WINRIP DOC IFR CTC IFR Q4 2016 20161226 00455

PUIAU SUflAIERA $o,

\.u

\

raE4l-lri(L+$ Lrd, Ld l-.rr d lrdr l-rd

TECHNTCALASSTSTANCEFoi:ifi

?tJ-tfl

liiittPsiS+EcitMANAGEMENTUNTT

INTERIM FINANCIAL

REPORT

No.

16

o-d

z

=

E

E

E,H

E9-.

l

Sili

E t

i?

E$Eg

SFPg

E

g

EE

E

ggB

E

E#

E,E

.c

I

=

o

o

Ui

ti

+ 6

$

i.

ts

g

-8

E*

5

:E

E

P f

I

.i

J

I

c

z, =

E

5 E

U

I

6

8388

s

dddd

R

Fi

9'

P'

H.9

E

,F

i-

;.

t ceEEEBE888r8

g

h.RF.$.qn{€aBEF

S

qBIEH-s-FEiHnrl$

$

$$fr$H$f

$$a$$

E*

EftgERsEEFsRfl

$

.t

t

8'

t

R

g

c

qEqqaeEsEEeE

fi

as.qqq&{qs.qHs.

d il#€il8:H8$$SB

E

5RB$$$$f

*si

H*

R-5:F.-so@6'lo

J

6E

E FqqqSqEqEEsEEEEEg

{

a

aR9

E

{

_s. F.{E

R

E

"

R R

$.q

$

F3$$FF$:.E.sn8

F'Hs$

-b.

nn:-+

E

$sslii$*

gd

g}

s

le

t$

t$

l.t1 ll\l tel ttl.l

g

I

I

F

t eesEEEEE8r88r88888

{

R$1f,flRFH$4Ri."RTBFi

j

E35XE3tfrHE

[*f*g$Fi*$$$$$$$$fr

I

rJ

_l{:l

sl

6'l

$l

6

=

g

EEqqqetEEeeEEEs-i

$$sH8E$EFn$fi..F.H.

$

F$$t$$$$$Fr*

tr$

$

r

h.

F'h

fr

r'fi ['s;-

;-;.

fr

*

t

gE

t

eqeEgaBEBEEs

fi

SIEfrEEEfrSffGE

- N- _{d 'l} r-i Nl _{^: + ; ..' * \} S

I

frR633She8s4^

F

e"in.fr'fr$$i'R"F$n*

i- di N: oi <i _{"i "i d d 6: si J dr6}

fr

g)

E

3

p

E

qqq_aeeeesEsEE

ii'$frHn^I$$HggE'

i

s5'RddiiEnli

hd

ff

ii{in:R.

$Ee.F.e.

S

iig^i$Bh'H+$R

€ H

oa'

3

t eEE888E8

E

-FRgilHEE

$

m'fl'Ei

$

fli

$

H'

i

$'fr.

!i

fi'f;'r

f

6-

d9N-d"rfis

T

s

$

d

x

x=

(5t

E q_E_qqqEtstEEEE

d'R.3.{eiEFE:ilFo

{.

Bt3$F$ss3$H

s

aq€FsER9g8s

s . vr oi d Fi F: d -- i d;

N-T

5

t

lr

t5

t|ll IQ

fl

F

't

fi

0

FiEi$ii

E€EESFEE$

i:le'

i

eE

Er

-

.Ff

.

E.=ie

iF

$g

flg

E

Ei=EEEgc,fE!-EaEr9E:

EE

€$

E8

!

:$EEFgEeifFgFEF;;igiE

iE" iE.

i!,

r

E

:5;;g$:g;;rBpbiisRniB

giE

fiE diE

E

4

o

E

t

!,

9g*

EgR

EFgt

fri+n

E5E

-o

F

E $ {- o-E,

z

=

F

HE"

csFpi

ii(, (J€ o

D

_qqq4qE4qiEtqqqq6aQq€e

i

E

3

5R..flEEH$E$HR'HHRHER""

H F

Ci

; R-

+

$$i9

b

$9'J d''i'ridf$d

+

r{ n

e,s\ooro,nN'r1

oj +39+SH

i

R

I

r'iiiFiji

ii

iii.iii

i

q

.rl |e a o' ll F

egE

g .5

c

E g

I

-Fi d .:r

5 5

,.r

N

t

*

6t,.

8

eE€ee€eEeeeEEEeeeqeeq

e E

E

Hg-""RRqQHF$eH"p$ggEgo"

g g

E

6

f;

$.fl['H]F.HSH$

B'E'H-Flin

E'

F'

3 ".

Fi$s$$Kie

gKi

$sg$$Ri

5'

$

q

o

|a

q

lrl 16 E

8

qqeeceEeeeqceeEEEssEs

I I

I

!

€..F$ERBERHR"BfiRFfifi"

d 6

-$ 3

h'N$

N

SS$Efi'

$$.$s

SS

if

'-.r-

oi F:

rioi ri ri

rt

d oo' dSrn'$f

ui

I

t

d

Ot

x'

n o|

o

*$EEn

t

EeeeEeeqeqqeeEEEESEss

I I

I

ig."E,E-E-g-g-E-EAE-gEgggE""

g g

cj

f {

H:s.$Hs:$$q$

sggF€'F

s'

s.

$ 5- F$$eii$$$ SS$$dN

e'

s

8

tl

q

o

(l

;i

s

5e

5 i:

'f'$f

6 E

E

_€€qqeqqeeeeeeeeeqeeEE

E I

3

fi

E"g-g-E-E-E-

-EEE'EEEEEE""

d E

<;

*

{

_B.s-[ifr.$.d$

Elr

s-sgt

gF

E-

F

S =

e$H?sd$SH

$F

$$SS

$

s

q

q

o

ol

s

EE-"FUE{

$

B"

o

o

q

_eqqqqeqqqeeeeeeeeEeeE

Cj o ooooooo o o ooo6ooo <t dci ci ct

.:

q

o

b

E

I

g

!

J a ,t T

t

6

f

-t

I

It T 3 d

-?

f*s

if$

s$$

ii{s

5 E_t

t

!c_t

I

_E c 4 o

i

I a E t I 3

I

it |l

t

i

E E

t

_j

I

(t !₁ I

I

I

e

ggdisgHFi

eB

cTc

_WINRIP

Westem

hdonesla ilauonal

Roads

Imprwement project

t_oan

IBRD ilo,81r43-ID

Special

Account Actiyity Statement

for the Reporung

P€riod

of Ocbber - D€cember 2016

Bank Indonesla Account No: 601.300.411.980

Part

I

1. Cummulative advances !o end of current reporting p€riod 2. Cummulatjve expenditures to end of hst rcporung period 3. Outstanding advarrces

b

b€ accounted (1-2)

Part

U

4. Openlng SA bahnce at _@inning of reportirp period (as of October 01, 2Ot6) 5. Add/Subctract:Cummulatlve adjustrnents (tf

arry)

*)

6.

Mvances from the World Bank during reporting period 7. add 5 and 6

8. Oubtanding advances to be accounted for (4+7\

9. Clostng sA bahnae .rt eftt of cuftent fepomng (as of Decembef 31, 2016) 10, Add/subetract; cummulative adjusnEnt (if

any)

**)

11.

Exp€nditules fur cun€rt reporting perbd

12. Add 10+11 13. Add 9+12

14. Difference (if ary) 8-13

Part

III

15. Total Forecasted amount to be paid by World Bank 16. Less: Closing SA balance after adjustment

f7,

Cummulatlve adiustment (if

any)

***+)

18. Add 16+17

19. Cash rcquircment from WB

br next six

montts (15-1fJ Roundlng

5,322,120.94 1,467.984.89

273.524.89

(11.76s.00)

1,206.225.00 ( _11.765.00) r,467,984.89

\0l2'rr2'6a

(11,76s.00)

467.037.21

+55,272,2L L,467 ,984 .89

***)

cr*

'c.

N ti

n

d

ro ol

H8

roto _dd@(tt @ o N@_ro

\t-flidSci s6

H'{NF.

.\t lrt atl clr F. e r .\r (Yr ral

HiHF\.tJd.t jd+Fidd.d rir'rqoodq HGtHrnF.dro NiTTOHF\€N n@roor|t'.r{sr F\.qq\o-N lo-q!

a\ lYl

I

oo

|.\

o

q; _N

@

t

E_c

a

5

E

e

!

{

s

dd

d

t

i S iii

e*

BEdi

j

g

Fi

Fi*e

iir

$it

ili

= 6 q

s

;

.G

tz

=

f

I

$

*

$

$

x

E !t

N

x

k

iA F

s

x

G

*

d h q

\

E

x

14\

t

$

ll U

b

5

G

$

I

?i R t$ B

+

a

|c

N

h

lt

F 6

\

x

x

(i.

