DAFTAR PENGUJI
: PT Bank Jatim Nama Bank Nomer Rekening : 0021000700 No No SPM No / Tgl SP2D Penerima Jumlah Nomer : 00023 Halaman : 1 / 6 Tanggal : 29 September 2015 1 159/SPM GU/09/2015/Disos 12717/GU/BPKAD/IX /2015 28/09/2015SUWITO; Dinas Sosial, Tenaga Kerja dan Transmigrasi NPWP : 00.007.249.6.627.000 No Rek :0021010544 6.252.000,00 2 137/SPM-LS/BPBD/IX/2015 12718/LS/BPKAD/IX/ 2015 28/09/2015
SPBU. 54.684.37 KAMPUNG MELAYU/KARNO WIDJAJA NPWP : 06.793.099.0-627.000 No Rek :0022359568 6.940.500,00 3 257/SPM-GU/Set.DPRD/IX/20 15 12719/GU/BPKAD/IX /2015 28/09/2015
SUHAIRI SALEH; Sekretariat DPRD NPWP : 00.036.250.9.627.000 No Rek :0021001228 62.923.000,00 4 0986/00/MGU/IX/201 5 12720/GU/BPKAD/IX /2015 28/09/2015
YUDA TEGUH SISWANTO, S.STP; Sekretariat Daerah NPWP : 00.036.192.3.627.000 No Rek :0021019133 59.310.000,00 5 1864/SPM-GU/DPUBM,CK&TR/ IX/2015 12721/GU/BPKAD/IX /2015 28/09/2015
SITI JUMILAH, SAP; Dinas Pekerjaan Umum Bina Marga, Cipta Karya dan Tata Ruang
NPWP : 00.262.650.5-627.000 No Rek :002.1010.511 11.952.875,00 6 209/SPM-GU/VII/2015 12722/GU/BPKAD/IX /2015 28/09/2015
ALIFULLOH AZHAR, ST.; Dinas Perindustrian, Perdagangan dan Pertambangan
NPWP : 00.007.294.2-627.000 No Rek :0021010522 10.125.000,00 7 1064/SPM-LS/DD.I.177/PPKD/2 015 12723/LS/BPKAD/IX/ 2015 28/09/2015
MARIA ULFA / BENDAHARA DESA WATUKEBO NPWP : No Rek :0021016222 130.668.800,00 8 1858/SPM-LS/DPUBM,CK&TR/I X/2015 12724/LS/BPKAD/IX/ 2015 28/09/2015
CV.FAMILIE / HM AINUL YAKIN AMINULLAH NPWP : 01.137.385.9-627.000 No Rek :0021002866 64.770.000,00 9 1857/SPM-LS/DPUBM,CK&TR/I X/2015 12725/LS/BPKAD/IX/ 2015 28/09/2015
CV.ASTINA KARYA / SUPARDI,ST NPWP : 01.226.707.6-627.000 No Rek :0021003011 68.420.000,00 10 087/SPM-GU/IX/2015/BAKES BANGPOL 12726/GU/BPKAD/IX /2015 28/09/2015
JULI INDRAWATI, SE; Badan Kesatuan Bangsa dan Politik NPWP : 00.836.419.2-627.000 No Rek :0021017922 15.200.000,00 11 267/SPM-GU/Set.DPRD/IX/20 15 12727/GU/BPKAD/IX /2015 28/09/2015
SUHAIRI SALEH; Sekretariat DPRD NPWP : 00.036.250.9.627.000 No Rek :0021001228 126.325.830,00 12 118/SPM-GU/IX/2015 12728/GU/BPKAD/IX /2015 28/09/2015
TUTI INAYATI, SE; Badan Pemberdayaan Perempuan dan Keluarga Berencana NPWP : 00.836.408.5-627.000 No Rek :0021017914 5.412.625,00 13 127/SPM-GU/IX/2015 12729/GU/BPKAD/IX /2015 28/09/2015
TUTI INAYATI, SE; Badan Pemberdayaan Perempuan dan Keluarga Berencana NPWP : 00.836.408.5-627.000 No Rek :0021017914 5.362.500,00 14 123/SPM-LS/IX/2015 12730/LS/BPKAD/IX/ 2015 28/09/2015
