
MASOHI
MAMUJUK
RENGAT
RENGAT
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BANTAENG
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
TEGAL
TEGAL
GORONTALO
SIJUNJUNG

3b
Cross-Ref
SP2D
No.

299549L
299557L
797937N
797938N
005637N
933097M
949248L
949249L
949250L
949251L
949252L
643903M
643904M
643972M
461478M
674379L
764831L
724767M
235583N
235584N
121953N
121954N
949240L
949241L
949243L
949244L
949245L
949246L
949247L
764843L
764844L
764845L
579892N
949239L
949242L
548237M
548238M
548239M
548240M
548241M
548242M
548243M
548244M
548245M
548246M
000119O
764832L
764833L
764834L
764835L
764836L
764837L
764838L
764839L
764840L
764841L
764842L
863808N
863844N
552379N
122050N

4
Date of
Payment
(SP2D)

26/11/2009
26/11/2009
30/11/2009
30/11/2009
12/2/2009
12/3/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
30/11/2009
30/11/2009
1/12/2009
1/12/2009
30/11/2009
12/1/2009
12/4/2009
12/3/2009
12/3/2009
12/2/2009
12/2/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
30/11/2009
1/12/2009
1/12/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
12/1/2009
1/12/2009
1/12/2009
4/12/2009
4/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

No. 602.1/21/Pamsimas/2009 Tgl 4 Nov 2009LKM Sumber Makmur


38,500,000
No. 602.1/18/Pamsimas/2009 Tgl 4 Nov 2009LKM Mandiri
38,500,000
No. 015/SPPB II-thp 1-09/Pamsimas-SLK/PU/XI/2009
LKM Pincuran
Tgl 20Gadiang
Nov 2009
Kab. Solok
38,500,000
No. 11/SPPB II-thp 1-09/Pamsimas-SLK/PU/XI/2009
Koord. LKM
Tgl 20
Lambah
Nov 2009
Sakato Kab. Solok
38,500,000
Ket. LKM Tirto Mijoyo
1,155,000,000
900/6231, 900/6233, 900/6230, 900/6234, 900/6232,
Penerima
900/6241,
BLM Pamsimas
900/6244,
Kota
900/6234,
Semarang
900/6240, 900/6242, 900/6238,
577,500,000
900/6237, 900/6235
LKM Teratai Merah
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/43 Tgl 23/11/2009
LKM Jaya Bersatu
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/39 Tgl 23/11/2009
LKM Ds. Baru Berkembang
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/37 Tgl 23/11/2009
LKM Ds. Maju
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/38 Tgl 23/11/2009
LKM Puja Sepakat
38,500,000
SPPB No. 050/2179.A/25/2009 Tgl 27/10/2009LKM Pamsimas Se Kab. Magelang 14 LKM
1,077,984,640
SPPB No. 050/2229.G/25/2009 Tgl 5/11/2009LKM Sambungrejo
38,500,000
SPK No.056.6/17 s/d No. 056.6 31/PAMSIMAS
Para
2009
LKM Pamsimas
577,500,000
Tahap II
LKM Penerima Dana Pamsimas
462,000,000
Para Penerima Bantuan Imbal swadaya
1,155,000,000
LKM Negeri Mamala
38,478,000
No. 050/2128 s.d 050/2142/2009 Tgl 24 Okt 2009
15 LKM Pamsimas
1,155,000,000
No. 08/Pamsimas/Kab. Kupang/2009 Tgl 26 Nov
LKM2009
Bihilij Ds. Fatumonas Kab. Kupang
38,500,000
No. 09/Pamsimas/Kab. Kupang/2009 Tgl 26 Nov
LKM2009
Nekaf Mese Ds. Bonmuti Kab. Kupang
38,500,000
No. 09/SPPB II/PIP/Pamsimas/DR/XI/2009 TglLKM
25 Nov
Aur Jaya
2009 III JKab. Dharmasraya
38,487,918
No. 10/SPPB II/PIP/Pamsimas/DR/XI/2009 TglLKM
25 Nov
Banyu
2009
Biru Kab. Dharmasraya
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/41 Tgl 23/11/2009
LKM Maju Sakato Prog Pamsimas
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/42 Tgl 23/11/2009
LKM Karya Bersama
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/36 Tgl 23/11/2009
LKM Ayia Sojuak
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/34 Tgl 23/11/2009
LKM Gotong Royong Basamo
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/33 Tgl 23/11/2009
LKM Sumber Sehat
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/31 Tgl 23/11/2009
LKM Harapan Baru
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/32 Tgl 23/11/2009
LKM Sumber Harapan Masyarakat
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/44 Tgl 23/11/2009
Prog. Pamsimas Haturori Kab. Maluku Tengah
38,494,000
LKM Lintui Negeri Kobi Kab. Maluku Tengah
38,496,600
Prog. Pamsimas Sumber Makmur Kab. Malut
38,496,600
Tahap I & II
Para LKM Pamsimas Kab Mamuju
231,000,000
No. Pamsimas-Perkim/SPPB II/XI/35 Tgl 23/11/2009
LKM Bapilin Tigo Ds. Logas
38,500,000
No. Pamsimas-Perkim/SPPB II/XI/40 Tgl 23/11/2009
LKM Karya Bersama
38,500,000
01/SPPB II/PIP/PAMSIMAS/X/2009
LKM Pamsimas Mawar I Lubuk Janta
77,000,000
03/SPPB II/PIP/PAMISAMS/X/2009
LKM Pamsimas Jrg. Kandang Sampie
77,000,000
04/SPPB II/PIP/PAMISAMS/X/2009
LKM Pamsimas Nagri Andaleh
77,000,000
07/SPPB II/PIP/PAMSIMAS/X/2009
LKM Pamsimas Nagari Buo Ktr Wali
77,000,000
08/SPPBII/PIP/PAMSIMAS/X/2009
LKM Pamsimas Jrg. Koto Sibauak
77,000,000
02/SPPB II/PIP/PAMSIMASX/2009
LKM Pamsimas Pangian Nagari
77,000,000
No. 09/SPPB II/PIP/Pamsimas/TD/X/2009 TglLKM
27 Okt
Kab.
2009
Tanah Datar
77,000,000
No. 11/SPPB II/PIP/Pamsimas/TD/X/2009 TglLKM
27 Okt
Kab.
2009
Tanah Datar
77,000,000
No. 12/SPPB II/PIP/Pamsimas/TD/X/2009 TglLKM
27 Okt
Kab.
2009
Tanah Datar
77,000,000
No. 13/SPPB II/PIP/Pamsimas/TD/X/2009 TglLKM
27 Okt
Kab.
2009
Tanah Datar
77,000,000
Pembayaran tahap II (15desa)
Para Ketua LKM/BKM Kab. Bulukumba
1,155,000,000
LKM Negeri Ureng Kab. Maluku Tengah
38,461,620
LKM Negeri Oma Kab. Maluku Tengah
38,244,620
LKM Lekwori Negeri Isu Kab. Maluku Tengah
38,345,120
LKM Faletna Negeri Watludan Kab. Malut
38,464,400
LKM Negeri Haya Kab. Maluku Tengah
38,499,680
LKM Arumabai Negeri Sanahu Kab Malut
38,497,500
LKM Negeri Liang Kab. Maluku Tengah
38,474,100
LKM Karlutu Ds. Karlutu Kab. Maluku Tengah
38,474,600
LKM Negeri Lonthoir Kab. Maluku Tengah
38,354,600
LKM Negeri Waer Kab. Maluku Tengah
38,354,600
LKM Negeri Selamon Kab. Maluku Tengah
38,354,600
9 LKM Pamsimas
693,000,000
6 LKM Pamsimas
462,000,000
15 LKM Pamsimas Kab Gorontalo
1,155,000,000
Pembayaran Tahap I
Para Ketua LKM PIP Pamsimas Kab Sijunjung
154,000,000

10
Amount of
WB portion
paid

38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,077,984,640
38,500,000
577,500,000
462,000,000
1,155,000,000
38,478,000
1,155,000,000
38,500,000
38,500,000
38,487,918
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,494,000
38,496,600
38,496,600
231,000,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
38,461,620
38,244,620
38,345,120
38,464,400
38,499,680
38,497,500
38,474,100
38,474,600
38,354,600
38,354,600
38,354,600
693,000,000
462,000,000
1,155,000,000
154,000,000

11
Exchange
Rate
Applied

9,416
9,416
9,416
9,416
9,398
9,398
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,389
9,389
9,389
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,436
9,408
9,408
9,455
9,455

12
Amount
Charged
to SA
(USD eqv)

4,088.79
4,088.79
4,088.79
4,088.79
122,898.49
61,449.24
4,080.12
4,080.12
4,080.12
4,080.12
4,080.12
114,241.70
4,080.12
61,201.78
48,961.42
122,403.56
4,077.79
123,016.30
4,100.54
4,100.54
4,078.84
4,080.12
4,080.12
4,080.12
4,080.12
4,080.12
4,080.12
4,080.12
4,080.12
4,079.48
4,079.76
4,079.74
24,480.71
4,080.12
4,080.12
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
8,160.24
122,403.56
4,076.05
4,053.05
4,063.70
4,076.35
4,080.08
4,079.85
4,077.37
4,077.43
4,064.71
4,064.71
4,064.71
73,660.71
49,107.14
122,157.59
16,287.68

23 of 86

Item
No.

Disburs. Category
Cat Description

1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115

2a
BI Statement
Date Of
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

11
11
11
11
11
12
12
12
12
12
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
13
13
13
13
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
16
16
16
16
1
1
1
2
2
2
2
3
3
3
3
3

127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
165
166
167
168
169
170
171
176
177
178
179
180
181
182
183
1
9
11
12
13
14
22
29
30
31
32
33

3a
Office
Issuing
SP2D

SOLOK
LUBUKSIKAPING
PATI
MAGELANG
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
KLATEN
PURWODADI
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
SEMARANG I
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
BANJARMASIN
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
LUBUK LINGGAU
PEKALONGAN
PEKALONGAN
SIJUNJUNG
SIJUNJUNG

3b
Cross-Ref
SP2D
No.

798156N
857448N
889938L
644234M
348162N
348163N
348164N
348165N
348166N
348167N
348168N
834679K
834680K
834681K
834682K
834683K
834684K
834685K
834686K
873705M
674552L
961115M
961116M
961117M
961118M
961119M
961120M
961121M
961122M
961123M
961124M
961125M
961126M
961127M
934071M
088950N
088889N
088890N
088906N
088907N
088951N
837058M
837059M
837060M
837061M
837062M
837063M
837064M
837065M
055948O
236508N
236509N
236510N
236506N
236507N
236679N
742470L
553825M
553838M
122309N
122310N

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
7/12/200
7/12/200
7/12/200
7/12/200
7/12/200
7/12/200
7/12/200
4/12/2009
4/12/2009
4/12/2009
4/12/2009
4/12/2009
4/12/2009
4/12/2009
4/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
7/12/2009
8/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Pembayaran Tahap I
Ketua LKM Jrg/Nagari Kab. Solok selatan
Pembayaran Tahap I
LKM Saroha Simpang Dingin Kab Pasamana
01/SPPB II-PAMSIMAS/2009
Para LKM/BKM Penerima Dana Pamsimas
050/2229.G/25/2009
LKM Sambung rejo
No. 028/SPP/PSMS/XI/2009 Tgl 11 Nov 2009
No. 027/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
No. 026/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
No. 029/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
No. 030/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
No. 031/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
No. 032/SPP/PSMS/XI/2009 Tgl 11 Nov 2009LKM Kab. Pesisir Selatan
06-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Adil Desa Hidup Baru
07-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Sejahtera Ds. Sumaja Makmur
08-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Jogja ds. Seri Tanjung
01-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Terpadu Ds. Padang Bindu
04-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Usaha Bersama Ds. Tanding
03-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Berkah Ds. Talang Balai
02-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Bersama Ds. Petanang
05-A/SPPB II/PAMSIMAS-CKTR/X/2009
LKM Karya Bersama Ds. Tanjung
Nomor SPB 873733M/148/112 tagl 3 des 2009Para Koord. LKM Pamsimas
No. 01/Pamsimas/WH/X/2009 Tgl 16 Okt 2009LKM Lebu Lewo Ds. Waijarang Kab. Lembata
No. 02/Pamsimas/BL/X/2009 Tgl 16 Okt 2009LKM Liba Salam Ds. Bakelerek Kab Lembata
No. 03/Pamsimas/PB/X/2009 Tgl 16 Okt 2009LKM Sonalta Ds. Paubokol Kab. Lembata
No. 04/Pamsimas/BL/X/2009 Tgl 16 Okt 2009LKM Gelekat Lewo Ds. Baolangu Kab.Lembata
No. 05/Pamsimas/KT/X/2009 Tgl 16 Okt 2009LKM Sogan Lewo Ds. Kolontobo Kab. Lembata
No. 06/Pamsimas/HK/X/2009 Tgl 16 Okt 2009LKM Hewa Hada Ds. Hadakewa Kab. Lembata
No. 07/Pamsimas/LH/X/2009 Tgl 16 Okt 2009LKM Geri Lewo Ds. Lerehinga Kab. Lembata
No. 08/Pamsimas/BP/X/2009 Tgl 16 Okt 2009LKM Gelekat Lewo Ds. Baopana Kab. Lembata
No. 10/Pamsimas/WL/X/2009 Tgl 16 Okt 2009LKM Kawang Moleng Kab.Lembata
No. 11/Pamsimas/MH/X/2009 Tgl 16 Okt 2009LKM Riang Leu DS. Mahal II Kab. Lembata
No. 13/Pamsimas/BR/X/2009 Tgl 16 Okt 2009LKM Galeka Leu Ds. Bareng Kab. Lembata
No. 14/Pamsimas/BW/X/2009 Tgl 16 Okt 2009LKM Pohing Ling Holowali Kab. Lembata
No. 15/Pamsimas/LW/X/2009 Tgl 16 Okt 2009LKM Gewayan Tana Kab. Lembata
Para Penerima BLM Pamsimas
01/SPPBII-PAMSIMAS/DPU-2009
LKM Pasar Ilalang Mandiri
025/SPPP2-PAMSIMAS/DPU-2009
LKM Guguak Silang
022/SPPB2-PAMISMAS/DPI-2009
LKM Ds. Rambai Kec. Pariaman selatan
021/SPPB2-PAMSIMAS/DPU-2009
LKM Sakato Sungai Rambai
023/SPPB2-PAMISMAS/DPU-2009
LKM Pakotan Ds. Sikapak Barat
024/SPPB2-PAMSIMAS/DPU-2009
LKM Palak Aneh Ds. Palak aneh
No. 63/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 11/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 63/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 62/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 70/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 62/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 61/SPPB II/Pamsimas/OI/X/2009 Tgl 19/10/2009
LKM Kab. Ogan Ilir
No. 08/Pamsimas/BP/X/2009 Tgl 16 Okt 2009LKM Kab. Ogan Ilir
No. 09 s.d 23/PPK Pamsimas/DPU-CK/2009 Tgl
15 LKM
22 Nov
Pamsimas
2009
No. 12/Pamsimas/Kab. Kupang/2009 Tgl 02 Des
LKM2009
PNPM Pamsimas
No. 13/Pamsimas/Kab. Kupang/2009 Tgl 02 Des
LKM2009
PNPM Pamsimas
No. 14/Pamsimas/Kab. Kupang/2009 Tgl 02 Des
LKM2009
PNPM Pamsimas
No. 10/Pamsimas/Kab. Kupang/2009 Tgl 30 Nov
LKM2009
PNPM Pamsimas
No. 11/Pamsimas/Kab. Kupang/2009 Tgl 30 Nov
LKM2009
PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
No. 01 sd 15/SPPB II/Pamsimas/PUCKTR/2009
LKM
TglPNPM
10 Nov
Pamsimas
2009
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 06/SPPB II/PIP/Pamsimas/DR/X/2009 TglLKM
26 Okt
PNPM
2009Pamsimas
No. 02/SPPB II/PIP/Pamsimas/DR/X/2009 TglLKM
26 Okt
PNPM
2009Pamsimas

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

404,208,854
38,014,200
1,155,000,000
77,000,000
76,973,540
76,926,360
76,082,160
76,960,520
76,982,640
57,751,960
76,753,040
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
33,531,400
35,373,800
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
577,500,000
1,155,000,000
1,155,000,000
76,889,608
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

404,208,854
38,014,200
1,155,000,000
77,000,000
76,973,540
76,926,360
76,082,160
76,960,520
76,982,640
57,751,960
76,753,040
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
33,531,400
35,373,800
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
577,500,000
577,500,000
1,155,000,000
1,155,000,000
76,889,608
77,000,000

11
Exchange
Rate
Applied

9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,455
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,408
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,448
9,448
9,448
9,448
9,448

12
Amount
Charged
to SA
(USD eqv)

42,750.80
4,020.54
122,157.59
8,143.84
8,141.04
8,136.05
8,046.76
8,139.66
8,142.00
6,108.09
8,117.72
4,071.92
4,071.92
4,071.92
3,086.90
4,071.92
4,071.92
4,071.92
4,071.92
122,157.59
122,157.59
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
4,071.92
122,767.86
4,092.26
4,092.26
4,092.26
3,564.14
3,759.97
4,092.26
8,184.52
8,184.52
8,184.52
8,184.52
8,184.52
8,184.52
8,184.52
8,184.52
122,859.27
4,095.31
4,095.31
4,095.31
4,095.31
4,095.31
61,429.64
61,124.05
122,248.09
122,248.09
8,138.19
8,149.87

24 of 86

Item
No.

Disburs. Category
Cat Description

1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
9
9

34
35
36
37
38
42
43
44
46
47
51
52
54
55
56
57
58
59
60
61
62
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104

3a
Office
Issuing
SP2D

SIJUNJUNG
KLATEN
SRAGEN
PELAIHARI
MAMUJUK
PEKANBARU
SEMARANG I
PURWOKERTO
PALU
PALU
PALU
PALU
PALU
PALU
PALU
SURAKARTA
PALU
PALU
PALU
PALU
PADANG
PURWOREJO
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
SUMEDANG
SUMEDANG
LUUBUK SIKAPING
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT

3b
Cross-Ref
SP2D
No.

122311N
873733M
373048M
511956M
580043N
721514N
934485N
725016
218563N
218564N
218555N
218562N
218554N
218556N
218557N
006477N
218558N
218559N
218560N
218561N
089777N
623144M
849633L
849634L
849635L
849636L
849637L
849638L
849639L
849640L
849641L
849642L
849643L
849644L
849645L
849646L
849647L
849648L
849649L
849650L
299712L
299713L
299714L
299715L
299716L
299717L
299718L
009107M
009108M
857641N
949639L
949640L
949641L
949642L
949643L
949644L
949645L
949646L
949647L
949648L
949649L

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
9/12/2009
9/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. 05/SPPB II/PIP/Pamsimas/DR/X/2009 TglLKM


26 Okt
PNPM
2009Pamsimas
LKM PNPM Pamsimas
No. 01/X/SPPB2/PAMS/2009 DST Tgl 10 Okt LKM
2009PNPM Pamsimas
No. 181/Satker-PIP/Pamsimas/2009 Tgl 26 Okt
LKM
2009
PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
No. 018 s/d 032/SPPB/Pamsimas/Rohul/XI/2009
LKMTgl
PNPM
13 Nov
Pamsimas
2009
No. 050/01 s.d 15/SPPB II/Pamsimas/2009 Tgl
LKM
03 des
PNPM
2009
Pamsimas
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II 15 LKM
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
No. 027/SPPB II-Pamsimas/DPU-2009 Tgl 4 Des
LKM2009
PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 602.1/10/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/11/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/12/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/13/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/14/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/19/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
No. 602.1/15/Pamsimas/2009 Tgl 4 Nov 2009LKM
Tahap
PNPM
II
Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
No. 398.B1/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B2/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B3/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B4/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B5/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B6/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B7/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B8/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B9/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B10/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B11/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

73,993,920
1,155,000,000
1,155,000,000
231,000,000
154,000,000
577,500,000
577,500,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
1,155,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,078,000,000
154,000,000
934,958,900
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

73,993,920
1,155,000,000
1,155,000,000
231,000,000
154,000,000
577,500,000
577,500,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
1,155,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,078,000,000
154,000,000
934,958,900
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000

11
Exchange
Rate
Applied

9,448
9,448
9,448
9,448
9,448
9,401
9,401
9,401
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,423
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470

12
Amount
Charged
to SA
(USD eqv)

7,831.70
122,248.09
122,248.09
24,449.62
16,299.75
61,429.64
61,429.64
122,859.27
8,171.50
8,171.50
8,171.50
8,171.50
8,171.50
8,171.50
8,171.50
122,572.43
8,171.50
8,171.50
8,171.50
8,171.50
4,085.75
121,964.10
8,130.94
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
113,833.16
16,261.88
98,728.50
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47
4,065.47

25 of 86

Item
No.

Disburs. Category
Cat Description

1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
13
13
13
13

105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
130
131
134
135
136
137
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155

3a
Office
Issuing
SP2D

RENGAT
RENGAT
RENGAT
RENGAT
PATI
BATURAJA
BATURAJA
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
SEKAYU
BANJARNEGARA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
MAMUJUK
TERNATE
PALU
PALEMBANG
PALEMBANG
SEMARANG I
SEMARANG I
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA

3b
Cross-Ref
SP2D
No.

949650L
949651L
949652L
949653L
065209O
884237L
884239L
834974K
834975K
834976K
834977K
834978K
461665M
431952K
961317M
961318M
961319M
961320M
961321M
961322M
961323M
961324M
961325M
580674N
807043N
219267N
838322M
838323M
934985M
934919M
838689M
838690M
838691M
838692M
838693M
549534M
549540M
549758M
549759M
439073N
439074N
439075N
439076N
439077N
439078N
439079N
439080N

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

No. 398.B12/DPU-CK/Pamsimas/XI/2009 Tgl LKM


11/11/2009
PNPM Pamsimas
No. 398.B13/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B14/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B15/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
9.A/SPPB II/PAMSIMAS-CKTR/XI/2009
LKM PNPM Pamsimas
10.A/SPPB II/PAMSIMAS-CKTR/XI/2009
LKM PNPM Pamsimas
11.A/SPPB II/PAMSIMAS-CKTR/XI/2009
LKM PNPM Pamsimas
12.A/SPPB II/PAMSIMAS-CKTR/XI/2009
LKM PNPM Pamsimas
13.A/SPPB II/PAMSIMAS-CKTR/XI/2009
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
No. 01/Pamsimas/WJ/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 02/Pamsimas/BL/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 03/Pamsimas/PB/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 04/Pamsimas/BL/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 05/Pamsimas/KT/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 06/Pamsimas/HK/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 08/Pamsimas/BP/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 11/Pamsimas/MH/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 15/Pamsimas/LW/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap III No )9/SPPB.II/PAMSIMAS/OI/X/2009
LKM PNPM Pamsimas
tgl 19 Nop 2009
Pembayaran Tahap III No 10/SPPB.II/PAMSIMAS/OI/X/2009
LKM PNPM Pamsimas
tgl 19 Nop 2009
No. 050/01 s.d 15/SPPB II/Pamsimas/2009 Tgl
LKM
03 des
PNPM
2009
Pamsimas
900/6230 s.d 6244
LKM PNPM Pamsimas
Pembayran Tahap I SPPB II Nomor 26/PPK-SNVT/PAMSIMAS/XI/2009
LKM PNPM Pamsimas
Pembayaran Tahap I SPPB II Nomor 27/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tahhl 11 Nov 2009
Pembayaran Tahap I SPPB II Nomor 28/PPK-SNCT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
Pembayaran Tahap I SPPB II Nomor 29/PPK-SNCT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
Pembayaran Tahap I SPPB II Nomor 30/PPK-SNCT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
No. 014.b/SPPB II-14/Pamsimas/PU-LK/2009LKM
Tgl 6PNPM
Nov 2009
Pamsimas
No. 005.b/SPPB II-05/Pamsimas/PU-LK/2009LKM
Tgl 22
PNPM
Okt 2009
Pamsimas
No. 009.b/SPPB II-09/Pamsimas/PU-LK/2009LKM
Tgl 15
PNPM
Okt 2009
Pamsimas
No. 010.b/SPPB II-10/Pamsimas/PU-LK/2009LKM
Tgl 15
PNPM
Okt 2009
Pamsimas
No. 001/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
30 Sept
PNPM
2009
Pamsimas
No. 002/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
30 Sept
PNPM
2009
Pamsimas
No. 003/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
6 Ok PNPM
2009 Pamsimas
No. 004/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
6 Ok PNPM
2009 Pamsimas
No. 005/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
6 Ok PNPM
2009 Pamsimas
No. 006/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
6 Ok PNPM
2009 Pamsimas
No. 007/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
7 Ok PNPM
2009 Pamsimas
No. 008/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
7 Ok PNPM
2009 Pamsimas

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

38,500,000
38,500,000
38,500,000
38,500,000
847,000,000
316,711,600
577,406,200
38,500,000
38,360,000
38,500,000
38,500,000
38,500,000
231,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
1,155,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

38,500,000
38,500,000
38,500,000
38,500,000
847,000,000
316,711,600
577,406,200
38,500,000
38,360,000
38,500,000
38,500,000
38,500,000
231,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
1,155,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,470
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435

12
Amount
Charged
to SA
(USD eqv)

4,065.47
4,065.47
4,065.47
4,065.47
89,440.34
33,443.67
60,972.14
4,065.47
4,050.69
4,065.47
4,065.47
4,065.47
24,392.82
121,964.10
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,130.94
8,201.96
4,100.98
8,201.96
8,201.96
123,029.40
123,029.40
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10

26 of 86

Item
No.

Disburs. Category
Cat Description

1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

14
14
14
14
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
16
16
16
16
17
17
17
17
17
17
17
17
17
17
17
17
18
18
18
18
18
18
18
18
18
18
18
18
19

156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216

3a
Office
Issuing
SP2D

PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
LUWUK
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
LUBUK SIKAPING
LUBUK SIKAPING
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
MAGELANG
TANJUNG
MAKALE
ATAMBUA
MARISA
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG

3b
Cross-Ref
SP2D
No.

439081N
439082N
439083N
439084N
439085N
439086N
439087N
872557H
299938L
299939L
299940L
299941L
299942L
299943L
299944L
299945L
857722N
857728N
705417M
705418M
705419M
705420M
705421M
705422M
705423M
705424M
705425M
705426M
705427M
705428M
705429M
705430M
509065N
509066N
509067N
509068N
509069N
509070N
509071N
509072N
509073N
509074N
509075N
509076N
509077N
509125N
644611M
743787N
058794L
934924K
038800L
838694M
838695M
838685M
838686M
838696M
838687M
838697M
838688M
838698M
838699M

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. 009/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM


9 Ok PNPM
2009 Pamsimas
No. 010/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
7 Ok PNPM
2009 Pamsimas
No. 011/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
12 OkPNPM
2009 Pamsimas
No. 012/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
12 OkPNPM
2009 Pamsimas
No. 013/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
12 OkPNPM
2009 Pamsimas
No. 014/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
12 OkPNPM
2009 Pamsimas
No. 015/Pamsimas/SBG/SPPB II/IX/2009 Tgl LKM
12 OkPNPM
2009 Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap II SPPB II No. 601.1/16/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/17/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/18/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/20/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/21/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/22/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/23/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap II SPPB II No. 601.1/24/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 4 Nopember 2009
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
No. 640/SPPB II/samuda/Pamsimas/HSS/2009
LKM
TglPNPM
20 OktPamsimas
2009
No. 640/SPPB II/LHG/Pamsimas/HSS/2009 Tgl
LKM
20 PNPM
Okt 2009
Pamsimas
No. 640/SPPB II/Garunggang/Pamsimas/HSS/2009
LKM PNPM
Tgl 20Pamsimas
Okt 2009
No. 640/SPPB II/KLP/Pamsimas/HSS/2009 Tgl
LKM
20 PNPM
Okt 2009
Pamsimas
No. 640/SPPB II/Krg Bln/Pamsimas/HSS/2009LKM
Tgl PNPM
20 Okt Pamsimas
2009
No. 640/SPPB II/Blnt/Pamsimas/HSS/2009 Tgl
LKM
20 Okt
PNPM
2009
Pamsimas
No. 640/SPPB II/KMW/Pamsimas/HSS/2009 Tgl
LKM20PNPM
Okt 2009
Pamsimas
No. 640/SPPB II/Malinau/Pamsimas/HSS/2009
LKM
TglPNPM
20 OktPamsimas
2009
No. 640/SPPB II/MD/Pamsimas/HSS/2009 TglLKM
20 Okt
PNPM
2009
Pamsimas
No. 640/SPPB II/BT/Pamsimas/HSS/2009 TglLKM
20 Okt
PNPM
2009Pamsimas
No. 640/SPPB II/Pantai Ulin/Pamsimas/HSS/2009
LKM Tgl
PNPM
20 Okt
Pamsimas
2009
No. 640/SPPB II/Ulin/Pamsimas/HSS/2009 Tgl
LKM
20 Okt
PNPM
2009
Pamsimas
No. 640/SPPB II/MB/Pamsimas/HSS/2009 TglLKM
20 Okt
PNPM
2009
Pamsimas
No. 640/SPPB II/MT/Pamsimas/HSS/2009 TglLKM
20 Okt
PNPM
2009Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 056.6/17 s.d No. 056.6/31
LKM PNPM Pamsimas
SPPB II No. 35 s/d 49/PAMSIMAS/HSU/2009LKM PNPM Pamsimas
Pembayaran Tahap I 14 desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I SPPB II Nomor 31/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
Pembayaran Tahap I SPPM II Nomor 32/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
Pembayaran Tahap I SPPB II Nomor 22/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 23/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 33/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 24/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 35/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 25/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 36/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov
Pembayaran Tahap I SPPB II Nomor 34/PPK-SNVT/PAMSIMAS/OKI/XI/2009
LKM PNPM Pamsimas
tgl 11 Nov

7
Contract
Value
(incl. Add)

2009
2009
2009
2009
2009
2009
2009
2009

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
924,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
76,729,681
139,300,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
1,155,000,000
539,000,000
500,500,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
924,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
76,729,681
139,300,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
1,155,000,000
539,000,000
500,500,000
577,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000

11
Exchange
Rate
Applied

9,436
9,437
9,438
9,439
9,440
9,441
9,442
9,443
9,444
9,445
9,446
9,447
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,435
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388
9,388

12
Amount
Charged
to SA
(USD eqv)

8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
97,933.23
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
4,080.55
4,080.55
4,080.55
8,132.45
14,764.18
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
8,161.10
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
4,080.55
122,416.53
122,416.53
57,127.72
53,047.16
61,208.27
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98
4,100.98

27 of 86

Item
No.

Disburs. Category
Cat Description

1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

19
19
19
19
19
19
19
20
20
20
20
20
20
20
20
20
21
22
22
22
22
22
22
22
22
22
22
23
23
23
23
23
23
23
23
23
23
23
24
24
24
24
24
24
25
25
25
25
25
26
26
26
26
26
26
26
26
27
27
27
27

217
221
222
223
224
225
226
228
229
230
231
234
235
236
237
238
251
252
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
274
275
276
282
284
285
286
287
288
289
291
293
296
303
304
305
306
307
308
309
310
315
316
317
318

3a
Office
Issuing
SP2D

PEKANBARU
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
TERNATE
TEGAL
TEGAL
MAKASSAR
PADANG
PADANG
PADANG
PADANG
PEKANBARU
SEMARANG I
PEKANBARU
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
PARE-PARE
PARE-PARE
MARISA
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
MAKASSAR
SEMARANG I
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI

3b
Cross-Ref
SP2D
No.

722290N
237329N
237330N
237332N
237333N
237331N
237334N
807343N
864143N
864144N
112620N
090912N
090908N
090913N
090914N
722659N
935653N
722660N
025859O
025860O
025861O
025862O
025863O
025864O
025865O
496501M
496502M
038909L
057490O
057491O
057492O
057493O
057494O
057495O
057496O
112960N
935870M
237892N
237893N
237883N
237884N
237885N
237886N
237887N
237888N
237890N
237891N
237894N
237895N
237879N
238168N
238169N
238170N
238171N
238173N
238174N
238176N
549871M
549872M
549873M
549878M

4
Date of
Payment
(SP2D)

10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
10/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
14/11/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. 018 s/d 032/SPPB/Pamsimas/Rohul/XI/2009


LKMTgl
PNPM
13 Nov
Pamsimas
2009
No. 01/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 02/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 04/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 06/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 03/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 07/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
31/SPPB II-PAMSIMAS/DPPW-2009
LKM PNPM Pamsimas
40/SPPBII-PAMSIMAS/DPPW-2009
LKM PNPM Pamsimas
32/SPPBii-PAMSIMAS/DPPW-2009
LKM PNPM Pamsimas
37/SPPB II-PAMSIMAS/DPPW-2009
LKM PNPM Pamsimas
No. 642.2/02/Pamsimas/Kontrak/2009, No 07 LKM
s/d 12
PNPM
Tgl 19Pamsimas
Okt 2009
LKM PNPM Pamsimas
No. 642.2/05s/d 06, 13 s/d 15/Pamsimas/Kontrak/2009
LKM PNPM Pamsimas
Pembayaran Tahap II SPPB II nomor 03.1/SPPB.II/PAMSIMAS/PU/X/2009
LKM PNPM Pamsimas
No. 04.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
No. 07.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
No. 08.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
No. 11.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
No. 12.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
No. 13.1/SPPB II/Pamsimas/PU/X/2009 Tgl 27/10/2009
LKM PNPM Pamsimas
Pembayran Tahap II
LKM PNPM Pamsimas
Pembayran Tahap II
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
No. 018/Pamsimas/DPU/X/2009 Tgl 26 Okt 2009
LKM PNPM Pamsimas
No. 026/Pamsimas/DPU/X/2009 Tgl 19 Okt 2009
LKM PNPM Pamsimas
No. 025/Pamsimas/DPU/X/2009 Tgl 19 Okt 2009
LKM PNPM Pamsimas
No. 027/Pamsimas/DPU/X/2009 Tgl 19 Okt 2009
LKM PNPM Pamsimas
No. 017/Pamsimas/DPU/X/2009 Tgl 26 Okt 2009
LKM PNPM Pamsimas
No. 022/Pamsimas/DPU/X/2009 Tgl 2 Nov 2009
LKM PNPM Pamsimas
No. 019/Pamsimas/DPU/X/2009 Tgl 28 Okt 2009
LKM PNPM Pamsimas
Pembayaran Tahap I desa 2009
LKM PNPM Pamsimas
No. 050/01 s.d 15/SPPB II/Pamsimas/2009 Tgl
LKM
03 des
PNPM
2009
Pamsimas
No. KIM.03.01/70/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
III
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
No. KIM.03.01/60/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
II
No. KIM.03.01/76/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
II
No. KIM.03.01/66/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
III
No. KIM.03.01/74/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
III
No. KIM.03.01/70/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
III
No. KIM.03.01/72/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
III
Tahap I
LKM PNPM Pamsimas
No. KIM.03.01/62/Pamsimas/TTS/2008 Tgl 10LKM
Nov PNPM
2008 Tahap
Pamsimas
II
Tahap I
LKM PNPM Pamsimas
No. 01/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 02/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 03/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 04/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
No. 08/Pamsimas/Kab. Kupang/2009 Tgl 26 Nov
LKM2009
PNPM Pamsimas
No. 09/Pamsimas/Kab. Kupang/2009 Tgl 26 Nov
LKM2009
PNPM Pamsimas
No. 15/Pamsimas/Kab. Kupang/2009 Tgl 10 Des
LKM2009
PNPM Pamsimas
No. 09/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/11/2009
LKM PNPM Pamsimas
No. 10/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/11/2009
LKM PNPM Pamsimas
No. 11/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/11/2009
LKM PNPM Pamsimas
No. 05/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

1,078,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
154,000,000
462,000,000
693,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
539,000,000
1,155,000,000
385,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,078,000,000
539,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
521,494,600
1,155,000,000
77,000,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
269,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
50,747,200
52,738,200
77,000,000
59,325,000

9
WB
Financing
%

10
Amount of
WB portion
paid

1,078,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
154,000,000
462,000,000
693,000,000
1,155,000,000
38,500,000
38,500,000
38,500,000
38,500,000
539,000,000
1,155,000,000
385,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,078,000,000
539,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
521,494,600
1,155,000,000
77,000,000
38,500,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
269,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
50,747,200
52,738,200
77,000,000
59,325,000

11
Exchange
Rate
Applied

9,388
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,395
9,460
9,460
9,460
9,460
9,460
9,460
9,460
9,460
9,460
9,460
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,413
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,472
9,472
9,472
9,472

12
Amount
Charged
to SA
(USD eqv)

114,827.44
8,195.85
8,195.85
8,195.85
8,195.85
8,195.85
8,195.85
16,391.70
49,175.09
73,762.64
122,937.73
4,097.92
4,097.92
4,097.92
4,097.92
57,370.94
122,937.73
40,979.24
8,139.53
8,139.53
8,139.53
8,139.53
8,139.53
8,139.53
8,139.53
113,953.49
56,976.74
61,046.51
8,180.18
8,180.18
8,180.18
8,180.18
8,180.18
8,180.18
8,180.18
55,401.53
122,702.65
8,180.18
4,090.09
4,090.09
4,090.09
8,180.18
8,180.18
8,180.18
8,180.18
8,180.18
8,180.18
4,090.09
8,180.18
28,594.16
8,169.76
8,169.76
8,169.76
8,169.76
8,169.76
8,169.76
4,084.88
5,357.60
5,567.80
8,129.22
6,263.20

28 of 86

Item
No.

