LAPORAN TRANSAKSI FINANSIAL

STATEMENT OF FINANCIAL TRANSACTION

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Tanggal Laporan : 31/10/23

Kepada Yth. / To : Statement Date

HERA INDARFANI Periode Transaksi : 01/10/23 - 31/10/23

Transaction Periode

JARANAN RT 004 RW 022 ARGOMULYO

CANGKRIN,GAN SLEMAN,SLEMAN KAB.
CANGKRINGAN SLEMAN KAB.

No. Rekening : 307501006029505 Unit Kerja : UNIT CANGKRINGAN SLEMAN

Account No Business Unit

Nama Produk : Britama Digital Alamat Unit Kerja : KANCA SLEMAN

Product Name Business Unit Address KANWIL YOGYAKARTA

Valuta : IDR
Currency

Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

02/10/23 01:20:34 BRIVA1362700109814000NBMBShop BRIVA 8888309 345,814.00 0.00 1,716,424.00

1362700109814000NBMBShop
ESB:NBMB:0200200P:566330861018

02/10/23 01:40:36 BRIVA1362700109814528NBMBShop BRIVA 8888521 300,000.00 0.00 1,416,424.00

1362700109814528NBMBShop
ESB:NBMB:0200200P:566332940403

04/10/23 14:09:08 BRIVA1362700110137619NBMBShop BRIVA 8888604 322,000.00 0.00 1,094,424.00

1362700110137619NBMBShop
ESB:NBMB:0200200P:567417733676

04/10/23 17:28:43 EDCSETOR#4016482500 307501006029505#0117 0852327 0.00 9,800,000.00 10,894,424.00

STR#01006029505 TRX#9020117EDC08521327

04/10/23 21:41:38 200001012_OB_1015429248612738 0371864 0.00 3,970,000.00 14,864,424.00

WS_OB;A6089519525641750191;89168
ESB:T:0371864:S:0371892:WSOB

06/10/23 12:30:13 BFST0372918452 NBMB:CENAIDJA 8888166 2,500.00 0.00 14,861,924.00

20230806BRINIDJA010O0243288638
ESB:NBMB:0008G00F:568176227962

06/10/23 12:30:13 BFST0372918452 NBMB:CENAIDJA 8888166 89,500.00 0.00 14,772,424.00

20230806BRINIDJA010O0243288638
ESB:NBMB:0008G00F:568176227962

06/10/23 19:31:59 200001012_OB_1015486683752738 0371880 0.00 7,790,000.00 22,562,424.00

WS_OB;A1503143614197982711;89168
ESB:T:0371880:S:0371892:WSOB

07/10/23 06:50:36 EDC TRI SUSANTI TO HERA INDARFANI 0852495 0.00 5,600,000.00 28,162,424.00
FROM002901002336560 TO307501006029505EDC

07/10/23 07:58:26 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888007 200,000.00 0.00 27,962,424.00
ESB:NBMB:0001500F:568434956051

10/10/23 06:00:44 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888095 100,000.00 0.00 27,862,424.00
ESB:NBMB:0001500F:569614738623

10/10/23 06:01:09 NBMB HERA INDARFANI TO FRANSISCA ISTI WI 8888187 750,000.00 0.00 27,112,424.00
ESB:NBMB:0001500F:569614794613

10/31/2023 09:09:56 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION
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Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo
Transaction Date Transaction Description User ID Debit Credit Balance

10/10/23 20:58:32 NBMB HERA INDARFANI TO WAHYU CATUR PAMUN 8888038 300,000.00 0.00 26,812,424.00
ESB:NBMB:0001500F:569937718829

11/10/23 09:42:03 BFST1370021956400 NBMB:BMRIIDJA 8888452 2,500.00 0.00 26,809,924.00

20230811BRINIDJA010O0221528226
ESB:NBMB:0008G00F:570072568276

11/10/23 09:42:03 BFST1370021956400 NBMB:BMRIIDJA 8888452 300,000.00 0.00 26,509,924.00

20230811BRINIDJA010O0221528226
ESB:NBMB:0008G00F:570072568276

11/10/23 13:33:56 EDC PUJI ASTUTI TO HERA INDARFANI 0852274 0.00 12,200,000.00 38,709,924.00
FROM003501023373534 TO307501006029505EDC

12/10/23 07:51:51 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888562 100,000.00 0.00 38,609,924.00
ESB:NBMB:0001500F:570428961568

