PENGADILAN TATA USAHA NEGARA PALANGKA RAYA
Jl. Tjilik Riwut Km 5, 5 Palangka Raya Formulir LI
-T8
LAPORAN KEUANGAN PERKARA
PENGADILAN TATA USAHA NEGARA PALANGKA RAYA
Bulan : Agustus Tahun : 2020
1) Biaya Perkara / Panjar Biaya Perkara
No. U R A IA N
JUM LAH
S A LD O A W A L P E N E R IM A A N P E N G E L U A R A N S A LD O A K H IR
1 2 3 4 5 6 (3+4-5)
1 Saldo Awal Rp 23,558,350
2 Penerimaan 4,350,500
3 Biaya Proses/ATK/Pemberkasan 250,000
4 Biaya Panggilan 491,000
5 Biaya Pemberitahuan 1,211,000
6 Biaya Pemeriksaan Setempat
7 Biaya Pengiriman 1,925,000
8 Biaya Sumpah
9 Meterai 12,000
10 Biaya Lain-lain
11 PNBP 755,500
a. Biaya Pendaftaran 130,000
b. Redaksi 20,000
c. Pengembalian Sisa Panjar 479,000
12 Saldo Akhir 22,635,350
Jumlah Rp 23,558,350 4,350,500 5,273,500 22,635,350
2) Biaya Proses / ATK / Pemberkasan
No. URAIAN JUMLAH
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR
1 2 3 4 5 6 (3+4-5)
1 Saldo Awal Rp 2,329,700
2 Penerimaan 250,000
3 Pengeluaran (untuk seluruh pembelian ATK secara nil. tidak perlu dirinci satu persatu)
4 Saldo Akhir 2,579,700
Jumlah Rp 2,329,700 250,000 0 2,579,700
3) Biaya Eksekusi
No. U R A IA N JUM LAH
S A LD O A W A L P E N E R IM A A N P E N G E L U A R A N S A LD O A K H IR
1 2 3 4 5 6 (3+4-5)
1 Saldo Awal Rp 1,029,500
2 Penerimaan 3 Materai 4 Leges
5 Pemberitahuan di Media Massa
6 Surat Pemberitahuan Kepada Presiden/DPR 7 Surat Pemberitahuan Relaas
8 PNBP
9 Pengembalian Sisa Panjar Eksekusi 10 Lain-lain
11 Saldo Akhir 1,029,500
Jumlah Rp 1,029,500 0 0 1,029,500
MENGETAHUI PALANGKA RAYA, 31 AGUSTUS 2020
LA PORAN TR A N S A K S I
Kepada Y th .
RPL 043 PTUN PALANGK
JL. TJIUK RIWUT KM 5 PALANGKA KEL.
PALANGKARAYA KOT. PAHANDUT PALANGKARAYA KOT.
Tanggal Laporan Penode Transaksi Halaman
^ BANK BRI
Meiayani Oengan Setulus Hati
01/09/20
01/08/20 - 31/08/20
1
No. Rekening : 024301002022305 Unit Kerja ; KC Palangkaraya
No. Kartu Alamat Unit Kerja ; J . lend. A. Yani No. 65
Nama Produk : GiroTres.NotP Palangkaraya
Valuta : IDR
Tanggai Transaksi Uraian Transaksi Chq
No
Debet Kpedit Saldo TeHer
03/08/20 10:55:18 APRI-024301002022305 T:4541351:NEWBRINETSWEB 0.00 250,000.00K 20,013,500.00K 4541351
05/08/25 11:04:56 LAILATUL JAFffiAH-024301002022305 LA1LATUL 3ANNAH T:4541351 :NEWBRINETSWEB
0.00 1,300,000.00 k 21,313,500.00K 4541351
10/08/20 11:34:44 NO. I/G/2020/PTUN.PLX 0.00 250,00O.00K 21,563,500.00K 4541351
10/08/20 11:35:21 NO. 6/G/2020/PTUN/PLK 0.00 250,000.00K 21,813,500.0QK 4541351
11/08/20 10:53:14 ATMLTRBCA 25348 008936764 024301002)2230 TRF PRIMA FROM Bank Central Asi ATMLTRBCA 25348 008936764 024301002022305
0.00 1,000,000.00 k 22,813,500,0OK
•Kr;
