LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Page 1 of 3

Kepada Yth. / To : Tanggal Laporan : 13/11/23

Statement Date

DESTI LULISTIYANI Periode Transaksi : 01/10/23 - 31/10/23

Transaction Periode
PASUTAN RT 001 RW 000
KELURAHAN TRIRENGGO,KEC BANTUL
KAB BANTUL
DAERAH ISTIMEWA YOGYAKARTA
No. Rekening : 358801032803532 Unit Kerja : KC Bantul
Account No Business Unit

Nama Produk : Britama Alamat Unit Kerja : JL Jend Sudirman No 03

Product Name Business Unit Address Bantul
Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/10/23 13:00:59 ATM STRPRM 08888 000445367 7245 ESB : DDY402 300,000.00 0.00 51,597,641.00
NBMB:0005T00F:513715445367
01/10/23 16:30:29 ATMSTRPRM 08888 000445367 7245326891 8888040 442,000.00 0.00 51,155,641.00
ESB:NBMB:0005T00F:513715445367

01/10/23 17:30:29 NBMB BLIBLI VA 7584584954 8888040 3,500,000.00 0.00 47,655,641.00

ESB:NBMB:0001500F:511598874062

01/10/23 18:22:41 082293653469 0644901 400,000.00 0.00 47,255,641.00

001608609586969 000000002453
02/10/23 04:33:38 TMSTRPRM 08888 000445367 7245326891 8888087 200,000.00 0.00 47,055,641.00
ESB:NBMB:0005T00F:513715445367

02/10/23 04:33:38 BFST1620004245779 NBMB:FLIPTECH LENTERA 8888087 350,000.00 0.00 46,705.641.00

20230311 BRINIDJA 010 O0247223992

03/10/23 05:15:04 NBMB 8659869059645 8888360 500,000.00 0.00 46,205,641.00

ESB:NBMB:0001500F:511598874062

03/10/23 13:53:44 ATMSTRPRM 08888 000784360 7911003914 8888044 100,000.00 0.00 46,105,641.00
ESB:NBMB:0005T00F:511700784360

05/10/23 13:53:44 ATMSTRPRM 08888 000445367 72453 ESB: 8888044 400,000.00 0.00 45,705,641.00
NBMB:0005T00F:513715445367i

06/10/23 18:45:40 ATMSTRPRM 08888 000445367 724 ESB: 8888462 250,000.00 0.00 45,555,641.00
NBMB:0005T00F:513715445367

06/10/23 19:31:36 NBMB 490953593 95905950555 8888297 0.00 1,000,000.00 46,555,641.00

ESB:NBMB:74757774:98588544

06/10/23 19:33:01 NBMB:BNINIDJA 6474538934578 0371851 0.00 1,000,000.00 47,555,641.00

ESB:NBMB:0001500F:511943077227

10/10/23 12:32:14 QRIS511934746633#9360000210051315489 8888475 200,000.00 0.00 47,355,641.00

ESB:NBMB:0007I00c:511934746633

10/10/23 13:09:57 NBMB DESTI LULISTIYANI TO LATIFATUL HUSNA 8888317 1,000,000.00 0.00 46,355,641.00
ESB:NBMB:0001500F:511943077227

Created By BRISIM
11/13/2023 09:24:46 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 3
Page 2 of 3
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

12/10/23 23:59:59 BRIVA1236213678588492NBMB TokopediaBRIVA DDY402 111,500.00 0.00 46,244,141.00

ATMSTRPRM 08888 000445367
47,244,141.00
15/10/23 07:32:30 7245326891 8888308 0.00 1,000,000.00
ESB:NBMB:0005T00F:513715445367
0.00 7,000,000.00 54,244,141.00
15/10/23 09:29:23 082293653469 00650176 000000000663 9944183

0.00 54,237,641.00
15/10/23 11:27:53 Biaya Bulanan ATM 8888308 6,500.00

15/10/23 11:27:53 Biaya Administrasi 8888308 5,500.00 0.00 54,232,141.00

16/10/23 19:51:38 BRIVA1236213678588492NBMBRIVA 8888390 180,000.00 0.00 54,052,141.00

1236213678588492 LAZADA ESB:
NBMB:0200200P:512322558366

17/10/23 15:24:40 39120816903NBMB6013014080267316 8888192 800,000.00 0.00 53,252,141.00

ESB:NBMB:0400200T:512524958315

18/10/23 15:24:40 8888192 0.00 4,000,000.00

39120816903NBMB6013014080267316 57,252,141.00
ESB:NBMB:0400200T:512524958315

18/10/23 19:17:29 NBMB DESTI LULISTIYANI TO FAHRUL WIJAYA 8888218 1,000,000.00 0.00 56,252,141.00
ESB:NBMB:0001500F:512700261724

18/10/23 21:59:59 082293653469|14SMS|28/10/2023-28/10/2023 DDY402 100,000.00 0.00 56,152,141.00

18/10/23 22:11:15 ATMSTRPRM 08888 000445367 7245326891 8888296 200,000.00 0.00 55,952,141.00
ESB:NBMB:0005T00F:513715445367

18/10/23 22:11:15 ATMSTRPRM 08888 000445367 7245326891 8888296 0.00 9,000,000.00 64,952,141.00
ESB:NBMB:0005T00F:513715445367

26/10/23 22:26:47 BIFST1620004245779 CITI 8888151 500.000.00 0.00 64,452,141.00

20230311BRINIDJA010O0247223992
ESB:NBMB:0008G00F:513718313097

26/10/23 22:26:47 NBMB DESTI LULISTIYANI TO TRIAWATI 8888151 4,000,000.00 0.00 60,452,141.00
2023031100799696010O0247223992 089997666

29/10/23 10:06:18 QRIS INDOMARET 8489478434304 0192952 400,000.00 0.00 60,452,141.00

ATMSTRPRM 08888 000445367 7245326891 ESB: DDY402 0.00 300,000.00 60,752,141.00

29/10/23 23:59:59
NBMB:0005T00F:51656996594

Saldo Awal Total Transaksi Debet Total Transaksi Kredit Saldo Akhir
Opening Balance Total Debit Transaction Total Credit Transaction Closing Balance

51,897,641.00 14,445,500.00 23,300,000.00 60,752,141.00

Created By BRISIM
11/13/2023 09:24:46 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 3
Page 3 of 3
Terbilang / In Words

ENAM PULUH JUTA TUJUH RATUS LIMA PULUH DUA RIBU SERATUS EMPAT PULUH SATU RUPIAH
SIXTY MILLION SEVEN HUNDRED FIFTY TWO THOUSAND HUNDRED FORTY ONE RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

- Apabila terdapat perbedaan dengan catatan Saudara, harap menghubungi kami selambat-lambatnya 14 hari sejak diterimanya rekening koran ini.
- In the case of any differences from your records, please contact us within not later than 14 days from the receipt of this Statement of Account
- Salinan rekening koran ini merupakan hasil cetakan komputer, tidak diperlukan tanda tangan pejabat Bank
- The copy of this Statement of Account is computer-generated, no official signature is required.
- Apabila ada perubahan alamat email mohon diinformasikan pada Unit Kerja BANK BRI
- Should there be any change of email address, please notify the relevant Bank BRI Business Unit

Created By BRISIM
11/13/2023 09:24:46 PM