LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 4
Page 1 of 4

Tanggal Laporan : 24/11/23

Kepada Yth. / To : Statement Date

NASIR KARIM Periode Transaksi : 01/11/23 - 24/11/23

Transaction Periode

JL ARSO GG MERPATI III,Rt.001/004,KOTA

JAYAPURA ABEPURA KOTA JAYAPURA

No. Rekening : 380801008514501 Unit Kerja : UNIT GUNUNG SARI PANAKKUKANG

Account No Business Unit

Nama Produk : Britama-IDR Alamat Unit Kerja : KANCA PANAKKUKANG

Product Name Business Unit Address KANWIL MAKASSAR

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/11/23 11:03:08 ATMLTRPRM 23344 000971616 38080100851450 0888934 0.00 2,000,000.00 2,076,149.75
TRF PRIMA FROM ISMAIL ATMLTRPRM 23344
000971616 380801008514501

01/11/23 11:22:34 5221843105612266#000000004149#MP #TRFHMB 0888077 4,000.00 0.00 2,072,149.75

LN 0081740003895323MP 5221843105612266

01/11/23 11:22:34 5221843105612266#000000004149#MP #TRFHMB 0888077 500,000.00 0.00 1,572,149.75

LN 0081740003895323MP 5221843105612266

01/11/23 12:44:33 5260512040364729#000000408801#ATM #TRFLA 0888175 0.00 4,750,000.00 6,322,149.75

TRF BERSAMA FROM JUSMAN LA
380801008514501ATM 5260512040364729

01/11/23 13:05:26 ATMSTRPRM 08888 000580771 7990164309 8888428 6,500.00 0.00 6,315,649.75
ESB:NBMB:0005T00F:603638580771

01/11/23 13:05:26 ATMSTRPRM 08888 000580771 7990164309 8888428 1,500,000.00 0.00 4,815,649.75
ESB:NBMB:0005T00F:603638580771

01/11/23 14:20:15 ATMSTRPRM 08888 000713590 0251983266 8888534 6,500.00 0.00 4,809,149.75
ESB:NBMB:0005T00F:603676713590

01/11/23 14:20:15 ATMSTRPRM 08888 000713590 0251983266 8888534 1,740,000.00 0.00 3,069,149.75
ESB:NBMB:0005T00F:603676713590

01/11/23 14:26:40 BFST1520018932869 NBMB:BMRIIDJA 8888260 2,500.00 0.00 3,066,649.75

20231101BRINIDJA010O0247823368
ESB:NBMB:0008G00F:603679974879

01/11/23 14:26:40 BFST1520018932869 NBMB:BMRIIDJA 8888260 1,000,000.00 0.00 2,066,649.75

20231101BRINIDJA010O0247823368
ESB:NBMB:0008G00F:603679974879

01/11/23 16:38:44 FeeMitra DAZ3400108 ESB:T:0374611:CMS 0374611 0.00 16,257,000.00 18,323,649.75

01/11/23 16:40:35 BFST7685233517 NBMB:CENAIDJA 8888373 2,500.00 0.00 18,321,149.75

20231101BRINIDJA010O0248695493
ESB:NBMB:0008G00F:603748315887

01/11/23 16:40:35 BFST7685233517 NBMB:CENAIDJA 8888373 2,000,000.00 0.00 16,321,149.75

20231101BRINIDJA010O0248695493
ESB:NBMB:0008G00F:603748315887

11/24/2023 10:31:30 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 4
Page 2 of 4
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

01/11/23 18:58:52 PRCH522184310561226601122760#10311111 0852782 251,000.00 0.00 16,070,149.75

01/11/23 20:04:32 ATMSTRPRM 08888 000722452 7685371812 8888573 6,500.00 0.00 16,063,649.75
ESB:NBMB:0005T00F:603862722452

01/11/23 20:04:32 ATMSTRPRM 08888 000722452 7685371812 8888573 3,330,000.00 0.00 12,733,649.75
ESB:NBMB:0005T00F:603862722452

01/11/23 20:27:56 ATMSTRPRM 08888 000224700 3901043866 8888568 6,500.00 0.00 12,727,149.75
ESB:NBMB:0005T00F:603875224700

01/11/23 20:27:56 ATMSTRPRM 08888 000224700 3901043866 8888568 1,000,000.00 0.00 11,727,149.75
ESB:NBMB:0005T00F:603875224700