,h

9l F

x

d

F,

s

a

t

z,

t

o

'g

I,F

gfi;

Ef,f;E

='t

Pg

EgEi

E

".E

fi

=

LlJ

tr

sl

+

(!

tr

z

=

5

t!

u

o

(.t

{

z

t

d

! E

I.

!a

I

6'

EE g

it6 E o4i

t

E

t

z

F

i

l;l

l:l

tol lt!l

Fl*

isggi

iF'

F

t

5e

Eg

T I I I

88

hs

{6.

RE

88

39

e g

888

$E$

h'h'$

r,' di .i

I

rl I fi FI R

I

6IJ

?E

883

HAS

jra-' .i ts 5

88

sf;

HA

i.

t!

$F

_1ry AR

5$S

fl'Hs:

AR

SR

5S

j

sRs

GAR

_jj

ii

I

t

!|

I

!i

88

88

e

3

aa3

dis

ht$.

88

ca

Eid

Eg

SR

sss

ntil6

.i N .,i

a8

A|l rii

EI

li

TJ

--F8F8

q< t5 It

IAEd

*rg*

bb

a8

p9

;A

F 6

333

tsAsEg

=TFgFT

615?5 EdEE d6

838

-

--

-.^

ggFi*E

868-85

FFF

6dE

88

zL= i

tdF4

E=

C-rl

1'.

!r

E

I

t

I

t.

aa

88

R Fa

EB

RE

ea

aa

s8

aa8

sgF

$.$$'

s'3$

tsa

b*

s$:

!:

99

aiRi

8A3A

SE

H.E.

t5T6.t HEHA

9Ee5

66

au

HFgf

H8H4

i6 it

HSHI

shR

B+EfEg

HEH^EHr EEqNEH

3CA

HSHT E$EN I I at I ? ! I

I

FT

KJ

R5 ts a 9&

-in E=

=Ztr

62

k

4 I a ztl <dr 1 d H = b E =

I

I

6 &

=3t

E<t

s:5

5LJ

:i!{

=3=

E I

'1

c'E e'E J:€

ftg$'

E

:E

E8s

3Es

{P

8

dr

ES

a'5

r

:nl

Ui

F

t

9E

8J3

--E> OE 6:6 s EE

rf;

AP n t5 E T ff |..

!r

A EFi !qJ;

€xE

T3$

al' e ! &

*

I

! !

I

c

;

-s'

.E$n ETE

iEF

B$n

EFT i'E c a

*

;.

rg-!N;

cFl

ias

IFE

a

P

.I5

le=i

F9 E

I {..r

i=c

E$g

de

? F a

t^

Bi.

5Xx T= F

i*fi

iF-ft

{r

E

*4-=z

-F

I

E

{

*

E

-fr.

i*H

53F

Ti.{

EFR lg6

EE F

,

{

D

I

t

aaa

n.'Ki6

t'de

q h

d

I

6 s d g

5S

_j s a s

s

R c c H'

$

ri

I !

88

dnt

I

3

:

$ F] 6

ii

l5

P9

==

F++

E€

8

=n

F+ 6 E9

;E

.l

1',

!r

! 5

t

a

t.

aua

xee

$Nd'

gRR

a R

I

fi a

I

d ,;r Fl B R

u

\

s

!r

ilfi[

H;H;FN

g*E*E:

33S

Hg Hx Ee

I

tsg H8

{

o

I

I I

I

t

r

x

B

{

e fl

e

c d h 6 h E

--fi FE

=9

:89

3=

k i

ta

a 8 d q 8 R

a

d

lr

I

.dt

945

E_i:

.gd ii

rgF

I 9 s

d

.?

!6e

* a6

;*E-.eF E

-F

x + g

_e

rts:

EF

-€f;

:E

P

-F

F E 3F =>

e$X

;3!

iFfi

iE-ft

EF 5 ES_Jrl 3

t

t

Eiu

I

dE

='tili

T

EFIi

3

-I

li

E i

E

I

t

$

:

a

6 3 ; I

?

9

il S E

E__T

*EDH:.

q

j R

a

R

d +

I

z

P F

6E 6i

uid

t

!i

$

gt' o

'b

3s

_EI

2

Higr5;$*EuEugiesCiHt

2 9

!x

$

a =

-8 .s z

a

E

I

E

I

2

3=1

1

;F

;r

aF

f;

;E

$EF€F€EFEg

$Eff$€FEE5

-g -s

E!

=

E E gH

H

E HH g

E

I

z r'lriF\ro6\g

ut

EF=

gg$gi

F#*

t

at

E

t

5

t

t

t

t

T

E E e

!

-c

t

.E

E

)

a n

I

E a E a d

I

6 il

e

o

F

E

5

E

o 5 -o

ct

o

F

E

Q

b

P.

e

E

I

E

Eeq888rr

888938rd

6_riai$-{Eit

R$HFIPciRiS

98-?s$E'B'$

_14vt

i

o'

q

i

=

R

g

EftSRRSEb

gqE$SFilfr

9siBnF'$$

(1

x

E

=

_d

=

a

F

i

q!EqEEEE

c.R{$.RC$d

RSFglis'Rt

g

{r'4rddid6-;-;

FflX+nfr

4

I

\

-8a_EX

=

$E$f;

sfi

E9E9F9E9

E9E9

E$slH+H8

H4st

+H+}H5F9

F4FE

:99999

E

t

5

8

E

Fa

E

g

d

qo

z

E.

It'l

9E

=+

Hs

9+

ed

6

E g

3a

_EA

E

P E

t===s<

i56dciAEE

==ei,

E

i

=

=4==ezzz

H**-E,,4=HpE

d&Ed&HEt

EhEEEEhE

>

3e

FFFFFFF<F

I

E

I

!

t

t

t

o

P

It

5

J

t

$'

!i

fi

(,

z

I R

c

I

_t!

u

E

c

E

= 0. E X d a z

t

F

t

? {r o

g

E, z,

=

c

o

a o

t

!

6

u

o

qqqq=qqqeeqee€eeeqq

aFFFfrF+gqF3g"FF$$F

$$$$$$$$$$F$

$$$$$

t

o

o

o

.T

ri

n

o' o

a

o' nl lrl

*

I

|l E

3

I I I

Er

i-

tl

E$$$H$i$$E$EE$$

oer"Rrysfis-"+-?+

*

q

El

rt

I

=$n$frF$$$,$$$$

q

o

tl

N n|

o

ir' 'o

I

E I o o. It n E U

!e

g$$iEH$g$$H{

_H

EEESSN6SESf,R

fr

I

o ni

Er

Ei

IF U

R

EEgEEB{8E88Rft3F888t

$

AB$+$$F$F$*$#$$$F$r

l

$.$.s.B HH

HIs'sE'fi fi'x-s's$H'F'Ef

E

E

6

R

dnl

Ne'e's'+

$$$e-s-$f

n'n'

6 rl R

d

t

d

G

d

6 lt!

d

o

o

i

I

t

o

5

₆ a E I ()

c

E€

EE$gE$$$$$$

E$fi$$

SEsEEsRTNEh.

h=EdN

*

o

I

(o

Es

_i|r!

EQ

5P

E

FEqqEeqeqqeE

ec€Bse

$

qafi$m$$$$$$$

$$$$$$

s

$-

s

m: $: E

$ .

$- B- fi'

$ d e

B'

$

fr'

s

E'

$ s

s

fi-FiEE

R

+

if

sd+

s$-

s$s-$$:--n

o

o

to' |n

t

lrl

.!

't E

t

E e A E o D_o.

T

FsFsggsiil$igiis

19 g

:s

_a o.

iNi'+l-

j9-99-P*tC9RK9o|

|t|.rl<tS

u

E

le

H

n3

EEEFE

E-

sg

EE

g

o

=

F

z

E

a,

P^

t!a !lte_{h oE}

E'R

o

t

e

E

G

3

o

u,

o

I s E

z

=

t

_o

P^

E$;

$En

gEiI

Ef,gi

Et#

iE'

t

1 tr e

{

R. s rt R 8 a R 8 e a e R I q s q_p

fl x $ 4E

{

fl 3 E fl 6 q d dI a aH a

t

c s R xl E 4 q I EI $l p R E I I E $ s fr t.

