LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 3
Page 1 of 3

Tanggal Laporan : 17/03/24

Kepada Yth. / To : Statement Date

ADE REZA IHSANI Periode Transaksi : 01/01/24 - 31/01/24

Transaction Periode

NGABETAN RT 001 RW 003,KEL. NGABETAN

KEC.C ERME,GRESIK CERME GRESIK

No. Rekening : 317801018792534 Unit Kerja : UNIT CERME GRESIK

Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : KANCA GRESIK

Product Name Business Unit Address KANWIL SURABAYA

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/01/24 10:16:06 BFST101728163545 NBMB:ATOSIDJ1 8888508 2,500.00 0.00 52,478.06

20240101BRINIDJA010O0246309109
ESB:NBMB:0008G00F:630014225735

01/01/24 10:16:06 BFST101728163545 NBMB:ATOSIDJ1 8888508 400,008.00 0.00 -347,529.94

20240101BRINIDJA010O0246309109
ESB:NBMB:0008G00F:630014225735

01/01/24 10:18:14 BRIVA112081358083606NBMBoXXXXXXXXXXXX1 8888008 110,000.00 0.00 -457,529.94

BRIVA 112081358083606NBMBoXXXXXXXXXXXX
ESB:NBMB:0200200P:630015038570

01/01/24 22:59:00 081358083606 00190500 000000001877 9942945 200,000.00 0.00 -657,529.94

01/01/24 23:59:59 BRIPENSG2_S_13200482200_1_1_2024 BRIPENSG2 0.00 1,219,700.00 562,170.06

01/01/24 23:59:59 083832562785|3SMS|27/12/2023-28/12/2023 DDY402 1,500.00 0.00 560,670.06

02/01/24 06:14:52 BRIVA112081358083606NBMBoXXXXXXXXXXXX1 8888575 130,000.00 0.00 430,670.06

BRIVA 112081358083606NBMBoXXXXXXXXXXXX
ESB:NBMB:0200200P:630346033052

02/01/24 16:03:24 NBMB ADE REZA IHSAN TO FRANSISCO MICAEL 8888183 200,000.00 0.00 230,670.06
ESB:NBMB:0001500F:630587123951

02/01/24 16:14:28 NBMB ADE REZA IHSAN TO M YUNUS 8888013 200,000.00 0.00 30,670.06
ESB:NBMB:0001500F:630591913860

02/01/24 16:26:58 BFST317801018792534ADE REZA IHS:SSPIIDJA 8888681 0.00 200,000.00 230,670.06

20240102SSPIIDJA010O0201045356
ESB:BFST:0008N:20240102FASTIDJA010043791

02/01/24 16:27:10 NBMB ADE REZA IHSAN TO M YUNUS 8888391 200,000.00 0.00 30,670.06
ESB:NBMB:0001500F:630597490461

02/01/24 16:34:57 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888638 0.00 400,000.00 430,670.06

20240102ATOSIDJ1010O0200058368
ESB:BFST:0008N:20240102FASTIDJA010051846

02/01/24 16:35:14 NBMB ADE REZA IHSAN TO M YUNUS 8888231 400,000.00 0.00 30,670.06
ESB:NBMB:0001500F:630601044545

03/17/2024 03:07:18 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

03/01/24 09:15:41 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888683 0.00 300,000.00 330,670.06

20240103ATOSIDJ1010O0200015150
ESB:BFST:0008N:20240103FASTIDJA010575009

03/01/24 09:16:33 BRIVA8878800009554705NBMBAde Reza Ihsani 8888387 281,500.00 0.00 49,170.06

BRIVA 8878800009554705NBMBAde Reza Ihsa
ESB:NBMB:0200200P:630865289122

05/01/24 23:59:59 083832562785|11SMS|01/01/2024-02/01/2024 DDY402 5,500.00 0.00 43,670.06

09/01/24 23:59:59 083832562785|2SMS|03/01/2024-03/01/2024 DDY402 1,000.00 0.00 42,670.06

12/01/24 15:09:37 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888612 0.00 200,000.00 242,670.06

20240112ATOSIDJ1010O0200041888
ESB:BFST:0008N:20240112FASTIDJA010794869

12/01/24 15:10:33 BRIVA112081358083606NBMBoXXXXXXXXXXXX1 8888598 10,000.00 0.00 232,670.06

BRIVA 112081358083606NBMBoXXXXXXXXXXXX
ESB:NBMB:0200200P:634791542344

12/01/24 15:13:06 081358083606 00620368 000000012207 9942180 200,000.00 0.00 32,670.06

16/01/24 00:00:00 Monthly Fee ATM 2,500.00 0.00 30,170.06

16/01/24 23:59:59 Admin Fee 5,500.00 0.00 24,670.06

17/01/24 23:59:59 083832562785|2SMS|12/01/2024-12/01/2024 DDY402 1,000.00 0.00 23,670.06

19/01/24 12:26:42 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888678 0.00 100,000.00 123,670.06

20240119ATOSIDJ1010O0200027258
ESB:BFST:0008N:20240119FASTIDJA010294083

19/01/24 12:27:35 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888696 0.00 53,000.00 176,670.06

20240119ATOSIDJ1010O0200027327
ESB:BFST:0008N:20240119FASTIDJA010294912

19/01/24 12:28:06 081358083606 00096058 000000001921 9942210 100,000.00 0.00 76,670.06

21/01/24 19:53:29 DANA20240121016206692702abdulrozzaq 0371872 0.00 200,000.00 276,670.06

WS_OB;20240121016206692702;72133
ESB:T:0371872:S:0371892:WSOB

21/01/24 19:57:55 081358083606 00096035 000000021153 9942533 200,000.00 0.00 76,670.06

25/01/24 09:55:38 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888688 0.00 30,000.00 106,670.06

20240125ATOSIDJ1010O0200027023
ESB:BFST:0008N:20240125FASTIDJA010975419

25/01/24 09:56:14 BFST317801018792534ADE REZA IHS:ATOSIDJ1 8888667 0.00 20,000.00 126,670.06

20240125ATOSIDJ1010O0200027104
ESB:BFST:0008N:20240125FASTIDJA010975597

25/01/24 09:56:27 BRIVA887895461358083606NBMBADE REZA IHSA 8888550 86,500.00 0.00 40,170.06

ESB:NBMB:0200200P:639934254461

25/01/24 23:59:59 083832562785|4SMS|19/01/2024-21/01/2024 DDY402 2,000.00 0.00 38,170.06

31/01/24 09:02:50 DANA20240131016305163202abdulrozzaq 0371865 0.00 506,000.00 544,170.06

WS_OB;20240131016305163202;72133
ESB:T:0371865:S:0371892:WSOB

31/01/24 09:03:40 081358083606 00096038 000000003156 9942202 200,000.00 0.00 344,170.06

31/01/24 20:30:35 NBMB RICKY ARDIAN P TO ADE REZA IHSANI 8888328 0.00 50,000.00 394,170.06
ESB:NBMB:0001500F:642693070568

03/17/2024 03:07:18 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 3
Page 3 of 3

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

54,978.06 2,939,508.00 3,278,700.00 394,170.06

Terbilang / In Words

TIGA RATUS SEMBILAN PULUH EMPAT RIBU SERATUS TUJUH PULUH KOMA NOL ENAM RUPIAH
THREE HUNDRED NINETY FOUR THOUSAND ONE HUNDRED SEVENTY POINT ZERO SIX RUPIAH
Biaya materai telah dibayar Lunas
Revenue Stamp Paid

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- 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

03/17/2024 03:07:18 PM