12/10/23 11:25:45 BFST1380014905777 NBMB:BMRIIDJA 8888033 2,500.00 0.00 38,607,424.00

20230812BRINIDJA010O0227869935
ESB:NBMB:0008G00F:570492826071

12/10/23 11:25:45 BFST1380014905777 NBMB:BMRIIDJA 8888033 1,000,000.00 0.00 37,607,424.00

20230812BRINIDJA010O0227869935
ESB:NBMB:0008G00F:570492826071

12/10/23 18:22:49 BFST1380014905777 NBMB:BMRIIDJA 8888226 2,500.00 0.00 37,604,924.00

20230812BRINIDJA010O0230249228
ESB:NBMB:0008G00F:570633423120

12/10/23 18:22:49 BFST1380014905777 NBMB:BMRIIDJA 8888226 500,000.00 0.00 37,104,924.00

20230812BRINIDJA010O0230249228
ESB:NBMB:0008G00F:570633423120

12/10/23 20:24:01 PLN-PRA 86069548393NBMB5221840000000000 8888433 3,000.00 0.00 37,101,924.00

ESB:NBMB:0400200T:570682402102

12/10/23 20:24:01 PLN-PRA 86069548393NBMB5221840000000000 8888433 20,000.00 0.00 37,081,924.00

ESB:NBMB:0400200T:570682402102

15/10/23 09:52:18 FROM314101016029530 TO307501006029505MP 9845178 0.00 3,500,000.00 40,581,924.00

17/10/23 07:11:51 PUL-SIM 081328745922NBMB5221840000000000 8888383 1,500.00 0.00 40,580,424.00

ESB:NBMB:0100101C:572300108459

17/10/23 07:11:51 PUL-SIM 081328745922NBMB5221840000000000 8888383 75,000.00 0.00 40,505,424.00

ESB:NBMB:0100101C:572300108459

18/10/23 13:01:28 BRIVA1362700111758544NBMBShop BRIVA 8888409 100,918.00 0.00 40,404,506.00

1362700111758544NBMBShop
ESB:NBMB:0200200P:572738903312

19/10/23 06:47:17 NBMB HERA INDARFANI TO NOVI PRATIWI 8888155 350,000.00 0.00 40,054,506.00
ESB:NBMB:0001500F:572996701132

19/10/23 06:50:11 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888328 100,000.00 0.00 39,954,506.00
ESB:NBMB:0001500F:572997176956

20/10/23 06:40:22 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888135 100,000.00 0.00 39,854,506.00
ESB:NBMB:0001500F:573350819597

20/10/23 23:59:59 Admin Fee 6,000.00 0.00 39,848,506.00

21/10/23 18:41:57 BRIVA112087778794663NBMBjXXXXXXa BRIVA 8888225 100,000.00 0.00 39,748,506.00

112087778794663NBMBjXXXXXXa
ESB:NBMB:0200200P:573931702866

10/31/2023 09:09:56 AM
 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION
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Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

22/10/23 17:54:40 EDCSETOR#4016482500 307501006029505#2394 0852327 0.00 3,000,000.00 42,748,506.00

STR#01006029505 TRX#9652394EDC08521327

22/10/23 19:29:08 QRIS574327040330#9360000201100121857 8888092 1,817,764.00 0.00 40,930,742.00

ESB:NBMB:0007X00P:574327040330

23/10/23 12:13:04 BFST701768873400 NBMB:BNIAIDJA 8888220 2,500.00 0.00 40,928,242.00

20230823BRINIDJA010O0239711014
ESB:NBMB:0008G00F:574537277897

23/10/23 12:13:04 BFST701768873400 NBMB:BNIAIDJA 8888220 100,000.00 0.00 40,828,242.00

20230823BRINIDJA010O0239711014
ESB:NBMB:0008G00F:574537277897

23/10/23 14:57:36 EDCSETOR#4016482500 307501006029505#0111 0852327 0.00 8,800,000.00 49,628,242.00

STR#01006029505 TRX#9140111EDC08521327

23/10/23 15:45:16 NBMB HERA INDARFANI TO YEDICAN 8888593 4,092,500.00 0.00 45,535,742.00
ESB:NBMB:0001500F:574608458302

23/10/23 15:53:19 NBMB HERA INDARFANI TO YEDICAN 8888433 226,000.00 0.00 45,309,742.00
ESB:NBMB:0001500F:574611096709

23/10/23 16:32:47 NBMB HERA INDARFANI TO YEDICAN 8888288 634,000.00 0.00 44,675,742.00
ESB:NBMB:0001500F:574624218909

23/10/23 18:11:51 NBMB HERA INDARFANI TO FRANSISCA ISTI WI 8888101 500,000.00 0.00 44,175,742.00
ESB:NBMB:0001500F:574659231328