0888851 14/08/20 16:26:11 BRIVA198453252008140001EDC BANGKTT SUKO
BRIVA198453252008140001EDC BANGKIT SUKO MUKTI, S.H
0.00 32,OOO.OOK
*22,845,500.00K 0852031 25/08/20 10:19:12 ATMLTRBCA 25348 008570106 02430100202230 TRF PRIMA FROM
Bank Central Asi ATMLTRBCA 25348 008570106 024301002022305
0.00 4Q0,QOO.GOK 23,245,500.00K 0888856 25/08/20 10:20:24 ATMLTRBCA 25348 008582562 02430100202230 TRF PRIMA FROM
Bank Central Asi ATMLTRBCA 25348 008582562 024301002022305
0.00 60Q,OOO.OOK 23,845,500.00K 0888854 25/08/20 16:34:43 BRIVA198453252008250002EDC NORLITA FEBRI
BRIVA198453252008250002EDC NORLITA FEBRIANI
0.00 385,000.00K 24,230,500.00K 0852049 27/08/20 14:53:51 CA Cash Withdrawal T:0243058:NEWBRINETSWEB 1385579 10,000,000.00D 0.00 14,230,500.00K 0243058
31/08/2) 11:23:06 FROM343401002661505 TO0243010G2022305MP 0.00 15D,000.Q0K 14,330,300 .OOK 9335286
31/08/20 11:24:08 FROM343401002661505 T0024301002022305MP 0.00 150,OOO.OOK 14,530,500.00K 9835286
SALDCAWAL TOTAL MUTASI DEBET TOTAL MUTASI KREDIT SALDO .AKHIR
19,763,500.00K 10,000,000,OOD 4,767,OOO.OOK 14,530,500.00K
Terbiiang
EMPAT BELAS 3UTA LIMA RATUS TIGA PULUH RIBU LIMA RATUS RUPIAH
Biaya materai telah dibayar Lunas
- Apabiia terxiapat perbedaan dengan caiman Saudara, 1
*m a pmeng^aibungi kami seiambat-Sambatnya 14 hari sejak diterimanys rekening koran mi.
- Salinan rekening koran ini merupakan basil cetakan komputer, tidak diperlukan tanda tangan pejabat Bank - Apabila ada perubahan alamat email mohon diinformasikan pada Unit Kerja BANK BRI
•>
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PENGADILAN TATA USAHA NEGARA PALANGKA RAYA BUKU INDUK KEUANGAN PERKARA
Bulan Agustus 2020
P E N E R IM A A N P E N G E L U A R A N
N uO mr
0 t r
T anggal N om or Perkara
Ju m lah P a n ja r B ia y a P e rk a ra ( R p )
S isa B u lan L alu (R p )
Jum lah P enerim aan B ulan ini (R p)
P anggilan
P em eriksaan S etem pat A T K
P em beritahuan K irim B iay a
M eterai
H a k - H a k K ep an iteraan P em b erk asan d an Pengirim an
P en gcm balian S isa P a n ja r
P engum um an M ed ia M a ssa
Jum lah P en geluaran
G u g a ta n Banding K asasi P K Pem erik saan
Setem pat E ksekusi Jenis Jum lah Jenis Jum lah Jenis Jum lah Jenis Jum lah Jenis Jum lah Jenis Ju m lah Jum lah
1 2 3 4 s 6 7 i 9 IO u 12 13 14 15 16 17 it 1# 20 21 22 23 24 28 27 28
Saldo Awal bulan sebelumirva 23,558,350
1 3-8-2020 4/G/2020/PTUN.PLK P B T B 4 24.000 24.000
2 3-8-2020 4/G/2020/PTUN.PLK P B T B 4 14.000 14.000
3 3-8-2020 4/G/2020/PTUN.PLK PBT B4 14.000 14.000
4 3-8-2020 4/G/2020/PTUN.PLK P B T B 4 14,000 14.000
5 3-8-2020 4/G/2020/PTUN.PLK HHK PBT B4 10.000 10.000
