LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

Halaman 1 dari 7

Tanggal Laporan : 29/04/24

Kepada Yth. / To : Statement Date

JASMER SINAGA Periode Transaksi : 01/04/24 - 29/04/24

Transaction Periode

JL. TANJUNG PINGGIR , KEL. TANJUNG PINGGIR ,

KEC. SIANTAR MARTOBA , KOTA
PEMATANGSIANTAR

No. Rekening : 338001057082537 Unit Kerja : UNIT PARLUASAN PEMATANG SIANTAR

Account No Business Unit

Nama Produk : Simpedes Alamat Unit Kerja : KANCA PEMATANG SIANTAR

Product Name Business Unit Address KANWIL MEDAN

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

01/04/24 09:54:59 PUL-SIM 081264802885NBMB6013014094615047 8888524 1,500.00 0.00 6,268,755.00

ESB:NBMB:0100101C:616312997469

01/04/24 09:54:59 PUL-SIM 081264802885NBMB6013014094615047 8888524 75,000.00 0.00 6,193,755.00

ESB:NBMB:0100101C:616312997469

01/04/24 11:15:16 BRIVA1240804722555120NBMBRXXXXXXXXXXXXXX 8888215 217,358.00 0.00 5,976,397.00

BRIVA 1240804722555120NBMBRXXXXXXXXXXXX
ESB:NBMB:0200200P:616356997344

01/04/24 12:28:48 NBMB JASMER TO SONDANG PETRONICA 8888460 107,004.00 0.00 5,869,393.00
ESB:NBMB:0001500F:616394584828

01/04/24 15:13:59 WBNKSTOR724001020810535TO338001057082537 0888138 0.00 300,000.00 6,169,393.00

ESB:WBNK:0303A00F:505591500791

01/04/24 23:59:59 087876897940|14SMS|27/11/2023-28/11/2023 DDY402 7,000.00 0.00 6,162,393.00

02/04/24 10:00:01 NBMB JASMER TO ANTONIUS SIMAMORA 8888225 10,000.00 0.00 6,152,393.00
ESB:NBMB:0001500F:616835764998

02/04/24 11:36:32 NBMB JASMER TO NORA SILVIA 8888347 135,000.00 0.00 6,017,393.00
ESB:NBMB:0001500F:616876515058

02/04/24 15:03:03 NBMB JASMER TO DEVI WIDER SAMOSI 8888233 500,000.00 0.00 5,517,393.00
ESB:NBMB:0001500F:616961917201

03/04/24 06:46:52 PUL-SIM 082269784418NBMB6013014094615047 8888545 1,500.00 0.00 5,515,893.00

ESB:NBMB:0100101C:617225466748

03/04/24 06:46:52 PUL-SIM 082269784418NBMB6013014094615047 8888545 100,000.00 0.00 5,415,893.00

ESB:NBMB:0100101C:617225466748

03/04/24 07:19:12 PUL-SIM 082261084765NBMB6013014094615047 8888039 1,500.00 0.00 5,414,393.00

ESB:NBMB:0100101C:617232045313

03/04/24 07:19:12 PUL-SIM 082261084765NBMB6013014094615047 8888039 15,000.00 0.00 5,399,393.00

ESB:NBMB:0100101C:617232045313

03/04/24 10:52:34 NBMB NOVIA SONDANG TO JASMER 8888059 0.00 300,000.00 5,699,393.00
ESB:NBMB:0001500F:617297062668

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 2 dari 7

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

03/04/24 16:07:08 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888623 0.00 200,000.00 5,899,393.00

20231203BMRIIDJA010O0221279512
ESB:BFST:0008N:20231203FASTIDJA010285082

03/04/24 16:11:01 NBMB JASMER TO KARUNIA WATITA TA 8888556 100,000.00 0.00 5,799,393.00
ESB:NBMB:0001500F:617408557497

03/04/24 16:27:25 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888641 0.00 100,000.00 5,899,393.00

20231203BMRIIDJA010O0221292446
ESB:BFST:0008N:20231203FASTIDJA010298968

03/04/24 19:39:28 NBMB DEVI WIDER SAM TO JASMER 8888282 0.00 500,000.00 6,399,393.00
ESB:NBMB:0001500F:617492555089

03/04/24 20:58:50 EDC AMRIZAL TO JASMER 0852540 0.00 33,500,000.00 39,899,393.00

FROM225001000145306 TO338001057082537EDC

04/04/24 10:12:14 PUL-SIM 081265998919NBMB6013014094615047 8888230 1,500.00 0.00 39,897,893.00

ESB:NBMB:0100101C:617685090002

04/04/24 10:12:14 PUL-SIM 081265998919NBMB6013014094615047 8888230 50,000.00 0.00 39,847,893.00

ESB:NBMB:0100101C:617685090002

04/04/24 10:59:06 NBMB JASMER TO SUJANNA PERANGINA 8888534 14,350,000.00 0.00 25,497,893.00
ESB:NBMB:0001500F:617706551921