Disburs. Category
Cat Description

1346
1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

27
27
27
27
27
28
28
28
28
28
28
28
28
28
28
28
28
29
29
29
29
29
29
29
29
29
29
29
29
30
30
30
30
30
30
30
30
30
30
30
30
31
31
31
31
31
31
31
31
31
31
31
31
32
32
32
32
32
32
32
32

319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379

3a
Office
Issuing
SP2D

BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
PURWOREJO
GORONTALO
POSO
POSO
SIJUNJUNG
SIJUNJUNG
SUMEDANG
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
GARUT
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
KUDUS
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
CILACAP
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN

3b
Cross-Ref
SP2D
No.

549879M
549880M
549881M
549898M
549899M
549900M
549901M
623492M
554526N
923349N
923372N
122442N
122443N
009321M
949926L
949927L
949928L
949929L
949930L
949931L
949932L
949933L
949934L
949935L
949936L
949937L
949938L
949939L
822895N
558643N
558644N
558645N
558646N
558647N
558648N
558649N
558650N
558651N
558652N
569876N
818578N
818579N
818580N
818581N
818582N
818583N
818584N
818585N
818586N
818587N
818588N
818590N
818591N
818595N
818610N
348499N
348500N
348501N
348502N
348503N
348504N

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. 06/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009


LKM PNPM Pamsimas
No. 07/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 08/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 01/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 02/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 03/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 04/SPPB II/Pamsimas-PYK/X-2009 Tgl 09/10/2009
LKM PNPM Pamsimas
Pembayaran Tahap III 15 Desa
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/35 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/40 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/41 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/42 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/34 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/36 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/33 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/31 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/32 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/44 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/43 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/39 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/37 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/38 Tgl 23/11/2009
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 007/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 008/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 009/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 010/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 014/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 015/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 001/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 002/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 003/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 005/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 006/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 011/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 013/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 004/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
No. 012/II/SAT-PMS/CLP/2009 tgl 14/10/2009LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
66,638,400
72,100,900
77,000,000
77,000,000
77,000,000
59,571,675
1,155,000,000
462,000,000
924,000,000
308,000,000
178,500,000
77,000,000
1,078,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
924,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,082,160
76,926,360
76,973,540
76,960,520
57,751,960
76,753,040

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
66,638,400
72,100,900
77,000,000
77,000,000
77,000,000
59,571,675
1,155,000,000
462,000,000
924,000,000
308,000,000
178,500,000
77,000,000
1,078,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
924,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,082,160
76,926,360
76,973,540
76,960,520
57,751,960
76,753,040

11
Exchange
Rate
Applied

9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472

12
Amount
Charged
to SA
(USD eqv)

8,129.22
7,035.30
7,612.00
8,129.22
8,129.22
8,129.22
6,289.24
121,938.34
48,775.34
97,550.68
32,516.89
18,845.02
8,129.22
113,809.12
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
97,550.68
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
60,969.17
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,032.32
8,121.45
8,126.43
8,125.05
6,097.12
8,103.15

29 of 86

Item
No.

Disburs. Category
Cat Description

1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467

2a
BI Statement
Date Of
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

32
32
32
32
33
33
33
33
33
33
33
33
33
33
33
33
34
34
34
34
34
34
34
34
34
34
34
34
35
35
35
35
35
35
36
36
36
36
36
36
36
36
36
37
37
37
37
37
37
37
37
37
37
37
38
38
38
38
38
38
1

380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
418
419
420
421
422
423
425
428
429
430
431
432
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
2

3a
Office
Issuing
SP2D

PAINAN
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
TANJUNG
SEKAYU
SEKAYU
RANGKASBITUNG
BANJARNEGARA
BANJARNEGARA
MAKALE
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
MAMUJUK
MAMUJUK
TEGAL
TEGAL
TERNATE
TERNATE
TERNATE
PALU
PALU
PALU
PALEMBANG
PALU
PALEMBANG
PALEMBANG
PALEMBANG
SEMARANG I
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALU
PALEMBANG
PALU
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALU
PALEMBANG
PALEMBANG
MAKASSAR
PALEMBANG
PALEMBANG
SERANG

3b
Cross-Ref
SP2D
No.

348505N
835288K
835289K
835290K
835291K
835292K
835293K
835294K
835295K
835296K
835297K
835298K
835299K
835300K
743944N
461932M
461933M
096512N
432055K
432086K
058933L
961436M
961438M
961460M
961461M
581202N
581329N
864231N
864238N
808103N
807876N
807877N
219658N
219659N
219660N
839880M
219661N
839881M
839888M
839882M
936238M
839883M
839884M
839885M
839886M
839887M
219862N
035137O
219861N
035138O
035142O
035139O
035140O
035143O
219863N
035141O
035144O
113483N
035145O
035146O
787174N

4
Date of
Payment
(SP2D)

9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
15/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
14/12/2009
15/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
14/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

Pembayaran Tahap I
LKM PNPM Pamsimas
No. 06.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
26PNPM
Okt 2009
Pamsimas
No. 07.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
26PNPM
Okt 2009
Pamsimas
No. 08.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
26PNPM
Okt 2009
Pamsimas
No. 01.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 04.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
30PNPM
Sept 2009
Pamsimas
No. 03.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 02.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 05.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 09.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 10.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 11.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 12.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
No. 13.A/SPPB II/ Pamsimas-CKTR/XI/2009 Tgl
LKM
5 Nov
PNPM
2009
Pamsimas
01-15/PPK/PAMSIMAS/CK-PU/BLG/2009 Tahap
LKMII PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran tahap II 14 LKM
LKM PNPM Pamsimas
No. 07/Pamsimas/LH/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 10/Pamsimas/WL/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 09/Pamsimas/TB/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
No. 12/Pamsimas/UL/X/2009 Tgl 16 Okt 2009LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
No. 68/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
No. 69/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 76/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 74/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 900/6230 s/d 6244 Tgl 16 Nov 2009
LKM PNPM Pamsimas
No. 82/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 83/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 78/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 55/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 87/SPPB II/Pamsimas/OI/XI/2009 Tgl 02/11/2009
LKM PNPM Pamsimas
Pembayaran Tahap I nomor 0015/SPPB II-PAMSIMAS/DBMSDA/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 22/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
Pembayaran Tahap I No 0001/SPPBII-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 23/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 31/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 24/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 26/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 32/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
Pembayaran Tahap I No 0009/SPPBII-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 27/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 33/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
No. 35/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
No. 36/SPPB II/PPK-SNVT/Pamsimas/OKI/XI/2009
LKM PNPM
Tgl 11/11/2009
Pamsimas
Tahap III 13/SPPB II-ThpI-09/PAMSIMAS-SLK/PU/XI/2009
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

30,052,210
77,000,000
77,000,000
77,000,000
58,373,224
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,720,000
77,000,000
77,000,000
77,000,000
924,000,000
462,000,000
1,155,000,000
924,000,000
1,155,000,000
1,155,000,000
1,078,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
674,867,200
1,155,000,000
1,155,000,000
77,000,000
500,500,000
616,000,000
77,000,000
77,000,000
77,000,000
38,160,000
77,000,000
38,160,000
38,160,000
38,160,000
1,155,000,000
31,860,000
31,860,000
38,160,000
38,160,000
38,160,000
38,500,000
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
1,042,989,200
77,000,000
77,000,000
462,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

30,052,210
77,000,000
77,000,000
77,000,000
58,373,224
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,720,000
77,000,000
77,000,000
77,000,000
924,000,000
462,000,000
1,155,000,000
924,000,000
1,155,000,000
1,155,000,000
1,078,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
674,867,200
1,155,000,000
1,155,000,000
77,000,000
500,500,000
616,000,000
77,000,000
77,000,000
77,000,000
38,160,000
77,000,000
38,160,000
38,160,000
38,160,000
1,155,000,000
31,860,000
31,860,000
38,160,000
38,160,000
38,160,000
38,500,000
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
1,042,989,200
77,000,000
77,000,000
462,000,000

11
Exchange
Rate
Applied

9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,472
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,425
9,480

12
Amount
Charged
to SA
(USD eqv)

3,172.74
8,129.22
8,129.22
8,129.22
6,162.71
8,129.22
8,129.22
8,129.22
8,129.22
8,129.22
8,099.66
8,129.22
8,129.22
8,129.22
97,550.68
48,775.34
12,193.83
97,550.68
121,938.34
121,938.34
113,809.12
8,129.22
8,129.22
4,064.61
4,064.61
8,129.22
71,248.65
122,546.42
122,546.42
8,169.76
53,103.45
65,358.09
8,169.76
8,169.76
8,169.76
4,048.81
8,169.76
4,048.81
4,048.81
4,048.81
122,546.42
4,048.81
4,048.81
4,048.81
4,048.81
4,048.81
4,084.88
8,169.76
4,084.88
8,169.76
8,169.76
8,169.76
8,169.76
8,169.76
4,084.88
8,169.76
8,169.76
110,661.98
8,169.76
8,169.76
48,734.18

30 of 86

Item
No.

Disburs. Category
Cat Description

1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

3a
Office
Issuing
SP2D

SERANG
SERANG
POSO
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
LUBUK LINGGAU
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SOLOK
LUBUK SIKAPING
LUBUK SIKAPING
LUBUK SIKAPING
LUBUK SIKAPING
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
PATI
PATI
KUDUS
KUDUS
PAINAN
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI

3b
Cross-Ref
SP2D
No.

787175N
787176N
923392N
026036O
026037O
026038O
026039O
026040O
026041O
742629L
122513N
122514N
122515N
122516N
122517N
122518N
798665N
857800N
857801N
857807N
857851N
435055O
435056O
435057O
435058O
435059O
435060O
435061O
435062O
435063O
435064O
435065O
435066O
435067O
435068O
435069O
065415O
065443O
570091N
570092N
348516N
835469K
835470K
835471K
835472K
835473K
835474K
835475K
835476K
835477K
835478K
835479K
135524O
135525O
135526O
135527O
135528O
135529O
135530O
135531O
135532O

4
Date of
Payment
(SP2D)

14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

Tahap I 14/SPPB II-ThpI-09/PAMSIMAS-SLK/PU/XI/2009


LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
PEmbayran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayarn Tahap I
LKM PNPM Pamsimas
No. 01 sd 15/SPPB II/Pamsimas/PUCKTR/2009
LKM
TglPNPM
10 Nov
Pamsimas
2009
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
No. 398.B1/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B2/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B3/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B4/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B5/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B6/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B7/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B8/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B9/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B10/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B11/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B12/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B13/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B14/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B15/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I nomor 640/03/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 5 Nop 2009
Pembayaran Tahap I nomor 640/04/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 5 Nop 2009
Pembayaran Tahap I nomor 640/05/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl 5 Nop 2009
Pembayaran Tahap I nomor 640/06/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl1 5 Nop 2009
Pembayaran Tahap I nomor 640/07/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl1 5 Nop 2009
Pembayaran Tahap I nomor 640/08/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl1 5 Nop 2009
Pembayaran Tahap I nomor 640/09/LKM/PAMSIMAS/2009
LKM PNPM Pamsimas
tgl1 5 Nop 2009
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap II Desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembaaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

346,500,000
693,000,000
1,154,630,350
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
77,000,000
77,000,000
76,975,836
76,954,864
73,993,920
76,889,608
808,417,708
423,258,024
64,918,560
76,028,400
153,459,362
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
847,000,000
1,155,000,000
1,155,000,000
76,982,640
31,256,400
38,500,000
29,205,750
38,500,000
38,500,000
38,248,000
38,493,000
28,154,000
37,352,700
31,353,000
29,088,500
76,956,000
76,923,240
76,690,240
76,928,800
76,999,360
76,995,000
76,948,200
76,709,200
76,709,200

9
WB
Financing
%

10
Amount of
WB portion
paid

346,500,000
693,000,000
1,154,630,350
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
1,155,000,000
77,000,000
77,000,000
76,975,836
76,954,864
73,993,920
76,889,608
808,417,708
423,258,024
64,918,560
76,028,400
153,459,362
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
847,000,000
1,155,000,000
1,155,000,000
76,982,640
31,256,400
38,500,000
29,205,750
38,500,000
38,500,000
38,248,000
38,493,000
28,154,000
37,352,700
31,353,000
29,088,500
76,956,000
76,923,240
76,690,240
76,928,800
76,999,360
76,995,000
76,948,200
76,709,200
76,709,200

11
Exchange
Rate
Applied

9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480
9,480

12
Amount
Charged
to SA
(USD eqv)

36,550.63
73,101.27
121,796.45
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
4,061.18
121,835.44
8,122.36
8,122.36
8,119.81
8,117.60
7,805.27
8,110.72
85,276.13
44,647.47
6,847.95
8,019.87
16,187.70
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
8,122.36
121,835.44
89,345.99
121,835.44
121,835.44
8,120.53
3,297.09
4,061.18
3,080.78
4,061.18
4,061.18
4,034.60
4,060.44
2,969.83
3,940.16
3,307.28
3,068.41
8,117.72
8,114.27
8,089.69
8,114.85
8,122.30
8,121.84
8,116.90
8,091.69
8,091.69

31 of 86

Item
No.

Disburs. Category
Cat Description

1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1586
1587
1588
1589

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
12
12
12
12

64
65
66
67
68
70
71
72
73
74
75
76
77
78
79
81
82
83
84
85
90
91
92
93
94
95
96
97
98
99
100
101
102
110
111
112
113
114
115
116
117
119
120
121
122
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143

3a
Office
Issuing
SP2D

MASOHI
MASOHI
MASOHI
MASOHI
MAMUJUK
KUPANG
PALEMBANG
PALEMBANG
KUPANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
PALU
PALU
PALU
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
TASIKMALAYA
TASIKMALAYA
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALU
PALU
SURAKARTA
PALU
PALU
PALU
PALEMBANG
PALU
PALU
PALU
PALEMBANG
PALEMBANG

3b
Cross-Ref
SP2D
No.

135533O
135534O
135535O
135536O
581146N
238476N
035158O
035159O
238477N
035153O
035160O
035154O
035155O
035156O
035157O
035963O
035964O
035965O
035966O
035967O
058782O
059042O
059043O
059035O
059036O
059037O
059038O
059039O
059040O
059041O
220725N
220726N
220727N
036111O
036112O
036114O
036115O
036116O
036117O
036118O
036119O
036113O
036147O
960877N
960921O
036539O
036540O
036541O
036542O
220717N
220718N
007444N
220719N
220720N
220721N
036543O
220722N
227023N
227024N
036544O
036545O

4
Date of
Payment
(SP2D)

14/12/2009
14/12/2009
14/12/2009
14/12/2009
10/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009

5
Contract
No.
and Date
Pembayaran Tahap II desa 2009
Pembayaran Tahap II desa 2009
Pembayaran tahap II desa 2009
Pembayaran Tahap II desa 2009
Tahap II

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 55/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 87/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
No. 68/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 76/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 69/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 74/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 76/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 78/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 25/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 28/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 29/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 30/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 34/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Pembayran Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II nomor 0014/SPPBII-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap II nomor 0002/SPPBII-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap II nomor 0006/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 68/SPPB II/Pamsimas/OI/XI/2009 Tgl 26/10/2009
LKM PNPM Pamsimas
No. 69/SPPB II/Pamsimas/OI/XI/2009 Tgl 26/10/2009
LKM PNPM Pamsimas
No. 82/SPPB II/Pamsimas/OI/XI/2009 Tgl 16/11/2009
LKM PNPM Pamsimas
No. 83/SPPB II/Pamsimas/OI/XI/2009 Tgl 16/11/2009
LKM PNPM Pamsimas
No. 78/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 55/SPPB II/Pamsimas/OI/XI/2009 Tgl 09/10/2009
LKM PNPM Pamsimas
No. 87/SPPB II/Pamsimas/OI/XI/2009 Tgl 07/11/2009
LKM PNPM Pamsimas
No. 72/SPPB II/Pamsimas/OI/XI/2009 Tgl 16/11/2009
LKM PNPM Pamsimas
No. 74/SPPB II/Pamsimas/OI/XI/2009 Tgl 03/11/2009
LKM PNPM Pamsimas
No. 82/SPPB II/Pamsimas/OI/XI/2009 Tgl 16/11/2009
LKM PNPM Pamsimas
LKM PNPM Pamsimas
No. 40/SPPB II/Pamsimas/Kab. TSM/IX/2009 LKM
s.d No.
PNPM
48 Tgl
Pamsimas
10 September 2009
No. 22/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 23/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 24/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 25/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
Pembayaran Tahap I nomor 0010/SPPB II-PAMSIMAS/DBMSDAXI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap I nomor 0007/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap I nomor 0008/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap I nomor 0006/SPPB II-PAMSIMAS/DBMSDAXI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap I nomor 0002/SPPB II-PAMSIMAS/DBMSDAXI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 26/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
Pembayaran Tahap I nomor 0013/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap I nomor 0014/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
Pembayaran Tahap I nomor 0011/SPPB II-PAMSIMAS/XI/2009
LKM PNPM Pamsimas
tgl 30 Nop 2009
No. 27/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
No. 28/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

76,709,200
76,988,000
76,993,200
76,992,800
385,000,000
577,500,000
76,320,000
76,320,000
1,155,000,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
539,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
462,000,000
693,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
77,000,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

76,709,200
76,988,000
76,993,200
76,992,800
385,000,000
577,500,000
76,320,000
76,320,000
1,155,000,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
539,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
76,320,000
462,000,000
693,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
1,155,000,000
38,500,000
38,500,000
38,500,000
77,000,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,480
9,480
9,480
9,480
9,480
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438
9,438

12
Amount
Charged
to SA
(USD eqv)

8,091.69
8,121.10
8,121.65
8,121.60
40,611.81
61,221.24
8,090.75
8,090.75
122,442.49
8,090.75
8,090.75
8,090.75
8,090.75
8,090.75
8,090.75
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
57,109.56
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,158.51
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
8,086.46
48,951.05
73,426.57
8,158.51
8,158.51
8,158.51
8,158.51
4,079.25
4,079.25
122,377.62
4,079.25
4,079.25
4,079.25
8,158.51
4,079.25
4,079.25
8,158.51
8,158.51
8,158.51

32 of 86

Item
No.

Disburs. Category
Cat Description

1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

13
13
13
13
13
13
13
13
13
14
14
14
14
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
16
16
16
16
17
17
17
17
17
17
17
17
17
17
17
17
18
18
18
18

144
145
146
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
207
208

3a
Office
Issuing
SP2D

PALEMBANG
PALEMBANG
SURAKARTA
BANJARMASIN
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
PURWOREJO
GORONTALO

3b
Cross-Ref
SP2D
No.

036546O
036547O
007413N
059538O
036645O
036646O
036647O
036648O
036649O
340170O
340171O
340172O
340173O
340174O
340346O
340370O
340371O
340372O
340373O
340375O
340376O
340377O
340378O
340379O
340385O
340386O
340387O
340388O
340408O
340409O
340410O
340411O
340412O
340417O
340418O
340419O
340420O
340456O
340457O
340463O
340464O
340465O
340468O
340671O
340672O
340673O
340674O
340692O
340693O
340694O
340728O
340745O
340746O
340774O
340791O
340792O
340793O
340794O
340795O
623682M
555005N

4
Date of
Payment
(SP2D)

17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
15/12/2009
15/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. 29/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM


11/11/2009
PNPM Pamsimas
No. 30/PPK-SNVT/Pamsimas/OKI/XI/2009 TglLKM
11/11/2009
PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap III 8 LKM
LKM PNPM Pamsimas
NO. 41/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 40/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 39/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 38/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 37/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaan Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
No. 03/SPPB II/PIP/Pamsimas/X/2009 Tgl 1 Okt
LKM
2009
PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
1,155,000,000
616,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
74,499,040
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
69,512,800
77,000,000
76,967,240
77,000,000
77,000,000
61,958,400
77,000,000
72,316,280
75,884,200
59,325,000
77,000,000
66,638,400
72,100,900
77,000,000
76,811,700
76,787,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
59,571,675
77,000,000
77,000,000
50,747,200
52,738,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
67,691,360
69,368,880
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
693,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
1,155,000,000
616,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
74,499,040
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
69,512,800
77,000,000
76,967,240
77,000,000
77,000,000
61,958,400
77,000,000
72,316,280
75,884,200
59,325,000
77,000,000
66,638,400
72,100,900
77,000,000
76,811,700
76,787,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
59,571,675
77,000,000
77,000,000
50,747,200
52,738,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
67,691,360
69,368,880
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
693,000,000

11
Exchange
Rate
Applied

9,438
9,438
9,438
9,451
9,451
9,451
9,451
9,451
9,451
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498

12
Amount
Charged
to SA
(USD eqv)

8,158.51
8,158.51
122,377.62
65,178.29
4,073.64
4,073.64
4,073.64
4,073.64
4,073.64
7,843.66
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
7,318.68
8,106.97
8,103.52
8,106.97
8,106.97
6,523.31
8,106.97
7,613.84
7,989.49
6,246.05
8,106.97
7,016.05
7,591.17
8,106.97
8,087.14
8,084.57
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
6,272.02
8,106.97
8,106.97
5,342.94
5,552.56
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
7,126.91
7,303.52
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
121,604.55
72,962.73

33 of 86

Item
No.

Disburs. Category
Cat Description

1651
1652
1653
1654
1655
1656
1657
1658
1659
1660
1661
1662
1663
1664
1665
1666
1667
1668
1669
1670
1671
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
1703
1704
1705
1706
1707
1708
1709
1710
1711

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

18
18
18
18
18
18
18
19
19
19
19
19
19
19
19
19
19
19
20
20
20
20
20
20
20
20
20
20
20
20
21
21
21
21
21
21
21
21
21
21
21
21
22
22
22
22
22
22
22
22
22
22
22
22
23
23
23
23
23
23
23

209
210
211
212
213
214
215
216
217
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270

3a
Office
Issuing
SP2D

LUWUK
LUWUK
PARE-PARE
PALOPO
PALOPO
PALOPO
MAJENE
MAJENE
MAJENE
LUBUK LINGGAU
LUBUK LINGGAU
TOLI-TOLI
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
GARUT
BATURAJA
BATURAJA
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
MAGELANG
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT

3b
Cross-Ref
SP2D
No.

873030H
873031H
497019M
335008N
335009N
335010N
929784L
929799L
929812L
742670L
742702L
330118O
798758N
798759N
798760N
798761N
798762N
798763N
798764N
798765N
798766N
798767N
798768N
798769N
798770N
823023N
884424L
884449L
509370N
509371N
509372N
509373N
509374N
509375N
509376N
509377N
509378N
509379N
509380N
645027M
558993N
558994N
558995N
558996N
558997N
558998N
558999N
559000N
559001N
559002N
559003N
835535K
835536K
835537K
835538K
835539K
835540K
835541K
835542K
835543K
835544K

4
Date of
Payment
(SP2D)

15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
15/12/2009
12/14/2009
14/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
15/12/2009
14/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap I desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I SKPA
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
No. 17 s.d 18/SPPB II/Pamsimas/PUCKTR/2009
LKMTgl
PNPM
12 Nov
Pamsimas
2009
No. 17 s.d 18/SPPB II/Pamsimas/PUCKTR/2009
LKMTgl
PNPM
12 Nov
Pamsimas
2009
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayatran Tahap I SKPA
LKM PNPM Pamsimas
Pembayyaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

1,155,000,000
231,000,000
808,500,000
115,400,000
230,800,000
230,800,000
231,000,000
346,500,000
462,000,000
115,500,000
231,000,000
38,500,000
77,000,000
75,878,460
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,501,000
38,500,000
231,000,000
633,423,280
1,154,812,400
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
30,000,000
1,154,984,640
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
58,177,000
62,706,000
74,705,400
56,308,000
76,986,000
76,496,000
77,000,000
77,000,000
58,411,500
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

1,155,000,000
231,000,000
808,500,000
115,400,000
230,800,000
230,800,000
231,000,000
346,500,000
462,000,000
115,500,000
231,000,000
38,500,000
77,000,000
75,878,460
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
38,501,000
38,500,000
231,000,000
633,423,280
1,154,812,400
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
40,000,000
30,000,000
1,154,984,640
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
58,177,000
62,706,000
74,705,400
56,308,000
76,986,000
76,496,000
77,000,000
77,000,000
58,411,500
77,000,000

11
Exchange
Rate
Applied

9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498

12
Amount
Charged
to SA
(USD eqv)

121,604.55
24,320.91
85,123.18
12,149.93
24,299.85
24,299.85
24,320.91
36,481.36
48,641.82
12,160.45
24,320.91
60,802.27
4,053.48
8,106.97
7,988.89
8,106.97
8,106.97
8,106.97
8,106.97
4,053.48
4,053.48
4,053.48
4,053.48
4,053.59
4,053.48
24,320.91
66,690.17
121,584.80
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
4,211.41
3,158.56
121,602.93
8,106.97
8,106.97
8,106.97
8,106.97
8,106.97
4,053.48
4,053.48
8,106.97
8,106.97
8,106.97
8,106.97
6,125.18
6,602.02
7,865.38
5,928.41
8,105.50
8,053.91
8,106.97
8,106.97
6,149.87
8,106.97

34 of 86

Item
No.

Disburs. Category
Cat Description

1712
1713
1714
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
1743
1744
1745
1746
1747
1748
1749
1750
1751
1752
1753
1754
1755
1756
1757
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

23
23
23
23
23
24
24
24
24
24
24
24
24
24
24
24
24
25
25
25
25
25
25
25
25
25
25
25
25
26
26
26
26
26
26
26
26
27
27
27
27
28
28
28
28
28
28
29
29
29
29
29
29
29
29
29
29
29
30
30
30

271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
320
321
322
323
330
331
332
333
334
335
336
337
338
340
341
342
343
344
345
346
347
348
349
350

3a
Office
Issuing
SP2D

LAHAT
SEKAYU
SRAGEN
SRAGEN
PURWODADI
PELAIHARI
PELAIHARI
MAKALE
ATAMBUA
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
MASOHI
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PEKANBARU
PEKANBARU
MAKASSAR
TEGAL
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
MAKASSAR
KUPANG
KUPANG
MAKASSAR
PALU
PALU
PALU
PALU
PADANG
PALU
PADANG

3b
Cross-Ref
SP2D
No.

835545K
461990M
373552M
373571M
355037O
512187M
512188M
059075L
210133O
135720O
135721O
135722O
135723O
135724O
135725O
135726O
135727O
135728O
135729O
135730O
135731O
135732O
135741O
135742O
036786O
036650O
036787O
036788O
036789O
036790O
036795O
036796O
036797O
036791O
036798O
036799O
036800O
724317N
724324N
115449N
864884N
239632N
239633N
239634N
239635N
239636N
239637N
239638N
239639N
239640N
115799N
239630N
239631N
115800N
221194N
221195N
221196N
221197N
093479N
221198N
093513N

4
Date of
Payment
(SP2D)

15/12/2009
15/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
21/12/2009
22/12/2009

5
Contract
No.
and Date
Tahap II
Tahap II

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III 5LKM
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
NO. 40/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
LKM PNPM Pamsimas
NO. 37/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 38/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 39/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 40/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
LKM PNPM Pamsimas
NO. 41/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
NO. 42/PPK-SNVT/Pamsimas/OKI/XI/2009 Tgl
LKM
26/11/2009
PNPM Pamsimas
Pembayaran Tahap III 7 desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran tahap III th 2009
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran tahap III th 2009
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

62,512,800
231,000,000
1,155,000,000
1,155,000,000
1,155,000,000
539,000,000
539,000,000
385,000,000
1,001,000,000
76,956,000
76,923,240
76,690,240
76,928,800
76,999,360
76,995,000
76,948,200
76,709,200
76,709,200
76,709,200
76,988,000
76,993,200
76,992,800
76,489,240
76,949,200
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
539,000,000
616,000,000
1,042,989,200
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,048,900,000
77,000,000
77,000,000
106,100,000
77,000,000
77,000,000
38,500,000
77,000,000
38,500,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

62,512,800
231,000,000
1,155,000,000
1,155,000,000
1,155,000,000
539,000,000
539,000,000
385,000,000
1,001,000,000
76,956,000
76,923,240
76,690,240
76,928,800
76,999,360
76,995,000
76,948,200
76,709,200
76,709,200
76,709,200
76,988,000
76,993,200
76,992,800
76,489,240
76,949,200
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
539,000,000
616,000,000
1,042,989,200
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,048,900,000
77,000,000
77,000,000
106,100,000
77,000,000
77,000,000
38,500,000
77,000,000
38,500,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,498
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457

12
Amount
Charged
to SA
(USD eqv)

6,581.68
24,320.91
121,604.55
121,604.55
121,604.55
56,748.79
56,748.79
40,534.85
105,390.61
8,102.34
8,098.89
8,074.36
8,099.47
8,106.90
8,106.44
8,101.52
8,076.35
8,076.35
8,076.35
8,105.71
8,106.25
8,106.21
8,053.19
8,101.62
8,147.29
4,073.64
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
8,147.29
57,031.00
65,178.29
110,357.55
122,209.29
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
110,912.55
8,142.12
8,142.12
11,219.20
8,142.12
8,142.12
4,071.06
8,142.12
4,071.06
8,142.12
8,142.12

35 of 86

Item
No.

Disburs. Category
Cat Description

1773
1774
1775
1776
1777
1778
1779
1780
1781
1782
1783
1784
1785
1786
1787
1788
1789
1790
1791
1792
1793
1794
1795
1796
1797
1798
1799
1800
1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
1814
1815
1816
1817
1818
1819
1820
1821
1822
1823
1824
1825
1826
1827
1828
1829
1830
1831
1832
1833

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

30
30
30
31
31
31
31
31
31
31
31
31
31
31
31
32
32
32
32
32
32
32
32
32
32
32
32
33
33
33
33
33
33
33
33
33
33
33
33
34
34
34
34
34
34
34
34
34
34
34
34
35
35
35
35
35
35
35
35
35
35

351
352
353
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417

3a
Office
Issuing
SP2D

PADANG
PADANG
PADANG
PALU
PALU
SERANG
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
PURWAKARTA
ENDE
ENDE
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
POSO
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
BANTAENG
BANTAENG
PARE-PARE
PARE-PARE
PARE-PARE
PARE-PARE
PARE-PARE

3b
Cross-Ref
SP2D
No.

093514N
093515N
093516N
222251N
222252N
787716N
439776N
439777N
439778N
439779N
439780N
439781N
439782N
439783N
439784N
439785N
439786N
439787N
439788N
439789N
439790N
439791N
439792N
439793N
439794N
439795N
439796N
439797N
439798N
439799N
514589N
514800N
215112O
215113O
215114O
215115O
215116O
215117O
215118O
215119O
215120O
215121O
215122O
215123O
215124O
215125O
215126O
923770N
026233O
026234O
026235O
026236O
026237O
026238O
001049O
001050O
497183M
497184M
497187M
497188M
497435M

4
Date of
Payment
(SP2D)

22/12/2009
22/12/2009
22/12/2009
21/12/2009
21/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III No. 014/PAMSIMAS/SBG/SPPB
LKM PNPM
II/X/2009
Pamsimas
tgl 12 Okt 2009
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
SKPA
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III (desa)
LKM PNPM Pamsimas
Pembayaran Tahap III (6desa)
LKM PNPM Pamsimas
Pembayaran Tahap I desa 2009
LKM PNPM Pamsimas
Pembayaran Tahap II desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap IV LKM
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
693,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
1,078,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,077,686,900
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
693,000,000
462,000,000
577,500,000
1,155,000,000
462,000,000
693,000,000
269,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
693,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
11,166,000
1,078,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,077,686,900
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
693,000,000
462,000,000
577,500,000
1,155,000,000
462,000,000
693,000,000
269,500,000

11
Exchange
Rate
Applied

9,457
9,457
9,457
9,457
9,457
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505

12
Amount
Charged
to SA
(USD eqv)

8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
72,909.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
1,174.75
1,174.75
1,174.75
1,174.75
1,174.75
1,174.75
1,174.75
1,174.75
1,174.75
113,413.99
48,606.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
113,381.05
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
72,909.00
48,606.00
60,757.50
121,514.99
48,606.00
72,909.00
28,353.50

36 of 86

Item
No.

Disburs. Category
Cat Description

1834
1835
1836
1837
1838
1839
1840
1841
1842
1843
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859
1860
1861
1862
1863
1864
1865
1866
1867
1868
1869
1870
1871
1872

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

35
35
36
36
36
36
36
36
36
36
36
36
36
36
37
37
37
37
37
37
37
37
37
37
37
37
38
38
38
38
38
38
38
38
38
38
38
38
39

418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456

3a
Office
Issuing
SP2D

MAJENE
MAJENE
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
KOTA BARU
TOLI-TOLI
TOLI-TOLI
TOLI-TOLI
SOLOK
LUBUK SIKAPING
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT

3b
Cross-Ref
SP2D
No.