6 3-8-2020 4/G/2020/PTUN. PLK HHK PBT B4 10.000 10.000
7 3-8-2020 4/G/2020/PTUN.PLK HHK PBT B4 10.000 10.000
8 3-8-2020 4/G/2020/PTUN.PLK HHK PBT B4 10.000 10.000
9 3-8-2020 3/G/2020/PTUN. PLK . KRB 1 250.000 250.000
10 3-8-2020 20/G/2020/PTUN.PLK HHK PGL 10.000 10.000
11 3-8-2020 32/G/2019/PTUN.PLK P S P 1 464.000 464.000
12 4-8-2020 3/G/2020/PTUN. PLK P B K S 2 100,000 100.000
13 4-8-2020 3/G/2020/PTUN.PLK P B T B 5 24.000 24.000
14 4-8-2020 3/G/2020/PTUN.PLK P B T B 5 14.000 14.000
15 4-8-2020 3/G/2020/PTUN.PLK PBT B5 14.000 14.000
16 4-8-2020 3/G/2020/PTUN.PLK P B T B 5 14.000 14.000
17 4-8-2020 2 1/G/2020/PTUN.PLK PGL 1 24.000 24.000
18 5-8-2020 26/G/2019/PTUN.PLK 1,300.000 1.300.000
19 5-8-2020 26/G/20I9/PTUN.PLK HHK 3 50.000 50.000
20 5-8-2020 26/G/2019/PTUN.PLK HHK 11 10.000 10.000
21 5-8-2020 26/G /2019/PTUN. PLK 50,000 50.000
22 5-8-2020 26/G/2019/PTUN.PLK PBT C l 24.000 24.000
23 5-8-2020 26/G /2019/PTUN .PLK PBT C l 14.000 14.000
24 5-8-2020 26/G/2019/PTUN.PLK PBT C l 14.000 14.000
25 5-8-2020 26/G/2019/PTUN.PLK HHK PBT C l 10.000 10.000
26 5-8-2020 26/G/2019/PTUN.PLK HHK PBT C l 10.000 10.000
27 5-8-2020 26/G/2019/PTUN.PLK HHK PBT C l 10.000 10.000
28 6-8-2020 2 l/G/2019/PTUN.PLK P B K S 3 175.000 175,000
29 6-8-2020 2 l/G/2019/PTUN.PLK PBT C4 19.000 __________ 1 2 S 2 L
30 6-8-2020 21/G/2019/PTUN.PLK PBT C4 40.000 40.000
31 6-8-2020 21/G/2019/PTUN.PLK P B T C 4 25.000 25.000
32 6-8-2020 30/G/2019/PTUN.PLK PBT B4 19,000 19.000
33 6-8-2020 30/G/2019/PTUN.PLK PBT B4 25.000 25.000
34 6-8-2020 30/G/2019/PTUN.PLK PB T B 4 17.000 17.000
35 6-8-2020 30/G/2019/PTUN.PLK HHK PBT B4 10.000 10.000
36 6-8-2020 30/G/2019/PTUN.PLK HHK PBT B4 10.000 10.000
37 6-8-2020 30/G/2019/PTUN.PLK HHK PBT B4 10.000 10.000
38 6-8-2020 19/G/2020/PTUN.PLK PGL 35.000 35.000
39 6-8-2020 19/G/2020/PTUN.PLK PGL 40.000 40.000
40 6-8-2020 20/G/2020/PTUN. PLK PGL 50.000 50.000
41 6-8-2020 1/P/FP/2020/PTUN.PLK P B K S 4 50.000 50.000
42 6-8-2020 1/P/FP/2020/PTUN.PLK P B T D 3 19.000 19.000
43 6-8-2020 1/P/FP/2020/PTUN.PLK PBT D3 9.000 9.000
44 7-8-2020 19/G/2020/PTUN.PLK PGL 19.000 19.000
45 7-8-2020 19/G/2020/PTUN.PLK PGL 40.000 40.000
46 7-8-2020 20/G/2020/PTUN.PLK PGL 50,000 50.000
47 10-8-2020 1/G/2020/PTUN.PLK KRB 1 250.000 250.000
48 10-8-2020 6/G/2020/PTUN.PLK KRB 1 250.000 250.000
49 11-8-2020 2 1/G/2020/PTUN.PLK PGL 1 24.000 24.000
50 11-8-2020 22/G/2020/PTUN.PLK PGL 19.000 19.000
51 11-8-2020 22/G/2020/PTUN.PLK HHK PGL 10.000 10.000
52 11-8-2020 1/G/2020/PTUN.PLK P B K S 2 100.000 100.000
53 11-8-2020 1/G/2020/PTUN. PLK P B T B 5 19.000 19.000
54 11-8-2020 1/G/2020/PTUN.PLK PBT B5 14.000 14.000
