PT.

Pertamina (Persero)
JL.Medan Merdeka Timur No. 1A Jakarta 10110
Telp: 021 3815111 FAX: 021 3633585

LAPORAN BULANAN AGEN LPG 3 KG (BERSUBSIDI) PERIODE APRIL TAHUN 2024

Nama Agen : PT. CAHYO SUMBER MIGAS

Alamat Agen : JL. TIRTO AGUNG BARAT IV / 7A, KELURAHAN PEDALANGAN, KECAMATAN BANYUMANIK, KOTA SEMARANG
Email : csm3kglpg@yahoo.com
No. Sold To : 738211
Wilayah : JAWA TENGAH, KOTA SEMARANG

A. Laporan Stok Tabung Penyalur / Agen LPG 3 kg

Stok Tabung Agen Total

Stok Awal Bulan 0
Total Penerimaan 87.920
Penerimaan S(P)PBE PT. SATYA MITRA GAS 31.360
Penerimaan S(P)PBE PT. POST ENERGY INDONESIA 29.680
Penerimaan S(P)PBE PT. OPTIMA DAYA KAPITAL 26.880
Total Penyaluran 87.920
Stok Akhir Bulan 0

B. Rekapitulasi Laporan Bulanan Sub Penyalur / Pangkalan LPG 3 kg

No ID Registrasi Pangkalan Stok Awal Penerimaan Penyaluran Stok Akhir

1 450275738211132 44.502.23 0 30 30 0
2 450271738211210 ACHMAD SARIFUDIN 0 286 286 0
3 450267738211186 ADI NUGROHO 0 90 90 0
4 450264738211001 AGUS 0 145 145 0
5 450186738211002 AGUS 1 0 2.040 2.040 0
6 450276738211003 AGUS 2 0 60 60 0
7 4502710738211001 AGUS FATAH 0 665 665 0
8 450265738211004 AGUS SEWAN 0 275 275 0
9 450197738211172 AGUS SUGIYANTO 0 160 160 0
10 450272738211008 ALI 0 100 100 0
11 450268738211007 ALI 1 0 202 202 0
12 450721738211012 AMIR 0 180 180 0
13 450263738211013 AMIR HAMZAH 0 300 300 0
14 450277738211015 ANI HANDAYANI 0 150 150 0
15 450225738211016 ANIK 0 120 120 0
16 450234738211017 ANTON/RINA 0 400 400 0
17 450268738211135 ARIEF WICAKSANA SARYATA.ST 0 1.300 1.300 0
18 450278738211185 ARIF AGUS PRAMUKA 0 140 140 0
19 450268738211158 ARUM JENEARESTIANI 0 2.720 2.720 0
20 450267738211018 ASROFI 0 80 80 0
21 450263738211205 ASTRID YUNITA 0 180 180 0
22 4502680738211005 AZIZ ISWAHYUDI 0 0 0 0
23 450264738211019 BAMBANG S. 0 120 120 0
24 4502270738211002 BANGUN ADI WARGANINGRUM 0 2.302 2.302 0
25 450228738211020 BASUKI 0 120 120 0