I

dd a

:

t

a R q a E E E a g B a 4 6 E

t

P s c s t d 3 sE B a E R a

i

j fi B 8 4 I d 8 a !i gl dl e

t

d fi q $ a a

t

a e n c 9 q

*

d

{

q t

I

JI 3.t

:

g I Ba+

i

:J

e

t

s +

t

3

{

F

a s

I

F a F F I n E F F e p + FR E F BIE Htg EIE BE

g8

FH $6 d* g N 5 Rte Et= gt+ ;IC -t5 + t

\

slH HIF qlE H 4

i

$ld r tit ;IE T

;

EE BE EE $t8 Flc s

t

I E x _E

r

a n= F B F e

:Id

llq-ir

5t E g. a h F t9

=

e

z

=

rl

ii

tr

tl

E ts R etE ttR $:IE

i'

B g ir 6 b R 3-$ B E g q q q q 3 a B 3 a d R s c a 8 e a Fi g a

:

I R' a e d etc flfr $tF

{

B R H s

t

e q I I q Er aEfelE_RIRIS

tl

tl

tl

tl qt8 RIR I K E 8'

i

F 8 0l B g f; E a 3' 5

;

c I b q d R q 5 a N

t

a R Fi,j I J

li

c _:l 8 e .J 8 n d El€ a EI B 8 8

{

g 3 s H

t

B E

I

9. n 8 el pj &l FI E e a R 8 d I c I d P. E R $ s a8 s e E s d el 5l

FEI*

6

s'li

*

'ln

I j 8l AI ql I I R F cE qq E s ! h.n c s 9 ql 8l 6l RI a q F R

:

s a fi s $ E E e -.t 4

f,tfi -l= _a E F E $

I

I

t

_J

I

;

tl

_I I

fl

-l

9I

*l

*

6

t

r

*

_F i 36

+

tl

5l

"l

9l

'l

Eh

i

&

I

I g 6 $ _E

f p

;

e F

t5

5A i-a

.

A F I FlglHlE

'lglf; _l€

a 5 I E-E _? EIE atP 8tE rtE B€ €E i3 69 F=E35d₅₌

9X

I

ts t8 F NIH E FIE

I ;it _t3

3 EIA 5 ;tE

E

*

R

3

pl3

g"

lt

Flf;

:t lE

fl6

elF stE :IH 9t5 F x 8 ₃ e + o* E;F EE EE 94 3a I"EIF *lFlE $lE H FIE s F * E I d a F I F 8 n ? = Ftx HIE 5ti R a E ?

-

? F 3 H

I

3 F 5 I I _F

:I,

I :,: tsr Er 5t E b I g 3 a I TI

!;

fi

I

5 = 8

II

ii

E:

EE

:d

tsr

Ec

E=1

EFg

*s

f= E l?

),

E

!e.

_BPA

T3T

i;i

itE

$FF

r3

8A e!

rSt

:,*;

5F

I

6

I

IJ IB

'l{

!fiJ

tql

9 t

E

'

5B

a t E 8 $ En

L

ta Ie I Q E

f

h

t

q nl 5 q ts_d

:

ft

i

s q E sin

fli

a c n E. R AE NE 6F p.fr

\

5

i

{

il E. 3-N q

{

Irl

I

A ts a x E I q s q, P 6 c R E q E a a B g' R a 3 c F_d s n' B E R R d 3 F c

{

c

I

n c

t

t

^' 5

:

j

{

i

3

I

E

t

9lo

+li

R l.h

.t

i

tc

t

b

t

I

I

-l

!l

9l

-l

3

I

$

I

a

T

a

*

a

I

*

e

T

I

.'r

il FIFIFIF $lglE lF g d E 5 F B 9t--Rta Etg (tA tt!t & a F13_Et3

;t9 an

;

i HIFIEIFIEIF E ? B 3 dc q F: R B q Fle EIF Slia glii

il$

:IE EIE _I 3 d F fr I E 5 I I e 7 P a ?

I

F 5a ? F 5 F

x 3d- dq

E

s

4

3a

z

=

'c^

t$;

$E*

E"t++

!E$$

EgEE

lxv

€t#

;EE

s6

:l

F

B

F

5

E

z

=

E

I

EEn

5E*

Ft€+

EE$$

;Egi

€

r'#

:Ei

gs

*

?1

EI

a.

z

t

z

E

a

t

_o

P^

A5

EEH

tE*

Eih

EEgg

EfrEi

EHS

EE!

!u

I

I

I

E

E

i

E

!

$

E!.

5l

i$

RE

I.E

!{

-ts

TEE

liSe

!Ei8c

;EEgE

EE5$E*e

!PEEr?X

lEglSEg

Lampiran

SP]WSP2DAIOI)

GOI

&

Loan

WII{RIP

IBRD 8043-II)

CIVL

WORKS

Krui

-Biha

I

0-1 7/01

-WINRrp-Wpl

/CE/A/E043-ID/I

l

-1

3

Tanggal

14 November

2013

Padang

Sawah

-

Sp.Empat

-

Inc

Air Gadang

Bridge

39-06/02-WII\tRIp-Wp

I

/CE/A/EM3-ID/1

2- 1

3

Tanggal

11

January

2016

!t

c.l a{ al

rq

C\ o

It

E

g

<l

z

ol

(\

3 d q t

IU

o o o c

CI

o

2

=

o

an

o,

o--3

riF

36

gE

,P EE

E:

B.E

9B

=E

ct||

<-c

Cto t^ !t

-\9

o,'

<v

d

E

I

t

o

G)

E

t! llt 4

o

s

E|

o a o

:

r0

d o

I

ru

d

o-ll

'

I

t

E e

(!

:a

a

-.|

l!-3 t.

\

a

d c

o

<,|

ru bo

o-.-! st

c

e

z

o

z

g

-u

z

t

F

z

d,

Ill

F

f

(n 4,

{

!-XEiIENTERIAII PEKERJ/IAI{ UHUM DAl{ PERUIIAHAII RAKYAT

SURAT

PERINTAH

MEM

BAYAR

Tanggal

:

28-11-2015

Nomor:

O0630

Kuasa

8er#sra

t krnJrn ttegara, Kantor pelayanan perb€nctaharaan Negara p A _{D A N G} (Ol0) Agar

m#/wl

penftavaian selumlah Rp.

2.S17,650.239,-t

Tggl

_{ffILYAft UI4A RATUS TUJUHSELAS JUTA ENAM R,ATUS LIMA PULUH RIBU DUA MTUS T1GA PULUH DELAPAN}

FEFIJIH.rr

l€ni5spf.t:

|

07

lL*trCSUr+C Cara Bayar:

I Z

lCiro eant Tahun AnggBran : 2016

DBstr

lryilbaf"ran

Satker

Kewenangan Nama Satker

UJ AP8T ITO. T4 TAHUI,I

2015

498579

KP

PELAKSANMN JALAN NASIONAL WILAYAH

I

PROVINSI

(01) glpAxo.

OIPA{33.04.1.498579/2015

SUMBAR

TlltGGAL 07-12-2015 REV.7

llo'DIPA'o33'o+'

1'498579/2016

Fungsi, sub Fungsi, gA, unrt Es.I, program

04

08

033

04

08 Keghtan, Output, Lokasi

2409 009

08.55

Jenis

Pembayaran

:

1

Pengeluaran Anggaran

Sifat

Pembayaran

;

4

Pembayaran Langsung (LS)

Sumber Dana

/

Cara

Penarikan ; 03.0

RMp

/

RM

Nomor

Register

I 10842601

PENGELUARAN POTONGAN

lenls

Belania

Jumlah Uanq BA,Unit

Lok.Akun.Satker

Jumlah Uanq

s3 2.855.067.280,- 015.04.08.55.4r1128. 1197r0

0 1 s.04.08.55.41 t2 1 r.567982

77.865.477,-

259.55r.571,-Jumlah Pengeluaran 2.855.067.280,- Jumlah Potongan

337,417.042,-Rp.

I

2.517.6s0.238,-Kepada

: PT. JAYA KONSTRUKSI MANGGALA PMTAMA TBK Tdman Bintaro Raya Gedung B, Jl. Bintaro Raya, Jakarta 12330

NPWP

: 01.362.643.7-054.000

Rekening :

1280086000M6

(PI.

JAYA KONSTRUKSI MANGGALA PMTAMA TBK)

Bank/Pos : Bank Mandiri Cabang

lakarta Bintaro Jaya

UTAIAN

: PEMBAYAMN BEI.ANJA MODAL ESIOLASI ATAS _{KONTMK NO. 39-O6IO2-WINRIP-WPr/CVAI8O43-IDi 12.13 T9I,}

06'12-2013, BAP _{No. KU.05.02/02-WINRIP/PPK.09-UGs/02Esdlil/2016 TGL. 24-rr-20i6 SESUAI t-cpbRAN HA-SIL}

AUDIT BPKP NO. SR.822/D6l03/20r6 TGL tr-11-2016.

S€mua bukti-buld pengelurnn yang dtsnhkan _Eabat pemhrat Ko{Ditn}€n tetah dluli dan din"takan ]nern€nuhl peEyaratan untuk dthkukan Dembnvarao dtas beban AmN, selaluutrya bukii.buku p€ngclurran dimaksrd dlsimpan dan dfritausahakan

*h

Pejabat Perta.datangan SpH.