55 11-8-2020 1/G/2020/PTUN.PLK P B T B 5 14.000 14.000
56 11-8-2020 1/G/2020/PTUN.PLK PBT B5 14.000 14.000
57 11-8-2020 1 /G/2020/PTUN. PLK PBT B5 14.000 14.000
58 11-8-2020 6/G/2020/PTUN.PLK P B K S 2 100,000 100.000
59 11-8-2020 6/G/2020/PTUN. PLK PBT B5 19.000 19.000
60 11-8-2020 6/G/2020/PTUN. PLK PBT B5 14.000 14.000
61 11-8-2020 6/G/2020/PTUN.PLK PBT B5 14.000 14.000
62 11-8-2020 6/G/2020/PTUN. PLK P B T B 5 14.000 14.000
63 11-8-2020 6/G/2020/PTUN.PLK PBT B5 9.000 9.000
64 11-8-2020 32/G/2019/PTUN.PLK 1.000.000 1.000.000
65 11-8-2020 3 2/G/2019/PTUN.PLK HHK 2 50.000 50.000
. P E N E R IM A A N P E N G E L U A R A N
N u0 r
mu T anggal N om or Pcrkara
Jum lah P a n ja r B ia y a P e rk ara (R p)
S isa B ulan L alu (R p )
Jum lah P enerim aan B u lan ini (R p )
P anggilan
P e m en k saan S etem pat A T K
P em beritah u an K irim B iay a
M eterai
H a k - H a k K ep an iteraan Pem b erk asan d a n P enginm an
P engem balian S isa P a n ja r
Pengum um an M edia M assa Jum lah
P en g elu aran
r G u g atan B anding K asasi P K P em en k saan
S etem pat E ksekusi Jcnis Ju m lah Jenis Jum lah Jenis Jum lah Jenis Ju m lah Jenis Jum lah Jenis Jum lah Jum lah
• 2 3 4 s 6 7 t 9 o )! 12 13 14 15 16 17 i« 19 20 21 22 23 24 26 27
11-8-2020 32/G/2019/PTUN.PLK HHK 10 10.000 10.000
32/G /2019/PTUN.PLK 50.000 50.000
68 32/G /2019/PTUN.PLK PBTB1 50.000 50.000
69 P B T B I 25.000 25.000
32/G/2019/PTUN.PLK HHK P BT B1 10.000 10.000
71 11-8-2020 32/G /2019/PTUN. PLK HHK P B T B I 10.000 10.000
PBT C3 24.000 24.000
26/G /2019/PTUN. PLK P B T C 3 14.000 14.000
PBT C3 14,000 14.000
26/G/2019/PTUN.PLK HHK P BT C3 10.000 10.000
76 12-8-2020 26/G/2019/PTUN.PLK HHK PBT C3 10.000 10.000
77 12-8-2020 26/G/2019/PTUN.PLK HHK PBT C3 10.000 10.000
78 12-8-2020 4/G/2019/PTUN.PLK PSP 4 15.000 15.000
79 10/G/2020/PTUN.PLK PBT B3 29.000 29.000
P B T B 3 19.000 19.000
10/G/2020/PTUN.PLK HHK PBT B3 10.000 10.000
82 13-8-2020 10/G/2020/PTUN.PLK HHK P BT B3 10.000 10.000
14/G/2020/PTUN.PLK PGL 24.000 24.000
84 14-8-2020 2 1/G/2020/PTUN.PLK PGL 1 24,000 24.000
PGL 19.000 19.000
9/G/2020/PTUN.PLK PBT B2 27.000 27.000
87 19-8-2020 9/G/2020/PTUN.PLK PBT B2 17.000 17.000
HHK PBT B2 10.000 10.000
9/G/2020/PTUN. PLK HHK PBT B2 10.000 10.000
400.000 400.000
6/G/2020/PTUN.PLK 600.000 600.000
PBT B3 27.000 27.000
93 9/G/2020/PTUN.PLK PBT B3 17.000 17.000
9/G/2020/PTUN. PLK HHK PBT B3 10.000 10.000
95 25-8-2020 9/G/2020/PTUN.PLK HHK P BT B3 10.000 10.000
PGL 24.000 24.000
97 22/G/2020/PTUN. PLK PGL 19.000 19.000
98 25-8-2020 26/G /2019/PTUN. PLK PBT C3 19.000 19.000
99 25-8-2020 26/G/2019/PTUN.PLK PBT C3
PBT C3
14.000
14.000 14.000
HHK PBT C3 10.000 10.000