CV. CAKRAWALA/ARIS KURNIA IRAWAN NPWP : 02.801.206.0-627.000 No Rek :0021024201 67.727.300,00 15 124/SPM-LS/IX/2015 12731/LS/BPKAD/IX/ 2015 28/09/2015
CV. CAKRAWALA/ARIS KURNIA IRAWAN NPWP : 02.801.206.0-627.000 No Rek :0021024201 6.772.700,00 16 0539/SPM-LS/DISPENDIK/IX/2 015 12732/LS/BPKAD/IX/ 2015 28/09/2015
Toko Pracangan Mojopahit / SITI MARIAM, Hj
NPWP : 06.668.367.3-627.000 No Rek :0026006856 1.515.000,00 17 0995/33/MLS/IX/201 5 12733/LS/BPKAD/IX/ 2015 28/09/2015 CV. KHASANAH/NOVIANTI NPWP : 01.591.303.1-627.000 No Rek :0021001490 36.125.600,00
18 1063/SPM-LS/DD.I.176/PPKD/2 015 12734/LS/BPKAD/IX/ 2015 28/09/2015
OKTRY ANDI KRISTIAWAN / BENDAHARA DESA KAJARHARJO NPWP : No Rek :0021017022 134.493.200,00 19 1067/SPM-LS/ADD.II/PPKD/201 5 12735/LS/BPKAD/IX/ 2015 28/09/2015
EKA SUSILOWATI / BENDAHARA DESA BENELANLOR NPWP : No Rek :0021015944 127.916.400,00 20 1065/SPM-LS/ADD.I.177/PPKD/ 2015 12736/LS/BPKAD/IX/ 2015 28/09/2015
SANIMAH / BENDAHARA DESA ROGOJAMPI NPWP : No Rek :0021016200 172.527.400,00 21 1076/SPM-LS/ADD.II/PPKD/201 5 12737/LS/BPKAD/IX/ 2015 28/09/2015
SUDARMINI / BENDAHARA DESA KARANGREJO NPWP : No Rek :0021018744 141.392.400,00 22 30/SPM-GU/IX/2015 12738/GU/BPKAD/IX /2015 28/09/2015
HENDRAWAN RUDIYANTO SP, S.Sos; Kecamatan Singojuruh NPWP : 00.036.168.3.627.001 No Rek :0021011000 950.780,00 23 060/SPM-GU/IX/2015 12739/GU/BPKAD/IX /2015 28/09/2015
SUPRIHATIN; Kecamatan Gambiran NPWP : 000361691627000 No Rek :0021011066 1.574.462,00 24 397/SPM-GU/IX/2015/DINAS PERTANIAN 12740/GU/BPKAD/IX /2015 28/09/2015
HERU SUPRIYADI ; Dinas Pertanian, Kehutanan dan Perkebunan NPWP : 00.161.807.3-627.000 No Rek :0021010588 7.160.794,00 25 396/SPM-GU/IX/2015/DINAS PERTANIAN 12741/GU/BPKAD/IX /2015 28/09/2015
HERU SUPRIYADI ; Dinas Pertanian, Kehutanan dan Perkebunan NPWP : 00.161.807.3-627.000 No Rek :0021010588 34.633.800,00 26 0416/SPM-LS/Pengairan/IX/201 5 12742/LS/BPKAD/IX/ 2015 28/09/2015
CV. BANGUN PUTRA BLAMBANGAN / CINDY OCTAVIA HARTONO NPWP : 01.447.474.6-627.000 No Rek :002.100.4277 170.538.000,00 27 115/SPM-GU/IX/2015 12743/GU/BPKAD/IX /2015 28/09/2015
TUTI INAYATI, SE; Badan Pemberdayaan Perempuan dan Keluarga Berencana NPWP : 00.836.408.5-627.000 No Rek :0021017914 16.600.000,00 28 0804/SPM/LS/09/20 15 12744/LS/BPKAD/IX/ 2015 28/09/2015 UD.RIZKY KAROMAH/KUSRIYATI NPWP : 55.000.684.5-627.000 No Rek :0021026956 4.400.000,00 29 101/SPM-GU/IX/2015/Dispend uk 12745/GU/BPKAD/IX /2015 28/09/2015
SITI HAISAH; Dinas Kependudukan dan Pencatatan Sipil NPWP : 00.262.691.9.627-000 No Rek :0021010477 1.764.000,00 30 102/SPM-GU/IX/2015/Dispend uk 12746/GU/BPKAD/IX /2015 28/09/2015