Keb€naran perhhjngan dan tsl y8ng tetuang dalam Spl,l ini m€nFdi

t

nggung ,awab Pejabat Penandatangan SPM.

||iltilffimffiffififfiilnfiffi

L&77r

739

9-6

30

16 28

Emailed:

05-Dec-2016

World

Bank

Payment

Advice

Country:

Indonesia

Project

: P090990

-western

rndonesia

National

Roads

rmprovement

project

Tol

Directorate General of Debt Manaeement

Minishy

of Fin:urce

BORROWER OF RECORD

Email

Address;

wdjnr.k@yahoo.com

IBRD

Loan

8ll430ID

021/02-WINRIPi06

013t

Application

type:

Direct

payment

Transaction

Value

Drte:

0S-Dec-2016

Application

Amountt

Indoneslnn

Rupiah

g,6g9,335,200

Paid

Amount;

Indonesian

Rupiah

_{9,dE9,335,200}

Beneflclary:

PT.

JAYA

KONSTRUKSI

MANGGALA

Cost Currency Details

cost

currency

Amount

in

cost

ccy

Exchange

Rate

commitment

ccy

Amount

in

Commitment

Ccy

usD

642,987.66 t.0000000o

usD

642,987.66

TOTAL

642,987.66

ApplicationAmount

IndoneslanRupiah

I)ocunentedAmount

IndonesianRupiah

8,6E9,335,200 8,689,33S,200

Category

I

Application

Currency

IDR

Amount

Commitment

Ccy

&689,335,200

usD

Commit

Ccy

Amt

642,987,66 642.981.66

TOTAL

If

the beneficiary name

or

crurency is

not consistent

with

your application, or

if

the amount is

greater

than the

amount specified

in youf

application,

please

contact us

immediately.

It

is

not

necessary

to contact us

if

the

above

information

is correct.

Abbreviations

Used

ID

USD

IDR

Indonesia

United Stares Dollars

Manggopoh

-

Padang Sawah

40-06/03-wrNRrp-wp1/cE/Ai8043-rD/1

2-I 3

Tanggal

{)6

Desember 2013

!

EI t)

r$

E dl

v

z

G

o

z

F

z

(t

3

o F F' R

I

g

g

rE$r,

c

I

Ent 8.

rl

o. 2 -1;;

*fi8

E

Ee

a&

2

o o-'d (o

d

o

E

z

o

o

t'

z

o_ E

|'

d cl

z

f4

o

c E t!

g

g

i

!, E E

o

P ..E

J

o

z

d

ts 5 2 F o. o-@ -g

s

ro

t

z

ot E

2

9E

e$

fiE

a

N a) a!

p

g

(9

J

o

z

d

o E 2 I

zl

(o

2

dl --i q) 0|o .\

ol,

E

qa

E(,

{E

_XE

x

_9!

E(El

sE

d8

_iaE

1i r!

g;

OI_{ii v}

>o

.sE

_>h ^99 =?o

I

Dasar pembayaEn-|./(,A IYIILYAK _I)E

KEMENTERTATv

pEKERAAruuarurrr.",-.o-Il]ll--sup a?

o=

o,.yIIl!

?1I-p_ESyfrAHArr RArffAr

sumr

pERrNiAii

ffi

M=dXillH

satker

Kewe"ans;

_{Nama Satker} Tahun UU APBN NO.

(0r)

DIpANo.

inrieenlrii-

s7el2016

NO.DIPA.O33.

498579

KP

Sifat Pembayaran

Sumb€r _Dana

/

_{Card Fenarlkan} Nomor Register

!5ilff;fNMN

rAt-AN NA5ToNAL WITAYAH _r pRovrNs

1

pengeluaran

Anggaran

'r

_{Pembayaran Lanqsund}

flst

O3.O RMP/ RM

10842601

POTONGAN 53

64.534.489.

2r5.r14.965;

Kepada

NPWP

Rekening Bank/Pos

Uraian

PT. JAYA KoNSTRUKSI

MANGGALA PRATAMA TBK Taman 01.362.643.7-0s4.000

2n.649.454f

2.086.615.1s6,_ Bintaro Raya, lakarta

12:30-Rp.

E,ntaro Raya _{Gedung B, Jl.}

1280086000045 (PT. _{JAYA KOI} uanK Mandiri cabans Jakarta

^,IlTu,Y

"UtGGALA

PRATAMA _TsK)

PtrMa^v^n a r.

^-'i#pffiH&:

#$,if.Jffir,)s,.-ffir€';

:1tffif.,1,;r?;iri$r.

PENGELUAMN

8f'ff

SSf;rf,ltii

#ilig

2.366.261.610,-Emailerl:

05-Dec-2016

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

Indonesia

National

Roads

rmprovement

project

To:

I)hectorate Genetal of Debt Management

Ministry

of Finance

BORROWER OF RECORD

Email

Address:

wdjnrk@yahoo.com

Applicafion

Amount:

Paid

Amount:

Beneficiary:

Cost

Currency

USD

Indonesian

Rupiah

Indoneslan

Ruplah

7,20t,674,900

7,201,674,900

PT.

JAYA

KONSTRUKSI

MANGGALA

Cost Currency Detalls

Amount in

Cost

Ccy

Exchangc

Rate

Commitment

Ccv

532,904.76 1.00000000

usD

TOTAL

Totel

USD

Equivaleut

of Cost Currencv

Amount:

532.904.?6

Amount

ir

Commitmelt

Ccy

532,904.76

532,9M.76

ApplicatlonAmount

IndonesianRupiah

DocumentedAmount

IndoneslanRupiah

Application

Currency

IDR

1,20L,674,900 7,201,674'900

Amount

Commitment

Ccy

7,201,674.900

usD

TOTAL

Category

1

Commit Ccy

Amt

532,904.76 532.904.76

If

the

beneficiary name or

qurency

is not consistent

with

your application, or

if

the amount is

greater

than the

amount

specified

in

your application,

please

contact us immediately,

It

is not

nec€ssary

to contact

us

if

the

above

information

is correct.

Email

Fax

phone

Abbreviations

Used

ID

USD

IDR

krdonesia

United States Dollars

-6-"-o

(>

ao

I o

I

o

;

a,

o

I

J

.'!

t-4

r':

a

Y-1,

7

z

z

z

:-:

:-x

:-o

rt ||'

z

o

z

E

(J

z

tlJ

0_

r

s

T_

z

v.

Lu

o-F

E.

l

U)

,t

:<

6F

3 lr

EF {

6; "

i,$

g=

2F

fJl

@,

O.

c-rf

z

qi'

E

E;

E

eo5

FE9

;-FE

50a

fl

EF

E

;g

KEMENTERIAN PCKEruAAfl UMUT.I DA?{ PERUilAHAI{ RAI(YAT

SURAT

PERINTAH

MEMBAYAR

:13-12-2016

Nomori00693

(uasa Eendaha.a Umum lvegara, Kartor Pelayanan Peftendaharaan Negara p _{A D A N G (0f0)}

Agar melakukan pembayaran sejumlah Rp,

935.262.097,-,'*'SEi'itsilAf'{RATUSTIGApUtUHLII-IA.IUTADUARATUSENAI4PULUl-l DUARIBUSET.IBILANpULUHTUJUH

RUPIAH'-.

Dasar Penrbayaran

UU APBN NO, 14 TAHUN 2015

(01) DIPANo. DIPA-033.04.1.498579/2016

TANGGAL 07. L2.2OI5 RF/.7

NO.DlPA-033.04. 1 .C98579 I 2Cr6

Grro

Bank

Tahun

Satker

Kewenangan Nama Satker

498579

(P

PELAKSANAAN _{]ALAN NASIONAL WILAYAH}

i

_PROVINS] SUMBAR

Fungsi, Sub Fungsi. BA, Unit Es.I,

04

08

033

04

l(egiatan. Output, Lokasl

2409

CCg

08,55

Jenrs Pembaya|En

Sifat Penrbayaran

Surnber' Dana i' Cara Perrarikan NOmsr Regrster

Progranr 08

:

I

Pengeluaran Anggaran

'

4

Pembayaran Langsung (LS)

:

03.0

Rl'1P

/

RM

:

r0842601

?

_I

I I

lxepada

I

lN PV', P I Dekening

rprr'nk/Pos

turaran

1

I

i I I

jumiah _{Penqeluaran 1.060 506.502,}

125.344.105,-Rp.