929903L
929949L
122626N
122627N
122628N
122629N
335145O
335146O
335149O
335150O
335151O
335152O
335153O
335154O
335155O
335156O
335157O
335158O
335159O
335160O
335161O
335162O
335163O
330310O
330311O
330312O
798941N
857982N
435209O
435210O
435211O
435212O
435213O
435214O
435215O
435216O
435217O
435218O
435219O

4
Date of
Payment
(SP2D)

17/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

Tahap II SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II nomor 18/SPPB II/PMS-SJJ/X/2009
LKM PNPM Pamsimas
Pembayaran Tahap III nomor 09/SPPBII/PIP/PAMSIMAS/DR/XI/2009
LKM PNPM Pamsimas tgl 25 Nopember 2009
Pembayaran Tahap III nomor 10/SPPBII/PIP/PAMSIMAS/DR/XI/2009
LKM PNPM Pamsimas tgl 25 Nopember 2009
Pembayaran Tahap III nomor 08/SPPBII/PIP/PAMSIMAS/DR/X/2009
LKM PNPM Pamsimas tgl 26 Oktober 2009
Tahap III
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaan Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/40 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/42 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/35 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/42 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/36 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/34 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/31 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/33 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/44 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/32 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/39 Tgl 23/11/2009
LKM PNPM Pamsimas

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

693,000,000
693,000,000
598,400,000
76,975,836
77,000,000
76,954,864
554,400,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
577,500,000
577,500,000
1,155,000,000
808,417,708
780,935,946
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

693,000,000
693,000,000
598,400,000
76,975,836
77,000,000
76,954,864
554,400,000
577,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
577,500,000
577,500,000
1,155,000,000
808,417,708
780,935,946
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505

12
Amount
Charged
to SA
(USD eqv)

72,909.00
72,909.00
62,956.34
8,098.46
8,101.00
8,096.25
58,327.20
60,757.50
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
60,757.50
60,757.50
121,514.99
85,051.84
82,160.54
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00

37 of 86

Item
No.

Disburs. Category
Cat Description

1873
1874
1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

39
39
39
39
39
39
39
39
39
39
39
40
40
40
40
40
40
40
40
40
40
40
40
41
41
41
41
41
41
41
41
41
41
41
41
42
42
42
42
42
42
42
42
42
42
42
42
43
43
43
43
43
43
43
43
43
43
43
43

457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515

3a
Office
Issuing
SP2D

RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
GARUT
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
KUDUS
PAINAN
PAINAN
PAINAN
PAINAN
PAINAN
LAHAT
LAHAT
LAHAT
LAHAT

3b
Cross-Ref
SP2D
No.

435220O
435221O
435222O
435426O
435427O
435428O
435429O
435430O
435431O
435432O
435433O
435434O
435435O
435436O
435437O
435540O
435541O
435542O
435543O
435544O
435545O
435546O
435547O
435548O
435549O
435550O
435551O
435552O
435553O
435554O
435559O
435560O
435561O
823041N
706135M
706136M
706137M
706138M
706139M
706140M
706141M
706142M
706143M
706144M
706145M
706146M
706147M
706148M
706149M
570556N
348638N
348639N
348640N
348641N
348670N
835740K
835741K
835742K
835743K

4
Date of
Payment
(SP2D)

16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

No. Pamsimas-Perkim/SPPB II/XI/43 Tgl 23/11/2009


LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/38 Tgl 23/11/2009
LKM PNPM Pamsimas
No. Pamsimas-Perkim/SPPB II/XI/37 Tgl 23/11/2009
LKM PNPM Pamsimas
No. 02.01/SPPB/LKM/XI/2009 Tgl 04/11/2009LKM PNPM Pamsimas
No. 01.01/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 03.01/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 05.15/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 05.14/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 05.13/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 03.07/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 03.09/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 02.06/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 04.12/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 04.10/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No. 04.11/SPPB/LKM/XI/2009 Tgl 06/11/2009LKM PNPM Pamsimas
No.02.01/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.01.01/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.03.01/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.02.04/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.03.08/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.02.05/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.05.15/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.05.14/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.05.13/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.03.07/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.03.09/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.02.06/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.04.12/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.04.10/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No.04.11/SPPB/LKM/XI/2009 06 Nov 2009 LKM PNPM Pamsimas
No. 02.04/SPPB/LKM/XI/2009 Tgl 06 Nov 2009
LKM PNPM Pamsimas
No. 03.08/SPPB/LKM/XI/2009 Tgl 06 Nov 2009
LKM PNPM Pamsimas
No. 02.05/SPPB/LKM/XI/2009 Tgl 06 Nov 2009
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
38,413,620
38,492,300
38,429,510
38,475,290
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
1,155,000,000
38,413,620
38,492,300
38,429,510
38,475,290
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505

12
Amount
Charged
to SA
(USD eqv)

8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
121,514.99
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
121,514.99
4,041.41
4,049.69
4,043.08
4,047.90
4,050.50
8,101.00
8,101.00
8,101.00
8,101.00

38 of 86

Item
No.

Disburs. Category
Cat Description

1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

44
44
44
44
44
44
44
44
44
44
44
44
45
45
45
45
45
45
45
45
45
45
45
45
46
46
46
46
46
46
46
46
46
46
46
46
47
47
47
47
47
47
47
47
47
47
47
48
48
49
49
49
49
49
49
49
49
49
49

516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
566
567
576
577
578
579
580
581
582
583
584
586

3a
Office
Issuing
SP2D

LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
KUNINGAN
KUNINGAN
KLATEN
KLATEN
TANJUNG
TANJUNG
TANJUNG
TANJUNG
TANJUNG
SEKAYU
SEKAYU
SEKAYU
SEKAYU
RANGKASBITUNG
RANGKASBITUNG
MASOHI
MASOHI
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
MAMUJUK
PALU
KUPANG
KUPANG
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PADANG

3b
Cross-Ref
SP2D
No.

835744K
835745K
835746K
835747K
835748K
835749K
835750K
835751K
835752K
734248N
734251N
874561M
874674M
744144N
744145N
744184N
744185N
744260N
462090M
462091M
462092M
462093M
096636N
096663N
135854O
135855O
961631M
961632M
961633M
961706M
961707M
961708M
961709M
961710M
961711M
961712M
961713M
961714M
961715M
961716M
961717M
961718M
961719M
961720M
961721M
525006O
222253N
239958N
239894N
222040N
222041N
222042N
222043N
222044N
222045N
222046N
222249N
222050N
093926N

4
Date of
Payment
(SP2D)

16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
16/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
21/12/2009
23/12/2009
23/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
23/12/2009

5
Contract
No.
and Date
Tahap III
Tahap III
Tahap III
Tahap III SKPA
Tahap III SKPA
Tahap III SKPA
Tahap III SKPA
Tahap III SKPA
Tahap III SKPA

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
No. 39, 43, 48/Pamsimas/HSU/2009 Tgl 9 NovLKM
2009
PNPM Pamsimas
35, 36, 37, 38, 40, 41, 42, 44, 45, 46, 47, 49/Pamsimas/HSU/2009
LKM PNPM Pamsimas
Tgl 9 Nov 2009
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
No. 013/SPPB II/Pamsimas/Muba/2009 Tgl10LKM
Des PNPM
2009 Pamsimas
No. 013/SPPB II/Pamsimas/Muba/2009 Tgl10LKM
Des PNPM
2009 Pamsimas
Tahap II SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
Pembayaran tahap III desa 2009
LKM PNPM Pamsimas
No. 12/Pamsimas/UL/X/2009 Tgl 16 Okt 2009LKM
SKPA
PNPM Pamsimas
No. 13/Pamsimas/BR/X/2009 Tgl 16 Okt 2009LKM
SKPA
PNPM Pamsimas
No. 14/Pamsimas/BW/X/2009 Tgl 16 Okt 2009LKM
SKPA
PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

77,000,000
77,000,000
58,373,224
77,000,000
77,000,000
76,720,000
77,000,000
77,000,000
77,000,000
346,500,000
231,000,000
1,155,000,000
1,155,000,000
924,000,000
231,000,000
231,000,000
924,000,000
231,000,000
693,000,000
385,000,000
71,500,000
5,500,000
231,000,000
1,155,000,000
76,489,240
76,949,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
674,867,200
77,000,000
308,000,000
539,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

77,000,000
77,000,000
58,373,224
77,000,000
77,000,000
76,720,000
77,000,000
77,000,000
77,000,000
346,500,000
231,000,000
1,155,000,000
1,155,000,000
924,000,000
231,000,000
231,000,000
924,000,000
231,000,000
693,000,000
385,000,000
71,500,000
5,500,000
231,000,000
1,155,000,000
76,489,240
76,949,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
674,867,200
77,000,000
308,000,000
539,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,505
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457

12
Amount
Charged
to SA
(USD eqv)

8,101.00
8,101.00
6,141.32
8,101.00
8,101.00
8,071.54
8,101.00
8,101.00
8,101.00
36,454.50
24,303.00
121,514.99
121,514.99
97,211.99
24,303.00
24,303.00
97,211.99
24,303.00
72,909.00
40,505.00
7,522.36
578.64
24,303.00
121,514.99
8,047.26
8,095.65
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
8,101.00
71,001.28
8,142.12
32,568.47
56,994.82
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
4,071.06
8,142.12
8,142.12

39 of 86

Item
No.

Disburs. Category
Cat Description

1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049

2a
BI Statement
Date Of
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

50
50
50
50
50
50
51
51
51
51
51
51
51
51
51
51
51
51
52
52
52
52
52
52
52
52
52
52
52
52
53
53
53
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3

589
590
591
592
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

3a
Office
Issuing
SP2D

PADANG
PADANG
PADANG
PADANG
PALU
PADANG
PALU
PALU
PADANG
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
PALU
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
GORONTALO
GORONTALO
POSO
MAJENE
LUBUK SIKAPING
LUBUK SIKAPING
LUBUK SIKAPING
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG

3b
Cross-Ref
SP2D
No.

094036N
094061N
094071N
094073N
222032N
094070N
222033N
222034N
094190N
222035N
222036N
222037N
222038N
222039N
222254N
222255N
222256N
222257N
222258N
222259N
222260N
222261N
222262N
222263N
222331N
222332N
222264N
222265N
222266N
222268N
222269N
222270N
222267N
341074O
341075O
341076O
341077O
341078O
341079O
341120O
556447N
556448N
923775N
500122O
858060N
858063N
858064N
509595N
509596N
509597N
509598N
509599N
509600N
509601N
509602N
509603N
509604N
509605N
509606N

4
Date of
Payment
(SP2D)

23/12/2009
23/12/2009
23/12/2009
23/12/2009
21/12/2009
23/12/2009
21/12/2009
23/12/2009
23/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
22/12/2009
22/12/2010
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Tahap III SKPA
LKM PNPM Pamsimas
No. 25/SPPB II/APBN/Pamsimas/XI/2009 tgl 18/11/2009
LKM PNPM Pamsimas
No. 19 sd 33/SPPB II/APBN/Pamsimas/XI/2009
LKM
tgl PNPM
19/11/2009
Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

38,500,000
77,000,000
70,747,600
67,062,800
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
74,499,040
77,000,000
77,000,000
69,368,880
74,326,000
77,000,000
1,155,000,000
308,000,000
402,000,000
706,185,900
228,774,200
76,028,500
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

38,500,000
77,000,000
70,747,600
67,062,800
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
74,499,040
77,000,000
77,000,000
69,368,880
74,326,000
77,000,000
1,155,000,000
308,000,000
402,000,000
706,185,900
228,774,200
76,028,500
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000

11
Exchange
Rate
Applied

9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,457
9,440
9,441
9,442
9,443
9,444
9,445
9,446
9,447
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440

12
Amount
Charged
to SA
(USD eqv)

4,071.06
8,142.12
7,480.98
7,091.34
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
4,071.06
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,142.12
8,156.78
8,156.78
7,891.85
8,156.78
8,156.78
7,348.40
7,873.52
8,156.78
122,351.69
32,627.12
42,584.75
74,807.83
24,234.56
8,053.87
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78
8,156.78

40 of 86

Item
No.

Disburs. Category
Cat Description

2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108

2a
BI Statement
Date Of
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
9
9
9
9

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
59
61
63
64
65
66
67
68
69
71
72
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
95
96
97
98
99

3a
Office
Issuing
SP2D

RUTENG
RUTENG
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
MAKALE
MARISA
MARISA
PADANG
KUPANG
KUPANG
KUPANG
KUPANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
KUPANG
PADANG
PADANG
PADANG
KUPANG
KUPANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
PADANG
POSO
POSO
POSO
POSO
POSO

3b
Cross-Ref
SP2D
No.

509607N
509668N
835820K
835821K
835822K
835823K
835824K
835825K
835826K
835827K
835828K
835829K
835830K
059331L
039344L
039351L
094872N
240265N
240267N
240268N
240269N
094657N
094658N
094660N
094720N
094721N
094722N
094723N
236044O
094810N
236312O
236088O
236677O
240270N
236678O
236679O
236685O
240495N
240497N
236606O
236607O
236600O
236601O
236603O
236604O
236605O
236602O
236608O
236609O
236610O
236632O
236631O
094651N
094652N
924085N
924086N
924087N
924088N
924089N

4
Date of
Payment
(SP2D)

21/12/2009
22/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
21/12/2009
21/12/2009
17/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap II
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Pembayaan Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap II
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
Tahap I
LKM PNPM Pamsimas
No. 06/Pamsimas/Kab. Kupang/2009 Tgl 02/01/
LKM
2009
PNPM Pamsimas
No. 06/Pamsimas/Kab. Kupang/2009 Tgl 09 Nov
LKM2009
PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap I SKPA
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Tahap III
Pembayaran Tahap III 9 LKM
Tahap II

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

38,500,000
462,000,000
77,000,000
77,000,000
62,512,800
58,411,500
76,986,000
58,177,000
56,308,000
74,705,400
76,496,000
62,706,000
77,000,000
693,000,000
1,155,000,000
1,078,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
31,500,000
38,500,000
30,954,210
38,094,000
38,500,000
38,500,000
38,500,000
77,000,000
38,500,000
231,000,000
38,500,000
34,014,400
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
67,062,800
77,000,000
77,000,000
70,747,600
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
847,000,000
847,000,000
231,000,000
231,000,000
924,000,000

9
WB
Financing
%

10
Amount of
WB portion
paid

38,500,000
462,000,000
77,000,000
77,000,000
62,512,800
58,411,500
76,986,000
58,177,000
56,308,000
74,705,400
76,496,000
62,706,000
77,000,000
693,000,000
1,155,000,000
1,078,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
31,500,000
38,500,000
30,954,210
38,094,000
38,500,000
38,500,000
38,500,000
77,000,000
38,500,000
231,000,000
38,500,000
34,014,400
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
67,062,800
77,000,000
77,000,000
70,747,600
77,000,000
77,000,000
77,000,000
38,500,000
38,500,000
38,500,000
38,500,000
847,000,000
847,000,000
231,000,000
231,000,000
924,000,000

11
Exchange
Rate
Applied

9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,440
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,393
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,398
9,433
9,433
9,433
9,433
9,433

12
Amount
Charged
to SA
(USD eqv)

4,078.39
48,940.68
8,156.78
8,156.78
6,622.12
6,187.66
8,155.30
6,162.82
5,964.83
7,913.71
8,103.39
6,642.58
8,156.78
73,411.02
122,351.69
114,194.92
4,098.80
8,197.59
8,197.59
8,197.59
8,197.59
4,098.80
4,098.80
4,098.80
3,353.56
4,098.80
3,295.46
4,055.57
4,098.80
4,098.80
4,098.80
8,197.59
4,098.80
24,592.78
4,098.80
3,621.25
4,098.80
8,193.23
8,193.23
8,193.23
8,193.23
8,193.23
8,193.23
7,135.86
8,193.23
8,193.23
7,527.94
8,193.23
8,193.23
8,193.23
4,096.62
4,096.62
4,096.62
4,096.62
89,791.16
89,791.16
24,488.50
24,488.50
97,953.99

41 of 86

Item
No.

Disburs. Category
Cat Description

2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
2145
2146
2147
2148
2149
2150
2151
2152
2153
2154
2155
2156
2157
2158

2a
BI Statement
Date Of
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

9
9
9
9
9
9
9
9
10
10
10
10
10
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
16
16
16
16
17
17
17
17
17
17
17
17
17
17
17
17
18
18
18
18
18
21

100
101
102
103
104
105
106
107
108
109
110
111
112
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
208
209
240

3a
Office
Issuing
SP2D

SIJUNJUNG
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
SOLOK
BARABAI
RUTENG
RUTENG
KUNINGAN
KUNINGAN
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
WATAMPONE
LUBUK LINGGAU
LUBUK LINGGAU
LUBUK LINGGAU
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
RENGAT
BATURAJA
BATURAJA
BATURAJA
PAINAN
KUNINGAN
MANOKWARI

3b
Cross-Ref
SP2D
No.

122786N
799067N
799068N
799074N
799075N
799076N
799077N
799078N
705431M
509669N
509670N
734247N
734250N
026444O
026445O
026446O
026447O
026448O
026449O
026450O
026451O
026452O
026453O
026454O
026455O
026456O
742722L
742750L
742751L
435630O
435631O
435632O
435633O
435634O
435635O
435636O
435637O
435638O
435639O
435640O
435641O
435642O
435643O
435644O
884629L
884656L
884657L
348783N
734249N
230370O

4
Date of
Payment
(SP2D)

21/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
28/12/2009
9/12/2009
22/12/2009
22/12/2009
23/12/2009
23/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
22/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
29/12/2009

5
Contract
No.
and Date
Pembayaran Tahap II
Pembayaran Tahp III
Pembayaran Tahap III
Pembayaran Tahap III
Pembayaran Tahap III
Pembayaran Tahap III
Pembayaran Tahap III
Pembayara Tahap III
Tahap II

6
Supplier/
Contractor
Name

LKM PNPM Pamsimas


LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap III SKPA
LKM PNPM Pamsimas
Pembayaran Tahap II SKPA
LKM PNPM Pamsimas
No. 16 (Tgl 12 Nov 2009) No 17-18/SPPB II/Pamsimas/PUCKTR/2009
LKM PNPM Pamsimas Tgl 14 Nov 2009
No. 01 Sd 09/SPPB II/Pamsimas/PUCKTR/2009
LKM
Tgl
PNPM
10 Nov
Pamsimas
2009
No. 10 Sd 15/SPPB II/Pamsimas/PUCKTR/2009
LKM
Tgl
PNPM
10 Nov
Pamsimas
2009
No. 398.B1/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B2/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B3/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B4/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B5/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B6/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B7/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B8/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B9/DPU-CK/Pamsimas/XI/2009 Tgl 11/11/2009
LKM PNPM Pamsimas
No. 398.B10/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B11/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B12/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B13/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B14/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
No. 398.B15/DPU-CK/Pamsimas/XI/2009 Tgl LKM
11/11/2009
PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas
LKM PNPM Pamsimas
Pembayaran Tahap I
LKM PNPM Pamsimas
Tahap III
LKM PNPM Pamsimas
LKM PNPM Pamsimas

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

357,000,000
77,000,000
47,562,364
77,000,000
77,000,000
77,000,000
77,000,000
75,878,460
77,000,000
1,155,000,000
577,500,000
693,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
231,000,000
693,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
633,423,280
538,923,000
615,889,400
38,500,000
693,000,000
1,732,500,000

9
WB
Financing
%

10
Amount of
WB portion
paid

357,000,000
77,000,000
47,562,364
77,000,000
77,000,000
77,000,000
77,000,000
75,878,460
77,000,000
1,155,000,000
577,500,000
693,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
231,000,000
693,000,000
462,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
633,423,280
538,923,000
615,889,400
38,500,000
693,000,000
1,732,500,000

11
Exchange
Rate
Applied

9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,400

12
Amount
Charged
to SA
(USD eqv)

37,845.86
8,162.83
5,042.12
8,162.83
8,162.83
8,162.83
8,162.83
8,043.94
8,162.83
122,442.49
61,221.24
73,465.49
48,977.00
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
24,488.50
73,465.49
48,977.00
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
8,162.83
67,149.72
57,131.67
65,290.94
4,081.42
73,465.49
184,308.51

42 of 86

Item
No.

Disburs. Category
Cat Description

2a
BI Statement

3a
Office
Issuing
SP2D

12/31/2009 11 21 241 MANOKWARI

2159

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

230397O

29/12/2009

860833K
949417J
949418J
853486K
853487K
853485K
853484C
853531C
853784C
853773C
853774C
853775C
853779C
853781C
853770C
853778C
853780C
853783C
853940C
853941C
853942C
853939C
854050C
854288C
854289C
854440C
854523C
854543C
854542C
854544C
854545C
854804C
854815C
854844C
854846C
854898C
855075C
855066C
855067C
855070C
855069C
855114C
855270C
855273C
855377C
855405C
855589C
855917N
856019C
856004C
856009C
856203C
856276C
856349C
856459C
856561C

23/12/2008
23/12/2008
23/12/2008
12/5/2009
12/5/2009
12/5/2009
12/5/2009
14/5/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
16/6/2009
16/6/2009
16/6/2009
16/6/2009
22/6/2009
30/06/09
1/7/2009
14/07/09
7/22/2009
7/23/2009
7/23/2009
7/23/2009
7/23/2009
5/8/2009
5/8/2009
10/8/2009
10/8/2009
12/8/2009
24/08/2009
24/08/2009
24/08/2009
24/08/2009
24/08/2009
26/08/2009
8/9/2009
8/9/2009
14/09/09
16/09/09
7/10/2009
27/10/2009
06/11/2009
06/11/2009
06/11/2009
18/11/2009
19/11/2009
24/11/2009
26/11/2009
12/4/2009

Subtotal

1696
4
2160
2161
2162
2163
2164
2165
2166
2167
2168
2169
2170
2171
2172
2173
2174
2175
2176
2177
2178
2179
2180
2181
2182
2183
2184
2185
2186
2187
2188
2189
2190
2191
2192
2193
2194
2195
2196
2197
2198
2199
2200
2201
2202
2203
2204
2205
2206
2207
2208
2209
2210
2211
2212
2213
2214
2215

Date Of

Ite
Ye Pa
m
ar ge
No

Consultant
Services

12/31/2008
12/31/2008
12/31/2008
5/15/2009
5/15/2009
5/15/2009
5/15/2009
5/15/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/23/2009
6/23/2009
6/23/2009
6/23/2009
6/23/2009
6/30/2009
7/7/2009
7/15/2009
7/23/2009
7/23/2009
7/23/2009
7/23/2009
7/23/2009
8/7/2009
8/7/2009
8/14/2009
8/14/2009
8/14/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
8/31/2009
9/15/2009
9/15/2009
9/15/2009
9/18/2009
10/7/2009
10/30/2009
11/6/2009
11/6/2009
11/6/2009
11/23/2009
11/23/2009
11/30/2009
11/30/2009
12/7/2009

10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

8
8
9
2
2
2
2
4
2
2
2
2
2
2
2
3
3
3
1
1
1
1
3
2
1
1
2
2
2
2
2
3
3
1
1
3
1
1
1
1
1
3
1
1
2
1
1
1
10
10
10
6
10
1
9
7

94
95
96
12
13
14
16
43
12
13
14
15
18
21
23
24
25
28
1
2
3
4
33
22
2
9
16
19
20
22
23
31
32
1
3
28
1
5
6
7
8
28
1
2
19
9
9
10
112
113
114
60
111
2
103
73

JAKARTA II
JAKARTA II
JAKARTA II
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA VI
JAKARTA VI
JAKARTA
JAKARTA
JAKARTA
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

12
Amount
Charged
to SA
(USD eqv)

1,155,000,000
295,068,587,243

1,155,000,000
295,068,587,243

9,400

122,872.34
30,942,705.22

MIS Specialist KU.08.08/PP/888/2008 tgl 6 Okt


Drs.
2008
Agus Wartono
14,600,000
MIS Specialist KU.08.08/PP/888/2008 tgl 6 Okt
Drs.
2008
Agus Wartono
14,600,000
MIS Specialist KU.08.08/PP/888/2008 tgl 6 Okt
Drs.
2008
Agus Wartono
14,600,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaiyanto, ST
18,000,000
Pembayaran Biaya Jasa Konsultan
Noor Aida
192,000,000
Pembayaran Biaya Jasa Konsultan
Noor Aida
96,000,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaiyanto, ST
113,269,800
Biaya Operasional Trainer da Koordinator Fasilitator
Ir Hj. Raudhati
Jan-AprilRuslan
484,000,000
Pembayaran Biaya Jasa Konsultan
Bernardus Ambat, SE
21,750,000
Pembayaran Biaya Jasa Konsultan
Ir. Andi hidayat Rizal, MT
28,000,000
Pembayaran Biaya Jasa Konsultan
Herman Umbu Reda Zogara, SP
28,000,000
Pembayaran Biaya Jasa Konsultan
Ir. Bastian Bartolens Messah
34,000,000
Pembayaran Biaya Jasa Konsultan
Apri Mdeni Matte,
21,750,000
Pembayaran Biaya Jasa Konsultan
Ir. Marten Rede Lomi
21,750,000
Pembayaran Biaya Jasa Konsultan
Vinsensia Martuti Beran, SP
21,750,000
Pembayaran Biaya Jasa Konsultan
Agustinus johannis, SE
21,750,000
Pembayaran Biaya Jasa Konsultan
Paternus Yandinatus, SH
21,750,000
Pembayaran Biaya Jasa Konsultan
Ir. Yehezkiel P Lande
21,750,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaiyanto, ST
4,500,000
Pembayaran Biaya Jasa Konsultan
Noor Aida
24,000,000
Pembayaran Biaya Jasa Konsultan
Noor Aida
48,000,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaiyanto, ST
28,317,450
Biaya Jasa Konsultan
Ir. Hj. Raudhati Ruslan, M.Pd dkk (21 Org)
132,250,000
Technical Assistance for Implementation of WSSLIC-3
Gregory Illias
286,300,000
Pembayaran Jasa Konsultan
suharno, dkk (36 Org)
173,050,000
Pembayaran Biaya Jasa Konsultan
Suharno, dkk (37 Org)
171,650,000
Pembayaran Jasa Konsultan
Ir. Hj. Raudhati Ruslan, M.Pd dkk (21 Org)
134,750,000
Pembayaran Jasa Konsultan
Panca Bagus Amaliyanto, ST dkk (3 Org)
4,500,000
Pembayaran Jasa Konsultan
Panca Bagus Amaliyanto, ST dkk (3 Org)
28,317,450
Pembayaran Biaya Jasa Konsultan
Noor Aida, dkk (8 Org)
24,000,000
Pembayaran Biaya Jasa Konsultan
Noor Aida, dkk (8 Org)
48,000,000
No. KU.02.02-ct06.1/PKPAm/029 Tgl 15/06/2009
Dra. YENNI SURYANI
303,000,000
Tehnical Assistant for Implementation WSSLIC-3
GREGORY ILIAS LEE
138,432,000
Pembayaran Biaya Jasa Konsultan
Suharno
177,050,000
Pembayaran Kekurangan Biaya Jasa Konsultan
Ir Agung Wibowo
3,400,000
Pembayaran Jasa Konsultan
Ir. Hj. Raudhati Tuslan, M.pd
121,250,000
Pembayaran Biaya Jasa Konsultan
Ir. Yehezkial PaulusLande (15 orang)
407,500,000
Pembayaran Biaya Jasa Konsultan
Noor Aida, dkk (8 Org)
24,000,000
Pembayaran Biaya Jasa Konsultan
Noor Aida, dkk (8 Org)
48,000,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaliyanto, ST dkk (3 Org)
28,317,450
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaliyanto, ST dkk (3 Org)
4,500,000
Nursiah Nukma dkk
861,000,000
Jasa Konsultan untuk Operasional Trainer danIR.
Koordinator
Hj. Raudhati
Fasilitator
Ruslan, MPD
110,500,000
Pembayaran Biaya Jasa Konsultan
Suharno
182,550,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaliyanto, ST dkk (11 Org)
104,817,450
No. KU.02.02-ct06.1/PKPAm/029 Tgl 15/06/2009
Aini Suzana
72,000,000
Pembayaran Biaya Jasa Konsultan
Suharno
185,550,000
Pembayaran Biaya Jasa Konsultan
Panca Bagus Amaiyanto, ST
104,817,450
No. KU.02.02-ct06.1/PKPAm/029 Tgl 15/06/2009
Aini Suzana
72,000,000
Jasa Konsultan untuk Operasional Trainer danIR.
Koordinator
Hj. Raudhati
Fasilitator
Ruslan, MPD
209,500,000
Pembayaran Biaya Jasa Konsultan
Suharno
189,925,000
Pembayaran Biaya Jasa Konsultan
Nursiah Nukma
550,500,000
Pembayaran Biaya Jasa Kosultan
327,750,000
Pembayaran Jasa Konsultan Tenaga Koordinator
Dra.Fasilittor
Satria Salilama
Prop. Gorontalo
Dkk (9 Orang)
102,000,000
Pembayaran Jasa Konsultan Pamsimas BulanNoor
Oktober
Aida2009
Dkk (8 Orang)
72,000,000
Pembayaran Langsung jasa Konsultan TenagaHatbar
Koord.Harun
Fasilitator
Dkk 12
Pamsimas
Org
PKPAM SULSEL-BAR Bln Okt-Nov 138,000,000
2009

14,600,000
14,600,000
14,600,000
18,000,000
192,000,000
96,000,000
113,269,800
484,000,000
21,750,000
28,000,000
28,000,000
34,000,000
21,750,000
21,750,000
21,750,000
21,750,000
21,750,000
21,750,000
4,500,000
24,000,000
48,000,000
28,317,450
132,250,000
286,300,000
173,050,000
171,650,000
134,750,000
4,500,000
28,317,450
24,000,000
48,000,000
303,000,000
138,432,000
177,050,000
3,400,000
121,250,000
407,500,000
24,000,000
48,000,000
28,317,450
4,500,000
861,000,000
110,500,000
182,550,000
104,817,450
72,000,000
185,550,000
104,817,450
72,000,000
209,500,000
189,925,000
550,500,000
327,750,000
102,000,000
72,000,000
138,000,000

11,094
11,094
11,094
10,360
10,360
10,360
10,360
10,390
10,179
10,179
10,179
10,179
10,179
10,179
10,179
10,179
10,179
10,179
10,139
10,139
10,139
10,139
10,323
10,225
10,204
10,169
10,015
10,013
10,013
10,013
10,013
9,839
9,888
9,870
9,870
9,890
9,926
9,926
9,926
9,926
9,926
9,985
9,988
9,988
9,908
9,781
9,409
9,517
9,428
9,428
9,428
9,378
9,423
9,451
9,366
9,389

1,316.03
1,316.03
1,316.03
1,737.45
18,532.82
9,266.41
10,933.38
46,583.25
2,136.75
2,750.76
2,750.76
3,340.21
2,136.75
2,136.75
2,136.75
2,136.75
2,136.75
2,136.75
443.83
2,367.10
4,734.19
2,792.92
12,811.20
28,000.00
16,959.04
16,879.73
13,454.82
449.42
2,828.07
2,396.88
4,793.77
30,795.81
14,000.00
17,938.20
344.48
12,259.86
41,053.80
2,417.89
4,835.78
2,852.86
453.35
86,229.34
11,063.28
18,276.93
10,579.07
7,361.21
19,720.48
11,013.71
7,636.83
22,221.04
20,144.78
58,701.22
34,781.92
10,792.51
7,687.38
14,698.05

LKM PNPM Pamsimas

43 of 86

Item
No.

Disburs. Category
Cat Description

2a
BI Statement

2216
2217
2218
2219
2220
2221
2222
2223
2224
2225
2226
2227

Date Of
12/7/2009
12/7/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/23/2009
12/23/2009
12/23/2009
12/31/2009

Ite
Ye Pa
m
ar ge
No
11
11
11
11
11
11
11
11
11
11
11
11

14
14
5
5
19
19
27
27
28
28
28
1

163
164
48
49
218
219
312
314
326
327
328
1

3a
Office
Issuing
SP2D

PEKANBARU
PEKANBARU
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI

3b
Cross-Ref
SP2D
No.

721437N
721438N
856750C
856727C
856795C
856794C
856915C
856896C
857429C
857430C
857431C
857380C

Subtotal

68

4
Date of
Payment
(SP2D)

7/12/200
7/12/200
9/12/2009
9/12/2009
10/12/2009
10/12/2009
15/12/2009
15/12/2009
22/12/2009
22/12/2009
22/12/2009
28/12/2009

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor
(GOI+IBRD+PPN)

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

9,408
9,408
9,423
9,423
9,388
9,388
9,425
9,425
9,505
9,505
9,457
9,393

12
Amount
Charged
to SA
(USD eqv)

BAP No. 37/BAP-Pamsimas/PKPAM/2009 TglBend.