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No ID Registrasi Pangkalan Stok Awal Penerimaan Penyaluran Stok Akhir
26 450267738211022 BEJO 0 160 160 0
27 450721738211021 BEJO 1 0 180 180 0
28 450228738211023 BIMO 0 700 700 0
29 450267738211024 BU SUCI 0 100 100 0
30 450268738211025 BU. HASTO 0 125 125 0
31 450268738211027 BUDIONO 0 100 100 0
32 450268738211028 BUKHORI 0 190 190 0
33 450261738211029 DARSUKI 0 160 160 0
34 450267738211213 DARYANTI,SE 0 100 100 0
35 450267738211215 DENDY MARHENDRA 0 1.600 1.600 0
36 450274738211136 DODIK 0 87 87 0
37 450268738211032 DWI TUSAM 0 100 100 0
38 450276738211033 EDDY HARYONO 0 138 138 0
39 450275738211034 EKO S 0 250 250 0
40 450225738211035 ENDANG 0 240 240 0
41 450275738211169 ENDANG KADARWATI 0 250 250 0
42 450274738211135 ERNA 0 105 105 0
43 450263738211192 EVI ARIYANTI,BE 0 140 140 0
44 450268738211156 FITRIYADI 0 2.440 2.440 0
45 450263738211183 GESANG MZ 0 140 140 0
46 450262738211207 H BUDI SULISTYO,DRS 0 1.630 1.630 0
47 4502610738211004 HABI KINANJAR 0 700 700 0
48 450227738211180 HADI SULISTYO 0 3.000 3.000 0
49 450234738211037 HARDI 0 250 250 0
50 450249738211178 HARI KUSHARYANTO,SE 0 120 120 0
51 450264738211038 HERI 0 240 240 0
52 450246738211172 HERU SUSANTO 0 0 0 0
53 450267738211039 HJ. ISTEHAH 0 100 100 0
54 450192738211214 ISTIANATUL FAOZAH 0 1.600 1.600 0
55 450251738211041 ISWOYO DJATI 0 0 0 0
56 450276738211042 JASWATI 0 0 0 0
57 450274738211216 JIWANTONO AJI 0 1.600 1.600 0
58 450253738211044 JOKO W. 0 296 296 0
59 450154738211047 JUNAIDI 0 120 120 0
60 450274738211048 KAMTO 0 160 160 0
61 450275738211217 KARSILAH 0 1.670 1.670 0
62 450198738211218 KARSONO 0 1.600 1.600 0
63 450268738211049 KASMURI 0 240 240 0
64 450267738211195 KATIMAN 0 0 0 0
65 450268738211142 KETUT 0 100 100 0
66 450268738211050 KLIWON 0 80 80 0
67 450264738211051 KOCO 0 90 90 0
68 450229738211202 KOMSATUN 0 135 135 0
69 450223738211201 KRISNANDAR 0 755 755 0
70 450263738211148 KUD 0 140 140 0
71 450268738211134 KUNDARTO 0 509 509 0
72 450276738211053 LUKI 0 244 244 0
73 450225738211054 M.KHOLIS 0 120 120 0
74 450268738211055 MARIAM 0 175 175 0
75 450263738211198 MARIJAN 0 60 60 0
76 450263738211197 MUCHAMMAD GHOFUR 0 110 110 0
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No ID Registrasi Pangkalan Stok Awal Penerimaan Penyaluran Stok Akhir
77 450192738211056 MUHAMMAD ALI 0 240 240 0
78 450278738211057 MUHAMMAD JAMJURI 0 1.560 1.560 0
79 450264738211058 MUKIYO 0 218 218 0
80 450268738211059 MULYONO 0 110 110 0
81 450268738211060 MURSID 0 100 100 0
82 450198738211173 MUT MA'INAH 0 360 360 0
83 450263738211170 NANANG HADI 0 80 80 0
84 450263738211061 NANTO 0 79 79 0
85 450268738211062 NARDI 0 396 396 0
86 450276738211063 NASIKUN 0 100 100 0
87 450248738211064 NGATINI 0 60 60 0
88 450268738211065 NGATONO 0 600 600 0
89 450235738211176 NINIK RUSMIYATI 0 0 0 0
90 450229738211219 NUR WASIAH 0 630 630 0
91 450268738211200 NURSAHID 0 110 110 0
92 450227738211067 PAK AMIR 0 150 150 0
93 450262738211069 PANGESTU WIDODO 0 2.400 2.400 0
94 450269738211204 PIPIT KURNIAWAN 0 2.990 2.990 0
95 4506140738211003 PRASETYAWATI ANGGAR WULAN 0 218 218 0
96 450275738211071 PRASTOWO 0 100 100 0
97 450267738211073 PURWANTO 0 2.300 2.300 0
98 450268738211074 RAKIMIN 0 125 125 0
99 450268738211075 RAME 0 530 530 0
100 450265738211076 RINI/NURHARINI 0 150 150 0
101 450268738211175 RUKINI 0 1.540 1.540 0
102 450268738211078 RUSLAN 0 320 320 0
103 450263738211079 SAERI 0 131 131 0
104 450273738211080 SAKDULLAH 0 100 100 0
