LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 3
Page 1 of 3

Tanggal Laporan : 01/04/24

Kepada Yth. / To : Statement Date

SUHARTONO Periode Transaksi : 01/01/24 - 31/01/24

Transaction Periode

JL A. YANI III 42 RT 009/RW 009 LOWOKWARU

KOTA MALANG KOTA
KOTA MALANG

No. Rekening : 312601052680534 Unit Kerja : UNIT BLIMBING

Account No Business Unit

Nama Produk : SIMPEDES UMUM Alamat Unit Kerja : KANCA MALANG SUKARNO HATTA
Product Name Business Unit Address KANWIL MALANG

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/01/24 12:29:47 NBMB SONY DWI ISMOY TO SUHARTONO 8888348 0.00 5,000,000.00 6,356,000.00
ESB:NBMB:0001500F:496265945355

01/01/24 14:31:17 BRIVA88099081359148554NBMBOVO SUH**TO** 8888175 3,000,000.00 0.00 3,356,000.00

BRIVA 88099081359148554NBMBOVO SUH**TO**
ESB:NBMB:0200200P:496289645266

01/01/24 14:32:31 NBMB SUHARTONO TO ADITYA PRAMANA 8888099 1,500,000.00 0.00 1,856,000.00
ESB:NBMB:0001500F:496289881055

02/01/24 09:43:07 BFST637101032148538VISIONET INT:BDINIDJA 8888662 0.00 5,200,000.00 7,056,000.00

20240102BDINIDJA010O9950619826
ESB:BFST:0008N:20230902BRINIDJA110437172

02/01/24 10:20:56 NBMB SUHATONO TO MIFTAKHUL MUNIR 8888366 1,600,000.00 0.00 5,456,000.00
ESB:NBMB:0001500F:496466602527

02/01/24 10:45:43 NBMB SUHARTONO TO ADITYA PRAMANA 8888451 2,000,000.00 0.00 3,456,000.00
ESB:NBMB:0001500F:496473549373

02/01/24 11:18:45 NBMB SONY DWI ISMOY TO SUHARTONO 8888168 0.00 9,000,000.00 12,456,000.00
ESB:NBMB:0001500F: 496265945355

02/01/24 11:56:12 NBMB SUHARTONO TO ADITYA PRAMANA 8888571 3,000,000.00 0.00 9,456,000.00
ESB:NBMB:0001500F:496289881055

02/01/24 11:56:12 NBMB SUHARTONO TO ERIKA DWI AMBARWA 8888571 3,000,000.00 0.00 6,456,000.00
ESB:NBMB:0001500F:498058690394

03/01/24 07:31:50 BRIVA88099081359148554NBMBOVO SUH**TO** 8888257 2,000,000.00 0.00 4,456,000.00

BRIVA 88099081359148554NBMBOVO SUH**TO**
ESB:NBMB:0200200P:496691709751

06/01/24 10:45:21 BFST637101032148538VISIONET INT:BDINIDJA 8888673 0.00 8,000,000.00 12,456,000.00

20240106BDINIDJA010O9950002303
ESB:BFST:0008N:20240106BRINIDJA110448674

06/01/24 10:46:01 NBMB SUHARTONO TO ADITYA PRAMANA 8888406 2,000,000.00 0.00 10,456,000.00
ESB:NBMB:0001500F:497475906958

06/01/24 11:57:24 NBMB SONY DWI ISMOY TO SUHARTONO 8888446 0.00 8,000,000.00 18,456,000.00
ESB:NBMB:0001500F:497492856061

01/04/2024 09:50:22 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

06/01/24 12:03:58 BRIVA88099081359148554NBMBOVO SUH**TO** 8888476 202,000.00 0.00 18,254,000.00

BRIVA 88099081359148554NBMBOVO SUH**TO*
ESB:NBMB:0200200P:497494286025

06/01/24 12:36:17 BFST637101032148538VISIONET INT:BDINIDJA 8888615 0.00 9,800,000.00 28,054,000.00

20240106BDINIDJA010O9960010361
ESB:BFST:0008N:20230906BRINIDJA110448989

06/01/24 12:37:18 NBMB SUHARTONO TO ADITYA PRAMANA 8888111 100,000.00 0.00 27,954,000.00
ESB:NBMB:0001500F:497501470082

07/01/24 12:47:07 BFST637101032148538VISIONET INT:BDINIDJA 8888652 0.00 102,500.00 28,056,500.00

20230907BDINIDJA010O9960140449
ESB:BFST:0008N:20230907BRINIDJA110451733

07/01/24 12:48:12 NBMB SUHARTONO TO ADITYA PRAMANA 8888576 100,000.00 0.00 27,956,500.00
ESB:NBMB:0001500F:497738873993

07/01/24 13:42:39 NBMB SONY DWI ISMOY TO SUHARTONO 8888135 0.00 2,180,000.00 30,136,500.00
ESB:NBMB:0001500F:497749990347