30 Nov
Satker
2009PAM
( Pembayaran honorarium trainer pamsimas Bln Nov 14,000,000
2009)
BAP No. 38/BAP-Pamsimas/PKPAM/2009 TglBend
30 Nov
Satker
2009PAM
( Pembayaran honorarium trainer pamsimas Bln Nov 13,000,000
2009)
Pembayaran Biaya Jasa Konsultan Koord. Trainer-trainer
Elvis Tonny &
Giri,
Koord.
ST Dkk
Fasilitator
(14Org)Utk Bln Nov sd Desember 2009 204,000,000
Pembayaran Biaya Jasa Konsultan Koord. Fasilitator
Mubin, M
Program
Dkk (41Pamsimas
Org)
Jawa tengah Utk Bln Nov 2009
128,625,000
Pembayaran Jasa Konsultan Pamsimas BulanNoor
Desember
Aida Dkk
2009
(8 Org)
72,000,000
Pembayaran Jasa Konsultan Pamsimas BulanNoor
November
Aida Dkk
2009
(8 Org)
72,000,000
Pembayaran Biaya Jasa Konsultan
Mubin, M Dkk (30 Org)
129,200,000
No. KU.02.02-ct06.1/PKPAm/029 Tgl 15/06/2009
Aini Suzanna, Dkk (8 Org)
72,000,000
Management Advisory Consultant (Individu) Gregory Ilias Lee
390,338,698.35
Management Advisory Consultant (Individu) Gregory Ilias Lee
332,675,000
Management Advisory Consultant (Individu) Gregory Ilias Lee
5,964,200
Pembayaran Biaya Jasa Konsultan
Hatbar Harun Dkk
66,000,000

14,000,000
13,000,000
204,000,000
128,625,000
72,000,000
72,000,000
129,200,000
72,000,000
390,338,698.35
332,675,000
5,964,200
66,000,000

1,488.10
1,381.80
21,649.16
13,650.11
7,669.37
7,669.37
13,708.22
7,639.26
41,066.67
35,000.00
630.67
7,026.51

8,335,116,948

8,335,116,948

850,150.38

320,375,161,386

320,375,161,386

33,557,563.86

Unallocated
Subtotal
GRAND TOTAL

*/ Please have a seperate line item if the WB' financing percentage is different
**/ Please check these ref. through Client Connection

44 of 86

1-D
Third WSLIC - PAMSIMAS
Project Cash Forecast
For the Quarter Ending 31/12/2009

Disbursement Category

(a)
GOI+WB
Cash Requirement
for Quarter ending
31/03/2010
(IDR)

(b)
GOI+WB
Cash Requirement
for Quarter ending
30/06/2010
(IDR)

(c)=(a)+(b)
Total Cash
Requirement for
next two quarters
(six months)
(IDR)

(d)
GOI
Cash Requirement
next two quarters
(six months)
(IDR)

(e)
WB
Cash Requirement
next two quarters
(six months)
(IDR)

(f)
WB
Cash Requirement
next two quarters
(six months)
(USD)

1 GOODS,WKSHOPS PT.A&E

14,052,685,145

16,948,345,456

31,001,030,601

17,883,215,601

13,117,815,000

1,410,517.74

2 GOODS,WKSHOPS PT.B

26,934,810,000

38,056,646,000

64,991,456,000

34,239,928,000

30,751,528,000

3,306,615.91

3 Grants

28,131,000,000

52,397,000,000

80,528,000,000

80,528,000,000

8,658,924.73

4 Consultant Services

31,950,171,364

40,802,903,334

72,753,074,697

23,923,824,959

48,829,249,739

5,250,456.96

101,068,666,509

148,204,894,790

249,273,561,298

76,046,968,560

173,226,592,739

18,626,515.35

Non Bank Financed (Rupiah Murni)


Total
NOTE:
Exchange rate applied = Rp/ USD

9,300

Triwulan I
RK

RM

Total

Triwulan II
RK

RM

Katag 1

8,236,035,145

5,816,650,000

14,052,685,145

9,647,180,456

7,301,165,000

Katag 2

14,249,633,000

12,685,177,000

26,934,810,000

19,990,295,000

18,066,351,000

Katag 3

28,131,000,000

28,131,000,000

52,397,000,000

Katag 4

10,641,278,830

21,308,892,534

31,950,171,364

13,282,546,129

27,520,357,205

Total

33,126,946,975

67,941,719,534

101,068,666,509

42,920,021,585

105,284,873,205

Triwulan I
Katag 3

4,731,000,000
23,400,000,000
28,131,000,000

luncuran SKPA Triwulan I


Luncuran DIPA 2009

Katag 3

1,577,000,000
50,820,000,000
52,397,000,000

Luncuran SKPA
Tahap I desa 2010

iwulan II

SEMESTER I
Total

RM

RK

16,948,345,456

17,883,215,601

13,117,815,000

38,056,646,000

34,239,928,000

30,751,528,000

52,397,000,000

80,528,000,000

40,802,903,334

23,923,824,959

48,829,249,739

148,204,894,790

76,046,968,560

173,226,592,739

Third WSLIC - PAMSIMAS


Summary Statement of Expenditures (Sum-SOE)
for those NOT Subject to Prior Review
Quarter : 4 31/12/2009
1
Item
No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85

2a

2b
BI Statement

Date Of

10/31/2008
10/31/2008
10/31/2008
10/31/2008
11/7/2008
11/7/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/14/2008
11/21/2008
11/21/2008
11/21/2008
11/21/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
11/28/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/5/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008

Year

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

Pa Item
ge No
1
1
1
1
1
1
2
4
4
4
4
4
6
6
7
7
7
1
1
2
3
1
1
1
1
2
2
2
2
2
2
2
2
3
4
4
4
5
5
6
8
8
9
9
9
9
5
6
6
7
7
7
7
8
8
8
9
9
10
10
10
10
10
10
10
10
12
12
13
13
13
13
13
13
13
1
2
3
4
4
5
5
6
7
7

2
3
4
5
8
9
21
43
44
45
46
47
63
64
72
73
74
1
9
13
32
1
6
7
8
14
15
16
17
18
19
21
22
24
45
46
47
48
53
65
90
95
96
97
101
104
56
70
71
72
73
74
75
89
90
91
106
107
108
109
110
111
116
117
118
119
136
143
144
145
146
147
148
151
152
5
14
33
37
43
48
58
71
73
80

3a
Office
Issuing
SP2D

WAINGAFU
LUBUK SIKA
LUBUK SIKA
LUBUK SIKA
KUPANG
KUPANG
PALEMBANG
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PALU
PALU
PALU
PALU
PEKALONGAN
PEKALONGAN
PEKALONGAN
MAKASAR II
KUPANG
KUPANG
KUPANG
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
RUTENG
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
PEKALONGAN
MAKASAR II
KUPANG
KUPANG
KUPANG
KUPANG
MAKASAR II
MAKASAR II
MAMUJUK
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
AMBON
AMBON
AMBON
SEMARANG I
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
BATURAJA
BATURAJA
BATURAJA
BATURAJA
TASIKMALAYA
SEMARANG I
SEMARANG I
SEMARANG I
SEMARANG I
SEMARANG I
SEMARANG I
PEKALONGAN
SEJUNJUNG
KUPANG
SRAGEN
SRAGEN
SRAGEN
PADANG
GORONTALO
SURAKARTA
KOTABARU
MAKASAR II
BATURAJA

3b
Cross-Ref
SP2D
No.

446724J
265941H
265942H
265943H
211802K
211803K
064897K
051112K
051113K
051114K
051115K
051117K
051108K
051110K
720040J
720041J
720042J
720165J
051323K
051441K
051621K
828555I
214498K
214495K
214496K
051716K
051717K
051718K
051719K
051720K
051721K
051764K
051796K
408812J
051863K
051864K
051866K
051867K
051913K
826168I
215127K
215130K
215129K
215128K
829292I
829295I
802987J
215825K
216075K
216077K
216078K
216076K
216079K
485394K
485395K
485396K
336471K
103470K
103471K
103472K
103473K
103474K
530280K
530281K
530283K
530284K
103632K
336669K
336670K
336671K
336672K
336673K
336674K
052453K
171235K
217068K
464620I
464609I
484615I
194336K
795075K
437566K
823984I
831427I
503549K

3c
Date of
Payment
(SP2D)

16/10/2008
20/10/2008
20/10/2008
20/10/2008
30/10/2008
30/10/2008
10/11/2008
5/11/2008
5/11/2008
5/11/2008
5/11/2008
5/11/2008
5/11/2008
5/11/2008
12/11/2008
12/11/2008
12/11/2008
14/11/2008
11/11/2008
12/11/2008
17/11/2008
21/11/2008
25/11/2008
25/11/2008
25/11/2008
19/11/2008
19/11/2008
19/11/2008
19/11/2008
19/11/2008
19/11/2008
20/11/2008
21/11/2008
13/11/2008
24/11/2008
24/11/2008
24/11/2008
24/11/2008
24/11/2008
26/11/2008
28/11/2008
28/11/2008
28/11/2008
28/11/2008
27/11/2008
27/11/2008
1/12/2008
3/12/2008
3/12/2008
3/12/2008
3/12/2008
3/12/2008
3/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
4/12/2008
3/12/2008
3/12/2008
3/12/2008
3/12/2008
5/12/2008
5/12/2008
5/12/2008
5/12/2008
5/12/2008
5/12/2008
5/12/2008
3/12/2008
1/12/2008
9/12/2008
5/12/2008
5/12/2008
5/12/2008
10/12/2008
9/12/2008
10/12/2008
11/12/2008
11/12/2008
10/12/2008

4
Supplier/
Contractor
Name

Bend. Pengel.
Bend. Umum
Bend. Umum
Bend. Umum
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bend. Pengel. Dinkes OI
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengel. Program Pamsimas
Bend. Pengel. Program Pamsimas
DJP JKT
DJP JKT
DJP JKT
DIRJEN PERBENDAHARAAN
Bend. Pengel. Progran Pamsimas
PT Hotel Istana Pekalongan
Bend. Pengel. Program Pamsimas
Hotel Transit II Maros
Bend. Pengel. Pro Lingk. P
Bend. Pengel. Pro Lingk. P
Bend. Pengel. Pro Lingk. P
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
PT Hotel Istana Pekalongan
Bend. Pengel. Dinas Kesehatan Kab. Batang
Bend. Pengeluaran PAMSIMAS
Bend. Pengel. Dinkes Kab
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
Bend. Pengeluaran PAMSIMAS
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN Umum U/dibikukan
Bend. Pengel. Dinkes
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bend. Pengel. Bid. PPPL
Bend. Pengel. Bid. PPPL
Bend. Pengel. Bid. PPPL
Bend. Pengel. Bid. PPPL
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN Umum U/dibikukan
Bend. Pengel. Satker Dinkes
DIRJEN PERBENDAHARAAN
BUN untuk dibukukan
BUN untuk Dibukukan
BUN untuk dibukukan
Bend. Pengel. Dinkes Sumbar
BUN untuk dibukukan
BUN untuk dibukukan
Hotel Pakarena
BUN untuk dibukukan

5
Amount of
WB portion
paid

9,000,000
4,000,000
500,000
9,000,000
15,000,000
9,000,000
74,000,000
1,000,000
500,000
500,000
200,000
9,000,000
1,000,000
500,000
1,000,000
30,000,000
2,000,000
18,000,000
9,000,000
15,000,000
3,000,000
23,472,000
2,000,000
3,450,000
14,335,000
1,800,000
500,000
1,200,000
4,500,000
5,400,000
10,000,000
5,000,000
3,600,000
9,000,000
2,500,000
9,000,000
1,000,000
1,800,000
4,500,000
18,000,000
1,000,000
9,000,000
500,000
18,000,000
78,570,000
61,000,000
4,500,000
22,550,000
2,200,000
500,000
13,825,000
2,000,000
1,000,000
1,376,000
624,000
3,200,000
2,700,000
1,000,000
17,480,000
5,400,000
9,250,000
1,000,000
1,000,000
3,000,000
500,000
2,000,000
14,000,000
1,192,400
1,998,700
9,000,000
1,000,000
12,500,000
18,000,000
5,000,000
9,000,000
1,000,000
6,800,000
9,000,000
5,400,000
29,930,000
9,000,000
1,000,000
1,000,000
23,472,000
15,000,000

6
Exchange
Rate
Applied

9,963
9,963
9,963
9,963
10,746
10,746
11,107
11,913
11,913
11,913
11,913
11,913
11,913
11,913
11,724
11,724
11,724
11,777
11,957
11,957
12,230
12,338
12,338
12,338
12,338
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,400
12,153
12,090
12,090
12,090
12,090
12,090
12,090
12,300
12,064
12,064
12,064
12,064
12,064
12,064
12,015
12,015
12,015
12,015
12,015
12,015
12,015
12,015
12,015
12,075
12,075
12,075
12,075
11,840
11,840
11,840
11,840
11,840
11,840
11,840
11,900
11,900
11,306
11,363
11,363
11,363
10,995
11,050
10,995
11,050
10,995
11,050

7
Amount
Charged
to SA
(USD eqv)
903.34
401.49
50.19
903.34
1,395.87
837.52
6,662.47
83.94
41.97
41.97
16.79
755.48
83.94
41.97
85.30
2,558.85
170.59
1,528.40
752.70
1,254.50
245.30
1,902.42
162.10
279.62
1,161.86
145.16
40.32
96.77
362.90
435.48
806.45
403.23
290.32
725.81
201.61
725.81
80.65
145.16
362.90
1,481.12
82.71
744.42
41.36
1,488.83
6,498.76
5,045.49
365.85
1,869.20
182.36
41.45
1,145.97
165.78
82.89
114.52
51.94
266.33
224.72
83.23
1,454.85
449.44
769.87
83.23
82.82
248.45
41.41
165.63
1,182.43
100.71
168.81
760.14
84.46
1,055.74
1,520.27
420.17
756.30
88.45
598.43
792.04
475.23
2,722.15
814.48
90.95
90.50
2,134.79
1,357.47

2a

2b
BI Statement

Item
No.

Date Of

86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178

12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/15/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/23/2008
12/31/2008

Year
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

Pa Item
ge No
7
7
7
9
9
10
10
10
10
10
11
11
11
13
1
1
1
2
2
3
3
3
3
3
3
3
3
5
5
5
6
6
7
7
7
11
11
12
12
13
14
15
16
16
17
17
17
17
17
17
18
19
19
21
21
21
21
21
21
21
21
22
22
22
22
22
22
22
22
22
22
22
25
26
27
28
30
30
30
34
34
34
34
34
34
34
34
34
35
35
35
35
1

81
82
83
101
102
109
110
111
112
114
120
121
123
150
2
3
6
15
23
24
25
27
28
29
31
32
33
48
49
50
70
71
72
73
76
126
129
141
142
147
158
178
180
187
193
194
195
196
197
198
215
222
224
242
243
245
246
247
248
249
251
252
253
254
255
256
257
258
259
260
261
262
293
309
321
333
350
351
354
397
398
400
401
402
403
404
405
407
410
412
415
417
1

3a
Office
Issuing
SP2D
BATURAJA
BATURAJA
BATURAJA
PADANG
PADANG
PURWOREJO
PURWOREJO
PURWOREJO
PURWOREJO
GORONTALO
SRAGEN
SRAGEN
MARISA
PATI
KUPANG
KUPANG
SEMARANG I
MAKASAR II
BUKITTINGGI
BUKITTINGGI
BUKITTINGGI
ENDE
ENDE
ENDE
ENDE
ENDE
ENDE
MARISA
ENDE
ENDE
SURAKARTA
SURAKARTA
SURAKARTA
SURAKARTA
PURWOKERTO
SURAKARTA
MAKASAR II
SEMARANG I
SEMARANG I
PADANG
SURAKARTA
PADANG
PADANG
PATI
PADANG
PADANG
PADANG
KUDUS
KUDUS
KUDUS
GORONTALO
DUWUR
MAKASAR II
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
PADANG
PADANG
PADANG
GORONTALO
KUPANG
KUPANG
KUPANG
BATURAJA
BATURAJA
BATURAJA
BATURAJA
BATURAJA
BATURAJA
BATURAJA
SUMBAWA
BATURAJA
SUMBAWA
BATURAJA
SA UFASA
BATURAJA
KUPANG

3b
Cross-Ref
SP2D
No.
530550K
530551K
530552K
194714K
194715K
836481I
836482I
836483I
836487I
795832K
484807I
484808I
696421G
196804K
218778K
218779K
338314K
832103I
260374K
260375K
260434K
180753J
180754J
180756J
180759J
180760J
180761J
696498G
180762J
180763J
438176K
438175K
438174K
438173K
730744J
436719K
833120I
338860K
338861K
346908K
439111K
847481K
847482K
197116K
847483K
847484K
847485K
485386J
485387J
485388J
796195K
854011H
833337I
220590K
220587K
220591K
220588K
220595K
220593K
220589K
220594K
220592K
220596K
220597K
220598K
220599K
220600K
220601K
220603K
220604K
220605K
220602K
846503K
848501K
848502K
796326K
211259K
221260K
221261K
530924K
530925K
530926K
530921K
530927K
530922K
530923K
530926K
530929K
530930K
530931K
530936K
530937K
221421K

3c
Date of
Payment
(SP2D)
10/12/2008
10/12/2008
10/12/2008
12/12/2008
12/12/2008
11/12/2008
11/12/2008
11/12/2008
11/12/2008
12/12/2008
12/12/2008
12/12/2008
11/12/2008
11/12/2008
16/12/2008
16/12/2008
16/12/2008
15/12/2008
10/12/2008
10/12/2008
10/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
15/12/2008
17/12/2008
17/12/2008
17/12/2008
18/12/2008
18/12/2008
18/12/2008
18/12/2008
19/12/2008
19/12/2008
17/12/2008
19/12/2008
19/12/2008
19/12/2008
1/12/2008
1/12/2008
1/12/2008
16/12/2008
18/12/2008
18/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
23/12/2008
23/12/2008
23/12/2008
18/12/2008
23/12/2008
23/12/2008
23/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
22/12/2008
24/12/2008

4
Supplier/
Contractor
Name
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
Vavi Katering/Hj. Nurhaida Zamzami
Bend. Pengel. Satker Dinkes
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
Bend. Pengel. Satker Dinkes Prov.
BUN untuk dibukukan
BUN untuk dibukukan
Hotel Grand Permai
Bend. Pengel. Dinkes Kab. Pati
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
Bend. Pengl. Dinkes Kab
BUN untuk dibukukan
BUN untuk dibukukan
Bend. Pengl. Dinkes Kab. Demak
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
CV TigaKawan Lama
Bend. Pengl. Dinkes Kab. Sukoharjo
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN untuk dibukukan
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
BUN untuk dibukukan
Bend. Prog. Link. Sehat Dinkes
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN untuk dibukukan
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Umum
Bendahara Pengeluaran
Bendahara Umum
Bendahara Umum
Bendahara Umum
Dirjen Perbendaharaan

5
Amount of
WB portion
paid
9,000,000
5,000,000
2,500,000
18,000,000
24,620,000
18,000,000
500,000
29,600,000
2,000,000
4,020,000
5,580,000
1,000,000
13,636,364
9,000,000
265,000
400,000
2,700,000
27,182,500
1,500,000
11,175,000
20,300,000
31,900,000
16,200,000
3,300,000
7,500,000
200,000
9,000,000
9,000,000
200,000
8,425,000
3,200,000
9,000,000
7,500,000
10,000,000
7,400,000
9,000,000
20,200,000
18,000,000
28,000,000
9,256,250
5,500,000
19,000,000
7,500,000
2,000,000
6,765,200
6,765,200
500,000
39,000,000
1,000,000
23,400,000
500,000
2,000,000
25,200,000
9,000,000
1,000,000
700,000
12,000,000
4,500,000
2,700,000
500,000
500,000
4,500,000
2,700,000
500,000
500,000
900,000
500,000
500,000
500,000
7,000,000
7,750,000
2,700,000
1,000,000
30,100,000
13,200,000
13,000,000
800,000
6,341,000
400,000
500,000
9,000,000
9,000,000
1,000,000
5,400,000
500,000
500,000
1,000,000
5,400,000
6,500,000
1,000,000
11,500,000
1,200,000
1,000,000

6
Exchange
Rate
Applied
11,050
11,050
11,050
10,995
10,995
11,100
11,100
11,100
11,100
11,100
11,100
11,100
11,100
11,100
11,020
11,020
11,020
11,020
11,075
11,075
11,075
11,075
11,075
11,075
11,075
11,075
11,075
10,950
10,950
10,950
10,895
10,895
10,895
10,895
10,895
10,895
10,895
10,895
10,895
10,895
10,945
10,945
10,945
11,000
10,945
10,945
10,945
11,000
11,000
11,000
11,000
11,000
10,945
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,970
10,970
10,970
11,025
10,970
10,970
10,970
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,025
11,094

7
Amount
Charged
to SA
(USD eqv)
814.48
452.49
226.24
1,637.11
2,239.20
1,621.62
45.05
2,666.67
180.18
362.16
502.70
90.09
1,228.50
810.81
24.05
36.30
245.01
2,466.65
135.44
1,009.03
1,832.96
2,880.36
1,462.75
297.97
677.20
18.06
812.64
821.92
18.26
769.41
293.71
826.07
688.39
917.85
679.21
826.07
1,854.06
1,652.13
2,569.99
849.59
502.51
1,735.95
685.24
181.82
618.11
618.11
45.68
3,545.45
90.91
2,127.27
45.45
181.82
2,302.42
818.55
90.95
63.67
1,091.41
409.28
245.57
45.48
45.48
409.28
245.57
45.48
45.48
81.86
45.48
45.48
45.48
636.65
704.87
245.57
91.16
2,743.85
1,203.28
1,179.14
72.93
578.03
36.46
45.35
816.33
816.33
90.70
489.80
45.35
45.35
90.70
489.80
589.57
90.70
1,043.08
108.84
90.14

2a

2b
BI Statement

Item
No.

Date Of

179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271

12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
12/31/2008
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
1/15/2009
3/23/2009
5/7/2009
5/15/2009
5/15/2009
5/15/2009
5/15/2009

Year
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

Pa Item
ge No
1
1
1
1
1
1
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
6
6
16
16
16
17
21
21
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
5
5
5
6
6
6
7
7
8
8
8
9
9
10
10
10
10
10
10
10
10
11
12
12
12
13
13
1
3
1
3
3
4

2
3
4
5
6
7
18
21
22
24
25
26
27
28
29
34
35
36
37
38
39
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
188
191
192
193
242
243
3
4
5
6
7
8
16
17
18
19
20
21
26
27
28
54
55
59
60
70
71
81
82
87
89
93
100
107
108
109
110
111
112
113
115
116
131
137
141
143
148
149
6
25
9
28
29
41

3a
Office
Issuing
SP2D
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
PEKANBARU
PEKANBARU
PEKANBARU
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
KUPANG
BANJARMASIN
KUPANG
KUPANG
KUPANG
BANJARMASIN
BANJARMASIN
BANJARMASIN
BANJARMASIN
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
MAKALE
MAKALE
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
TASIKMALAYA
PEKANBARU
PEKANBARU
PEKANBARU
ENDE
ENDE
SOLOK
SOLOK
ENDE
ENDE
WAINGAPU
WAINGAPU
WATAMPONE
WATAMPONE
BUKITTINGGI
BUKITTINGGI
PURWOREJO
PURWOREJO
PURWOREJO
PURWOREJO
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
WAINGAPU
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
SIJUNJUNG
Koord SP2D
BANJARMASIN
PEKANBARU
PEKANBARU
PEKANBARU
TERNATE

3b
Cross-Ref
SP2D
No.
221422K
221424K
221426K
221427K
221428K
221423K
908892K
908893K
908894K
221429K
221425K
221430K
221431K
221432K
221433K
295986K
295987K
295988K
295989K
295990K
295995K
221497K
295828K
221498K
221499K
221500K
295982K
295983K
295984K
295985K
221501K
221502K
221503K
221504K
221505K
221506K
221507K
221508K
221509K
909345K
909336K
909319K
909272K
555855H
555856H
339614K
339615K
339616K
339617K
339618K
339619K
939479K
939480K
939481K
939482K
939483K
939484K
215277L
215278L
215279L
555274K
555277K
420427J
420428J
555275K
555276K
448578J
448579J
703129J
703131J
258430K
261681K
819608K
819609K
819611K
819612K
448056J
448057J
448577J
447586J
447654J
171477K
171972K
172120K
172123K
172128K
172129K
867667
779247K
664030L
664174L
664175L
338190L

3c
Date of
Payment
(SP2D)
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
23/12/2008
23/12/2008
23/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
31/12/2008
9/1/2009
9/1/2009
9/1/2009
9/1/2009
9/1/2009
9/1/2009
31/12/2008
31/12/2008
31/12/2008
24/12/2008
24/12/2008
31/12/2008
31/12/2008
24/12/2008
24/12/2008
17/12/2008
17/12/2008
3/12/2008
3/12/2008
19/11/2008
19/11/2008
24/12/2008
24/12/2008
24/12/2008
24/12/2008
5/12/2008
5/12/2008
17/12/2008
21/11/2008
25/11/2008
4/12/2008
17/12/2008
17/12/2008
17/12/2008
18/12/2008
18/12/2008
5/5/2009
11/5/2009
12/5/2009
12/5/2009
13/5/2009

4
Supplier/
Contractor
Name
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Bendahara Umum
Bendahara Umum
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
Dirjen Perbendaharaan Jakarta
bun
bun
bun
bun
bun
bun
bun
bun
bun
bun
bun
Sari Mustika
BUN
bun
bun
bun
bun
bun
bun
Bend. Pengel. PAMSIMAS
Bend. Pengel. PAMSIMAS
Bend. Pengl. Satker Dinkes.
bun
bun
bun
bun
bun
Bend Pengel. Dinkes Kasel
Bedn. Pengel Satker Pengeb Knrja
Bedn. Pengel Satker Pengeb Knrja
Bedn. Pengel Satker Pengeb Knrja
Dinkes Prop Malut

5
Amount of
WB portion
paid
1,000,000
500,000
7,000,000
2,000,000
30,000,000
5,400,000
5,400,000
1,000,000
1,000,000
18,000,000
9,000,000
1,000,000
1,200,000
9,000,000
5,400,000
7,500,000
41,300,000
500,000
1,500,000
10,800,000
2,000,000
200,000
8,500,000
100,000
22,001,000
18,000,000
7,600,000
2,000,000
16,100,000
6,600,000
1,000,000
500,000
1,200,000
9,000,000
5,400,000
500,000
7,000,000
9,000,000
1,658,000
1,500,000
53,700,000
26,100,000
6,000,000
38,242,000
28,800,000
2,035,100
3,000,000
23,199,300
5,360,000
1,100,000
10,873,900
8,610,000
2,500,000
1,000,000
1,200,000
1,250,000
3,600,000
2,000,000
6,900,000
975,000
1,100,000
1,650,000
500,000
1,000,000
800,000
200,000
1,000,000
1,000,000
1,000,000
500,000
3,200,000
9,000,000
2,200,000
16,056,500
4,250,000
13,250,000
2,200,000
800,000
7,500,000
9,000,000
9,000,000
14,000,000
23,916,000
9,779,000
500,000
2,000,000
2,950,000
1,000,000
1,000,000
14,000,000
13,000,000
30,000,000
94,240,000

6
Exchange
Rate
Applied
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
11,094
10,895
10,895
10,895
10,895
10,950
10,950
10,885
10,885
10,885
10,885
10,885
10,885
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
10,995
11,120
11,120
11,120
11,120
11,120
11,120
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,221
11,168
11,168
11,168
11,168
11,168
11,168
11,168
11,168
12,224
10,452
10,256
10,360
10,360
10,272

7
Amount
Charged
to SA
(USD eqv)
90.14
45.07
630.97
180.28
2,704.16
486.75
486.75
90.14
90.14
1,622.50
811.25
90.14
108.17
811.25
486.75
676.04
3,722.73
45.07
135.21
973.50
180.28
18.03
766.18
9.01
1,983.14
1,622.50
685.05
180.28
1,451.23
594.92
90.14
45.07
108.17
811.25
486.75
45.07
630.97
811.25
149.45
137.68
4,928.87
2,395.59
550.71
3,492.42
2,630.14
186.96
275.61
2,131.31
492.42
101.06
998.98
783.08
227.38
90.95
109.14
113.69
327.42
181.90
627.56
88.68
98.92
148.38
44.96
89.93
71.94
17.99
89.12
89.12
89.12
44.56
285.18
802.07
196.06
1,430.93
378.75
1,180.82
196.06
71.29
668.39
805.87
805.87
1,253.58
2,141.48
875.63
44.77
179.08
264.15
81.81
95.68
1,365.05
1,254.83
2,895.75
9,174.45

2a

2b
BI Statement

Item
No.

Date Of

272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364

6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/5/2009
6/15/2009
6/15/2009
6/15/2009
6/15/2009
6/30/2009
7/15/2009
7/15/2009
7/15/2009
7/15/2009
7/15/2009
7/15/2009
7/15/2009
8/7/2009
8/7/2009
8/7/2009
8/14/2009
8/14/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
8/21/2009
9/7/2009
9/7/2009
9/7/2009
9/15/2009
9/15/2009
9/15/2009
9/15/2009
9/15/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
9/18/2009
10/7/2009
10/7/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/23/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
10/30/2009
11/6/2009
11/6/2009
11/6/2009
11/6/2009
11/13/2009
11/23/2009
11/23/2009
11/23/2009
11/23/2009

Year

Pa Item
ge No

11 1
1
11 1
2
11 1
5
11 2 16
11 2 17
11 2 19
11 2 20
11 2 22
11 3 27
11 3 30
11 1
7
11 1
5
11 2 13
11 2 14
11 1
6
11 1
3
11 1
4
11 1
5
11 1 10
11 1 11
11 2 12
11 2 13
11 1
1
11 1
2
11 5 52
11 3 35
11 4 36
11 1
1
11 1
2
11 1
3
11 1
4
11 1
5
11 1
6
11 1
7
11 1
8
11 1
9
11 1 10
11 1 11
11 1 10
11 1 11
11 2 23
11 3 24
11 3 25
11 1
6
11 1
9
11 1 10
11 1 11
11 3 26
11 1
1
11 1
2
11 1
3
11 1
4
11 1
5
11 1
6
11 1
7
11 1
8
11 1 10
11 1 11
11 2 12
11 2 22
11 2 23
11 3 24
11 3 25
11 3 26
11 3 27
11 3 28
11 1 10
11 1 11
11 1 10
11 1 11
11 3 35
11 4 36
11 4 37
11 4 38
11 4 39
11 4 45
11 2 23
11 3 24
11 3 25
11 3 26
11 3 27
11 3 28
11 3 29
11 3 33
11 1
8
11 2 13
11 6 67
11 6 71
11 3 30
11 2 12
11 2 14
11 5 58
11 10 113

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

3c
Date of
Payment
(SP2D)

PEKANBARU
PEKANBARU
GORONTALO
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
PEKANBARU
TERNATE
PALEMBANG
GORONTALO
KUPANG
KUPANG
GORONTALO
PEKANBARU
PEKANBARU
PEKANBARU
MAKASSAR II
MAKASSAR II
MAKASSAR II
MAKASSAR II
TERNATE
TERNATE

935910L
935911L
536832L
853776C
853777C
853772C
853771C
853782C
936182L
026049M
040360M
538446L
175397M
175398M
160349M
939942L
939943L
939944L
943899L
943900L
943901L
943902L
521220M
521221M

1/6/2009
1/6/2009
27/5/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
3/6/2009
8/6/2009
12/6/2009
19/6/2009
19/6/2009
23/6/2009
10/7/2009
10/7/2009
10/7/2009
14/07/09
14/07/09
14/07/09
14/07/09
3/8/2009
3/8/2009

BANJARMASIN
BANJARMASIN
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
JAKARTA
MAKASSAR II
MAKASSAR II
PEKANBARU
PEKANBARU
PEKANBARU
JAKARTA VI
TERNATE
PALEMBANG
PALEMBANG
PADANG
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
JAKARTA VI
SERANG
SERANG
SERANG
SERANG
SERANG
SERANG
SERANG
PEKANBARU
PEKANBARU
BANJARMASIN
BANJARMASIN
PADANG
PADANG
PADANG
PADANG
PADANG
SERANG
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
MAKASAR II
SEMARANG II
KUPANG
PEKANBARU
PEKANBARU
SEMARANG II
SEMARANG II
JAKARTA VI
TERNATE
BANJARMASIN
JAKARTA IV
MAKASAR II

104785M
104786M
854975C
854954C
854959C
854960C
854961C
854962C
854963C
854964C
854965C
854966C
854974C
583053M
583054M
456117M
456118M
456119M
855309C
525194M
824062M
824063M
076920N
855396C
855397C
855398C
855399C
855401C
855402C
855403C
855404C
855400C
855406C
855407C
615286M
615287M
615288M
615289M
615290M
615334M
615335M
459560M
459561M
810194M
810195M
080141N
080142N
080143N
080155N
080180N
617838M
589282M
589284M
589285M
589287M
589292M
589293M
296961M
230798N
714753N
714673N
297474M
257475M
856059C
803350N
815244M
367380N
828641N

13/08/09
13/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
18/08/09
25/08/2009
25/08/2009
3/9/2009
3/9/2009
3/9/2009
9/9/2009
9/9/2009
8/9/2009
8/9/2009
15/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
16/09/09
15/09/09
15/09/09
15/09/09
15/09/09
15/09/09
15/09/09
15/09/09
7/10/2009
7/10/2009
19/10/2009
19/10/2010
21/10/2009
21/10/2009
21/10/2009
21/10/2009
21/10/2009
20/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
28/10/2009
29/10/2009
30/10/2009
02/11/2009
02/11/2009
05/11/2009
05/11/2009
11/11/2009
11/16/2009
11/13/2009
17/11/2009
19/11/2009

4
Supplier/
Contractor
Name
Bedn. Pengel Satker Pengeb Knrja
Bedn. Pengel Satker Pengeb Knrja
Bend, Pengel Satker Dinkes
Elvis Tonny Giri, ST
Patje Jonsens Bernard Tary, SE
Johanis Djami Radjalangu, SH
Lukas Melkianus Daulima,
Petrus Nahak, SKM. Mkes
Bend. Pengel airminum
Dinkes Prop Malut
Dirjen Perbendaharaan
Bend. Pengel. Dinkes Gorontalo
Bend. Pengel Dinkes Prop NTT
Bend. Pengel Dinkes Prop NTT
bend. Pengel dinkes gorintalo
Bend. Pengel Satker Pamsimas Riau
Bend. Pengel Satker Pamsimas Riau
Bend. Pengel Satker Pamsimas Riau
Dinkes Prop Sulsel
Dinkes Prop Sulsel
Dinkes Prop Sulsel
Dinkes Prop Sulsel
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
REK. PENERIMAAN PINJ/HIBAH
Bend Pengel Satker Dinkes Kalsel
Bend Pengel Satker Dinkes Kalsel
Elisa Moshe J Tanahi
Bambang Apriyanto
Kaimudin
Abd. Basit, S.sos
Tahir Koniyo, SE
Totok Harianto, SKM
Ir. Kunarto
Dra. Satria Salilama
Sultoni, Ir
M Taufik
Ridar D.K. Silalahi, SP
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bend Pengel Trainer Pengeb.
Bend Pengel Satker Pengeb
Bend Pengel Satker Pengeb
Nirmala Dewi
Bend Pengel Dinkes Prop Malut
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bend Pengel Satker Dinkes Sumbar
Tahir Koniyo, SE
Totok Harianto, SKM
M. Taufik
Mustajab, S.IP
Kaimudin
Abd. Basit, S.sos
Dra. Satria Salilama
Sultoni, Ir
Ir. Kunarto
Elisa Moshe J Tanahi
Ridar D.K. Silalahi, SP
BUN
bun
bun
bun
bun
Bend Pengel Dinkes Prop Banten
Bend Pengel Dinkes Prop Banten
Bend Pengel Satker Pengeb
Bend Pengel Satker Pengeb
Satker Dinkes Prop Kalsel
Satker Dinkes Prop Kalsel
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
BUN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
DIRJEN PERBENDAHARAAN
Bend Pengel Dinkes Prop Jateng
Bend Pengel Dinkes Prop NTT
Bend Pengel Satker Pengeb
Bend Pengel Satker Pengeb
Bend Pengel Dinkes Prop Jateng
Bend Pengel Dinkes Prop Jateng
Nirmala Dewi
Bend Pengel Dinkes MU
BP Bidang Yankes, Dinkes
Pby.biy PDDN
Hotel Darma Nusantara

5
Amount of
WB portion
paid
14,000,000
13,000,000
24,770,000
21,750,000
21,750,000
21,750,000
21,750,000
28,000,000
30,000,000
78,400,000
557,280,000
32,240,000
46,120,000
7,200,000
24,650,000
14,000,000
13,000,000
30,000,000
86,600,000
2,000,000
3,600,000
2,000,000
3,000,000
3,000,000
707,897,114
30,800,000
45,100,000
42,000,000
66,500,000
40,000,000
40,000,000
18,000,000
18,000,000
40,000,000
42,000,000
42,000,000
42,000,000
42,000,000
489,760,000
2,750,000
14,000,000
13,000,000
30,000,000
182,250,000
57,720,000
8,000,000
322,790,000
2,000,000
6,000,000
6,000,000
6,000,000
12,000,000
8,000,000
8,000,000
6,000,000
6,000,000
8,000,000
6,000,000
6,000,000
1,000,000
2,000,000
30,000,000
40,640,000
18,000,000
12,760,000
1,000,000
14,000,000
13,000,000
38,620,000
22,600,000
5,768,500
185,280,000
3,000,000
560,000
1,980,000
104,000,000
15,400,000
1,990,000
1,950,000
101,376,000
4,010,000
1,000,000
41,570,000
41,400,000
13,000,000
14,000,000
41,570,000
41,570,000
126,000,000
48,000,000
59,652,450
314,561,000
19,008,000

6
Exchange
Rate
Applied
10,212
10,212
10,263
10,179
10,179
10,179
10,179
10,179
10,179
10,112
9,935
10,190
10,323
10,323
10,130
10,096
10,096
10,096
10,169
10,169
10,169
10,169
9,841
9,841
9,920
9,880
9,880
9,930
9,930
9,930
9,930
9,930
9,930
9,930
9,930
9,930
9,930
9,930
9,960
9,960
10,099
10,099
10,099
9,875
9,875
9,875
9,875
9,886
9,781
9,781
9,781
9,781
9,781
9,781
9,781
9,781
9,781
9,781
9,781
9,580
9,580
9,580
9,580
9,580
9,580
9,580
9,409
9,409
9,318
9,318
9,428
9,428
9,428
9,428
9,428
9,480
9,637
9,637
9,637
9,637
9,637
9,637
9,637
9,497
9,562
9,562
9,458
9,458
9,373
9,301
9,301
9,358
9,423

7
Amount
Charged
to SA
(USD eqv)
1,370.94
1,273.01
2,413.52
2,136.75
2,136.75
2,136.75
2,136.75
2,750.76
2,947.24
7,753.16
56,092.60
3,163.89
4,467.69
697.47
2,433.37
1,386.69
1,287.64
2,971.47
8,516.08
196.68
354.02
196.68
304.85
304.85
71,360.60
3,117.41
4,564.78
4,229.61
6,696.88
4,028.20
4,028.20
1,812.69
1,812.69
4,028.20
4,229.61
4,229.61
4,229.61
4,229.61
49,172.69
276.10
1,386.28
1,287.26
2,970.59
18,455.70
5,845.06
810.13
32,687.59
202.31
613.43
613.43
613.43
1,226.87
817.91
817.91
613.43
613.43
817.91
613.43
613.43
104.38
208.77
3,131.52
4,242.17
1,878.91
1,331.94
104.38
1,487.94
1,381.66
4,144.67
2,425.41
611.85
19,652.10
318.20
59.40
210.01
10,970.46
1,598.01
206.50
202.35
10,519.46
416.10
103.77
4,313.58
4,359.27
1,359.55
1,464.13
4,395.22
4,395.22
13,442.87
5,160.74
6,413.55
33,614.13
2,017.19

2a

2b
BI Statement

Item
No.