26/G/2019/PTUN.PLK HHK PBT C3 10,000 10.000
HHK PBT C3 10.000 10.000
104 26/G/2019/PTUN.PLK PBT C3 19.000 19.000
105 PBT C3 14.000 14.000
106 P B T C 3 14.000 14.000
107 HHK PBT C3 10.000 10.000
108 26/G/2019/PTUN PLK HHK PBT C3 10.000 10.000
HHK PBT C3 10.000 10.000
110 PBT B2 22.000 22.000
P B T B 2 25.000 25.000
112 32/G/2019/PTUN.PLK HHK PBT B2 10.000 10.000
113 HHK P BT B2 10.000 10.000
114 19/G/2020/PTUN.PLK 6.000 6.000
HHK 5 10.000 10.000
116 385,000 385.000
117 23/G/KI/2020/PTUN.PLK HHK 1 30.000 30.000
118 150.000 150.000
119 PGL 19.000 19,000
PGL 9.000 9.000
121 6.000 6.000
122 20/G/2020/PTUN.PLK HHK 5 10.000 10.000
PGL 1 24.000 24.000
124 P B T B 4 27.000 27.000
125 9/G/2020/PTUN. PLK P B T B 4 17.000 17.000
126 27-8-2020 9/G/2020/PTUN.PLK PBT B4 17.000 17.000
127 HHK PBT B4 10.000 10.000
128 HHK PBT B4 10.000 10.000
129 HHK PBT B4 10.000 10.000
130 P B T B 4 24.000 24.000
P B T B 4 14.000 14.000
132 PBT B4 14.000 14.000
133 27-8-2020 10/G/2020/PTUN. PLK HHK PBT B4 10.000 10.000
134 HHK PBT B4 10.000 10.000
135 HHK PBT B4 10.000 10.000
136 5/G/2020/PTUN.PLK KRB 1 250.000 250.000
137 PB K S2 150.000 150.000
138 27-8-2020 5/G/2020/PTUN.PLK PBT B5 19.000 19.000
• P E N E R IM A A N P E N G E L U A R A N
N u0
mu
0 >
r
T anggal N o m o r Perkara
Ju m lah P a n ja r B iay a P e rk a ra (R p)
S isa B ulan L alu (R p )
Jum lah Penerim aan B ulan ini (R p )
Panggilan
P cm eriksaan S etem pat A T K
P em b eritah u an K irim B iaya
M eterai
H ak - H a k K epanitcraan P e m b erk asan d an Pengirim an
P engem balian S isa P a n jar
P cngum um an M ed ia M a ssa
Ju m lah P e n g elu aran
G u g a ta n B anding K asasi P K P em en k saan
S etem pat Eksckusi Jcnis Ju m lah Jenis Ju m lah Jenis Jum lah Jenis Jum lah Jenis Jum lah Jenis Jum lah Jum lah
1 2 3 4 s 6 7 i 9 IO u 12 13 14 u 16 17 18 19 20 21 22 23 26 27 28
139 27-8-2020 5/G/2020/PTUN.PLK PBT B5 9.000 9.000
140 27-8-2020 12/G/2020/PTUN .PLK PGL 2 19.000 19.000
141 27-8-2020 12/G/2020/PTUN.PLK PGL 9.000 9.000
142
31-8-2020 19/G/2020/PTUN PLK 150,000 150.000143 31-8-2020 20/G/2020/PTUN.PLK 150.000 150.000
144 31-8-2020 22/G/2019/PTUN.PLK P B K S 3 100.000 100.000
145 31-8-2020 22/G /2019/PTUN.PLK P B T C 4 35.000 35.000
146 31-8-2020
1
0|
PBT C4 14.000 14.000147 31-8-2020 22/G/2019/PTUN.PLK PBT C4 25.000 25.000
148 31-8-2020 24/G /2019/PTUN. PLK P B K S 3 150.000 150.000
149 31-8-2020 24/G/2019/PTUN.PLK P B T C 4 31.000 31.000
150 31-8-2020 24/G/2019/FTUN.PLK P B T C 4 9.000 9.000
151 31-8-2020 24/G /2019/PTUN .PLK PBT C4 25.000 25.000
152 31-8-2020 24/G/2019/PTUN.PLK P B T B 4 25.000 25.000
T O T A L 23,558,350 4,350,500 5,273,500