105 450228738211190 SAMSUDIN 0 790 790 0
106 450276738211081 SAPTO 0 40 40 0
107 450263738211082 SARBINI 0 252 252 0
108 450266738211206 SETYOWATI 0 1.605 1.605 0
109 450267738211189 SISWADI 0 0 0 0
110 450272738211083 SISWOYO 0 2.400 2.400 0
111 4502260738211006 SITI CHOTIMAH 0 0 0 0
112 450272738211220 SLAMET MULYONO 0 650 650 0
113 450268738211149 SOBRI 0 0 0 0
114 450271738211168 SONNY 0 560 560 0
115 450266738211171 SRI DARWATI 0 125 125 0
116 450261738211221 SRI LESTARI 0 2.400 2.400 0
117 450267738211086 SRI MANUANA 0 125 125 0
118 450248738211087 SRI SUSANTI 0 60 60 0
119 450235738211177 SRI WAGIYATI 0 140 140 0
120 450227738211153 SRI WINARNI 0 120 120 0
121 450775738211088 SUBKHI 0 270 270 0
122 450263738211163 SUDIYANA 0 280 280 0
123 450154738211089 SUEB 0 84 84 0
124 450261738211090 SUGENG 0 200 200 0
125 450264738211164 SUGENG 1 0 270 270 0
126 450274738211091 SUGINEM 0 138 138 0
127 450267738211194 SUGIRAN 0 110 110 0
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 No ID Registrasi Pangkalan Stok Awal Penerimaan Penyaluran Stok Akhir
128 450196738211092 SUGITO 0 2.400 2.400 0
129 450225738211093 SUHARTI 0 150 150 0
130 450264738211166 SUKARDI 0 120 120 0
131 450277738211136 SUKOHARSO 0 2.400 2.400 0
132 450272738211094 SUMARNI 0 100 100 0
133 450227738211211 SUNARDI 0 1.630 1.630 0
134 450268738211199 SUPADI 0 110 110 0
135 450266738211147 SUPENDAR 0 175 175 0
136 450266738211146 SURYANTO 0 0 0 0
137 450273738211150 SUSENO 0 150 150 0
138 450264738211096 SUSMAN 0 240 240 0
139 450269738211097 SUTIMAN 0 740 740 0
140 450197738211098 SUTRISNO 0 0 0 0
141 450232738211208 SUWARYONO 0 1.500 1.500 0
142 450276738211099 SUYATMIN 0 90 90 0
143 450268738211174 SUYONO 0 920 920 0
144 450272738211100 TARJO 0 200 200 0
145 450269738211101 TARMUDJI 0 180 180 0
146 450266738211145 TK BERKAH 0 250 250 0
147 450229738211203 TK SINAR JAYA 0 820 820 0
148 450268738211105 TK. BAROKAH 0 120 120 0
149 450275738211106 TONI 0 2.400 2.400 0
150 450268738211143 TONI 1 0 120 120 0
151 450268738211107 TOPO 0 175 175 0
152 450262738211108 TORO 0 2.300 2.300 0
153 450225738211109 TRI 0 160 160 0
154 450273738211110 TRI SUMARSIH 0 96 96 0
155 450264738211111 TRIWIK BU 0 90 90 0
156 450261738211112 TUA'AT 0 60 60 0
157 450268738211113 TUKINO 0 180 180 0
158 450253738211115 WAGIONO 0 100 100 0
159 450229738211138 WAHIT MUHROMIN 0 2.910 2.910 0
160 450191738211116 WAKIJO 0 240 240 0
161 450268738211118 WARDONO 0 90 90 0
162 450263738211119 WARNI/EDDY 0 90 90 0
163 450264738211121 WARSITO 0 75 75 0
164 450272738211120 WARSITO 1 0 100 100 0
165 450273738211122 WARTINI 0 80 80 0
166 450276738211123 WATI/SUPRAPTO 0 90 90 0
167 450261738211124 WAWAN 0 104 104 0
168 450154738211125 WIN/MBAK WIN 0 0 0 0
169 450199738211182 WIRANTO SETYATMOKO 0 400 400 0
170 450721738211126 WIWIK 0 840 840 0
171 450264738211127 WONO 0 120 120 0
172 450277738211128 YANI 0 250 250 0
173 450268738211139 YANI 1 0 125 125 0
174 450263738211129 YONO 0 200 200 0
175 450199738211130 YUDI 0 2.200 2.200 0
176 450229738211212 YULI ARIYANTI 0 210 210 0
177 450263738211209 YUNI SETIAWATI 0 190 190 0
Total 0 87.920 87.920 0
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Demikian laporan ini saya buat dengan keadaan yang dengan sebenar-benarnya kami bersedia dikenai sanksi sesuai ketentuan yang berlaku, apabila
terdapat kesalahan dalam penyaluran LPG 3 KG bersubsidi.

KOTA SEMARANG, 2024-05-30

Yang Melaporkan

(PT. CAHYO SUMBER MIGAS)

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