04/04/24 11:01:59 NBMB JASMER TO DAME BUTAR BUTAR 8888183 7,000,000.00 0.00 18,497,893.00
ESB:NBMB:0001500F:617707876345

04/04/24 20:10:07 EDCSTR 21540 005327175 EDCSTR 0852540 0.00 900,000.00 19,397,893.00
000005327175EDC5221849001424284

05/04/24 10:30:00 NBMB JASMER TO DELLA CHRISMAYA S 8888122 270,000.00 0.00 19,127,893.00
ESB:NBMB:0001500F:618163874597

05/04/24 14:12:49 NBMB JASMER TO ELISABET RUSTIANI 8888114 138,000.00 0.00 18,989,893.00
ESB:NBMB:0001500F:618276142237

05/04/24 21:21:36 PUL-SIM 081260885661NBMB6013014094615047 8888124 1,500.00 0.00 18,988,393.00

ESB:NBMB:0100101C:618494257737

05/04/24 21:21:36 PUL-SIM 081260885661NBMB6013014094615047 8888124 100,000.00 0.00 18,888,393.00

ESB:NBMB:0100101C:618494257737

05/04/24 23:59:59 087876897940|6SMS|30/11/2023-02/12/2023 DDY402 3,000.00 0.00 18,885,393.00

06/04/24 12:59:52 NBMB VERRY FREDERIC TO JASMER 8888547 0.00 1,300,000.00 20,185,393.00
ESB:NBMB:0001500F:618726972033

06/04/24 14:36:54 NBMB JASMER TO KARUNIA WATITA TA 8888319 100,000.00 0.00 20,085,393.00
ESB:NBMB:0001500F:618767728432

06/04/24 16:04:49 NBMB JASMER TO JELITA SIHOL MARI 8888535 365,040.00 0.00 19,720,353.00
ESB:NBMB:0001500F:618804065817

06/04/24 18:49:28 NBMB JASMER TO YOSEF CHRISTIAN N 8888597 123,000.00 0.00 19,597,353.00
ESB:NBMB:0001500F:618877878762

06/04/24 18:53:01 BFST1070012889814 NBMB:BMRIIDJA 8888129 2,500.00 0.00 19,594,853.00

20231206BRINIDJA010O0238579182
ESB:NBMB:0008G00F:618879627785

06/04/24 18:53:01 BFST1070012889814 NBMB:BMRIIDJA 8888129 200,000.00 0.00 19,394,853.00

20231206BRINIDJA010O0238579182
ESB:NBMB:0008G00F:618879627785

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 3 dari 7

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

07/04/24 12:05:34 NBMB JASMER TO JELITA SIHOL MARI 8888526 160,040.00 0.00 19,234,813.00
ESB:NBMB:0001500F:619150980737

07/04/24 16:29:07 EDCSETOR#2265602208 338001057082537#1100 0852540 0.00 1,500,000.00 20,734,813.00

STR#01037742539 TRX#5391100EDC08521540

07/04/24 20:30:36 WBNKSTOR552301028480534TO338001057082537 0888121 0.00 400,000.00 21,134,813.00

ESB:WBNK:0303A00F:505667323618

09/04/24 13:51:06 PUL-SIM 082277108813NBMB6013014094615047 8888473 1,500.00 0.00 21,133,313.00

ESB:NBMB:0100101C:620089372032

09/04/24 13:51:06 PUL-SIM 082277108813NBMB6013014094615047 8888473 30,000.00 0.00 21,103,313.00

ESB:NBMB:0100101C:620089372032

09/04/24 23:59:59 087876897940|18SMS|03/12/2023-06/12/2023 DDY402 9,000.00 0.00 21,094,313.00

10/04/24 12:37:43 NBMB JASMER TO ACIOSTI ALFRIDA S 8888003 4,200,000.00 0.00 16,894,313.00
ESB:NBMB:0001500F:620473552464