Date Of

365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454

11/30/2009
11/30/2009
11/30/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/7/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/15/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/23/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009
12/31/2009

454

Year
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

TOTAL

Pa Item
ge No
9
10
10
8
15
15
15
15
16
2
2
2
2
2
2
2
4
4
4
5
12
20
20
21
21
21
21
22
26
27
36
1
10
11
11
11
11
11
13
13
26
26
26
26
27
27
27
27
27
29
48
5
6
6
10
11
11
11
11
11
12
12
12
12
12
14
14
14
14
14
15
18
18
18
18
19
19
19
20
20
20
20
20
20
20
20
20
20
20
20

98
117
118
90
172
173
174
175
184
15
16
17
18
19
20
23
39
40
41
53
132
232
239
241
243
245
246
254
311
313
427
1
118
123
124
125
126
127
148
149
308
309
310
311
312
313
314
315
316
339
564
58
60
62
118
122
123
128
130
131
132
135
136
137
139
161
162
163
164
165
172
207
210
211
212
217
226
227
228
229
230
231
232
233
234
235
236
237
238
239

3a
Office
Issuing
SP2D
TERNATE
KUPANG
KUPANG
MAMUJUK
MAKASSAR II
MAKASSAR II
MAKASSAR II
MAKASSAR II
JAKARTA IV
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
MAMUJUK
MAMUJUK
MAMUJUK
AMBON
KUPANG
AMBON
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
JAKARTA VI
JAKARTA VI
SEMARANG II
JAKARTA VI
KUPANG
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
TERNATE
TERNATE
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
SEMARANG II
PADANG
PADANG
PADANG
BANJARMASIN
MAKASAR II
MAKASAR II
BANDUNG II
BANDUNG II
BANDUNG II
BANDUNG I
BANDUNG I
BANDUNG I
PALEMBANG
JAKARTA IV
SERANG
SERANG
SERANG
ENDE
ENDE
GORONTALO
RUTENG
KUNINGAN
MAMUJUK
MAMUJUK
BANJARMASIN
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG
SEMARANG

3b
Cross-Ref
SP2D
No.
804505N
234487N
234488N
579962N
831259N
831261N
831278N
831279N
375944N
984023N
984024N
984027N
984028N
984031N
984067N
984022N
580063N
580065N
580332N
657860N
237163N
658592N
984714N
984728N
984761N
984700N
984686N
984762N
856914C
856916C
985216N
857030C
238867N
985710O
985711O
985712O
985713O
985714O
809962N
809963N
985853N
986095N
986096N
986097N
985849N
985864N
985865N
985868N
985992N
985863N
986252N
094895N
236224O
236225O
061054O
835154N
835155N
321957N
321958N
321959N
321960N
321966N
321967N
037730O
388193N
789440N
789441N
789442N
514900N
514901N
556011N
509917N
734252N
581772N
581778N
061085O
986636N
986637N
986638N
986639N
986640N
986641N
986642N
986643N
986644N
986645N
986646N
986647N
986648N
986649N

3c
Date of
Payment
(SP2D)
25/11/2009
30/11/2009
30/11/2009
30/11/2009
7/12/200
7/12/200
7/12/200
7/12/200
7/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
8/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
9/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
11/12/2009
14/12/2009
15/12/2009
15/12/2009
15/12/2009
16/12/2009
16/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
17/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
21/12/2009
22/12/2009
23/12/2009
28/12/2009
28/12/2009
28/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
30/12/2009
30/12/2009
30/12/2009
30/12/2009
30/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
29/12/2009
21/12/2009
21/12/2009
21/12/2009
28/12/2009
21/12/2009
16/12/2009
16/12/2009
29/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009
31/12/2009

4
Supplier/
Contractor
Name
Bend Pengel Dinkes Prop Malut
Bend Pengel Dinkes Prop NTT
Bend Pengel Dinkes Prop NTT
Bendh. Pengeluaran Prog. Lingk. Sehat
BP. Dinkes Sulsel
BP. Dinkes Sulsel
CV. Putra Perkasa Mandiri
CV. Putra Perkasa Mandiri
Dirjen Perbendaharaan
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Pengeluaran Program
Bend. Pengeluaran Program
Bend. Pengeluaran Program
Bend. Peng. Dinkes
Bend. Peng. Dinkes Prop. NTT
Bend. Peng. Dinkes
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes. Prop. Jateng
Ir. Hj. Raudhati Ruslan, M. Pd Dkk
Dra. Satria Salilama dkk (8 Org)
Bend. Pengeluaran Dinkes Prop. Jateng
Parham, Sp dkk
Bend. Peng. Dinkes NTT
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
PT. Kimia Farma, TD
CV. Ajido
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
Bend. Peng. Dinkes Prop. Jateng
CV. Natana sejatera Semarang
Bend. Peng. Dinkes Prop. Jateng
Bend. Pengl. Satker Dns. Kes
Bend. Pengl. Satker Dns. Kes
Bend. Pengl. Satker Dns. Kes
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Subrkun Kuasa BUN Pusat
Dirjen Perbendaharaan
BUN
BUN
BUN
LKM Desa Kolisia B
LKM Desa Kolisia B
LKM
LKM
LKM
Ben.Peng.Program
LKM
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan
Dirjen Perbendaharaan

5
Amount of
WB portion
paid
57,720,000
150,210,000
62,300,000
91,800,000
30,880,000
52,800,000
17,863,000
16,500,000
396,533,700
48,980,000
31,680,000
31,680,000
48,980,000
31,680,000
31,680,000
93,280,000
29,500,000
13,200,000
14,400,000
21,380,000
84,180,000
29,510,000
31,680,000
31,680,000
31,680,000
30,744,000
31,680,000
31,680,000
209,500,000
93,500,000
31,680,000
88,500,000
74,020,000
16,400,000
11,720,000
27,400,000
7,500,000
33,500,000
14,400,000
4,000,000
38,400,000
24,000,000
22,200,000
48,000,000
55,900,000
39,500,000
9,500,000
31,100,000
15,800,000
189,036,000
27,850,000
3,920,000
16,190,000
24,180,000
36,030,000
57,600,000
6,000,000
13,000,000
4,630,000
5,300,000
14,500,000
4,800,000
2,200,000
23,000,000
329,612,300
29,000,000
5,180,000
2,000,000
38,500,000
77,000,000
1,155,000,000
693,000,000
462,000,000
7,780,000
1,078,000,000
40,500,000
2,000,000
25,255,200
29,925,000
18,721,500
8,984,500
28,275,350
8,444,000
19,216,750
17,492,500
11,573,000
1,992,550
3,600,000
48,000,000
639,376,000
14,872,560,828

6
Exchange
Rate
Applied
9,413
9,433
9,433
9,436
9,408
9,408
9,408
9,408
9,408
9,401
9,401
9,401
9,401
9,401
9,401
9,401
9,448
9,448
9,448
9,423
9,388
9,395
9,395
9,395
9,395
9,395
9,395
9,413
9,425
9,425
9,425
9,433
9,438
9,438
9,438
9,438
9,438
9,438
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,451
9,457
9,457
9,393
9,393
9,393
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,386
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,433
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353
9,353

7
Amount
Charged
to SA
(USD eqv)
6,131.95
15,923.88
6,604.47
9,728.70
3,282.31
5,612.24
1,898.70
1,753.83
42,148.57
5,210.08
3,369.85
3,369.85
5,210.08
3,369.85
3,369.85
9,922.35
3,122.35
1,397.12
1,524.13
2,268.92
8,966.77
3,141.03
3,372.01
3,372.01
3,372.01
3,240.45
3,372.01
3,365.56
22,228.12
9,920.42
3,361.27
9,381.96
7,842.76
1,737.66
1,241.79
2,903.16
794.66
3,549.48
1,523.65
423.24
4,063.06
2,539.41
2,348.96
5,078.83
5,914.72
4,179.45
1,005.18
3,290.66
1,671.78
19,989.00
2,944.91
417.33
1,723.62
2,574.26
3,838.70
6,136.80
639.25
1,385.04
493.29
564.67
1,544.85
511.40
234.39
2,450.46
35,117.44
3,116.72
549.14
212.02
4,081.42
8,162.83
122,442.49
73,465.49
48,977.00
824.76
114,279.66
4,330.16
213.84
2,700.22
3,199.51
2,001.66
960.60
3,023.13
902.81
2,054.61
1,870.26
1,237.36
213.04
384.90
5,132.04
68,360.53
1,520,054.86

1-B
#REF!
Summary Sheet for Payments of Contracts Subject to Prior Review
Quarter : 3 30/09/2009

1
Item
No.

2
Disbursement Category
Cat No.

Description

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

Ln/Cr/TF No. : Cr 4204


Sheet No.
10
11
Amount of
Exchange
WB portion
Rate
paid
Applied

(GOI+IBRD+PPN)

(1)

GOODS,WKSHOPS PT.A&E

(2)

GOODS,WKSHOPS PT.B

(3)

.
Grants

(4)

Consultant Services

12
Amount
Charged
to SA
(USD eqv)

Subtotal

Subtotal

Subtotal

Jakarta

854522C

2
3

Jakarta

855301C

(5)

22/7/2009 KU.08.08/Kontrak/Pamsimas/20/III/2009 PT. Lenggogeni


2/3/2009
KU.08.11/Pamsimas/484/X/2009
26/10/2009
9/9/2009
PT. Lenggogeni

45,346,794,200

301,275,960

10,015

30,082.47

483,337,544

9,875

48,945.57

Unallocated
Subtotal
GRAND TOTAL

*/ Please have a seperate line item if the WB' financing percentage is different
**/ Please check these ref. through Client Connection

784,613,504

79,028.05

13
WB's
contract
ref.
**/

1-C

#REF!
Summary Statement of Expenditures (Sum-SOE)
for those NOT Subject to Prior Review
Quarter : 3 30/09/2009

1
Item
No.

2
Disbursement Category
Cat No.

Description

(1)

Category 1 */

(2)
(3)

Category 2
.
Category 3

(4)

Category 4

GRAND TOTAL

3
Threshold
for
SOEs
(USD eqv)

4
Number of
SP2D
covered

5
Country of
supplier/
consultant/
training

Ln/Cr/TF No. : Cr 4204 - IND


Sheet No. :
8
9
Amount of
Average
WB portion
Exchange
paid
Rate

6
Total Paid
to Contractors/
Expenditures
(GOI+IBRD+PPN)

7
WB
Financing
%

284,161,000.00

100

284,161,000.00

10,290.44

27,614.08

223 Indonesia

2,492,627,946.00

100

2,492,627,946.00

10,667.71

233,661.10

304 Indonesia

49,841,487,289.00

100

49,841,487,289.00

10,558.23

4,720,628.59

538

52,618,276,235.00

100

52,618,276,235.00

10,561.88

4,981,903.76

11

*/ Please have a seperate line item if the WB' financing percentage is different

must reconcile with


form 1A Item 11

10
Amount
Charged
to SA
(USD eqv)

1-C2
Third WSLIC - PAMSIMAS
Statement of Expenditures for those NOT Subject to Prior Review
Quarter : 3 30/09/2009
1
Item
No.

2
Disbursement Category
Cat No.

(1)

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

(GOI+IBRD+PPN)

Ln/Cr/TF No. : Cr 4204 - IND


Sheet No. :
10
11
12
Amount of
Exchange
Amount
WB portion
Rate
Charged
paid
Applied
to SA
(USD eqv)

Category 1 */

10_25-290

23-Dec-08 BANTAENG

671188 K

13/12/2008

9,000,000.00

100%

9,000,000.00

11,025

10_25-292

23-Dec-08 BANTAENG

671189 K

18/12/2008

1,000,000.00

100%

1,000,000.00

11,025

90.70

11_1-1

29-May-09 PALU

527313 L

22/5/2009

80,340,000.00

100%

80,340,000.00

10,237

7,848.00

11_1-2

29-May-09 PALU

527314 L

22/5/2009

3,600,000.00

100%

3,600,000.00

10,237

351.67

11_1-3

29-May-09 PALU

527315 L

22/5/2009

2,000,000.00

100%

2,000,000.00

10,237

195.37

11_1-4

29-May-09 PALU

527316 L

22/5/2009

2,000,000.00

100%

2,000,000.00

10,237

195.37

11_1-6

29-May-09 PALU

527478 L

25/5/2009

43,030,000.00

100%

43,030,000.00

10,279

4,186.20

11_1-7

29-May-09 PALU

527479 L

25/5/2009

2,000,000.00

100%

2,000,000.00

10,279

194.57

11_1-8

29-May-09 PALU

527480 L

25/5/2009

14,400,000.00

100%

14,400,000.00

10,279

1,400.91

10

11_1-9

29-May-09 PALU

527487 L

25/5/2009

3,000,000.00

100%

3,000,000.00

10,279

291.86

11

11_1-10

29-May-09 PALU

527488 L

25/5/2009

123,791,000.00

100%

123,791,000.00

10,279

12,043.10

Subtotal
(2)