SITI HAISAH; Dinas Kependudukan dan Pencatatan Sipil NPWP : 00.262.691.9.627-000 No Rek :0021010477 10.780.500,00 31 368/SPM-GU/BPKAD/IX/2015 12747/GU/BPKAD/IX /2015 28/09/2015
YUDHI SETIAWAN; Badan Pengelolaan Keuangan dan Aset Daerah
NPWP : 30.093.215.9-627.000 No Rek :0021010633 45.000.000,00 32 371/SPM-LS/BPKAD/IX/2015 12748/LS/BPKAD/IX/ 2015 28/09/2015
UD. PUTRA BENGAWAN / ALFIAN RUSDI
NPWP : 07.907.494.4-627.000 No Rek :0021006220 20.250.000,00 33 19/SPM-GU/X/2015 12749/GU/BPKAD/IX /2015 28/09/2015
NURHARIRI; Kelurahan Panderejo NPWP : 00.759.542.4-627.000 No Rek :0021017949 712.163,00 34 31 / SPM.GU / IX / 2015 12750/GU/BPKAD/IX /2015 28/09/2015
MOH. WISNU AJI; Kelurahan Kepatihan NPWP : 00.759.439.3-627.000 No Rek :0021018201 2.145.350,00 35 1867/SPM-LS/DPUBM,CK&TR/I X/2015 12751/LS/BPKAD/IX/ 2015 28/09/2015
CV.JAYA PERKASA / MUAMAR KHADAFI NPWP : 66.237.170.7-627.000
No Rek :0021027651
36 437/GU/2015/BAPP EDA
12752/GU/BPKAD/IX /2015
28/09/2015
ASMUNI; Badan Perencanaan dan Pembangunan Daerah NPWP : 00.036.247.5.627.000 No Rek :0021010600 1.531.700,00 37 439/GU/2015/BAPP EDA 12753/GU/BPKAD/IX /2015 28/09/2015
ASMUNI; Badan Perencanaan dan Pembangunan Daerah NPWP : 00.036.247.5.627.000 No Rek :0021010600 2.474.400,00 38 1074/SPM-LS/ADD.II/PPKD/201 5 12754/LS/BPKAD/IX/ 2015 28/09/2015
ARIF HERMAWAN / BENDAHARA DESA GLAGAHAGUNG NPWP : No Rek :0021017133 124.787.500,00 39 1073/SPM-LS/ADD.II/PPKD/201 5 12755/LS/BPKAD/IX/ 2015 28/09/2015
ZAINURIDA,S.Kom / BENDAHARA DESA BENGKAK NPWP : No Rek :0021015344 134.665.900,00 40 1070/SPM-LS/DD.I.178/PPKD/2 015 12756/LS/BPKAD/IX/ 2015 28/09/2015
LINA KUSUMA DEWI,SE / BENDAHARA DESA JAJAG NPWP : No Rek :0021016666 128.063.300,00 41 1066/SPM-LS/ADD.II/PPKD/201 5 12757/LS/BPKAD/IX/ 2015 28/09/2015
SEMIATI TUTYANINGSIH / BENDAHARA DESA SUKOJATI NPWP : No Rek :0021015977 127.870.000,00 42 1077/SPM-LS/DD.II/PPKD/2015 12758/LS/BPKAD/IX/ 2015 28/09/2015
SUDARMINI / BENDAHARA DESA KARANGREJO NPWP : No Rek :0021018744 124.222.400,00 43 116/SPM-LS/IX/2015/POLPP 12759/LS/BPKAD/IX/ 2015 29/09/2015
SPBU No. 54.684.37 Kampung Melayu/Karno Widjaja NPWP : 06.793.099.0.627.000 No Rek :0022359568 15.604.000,00 44 0351/SPM/GU/Dispe nda/IX/2015 12760/GU/BPKAD/IX /2015 29/09/2015
Endah Artiningsih, S.Sos; Dinas Pendapatan NPWP : 69.640.552.5-627.000 No Rek :0021023825 10.375.000,00 45 1861/SPM-LS/DPUBM,CK&TR/I X/2015 12761/LS/BPKAD/IX/ 2015 29/09/2015 CV. RIZALUSSANI / WINARSIH NPWP : 02.268.292.6-627.000 No Rek :0021011584 9.834.900,00 46 1874/SPM-LS/DPUBMCK&TR/I X/2015 12762/LS/BPKAD/IX/ 2015 29/09/2015