23/10/23 18:34:02 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888190 100,000.00 0.00 44,075,742.00
ESB:NBMB:0001500F:574667734109

24/10/23 00:28:38 QRISCBK574327040330#9360000210047563229 0229891 0.00 900,000.00 44,975,742.00

ESB:PRME:0001500F:281171535215

24/10/23 17:56:15 EDCSETOR#4016482500 307501006029505#4816 0852327 0.00 3,500,000.00 48,475,742.00

STR#01006029505 TRX#9054816EDC08521327

25/10/23 05:52:45 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888588 100,000.00 0.00 48,375,742.00
ESB:NBMB:0001500F:575167753155

25/10/23 13:25:38 PROXL 087778794663NBMB5221840000000000 8888505 1,500.00 0.00 48,374,242.00

ESB:NBMB:0100603C:575342715559

25/10/23 13:25:38 PROXL 087778794663NBMB5221840000000000 8888505 100,000.00 0.00 48,274,242.00

ESB:NBMB:0100603C:575342715559

26/10/23 08:19:26 BFST1370022361279 NBMB:BMRIIDJA 8888312 2,500.00 0.00 48,271,742.00

20230826BRINIDJA010O0207330425
ESB:NBMB:0008G00F:575661646794

26/10/23 08:19:26 BFST1370022361279 NBMB:BMRIIDJA 8888312 300,000.00 0.00 47,971,742.00

20230826BRINIDJA010O0207330425
ESB:NBMB:0008G00F:575661646794

26/10/23 15:34:13 PLN-PRA 86069548393NBMB5221840000000000 8888370 3,000.00 0.00 47,968,742.00

ESB:NBMB:0400200T:575806957670

26/10/23 15:34:13 PLN-PRA 86069548393NBMB5221840000000000 8888370 20,000.00 0.00 47,948,742.00

ESB:NBMB:0400200T:575806957670

26/10/23 17:46:08 NBMB HERA INDARFANI TO REGITA GUSTRIANA 8888420 1,000,000.00 0.00 46,948,742.00
ESB:NBMB:0001500F:575853079795

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 LAPORAN TRANSAKSI FINANSIAL
STATEMENT OF FINANCIAL TRANSACTION
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Tanggal Transaksi Uraian Transaksi Teller Debet Kredit Saldo

Transaction Date Transaction Description User ID Debit Credit Balance

29/10/23 14:06:56 6221006501531609#082900004984#ATM #TRFLA 0888194 0.00 2,100,000.00 49,048,742.00

TRF BERSAMA FROM REGITA GUSTRIANA LA
307501006029505ATM 6221006501531609

29/10/23 14:13:05 NBMB HERA INDARFANI TO FRANSISCA ISTI WI 8888173 500,000.00 0.00 48,548,742.00
ESB:NBMB:0001500F:576926513970

30/10/23 08:09:53 BFST1370021956400 NBMB:BMRIIDJA 8888503 2,500.00 0.00 48,546,242.00

20230830BRINIDJA010O0231638835
ESB:NBMB:0008G00F:577194771003

30/10/23 08:09:53 BFST1370021956400 NBMB:BMRIIDJA 8888503 300,000.00 0.00 48,246,242.00

20230830BRINIDJA010O0231638835
ESB:NBMB:0008G00F:577194771003

30/10/23 16:40:44 BFST0300889646 NBMB:CENAIDJA 8888024 2,500.00 0.00 48,243,742.00

20230830BRINIDJA010O0235178015
ESB:NBMB:0008G00F:577384766820

30/10/23 16:40:44 BFST0300889646 NBMB:CENAIDJA 8888024 125,000.00 0.00 48,118,742.00

20230830BRINIDJA010O0235178015
ESB:NBMB:0008G00F:577384766820

31/10/23 20:01:05 EDCSETOR#1026003284 307501006029505#9735 0852327 0.00 5,725,000.00 53,843,742.00

STR#01006029505 TRX#9489735EDC08521327

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

2,062,238.00 15,103,496.00 66,885,000.00 53,843,742.00

Terbilang / In Words

DUA JUTA SEMBILAN RATUS LIMA PULUH TIGA RIBU TUJUH RATUS EMPAT PULUH DUA RUPIAH
TWO MILLION NINE HUNDRED FIFTY THREE THOUSAND SEVEN HUNDRED FORTY TWO 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

10/31/2023 09:09:56 AM