11

284,161,000.00

816.33

284,161,000.00

27,614.08

284,161,000.00

27,614.08

Category 2

11

10_1-5

15-Sep-08 KUPANG

934096K K

10/9/2008

30,290,000.00

100%

30,290,000.00

9,278.00

3,264.71

12

11_1-2

15-Jun-09 KUPANG

233890 L

8/6/2009

3,000,000.00

100%

3,000,000.00

9,935.00

301.96

13

10_1-10

15-Sep-08 MAJENE

955044J J

9/9/2008

500,000.00

100%

500,000.00

9,438.00

52.98

14

10_1-1

31-Oct-08 SEMARANG

904627 J

24/10/2008

66,970,000.00

100%

66,970,000.00

9,913.00

6,755.78

15

10_3-28

14-Nov-08 PADANG

188866 K

13/11/2008

18,000,000.00

100%

18,000,000.00

11,853.00

1,518.60

16

10_4-42

14-Nov-08 SEMARANG I

333934 K

13/11/2008

17,500,000.00

100%

17,500,000.00

11,853.00

1,476.42

17

10_5-54

14-Nov-08 WAINGAPU

447215 J

6/11/2008

18,000,000.00

100%

18,000,000.00

11,913.00

1,510.95

18

10_5-55

14-Nov-08 WAINGAPU

447216 J

6/11/2008

32,000,000.00

100%

32,000,000.00

11,913.00

2,686.14

19

10_5-56

14-Nov-08 WAINGAPU

447217 J

6/11/2008

1,000,000.00

100%

1,000,000.00

11,913.00

83.94

20

10_6-70

14-Nov-08 PALU

720028 J

12/11/2008

16,820,000.00

100%

16,820,000.00

11,724.00

1,434.66

21

10_6-71

14-Nov-08 PALU

720027 J

12/11/2008

10,780,000.00

100%

10,780,000.00

11,724.00

919.48

22

10_4-42

21-Nov-08 SURAKARTA

435794 K

20/11/2008

10,000,000.00

100%

10,000,000.00

12,238.00

817.13

23

10_4-43

21-Nov-08 SURAKARTA

435793 K

20/11/2008

18,000,000.00

100%

18,000,000.00

12,238.00

1,470.83

24

10_4-41

28-Nov-08 PARE-PARE

660085 J

24/11/2008

5,000,000.00

100%

5,000,000.00

12,400.00

403.23

25

10_5-52

28-Nov-08 MAGELANG

724629 J

24/11/2008

9,000,000.00

100%

9,000,000.00

12,400.00

725.81

26

10_5-55

28-Nov-08 PATI

196096 K

21/11/2008

18,000,000.00

100%

18,000,000.00

12,400.00

1,451.61

27

10_9-98

28-Nov-08 PALEMBANG

068285 K

28/11/2008

5,400,000.00

100%

5,400,000.00

12,090.00

446.65

28

10_5-54

5-Dec-08 MAMUJU

802985 J

1/12/2008

6,246,000.00

100%

6,246,000.00

12,300.00

507.80

29

10_5-55

5-Dec-08 MAMUJU

802986 J

1/12/2008

700,000.00

100%

700,000.00

12,300.00

56.91

30

10_5-57

5-Dec-08 MAMUJU

802988 J

1/12/2008

2,700,000.00

100%

2,700,000.00

12,300.00

219.51

31

10_6-66

5-Dec-08 MAMUJU

802982 J

1/12/2008

1,000,000.00

100%

1,000,000.00

12,300.00

81.30

57 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

32

10_6-67

5-Dec-08 MAMUJU

802983 J

1/12/2008

3,000,000.00

100%

3,000,000.00

12,300.00

33

10_6-68

5-Dec-08 MAMUJU

802984 J

1/12/2008

500,000.00

100%

500,000.00

12,300.00

243.90
40.65

34

10_8-87

5-Dec-08 PADANG

192470 K

3/12/2008

3,998,400.00

100%

3,998,400.00

12,015.00

332.78

35

10_8-88

5-Dec-08 PADANG

192471 K

3/12/2008

1,800,000.00

100%

1,800,000.00

12,015.00

149.81

36

10_9-104

5-Dec-08 SEMARANG I

336376 K

4/12/2008

1,000,000.00

100%

1,000,000.00

12,015.00

83.23

37

10_11-120

5-Dec-08 MAGELANG

725242 J

3/12/2008

2,000,000.00

100%

2,000,000.00

12,075.00

165.63

38

10_11-121

5-Dec-08 MAGELANG

725243 J

3/12/2008

1,000,000.00

100%

1,000,000.00

12,075.00

82.82

39

10_11-122

5-Dec-08 MAGELANG

725244 J

3/12/2008

18,000,000.00

100%

18,000,000.00

12,075.00

1,490.68

40

10_11-124

5-Dec-08 KUNINGAN

226085 K

27/11/2008

9,000,000.00

100%

9,000,000.00

12,075.00

745.34

41

10_12-137

5-Dec-08 KUPANG

216689 K

4/12/2008

1,800,000.00

100%

1,800,000.00

11,840.00

152.03

42

10_12-139

5-Dec-08 KUPANG

216764 K

4/12/2008

2,700,000.00

100%

2,700,000.00

11,840.00

228.04

43

10_12-140

5-Dec-08 KUPANG

216765 K

4/12/2008

2,700,000.00

100%

2,700,000.00

11,840.00

228.04

44

10_12-141

5-Dec-08 KUPANG

216766 K

4/12/2008

3,600,000.00

100%

3,600,000.00

11,840.00

304.05

45

10_13-149

5-Dec-08 KUNINGAN

226086 K

4/12/2008

15,000,000.00

100%

15,000,000.00

11,900.00

1,260.50

46

10_14-156

5-Dec-08 TEGAL

694600 J

4/12/2008

4,500,000.00

100%

4,500,000.00

11,900.00

378.15

47

10_14-157

5-Dec-08 CILACAP

382077 I

4/12/2008

3,000,000.00

100%

3,000,000.00

11,900.00

252.10

48

10_14-158

5-Dec-08 CILACAP

382078 I

4/12/2008

500,000.00

100%

500,000.00

11,900.00

42.02

49

10_14-159

5-Dec-08 CILACAP

382079 I

4/12/2008

3,400,000.00

100%

3,400,000.00

11,900.00

285.71

50

10_14-160

5-Dec-08 CILACAP

382080 I

4/12/2008

1,000,000.00

100%

1,000,000.00

11,900.00

84.03

51

10_1-3

15-Dec-08 KUPANG

217066 K

9/12/2008

4,500,000.00

100%

4,500,000.00

11,306.00

398.02

52

10_1-4

15-Dec-08 KUPANG

217067 K

9/12/2008

500,000.00

100%

500,000.00

11,306.00

44.22

53

10_1-6

15-Dec-08 KUPANG

217069 K

9/12/2008

1,500,000.00

100%

1,500,000.00

11,306.00

132.67

54

10_1-9

15-Dec-08 GORONTALO

530689 I

5/12/2008

15,000,000.00

100%

15,000,000.00

11,363.00

1,320.07

55

10_1-10

15-Dec-08 CILACAP

382219 I

5/12/2008

38,200,000.00

100%

38,200,000.00

11,363.00

3,361.79

56

10_1-11

15-Dec-08 CILACAP

382220 I

5/12/2008

500,000.00

100%

500,000.00

11,363.00

44.00

57

10_2-12

15-Dec-08 SRAGEN

484618 I

5/12/2008

10,200,000.00

100%

10,200,000.00

11,363.00

897.65

58

10_2-13

15-Dec-08 SRAGEN

484619 I

5/12/2008

2,000,000.00

100%

2,000,000.00

11,363.00

176.01

59

10_2-20

15-Dec-08 CILACAP

382221 I

5/12/2008

17,100,000.00

100%

17,100,000.00

11,363.00

1,504.88

60

10_2-21

15-Dec-08 LAHAT

868322 J

5/12/2008

11,870,000.00

100%

11,870,000.00

11,363.00

1,044.62

61

10_2-22

15-Dec-08 LAHAT

868324 J

5/12/2008

500,000.00

100%

500,000.00

11,363.00

44.00

62

10_3-31

15-Dec-08 RANGKASBITUNG

287924 J

5/12/2008

4,700,000.00

100%

4,700,000.00

11,363.00

413.62

63

10_3-34

15-Dec-08 SRAGEN

484612 I

5/12/2008

32,000,000.00

100%

32,000,000.00

11,363.00

2,816.16

64

10_3-35

15-Dec-08 SRAGEN

484613 I

5/12/2008

1,000,000.00

100%

1,000,000.00

11,363.00

88.00

65

10_4-36

15-Dec-08 SRAGEN

484614 I

5/12/2008

18,000,000.00

100%

18,000,000.00

11,363.00

1,584.09

66

10_4-38

15-Dec-08 SRAGEN

484616 I

5/12/2008

5,400,000.00

100%

5,400,000.00

11,363.00

475.23

67

10_4-43

15-Dec-08 PELAIHARI

493085 J

9/12/2008

5,000,000.00

100%

5,000,000.00

11,050.00

452.49

68

10_4-46

15-Dec-08 GORONTALO

795073 K

9/12/2008

4,000,000.00

100%

4,000,000.00

11,050.00

361.99

69

10_4-47

15-Dec-08 GORONTALO

795074 K

9/12/2008

500,000.00

100%

500,000.00

11,050.00

45.25

70

10_5-49

15-Dec-08 KUDUS

485906 J

9/12/2008

3,200,000.00

100%

3,200,000.00

11,050.00

289.59

71

10_5-55

15-Dec-08 PELAIHARI

493084 J

9/12/2008

2,000,000.00

100%

2,000,000.00

11,050.00

181.00

72

10_6-62

15-Dec-08 SERANG

655236 J

9/12/2008

15,000,000.00

100%

15,000,000.00

11,050.00

1,357.47

73

10_6-63

15-Dec-08 BANTAENG

670474 K

9/12/2008

10,000,000.00

100%

10,000,000.00

11,050.00

904.98

74

10_7-75

15-Dec-08 LARANTUKA

292805 K

11/12/2008

34,209,000.00

100%

34,209,000.00

11,050.00

3,095.84

58 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

75

10_7-76

15-Dec-08 LARANTUKA

292806 K

11/12/2008

28,800,000.00

100%

28,800,000.00

11,050.00

76

10_7-77

15-Dec-08 LARANTUKA

292807 K

11/12/2008

1,000,000.00

100%

1,000,000.00

11,050.00

2,606.33
90.50

77

10_7-78

15-Dec-08 LARANTUKA

292808 K

11/12/2008

6,909,000.00

100%

6,909,000.00

11,050.00

625.25

78

10_5-53

23-Dec-08 MAJENE

957225 J

15/12/2008

6,000,000.00

100%

6,000,000.00

10,950.00

547.95

79

10_5-54

23-Dec-08 MAJENE

957226 J

15/12/2008

15,300,000.00

100%

15,300,000.00

10,950.00

1,397.26

80

10_5-55

23-Dec-08 MAJENE

957227 J

15/12/2008

6,000,000.00

100%

6,000,000.00

10,950.00

547.95

81

10_5-58

23-Dec-08 MAGELANG

725104 J

2/12/2008

994,500.00

100%

994,500.00

10,950.00

90.82

82

10_5-59

23-Dec-08 MAGELANG

725105 J

2/12/2008

999,100.00

100%

999,100.00

10,950.00

91.24

83

10_6-61

23-Dec-08 MAGELANG

725755 J

15/12/2008

5,000,000.00

100%

5,000,000.00

10,950.00

456.62

84

10_6-62

23-Dec-08 MAGELANG

725756 J

15/12/2008

600,000.00

100%

600,000.00

10,950.00

54.79

85

10_6-63

23-Dec-08 MAGELANG

725757 J

15/12/2008

3,600,000.00

100%

3,600,000.00

10,950.00

328.77

86

10_6-64

23-Dec-08 MAGELANG

725758 J

15/12/2008

1,200,000.00

100%

1,200,000.00

10,950.00

109.59

87

10_6-65

23-Dec-08 MAGELANG

725759 J

15/12/2008

9,000,000.00

100%

9,000,000.00

10,950.00

821.92

88

10_6-66

23-Dec-08 MAGELANG

725781 J

15/12/2008

5,400,000.00

100%

5,400,000.00

10,950.00

493.15

89

10_7-74

23-Dec-08 BANJARMASIN

293298 K

16/12/2008

12,480,000.00

100%

12,480,000.00

10,895.00

1,145.48

90

10_8-95

23-Dec-08 MAMUJU

804215 J

15/12/2008

10,000,000.00

100%

10,000,000.00

10,950.00

913.24

91

10_12-144

23-Dec-08 SEMARANG I

338891 K

18/12/2008

24,300,000.00

100%

24,300,000.00

10,895.00

2,230.38

92

10_14-161

23-Dec-08 PALU

015400 L

18/12/2008

500,000.00

100%

500,000.00

10,945.00

45.68

93

10_14-162

23-Dec-08 PALU

015401 L

18/12/2008

9,000,000.00

100%

9,000,000.00

10,945.00

822.29

94

10_14-163

23-Dec-08 PALU

015402 L

18/12/2008

9,000,000.00

100%

9,000,000.00

10,945.00

822.29

95

10_14-164

23-Dec-08 PALU

015403 L

18/12/2008

7,000,000.00

100%

7,000,000.00

10,945.00

639.56

96

10_14-165

23-Dec-08 PALU

015404 L

18/12/2008

500,000.00

100%

500,000.00

10,945.00

45.68

97

10_14-166

23-Dec-08 PALU

015405 L

18/12/2008

1,000,000.00

100%

1,000,000.00

10,945.00

91.37

98

10_14-167

23-Dec-08 PALU

015492 L

18/12/2008

18,000,000.00

100%

18,000,000.00

10,945.00

1,644.59

99

10_15-168

23-Dec-08 PALU

015493 L

18/12/2008

1,000,000.00

100%

1,000,000.00

10,945.00

91.37

100

10_15-169

23-Dec-08 PALU

015494 L

18/12/2008

500,000.00

100%

500,000.00

10,945.00

45.68

101

10_15-170

23-Dec-08 PALU

015495 L

18/12/2008

700,000.00

100%

700,000.00

10,945.00

63.96

102

10_15-171

23-Dec-08 PALU

015496 L

18/12/2008

4,500,000.00

100%

4,500,000.00

10,945.00

411.15

103

10_15-172

23-Dec-08 PALU

015497 L

18/12/2008

2,700,000.00

100%

2,700,000.00

10,945.00

246.69

104

10_15-173

23-Dec-08 PALU

015498 L

18/12/2008

4,500,000.00

100%

4,500,000.00

10,945.00

411.15

105

10_15-174

23-Dec-08 PALU

015499 L

18/12/2008

2,700,000.00

100%

2,700,000.00

10,945.00

246.69

106

10_15-175

23-Dec-08 PALU

015500 L

18/12/2008

500,000.00

100%

500,000.00

10,945.00

45.68

107

10_17-199

23-Dec-08 BANJARNEGARA

425829 K

17/12/2008

18,000,000.00

100%

18,000,000.00

11,000.00

1,636.36

108

10_19-216

23-Dec-08 GORONTALO

796196 K

16/12/2008

9,000,000.00

100%

9,000,000.00

11,000.00

818.18

109

10_19-217

23-Dec-08 GORONTALO

796235 K

16/12/2008

1,000,000.00

100%

1,000,000.00

11,000.00

90.91

110

10_19-218

23-Dec-08 GORONTALO

796238 K

16/12/2008

1,000,000.00

100%

1,000,000.00

11,000.00

90.91

111

10_23-270

23-Dec-08 SERANG

505832 K

18/12/2008

18,000,000.00

100%

18,000,000.00

11,025.00

1,632.65

112

10_23-271

23-Dec-08 SERANG

505833 K

18/12/2008

1,000,000.00

100%

1,000,000.00

11,025.00

90.70

113

10_23-272

23-Dec-08 SERANG

505834 K

18/12/2008

10,200,000.00

100%

10,200,000.00

11,025.00

925.17

114

10_23-273

23-Dec-08 SERANG

505835 K

18/12/2008

17,000,000.00

100%

17,000,000.00

11,025.00

1,541.95

115

10_23-274

23-Dec-08 SERANG

505836 K

18/12/2008

5,400,000.00

100%

5,400,000.00

11,025.00

489.80

116

10_24-287

23-Dec-08 PADANG

848448 K

23/12/2008

5,972,900.00

100%

5,972,900.00

10,970.00

544.48

117

10_25-289

23-Dec-08 PADANG

848449 K

23/12/2008

1,000,000.00

100%

1,000,000.00

10,970.00

91.16

59 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

118

10_25-291

23-Dec-08 PADANG

848450 K

23/12/2008

6,600,000.00

100%

6,600,000.00

10,970.00

119

10_26-304

23-Dec-08 KUDUS

486592 J

18/12/2008

1,500,000.00

100%

1,500,000.00

11,025.00

136.05

120

10_26-307

23-Dec-08 KUDUS

486593 J

18/12/2008

14,400,000.00

100%

14,400,000.00

11,025.00

1,306.12

121

10_27-316

23-Dec-08 SIJUNJUNG

172055 K

19/12/2008

1,000,000.00

100%

1,000,000.00

11,025.00

90.70

122

10_27-318

23-Dec-08 SIJUNJUNG

172056 K

19/12/2008

4,000,000.00

100%

4,000,000.00

11,025.00

362.81

123

10_31-360

23-Dec-08 SIJUNJUNG

172057 K

19/12/2008

500,000.00

100%

500,000.00

11,025.00

45.35

124

10_31-366

23-Dec-08 BATURAJA

530914 K

19/12/2008

700,000.00

100%

700,000.00

11,025.00

63.49

125

10_31-367

23-Dec-08 BATURAJA

530915 K

19/12/2008

4,000,000.00

100%

4,000,000.00

11,025.00

362.81

126

10_31-368

23-Dec-08 BATURAJA

530916 K

19/12/2008

2,400,000.00

100%

2,400,000.00

11,025.00

217.69

127

10_31-369

23-Dec-08 MAGELANG

805350 K

19/12/2008

12,750,000.00

100%

12,750,000.00

11,025.00

1,156.46

128

10_31-370

23-Dec-08 MAGELANG

805351 K

19/12/2008

8,225,000.00

100%

8,225,000.00

11,025.00

746.03

129

10_32-379

23-Dec-08 KUDUS

486594 J

18/12/2008

8,000,000.00

100%

8,000,000.00

11,025.00

725.62

130

10_33-386

23-Dec-08 KLATEN

013080 K

19/12/2008

36,200,000.00

100%

36,200,000.00

11,025.00

3,283.45

131

10_37-438

23-Dec-08 SEKAYU

031127 K

22/12/2008

18,000,000.00

100%

18,000,000.00

11,025.00

1,632.65

132

10_11-131

31-Dec-08 PATI

197354 K

24/12/2008

19,700,000.00

100%

19,700,000.00

10,950.00

1,799.09

133

10_12-132

31-Dec-08 LAHAT

869032 J

24/12/2008

500,000.00

100%

500,000.00

10,950.00

45.66

134

10_13-149

31-Dec-08 KUNINGAN

227328 K

23/12/2008

500,000.00

100%

500,000.00

10,950.00

45.66

135

10_14-157

31-Dec-08 RANGKASBITUNG

288491 J

24/12/2008

30,500,000.00

100%

30,500,000.00

10,950.00

2,785.39

136

10_14-158

31-Dec-08 RANGKASBITUNG

288493 J

24/12/2008

47,000,000.00

100%

47,000,000.00

10,950.00

4,292.24

137

10_14-159

31-Dec-08 RANGKASBITUNG

288494 J

24/12/2008

1,000,000.00

100%

1,000,000.00

10,950.00

91.32

138

10_14-160

31-Dec-08 RANGKASBITUNG

288497 J

24/12/2008

7,300,000.00

100%

7,300,000.00

10,950.00

666.67

139

10_15-169

31-Dec-08 KUNINGAN

227322 K

23/12/2008

1,200,000.00

100%

1,200,000.00

10,950.00

109.59

140

10_16-186

31-Dec-08 PEKANBARU

909309 K

24/12/2008

3,000,000.00

100%

3,000,000.00

10,895.00

275.36

141

10_18-209

31-Dec-08 PEKANBARU

909308 J

24/12/2008

12,250,000.00

100%

12,250,000.00

10,950.00

1,118.72

142

10_18-211

31-Dec-08 TEGAL

696164 J

24/12/2008

1,000,000.00

100%

1,000,000.00

10,950.00

91.32

143

10_18-212

31-Dec-08 TEGAL

696165 J

24/12/2008

500,000.00

100%

500,000.00

10,950.00

45.66

144

10_18-213

31-Dec-08 TEGAL

696166 J

24/12/2008

1,000,000.00

100%

1,000,000.00

10,950.00

91.32

145

10_19-220

31-Dec-08 TEGAL

696321 J

24/12/2008

9,000,000.00

100%

9,000,000.00

10,950.00

821.92

146

10_19-224

31-Dec-08 TEGAL

696322 J

24/12/2008

1,000,000.00

100%

1,000,000.00

10,950.00

91.32

147

10_19-225

31-Dec-08 TEGAL

696323 J

24/12/2008

24,975,000.00

100%

24,975,000.00

10,950.00

2,280.82

148

10_19-226

31-Dec-08 TEGAL

696324 J

24/12/2008

4,000,000.00

100%

4,000,000.00

10,950.00

365.30

149

10_19-227

31-Dec-08 TEGAL

696327 J

24/12/2008

5,400,000.00

100%

5,400,000.00

10,950.00

493.15

150

10_20-228

31-Dec-08 TEGAL

696328 J

24/12/2008

9,000,000.00

100%

9,000,000.00

10,950.00

821.92

151

10_20-229

31-Dec-08 TEGAL

696329 J

24/12/2008

5,400,000.00

100%

5,400,000.00

10,950.00

493.15

152

10_20-230

31-Dec-08 TEGAL

696330 J

24/12/2008

9,000,000.00

100%

9,000,000.00

10,950.00

821.92

153

10_20-231

31-Dec-08 TEGAL

696331 J

24/12/2008

7,000,000.00

100%

7,000,000.00

10,950.00

639.27

154

10_20-232

31-Dec-08 TEGAL

696332 J

24/12/2008

1,200,000.00

100%

1,200,000.00

10,950.00

109.59

155

10_20-238

31-Dec-08 BANJARNEGARA

425931 K

24/12/2008

51,700,000.00

100%

51,700,000.00

10,950.00

4,721.46

156

10_20-239

31-Dec-08 BANJARNEGARA

425932 K

24/12/2008

1,000,000.00

100%

1,000,000.00

10,950.00

91.32

157

10_21-240

31-Dec-08 BANJARNEGARA

425933 K

24/12/2008

19,800,000.00

100%

19,800,000.00

10,950.00

1,808.22

158

11_2-16

7-Jan-09 KOTA BARU

824304 I

24/12/2008

9,000,000.00

100%

9,000,000.00

10,863.00

828.50

159

11_3-25

7-Jan-09 KOTA BARU

824302 I

24/12/2008

500,000.00

100%

500,000.00

10,863.00

46.03

160

11_1-1

383008 I

24/12/2008

10,800,000.00

100%

10,800,000.00

10,940.00

987.20

15-Jan-09 CILACAP

601.64

60 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

161

11_1-2

15-Jan-09 CILACAP

383009 I

24/12/2008

8,500,000.00

100%

8,500,000.00

10,940.00

776.97

162

11_3-31

15-Jan-09 MAGELANG

805042 K

16/12/2008

1,994,000.00

100%

1,994,000.00

11,120.00

179.32

163

11_3-32

15-Jan-09 MAGELANG

805043 K

16/12/2008

2,491,000.00

100%

2,491,000.00

11,120.00

224.01

164

11_3-34

15-Jan-09 MAGELANG

805046 K

16/12/2008

500,000.00

100%

500,000.00

11,120.00

44.96

165

11_3-35

15-Jan-09 MAGELANG

805047 K

16/12/2008

500,000.00

100%

500,000.00

11,120.00

44.96

166

11_4-36

15-Jan-09 MAGELANG

805052 K

16/12/2008

1,485,000.00

100%

1,485,000.00

11,120.00

133.54

167

11_5-56

15-Jan-09 KOTA BARU

823702 I

3/12/2008

700,000.00

100%

700,000.00

11,120.00

62.95

168

11_6-61

15-Jan-09 SOLOK

420462 J

31/12/2008

11,500,000.00

100%

11,500,000.00

11,120.00

1,034.17

169

11_8-84

15-Jan-09 LUWUK

864212 H

24/12/2008

51,700,000.00

100%

51,700,000.00

11,221.00

4,607.43

170

11_8-85

15-Jan-09 LUWUK

864213 H

24/12/2008

1,000,000.00

100%

1,000,000.00

11,221.00

89.12

171

11_8-86

15-Jan-09 LUWUK

864214 H

24/12/2008

37,800,000.00

100%

37,800,000.00

11,221.00

3,368.68

172

11_13-150

15-Jan-09 PATI

196317 K

28/11/2008

1,000,000.00

100%

1,000,000.00

11,168.00

89.54

173

11_13-151

15-Jan-09 PATI

196318 K

28/11/2008

21,600,000.00

100%

21,600,000.00

11,168.00

1,934.10

174

11_13-153

15-Jan-09 PATI

196352 K

1/12/2008

10,400,000.00

100%

10,400,000.00

11,168.00

931.23

175

11_13-154

15-Jan-09 PATI

196740 K

10/12/2008

5,400,000.00

100%

5,400,000.00

11,168.00

483.52

176

11_13-155

15-Jan-09 PATI

196741 K

10/12/2008

5,400,000.00

100%

5,400,000.00

11,168.00

483.52

177

11_14-157

15-Jan-09 PATI

197292 K

22/12/2008

16,000,000.00

100%

16,000,000.00

11,168.00

1,432.66

178

11_14-158

15-Jan-09 PATI

197293 K

22/12/2008

19,800,000.00

100%

19,800,000.00

11,168.00

1,772.92

179

11_14-160

15-Jan-09 KOTA BARU

823582 I

1/12/2008

500,000.00

100%

500,000.00

11,193.00

44.67

180

11_14-161

15-Jan-09 MAGELANG

724630 J

24/11/2008

9,000,000.00

100%

9,000,000.00

11,193.00

804.07

181

11_14-164

15-Jan-09 TEGAL

694686 J

9/12/2008

1,000,000.00

100%

1,000,000.00

11,193.00

89.34

182

11_14-166

15-Jan-09 TEGAL

695950 J

19/12/2008

20,000,000.00

100%

20,000,000.00

11,193.00

1,786.83

183

11_14-167

15-Jan-09 TEGAL

695951 J

19/12/2008

23,000,000.00

100%

23,000,000.00

11,193.00

2,054.86

184

11_1-10

15-May-09 GORONTALO

535348 L

7/5/2009

32,320,000.00

100%

32,320,000.00

10,308.00

3,135.43

185

11_2-17

15-May-09 GORONTALO

535070 L

5/5/2009

13,330,000.00

100%

13,330,000.00

10,412.00

1,280.25

186

11_2-18

15-May-09 GORONTALO

535072 L

5/5/2009

12,000,000.00

100%

12,000,000.00

10,412.00

1,152.52

187

11_2-21

15-May-09 PADANG

684408 L

12/5/2009

1,600,000.00

100%

1,600,000.00

10,360.00

154.44

188

11_2-23

15-May-09 LAHAT

872935 J

6/5/2009

37,037,546.00

100%

37,037,546.00

10,412.00

3,557.20

189

11_1-4

22-May-09 PADANG

875150 L

19/5/2009

3,000,000.00

100%

3,000,000.00

10,308.00

291.04

190

11_1-6

22-May-09 PADANG

875163 L

19/5/2009

1,000,000.00

100%

1,000,000.00

10,308.00

97.01

191

11_2-15

29-May-09 GORONTALO

536400 L

20/5/2009

1,000,000.00

100%

1,000,000.00

10,331.00

96.80

192

11_2-16

29-May-09 GORONTALO

536401 L

20/5/2009

990,000.00

100%

990,000.00

10,331.00

95.83

193

11_2-17

29-May-09 GORONTALO

536402 L

20/5/2009

2,400,000.00

100%

2,400,000.00

10,331.00

232.31

194

11_2-18

29-May-09 GORONTALO

536404 L

20/5/2009

5,130,000.00

100%

5,130,000.00

10,331.00

496.56

195

11_2-19

29-May-09 GORONTALO

536405 L

20/5/2009

13,160,000.00

100%

13,160,000.00

10,331.00

1,273.84

196

11_1-1

15-Jun-09 KUPANG

233889 L

8/6/2009

750,000.00

100%

750,000.00

9,935.00

75.49

197

11_1-5

15-Jun-09 BANJARMASIN

834003 L

5/6/2009

9,000,000.00

100%

9,000,000.00

9,935.00

905.89

11_1-6

15-Jun-09 BANJARMASIN

834004 L

5/6/2009

13,000,000.00

100%

13,000,000.00

9,935.00

1,308.51

11_1-10

15-Jun-09 PALU

529107 L

9/6/2009

68,250,000.00

100%

68,250,000.00

9,984.00

6,835.94

200

11_1-11

15-Jun-09 PALU

529108 L

9/6/2009

1,500,000.00

100%

1,500,000.00

9,984.00

150.24

201

11_2-12

15-Jun-09 PALU

529109 L

9/6/2009

1,000,000.00

100%

1,000,000.00

9,984.00

100.16

202

11_2-13

15-Jun-09 PALU

529110 L

9/6/2009

6,560,000.00

100%

6,560,000.00

9,984.00

657.05

203

11_2-14

15-Jul-09 PALU

252920 M

10/7/2009

3,000,000.00

100%

3,000,000.00

10,169.00

295.01

198
199

61 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

204

11_2-15

15-Jul-09 PALU

252919 M

10/7/2009

40,570,000.00

100%

40,570,000.00

10,169.00

205

11_2-16

15-Jul-09 PALU

252922 M

10/7/2009

2,000,000.00

100%

2,000,000.00

10,169.00

196.68

206

11_1-1

23-Jul-09 PADANG

283476 M

7/16/2009

15,000,000.00

100%

15,000,000.00

10,040.00

1,494.02

207

11_4-39

31-Jul-09 BANJARMASIN

102555 M

7/29/2009

8,000,000.00

100%

8,000,000.00

9,940.00

804.83

208

11_5-51

31-Jul-09 MAMUJU

111434 M

7/10/2009

3,000,000.00

100%

3,000,000.00

9,920.00

302.42

209

11_5-52

31-Jul-09 MAMUJU

111436 M

7/10/2009

4,500,000.00

100%

4,500,000.00

9,920.00

453.63

210

11_1-8

7-Aug-09 MAMUJU

112143 M

29/07/09

13,800,000.00

100%

13,800,000.00

9,890.00

1,395.35

211

11_1-9

7-Aug-09 MAMUJU

112144 M

29/07/09

28,820,000.00

100%

28,820,000.00

9,890.00

2,914.05

212

11_3-33

7-Aug-09 PADANG

285768 M

5/8/2009

999,500.00

100%

999,500.00

9,839.00

101.59

213

11_3-34

7-Aug-09 PADANG

285769 M

5/8/2009

1,500,000.00

100%

1,500,000.00

9,839.00

152.45

214

11_3-35

7-Aug-09 PADANG

285782 M

5/8/2009

150,640,000.00

100%

150,640,000.00

9,839.00

15,310.50

215

11_4-37

7-Aug-09 PALU

255399 M

5/8/2009

6,000,000.00

100%

6,000,000.00

9,846.00

609.38

216

11_4-38

7-Aug-09 PALU

255400 M

5/8/2009

7,200,000.00

100%

7,200,000.00

9,846.00

731.26

217

11_4-39

7-Aug-09 PALU

255401 M

5/8/2009

1,000,000.00

100%

1,000,000.00

9,846.00

101.56

218

11_4-47

7-Aug-09 PALU

255482 M

6/8/2009

1,500,000.00

100%

1,500,000.00

9,870.00

151.98

219

11_5-48

7-Aug-09 PALU

255483 M

6/8/2009

42,000,000.00

100%

42,000,000.00

9,870.00

4,255.32

220

11_5-57

7-Aug-09 MAMUJU

112311 M

4/8/2009

1,000,000.00

100%

1,000,000.00

9,920.00

100.81

221

11_3-29

14-Aug-09 PALU

255969 M

11/8/2009

13,322,000.00

100%

13,322,000.00

9,890.00

1,347.02

222

11_3-30

14-Aug-09 PEKANBARU

453615 M

12/8/2009

14,000,000.00

100%

14,000,000.00

9,890.00

1,415.57

223

11_3-31

14-Aug-09 PEKANBARU

453616 M

12/8/2009

13,000,000.00

100%

13,000,000.00

9,890.00

1,314.46

224

11_3-32

14-Aug-09 PEKANBARU

453617 M

12/8/2009

30,000,000.00

100%

30,000,000.00

9,890.00

3,033.37

225

11_4-37

31-Aug-09 MAKASSAR II

583438 M

28/08/2009

5,250,000.00

100%

5,250,000.00

10,049.00

522.44

226

11_4-38

31-Aug-09 MAKASSAR II

583439 M

28/08/2009

38,320,000.00

100%

38,320,000.00

10,049.00

3,813.31

227

11_4-39

31-Aug-09 MAKASSAR II

583440 M

28/08/2009

12,000,000.00

100%

12,000,000.00

10,049.00

1,194.15

228

11_4-40

31-Aug-09 MAKASSAR II

583441 M

28/08/2009

37,600,000.00

100%

37,600,000.00

10,049.00

3,741.67

229

11_4-41

31-Aug-09 MAKASSAR II

583442 M

28/08/2009

1,000,000.00

100%

1,000,000.00

10,049.00

99.51

230

11_3-26

7-Sep-09 BANDUNG I

248606 M

3/9/2009

24,000,000.00

100%

24,000,000.00

10,099.00

2,376.47

231

11_1-3

15-Sep-09 PALU

259129 M

7/9/2009

18,000,000.00

100%

18,000,000.00

9,988.00

1,802.16

232

11_1-4

15-Sep-09 PALU

259130 M

7/9/2009

18,000,000.00

100%

18,000,000.00

9,988.00

1,802.16

233

11_2-14

15-Sep-09 AMBON

395440 M

10/9/2009

157,270,000.00

100%

157,270,000.00

9,884.00

15,911.57

Subtotal
(3)

223

2,492,627,946

2,492,627,946

3,989.58

233,661.10

Category 3

234

10_2-22

14-Nov-08 PURWOKERTO

728569 J

11/11/2008

227,997,000.00

100%

227,997,000.00

11,107.00

235

10_3-32

14-Nov-08 KUPANG

213158 K

12/11/2008

38,500,000.00

100%

38,500,000.00

11,853.00

20,527.33
3,248.12

236

10_5-50

5-Dec-08 TASIKMALAYA

103090 K

2/12/2008

227,880,000.00

100%

227,880,000.00

12,238.00

18,620.69

237

10_5-59

5-Dec-08 PEKALONGAN

052240 K

1/12/2008

456,000,000.00

100%

456,000,000.00

12,300.00

37,073.17

238

10_7-83

5-Dec-08 ENDE

180291 J

2/12/2008

231,000,000.00

100%

231,000,000.00

12,125.00

19,051.55

239

10_4-41

15-Dec-08 PURWOKERTO

730132 J

10/12/2008

455,994,000.00

100%

455,994,000.00

10,831.00

42,100.82

240

10_3-35

23-Dec-08 MAGELANG

725497 J

10/12/2008

693,000,000.00

100%

693,000,000.00

10,950.00

63,287.67

241

10_5-56

23-Dec-08 PEKALONGAN

053021 K

15/12/2008

1,048,500,000.00

100%

1,048,500,000.00

10,950.00

95,753.42

242

10_19-219

23-Dec-08 POSO

501185 K

17/12/2008

218,809,800.00

100%

218,809,800.00

11,000.00

19,891.80

62 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

243

10_19-220

23-Dec-08 POSO

501186 K

17/12/2008

38,319,400.00

100%

38,319,400.00

11,000.00

3,483.58

244

10_19-221

23-Dec-08 POSO

501187 K

17/12/2008

346,500,000.00

100%

346,500,000.00

11,000.00

31,500.00

245

10_22-263

23-Dec-08 PADANG

848238 K

22/12/2008

346,500,000.00

100%

346,500,000.00

10,995.00

31,514.32

246

10_25-288

23-Dec-08 BANTAENG

671142 K

18/12/2008

693,000,000.00

100%

693,000,000.00

11,025.00

62,857.14

247

10_28-332

23-Dec-08 ENDE

180472 J

5/12/2008

115,500,000.00

100%

115,500,000.00

11,025.00

10,476.19

248

10_29-347

23-Dec-08 LUWUK

864101 H

19/12/2008

346,500,000.00

100%

346,500,000.00

11,025.00

31,428.57

249

10_30-352

23-Dec-08 PEKANBARU

908898 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

250

10_30-353

23-Dec-08 PEKANBARU

908899 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

251

10_30-355

23-Dec-08 PEKANBARU

908905 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

252

10_30-356

23-Dec-08 PEKANBARU

908900 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

253

10_30-357

23-Dec-08 PEKANBARU

908901 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

254

10_30-358

23-Dec-08 PEKANBARU

908902 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

255

10_30-359

23-Dec-08 PEKANBARU

908903 K

23/12/2008

38,500,000.00

100%

38,500,000.00

10,970.00

3,509.57

256

10_31-365

23-Dec-08 LUBUK SIKAPING

167148 K

18/12/2008

232,523,414.00

100%

232,523,414.00

11,025.00

21,090.56

257

10_35-409

23-Dec-08 LARANTUKA

292787 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

258

10_35-414

23-Dec-08 LARANTUKA

292788 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

259

10_37-436

23-Dec-08 SRAGEN

484949 I

16/12/2008

1,048,500,000.00

100%

1,048,500,000.00

11,025.00

95,102.04

260

10_37-440

23-Dec-08 LARANTUKA

292780 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

261

10_38-445

23-Dec-08 LARANTUKA

292783 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

262

10_38-447

23-Dec-08 LARANTUKA

292784 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

263

10_38-450

23-Dec-08 LARANTUKA

292786 K

22/12/2008

38,500,000.00

100%

38,500,000.00

11,025.00

3,492.06

264

10_39-459

23-Dec-08 LUBUK SIKAPING

166148 K

22/12/2008

36,426,460.00

100%

36,426,460.00

11,025.00

3,303.99

265

10_39-460

23-Dec-08 LUBUK SIKAPING

166150 K

22/12/2008

38,338,300.00

100%

38,338,300.00

11,025.00

3,477.40

266

10_39-461

23-Dec-08 LUBUK SIKAPING

166151 K

22/12/2008

38,267,520.00

100%

38,267,520.00

11,025.00

3,470.98

267

10_40-468

23-Dec-08 LUBUK SIKAPING

166152 K

22/12/2008

38,400,460.00

100%

38,400,460.00

11,025.00

3,483.03

268

10_40-469

23-Dec-08 LUBUK SIKAPING

166153 K

22/12/2008

34,858,180.00

100%

34,858,180.00

11,025.00

3,161.74

269

10_40-470

23-Dec-08 LUBUK SIKAPING

166154 K

22/12/2008

20,017,480.00

100%

20,017,480.00

11,025.00

1,815.64

270

10_40-471

23-Dec-08 RENGAT

416351 K

22/12/2008

346,500,000.00

100%

346,500,000.00

11,025.00

31,428.57

271

10_3-33

31-Dec-08 MASOHI

037340 K

24/12/2008

326,584,923.00

100%

326,584,923.00

11,150.00

29,290.13

272

11_1-2

824219 I

12/24/2008

346,500,000.00

100%

346,500,000.00

10,863.00

31,897.27

273

11_4-39

15-Jan-09 PELAIHARI

493091 J

10/12/2008

693,000,000.00

100%

693,000,000.00

11,120.00

62,320.14

274

11_4-42

15-Jan-09 RUTENG

410042 J

17/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

275

11_4-44

15-Jan-09 RUTENG

410045 J

17/12/2008

38,500,000.00

100%

38,500,000.00

11,120.00

3,462.23

276

11_4-46

15-Jan-09 RUTENG

410047 J

17/12/2008

38,500,000.00

100%

38,500,000.00

11,120.00

3,462.23

277

11_6-65

15-Jan-09 RUTENG

410035 J

16/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

278

11_6-67

15-Jan-09 RUTENG

410037 J

16/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

279

11_6-68

15-Jan-09 RUTENG

410038 J

16/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

280

11_6-69

15-Jan-09 RUTENG

410039 J

16/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

281

11_7-73

15-Jan-09 RUTENG

410040 J

17/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

282

11_7-74

15-Jan-09 RUTENG

410041 J

17/12/2008

77,000,000.00

100%

77,000,000.00

11,120.00

6,924.46

283

11_9-102

15-Jan-09 BUKIT TINGGI

261771 K

19/11/2008

38,495,730.00

100%

38,495,730.00

11,221.00

3,430.69

284

11_9-104

15-Jan-09 BUKIT TINGGI

261832 K

19/11/2008

28,668,710.00

100%

28,668,710.00

11,221.00

2,554.92

285

11_9-105

15-Jan-09 BUKIT TINGGI

261896 K

19/11/2008

36,867,180.00

100%

36,867,180.00

11,221.00

3,285.55

7-Jan-09 KOTA BARU

63 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

286

11_9-106

15-Jan-09 BUKIT TINGGI

261913 K

19/11/2008

37,559,480.00

100%

37,559,480.00

11,221.00

3,347.25

287

11_2-14

27-Feb-09 MAJENE

958538 J

2/24/2009

346,500,000.00

100%

346,500,000.00

11,980.00

28,923.21

288

11_2-15

27-Feb-09 SEKAYU

032305 K

2/23/2009

228,233,600.00

100%

228,233,600.00

11,980.00

19,051.22

289

11_1-2

6-Mar-09 POSO

502750 K

2/25/2009

333,700,000.00

100%

333,700,000.00

12,020.00

27,762.06

290

11_1-3

6-Mar-09 RENGAT

418111 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

291

11_1-4

6-Mar-09 RENGAT

418112 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

292

11_1-5

6-Mar-09 POSO

453068 K

2/25/2009

346,500,000.00

100%

346,500,000.00

12,020.00

28,826.96

293

11_1-6

6-Mar-09 RENGAT

418113 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

294

11_1-7

6-Mar-09 RENGAT

418114 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

295

11_1-8

6-Mar-09 RENGAT

418115 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

296

11_1-9

6-Mar-09 RENGAT

418116 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

297

11_1-10

6-Mar-09 RENGAT

418117 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

298

11_1-11

6-Mar-09 RENGAT

418118 K

2/26/2009

77,000,000.00

100%

77,000,000.00

12,020.00

6,405.99

299

11_2-12

6-Mar-09 RENGAT

418149 K

2/27/2009

693,000,000.00

100%

693,000,000.00

12,020.00

57,653.91

300

11_2-22

6-Mar-09 LAHAT

871029 J

3/2/2009

69,734,000.00

100%

69,734,000.00

12,025.00

5,799.09

301

11_1-1

13-Mar-09 POSO

502935 K

3/4/2009

629,655,800.00

100%

629,655,800.00

12,040.00

52,296.99

302

11_1-3

13-Mar-09 PALU

520705 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

303

11_1-4

13-Mar-09 PALU

520706 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

304

11_1-5

13-Mar-09 PEKANBARU

218510 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

305

11_1-6

13-Mar-09 PEKANBARU

218511 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

306

11_1-7

13-Mar-09 PEKANBARU

218512 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

307

11_1-8

13-Mar-09 PEKANBARU

218513 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

308

11_1-9

13-Mar-09 PEKANBARU

218514 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

309

11_1-10

13-Mar-09 PEKANBARU

218515 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

310

11_1-11

13-Mar-09 PEKANBARU

218516 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

311

11_2-12

13-Mar-09 PEKANBARU

218517 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

312

11_2-13

13-Mar-09 PEKANBARU

218553 L

3/10/2009

77,000,000.00

100%

77,000,000.00

11,781.00

6,535.95

313

11_2-15

13-Mar-09 PALEMBANG

079873 K

3/11/2009

38,500,000.00

100%

38,500,000.00

11,920.00

3,229.87

314

11_2-16

13-Mar-09 PALEMBANG

079874 K

3/11/2009

36,500,000.00

100%

36,500,000.00

11,920.00

3,062.08

315

11_2-17

13-Mar-09 PALEMBANG

079875 K

3/11/2009

38,500,000.00

100%

38,500,000.00

11,920.00

3,229.87

316

11_2-18

13-Mar-09 PALEMBANG

079876 K

3/11/2009

38,114,500.00

100%

38,114,500.00

11,920.00

3,197.53

317

11_2-19

13-Mar-09 PALEMBANG

079877 K

3/11/2009

37,963,000.00

100%

37,963,000.00

11,920.00

3,184.82

318

11_2-20

13-Mar-09 BUKIT TINGGI

264467 K

3/5/2009

77,000,000.00

100%

77,000,000.00

11,980.00

6,427.38

319

11_2-21

13-Mar-09 BUKIT TINGGI

264617 K

3/10/2009

75,617,360.00

100%

75,617,360.00

11,980.00

6,311.97

320

11_2-23

13-Mar-09 POSO

502981 K

3/6/2009

693,000,000.00

100%

693,000,000.00

11,980.00

57,846.41

321

11_3-25

13-Mar-09 LUBUK SIKAPING

166504 K

3/10/2009

38,379,180.00

100%

38,379,180.00

11,980.00

3,203.60

322

11_3-26

13-Mar-09 LUBUK SIKAPING

166505 K

3/10/2009

38,469,900.00

100%

38,469,900.00

11,980.00

3,211.18

323

11_3-27

13-Mar-09 LUBUK SIKAPING

166506 K

3/10/2009

76,800,920.00

100%

76,800,920.00

11,980.00

6,410.76

324

11_3-28

13-Mar-09 LUBUK SIKAPING

166507 K

3/10/2009

76,935,040.00

100%

76,935,040.00

11,980.00

6,421.96

325

11_3-29

13-Mar-09 LUBUK SIKAPING

166508 K

3/10/2009

76,676,600.00

100%

76,676,600.00

11,980.00

6,400.38

326

11_3-30

13-Mar-09 LUBUK SIKAPING

166509 K

3/10/2009

40,034,960.00

100%

40,034,960.00

11,980.00

3,341.82

327

11_3-31

13-Mar-09 LUBUK SIKAPING

166510 K

3/10/2009

69,716,360.00

100%

69,716,360.00

11,980.00

5,819.40

328

11_1-1

23-Mar-09 PALU

520869 L

3/12/2009

70,049,770.00

100%

70,049,770.00

11,920.00

5,876.66

64 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

329

11_1-2

23-Mar-09 PALU

520870 L

3/12/2009

77,743,260.00

100%

77,743,260.00

11,920.00

6,522.09

330

11_1-3

23-Mar-09 PALU

520906 L

12/3/2009

56,974,820.00

100%

56,974,820.00

11,920.00

4,779.77

331

11_1-4

7-May-09 LUBUK SIKAPING

167202 K

29/04/2009

76,939,800.00

100%

76,939,800.00

10,415.00

7,387.40

332

11_1-5

7-May-09 BATURAJA

534194 K

29/04/2009

50,319,500.00

100%

50,319,500.00

10,415.00

4,831.45

333

11_2-22

7-May-09 LUBUK SIKAPING

167267 K

5/5/2009

404,693,308.00

100%

404,693,308.00

10,505.00

38,523.88

334

11_2-15

15-May-09 GORONTALO

534972 L

5/5/2009

630,000,000.00

100%

630,000,000.00

10,412.00

60,507.11

335

11_2-19

15-May-09 GORONTALO

534074 L

5/5/2009

33,030,000.00

100%

33,030,000.00

10,412.00

3,172.30

336

11_2-20

15-May-09 LUBUK SIKAPING

167346 K

8/5/2009

76,939,800.00

100%

76,939,800.00

10,412.00

7,389.53

337

11_3-24

15-May-09 LAHAT

872936 J

6/5/2009

38,447,500.00

100%

38,447,500.00

10,412.00

3,692.61

338

11_3-25

15-May-09 LAHAT

872937 J

6/5/2009

34,091,016.00

100%

34,091,016.00

10,412.00

3,274.20

339

11_3-26

15-May-09 LAHAT

872938 J

6/5/2009

38,500,000.00

100%

38,500,000.00

10,412.00

3,697.66

340

11_3-27

15-May-09 LAHAT

872939 J

6/5/2009

37,286,039.00

100%

37,286,039.00

10,412.00

3,581.06

341

11_3-30

15-May-09 MASOHI

760382 L

7/5/2009

66,096,030.00

100%

66,096,030.00

10,412.00

6,348.06

342

11_3-31

15-May-09 MASOHI

760383 L

7/5/2009

69,098,750.00

100%

69,098,750.00

10,412.00

6,636.45

343

11_3-32

15-May-09 MASOHI

760384 L

7/5/2009

56,548,310.00

100%

56,548,310.00

10,412.00

5,431.07

344

11_3-33

15-May-09 MASOHI

760385 L

7/5/2009

76,967,100.00

100%

76,967,100.00

10,412.00

7,392.15

345

11_3-34

15-May-09 MASOHI

760386 L

7/5/2009

76,754,720.00

100%

76,754,720.00

10,412.00

7,371.76

346

11_3-35

15-May-09 MASOHI

760387 L

7/5/2009

76,974,240.00

100%

76,974,240.00

10,412.00

7,392.84

347

11_4-36

15-May-09 MASOHI

760388 L

7/5/2009

76,960,562.00

100%

76,960,562.00

10,412.00

7,391.53

348

11_4-37

15-May-09 MASOHI

760389 L

7/5/2009

76,886,796.00

100%

76,886,796.00

10,412.00

7,384.44

349

11_4-38

15-May-09 MASOHI

760390 L

7/5/2009

76,883,338.00

100%

76,883,338.00

10,412.00

7,384.11

350

11_4-47

15-May-09 MARISA

036012 L

14/5/2009

138,600,000.00

100%

138,600,000.00

10,393.00

13,335.90

351

11_1-2

22-May-09 BUKIT TINGGI

771379 L

15/5/2009

77,000,000.00

100%

77,000,000.00

10,360.00

7,432.43

352

11_1-3

22-May-09 TOLITOLI

454816 K

13/5/2009

693,000,000.00

100%

693,000,000.00

10,360.00

66,891.89

353

11_1-5

22-May-09 PADANG

875162 L

19/5/2009

133,620,000.00

100%

133,620,000.00

10,308.00

12,962.75

354

11_2-20

29-May-09 POSO

504391 L

1/5/2009

591,190,000.00

100%

591,190,000.00

10,331.00

57,224.86

355

11_2-21

29-May-09 POSO

504946 L

19/5/2009

462,000,000.00

100%

462,000,000.00

10,331.00

44,719.78

356

11_2-22

29-May-09 POSO

504947 L

19/5/2009

205,400,000.00

100%

205,400,000.00

10,331.00

19,881.91

357

11_2-23

29-May-09 MARISA

036106 L

22/5/2009

1,191,960,000.00

100%

1,191,960,000.00

10,331.00

115,377.02

358

11_3-26

29-May-09 BANJARMASIN

832444 L

26/5/2009

77,000,000.00

100%

77,000,000.00

10,268.00

7,499.03

359

11_3-29

29-May-09 BANJARMASIN

832764 L

28/5/2009

539,000,000.00

100%

539,000,000.00

10,288.00

52,391.14

360

11_1-3

5-Jun-09 BATURAJA

534829 K

28/5/2009

226,942,912.00

100%

226,942,912.00

10,263.00

22,112.73

361

11_3-35

5-Jun-09 SERANG

264211 L

3/6/2009

693,000,000.00

100%

693,000,000.00

10,039.00

69,030.78

362

11_4-37

5-Jun-09 SIJUNJUNG

174909 K

30/3/2009

76,988,380.00

100%

76,988,380.00

10,039.00

7,668.93

363

11_4-38

5-Jun-09 SIJUNJUNG

174910 K

30/3/2009

70,093,940.00

100%

70,093,940.00

10,039.00

6,982.16

364

11_4-39

5-Jun-09 SIJUNJUNG

174911 K

30/3/2009

66,883,628.00

100%

66,883,628.00

10,039.00

6,662.38

365

11_4-41

5-Jun-09 SEKAYU

032695 L

27/3/2009

228,233,600.00

100%

228,233,600.00

10,039.00

22,734.69

366
367

11_1-4
11_1-6

15-Jun-09 BANJARMASIN
23-Jun-09 MANOKWARI

834002 L
643727 L

5/6/2009
11/6/2009

554,910,000.00
1,721,096,700.00

100%
100%

554,910,000.00
1,721,096,700.00

9,935.00
10,190.00

55,854.05
168,900.56

368

11_1-7

23-Jun-09 PELAIHARI

495343 J

10/6/2009

616,000,000.00

100%

616,000,000.00

10,190.00

60,451.42

369

11_1-9

23-Jun-09 TANJUNG

090255 M

11/6/2009

277,200,000.00

100%

277,200,000.00

10,250.00

27,043.90

370

11_1-11

23-Jun-09 TASIKMALAYA

791428 L

18/6/2009

693,000,000.00

100%

693,000,000.00

10,217.00

67,828.13

371

11_2-15

23-Jun-09 MAKASSAR

131049 M

19/6/2009

1,048,860,000.00

100%

1,048,860,000.00

10,323.00

101,604.18

65 of 86

1
Item
No.

2
Disbursement Category
Cat No.

Description

2a
BI Statement
Year_PageItem No

Date Of

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

12
Amount
Charged
to SA
(USD eqv)

372
373

11_2-16
11_2-17

23-Jun-09 KOTA BARU


23-Jun-09 KOTA BARU

296818 L
296819 L

17/6/2009
17/6/2009

30,800,000.00
30,800,000.00

100%
100%

30,800,000.00
30,800,000.00

10,375.00
10,375.00

2,968.67
2,968.67

374
375

11_2-18
11_2-19

23-Jun-09 KOTA BARU


23-Jun-09 KOTA BARU

296820 L
296821 L

17/6/2009
17/6/2009

30,800,000.00
30,800,000.00

100%
100%

30,800,000.00
30,800,000.00

10,375.00
10,375.00

2,968.67
2,968.67

66 of 86

IDA 4204-IND
WA Reconciliation
per 30 September 2009

No

No. WA

Description

1 WA 03PB
Wrong Number

cat 3 wrong sum


2 WA 04PB

WA Doc

WB Paid

2,248,513.57
357067K
262682K
416864K
2,019,974.94

2,248,513.57

1,813,217.16

1,813,217.16

SA data

Variance

Remark

2,214,733.97
337067K
261682K
416364K
1,986,195.34

33,779.60
33,779.60

1,738,600.57

74,616.59

33,120.44
3,431.07
3,492.06

Doble Claim
011773K
196271K
739293J
wrong number
wrong inputed

739293J
Rp
USD
Rp
USD

3 WA 05PB

729293J

1,058,509,000
95,753.25
227,977,000.00
18,667.10
639,441.02

Cat 1
227318K

Rp
USD

sum cat 1
Cat 2
wrong number
Cat 3
376893K
Total Cat 3
4 wa 07PB

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

227,998,800.00
455,940,000.00
227,997,000.00

1,200,000.00
109.59
6,704.05

694598J

46,200,000.00
4,219.18
623,984.51
806,181.50

Cat 2
wrong inputed
031125K
031126K
502772K
375840K
375841K
442775J
443709J
442580J
389683K
484953J
484952J
486582J
486207J
051908K
694847J
694853J
805044K
805406K
835443l
180758J
013196K
013198K
051665K
051663K
051664K

636,521.33
9,000,000.00
821.92
8,329.64

624598J

Rp
USD

1,048,509,000
95,754.25
227,997,000.00
18,479.25
639,441.02

2,689.25
89.54
2,689.25
82.80
82.80
62.47
610.86
1,643.83
9,095.00
752.70
752.70
816.32
489.80
483.67
630.63
821.92
52.98
446.71
161.24
89.69
90.70
1,452.81
89.69
224.21
538.11

10,000,000.00 no. 012727K


(1.00)
(20,000.00) No.729293
187.85
2,919.69
(7,800,000.00)
(712.33)
(1,625.59) included above
-

92,400,000.00
8,438.36
619,439.23
806,181.50

18,651.73 wa02
37,298.76 wa02
18,479.25 wa02, inputed $ 18,667.10
74,429.74

771,793.66

2,721.09
90.70
2,686.25
82.82
82.82
82.47
502.28
1,451.61
90.95
725.81
725.81
816.33
493.15
483.87
625.39
810.81
44.96
445.71
161.29
90.29
89.69
1,452.91
80.65
201.61
483.87

453.78

(46,200,000.00)
(4,219.18)
4,545.28 included above
34,388.02

(31.84)
(1.16)
3.00
(0.02)
(0.02)
(20.00)
108.58
192.22
9,004.05
26.89
26.89
(0.01)
(3.35)
(0.20)
5.24
11.11
8.02
1.00
(0.05)
(0.60)
1.01
(0.10)
9.04
22.60
54.24

30,000,000.00
1,000,000.00
30,000,000.00
1,000,000.00
1,000,000.00
1,000,000.00
5,500,000.00
18,000,000.00
1,000,000.00
9,000,000.00
9,000,000.00
5,400,000.00
6,000,000.00
7,000,000.00
9,000,000.00
500,000.00

1,000,000.00
1,000,000.00
1,000,000.00
2,500,000.00
6,000,000.00

No
26
27
28
29
30
31
32
33
34
35
36
37
38
39

No. WA

Description
101639J
101640J
101943J
101944J
822051l
823983l
823985l
501079K
660475J
660476J
833121l
833340l
441583K
851331C
total

WA Doc

WB Paid

SA data

598.36
90.09
135.15
450.54
287.85
90.09
486.48
634.27
40.90
40.90
183.37
282.73
1,095.89
5,213.72

572.03
88.00
135.14
450.45
285.11
90.50
488.69
639.27
41.41
41.41
183.57
182.73
109.59
5,213.75

Doble claimed
704397J
704404J
704405J
704406J
704407J
704408J

4,500,000.00
4,500,000.00
2,700,000.00
500,000.00
500,000.00
3,600,000.00

408.16
408.16
244.90
45.35
45.35
326.53

wrong sum cat 2

341,135.80

341,238.36

18,620.69
434,979.47

431,113.26

Catg 3
102168K
wrong sum

Grant Total

Variance

Remark

26.33
2.09
0.01
0.09
2.74
(0.41)
(2.21)
(5.00)
(0.51)
(0.51)
(0.20)
100.00
986.30
(0.03)
10,525.23

408.16
408.16
244.90
45.35
45.35
326.53
1,478.45

6,500,000.00
1,000,000.00
5,000,000.00
2,700,000.00
1,000,000.00
5,400,000.00
7,000,000.00
500,000.00
500,000.00
2,000,000.00
2,000,000.00
1,200,000.00

WA 05
WA 05
WA 05
WA 05
WA 05
WA 05

(102.56)

18,620.69
3,866.21

145,703.90

227,880,000.00

FORM 1-C SUM

WATER SUPPLY FOR LOW INCOME COMMUNITY (WSSLIC-3)- PAMSIMAS


RECLAIM
SUMMARY of STATEMENT of EXPEDITURE (SUM SOE) and SUMMARY SHEET
PAYMENT MADE DURING THE PERIOD FROM NOV 28, 2009 to APRIL 30, 2009
DATE
LOAN NO
SOE SHEET NO

ITEM
NO
1

CURRENCY and
CATEGORY/S
COUNTRY of
NUMBER of
SOE THRESHOLDS
TOTAL AMOUNTH
UB
SUPPLIER/C
SP2D'S
and
SUMMARY
PAID to
CATEGORY/D
ONSULTANT/
INCLUDED
SHEET
CONTRACTOR
ESCRIPTION
TRAINING
(GOI+IDA/IBRD)
2
3
4
5
6

IDA/IBRD
FIN. PCTG
7

CURRENCY and
AMOUNT CHARGED
ELIGIBLE AMOUNT for to/PAID FROM SA
IDA/IBRD FINANCING
(IDR)
8

: November 20, 2009


: IDA-4204-IND
: 1 of 1

AVERAGE
EXCHANGE
RATE

AMOUNT
CHARGED
to/PAID FROM
SA

10

11

ALL SOE

INDONESIA

9,500,000

100

9,500,000

9,500,000

9,401

1,010.53

101

ALL SOE

INDONESIA

12,927,442,404

100

12,927,442,404

12,927,442,404

9,401

1,375,113.54

SUMMARY SHEET

INDONESIA

4,534,679,420

100

4,534,679,420

4,534,679,420
9,401

482,361.39

17,471,621,824

17,471,621,824

9,401

1,858,485.46

Total

104

17,471,621,824

REMARK

WATER SUPPLY FOR LOW INCOME COMMUNITY (WSSLIC-3)- PAMSIMAS


Statement of Expenditure for Those NOT Subject to Prior Review
th
Quarter : IV 2008 as of June 30 , 2009
BI Statement (SBUN)
No

Date of

Items
No.