CV.KARTIKA SURYA / RESSWO BUDI SUDARMO NPWP : 02.801.338.1-627.000 No Rek :002.101.4290 4.605.000,00 47 1820/SPM-LS/DPUBM,CK&TR/I X/2015 12763/LS/BPKAD/IX/ 2015 29/09/2015
CV.SARI AGUNG GROUP / BAMBANG ISKANDAR NPWP : 31.572.378.3-627.000 No Rek :055.100.2667 186.428.000,00 48 1875/SPM-LS/DPUBMCK&TR/I X/2015 12764/LS/BPKAD/IX/ 2015 29/09/2015
CV.KARTIKA SURYA / RESSWO BUDI SUDARMO NPWP : 02.801.338.1-627.000 No Rek :002.101.4290 3.615.000,00 49 436/GU/2015/BAPP EDA 12765/GU/BPKAD/IX /2015 29/09/2015
ASMUNI; Badan Perencanaan dan Pembangunan Daerah NPWP : 00.036.247.5.627.000 No Rek :0021010600 2.170.000,00 50 1816/SPM-LS/DPUBM,CK&TR/I X/2015 12766/LS/BPKAD/IX/ 2015 29/09/2015
CV. MUTIARA DHAHAN / DANI WAHYUDI NPWP : 03.092.960.8-627.000 No Rek :0021028436 138.961.250,00 51 1822/SPM-LS/DPUBM,CK&TR/I X/2015 12767/LS/BPKAD/IX/ 2015 29/09/2015
CV. DINAMIS / HEDI SETIAWAN NPWP : 02.268.094.6-627.000 No Rek :0021008141 5.172.900,00 52 1825/SPM-LS/DPUBM,CK&TR/I X/2015 12768/LS/BPKAD/IX/ 2015 29/09/2015 CV.JAYA MAKMUR/ABDALLAH NPWP : 01.208.926.4-627.000 No Rek :0021006233 4.842.800,00 53 1821/SPM-LS/DPUBM,CK&TR/I X/2015 12769/LS/BPKAD/IX/ 2015 29/09/2015
CV. DINAMIS / HEDI SETIAWAN NPWP : 02.268.094.6-627.000 No Rek :0021008141
54 1852/SPM-LS/DPUBM,CK&TR/I X/2015 12770/LS/BPKAD/IX/ 2015 29/09/2015
CV.WASITA KARYA / AMIR DAHNAN NPWP : 02.268.428.6-627.000 No Rek :002.101.1649 299.720.250,00 55 1869/SPM-LS/DPUBM,CK&TR/I X/2015 12771/LS/BPKAD/IX/ 2015 29/09/2015
CV.RAGIL PUTRA MANDIRI / MOHAMMAD EFFENDI NPWP : 31.696.501.1-627.000 No Rek :0021026042 110.941.000,00 56 1824/SPM-LS/DPUBM,CK&TR/I X/2015 12772/LS/BPKAD/IX/ 2015 29/09/2015 CV.JAYA MAKMUR/ABDALLAH NPWP : 01.208.926.4-627.000 No Rek :0021006233 2.851.850,00 57 1851/SPM-LS/DPUBM,CK&TR/I X/2015 12773/LS/BPKAD/IX/ 2015 29/09/2015
CV.GEMILANG JAYA PERKASA / DESLY MERINA NPWP : 02.801.253.2-627.000 No Rek :002.101.4419 570.436.050,00 58 199/SPM-GU/BPM-PD/IX/2015 12774/GU/BPKAD/IX /2015 29/09/2015
SAFI`I; Badan Pemberdayaan Masyarakat dan Pemerintahan Desa NPWP : 00.836.409.3-627.000 No Rek :0021018121 3.900.000,00 59 438/GU/2015/BAPP EDA 12775/GU/BPKAD/IX /2015 29/09/2015
ASMUNI; Badan Perencanaan dan Pembangunan Daerah NPWP : 00.036.247.5.627.000 No Rek :0021010600 1.799.700,00 60 0972/33/MLS/IX/201 5 12776/LS/BPKAD/IX/ 2015 29/09/2015