10/04/24 16:02:11 PUL-SIM 082261084765NBMB6013014094615047 8888471 1,500.00 0.00 16,892,813.00

ESB:NBMB:0100101C:620542555174

10/04/24 16:02:11 PUL-SIM 082261084765NBMB6013014094615047 8888471 15,000.00 0.00 16,877,813.00

ESB:NBMB:0100101C:620542555174

10/04/24 16:36:21 NBMB NOVIA SONDANG TO JASMER 8888472 0.00 300,000.00 17,177,813.00
ESB:NBMB:0001500F:620554533784

10/04/24 18:42:00 NBMB RAYMONDO PINTU TO JASMER 8888438 0.00 700,000.00 17,877,813.00
ESB:NBMB:0001500F:620603469841

10/04/24 19:32:50 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888697 0.00 100,000.00 17,977,813.00

20231210BMRIIDJA010O0222006403
ESB:BFST:0008N:20231210FASTIDJA010820369

11/04/24 12:21:14 PUL-SIM 081361494445NBMB6013014094615047 8888331 1,500.00 0.00 17,976,313.00

ESB:NBMB:0100101C:620876029879

11/04/24 12:21:14 PUL-SIM 081361494445NBMB6013014094615047 8888331 50,000.00 0.00 17,926,313.00

ESB:NBMB:0100101C:620876029879

11/04/24 12:23:45 NBMB JASMER TO IRMA MELATI SIANI 8888030 105,117.00 0.00 17,821,196.00
ESB:NBMB:0001500F:620877192213

11/04/24 15:44:09 PRCH601301409461504708205556#10110358 0852812 8,000,000.00 0.00 9,821,196.00

11/04/24 19:09:03 NBMB JASMER TO SONDANG PETRONICA 8888605 20,004.00 0.00 9,801,192.00
ESB:NBMB:0001500F:621057899402

11/04/24 20:22:47 EDCSTR 21540 005147550 EDCSTR 0852540 0.00 1,700,000.00 11,501,192.00
000005147550EDC5221849001424284

12/04/24 12:02:40 NBMB JASMER TO DIANA SIHOMBING 8888559 500,000.00 0.00 11,001,192.00
ESB:NBMB:0001500F:621338669282

13/04/24 09:20:01 NBMB JASMER TO MANIMPAN NAPITUPU 8888273 1,200,000.00 0.00 9,801,192.00
ESB:NBMB:0001500F:621722237023

13/04/24 12:57:29 NBMB JASMER TO SONDANG PETRONICA 8888484 100,004.00 0.00 9,701,188.00
ESB:NBMB:0001500F:621812037258

13/04/24 13:01:59 NBMB SULASTRI GULTO TO JASMER 8888452 0.00 200,000.00 9,901,188.00
ESB:NBMB:0001500F:621813876260

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 4 dari 7

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

13/04/24 23:59:59 087876897940|7SMS|07/12/2023-10/12/2023 DDY402 3,500.00 0.00 9,897,688.00

14/04/24 14:22:29 NBMB JASMER TO SONDANG PETRONICA 8888419 128,004.00 0.00 9,769,684.00
ESB:NBMB:0001500F:622274066595

14/04/24 21:03:41 PUL-SIM 082269784418NBMB6013014094615047 8888072 1,500.00 0.00 9,768,184.00

ESB:NBMB:0100101C:622441699770

14/04/24 21:03:41 PUL-SIM 082269784418NBMB6013014094615047 8888072 100,000.00 0.00 9,668,184.00

ESB:NBMB:0100101C:622441699770

15/04/24 13:35:15 NBMB NOVIA SONDANG TO JASMER 8888230 0.00 1,500,000.00 11,168,184.00
ESB:NBMB:0001500F:622699470988

15/04/24 15:25:50 BFST338001057082537TIO LYN SIHO:BNINIDJA 8888616 0.00 3,000,000.00 14,168,184.00

20231215BNINIDJA010O0229478706
ESB:BFST:0008N:20231215FASTIDJA010987403

15/04/24 18:21:12 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888636 0.00 2,200,000.00 16,368,184.00