: PT, -IAYA KONSTRUKSI MANGGALA PRATAI'IA TtsK Taman Bintaro Raya Gedung 8, Jl. Bintaro Raya, Jakdrta 12330 : 01.362.641.7-054-0O0

:

1280086000046 (PT. JAYA KONSTRUKSI |'IANGGALA PRATAMA TBK)

: Bank Mandifl Cabang lakafta Bintaro Jaya

: PEIvIBAYARAN EFLANJA MODAL SESUAI KONTRAK NO, .10.06/03.\,viNR,iP.\,/PllcElA,/8043-ID/12-13 TGL. 9q:?t2!1.1._BAPryq: KUrg!:0?/03-wrNRrp/ppK.10-PRFVlB/XjJ/Z016 rGL. 06-12-2016, BAsipp (pHO) NO.

pw.04.01lPJNw1 lpp(-101fi1178312016 rGL 18-03-2016.

5Siflua buitrlrtl 0e'rgetuard!) ya'rg d,5att€4 PejooJi lle:'r(r,jal (c)4,:r'tC- _{ia, a.} d!U' ian drnyaia*a. memenur\ Dergya'atan rrniui( C,'aX.,{ai Ue.tbaydra.i A:e5 ue?3ir ApBN, sEjar)u!||ii JJ't'ir.bJi! fe:gerJa.i'i o:"]Iis-:,' ^-.,*rJJ. L:a' d talau5ehakar oleh P'eimai Per]anoaiDrlgan Spll

Keoelaran ,ern.tr.qar can .5' yarg ten!altg cata,11 5Pi.1 :1 nre :,?a ..ar?.jrr! Jarab pejabat Penu.6atanga'r 5P1.1.

lf

iillli

ft ifr filIfi frtffi _fi

illilfi

;iif; 7AO

752

880 -6S

S

lenisSPl"t:

r

07

PENGELUARAN POTONGAN

Jenrs

Belanja

lumlah Uanq

BA.Unit,Lok,Akun.Satker

Jumlah Uanq

53

I

1.060.606.s02,-

01s.0q.08.55.cu128.u97t0

I

95.478,773,-Emailed:

l4-Dec-2016

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

Indonesia National

Roads

rmprovement

project

To;

Directoratc General of Debt Management

Ministy

of Finance

BORROWER OF RECORI)

Email

Address:

wdjnrk@yahoo.com

Summarv

Loan:

IBRD Loan

80430

ID

Borrower

Reference:

020/03-!lrINRIp/06

Application

type:

Direct

_payment

WB Transaction

Number: 0146

_{Transaction Value}

Date:

_{l4_Dec_2016}

Undisbursed

Loan Balance as

of

l4-Dec-2016:

USD l56.569.lll

Payment Details

Application

Amount:

Indonesian

Rupiah

_{3,24f,03g,g2g}

Paid

Amount:

Indonesian

Rupiah

_{3,241,03g,g2g}

Beneficiary;

PT.

JAYA KONSTRUKSI

MANGGALA

Cost Currency Details

Cost

Currency

Amount in

Cost

Ccy

Exchange

Rate

Commitrnent

Ccy

Amount

in

Commitment Ccy

usD

244,,23t.04

t.00000000

usD

244"238.O4

Bxpenditure

Detaile

-crrlrG |lrlUrS Iretalffi

Application

Amount

Indonesian

Rupiah

_{3,241,038,E2g} Documented

Amount

Indoncsian

Rupiah

_{3,241,03g,g2g}

Category

Application

currency

Amount

commitment

ccy

commit ccy arnt

1

IDR

3,241,038,828

usD

244.23E.n4

AI,

If

the benefrcialy

1lame

or cun'ency is not consistent

with

your application, or

if

the amoullt is

greater

than the

amount specified

in

your application, please contact

us imrnediately.

It

is not necessary

to contact

us if the

above

infomration

is con

ect.

Email

Fax

phone

Abbreviations

Used

ID

USD IDR

Indonesia

Unrted States Dollars

I

,o E

_e

riC, 6A

9r/

z

o

z

z

o

z

E

O

z

I.IJ LL

I

s

z

ft.

ul

TL

F

t

f

a

u

f,

LL

o

f\J

i:j

b i

=9

F,

P3

z

i

rx

E o

o

c

€)

1

E tt

o-..:

IE

jo

-!6

qE

!, att

3F

@6

29

-6

ed

9s

.D,E

q-d <Y

o

dt

CD

(!

o

ol

It o

o

o) od

';

.c

,4

E

2 d.{

f-a

-t

=

'jl

a

=

q il

il

s

<

2

'o

z

t

o

z

u, o.

-F

'=

E

l,u

o.

l-E

=

o

E

F

IJ-o

i:

(.a

t-fn

l

z

z

=

\j

z

:l

s

z

g

Lti

<

f

a

F

o

KEMENTERIAI{ PEKERJAA'I UMUTI,I DAN PERUMAHAH RAKYAT

SURAT

PERINTAH

MEMBAYAR

Tancsaf

:2O-12-2016

Nomor: 00750

Kuasa Bendahara Urnum Negara, Kantor Pelayanan perbendaharaan Negara P A D A N G (010) Agar melakukan pembayaran sejumlah Rp. 1

674.849.952,-*f,.SATU _{MILYAR ENAM RATUS TUJUH PULUH} EMPAT ]UTA DETAPAN RATUS EMPAT PUTUH SEMBILAN RIBU SEMBILAN RATUS LIMA PULUH DUA RUPIAH***

lenrs SPM

: I

Oz

_ILANGSUNG Cara

Bayar:

| 2

lciro

Bank Tahun Anggaran : 2016

Da$r

Pembayaran

Satker

Kewenangan Nama Satker

UU APBN NO. 14 TAHUN

2OI5

498579

KP

PELAKSANAAN ]ALAN NASIONAL WILAYAH

I

PROVINSI

(01) DIPANo.

DIPA-033.04.r.498579120t6

SUMBAR

TANGGAL 07 - 12.2015 REV,7

NO.DIPA-033.04.1.49857912016

_{Fungsi, sub Fungsi, BA, Untt Es.ti program}

04

u8

033 04

08

Kegratan, Output, Lokasi

2409 009

08.55

Jenis

Pembayaran

:

!

Pengeluaran Anggaran Sifat

Pembayaran

:

4

Pembayaran Langsung (LS)

Sumber Dana

/

Cara

Penarikan

r

C)3,0 RMP

/

RM

Nomor

Register

:

10842601

PENGELUARAN POTONGAN

Jumlah BA.

Unit.Lok.Aku[.5atker

Jumlah ljano

53 r.899.3r4.378,- 015.04.08.55.41 1128.119710

015.04.08, 55.41 12 11.567982

51 .799 _.483

,-

172.664.943,-lumlah Pengeluaran 1.899.314.378, Junrlalr Potongan 224 .464 .426

,-Kepada

: PT. IAYA KONSTRUKSI MANGGATA PRATAMA TBK

Rp i.674.849.952,

Taman Bintaro Raya Gedung B, Jl. Birrtaro Raya, lakarta 12330

-1

0l.362.643 7-054.000

Rekening :

1280086000046 (PT. JAYA KONSTRUKSI MANGGALA PMTAMA TBK)

Eank/Pos

: Bank Mandiri Cabang Jdkarta Bintaro Jaya

IJIARN

: PEMBAYARAN BEI-AN]A MODAL SESUAI KONTRAK NO, 40.06/03-WlNRIP-WP1/CEIA/B043-ID/I2.13 TGL,

06-12-2013. BAP NO, Kq.05.02IU3-WINR]P/PPK,10-PRM/19/XIt/201rr rGL. 06-12 2016. BASTpp (pHO) NO

PW.04.0r/PJNWl IPPK- L\|IL/2831

t0r6

rcl

1t -03-2016.

Sernua t,!k0-bukh per)ge)laran yeDg drsahkan PelacdL Pembudt Konritrlrel1 telah diuir dan dinyatdkan memenuhi persyaratan untok drlakukar) F€.rbayaran a'ds

Oeban AFSN, selan)utrlvd riuktr-truktr pengeluara^ drrnaksu[t Jr(itrDa" arJn

d[atausahakan oleir PeFbat Penarrdatdngan 5Pl'1.

(ebenaran perlrtungafi dah r5r yanq le.tuanq cala r 5P[1 Inr ftrex]dc: ldnqqufq

ldwab Pejabat Fenandatanga" SPl"l.

;tilrffifflfflffrffil[flffiilHffi

lJ:rJ-;r

977 393

6-7

50

Emailed;

14-Dec-2016

World

Bank

Payment Advice

Country:

Indonesia

Project

:

P090990

-western

rndonesia

National

Roads

rmprovement

project

To:

Directorate General of Debt Manasement

Ministry otFinance

BORROWER OF R-ECORD

Emall

Address:

wdjnrk@yahoo.com

Lorn:

IBRD

Loan

t0430

ID

Borrower

Reference:

021/03-wlltRrp/06

Application

gpe:

Direct payment

WB

Transectlon

Numberl 0L47

Trensection Value

Date:

_{l4-Dec_2016}

Application Amount:

Paid Amount:

Bencficiary:

Cost

Currency

USD

PT.