PT. ERA MEDIA INFORMASI/Ir. BUDIONO K NPWP : 01.651.330.1-062.000 No Rek :0000056270 10.350.000,00 61 0975/33/MLS/IX/201 5 12777/LS/BPKAD/IX/ 2015 29/09/2015
PT. ERA MEDIA INFORMASI/Ir. BUDIONO K NPWP : 01.651.330.1-062.000 No Rek :0000056270 6.900.000,00 62 0990/00/MGU/IX/201 5 12778/GU/BPKAD/IX /2015 29/09/2015
YUDA TEGUH SISWANTO, S.STP; Sekretariat Daerah NPWP : 00.036.192.3.627.000 No Rek :0021019133 2.700.000,00 63 0974/33/MLS/IX/201 5 12779/LS/BPKAD/IX/ 2015 29/09/2015
PT. ERA MEDIA INFORMASI/Ir. BUDIONO K NPWP : 01.651.330.1-062.000 No Rek :0000056270 17.250.000,00 64 0530/SPM-LS/DISPENDIK/IX/2 015 12780/LS/BPKAD/IX/ 2015 29/09/2015
CV. KARYA PRIMA/MOHAMMAD FARIED NPWP : 31.557.731.2-627.000 No Rek :0021025453 29.952.000,00 65 0541/SPM-LS/DISPENDIK/IX/2 015 12781/LS/BPKAD/IX/ 2015 29/09/2015
CV. KRIS JAYA SAKTI/PURWANTO NPWP : 21.037.373.4-627.000 No Rek :0021024791 33.495.000,00 66 0543/SPM-LS/DISPENDIK/IX/2 015 12782/LS/BPKAD/IX/ 2015 29/09/2015
CV. KRIS JAYA SAKTI/PURWANTO NPWP : 21.037.373.4-627.000 No Rek :0021024791 9.980.000,00 67 1823/SPM-LS/DPUBM,CK&TR/I X/2015 12783/LS/BPKAD/IX/ 2015 29/09/2015 CV.JAYA MAKMUR/ABDALLAH NPWP : 01.208.926.4-627.000 No Rek :0021006233 3.591.850,00 68 1069/SPM-LS/DD.II/PPKD/2015 12784/LS/BPKAD/IX/ 2015 29/09/2015
SEMIATI TUTYANINGSIH / BENDAHARA DESA SUKOJATI NPWP : No Rek :0021015977 122.766.000,00 69 155/SPM-GU/IX/2015 12785/GU/BPKAD/IX /2015 29/09/2015
Feronica Rosaria Indah Pratiwi, SE; Dinas Perhubungan, Komunikasi dan Informatika NPWP : 00.166.848.2-627.000 No Rek :0021014788 34.466.400,00 70 0987/00/MGU/IX/201 5 12786/GU/BPKAD/IX /2015 29/09/2015
YUDA TEGUH SISWANTO, S.STP; Sekretariat Daerah NPWP : 00.036.192.3.627.000 No Rek :0021019133 10.221.700,00 71 264/SPM-GU/Set.DPRD/IX/20 15 12787/GU/BPKAD/IX /2015 29/09/2015
SUHAIRI SALEH; Sekretariat DPRD NPWP : 00.036.250.9.627.000 No Rek :0021001228 47.920.000,00 72 029/SPM_GU/IX/Klat ak 12788/GU/BPKAD/IX /2015 29/09/2015
AGUS WIDODO; Kelurahan Klatak NPWP : 00.759.534.1.627.000 No Rek :0021018597
73 030/SPM_GU/IX/Klat ak
12789/GU/BPKAD/IX /2015
29/09/2015
AGUS WIDODO; Kelurahan Klatak NPWP : 00.759.534.1.627.000 No Rek :0021018597 1.000.000,00 74 160/SPM-GU/IX/2015 12790/GU/BPKAD/IX /2015 29/09/2015
Feronica Rosaria Indah Pratiwi, SE; Dinas Perhubungan, Komunikasi dan Informatika NPWP : 00.166.848.2-627.000 No Rek :0021014788 4.000.000,00 75 156/SPM GU/09/2015/Disos 12791/GU/BPKAD/IX /2015 29/09/2015
SUWITO; Dinas Sosial, Tenaga Kerja dan Transmigrasi NPWP : 00.007.249.6.627.000 No Rek :0021010544 6.110.000,00 76 0989/00/MGU/IX/201 5 12792/GU/BPKAD/IX /2015 29/09/2015
