Kepada Yth / To

14216 No. Rekening/Account Number : 142-00-1351602-5

LANANG ROSENO Nama Produk/Product Name : Tab Mandiri
DSN DURAN 13/04/23
Valuta/Currency : Indonesia Rupiah
RT 04 RW 01
Periode/Period : 1/01/23 s/d
WONOAYU
Cabang/Branch : KCP Mojosari
Wonoayu SIDOARJO 61261
No. Kartu/Card Number :6032984843066527

No. NPWP/NPWP Number

4843066527

HALAMAN:
1
 Kepada Yth/ To

14216 No. Rekening/Account Number: 142-00-1351602-5

LANANG ROSENO
Nama Produk/Product Name : Tab Mandiri
DSN DURAN 13/04/23
Valuta/Currency : Indonesia Rupiah
RT 04 RW 01
Periode/Period : 1/01/23 s/d
WONOAYU
Cabang/Branch : KCP Mojosari
Wonoayu SIDOARJO 61261
No. Kartu/Card Number : 6032984843066527

No. NPWP/NPWP Number

4843066527

HALAMAN:
2

Tgl. Tgl.Val Rincian Transaksi / No. Referensi

Date Val.Date

Date V
Description/Reference No. Debet / Credit Balance

15/02 Saldo Pemindahan 2,069,365.00

15/02 15/02 - S1AW10U2 /0000005077/ATM-BECIRO 01 1,000,000.00 0 2,069,365.00

15/02 15/02 -20230215BMRIIDJA01000226024661 490,000.00 D 1,579,365.00

15/02 15/02 -202302158MRIIDJA01000226024661 2,500.00 0 1,576,865.00

16/02 16/02 - UBP60148960801FFFFFF896082233418800 83,000.00 0 1,493,865.00

16/02 16/02 - UBP60148960801FFFFFF896082233418800 51,000.00 0 1,442,865.00

16/02 16/02 - 20230216BMRIIDJA01000226443682 200,000.00 D 1,242,865.00

16/02 16/02 - 202302168MRI[DJA01000226443682 2,500.00 0 1,240,365.00

16/02 16/02 -MONTHLY CARD CHARGE 0006032984843066527 2,500.00 0 1,237,865.00

19/02 19/02 S1ANKDBB /0000006592/ATM-DEAWIJAYA 0 700,000.00 0 537,865.00

23/02 23/02 MCM InhouseTrf - 5,800,000.00 6,337,865.00

23/02 23/02 - S1AW10U2 /0000006718/ATM-BECIRO 01 1,000,000.00 0 5,337,865.00

23/02 23/02 - S1AW1DU2 /0000006719/ATM-BECIRO 01 1,000,000.00 D 4,337,865.00

23/02 23/02 MCM InhouseTrf- 2,850,000.00 0 1,487,865.00

24/02 24/02 - UBP60148961801FFFFFF8961802021389709 85,773.00 D 1,402,092.00

26/02 26/02 - S1AW1NUH /0000005809/ATM-CEMENGKALAN 300,000.00 0 1,102,092.00

27/02 27/02 - S1AW1DU2 /0000007793/ATM-BECIRO 01 1,000,000.00 D 102,092.00

28/02 28/02 MCM InhouseTrf- 1,062,476.00 1,164,568.00

28/02 28/02 Biaya Adm - 12,500.00 0 1,152,068.00

01/03 01/03 - S1AW14UX /0000009107/ATM-BANGSRI 01 200,000.00 0 952,068.00

01/03 01/03 - 1420013516025/0E36000808323171/613101014 500,000.00 D 452,068.00

01/03 01/03 -Transfer Fee 167476034460456270 6,500.00 0 445,568.00

02/03 02/03 - 20230302BMRIIDJA01000220055132 250,000.00 0 195,568.00

02/03 02/03 - 20230302BMRIIDJA01000220055132 2,500.00 0 193,068.00

15/03 15/03 MCM InhouseTrf - 1,642,433.00 1,835,501.00

16/03 16/03 - S1AW1NKO /0000007684/ATM-SUKODONO 01 1,000,000.00 0 835,501.00

16/03 16/03 - S1AW1NKO /0000007686/ATM-SUKODONO 01 200,000.00 0 635,501.00

16/03 16/03 -20230316BMRII0JA01000226089282 490,000.00 0 145,501.00

16/03 16/03 - 20230316BMRIIDJA01000226089282 2,500.00 D 143,001.00

16/03 16/03 -MONTHLY CARD CHARGE 0006032984843066527 2,500.00 0 140,501.00

 Kepada Yth / To

14216
No. Rekening/Account Number: 142-00-1351602-5
LANANG ROSENO
Nama Produk/Product Name : Tab Mandiri
DSN DURAN 13/04/23
Valuta/Currency : Indonesia Rupiah
RT 04 RW 01
Periode/Period : 1/01/23 s/d
WONOAYU

Honoayu SIDOARJO 61261 Cabang/Branch : KCP Mojosari

No. Kartu/Card Number :6032984843066527

No. NPWP/NPWP Number

4843066527

HALAMAN:
3

Saldo
Tgl. Rincian Transaksi / No. Referensi
Date Val.Date Description / Reference
Description No.
/ Reference No. Debet / Credit Balance

29/03 Saldo Pemindahan 140,501.00

29/03 29/03 - S1AW10U2 /0000005386/ATM-BECIRO 01 200,000.00 0 140,501.00

31/03 31/03 MCM InhouseTrf - 2,036,919.00 2,177,420.00

31/03 31/03 -1420013516025/0E36000857436841/184071356 250,000.00 0 1,927,420.00

31/03 31/03 -Transfer Fee 171826786922404085 6,500.00 D 1,920,920.00

31/03 31/03 - S1AW10U2 /0000005919/ATM-BECIRO 01 1,000,000.00 0 920,920.00

31/03 31/03 S1AW1DU2 /0000005920/ATM-BECIRO 01 300,000.00 D 620,920.00

31/03 31/03 Biaya Adm - 12,500.00 0 608,420.00

02/04 02/04 - S1AW1DU2 /0000006889/ATM-BECIRO 01 500,000.00 D 108,420.00

10/0 10/04 MCM InhouseTrf - 4,243,582.00 4,352,002.00

11/04 11/04 - S1AW1DU3 /0000006690/ATM-ALAMPESONA 1,000,000.00 D 3,352,002.00

11/0 11/04 - S1AW10U3 /0000006691/ATM-ALAMPESONA 1,000,000.00 0 2,352,002.00

117,073.00

Mut 26,026,856.00 16

Mut 23,791,927.00 54

Biaya Administrasi:Rp 7,500.00

(RP 2,500.00 per halaman)

Biaya Administrasi:Rp
Status Biaya Statement Nasabah:

* ENO OF REPORT *

ACCEPTED

000

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