Year_
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

21-Jan-09

36

11_4

801.07 BARABAI

28-Nov-08

091799 K

21-Jan-09

37

11_5

44.50 BARABAI

28-Nov-08

091800 K

27-Jan-09

11_1

18,439.02 MARISA
3,414.63 PELAIHARI

24-Dec-08

696761 G

27-Nov-08

492854 J

17-Feb-09

289005 J

Contract No. and date

Supplier / Contractor Name

SPPB No.26 sd
Para LKM Peneria Bansos
34/SPPBII/APBN/Pamsimas/XII/2008
Pamsimas PNPM-P Kab. Boalemo
Tgl 3/12/2008
No. 09/Pamsimas-TL/2008 Tgl 24/11/2008 LKM Kabupaten Tanah laut

27-Jan-09

17

11_2

5 24-Feb-09

16

11_2

58,049.92 RANGKASBITUNG

6 17-Feb-09

10

11_2

44,038.49 PALOPO

3-Feb-09

353314 K

7 31-Mar-09

11_1

59,870.41 SERANG

27-Mar-09

258494 L

LKM Pamsimas Kab. Serang

8 31-Mar-09

11_1

59,870.41 POSO

27-Mar-09

503454 K

Para Ketua LKM Kab. Poso

9 24-Mar-09

11_1

6,767.45 PADANG

24-Mar-09

854043 K

10 24-Mar-09

11_1

6,767.45 PADANG

24-Mar-09

854044 K

11 24-Mar-09

11_1

6,767.45 PADANG

24-Mar-09

854047 K

12 24-Mar-09

11_1

6,767.45 PADANG

24-Mar-09

854048 K

13 24-Mar-09

11_1

6,767.45 PADANG

24-Mar-09

854049 K

14 24-Mar-09

11_1

6,767.45 PALU

20-Mar-09

521584 L

15 25-Mar-09

16

11_2

6,677.49 BUKIT TINGGI

23-Mar-09

265285 K

16 25-Mar-09

17

11_2

5,524.96 BUKIT TINGGI

23-Mar-09

265287 K

17 25-Mar-09

18

11_3

6,499.86 BUKIT TINGGI

23-Mar-09

265298 K

18 25-Mar-09

20

11_3

3,339.12 SOLOK

24-Mar-09

495552 K

19 25-Mar-09

21

11_3

2,974.85 SOLOK

24-Mar-09

495553 K

20 25-Mar-09

27

11_4

3,339.12 SOLOK

24-Mar-09

495559 K

21 25-Mar-09

28

11_4

6,678.23 LARANTUKA

20-Mar-09

294285 K

22 25-Mar-09

29

11_4

6,678.23 LARANTUKA

20-Mar-09

294286 K

Contract Value

Bendahara Pengeluaran Dinkes


Kab. Hulu Sungai Selatan
Bendahara Pengeluaran Dinkes
Kab. Hulu Sungai Selatan

LKM Kab. Lebak

Debit Amount
9,000,000.00
500,000.00
207,900,000

192,500,000.00

38,500,000

1,732,500,000.00

693,000,000
524,058,060

No. 028/SPPB Pamsimas/DPPW-2008


Tgl 09/12/2008
No. 028/SPPB Pamsimas/DPPW-2008
Tgl 09/12/2008
No. 020/SPPB Pamsimas/DPPW-2008
Tgl 09/12/2008
No. 024/SPPB Pamsimas/DPPW-2008
Tgl 09/12/2008
No. 026/SPPB Pamsimas/DPPW-2008
Tgl 09/12/2008
SPPB No. 01.07/Pamsimas/SPPB
II/XII/2008
Tgl
02/12/2008
No. 02/SPPB
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 20/11/2008
No. 01/SPPB
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 20/11/2008
No. 07/SPPB
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 02/12/2008
No. 04/SPPB II/Pamsimas-SLK/PU/III/2009
Tgl 10/03/2009
No. 05/SPPB II/Pamsimas-SLK/PU/III/2009
Tgl 10/03/2009
No. 09/SPPB II/Pamsimas-SLK/PU/III/2009
Tgl 10/03/2009
No. KU 08.08/01/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/02/Pamsimas-CK/X/2008
Tgl 28/10/2008

693,000,000
693,000,000

BKM Pamsimas Timbulun Indah

192,500,000.00

77,000,000

LKM Pamsimas Batung

192,500,000.00

77,000,000

Pamsimas LKM Anak Air

192,500,000.00

77,000,000

LKM Sei Beremas

192,500,000.00

77,000,000

LKM TKT Kelurahan Teluk Kabung


Tengah

192,500,000.00

77,000,000

LKM Hintuwu

192,500,000.00

77,000,000

LKM Pamsimas Jorong Limo Kampuang

192,478,650.00

76,991,460

LKM Pamsimas Jorong Solok

159,257,000.00

63,702,800

LKM Jorong Sei Angek Nagari Simarasok

187,358,500.00

74,943,400

LKM Tirta Elok Saiyo

192,500,000.00

38,500,000

LKM Harapan Bunda

171,500,000.00

34,300,000

LKM Jaya Makmur

175,000,000.00

38,500,000

Ketua LKM Soga Naran Desa Watukobu

192,500,000.00

77,000,000

Ketua LKM Lestari Desa Pada

192,500,000.00

77,000,000

Page 70 of 86

BI Statement (SBUN)
No

Date of

Items
No.

Year_
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

23 25-Mar-09

30

11_4

6,678.23 LARANTUKA

20-Mar-09

294287 K

24 25-Mar-09

31

11_4

6,678.23 LARANTUKA

20-Mar-09

294288 K

25 25-Mar-09

32

11_4

6,678.23 LARANTUKA

20-Mar-09

294289 K

26 25-Mar-09

33

11_4

6,678.23 LARANTUKA

20-Mar-09

294290 K

27 25-Mar-09

34

11_4

6,678.23 LARANTUKA

20-Mar-09

294291 K

Contract No. and date


No. KU 08.08/03/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/04/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/05/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/06/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/07/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/08/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/09/Pamsimas-CK/X/2008
Tgl 28/10/2008

Supplier / Contractor Name

Contract Value

Debit Amount

Ketua LKM Tawa Gere Desa Lamalela

192,500,000.00

77,000,000

Ketua LKM Ama Sabon Desa Merdeka

192,500,000.00

77,000,000

192,500,000.00

77,000,000

192,500,000.00

77,000,000

Ketua LKM Penabur Desa Belobatang

192,500,000.00

77,000,000

Ketua LKM Nuba Kame


Desa Nubamado

192,500,000.00

77,000,000

Ketua LKM Tula Tuen Desa Lamau

192,500,000.00

77,000,000

Ketua LKM Gelekat Lewo


Desa Lewoeleng
Ketua LKM Gelekat Lewo
Desa Udak Melomata

28 25-Mar-09

35

11_4

6,678.23 LARANTUKA

20-Mar-09

294292 K

29 25-Mar-09

36

11_5

6,678.23 LARANTUKA

20-Mar-09

294293 K

30 27-Mar-09

40

11_5

6,731.95 PADANG

27-Mar-09

854372 K

No. 023/SPPB II/PIP/PAMSIMAS/XI/2008


LKM Kel. Balingin
Tgl 18/11/2008

192,500,000.00

77,000,000

31 27-Mar-09

41

11_5

6,731.95 PADANG

27-Mar-09

854373 K

No. 025/SPPB II/PIP/PAMSIMAS/XI/2008


LKM Pamsimas Batu Gadang
Tgl 18/11/2008

192,500,000.00

77,000,000

32 27-Mar-09

42

11_5

6,731.95 PADANG

27-Mar-09

854404 K

No. 021/SPPB II/PIP/PAMSIMAS/XI/2008


Pamsimas BKM Malo Are Koto Keciak
Tgl 18/11/2008

192,500,000.00

77,000,000

33 27-Mar-09

43

11_5

6,731.95 PADANG

27-Mar-09

854405 K

No. 022/SPPB II/PIP/PAMSIMAS/XI/2008


Pamsimas LKM Indarung Mandiri
Tgl 18/11/2008

192,500,000.00

77,000,000

34 16-Mar-09

11_1

8,295.05 PALU

12-Mar-09

520907 L

LKM Ogolatap Mengalir

247,192,638.00

98,877,055

35 16-Mar-09

11_1

6,436.41 PALU

12-Mar-09

520908 L

LKM Uvelino

191,804,900.00

76,721,960

36 16-Mar-09

11_1

7,509.30 PALU

12-Mar-09

520909 L

LKM Sopi Indah

223,777,050.00

89,510,820

37 16-Mar-09

11_1

4,820.15 PALU

12-Mar-09

520910 L

Awan S. Kotarante QQ LKM Matia

143,640,350.00

57,456,140

38 17-Mar-09

11_1

6,471.68 PALU

16-Mar-09

521073 L

LKM Ntodea

192,500,000.00

77,000,000

39 17-Mar-09

11_1

6,471.68 PALU

16-Mar-09

521074 L

LKM Kabelotapura

192,500,000.00

77,000,000

40 17-Mar-09

11_1

6,471.68 PALU

16-Mar-09

521075 L

LKM Maroso

192,500,000.00

77,000,000

41 17-Mar-09

11_1

2,341.53 BUKIT TINGGI

11-Mar-09

264711 K

LKM Pamsimas Jorong Koto


Tanjung Bonai

140,000,000.00

28,000,000

42 17-Mar-09

10

11_2

3,219.60 BUKIT TINGGI

11-Mar-09

264712 K

LKM Pamsimas Nagari Sungai Patai

192,500,000.00

38,500,000

43 17-Mar-09

12

11_2

3,219.60 BUKIT TINGGI

11-Mar-09

264713 K

LKM Pamsimas Nagari Supayang

192,500,000.00

38,500,000

No. 05/SPPB II-Desa Sidoan/XII/2008


Tgl 03/12/2008
No. 07/SPPB II-Desa Mepanga/XII/2008
Tgl 03/12/2008
No. 06/SPPB II-Desa Ambesia/XII/2008
Tgl 03/12/2008
No. 03/SPPB II-Desa Tomoli
Selatan/XII/2008
Tgl 03/12/2008
SPPB No. 01.07/Pamsimas/SPPB
II/XII/2008
Tgl
02/12/2008
SPPB No. 01.04/Pamsimas/SPPB
II/XII/2008
Tgl
02/12/2008
SPPB No. 01.03/Pamsimas/SPPB
II/XII/2008
Tgl
02/12/2008
No. 01/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008
No. 02/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008
No. 03/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008

Page 71 of 86

BI Statement (SBUN)
No

Date of

Items
No.

Year_
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

44 17-Mar-09

13

11_2

2,925.77 BUKIT TINGGI

11-Mar-09

264714 K

45 17-Mar-09

14

11_2

3,209.36 BUKIT TINGGI

11-Mar-09

264716 K

46 17-Mar-09

15

11_2

2,868.61 BUKIT TINGGI

11-Mar-09

264717 K

47 17-Mar-09

16

11_2

3,219.60 BUKIT TINGGI

11-Mar-09

264718 K

48 17-Mar-09

17

11_2

3,219.60 BUKIT TINGGI

11-Mar-09

264719 K

49 17-Mar-09

18

11_2

6,439.20 SUMEDANG

11-Mar-09

444421 J

50 17-Mar-09

19

11_3

6,439.20 PELAIHARI

51 18-Mar-09

26

11_3

52 18-Mar-09

27

11_3

53 20-Mar-09

34

11_4

17,358.24 POSO

54 20-Mar-09

35

11_4

58,565.03 MAJENE

55 12-Mar-09

11_1

57,846.41 RANGKASBITUNG

958838 J

6-Mar-09

289154 J
682452 L

3,555.94 BARABAI

23-Apr-09

3,556.94 BARABAI

23-Apr-09

L
591209

3,557.94 BARABAI

23-Apr-09

L
591210

11

11_2

LKM Bina Tirta

17-Mar-09

591208

27-Apr-09

38,500,000

Para Ketua LKM Kab. Tojo Una Una

591207

61

192,500,000.00

LKM Paisu Monondok

23-Apr-09

11_2

LKM Pamsimas Jorong Gantiang


Nagari Gunung Rajo

503292 K

3,554.94 BARABAI

10

38,500,000

866139 H

11_1

27-Apr-09

192,500,000.00

18-Mar-09

60

LKM Pamsimas Jorong Galanggang


Baringin Nagari Batu Taba

13-Mar-09

27-Apr-09

11_2

34,302,870

6,427.92 LUWUK

57

171,514,350.00

LKM Pamsimas

24-Apr-09

27-Apr-09

38,377,500

866119 H

7,152.83 PADANG

59

191,887,850.00

494279 J

11_1

11_2

No. 08/SPPB II/PIP/PAMSIMAS/XI/2008


Tgl 18/11/2008
No. 008/PIP/Pamsimas SPPB
II/DPU/SMD/2008
Tgl
20/11/2008
No. / /Pamsimas-TL/2008 Tgl 29/10/2008

3,558.94 BARABAI

23-Apr-09

L
591211

62

28-Apr-09

13

11_2

6,794.10 BUKIT TINGGI

22-Apr-09

266973 K

63

28-Apr-09

14

11_2

7,080.02 BUKIT TINGGI

22-Apr-09

266975 K

64

28-Apr-09

15

11_2

6,967.63 BUKIT TINGGI

22-Apr-09

266976 K

65

28-Apr-09

16

11_2

7,078.37 BUKIT TINGGI

22-Apr-09

266977 K

Debit Amount
34,986,350

13-Mar-09

No. 07/SPPB II/PIP/PAMSIMAS/XI/2008


Tgl 18/11/2008

Contract Value
174,931,750.00

11-Mar-09

24-Apr-09

27-Apr-09

Supplier / Contractor Name


LKM Pamsimas Jorong Lurah
Ampang Nagarie Pasie Laweh
LKM Pamsimas Jorong Galo
Gandang Nagari III Koto
LKM Pamsimas Jorong Koto Tijo
Nagari Simabur

51,423.32 LUWUK

56

58

Contract No. and date


No. 04/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008
No. 05/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008
No. 06/SPPB II/PIP/PAMSIMAS/XI/2008
Tgl 18/11/2008

Ketua LKM Pamsimas

SPPB No 01 sd 09/SPPB II-PAMS/I/2009


Para LKM di Kab. Majene
Tgl 12/01/2009

77,000,000
192,500,000.00

77,000,000
616,000,000
77,000,000
205,400,000

192,500,000.00

693,000,000
693,000,000

SPPB II:254/BAPPD/DPU Pamsimas/III2009


Tgl
11/03/2009
SPPB II No. 640/SPPB
II/LONG/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB
II/BU/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB
II/PDL/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB II/BamSel/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB II/KyAbng/Pamsimas/HSS/2009
Tgl 11/03/09
001b/SPPB II-09/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-05/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-02/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-06/Pamsimas/PU-LK/2008
Tgl 24/11/2008

LKM Korong Sungai Kasikan


Patamuan Pariaman

192,482,700.00

76,993,080

LKM Longa Manis

192,500,000.00

38,500,000

LKM Karya Anak Banua

192,500,000.00

38,500,000

LKM sumber Hidup

192,500,000.00

38,500,000

LKM Karya Bersama

192,500,000.00

38,500,000

LKM Gawi Manutung

192,500,000.00

38,500,000

LKM Koto Tangah

184,120,000.00

73,648,000

LKM Jorong Simpang Tiga Kenanga

191,868,600.00

76,747,440

LKM Pamsimas Koto Baru

188,822,830.00

75,529,132

LKM Jorong Kampung Tangah

191,823,800.00

76,729,520

Page 72 of 86

BI Statement (SBUN)
No
66

Date of
28-Apr-09

Items
No.
17

Year_
Page
11_2

SP2D
Debit

KPPN

6,802.06 BUKIT TINGGI

Date SP2D
22-Apr-09

No. SP2D
266978 K

67

28-Apr-09

18

11_2

7,078.99 BUKIT TINGGI

22-Apr-09

266979 K

68

28-Apr-09

19

11_2

6,984.17 BUKIT TINGGI

22-Apr-09

266974 K

69

29-Apr-09

21

11_4

29-Apr-09

853288 C

70

30-Apr-09

23

11_4

7,164.60 BUKIT TINGGI

27-Apr-09

770143 L

71

30-Apr-09

24

11_4

7,011.94 BUKIT TINGGI

27-Apr-09

770144 L

72

30-Apr-09

25

11_4

27-Apr-09

167173 L

419,683.43 JAKARTA VI

20,923.63 LUBUK SIKA

Contract No. and date


001b/SPPB II-03/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-07/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-08/Pamsimas/PU-LK/2008
Tgl 24/11/2008
KU.08.08/Kontrak/Pamsimas/20/II I/2009
Tgl 02-03-2009
004b/SPPB II-04/Pamsimas/PU-LK/2008
Tgl 24/11/2008
001b/SPPB II-01/Pamsimas/PU-LK/2008
Tgl 24/11/2008

Supplier / Contractor Name

Contract Value

Debit Amount

LKM Jorong Ateh Koto

184,335,900.00

73,734,360

LKM Pamsimas Jorong Simpang


Gaduang

191,840,600.00

76,736,240

LKM Jorong Hulu Air

189,271,000.00

75,708,400

PT. Lenggogeni

45,346,794,200

4,534,679,420

LKM Pamsimas Sialang Atas

191,886,000

76,754,400

LKM Pamsimas

187,797,400

75,118,960

LKM Kab. Pasaman

224,154,840

73

16-Apr-09

11_1

7,199.63 WATAMPONE

15-Apr-09

007162 G

No. 04/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Lapaukke, Desa Lapaukke
Tgl 11 November 2006

74

16-Apr-09

11_1

7,199.63 WATAMPONE

15-Apr-09

007163 G

No. 05/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Sappa, Desa Sappa
Tgl 11 November 2007

192,500,000

77,000,000

75

16-Apr-09

11_1

7,199.63 WATAMPONE

15-Apr-09

007164 G

No. 06/SPPB II/PAMSIMAS/PU-PE/XI/2008 LKM Abbanuangnge,


Tgl 11 November 2008
Desa Abbanuangnge

192,500,000

77,000,000

76

16-Apr-09

11_1

7,199.63 WATAMPONE

15-Apr-09

007165 G

No. 07/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Mattirowalie, Desa Mattirowalie
Tgl 11 November 2007

192,500,000

77,000,000

77

16-Apr-09

11_1

7,199.63 WATAMPONE

15-Apr-09

007166 G

No. 08/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Tengnga, Desa Tengga
Tgl 11 November 2008

192,500,000

77,000,000

78

16-Apr-09

11_1

8-Apr-09

453959 K

64,796.63 TOLI-TOLI

79

23-Apr-09

21

11_3

6,826.49 PADANG

23-Apr-09

682400 L

80

23-Apr-09

22

11_3

7,073.58 PADANG

23-Apr-09

682401 L

81

23-Apr-09

23

11_3

7,073.90 PADANG

23-Apr-09

682402 L

82

23-Apr-09

24

11_3

7,073.95 PADANG

23-Apr-09

682403 L

83

23-Apr-09

25

11_3

7,075.16 PADANG

23-Apr-09

682404 L

84

23-Apr-09

26

11_3

6,464.01 PADANG

23-Apr-09

682405 L

192,500,000

77,000,000

Ketua LKM Desa Pamsimas


Kabupaten Buol
SPPB II:250/BAPPD/DPU Pamsimas/III2009
Tgl
11/03/2009
SPPB II:255/BAPPD/DPU Pamsimas/III2009
Tgl
31/03/2009
SPPB II:253/BAPPD/DPU Pamsimas/III2009
Tgl
11/03/2009
SPPB II:252/BAPPD/DPU Pamsimas/III2009
Tgl
11/03/2009
SPPB II:258/BAPPD/DPU Pamsimas/III2009
Tgl
11/03/2009
SPPB II:251/BAPPD/DPU Pamsimas/III2009
Tgl
11/03/2009

693,000,000

LKM Pamsimas Sipisang Sipinang

185,765,900.00

74,306,360

LKM Tanjung Balik VII Koto Lareh


Nan Panjang

192,489,900.00

76,995,960

LKM Bandar Manggis Kayu Tanam

192,498,600.00

76,999,440

LKM Korong Pincuran Sonsang

192,500,000.00

77,000,000

LKM Bunga Tanjung

192,532,900.00

77,013,160

LKM Korong Rimbo Kalam

175,901,950.00

70,360,780

Page 73 of 86

BI Statement (SBUN)
No

Date of

Items
No.

Year_
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

85

23-Apr-09

27

11_4

7,063.02 PADANG

23-Apr-09

682406 L

86

23-Apr-09

28

11_4

7,023.10 PADANG

23-Apr-09

682407 L

87

14-Apr-09

11_1

8-Apr-09

166871 K

13,923.09 LUBUK SIKA

88

14-Apr-09

11_1

5,496.18 LUBUK SIKA

8-Apr-09

166872 K

89

2-Apr-09

16

11_2

6,693.91 PALU

1-Apr-09

522397 L

90

7-Apr-09

38

11_5

3,518.01 LUBUK SIKA

1-Apr-09

166755 K

91

7-Apr-09

39

11_5

6,737.84 LUBUK SIKA

1-Apr-09

166756 K

92

7-Apr-09

40

11_5

6,748.76 LUBUK SIKA

1-Apr-09

166757 K

93

7-Apr-09

49

11_6

6,766.26 WATAMPONE

6-Apr-09

006926 G

94

7-Apr-09

54

11_6

27,430.35 LUBUK SIKA

27-Mar-09

95

7-Apr-09

55

11_7

6,401.84 LUBUK SIKA

1-Apr-09

96

7-Apr-09

56

11_7

6,745.02 LUBUK SIKA

1-Apr-09

97

7-Apr-09

57

11_7

6,550.40 LUBUK SIKA

1-Apr-09

98

7-Apr-09

58

11_7

6,760.55 LUBUK SIKA

1-Apr-09

99

7-Apr-09

59

11_7

6,126.22 LUBUK SIKA

1-Apr-09

100

7-Apr-09

60

11_7

5,038.44 BUKIT TINGGI

27-Mar-09

101

7-Apr-09

61

11_7

13,532.51 KUNINGAN

30-Mar-09

102

7-Apr-09

70

11_8

60,896.31 LUWUK

30-Mar-09

Contract No. and date

Supplier / Contractor Name

SPPB II:256/BAPPD/DPU Pamsimas/III2009


Tgl LKM Kampung Tanjung
11/03/2009
SPPB II:257/BAPPD/DPU Pamsimas/III2009
Tgl LKM Toboh Marunggai
11/03/2009

Contract Value

Debit Amount

192,202,500.00

76,881,000

191,116,100.00

76,446,440
152,889,408

No. 06
SPPB/PNPM/Pamsimas/PASBAR/XI/2009
Tgl 27/11/2008
NO. 01.06/Pamsimas/SPPB II/XII/2008
Tgl 02/12/2008
No. 28/SPPB/PAMSIMAS/2008
Tgl
01/12/2008
No. 24/SPPB/PAMSIMAS/2008
Tgl
01/12/2008
No. 26/SPPB/PAMSIMAS/2008
Tgl
01/12/2008

LKM Jorong Muara Mais


LKM Mevatu

192,500,000.00

77,000,000

LKM KP Mantundak Silayang

100,087,400.00

40,034,960

LKM Pamsimas Guo Siayung

191,691,500.00

76,676,600

LKM Pamsimas Jorong Botung Busuk

No. 02/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Sipurennu, Desa Marannu
Tgl 11 November 2008

166716SK.
K Bupati No. 600/150/PU/2008 Tgl 02/04/2008
No. 22/SPPB/PAMSIMAS/2008
Tgl
166750 K
01/12/2008
No. 44/SPPB/PAMSIMAS/2009
Tgl
166751 K
19/02/2009
No. 23/SPPB/PAMSIMAS/2008
Tgl
166752 K
01/12/2008
No. 25/SPPB/PAMSIMAS/2008
Tgl
166753 K
01/12/2008
No. 27/SPPB/PAMSIMAS/2008
Tgl
166754 K
01/12/2008
No. 05/SPPB
265472 K
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 26/11/2008
No. 602/100/PAM-01SPPB II Rev/2009 s.d
229186 K
No.602/101/PAM 02SPPBII.Rev/2009
Tgl Januari/2009
866410 H

60,353,510

76,800,920
192,500,000

LKM Pamsimas Kab. Pasaman Barat

77,000,000
312,157,419

LKM Bungo Tanjung

182,132,300.00

72,852,920

LKM Padang Kubu

191,895,900.00

76,758,360

LKM JR PS :D Panjang

186,358,900.00

74,543,560

LKM Pamsimas Jorong Muara Tais

192,337,600.00

76,935,040

LKM Pamsimas BT Kambing

174,290,900.00

69,716,360

LKM Pamsimas Jorong Campago


Nagari Malalak Utara

143,343,550.00

57,337,420

Para Koordinator LKM Kab. Kuningan

192,500,000.00

154,000,000

Para LKM Bangkep

693,000,000

103

7-Apr-09

71

11_8

6,766.26 WATAMPONE

6-Apr-09

006924 G

No. 03/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Lowa, Desa Lalliseng
Tgl 11 November 2007

104

7-Apr-09

72

11_8

6,766.26 WATAMPONE

6-Apr-09

006925 G

No. 01/SPPB II/PAMSIMAS/PU-PE/XI/2008


LKM Yassamaturusi, Desa Alewadeng
Tgl 11 November 2008

192,500,000

77,000,000

105

7-Apr-09

92

11_11

7-Apr-09

229185

No. 602/94/PAM-01SPPB II Rev/2009 s.d


Para Koordinator LKM Kab. Kuningan
No.602/102/PAM 02SPPBII.Rev/2009
Tgl Januari/2009

192,500,000.00

539,000,000

TOTAL

47,363.80 KUNINGAN
1,610,955.79

192,500,000

77,000,000

18,164,621,824.00

Page 74 of 86

BI Statement (SBUN)
No

Date of

Items
No.

Year_
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

Contract No. and date

Supplier / Contractor Name

Contract Value

Debit Amount

Page 75 of 86

WATER SUPPLY FOR LOW INCOME COMMUNITY (WSSLIC-3)- PAMSIMAS


Statement of Expenditure for Those NOT Subject to Prior Review
Category
Description

NPLN IDA CREDIT 4204-IND


RECLAIM
BI Statement (SBUN)

:2
: Health

SP2D

No

Date of

Items
No.