20231215BMRIIDJA010O0223497017
ESB:BFST:0008N:20231215FASTIDJA010151504

15/04/24 20:05:01 EDCSETOR#5015390813 338001057082537#4128 0852540 0.00 3,750,000.00 20,118,184.00

STR#01037742539 TRX#1494128EDC08521540

16/04/24 00:00:00 Monthly Fee ATM 2,500.00 0.00 20,115,684.00

16/04/24 08:03:04 PUL-SIM 082261084765NBMB6013014094615047 8888079 1,500.00 0.00 20,114,184.00

ESB:NBMB:0100101C:623025735701

16/04/24 08:03:04 PUL-SIM 082261084765NBMB6013014094615047 8888079 15,000.00 0.00 20,099,184.00

ESB:NBMB:0100101C:623025735701

16/04/24 14:02:28 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888695 0.00 1,100,000.00 21,199,184.00

20231216BMRIIDJA010O0229047834
ESB:BFST:0008N:20231216FASTIDJA010757061

16/04/24 15:47:10 NBMB JASMER TO WESLY SITORUS 8888232 14,070,000.00 0.00 7,129,184.00
ESB:NBMB:0001500F:623198636342

16/04/24 23:59:59 Admin Fee 5,500.00 0.00 7,123,684.00

17/04/24 14:00:47 NBMB JASMER TO FITRI HOTMARTINI 8888037 140,000.00 0.00 6,983,684.00
ESB:NBMB:0001500F:623573197375

17/04/24 16:33:25 NBMB NOVIA SONDANG TO JASMER 8888385 0.00 300,000.00 7,283,684.00
ESB:NBMB:0001500F:623623474771

17/04/24 22:25:31 BFST338001057082537TIO LYN SIHO:BNINIDJA 8888671 0.00 700,000.00 7,983,684.00

20231217BNINIDJA010O0232286763
ESB:BFST:0008N:20231217FASTIDJA010808787

17/04/24 23:28:05 BFST6125144458 NBMB:CENAIDJA 8888115 2,500.00 0.00 7,981,184.00

20231217BRINIDJA010O0228431163
ESB:NBMB:0008G00F:623767710179

17/04/24 23:28:05 BFST6125144458 NBMB:CENAIDJA 8888115 4,900,000.00 0.00 3,081,184.00

20231217BRINIDJA010O0228431163
ESB:NBMB:0008G00F:623767710179

17/04/24 23:59:59 087876897940|9SMS|11/12/2023-14/12/2023 DDY402 4,500.00 0.00 3,076,684.00

18/04/24 13:47:25 BFST338001057082537NOVA VALENTI:BMRIIDJA 8888611 0.00 100,000.00 3,176,684.00

20231218BMRIIDJA010O0225440847
ESB:BFST:0008N:20231218FASTIDJA010245941

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 5 dari 7

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

18/04/24 15:14:16 NBMB AMRIZAL TO JASMER 8888294 0.00 30,500,000.00 33,676,684.00

ESB:NBMB:0001500F:624019029938

18/04/24 20:29:40 DANA20231218015877834233ASMAARUNA 0371851 0.00 1,150,000.00 34,826,684.00

WS_OB;20231218015877834233;72133
ESB:T:0371851:S:0371892:WSOB

19/04/24 09:40:51 NBMB JASMER TO SUJANNA PERANGINA 8888484 15,650,000.00 0.00 19,176,684.00
ESB:NBMB:0001500F:624325374388

19/04/24 09:43:36 NBMB JASMER TO RISMEILINA SARAGI 8888312 1,100,000.00 0.00 18,076,684.00
ESB:NBMB:0001500F:624326507900