01/11/23 20:31:15 BRIVA88099082346702829NBMBOVO NA**R KA** 8888101 7,000,000.00 0.00 4,727,149.75

BRIVA 88099082346702829NBMBOVO NA**R KA*
ESB:NBMB:0200200P:603876922760

01/11/23 20:34:12 ATMSTRPRM 08888 000418230 7565122681 8888018 6,500.00 0.00 4,720,649.75
ESB:NBMB:0005T00F:603878418230

01/11/23 20:34:12 ATMSTRPRM 08888 000418230 7565122681 8888018 4,650,000.00 0.00 70,649.75
ESB:NBMB:0005T00F:603878418230

02/11/23 06:31:42 NBMB HARDYANTI DAHL TO NASIR KARIM 8888043 0.00 50,000.00 120,649.75
ESB:NBMB:0001500F:603998794939

02/11/23 09:52:52 NBMB NASIR KARIM TO HASRAWATI 8888589 30,000.00 0.00 90,649.75
ESB:NBMB:0001500F:604074338124

02/11/23 10:58:05 BFST7565122681 NBMB:CENAIDJA 8888327 2,500.00 0.00 88,149.75

20231102BRINIDJA010O0201505229
ESB:NBMB:0008G00F:604105841544

02/11/23 10:58:05 BFST7565122681 NBMB:CENAIDJA 8888327 38,000.00 0.00 50,149.75

20231102BRINIDJA010O0201505229
ESB:NBMB:0008G00F:604105841544

03/11/23 13:30:01 Pembayaran Fee MitraPROGRESSIVE NFA EXTE 0374623 0.00 2,628,262.00 2,678,411.75
ESB:T:0374623:CMS

06/11/23 12:24:44 Pembayaran Fee MitraGROWTH NFA MITRA EXT 0374631 0.00 630,782.00 3,309,193.75
ESB:T:0374631:CMS

09/11/23 13:16:59 BRIVA88810082123282890NBMBDNID RISXXXXXX 8888465 119,000.00 0.00 3,190,193.75

BRIVA 88810082123282890NBMBDNID RISXXXXX
ESB:NBMB:0200200P:607188868492

09/11/23 19:34:39 NP 01056 000000471 0888158 950,000.00 0.00 2,240,193.75

NP52218431056122660000000004710000000178

09/11/23 20:25:03 BFST7565122681 NBMB:CENAIDJA 8888130 2,500.00 0.00 2,237,693.75

20231109BRINIDJA010O0281111395
ESB:NBMB:0008G00F:607363045412

09/11/23 20:25:03 BFST7565122681 NBMB:CENAIDJA 8888130 1,300,000.00 0.00 937,693.75

20231109BRINIDJA010O0281111395
ESB:NBMB:0008G00F:607363045412

09/11/23 20:27:52 NBMB NASIR KARIM TO HARDYANTI DAHLAN 8888221 350,000.00 0.00 587,693.75
ESB:NBMB:0001500F:607364203628

09/11/23 20:43:00 BFST6511651176 NBMB:BNINIDJA 8888574 2,500.00 0.00 585,193.75

20231109BRINIDJA010O0205587500
ESB:NBMB:0008G00F:607370197413

11/24/2023 10:31:31 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 4
Page 3 of 4
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