07/01/24 13:44:48 BRIVA88099081359148554NBMBOVO SUH**TO** 8888347 8,106,000.00 0.00 22,030,500.00

BRIVA 88099081359148554NBMBOVO SUH**TO**
ESB:NBMB:0200200P:497750412205

08/01/24 21:59:15 BFST637101032148538VISIONET INT:BDINIDJA 8888646 0.00 3,000,000.00 25,030,500.00

20240108BDINIDJA010O9980104944
ESB:BFST:0008N:20230908BRINIDJA110455193

08/01/24 21:59:47 NBMB SUHARTONO TO ERIKA DWI AMBARWA 8888586 1,000,000.00 0.00 24,030,500.00
ESB:NBMB:0001500F:498058690394

08/01/24 22:11:19 BFST637101032148538VISIONET INT:BDINIDJA 8888643 0.00 1,500,000.00 25,530,500.00

20240108BDINIDJA010O9960290749
ESB:BFST:0008N:20240108BRINIDJA110455211

08/01/24 22:12:21 BRIVA88810085295256521NBMBDNID PERXXXXXX 8888226 1,850,000.00 0.00 23,680,500.00

BRIVA 88810085295256521NBMBDNID PERXXXXX
ESB:NBMB:0200200P:498060528731

08/01/24 22:22:59 BFST637101032148538VISIONET INT:BDINIDJA 8888622 0.00 2,200,500.00 25,881,000.00

20240108BDINIDJA010O9960291669
ESB:BFST:0008N:20240108BRINIDJA110455224

08/01/24 22:24:34 NBMB SUHARTONO TO ADITYA PRAMANA 8888226 280,000.00 0.00 25,601,000.00
ESB:NBMB:0001500F:498062215698

09/01/24 12:49:43 WBNK MIFTAKHUL MUNI TO SUHARTONO 0888142 0.00 2,000,000.00 27,601,000.00
FROM637101003538538 TO637101032148538WBN

09/01/24 12:50:49 NBMB SONY DWI ISMOY TO SUHARTONO 8888181 0.00 170,000.00 27,771,000.00
ESB:NBMB:0001500F:498172981652

10/01/24 12:55:45 NBMB SUHARTONO TO ADITYA PRAMANA 8888040 2,000,000.00 0.00 25,771,000.00
ESB:NBMB:0001500F:498174194637

10/01/24 14:26:59 NBMB SONY DWI ISMOY TO SUHARTONO 8888258 0.00 2,800,000.00 28,571,000.00
ESB:NBMB:0001500F:498196048173

11/01/24 14:27:38 NBMB SUHARTONO TO ERIKA DWI AMBARWA 8888571 4,600,000.00 0.00 23,971,000.00
ESB:NBMB:0001500F:498196205369

11/01/24 14:33:26 NBMB ERIKA DWI AMBA TO SUHARTONO 8888388 0.00 1,500,000.00 25,471,000.00
ESB:NBMB:0001500F:498197609334

01/04/2024 09:50:23 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

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

12/01/24 14:33:47 BRIVA88810085295256521NBMBDNID PERXXXXXX 8888507 2,700,000.00 0.00 22,771,000.00

BRIVA 88810085295256521NBMBDNID PERXXXXX
ESB:NBMB:0200200P:498197694087

12/01/24 14:38:16 BRIVA88810085295256521NBMBDNID PERXXXXXX 8888211 150,000.00 0.00 22,621,000.00

BRIVA 88810085295256521NBMBDNID PERXXXXX
ESB:NBMB:0200200P:498198768989

13/01/24 15:02:35 NBMB SUHARTONO TO ADITYA PRAMANA 8888510 27,000.00 0.00 22,594,000.00
ESB:NBMB:0001500F:498447976981

13/01/24 15:35:21 NBMB SONY DWI ISMOY TO SUHARTONO 8888109 0.00 85,000.00 22,679,000.00
ESB:NBMB:0001500F:498455637864

14/01/24 11:37:51 NBMB SUHARTONO TO ADITYA PRAMANA 8888412 25,000.00 0.00 22,654,000.00
ESB:NBMB:0001500F:498652021913

15/01/24 09:12:20 PUL-SIM 082132405670NBMB5221840927950759 8888427 1,500.00 0.00 22,652,500.00

ESB:NBMB:0100101C:499528794636

15/01/24 09:12:20 PUL-SIM 082132405670NBMB5221840927950759 8888427 15,000.00 0.00 22,637,500.00

ESB:NBMB:0100101C:499528794636

16/01/24 23:59:59 Admin Fee 5,500.00 0.00 22,632,000.00

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

1,356,000.00 39,262,000.00 60,538,000.00 22,632,000.00

Terbilang / In Words

DUA PULUH DUA JUTA ENAM RATUS TIGA PULUH DUA RIBU RUPIAH
TWENTY TWO MILLION SIX HUNDRED THIRTY TWO THOUSAND 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
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- The copy of this Statement of Account is computer-generated, no official signature is required.
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- Should there be any change of email address, please notify the relevant Bank BRI Business Unit

01/04/2024 09:50:23 PM