JAYA

KONSTRUKSI

MANGGALA

ApplicationAmount

IndonesianRuplah

DocumentedAmount

IndoaeslanRupiah

5,780,522,O2O 5,780,522,02O

Category

I

Application

Currency

IDR

Amount

5,780,522,020

Commitment Ccy

USD

TOTAL

Commit

Ccy

Amt

435,608.29 435.608.29

If

the beneficiary name or crurency is not consistent

with

your application, or

if

the amount

is greater than the

amount specified

in

your application, please contact

us

immediately.

It

is

not

necessary

to contact

us

if

the

above

information

is correct.

Email

Fax

Abbreviations

Used

ID

USD

IDR

Indonesia

United States Dollars

Ipuh

-

Bantal

01-26/04-WINRIP-WP1/CE

I

NEO43-ID

I

ll-13

Tanggal

14

November

2014

E It ! E o o

:

^9

E6

l.fi

gF

f, a5

c

2

g-:

En

_.rF

5C3

E58

i;

gEE

tse

o

:

o

@ EF O(\|

$

d

2

tr F

z

Y

I

o ,E c c dl 6 o <t, 5 :< ! t I

l.

[u t'i t4 ls.

I'i

E

9s

2i

:i

=!

2

ti,e

li,e

Y

z

o

f,a

7H

ax

fiz

H;

z--5s

t

z

G = !.

z

g 3 P il |] = 3 fr il 4 I 2

fh

E.

T;

A

IFiE

fi

5xq

Fs=$

FF<f r-*-oF |l

r

t/t

t

rt 2

iF3

i;fi

ida

ggf

! zat

i33

*ig

3gt

LZO.

g f;_P s

I

-tn

3i

2

\

B D ','

t

6 6

i5

-i

I

I

t

5

z

.{

t

at i6 ut d

<(t

33

F J at (t

z

{

i'

o

! fi

c

o

t

2

I

o

2

z

(t

o

z

g

o

z

ur

o

-z

cc

ul

o-F

I

IE

f

IO

E

F tt

o

@

E$

o\

24

€a=

E=ry

_4=ar\

59H

f;fr4

€

_o a'

+S

E*e

EE8

22P

^t

f

c

.b

;

EE

IE

{E

qH

ci

i

EH

!r"

EFiii

KEMETTTERIAII

PEKER'MI{

UI.IUII

DAI{ pERUI,IAHAH

RAIffAT

SIIRAT PERINTAH

MEMBAYAR

Tanggal

:

O5-12-2O16

Nomor: OO186p)N-WILI

Kuasa Bendahara umum Negara, Kantor Pehyanan Perbendaharaan Negan KHUSUS PINIAMAN DAN HIBAH (140)

2.089.256,-TIGA MILYAR ENAM

RUPTAH

RATUS UMA PULUH DUA JI,JTA DEI.APAN PULUH SEMBiI.AN RIEU DUA RATUS UMA PULUH ET{AM

JenisSPM :

I

07 I|jryGSlJNG

ora

mvarlT

Lleim

_{sank Tahun Anqqaran : 2016}

Dasar

Pembayaran

Satker

KetrcnangEn

_{Nama satker}

PP 45 Tahun

2013

498588

Kp

pETAKSANMN JALAN NASIOML WILAyAH

I

pROWNSI

(01)DIPANo.

DrPA-033.04.1.498588/2016

_BENGKULU TANGGAL 07. 12-2015 REV,3

No.DIPA-033.s{.1.498588/20168{x3

j!4m

run9s,

sub Fungsi, BA, unit

rs.I,

program 42601 Kategori: (1)

cvit

work

Part 1

por.i

, il","'

";;

'

"'

033

fi

0B

3o?o

Rekss:

Kegiatan,

output,

Lokasi

2409 0G)

26.00

Jenis

Pembayaran

l1

_{pengeluaran Anggaran}

Sifat

Pembayaran

:

4

Pembayaran Langg.rng

(lS)

Sumber Dana

/

Cam

Penarikan :

03.0

RMp

/

Rl,l

Nomor

Regi$er

:

10942601

PENGELUAMN POTONGAN

Jenis

Belania

lumlah Uanq

BA.Untt.Lok.Akun,Satker

_{Jumlah Uanq}

53 6,683.310.047.-

015.fi

,26.00.41 1 128.409402

0r5.04.26.00.411211.409402 033.O+.26.00.423752. 498588

782.272.092, 607.573.640, 2.241.37s.059,

lumlah Pengeluardn 6.683.3r0.047,- Jumlah Potongan

3.031.220.79r,

-rDR

|

3.652.08!f.2s5,-

]

Kepada

:

PT. Wad<ib Karya (Persero) Tbk - PT. Daya Mulia Turangqa,

lO

lalan Kapuas Raya No.4 A Kel. padang Harapan

Koh

Bengkulu

NPWP

: 03.333.874.0-311.000

Rekening

: 0317976392 (WASKITA-DAYA MULYATURANGGAJO pT)

EanIVPos

: PT. BANK I'JEGARA INDONESIA (PeTsTo) TbK CABANG PADANG JI. A. YANI PADANG

uraian

:

fqmbayln-n

_T9l.

1+11-?911,

15 dan

rst.

M44-2AJ5,

KU.05.05/PJ

sefi[a bUttl-bukt fngeluaaan yaflq dbahkan tbjabai Pembuat lbanitmen telah d[dl dan dlnydbkln mefiEluht p€rs]€ratan urt*, dlal(lJtan p€fitbaydr.a at6

beban AP8 , selanjuhya tuku-buKi p€ngehEran dtrnaksud disimpan dan d[atzusahatan Oleh Pejabat Fenandatang€n SFH.

Emalled:

20-Dec-2016

World

Bank

Payment

Advice

Country:

Indonesia

Project

: P090990

-western

Indonesia

National

Roads

rmprovement

project

To:

Directorate General of Debt Management

Ministry

of Finance

BORROWER OF RECORD

Email

Address:

wdjnrk@yahoo.com

Loen:

Borrower

Reference:

WB Trensaction Number:

IBRD Locn

EM30

II)

013/04-WINRIP/25

0153

Applicetior

type:

Direct

Payment

Trensrction

Value

Date:

20-Dec-2016

Applicetiou

Amount:

Paid

Amount:

Beneficiary:

Cost

Currency

USD

WASKITA

-

DAYA

MULYA

TT]RANGGA

JO

P'I

Amount

in

Cost Ccy

1,522,6O7.14

Application Amount

Ilocumented

Amount

Indonesian

Rupiah

Indonesian

Ruplah

20"340,508,E35

20,340,50t,t35

Cetegory

I

Appliration

Currency

IDR

Amount

20340,508,835

Commltment

Ccy USD

TOTAL

Commit

Ccy

Amt

I,522,607.14

r"522.607.14

If

the beneficiary name

or curency

is

not consistent

with

your application, or

if

the runormt is greater than the

amount specified

in

your application,

please

contact us immediately.

It

is not

necessary

to contact

us

if

the

above

information

is

comect.

Email

Far

phone

Abbreviations

Used

ID

USD

IDR

lndonesia

United States Dollars

I

o

c F

!

I

ID

;iN

+o

€

o-=

o

o @ liAl

@

_q-z

E

z

!z

v

s

g

:

It

EYr

NO

._dR

_?!Jir

Et$

;i

9EE

{Ie

o

e E

to

an

.!

5

:a

2

o

z

E

e

o

z

ul

E

I

=

E

u!

E.

G

3

aa

E

t!

o

F

;

<t

E3

HS

9=

=9

GC

E*e

&88

2=rh

5FH

roEa

;

e

_o

.r

:t

E5=

8EE

55F

I

r"F

'g

4--

\'

-b

Ee

y-Ef;

!i:

KEHEIITEN,IATI PEKER,'AAII

UI'U}I

DATT PER,UIIAHAII RAKYAT

.

SURAT PERIT{TAH

IIIEI{BAYAR

Tanggal

:

O5-12-2O16

llomor

:

OO187PJil-WILI

Kuasa Berdahara Lfmum Hegara, Kantor Pelalanan Perbendaharaan NegEra KHUSUS PINJAMAN DAN HIBAH (140) Agar melakukan pembayann sejumlah Rp.

1.976.485,280,-SATU MILYAR SEMBILAN RATUS ruJUH PULUH ENAM ]UTA EMPAT RATUS DELAPAN PTJLUH UT,IA RIBU DUA RATUS DELAPAN PULUH RUPIAH

Jenis SPM

:

|

07

_II.cNGSUNG

Gra Bryar:

| 2

lciro

gank _{Tahun Anggdran : 2015}

Dasar

PembayaGn

Satker

Kewenangan Nama Satker

PP 45 TAhUN

2013

498588

KP

_{PELAKSANMN JAI.AN NASIONAL WITAYAH}

I

_PROVINSI

(01) DIPANo.