09/11/23 20:43:00 BFST6511651176 NBMB:BNINIDJA 8888574 154,880.00 0.00 430,313.75

20231109BRINIDJA010O0205587500
ESB:NBMB:0008G00F:607370197413

10/11/23 13:43:56 NBMB NASIR KARIM TO SRI PUSPA LELA 8888036 100,000.00 0.00 330,313.75
ESB:NBMB:0001500F:607619406112

10/11/23 16:10:20 BFST7565122681 NBMB:CENAIDJA 8888448 2,500.00 0.00 327,813.75

20231110BRINIDJA010O0281693884
ESB:NBMB:0008G00F:607678964937

10/11/23 16:10:20 BFST7565122681 NBMB:CENAIDJA 8888448 270,000.00 0.00 57,813.75

20231110BRINIDJA010O0281693884
ESB:NBMB:0008G00F:607678964937

14/11/23 13:09:14 NBMB HARDYANTI DAHL TO NASIR KARIM 8888497 0.00 50,000.00 107,813.75
ESB:NBMB:0001500F:609228547032

14/11/23 14:32:47 NBMB HARDYANTI DAHL TO NASIR KARIM 8888262 0.00 60,000.00 167,813.75
ESB:NBMB:0001500F:609260356582

14/11/23 16:13:12 QRIS609298333591#9360000210056571665 8888412 58,000.00 0.00 109,813.75

ESB:NBMB:0007I00P:609298333591

15/11/23 06:18:28 NBMB NASIR KARIM TO HARDYANTI DAHLAN 8888111 50,000.00 0.00 59,813.75
ESB:NBMB:0001500F:609502292542

15/11/23 13:59:15 NBMB HARDYANTI DAHL TO NASIR KARIM 8888332 0.00 200,000.00 259,813.75
ESB:NBMB:0001500F:609668004657

15/11/23 14:03:42 BFST1100597311 NBMB:CENAIDJA 8888062 2,500.00 0.00 257,313.75

20231115BRINIDJA010O0242138715
ESB:NBMB:0008G00F:609669799728

15/11/23 14:03:42 BFST1100597311 NBMB:CENAIDJA 8888062 200,000.00 0.00 57,313.75

20231115BRINIDJA010O0242138715
ESB:NBMB:0008G00F:609669799728

15/11/23 17:25:10 ~msLMS7 wallet 21545 15112023 01393 6390 0371857 0.00 6,390,000.00 6,447,313.75
WS_OB;17000439036976465071;25078
ESB:T:0371857:S:0371892:WSOB

15/11/23 17:45:18 QRIS609758842504#9360000210056571665 8888066 27,000.00 0.00 6,420,313.75

ESB:NBMB:0007I00P:609758842504

16/11/23 05:29:59 NBMB NASIR KARIM TO MUHAMMAD NUR 8888299 6,370,000.00 0.00 50,313.75
ESB:NBMB:0001500F:609919826513

16/11/23 17:22:44 NBMB MUHAMMAD NUR TO NASIR KARIM 8888481 0.00 6,050,000.00 6,100,313.75
ESB:NBMB:0001500F:610174562738

16/11/23 17:34:35 QRIS610179651987#9360000210056571665 8888592 116,600.00 0.00 5,983,713.75

ESB:NBMB:0007I00P:610179651987

16/11/23 17:53:57 BFST7565122681 NBMB:CENAIDJA 8888514 2,500.00 0.00 5,981,213.75

20231116BRINIDJA010O0200891001
ESB:NBMB:0008G00F:610188077926

16/11/23 17:53:57 BFST7565122681 NBMB:CENAIDJA 8888514 400,000.00 0.00 5,581,213.75

20231116BRINIDJA010O0200891001
ESB:NBMB:0008G00F:610188077926

16/11/23 19:32:28 BFST7565122681 NBMB:CENAIDJA 8888257 2,500.00 0.00 5,578,713.75

20231116BRINIDJA010O0201632671
ESB:NBMB:0008G00F:610232843653

11/24/2023 10:31:31 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 4
Page 4 of 4
Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

16/11/23 19:32:28 BFST7565122681 NBMB:CENAIDJA 8888257 5,520,000.00 0.00 58,713.75

20231116BRINIDJA010O0201632671
ESB:NBMB:0008G00F:610232843653

20/11/23 00:00:00 Monthly Fee ATM 3,500.00 0.00 55,213.75

20/11/23 12:01:18 FROM205101010130501 TO380801008514501MP 9944261 0.00 13,400,000.00 13,455,213.75

20/11/23 12:12:39 BFST7565122681 NBMB:CENAIDJA 8888321 2,500.00 0.00 13,452,713.75

20231120BRINIDJA010O0223563907
ESB:NBMB:0008G00F:611660055990

20/11/23 12:12:39 BFST7565122681 NBMB:CENAIDJA 8888321 13,400,000.00 0.00 52,713.75

20231120BRINIDJA010O0223563907
ESB:NBMB:0008G00F:611660055990

20/11/23 23:59:59 Admin Fee 12,000.00 0.00 40,713.75

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

76,149.75 52,501,480.00 52,466,044.00 40,713.75

Terbilang / In Words

EMPAT PULUH RIBU TUJUH RATUS TIGA BELAS KOMA TUJUH PULUH LIMA RUPIAH
FORTY THOUSAND SEVEN HUNDRED THIRTEEN POINT SEVENTY FIVE 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

11/24/2023 10:31:31 AM