YUDA TEGUH SISWANTO, S.STP; Sekretariat Daerah NPWP : 00.036.192.3.627.000 No Rek :0021019133 3.704.000,00 77 29/SPM-GU/IX/2015 12793/GU/BPKAD/IX /2015 29/09/2015
RIRIN INDRIASTUTI; Kelurahan Boyolangu NPWP : 00.836.506.6-627.000 No Rek :0021018490 1.500.000,00 78 30/SPM-GU/IX/2015 12794/GU/BPKAD/IX /2015 29/09/2015
RIRIN INDRIASTUTI; Kelurahan Boyolangu NPWP : 00.836.506.6-627.000 No Rek :0021018490 8.468.300,00 79 1879/SPM-GU/DPUBMCK&TR/I X/2015 12795/GU/BPKAD/IX /2015 29/09/2015
SITI JUMILAH, SAP; Dinas Pekerjaan Umum Bina Marga, Cipta Karya dan Tata Ruang
NPWP : 00.262.650.5-627.000 No Rek :002.1010.511 10.380.000,00 80 0542/SPM-LS/DISPENDIK/IX/2 015 12796/LS/BPKAD/IX/ 2015 29/09/2015
CV. KRIS JAYA SAKTI/PURWANTO NPWP : 21.037.373.4-627.000 No Rek :0021024791 33.510.000,00 81 1075/SPM-LS/ADD.II/PPKD/201 5 12797/LS/BPKAD/IX/ 2015 29/09/2015
WAHYU KRISTIANI / BENDAHARA DESA KARETAN NPWP : No Rek :0021018833 119.061.550,00 82 0828/SPM/LS/09/20 15 12798/LS/BPKAD/IX/ 2015 29/09/2015
CV. ATH THAARIQ/ZAINAL ARIFIN NPWP : 02.933.339.0-627.000 No Rek :0021022209 4.990.000,00 83 1826/SPM-LS/DPUBM,CK&TR/I X/2015 12799/LS/BPKAD/IX/ 2015 29/09/2015
PT. SATRIA ANDALAN BERBUDI / AGUS WIDAYANTO NPWP : 01.977.013.0.722.000 No Rek :610.100.3392 735.917.100,00 84 0824/SPM/LS/09/20 15 12800/LS/BPKAD/IX/ 2015 29/09/2015 UD.SETYA ABADI/SUGITO NPWP : 25.911.604.4-627.000 No Rek :6122-01-000503-50-3 4.500.000,00 85 1876/SPM-GU/DPUBMCK&TR/I X/2015 12801/GU/BPKAD/IX /2015 29/09/2015
SITI JUMILAH, SAP; Dinas Pekerjaan Umum Bina Marga, Cipta Karya dan Tata Ruang
NPWP : 00.262.650.5-627.000 No Rek :002.1010.511 40.148.000,00 86 090/SPM-GU/IX/2015/BAKES BANGPOL 12802/GU/BPKAD/IX /2015 29/09/2015
JULI INDRAWATI, SE; Badan Kesatuan Bangsa dan Politik NPWP : 00.836.419.2-627.000 No Rek :0021017922 2.749.500,00 87 1078/SPM-LS/BG.HSL/PPKD/2 015 12803/LS/BPKAD/IX/ 2015 29/09/2015
ENDANG BUDIHATI, SE, MM / Plh.Kepala UPTD Dispenda Prov Jatim
NPWP : No Rek :0011000477 143.016.250,00 88 1837/SPM-LS/DPUBM,CK&TR/I X/2015 12804/LS/BPKAD/IX/ 2015 29/09/2015
CV. DINAMIS / HEDI SETIAWAN NPWP : 02.268.094.6-627.000 No Rek :0021008141 9.486.000,00 89 1836/SPM-LS/DPUBM,CK&TR/I X/2015 12805/LS/BPKAD/IX/ 2015 29/09/2015
CV. DINAMIS / HEDI SETIAWAN NPWP : 02.268.094.6-627.000 No Rek :0021008141 9.394.650,00 90 0564/SPM-LS/DISPENDIK/IX/2 015 12806/LS/BPKAD/IX/ 2015 29/09/2015
CV. PUTRA REMAJA JAYA/ANDI PRASETYO HADI
NPWP : 02.933.083.4-627.000 No Rek :0021022543
NIP. 196903161994032010