Year_
Page

21-Jan-09

36

11_4

957.34 BARABAI

28-Nov-08

091799 K

Bendahara Pengeluaran Dinkes


Kab. Hulu Sungai Selatan

9,000,000.00

21-Jan-09

37

11_5

53.19 BARABAI

28-Nov-08

091800 K

Bendahara Pengeluaran Dinkes


Kab. Hulu Sungai Selatan

500,000.00

TOTAL CATEGORY

Debit

1,010.53

KPPN

Date SP2D

No. SP2D

Contract No.
and date

Supplier / Contractor Name

Contract
Value

Debit Amount

9,500,000.00

Page 76 of 86

WATER SUPPLY FOR LOW INCOME COMMUNITY (WSSLIC-3)- PAMSIMAS


Statement of Expenditure for Those NOT Subject to Prior Review
Category
Description
Procentage

NPLN IDA CREDIT 4204-IND


APLIKASI 02/SBUN

BI statement (SBUN)
Items Year_
No.
Page

:3
: Grants
: 100%

SP2D
No. SP2D

No

Date of

27-Jan-09

11_1

22,114.67 MARISA

24-Dec-08

696761 G

2
3
4
5
6

27-Jan-09
24-Feb-09
17-Feb-09
31-Mar-09
31-Mar-09

17
16
10
7
8

11_2
11_2
11_2
11_1
11_1

4,095.31
73,715.56
55,744.93
73,715.56
73,715.56

27-Nov-08
17-Feb-09
3-Feb-09
27-Mar-09
27-Mar-09

492854
289005
353314
258494
503454

24-Mar-09

11_1

8,190.62 PADANG

24-Mar-09

854043

24-Mar-09

11_1

8,190.62 PADANG

24-Mar-09

854044

24-Mar-09

11_1

8,190.62 PADANG

24-Mar-09

854047

10

24-Mar-09

11_1

8,190.62 PADANG

24-Mar-09

854048

11

24-Mar-09

11_1

8,190.62 PADANG

24-Mar-09

854049

12

24-Mar-09

11_1

8,190.62 PALU

20-Mar-09

521584

13

25-Mar-09

16

11_2

8,189.71 BUKIT TINGGI

23-Mar-09

265285

14

25-Mar-09

17

11_2

6,776.17 BUKIT TINGGI

23-Mar-09

265287

15

25-Mar-09

18

11_3

7,971.85 BUKIT TINGGI

23-Mar-09

265298

16

25-Mar-09

20

11_3

4,095.31 SOLOK

24-Mar-09

495552

17

25-Mar-09

21

11_3

3,648.55 SOLOK

24-Mar-09

495553

18

25-Mar-09

27

11_4

4,095.31 SOLOK

24-Mar-09

495559

19

25-Mar-09

28

11_4

8,190.62 LARANTUKA

20-Mar-09

294285

Debit

KPPN

PELAIHARI
RANGKASBITUNG
PALOPO
SERANG
POSO

Date SP2D

Contract No. and date

SPPB No.26 sd
34/SPPBII/APBN/Pamsimas/XII/2008
Tgl 3/12/2008
JNo. 09/Pamsimas-TL/2008 Tgl 24/11/2008
J
K
L
K
No. 028/SPPB Pamsimas/DPPW-2008
K
Tgl 09/12/2008
No. 028/SPPB Pamsimas/DPPW-2008
K
Tgl 09/12/2008
No. 020/SPPB Pamsimas/DPPW-2008
K
Tgl 09/12/2008
No. 024/SPPB Pamsimas/DPPW-2008
K
Tgl 09/12/2008
No. 026/SPPB Pamsimas/DPPW-2008
K
Tgl 09/12/2008
SPPB No. 01.07/Pamsimas/SPPB
L
II/XII/2008
Tgl 02/12/2008
No. 02/SPPB
K
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 20/11/2008
No. 01/SPPB
K
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 20/11/2008
No. 07/SPPB
K
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 02/12/2008
No. 04/SPPB II/PamsimasK
SLK/PU/III/2009 Tgl 10/03/2009
No. 05/SPPB II/PamsimasK
SLK/PU/III/2009 Tgl 10/03/2009
No. 09/SPPB II/PamsimasK
SLK/PU/III/2009 Tgl 10/03/2009
No. KU 08.08/01/Pamsimas-CK/X/2008
K
Tgl 28/10/2008

Supplier / Contractor Name

Contract Value

Para LKM Peneria Bansos


Pamsimas PNPM-P Kab. Boalemo
LKM Kabupaten Tanah laut
LKM Kab. Lebak

Debit Amount
207,900,000

192,500,000.00
1,732,500,000.00

38,500,000
693,000,000
524,058,060
693,000,000
693,000,000

BKM Pamsimas Timbulun Indah

192,500,000.00

77,000,000

LKM Pamsimas Batung

192,500,000.00

77,000,000

Pamsimas LKM Anak Air

192,500,000.00

77,000,000

LKM Sei Beremas

192,500,000.00

77,000,000

LKM TKT Kelurahan Teluk Kabung


Tengah

192,500,000.00

77,000,000

LKM Hintuwu

192,500,000.00

77,000,000

LKM Pamsimas Jorong Limo Kampuang192,478,650.00

76,991,460

LKM Pamsimas Jorong Solok

159,257,000.00

63,702,800

LKM Jorong Sei Angek Nagari Simarasok


187,358,500.00

74,943,400

LKM Tirta Elok Saiyo

192,500,000.00

38,500,000

LKM Harapan Bunda

171,500,000.00

34,300,000

LKM Jaya Makmur

175,000,000.00

38,500,000

Ketua LKM Soga Naran Desa Watukobu192,500,000.00

77,000,000

LKM Pamsimas Kab. Serang


Para Ketua LKM Kab. Poso

Page 77 of 86

No

BI statement (SBUN)
Items Year_
Date of
No.
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

20

25-Mar-09

29

11_4

8,190.62 LARANTUKA

20-Mar-09

294286 K

21

25-Mar-09

30

11_4

8,190.62 LARANTUKA

20-Mar-09

294287 K

22

25-Mar-09

31

11_4

8,190.62 LARANTUKA

20-Mar-09

294288 K

23

25-Mar-09

32

11_4

8,190.62 LARANTUKA

20-Mar-09

294289 K

24

25-Mar-09

33

11_4

8,190.62 LARANTUKA

20-Mar-09

294290 K

25

25-Mar-09

34

11_4

8,190.62 LARANTUKA

20-Mar-09

294291 K

Contract No. and date


No. KU 08.08/02/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/03/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/04/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/05/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/06/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/07/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/08/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. KU 08.08/09/Pamsimas-CK/X/2008
Tgl 28/10/2008
No. 023/SPPB
II/PIP/PAMSIMAS/XI/2008 Tgl
18/11/2008
No. 025/SPPB
II/PIP/PAMSIMAS/XI/2008 Tgl
18/11/2008
No. 021/SPPB
II/PIP/PAMSIMAS/XI/2008 Tgl
18/11/2008
No. 022/SPPB
II/PIP/PAMSIMAS/XI/2008 Tgl
18/11/2008
No. 05/SPPB II-Desa Sidoan/XII/2008
Tgl 03/12/2008

Supplier / Contractor Name


Ketua LKM Lestari Desa Pada

Contract Value

Debit Amount

192,500,000.00

77,000,000

Ketua LKM Tawa Gere Desa Lamalela 192,500,000.00

77,000,000

Ketua LKM Ama Sabon Desa Merdeka 192,500,000.00

77,000,000

Ketua LKM Gelekat Lewo


Desa Lewoeleng
Ketua LKM Gelekat Lewo
Desa Udak Melomata

192,500,000.00

77,000,000

192,500,000.00

77,000,000

Ketua LKM Penabur Desa Belobatang 192,500,000.00

77,000,000

Ketua LKM Nuba Kame


Desa Nubamado

192,500,000.00

77,000,000

Ketua LKM Tula Tuen Desa Lamau

192,500,000.00

77,000,000

LKM Kel. Balingin

192,500,000.00

77,000,000

LKM Pamsimas Batu Gadang

192,500,000.00

77,000,000

Pamsimas BKM Malo Are Koto Keciak 192,500,000.00

77,000,000

Pamsimas LKM Indarung Mandiri

192,500,000.00

77,000,000

LKM Ogolatap Mengalir

247,192,638.00

98,877,055

26

25-Mar-09

35

11_4

8,190.62 LARANTUKA

20-Mar-09

294292 K

27

25-Mar-09

36

11_5

8,190.62 LARANTUKA

20-Mar-09

294293 K

28

27-Mar-09

40

11_5

8,190.62 PADANG

27-Mar-09

854372 K

29

27-Mar-09

41

11_5

8,190.62 PADANG

27-Mar-09

854373 K

30

27-Mar-09

42

11_5

8,190.62 PADANG

27-Mar-09

854404 K

31

27-Mar-09

43

11_5

8,190.62 PADANG

27-Mar-09

854405 K

32

16-Mar-09

11_1

10,517.72 PALU

12-Mar-09

520907 L

33

16-Mar-09

11_1

8,161.04 PALU

12-Mar-09

520908 L

No. 07/SPPB II-Desa Mepanga/XII/2008


LKM Uvelino
Tgl 03/12/2008

191,804,900.00

76,721,960

34

16-Mar-09

11_1

9,521.41 PALU

12-Mar-09

520909 L

No. 06/SPPB II-Desa Ambesia/XII/2008


LKM Sopi Indah
Tgl 03/12/2008

223,777,050.00

89,510,820

35

16-Mar-09

11_1

6,111.71 PALU

12-Mar-09

520910 L

Awan S. Kotarante QQ LKM Matia

143,640,350.00

57,456,140

36

17-Mar-09

11_1

8,190.62 PALU

16-Mar-09

521073 L

LKM Ntodea

192,500,000.00

77,000,000

37

17-Mar-09

11_1

8,190.62 PALU

16-Mar-09

521074 L

LKM Kabelotapura

192,500,000.00

77,000,000

No. 03/SPPB II-Desa Tomoli


Selatan/XII/2008
Tgl 03/12/2008
SPPB No. 01.07/Pamsimas/SPPB
II/XII/2008
Tgl 02/12/2008
SPPB No. 01.04/Pamsimas/SPPB
II/XII/2008
Tgl 02/12/2008

Page 78 of 86

No

BI statement (SBUN)
Items Year_
Date of
No.
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

38

17-Mar-09

11_1

8,190.62 PALU

16-Mar-09

521075 L

39

17-Mar-09

11_1

2,978.41 BUKIT TINGGI

11-Mar-09

264711 K

40

17-Mar-09

10

11_2

4,095.31 BUKIT TINGGI

11-Mar-09

41

17-Mar-09

12

11_2

4,095.31 BUKIT TINGGI

42

17-Mar-09

13

11_2

43

17-Mar-09

14

44

17-Mar-09

45

Contract No. and date


SPPB No. 01.03/Pamsimas/SPPB
II/XII/2008
Tgl 02/12/2008

Supplier / Contractor Name

Debit Amount

192,500,000.00

77,000,000

No. 01/SPPB II/PIP/PAMSIMAS/XI/2008 LKM Pamsimas Jorong Koto


Tgl 18/11/2008
Tanjung Bonai

140,000,000.00

28,000,000

264712 K

No. 02/SPPB II/PIP/PAMSIMAS/XI/2008


LKM Pamsimas Nagari Sungai Patai
Tgl 18/11/2008

192,500,000.00

38,500,000

11-Mar-09

264713 K

No. 03/SPPB II/PIP/PAMSIMAS/XI/2008


LKM Pamsimas Nagari Supayang
Tgl 18/11/2008

192,500,000.00

38,500,000

3,721.56 BUKIT TINGGI

11-Mar-09

264714 K

No. 04/SPPB II/PIP/PAMSIMAS/XI/2008 LKM Pamsimas Jorong Lurah


Tgl 18/11/2008
Ampang Nagarie Pasie Laweh

174,931,750.00

34,986,350

11_2

4,082.28 BUKIT TINGGI

11-Mar-09

264716 K

No. 05/SPPB II/PIP/PAMSIMAS/XI/2008 LKM Pamsimas Jorong Galo


Tgl 18/11/2008
Gandang Nagari III Koto

191,887,850.00

38,377,500

15

11_2

3,648.85 BUKIT TINGGI

11-Mar-09

264717 K

No. 06/SPPB II/PIP/PAMSIMAS/XI/2008 LKM Pamsimas Jorong Koto Tijo


Tgl 18/11/2008
Nagari Simabur

171,514,350.00

34,302,870

17-Mar-09

16

11_2

4,095.31 BUKIT TINGGI

11-Mar-09

264718 K

LKM Pamsimas Jorong


No. 07/SPPB II/PIP/PAMSIMAS/XI/2008
Galanggang Baringin Nagari Batu
Tgl 18/11/2008
Taba

192,500,000.00

38,500,000

46

17-Mar-09

17

11_2

4,095.31 BUKIT TINGGI

11-Mar-09

264719 K

No. 08/SPPB II/PIP/PAMSIMAS/XI/2008 LKM Pamsimas Jorong Gantiang


Tgl 18/11/2008
Nagari Gunung Rajo

192,500,000.00

38,500,000

47

17-Mar-09

18

11_2

8,190.62 SUMEDANG

11-Mar-09

444421 J

48
49
50
51

17-Mar-09
18-Mar-09
18-Mar-09
20-Mar-09

19
26
27
34

11_3
11_3
11_3
11_4

8,190.62
65,524.94
8,190.62
21,848.74

11-Mar-09
13-Mar-09
13-Mar-09
18-Mar-09

494279
866119
866139
503292

52

20-Mar-09

35

11_4

73,715.56 MAJENE

17-Mar-09

958838 J

53

12-Mar-09

11_1

73,715.56 RANGKASBITUNG

6-Mar-09

289154 J

PELAIHARI
LUWUK
LUWUK
POSO

54

24-Apr-09

11_1

8,189.88 PADANG

24-Apr-09

55

27-Apr-09

11_1

4,095.31 BARABAI

23-Apr-09

J
H
H
K

682452 L

L
591207

56

27-Apr-09

11_2

4,095.31 BARABAI

23-Apr-09

L
591208

No. 008/PIP/Pamsimas SPPB


II/DPU/SMD/2008
Tgl 20/11/2008
No. / /Pamsimas-TL/2008 Tgl
29/10/2008

SPPB No 01 sd 09/SPPB IIPAMS/I/2009 Tgl 12/01/2009

LKM Maroso

Contract Value

LKM Bina Tirta

77,000,000

Ketua LKM Pamsimas


LKM Pamsimas
LKM Paisu Monondok
Para Ketua LKM Kab. Tojo Una Una

192,500,000.00

77,000,000
616,000,000
77,000,000
205,400,000

Para LKM di Kab. Majene

192,500,000.00

693,000,000
693,000,000

SPPB II:254/BAPPD/DPU Pamsimas/III2009


Tgl 11/03/2009
SPPB II No. 640/SPPB
II/LONG/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB
II/BU/Pamsimas/HSS/2009
Tgl 11/03/09

LKM Korong Sungai Kasikan


Patamuan Pariaman

192,482,700.00

76,993,080

LKM Longa Manis

192,500,000.00

38,500,000

LKM Karya Anak Banua

192,500,000.00

38,500,000

Page 79 of 86

No
57

BI statement (SBUN)
Items Year_
Date of
No.
Page
27-Apr-09

11_2

SP2D
Debit

KPPN

4,095.31 BARABAI

Date SP2D

No. SP2D

23-Apr-09

L
591209

58

27-Apr-09

10

11_2

4,095.31 BARABAI

23-Apr-09

L
591210

59

27-Apr-09

11

11_2

4,095.31 BARABAI

23-Apr-09

L
591211

60

28-Apr-09

13

11_2

7,834.06 BUKIT TINGGI

22-Apr-09

266973 K

61

28-Apr-09

14

11_2

8,163.75 BUKIT TINGGI

22-Apr-09

266975 K

62

28-Apr-09

15

11_2

8,034.16 BUKIT TINGGI

22-Apr-09

266976 K

63

28-Apr-09

16

11_2

8,161.85 BUKIT TINGGI

22-Apr-09

266977 K

64

28-Apr-09

17

11_2

7,843.25 BUKIT TINGGI

22-Apr-09

266978 K

65

28-Apr-09

18

11_2

8,162.56 BUKIT TINGGI

22-Apr-09

266979 K

66

28-Apr-09

19

11_2

8,053.23 BUKIT TINGGI

22-Apr-09

266974 K

67

30-Apr-09

23

11_4

8,164.49 BUKIT TINGGI

27-Apr-09

770143 L

68

30-Apr-09

24

11_4

7,990.53 BUKIT TINGGI

27-Apr-09

770144 L

69

30-Apr-09

25

11_4

27-Apr-09

167173 L

70

16-Apr-09

11_1

8,190.62 WATAMPONE

15-Apr-09

007162 G

71

16-Apr-09

11_1

8,190.62 WATAMPONE

15-Apr-09

007163 G

72

16-Apr-09

11_1

8,190.62 WATAMPONE

15-Apr-09

007164 G

73

16-Apr-09

11_1

8,190.62 WATAMPONE

15-Apr-09

007165 G

74

16-Apr-09

11_1

8,190.62 WATAMPONE

15-Apr-09

007166 G

75

16-Apr-09

11_1

8-Apr-09

453959 K

23,843.72 LUBUK SIKA

73,715.56 TOLI-TOLI

Contract No. and date


SPPB II No. 640/SPPB
II/PDL/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB II/BamSel/Pamsimas/HSS/2009
Tgl 11/03/09
SPPB II No. 640/SPPB II/KyAbng/Pamsimas/HSS/2009
Tgl 11/03/09
001b/SPPB II-09/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-05/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-02/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-06/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-03/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-07/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-08/Pamsimas/PULK/2008 Tgl 24/11/2008
004b/SPPB II-04/Pamsimas/PULK/2008 Tgl 24/11/2008
001b/SPPB II-01/Pamsimas/PULK/2008 Tgl 24/11/2008

Supplier / Contractor Name

Contract Value

LKM sumber Hidup

192,500,000.00

38,500,000

LKM Karya Bersama

192,500,000.00

38,500,000

LKM Gawi Manutung

192,500,000.00

38,500,000

LKM Koto Tangah

184,120,000.00

73,648,000

LKM Jorong Simpang Tiga Kenanga

191,868,600.00

76,747,440

LKM Pamsimas Koto Baru

188,822,830.00

75,529,132

LKM Jorong Kampung Tangah

191,823,800.00

76,729,520

LKM Jorong Ateh Koto

184,335,900.00

73,734,360

LKM Pamsimas Jorong Simpang


Gaduang

191,840,600.00

76,736,240

LKM Jorong Hulu Air

189,271,000.00

75,708,400

LKM Pamsimas Sialang Atas

191,886,000

76,754,400

LKM Pamsimas

187,797,400

LKM Kab. Pasaman


No. 04/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2006
No. 05/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2007
No. 06/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2008
No. 07/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2007
No. 08/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2008

Debit Amount

75,118,960
224,154,840

LKM Lapaukke, Desa Lapaukke

192,500,000

77,000,000

LKM Sappa, Desa Sappa

192,500,000

77,000,000

LKM Abbanuangnge,
Desa Abbanuangnge

192,500,000

77,000,000

LKM Mattirowalie, Desa Mattirowalie

192,500,000

77,000,000

LKM Tengnga, Desa Tengga

192,500,000

77,000,000

Ketua LKM Desa Pamsimas


Kabupaten Buol

693,000,000

Page 80 of 86

No

BI statement (SBUN)
Items Year_
Date of
No.
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

76

23-Apr-09

21

11_3

7,904.09 PADANG

23-Apr-09

682400 L

77

23-Apr-09

22

11_3

8,190.19 PADANG

23-Apr-09

682401 L

78

23-Apr-09

23

11_3

8,190.56 PADANG

23-Apr-09

682402 L

79

23-Apr-09

24

11_3

8,190.62 PADANG

23-Apr-09

682403 L

80

23-Apr-09

25

11_3

8,192.02 PADANG

23-Apr-09

682404 L

81

23-Apr-09

26

11_3

7,484.39 PADANG

23-Apr-09

682405 L

82

23-Apr-09

27

11_4

8,177.96 PADANG

23-Apr-09

682406 L

83

23-Apr-09

28

11_4

8,131.73 PADANG

23-Apr-09

682407 L

84

14-Apr-09

11_1

8-Apr-09

166871 K

16,263.10 LUBUK SIKA

85

14-Apr-09

11_1

6,419.90 LUBUK SIKA

8-Apr-09

86

2-Apr-09

16

11_2

8,190.62 PALU

1-Apr-09

87

7-Apr-09

38

11_5

4,258.59 LUBUK SIKA

1-Apr-09

88

7-Apr-09

39

11_5

8,156.22 LUBUK SIKA

1-Apr-09

89

7-Apr-09

40

11_5

8,169.44 LUBUK SIKA

1-Apr-09

90

7-Apr-09

49

11_6

8,190.62 WATAMPONE

6-Apr-09

91

7-Apr-09

54

11_6

33,204.70 LUBUK SIKA

27-Mar-09

92

7-Apr-09

55

11_7

7,749.49 LUBUK SIKA

1-Apr-09

93

7-Apr-09

56

11_7

8,164.91 LUBUK SIKA

1-Apr-09

94

7-Apr-09

57

11_7

7,929.32 LUBUK SIKA

1-Apr-09

Contract No. and date


SPPB II:250/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:255/BAPPD/DPU Pamsimas/III2009
Tgl 31/03/2009
SPPB II:253/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:252/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:258/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:251/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:256/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009
SPPB II:257/BAPPD/DPU Pamsimas/III2009
Tgl 11/03/2009

No. 06
166872 K SPPB/PNPM/Pamsimas/PASBAR/XI/20
09
Tgl 27/11/2008
NO. 01.06/Pamsimas/SPPB II/XII/2008
522397 L
Tgl 02/12/2008
No. 28/SPPB/PAMSIMAS/2008
166755 K
Tgl 01/12/2008
No. 24/SPPB/PAMSIMAS/2008
166756 K
Tgl 01/12/2008
No. 26/SPPB/PAMSIMAS/2008
166757 K
Tgl 01/12/2008
No. 02/SPPB II/PAMSIMAS/PU006926 G
PE/XI/2008
Tgl 11
November 2008
166716
SK. K
Bupati No. 600/150/PU/2008 Tgl 02/04/2008
No. 22/SPPB/PAMSIMAS/2008
166750 K
Tgl 01/12/2008
No. 44/SPPB/PAMSIMAS/2009
166751 K
Tgl 19/02/2009
No. 23/SPPB/PAMSIMAS/2008
166752 K
Tgl 01/12/2008

Supplier / Contractor Name

Contract Value

Debit Amount

LKM Pamsimas Sipisang Sipinang

185,765,900.00

74,306,360

LKM Tanjung Balik VII Koto Lareh


Nan Panjang

192,489,900.00

76,995,960

LKM Bandar Manggis Kayu Tanam

192,498,600.00

76,999,440

LKM Korong Pincuran Sonsang

192,500,000.00

77,000,000

LKM Bunga Tanjung

192,532,900.00

77,013,160

LKM Korong Rimbo Kalam

175,901,950.00

70,360,780

LKM Kampung Tanjung

192,202,500.00

76,881,000

LKM Toboh Marunggai

191,116,100.00

76,446,440
152,889,408

LKM Jorong Muara Mais

60,353,510

LKM Mevatu

192,500,000.00

77,000,000

LKM KP Mantundak Silayang

100,087,400.00

40,034,960

LKM Pamsimas Guo Siayung

191,691,500.00

76,676,600

LKM Pamsimas Jorong Botung Busuk


LKM Sipurennu, Desa Marannu

76,800,920
192,500,000

LKM Pamsimas Kab. Pasaman Barat

77,000,000
312,157,419

LKM Bungo Tanjung

182,132,300.00

72,852,920

LKM Padang Kubu

191,895,900.00

76,758,360

LKM JR PS :D Panjang

186,358,900.00

74,543,560

Page 81 of 86

No

BI statement (SBUN)
Items Year_
Date of
No.
Page

SP2D
Debit

KPPN

Date SP2D

No. SP2D

95

7-Apr-09

58

11_7

8,183.71 LUBUK SIKA

1-Apr-09

166753 K

96

7-Apr-09

59

11_7

7,415.85 LUBUK SIKA

1-Apr-09

166754 K

97

7-Apr-09

60

11_7

98

7-Apr-09

61

11_7

100

7-Apr-09

71

11_8

101

7-Apr-09

72

11_8

102

7-Apr-09

92

11_11

6,099.08 BUKIT TINGGI

27-Mar-09

265472 K

30-Mar-09

229186 K

8,190.62 WATAMPONE

6-Apr-09

006924 G

8,190.62 WATAMPONE

6-Apr-09

006925 G

7-Apr-09

229185

16,381.24 KUNINGAN

57,334.33 KUNINGAN

Contract No. and date


No. 25/SPPB/PAMSIMAS/2008
Tgl 01/12/2008
No. 27/SPPB/PAMSIMAS/2008
Tgl 01/12/2008
No. 05/SPPB
II/PIP/PAMSIMAS/AG/XI/2008
Tgl 26/11/2008
No. 602/100/PAM-01SPPB II Rev/2009
s.d No.602/101/PAM
02SPPBII.Rev/2009
Tgl
Januari/2009
No. 03/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2007
No. 01/SPPB II/PAMSIMAS/PUPE/XI/2008
Tgl 11
November 2008
No. 602/94/PAM-01SPPB II Rev/2009
s.d No.602/102/PAM
02SPPBII.Rev/2009
Tgl
Januari/2009

Supplier / Contractor Name

Contract Value

Debit Amount

LKM Pamsimas Jorong Muara Tais

192,337,600.00

76,935,040

LKM Pamsimas BT Kambing

174,290,900.00

69,716,360

LKM Pamsimas Jorong Campago


Nagari Malalak Utara

143,343,550.00

57,337,420

Para Koordinator LKM Kab. Kuningan 192,500,000.00

154,000,000

LKM Lowa, Desa Lalliseng

192,500,000

77,000,000

LKM Yassamaturusi, Desa Alewadeng

192,500,000

77,000,000

Para Koordinator LKM Kab. Kuningan 192,500,000.00

539,000,000

TOTAL CATEGORY

1,375,113.54

12,927,442,404

SUB TOTAL

1,376,124.07

12,936,942,404

Page 82 of 86

1-B

Third WSLIC - PAMSIMAS


Summary Sheet for Payments of Contracts Subject to Prior Review
Ln/Cr/TF No.
Sheet No.
Procentage
1
Item
No.

2
Description

3a
Office
Issuing
SP2D

3b
Cross-Ref
SP2D
No.

4
Date of
Payment
(SP2D)

5
Contract
No.
and Date

6
Supplier/
Contractor
Name

7
Contract
Value
(incl. Add)

8
Total Amount
Paid to
Contractor

9
WB
Financing
%

10
Amount of
WB portion
paid

: Cr 4204
:Category 4 Consultant Services
:100%
11
Exchange
Rate
Applied

(GOI+IBRD+PPN)

Provision of Advisory Services for


the CPMU in the Daily Operation,
Management and Implementation
Of the third water supply and
Jakarta VI 853288 C
Sanitatioan for Low Income
Communities at Ministry of Public
Work

TOTAL CATEGORY
GRAND TOTAL

KU.08.08/Kont
rak/Pamsimas
29-Apr-09 /20/II I/2009 PT lenggogeni
Tgl 02-032009

45,346,794,200

4,534,679,420

100

4,534,679,420

9,401

12
Amount
Charged
to SA
(USD eqv)

482,361.39

4,534,679,420

4,534,679,420

482,361.39

17,471,621,824.00

17,471,621,824.00

1,858,485.46

13
WB's
contract
ref.
**/

IDA Cr 4204 IND


EXPENDITURES WITHDRAWN for SPECIAL ACCOUNT BUT NOT YET CLAIMED
for REPLENISHMENT APPLICATION
(SBUN)
1
No.

2
Date of

Items No Year_Pages

5
Office

6
Cross-Ref

7
Date of

8
Total Amount

9
WB

10
Exchange

11
Amount

Issuing
SP2D

SP2D
No.

Payment
(SP2D)

Paid to
Contractor

Financing
%

Rate
Applied

Charged
to SA
(USD eqv)

(GOI+IBRD+PPN)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52

16-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
21-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09

1
28
29
30
31
32
33
34
35
38
39
40
41
42
43
44
45
46
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
85
87
89
90
93
95
96
1
2
3
4

11_1
11_4
11_4
11_4
11_4
11_4
11_4
11_4
11_4
11_5
11_5
11_5
11_5
11_5
11_5
11_5
11_5
11_6
11_7
11_7
11_7
11_7
11_7
11_7
11_7
11_8
11_8
11_8
11_8
11_8
11_8
11_8
11_8
11_8
11_9
11_9
11_9
11_9
11_9
11_9
11_9
11_10
11_10
11_10
11_10
11_11
11_11
11_11
11_1
11_1
11_1
11_1

TEGAL
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
BARABAI
RUTENG
BARABAI
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
PELAIHARI
LARANTUKA
LARANTUKA
MARISA

694687
092964
092965
092966
092967
092968
092993
092994
092995
091995
092342
092343
092344
092730
092930
092931
092932
092933
092996
410015
092997
410016
410017
410018
410019
410020
410021
410022
410023
410570
410497
410571
410572
410498
410573
410574
410575
410576
410577
410499
410578
410501
410564
410565
410566
410567
410568
410569
493477
293500
293501
696760

J
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
K
K
G

9-Dec-08
19-Dec-08
19-Dec-08
19-Dec-08
19-Dec-08
19-Dec-08
22-Dec-08
22-Dec-08
22-Dec-08
12-Mar-08
9-Dec-08
9-Dec-08
9-Dec-08
17-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
22-Dec-08
18-Dec-08
22-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
18-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
3-Dec-08
3-Dec-08
3-Dec-08
24-Dec-08

9,000,000
9,000,000
208,400
500,000
500,000
3,000,000
791,600
3,600,000
1,800,000
7,000,000
7,000,000
7,000,000
7,000,000
7,000,000
2,700,000
700,000
2,700,000
4,500,000
500,000
38,500,000
500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
38,500,000
9,000,000
500,000
5,400,000
1,000,000
9,000,000
1,000,000
5,400,000
500,000
6,500,000
500,000
1,000,000
9,000,000
19,440,000
2,000,000
29,000,000
1,000,000
1,000,000
18,000,000
1,200,000
2,700,000
9,000,000
200,000
2,700,000

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

11,193
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,235
11,275
11,275
11,275
11,275

804.07
801.07
18.55
44.50
44.50
267.02
70.46
320.43
160.21
623.05
623.05
623.05
623.05
623.05
240.32
62.31
240.32
400.53
44.50
3,426.79
44.50
3,426.79
3,426.79
3,426.79
3,426.79
3,426.79
3,426.79
3,426.79
3,426.79
801.07
44.50
480.64
89.01
801.07
89.01
480.64
44.50
578.55
44.50
89.01
801.07
1,730.31
178.02
2,581.22
89.01
89.01
1,602.14
106.81
239.47
798.23
17.74
239.47

84 of 86

5
Office

6
Cross-Ref

7
Date of

8
Total Amount

9
WB

10
Exchange

11
Amount

Issuing
SP2D

SP2D
No.

Payment
(SP2D)

Paid to
Contractor

Financing
%

Rate
Applied

Charged
to SA
(USD eqv)

No.

Date of

53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
27-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
29-Jan-09
30-Jan-09
30-Jan-09
30-Jan-09
17-Feb-09
17-Feb-09
30-Mar-09
30-Mar-09
30-Mar-09
31-Mar-09
18-Mar-09
18-Mar-09
19-Mar-09
19-Mar-09
20-Mar-09

5
7
8
9
10
12
13
14
15
16
18
19
20
21
22
23
24
25
26
27
33
34
35
36
37
38
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
69
70
71
11
12
48
49
50
61
24
25
30
31
33

11_1
11_1
11_1
11_1
11_2
11_2
11_2
11_2
11_2
11_2
11_2
11_3
11_3
11_3
11_3
11_3
11_3
11_3
11_3
11_3
11_4
11_4
11_4
11_4
11_5
11_5
11_6
11_6
11_6
11_6
11_7
11_7
11_7
11_7
11_7
11_7
11_7
11_7
11_7
11_8
11_8
11_8
11_8
11_8
11_8
11_8
11_2
11_2
11_6
11_6
11_6
11_7
11_3
11_3
11_4
11_4
11_4

LARANTUKA
MARISA
MARISA
MARISA
MARISA
MARISA
MARISA
MARISA
MARISA
MAMUJUK
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
PELAIHARI
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
MAMUJUK
MAMUJUK
MAMUJUK
MAMUJUK
MAMUJUK
MAMUJUK
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
BUKIT TINGGI
SOLOK
SOLOK
SOLOK
SOLOK
LUBUK SIKA
MAMUJUK
RENGAT
RENGAT
RENGAT
DUMAI
DUMAI
PALEMBANG
PALEMBANG
PALEMBANG
SERANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG
PALEMBANG

293502
696791
696606
696792
696610
696753
696754
696755
696759
995116
493465
493466
493467
493468
493469
493470
493471
493472
493475
493476
222752
222754
222755
222756
222757
222753
995337
995338
995479
995480
995482
995483
262728
262736
262737
262738
262739
420550
420551
420562
420563
166440
995336
416781
416782
416783
402812
402813
081780
081781
081782
258494
080403
080404
080546
080547
080724

K
G
G
G
G
G
G
G
G
K
J
J
J
J
J
J
J
J
J
J
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
L
K
K
K
K
K

3-Dec-08
24-Dec-08
17-Dec-08
24-Dec-08
17-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
24-Dec-08
23/12/2008
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
31-Dec-08
16-Feb-09
16-Feb-09
27-Mar-09
27-Mar-09
27-Mar-09
27-Mar-09
17-Mar-09
17-Mar-09
18-Mar-09
18-Mar-09
19-Mar-09

591,000
4,000,000
9,000,000
500,000
9,090,909
19,000,000
500,000
9,000,000
5,200,000
630,175,000
1,000,000
18,000,000
1,000,000
1,000,000
5,400,000
700,000
4,500,000
2,700,000
300,000
4,500,000
10,500,000
5,200,000
1,000,000
9,000,000
7,500,000
9,000,000
500,000
20,850,000
26,100,000
3,910,000
500,000
30,500,000
2,900,000
2,500,000
11,500,000
1,000,000
24,700,000
1,000,000
46,100,000
4,670,000
37,800,000
13,860,000
17,500,000
30,200,000
1,000,000
18,000,000
77,000,000
77,000,000
73,000,000
75,926,000
76,229,000
693,000,000
77,000,000
76,229,000
73,000,000
75,926,000
77,000,000

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,275
11,273
11,273
11,273
11,273
11,273
11,273
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,330
11,355
11,355
11,355
11,900
11,900
11,472
11,472
11,472
11,575
11,919
11,919
11,840
11,840
11,774

52.42
354.77
798.23
44.35
806.29
1,685.14
44.35
798.23
461.20
55,891.35
88.69
1,596.45
88.69
88.69
478.94
62.08
399.11
239.47
26.61
399.11
931.43
461.28
88.71
798.37
665.31
798.37
44.13
1,840.25
2,303.62
345.10
44.13
2,691.97
255.96
220.65
1,015.00
88.26
2,180.05
88.26
4,068.84
412.18
3,336.28
1,223.30
1,544.57
2,659.62
88.07
1,585.20
6,470.59
6,470.59
6,363.32
6,618.38
6,644.79
59,870.41
6,460.27
6,395.59
6,165.54
6,412.67
6,539.83

110
111
112

20-Mar-09
20-Mar-09
20-Mar-09

36
37
38

11_4
11_5
11_5

RUTENG
RUTENG
RUTENG

536763 J
536764 J
536765 J

16-Mar-09
16-Mar-09
16-Mar-09

77,000,000
77,000,000
77,000,000

100
100
100

1,833
1,833
1,833

42,007.64
42,007.64
42,007.64

Items No Year_Pages

(GOI+IBRD+PPN)

85 of 86

No.

Date of

113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165

20-Mar-09
20-Mar-09
20-Mar-09
20-Mar-09
20-Mar-09
20-Mar-09
24-Apr-09
24-Apr-09
24-Apr-09
24-Apr-09
22-Apr-09
22-Apr-09
22-Apr-09
22-Apr-09
22-Apr-09
22-Apr-09
14-Apr-09
14-Apr-09
14-Apr-09
14-Apr-09
14-Apr-09
14-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
3-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09
7-Apr-09

Items No Year_Pages

5
Office

6
Cross-Ref

7
Date of

8
Total Amount

9
WB

10
Exchange

11
Amount

Issuing
SP2D

SP2D
No.

Payment
(SP2D)

Paid to
Contractor

Financing
%

Rate
Applied

Charged
to SA
(USD eqv)

(GOI+IBRD+PPN)

165

39
40
41
42
43
44
1
3
4
5
13
14
15
16
17
18
3
4
5
6
7
8
3
4
5
6
7
8
9
10
11
21
35
36
37
62
73
74
75
76
77
78
79
80
91
83
84
85
86
87
88
89
90

11_5
11_5
11_5
11_5
11_5
11_5
11_1
11_1
11_1
11_1
11_2
11_2
11_2
11_2
11_2
11_3
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_1
11_2
11_2
11_3
11_4
11_4
11_5
11_7
11_9
11_9
11_9
11_9
11_9
11_9
11_9
11_9
11_11
11_10
11_10
11_10
11_10
11_10
11_10
11_10
11_10

RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
RUTENG
JAKARTA VI
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
KUPANG
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
LAHAT
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
PEKANBARU
JAKARTA VI
PALEMBANG
PALEMBANG
PALEMBANG
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
LARANTUKA
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI
DUMAI

536766
536767
536768
536769
536770
536771
853241
230167
230168
230216
229850
229851
229852
229853
229854
229855
871748
871749
871750
871751
871752
871753
660122
660123
660124
660125
660126
660127
660128
660129
660130
852962
082541
082649
082650
294418
294419
294420
294421
294422
294423
294424
294426
294467
403816
403808
403809
403810
403811
403812
403813
403814
403815

J
J
J
J
J
J
C
L
L
L
L
L
L
L
L
L
J
J
J
J
J
J
L
L
L
L
L
L
L
L
L
C
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K

16-Mar-09
16-Mar-09
16-Mar-09
16-Mar-09
16-Mar-09
16-Mar-09
24-Apr-09
24-Apr-09
24-Apr-09
24-Apr-09
21-Apr-09
21-Apr-09
21-Apr-09
21-Apr-09
21-Apr-09
21-Apr-09
27-Mar-09
27-Mar-09
27-Mar-09
27-Mar-09
27-Mar-09
27-Mar-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
1-Apr-09
3-Apr-09
6-Apr-09
6-Apr-09
6-Apr-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09
30-Mar-09

77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
14,600,000
77,000,000
38,500,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
68,339,600
58,901,500
71,744,400
69,787,200
55,658,400
69,734,000
77,000,000
77,000,001
77,000,002
77,000,003
77,000,004
77,000,005
77,000,006
77,000,007
77,000,000
29,200,000
76,999,200
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
77,000,000
7,166,761,237

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

1,833
1,833
1,833
1,833
1,833
1,833
10,764
10,764
10,764
10,764
10,784
10,784
10,784
10,784
10,784
10,784
10,981
10,981
10,981
10,981
10,981
10,981
11,562
11,562
11,562
11,562
11,562
11,562
11,562
11,562
11,562
11,340
11,323
11,323
11,323
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380
11,380

42,007.64
42,007.64
42,007.64
42,007.64
42,007.64
42,007.64
1,356.37
7,153.47
3,576.74
7,153.47
7,140.21
7,140.21
7,140.21
7,140.21
7,140.21
7,140.21
6,223.44
5,363.95
6,533.50
6,355.27
5,068.61
6,350.42
6,659.75
6,659.75
6,659.75
6,659.75
6,659.75
6,659.75
6,659.75
6,659.75
6,659.75
2,574.96
6,800.25
6,800.32
6,800.32
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
6,766.26
948,881.13

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