19/04/24 10:16:38 TLKM 111302131016NBMB6013014094615047 8888540 2,500.00 0.00 18,074,184.00

ESB:NBMB:0101301P:624340490496

19/04/24 10:16:38 TLKM 111302131016NBMB6013014094615047 8888540 349,650.00 0.00 17,724,534.00

ESB:NBMB:0101301P:624340490496

19/04/24 10:17:03 PLNPOST 121010399171NBMB6013014094615047 8888507 3,000.00 0.00 17,721,534.00

ESB:NBMB:0400400T:624340669854

19/04/24 10:17:03 PLNPOST 121010399171NBMB6013014094615047 8888507 774,831.00 0.00 16,946,703.00

ESB:NBMB:0400400T:624340669854

19/04/24 19:54:47 PUL-SIM 081260885661NBMB6013014094615047 8888549 1,500.00 0.00 16,945,203.00

ESB:NBMB:0100101C:624591803974

19/04/24 19:54:47 PUL-SIM 081260885661NBMB6013014094615047 8888549 100,000.00 0.00 16,845,203.00

ESB:NBMB:0100101C:624591803974

20/04/24 10:48:27 NBMB JASMER TO EDI SYAHPUTRA SIR 8888351 150,000.00 0.00 16,695,203.00
ESB:NBMB:0001500F:624800697635

20/04/24 12:21:37 NBMB JASMER TO DIANA SIHOMBING 8888086 550,000.00 0.00 16,145,203.00
ESB:NBMB:0001500F:624841533141

21/04/24 23:59:59 087876897940|13SMS|15/12/2023-18/12/2023 DDY402 6,500.00 0.00 16,138,703.00

22/04/24 07:14:59 PUL-SIM 082261084765NBMB6013014094615047 8888263 1,500.00 0.00 16,137,203.00

ESB:NBMB:0100101C:625641676041

22/04/24 07:14:59 PUL-SIM 082261084765NBMB6013014094615047 8888263 15,000.00 0.00 16,122,203.00

ESB:NBMB:0100101C:625641676041

22/04/24 15:30:36 BFST8200260733 NBMB:CENAIDJA 8888333 2,500.00 0.00 16,119,703.00

20231222BRINIDJA010O0217731236
ESB:NBMB:0008G00F:625862281892

22/04/24 15:30:36 BFST8200260733 NBMB:CENAIDJA 8888333 4,980,000.00 0.00 11,139,703.00

20231222BRINIDJA010O0217731236
ESB:NBMB:0008G00F:625862281892

22/04/24 18:46:10 NBMB JASMER TO LENNY ELPINA SIHO 8888500 1,530,000.00 0.00 9,609,703.00
ESB:NBMB:0001500F:625955990870

22/04/24 21:05:59 ATM JUNIUS SIMARMA TO JASMER 0696926 0.00 19,000,000.00 28,609,703.00
FROM541301028879538 TO338001057082537ATM

23/04/24 13:57:16 NBMB JASMER TO WESLY SITORUS 8888210 4,670,000.00 0.00 23,939,703.00
ESB:NBMB:0001500F:626278133302

23/04/24 19:35:00 PUL-SIM 082261084765NBMB6013014094615047 8888306 1,500.00 0.00 23,938,203.00

ESB:NBMB:0100101C:626419526914

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 6 dari 7

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

23/04/24 19:35:00 PUL-SIM 082261084765NBMB6013014094615047 8888306 15,000.00 0.00 23,923,203.00

ESB:NBMB:0100101C:626419526914

24/04/24 10:58:43 601301409461504700621094 9902115 1,000,000.00 0.00 22,923,203.00

25/04/24 08:34:54 NBMB JASMER TO VERRY FREDERICK M 8888546 650,000.00 0.00 22,273,203.00
ESB:NBMB:0001500F:626956081731

25/04/24 12:08:17 NBMB JASMER TO VERRY FREDERICK M 8888564 10,000.00 0.00 22,263,203.00
ESB:NBMB:0001500F:627027447654

25/04/24 13:06:46 NBMB NOVIA SONDANG TO JASMER 8888441 0.00 30,300,000.00 52,563,203.00
ESB:NBMB:0001500F:627048042032

25/04/24 23:59:59 087876897940|10SMS|19/12/2023-22/12/2023 DDY402 5,000.00 0.00 52,558,203.00

27/04/24 21:51:47 NBMB JASMER TO TUMINEM 8888513 3,000,000.00 0.00 49,558,203.00

ESB:NBMB:0001500F:628070681459

28/04/24 10:32:35 ATMSTRPRM 08888 000208799 8300175733 8888595 6,500.00 0.00 49,551,703.00
ESB:NBMB:0005T00F:628225208799

28/04/24 10:32:35 ATMSTRPRM 08888 000208799 8300175733 8888595 3,324,000.00 0.00 46,227,703.00
ESB:NBMB:0005T00F:628225208799

28/04/24 21:48:45 NBMB JASMER TO VERRY FREDERICK M 8888444 150,000.00 0.00 46,077,703.00
ESB:NBMB:0001500F:628525624634

29/04/24 09:59:59 087876897940|4SMS|23/12/2023-25/12/2023 DDY402 2,000.00 0.00 46,075,703.00

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

6,270,255.00 95,794,552.00 135,600,000.00 46,075,703.00

Terbilang / In Words

EMPAT PULUH ENAM JUTA TUJUH PULUH LIMA RIBU TUJUH RATUS TIGA RUPIAH
FORTY SIX MILLION SEVENTY FIVE THOUSAND SEVEN HUNDRED THREE RUPIAH

14/03/2024 02:12:42 PM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION

Halaman 7 dari 7

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

14/03/2024 02:12:42 PM