DIPA-033.04.1.498588/2016

_BET,TGKULU TANGGAL O7-12-20T5 REV.3

No'DIPA{33'04'r'498588/2016$43*o408

rrnss,

sub Fungsi, BA, unit Es.I, program 42601 Kateg,ori: (1) Cwil Work

hrt

I

Porsi

, i;'--'

-;;

'"'

033

04

0B

3wo

Reksus:

Kegiatan,

ft,rtrut,

Lokasi

2409

009

26.00

Jenis

Pembayaran

:

1

Pengeluaran Anggaran Sifat

Pembayaran

;

4

Pembayann Langsung (LS) Sumber Dana

/

Can

Penartkan :

03,0

RMp

/

Rl4

llornor

Register

:

10842601

PENGELUARAN POTONGAN

Jenis

Eelanja

Jumhh Ljanq

EA"Unit.Lok.Akun.Satker

_{Jumlah uanq}

53 2.241.375.059.- 015.04.26.00.41 1 128.4$H02

015.0+,26.00.411211.48402 _{203.761.369,-}

61.128.410,-Jumlah Fengeluaran 2.241.375.0s9,- Jumlah Potoflgan

264.889.7n,-rDR

f---

1.976JBs-2Bo.-Kepada

:

PT. Waskita K€rya (Persero) Tbk - PT. Daya Mulia Turdngga, lO Jalan Kapr.ras Ra;ra |,1o.4 A Kel. padarE Harapan

Kota Eengkulu

NPWP

: 03.333.874.0-311.0fl)

Rekening

: 0317976392 (WASKITA-DAYA MULYA TUMNGGA JO PT)

BanlVPos

: PT. BANK NEGAM INDONESTA (Persero) Tbk. CTBANG PADANG Jl. A. YANI PADANG

uralan

: tumbayaran Bel-anE,l.4^qd?! (lglgnd)-sesuai rbntrak _{No. 9r_-26!04-VUNRIP- WP1/CE/A/8043/11-13} Tgl.

14-t1

2016, Addendum No, 01-26/O4-WINRIP-WqV

CElNW3lrl-r3

Tgl. 23-03-2015, T9l. 21-12-2015 dan T9l. -O4-04-Z0IO,

BAP No. KU.07.08/1540/BAP-WII{RIP/PIN-ML.I/P

Xr12016Tgl.3G11-2016,

BAST No.

8

.0

.9!/PJN-wIlVlP_LV_qqZ_T.91

3f.0!;20!6,Jqminan

Pemeliharaan No. 16/oJR/016/5978/SENIN T9l. 05-12.2016 DARI BANK BNI KC I'TAMA JAI(ARTA PUSAT

Semua buk[-blkti peng€luaran yang dis.hkan _Eabat Pembuat l.orl*filen teldl

diujl drn dinyatak firemenuhi p€rsl66tan unfuk d[ahrkan pernoayaran

e6

bebn APtFl, sdanjdnya buldl-bukti p€ngeluaran dlmakqJd disimpJn dan ditabusahakrn ol$ Pejabat Penandatangsn Sf't'|.

KebenaEn pertiU,/ngan dan lg yarE te{trang ddlsm SP inr m€njadi tanggung Jawab PcfdM Penandabng6n SPf'i.

408 921

A0l

l-l

87

I

xJPa1964

5 DESEMBER 2016 eflggqFa Anggardn

E)103r007

Emailed:

20-Dec-2016

World

Bank

Pavment

Advice

Country:

Indonesia

Project

:

P090990

-western

rndonesia

National

Roads

rmprovement

project

To:

Directorate Geneml of Debt Manaeement

Ministry

of Finance

BORROWER OF RECOR-D

Email

Address:

wdjnrk@yahoo.com

Applicetion Amount:

Paid

Amountl

Beneficiary:

Cost Currency

USD

WASKITA

-

DAYA MTJLYA

TT]RANGGA

JO

Pt

Cost

Currency Details

Exchange

Rate

Commitment Ccy

1.00000000

usD

TOTAL

AppllcetionAmount

IndonesianRupiah

I)ocumentedAmount

lndoneslenRuphh

Application Corrency

IDR

6,821,576,265 6,821,576,265

Amount

Commitment Cry

6821,576,265

USD

TOTAL

Category

1

Commit Ccy Amt

510,635.25 510.635.25

If

the beneficiary ntuxre

or culrency is not consistent

with

your application, or

if

the amount

is greater than the

amount specified

in

your application, please contact us immediately.

It

is not necessary

to contact us

if

the

above

information

is correct.

Abbreviations

Used

ID

USD

IDR

Indoncsia

United States Dollars

Punggung

Tampak-

Sp.Gunung

Kemala

07-1 7/1

7-WnrRIp-

Lw]p2

|

CE

I

N8043-rril

rr-r

4

Tanggal

l7

November

2014

.q

o

r.o

o

oni

nd

ES

;;

qFi;T

s3i$f,

lii.rI

::>EF

ineE:

t?i3;

$iERT

F5H3H

a

{F

:<

OF zZ

o

x

o

ql

o

,*

o

t\

o

o q

Cp

a o o F

3

a,

{)

H

ql

Cr

o

2

f

:

-J

-7

iJ

a-I d

5

;

a

z

fr

z

z

5

4

z

{

z

.t

s

t-4)

#

(E

vr

o

N

o.

ql

L

(€

€

t!

n

C

(!

L

o

GL

I(TMENTERIAN PEKERJAATI UMUM DA'{ PERUMAHAN RAKYAT

SURAT

PERINTAH

MEMBAYAR

Tan

1:

27-10-2016

Nomor:00952

I'1ILY/II{ ;UJUI.| RATIIS TIGA PIJTUH ]UTA DELAPAN PUL|JH TU}UH RIEU TIGA

RATUS DUA PULUH RUPIAH.+4

TANGSI.ING

Dasar Pcnrbayaran

{'l}.i5 Tahun

?0ll

(U _{I )} Dl !r;rl.;: r. D;

i'A.0ll.

0{.

l

i9g59i,/20 16

rAN(;Git

_07.12-2015 REV.5

:lO.l-.':

i'r1-ill.{i4.

I

.11859€i2,-rt(

Crra

Satker

Kewenanoan _{Nama Satker}

498596

KP

Fungsi, Sub Fungsi. BA, 033 Kegiatan, Output, Lokasi

2409 009

i2.00

Jenis Pembayaran

Sifat Pembayaran

Sumber Dana

/

Cara penarikan Nomor Register

L961.954.692,.

PEI.AKSANMN JAI-AN NASIONAL !'/!LAYAH

II

PROVINSI

TAI'1PUNG Unit Es.l, Prcgranl

04

08 08

fr4

:

1

PeDgeluar<rn Anggaran

:

4

Pembayaran Langsung (LS)

:

03.0

RMP

/

RM

:

10842601 PENGELUARAN

1.961.954.692,-i

Jtrrrilalii)et1:1.':hl:rtIl

Rp.

{cirada

: P] .

I'i\A

KONSTIiUKSI MANGGAIi P|IATAMA _{Tbk Taman Bintaro jaya Gedung B}

In.

_{Bintaro Rdya Jakarta 12330}

r'tPVJP

01.362.643.7-054.000

llekenrng

:

12800€60000316 (PT. JAYA kONSTRUKSI MANCTGALA PRATAMA rbk)

BANIVPO5 : PT- BANK I"IANDIRI (PET5CTO) _{TbK. I(C JAI(ARTA BTNTARO ]1. BINTARO UTAr,4A, BINTARO}

]AYA SEKTOR JAKARTA

uraiao

_{: nmbay?ran _b!l}

!j

_{rak No.. 07-tZlT_WtNRIp-A Wp2/CE/Fy'80a3.tDi 11-t4, Tgl}

17-11!014,

BAp

N

.081x12016.

r9l

13_10-2016, Add 01'N4.2,

rgi

Orui_ZbrB, eao oz

No.l,

Tgt 30-05-20

2016 Anggaran

53

Giro

Banl_-',

_{Trhun Anggaran . ZOIE}

015,04.12.00.411128.525350 |

--

q?

cn; a(.

-0is,04.r2.00.41121r.s67982

I

rie.;;i).;;;'..

231 .867 .372,

I.80

i .a i!(i )r..,l. Ii] 41iil;:

World

Bank

payment Advice

Country:

fndonesia

Project

: P090990

-western

Indonesia National

Roads

rmprovement

project

To:

Dir.ectorate General of Debt Management

Ministry of

Finance

BORRO\IiER OFRECORD

Email

Address:

wdjnrk@yahoo.com

Indonesia

United States Dollars

hdonesian Rupiah

ri

07-Nov-2016

Loen:

Bortnwcr

Referencc;

'WB Transactlon

Number:

Application

$pe:

Dirtct

payment

Transectior

Value

Drte:

_{07_Nov-2016}

Applicetion Amount:

Paid

Amount:

Beneficiary:

Cost

Currency

USD

PT.

JAYA

KONSTRT]KSI

MANGGALA

Exchange

Rate

Commitment

_Ccv

ApplicadonAmount

IndoneslenRupiah

DocumertedAmount

IndonesianRupiah

s,971,166,454 s,971,166,454

Amount

CommitmentCcy

5,97t,166,49

usD

If

the beneficiarv

name

or currency is not consistent

with

your application,

"ril;.fril;ru#:.

,h""il:

amount specified

in

your application, please contact

us

immeaiaiity.

It

is not

necessary

to contact

us

if

the

above

information

is correct.

i

I I

-t

I

2

;,

.r

( :l ^ :

i)Ii,Ai!..

i)1 i.,i.ij3J.04. _{1,4!ij59fi/2016} ..r

icAL C; i.:

_{.:ari 5 R[v.6}

lio 9;;'q

0l

i.t.1.:

,tg85g6r;i0lrr

Arc

Satker

Kewenangen

llfr-a

_Satker

.198596 _KP

Fungsi, Sub Fungsr, BA, Unit Es.l,

04

08

033

04

Kegiatan, Output, Lokasi

2409 009

12.00

Jenis Pembayaran Sifat Pembayaran

Sumber Dana _,/ Cara penarikair Nomor Register

fIIIKSANMN

lALAr,l NAST0NAT _{virLAyAH rr pRovrNst}

LAMPUNG

Program 08

: 1

Pengeluaran Aoggaran

;

4

pembayaran Langsung (LS)

:

03,0

Rt'jP

/

RM

:10842601

i

I

_l

I

PET'IGELUARAN

1.801.951.832,- _{015.04.12.00.41}

r 128.5253s0 0l 5.04. I 2.00.41 1211.567982

1 . e0l,g

51.812,-: rji . l;\'{A ,.or.rsi p,rJfisr ..JA.'IGGALA

'RATA[,A TbK Taman Bintaro ]aya Gedung u

,ll

u,,,*-.

oil##ffi

1 DESEi4BER _2Oi6 Anggaran ; 0t.362.6a3.7-05{,000

TAMA tbk)

JL, _{BINTARO UTAMA, EINTARO ]AYA SEKTOR JAKARTA} 7/_l7_-WINRIp-A _{\"rpztctlN8043.tDl 1 1-}

l.t,

_T9l ,

rgt

23-lt_2016, Add

0i

No

2,

tgl 07

03-t0i6,

Add D2

: i:,;l,lij

. '.; _P\,'v p

;lekeninq .3a',\,Iros

.i.ir.ri)

\';\jie$

"'

j.):,1t1-l

Girq

Bank

_{fahtrn Anggardn : 2016}

212.95 7.q44,-1.588.993.888,.

.,lr ,l,:1.

],, ::..,.1 frr ;'.i.1raf yr4a (hairt rn pejJL,!t pe.].tJat KoJnilmcn tetah

;.:: -:.:'^"]l:""I1!i arcnreii.rh, persyrfotdq unrur !, ra\Ltdi _{rrembayafan atds}

,

;i;ll,f#L

"

lill'*"i,*ii;Tll,ff,T:"".,*

o -.

r.J

io'p"ic".

i

"'"'

'

_{:1",.,-Tl'Jj|;f}

ililfl -*{ jl ;;ff

*

ti'r nt drrani spr'''c' :renladi tanee J1q

r

.'lllliTi,lTlll'l1l

1il{

llliill'llfllilll

fillUllr

| :

):l t)rt:l

trfl:t

;-9

u:r

Emailed:

1,1-Dec-2016

World

Bank

Payment

Advice

Country:

Iudonesia

Project

: P090990

-western

rndonesia

National

Roads

rmprovement

project

Tor

Directorate General of f)ebt Manaeement Ministr5r of Finance

BORROWER OF RECORD

Email Address:

wdjnrk@yahoo.com

Application

Amount:

Indonesian

Ruplah

_{5,494,201,227} Paid

Amounh

Indonmian

Rupiah

5,4t4,201,227

Beneficiary:

P/t,

JAYA KONSTRUKSI

MANGGALA

Cost

Currency Itetails

cost

currency

Amount in cost

ccy

Exchange

Rate

comnritment

ccy

Amount

_itr

Commitment

Ccy

usD

413,275-16 1.00000000

usD

_413,278.16

TOTAL

413,278.16

ApplicatlonAmount

IndonesianRuplah

DocumentedAmount

IndoneslanRupiah

sAa4,2oI,227 5,4U,201,'227

Amount

Commitment

Ccy

5,484,201,221

USD

Category

1

Appllcation Currency

IDR

Commit

Ccy

Amt

413,278.16

TOT

6

If the beneficiary name or

crrrency

is not consistent

with

your application, or

if

the amount is greater than the

amount specified

in

your application,

please

contact us

immediately.

It

is not

necessary

to contact us if the

Abbreviations

Used

ID

USD

IDR

Indonesia

United Stares Dollars

I

9

g

o

T

tj l

5

z

o

5

7 d o

2

2

5

z

z

fi

5

+

.t

I

Y.o

<o

ON tlt

rn

?9

s-s

5r

_z15

39

o{

at-_.(

3

z

o

z

:f ao

r.^

ri

z

{=

-1 2 'rl <

a^<

T,Z

;<

2@

>E

IJT G

g

o

li$:

I

t.7*

|

lF.a'

iEi

iii

i9r

E:

--li _': r!

li

E

!

t-:o

lE'=

!

i;:H

iF ': -l

liije*l

l!T331

i

'-1

I

_"i:

!r

;;

,l

;ri

lFXRsi

l.li3Fl

t_ t?

l:'

t6

l"

.9

I*i

I

t9;

I

l>B

i

[:

I

i-IF

t:

I

g

I

o

E

o

2

I

tr; tn

ID

o

'6

.t

5

a

E

I

I

o

z

(,

4

n

qr B

o

2

",f;i1.tnt"oo

sEMrus

DUA PULU

I

::,::

?embayaran

Satker

Xewenangan _{Nama Satker}

::

.:5 I'ahun 20I3

_',:. _ti?/.uc,. DtpA-013.04. 1.498596/2016 -.:":G,1.1. ₀₇

u-2015

_REV.6

rio. DIPA-033,0.1. _{1.498596/2016}

PELAKSANMN JAI-AIII NASIONAL TVILAYAH

II

PRoyINSI

LAMPUNG

Unit Es.l, Program

04

08

:

1

Pengeluaran Anggaran

'.

4

_{pembayaran Langsung (LS)}

:

03.0

RMP

/

Rr4

:

10842601

498596

KP

Fungsi, Sub Fungsr. gA,

04

08

033

Xegiatan, Output, Lokasi

2409 009

12.00

.lenis Pembayaran Safat Pembayaran

Sumber Dana

/

Cara penarikan

Nomor Register

PENGELUARAN

)J

l

I

NPWP Rekcntnq

il.t n k/ Pr:i s

Uiallan

h(- ':'i I

Junrlalr Penge|.rarari

Pi. jr\Yi tiO

STntJKSi f.tAf,lGGALA _{PMTAMA Tbk Taman}

: 01.362.643. Z-054.000

Rp.

Bintaro laya Gedung B Jln. Brntaro Raya Jafarta

t2:30

2015 AMA tbk)

O

]1.

_JAYA

SEKTOR ]AKARTA

07-17 _{43_tD/11-14,}

Tql

4ur.o,

_{Z, Tgt 0Z-03-20i6, Add}

| 'nr','r,r ti,tkirtrl'i ir | ,rJrlu.rrA

. l:. lil ClI./t',,r, ',1;ta.!!

,r!l_!lrt _{il8Ji. $.1.: ,:: fi ii.:{i} {:r(ataJ$hd'.Jn r,dJ l'1lab,ll p

l'H'J"i:,.T$;ilff'l

lii;;'6;n

"n*"0

daia. sPr'r rnr rnenJad'i ..''esune

r,lltillll, _{ilfilrfillflil$illr|tillltilfirfi llll|rlliNil}

ro7 $29

128

::t-l

oo{J

Giro

+nr

--J5G

_Anrraran

J0t6

015.04.12.00.41I r ze, sz s: so

ors

o<

ij

oo..iiiiii:;6tdd:

i

,illii.j3?:.

E