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T ALOKASI KUNJUNGAN DAN NI
NO NAMA LENGKAP Jabatan Gol
(1) (2) (3) (4)
1 MAX K. THERIK, SP PCL III
2 MELKIANUS M. LENDU PCL III
3 RANSISKA D. I. KOLIN, SP PCL III
! ANARELA MENDONCA, A.M" PCL II
# LENA$ATI TINDAON, A.M" PCL II
% INDAH SULIST&ARINI PCL II
PAULUS PAKERENG PML III
SUM'A 'ARAT
1 T()*+t)aan T. T-b-la-, S.Ko. PCL III
2 R)*)ta D) A*t-t), SE. PCL III
3 (o/) R. M. H. R)0) PCL II
E") M-lanto, A. M" PML III
SUM'A TIMUR
1 An"() $)ll)a*, S.S) PCL III
2 H+n"()/-* Dat), S.So* PCL III
3 &-n)a* Ra/+n) PCL II
! S)on La-b)la PCL II
# J+()a* Da(a PCL II
An"+()a* La)*b-/+, SE
KUPANG
1 PRESLI TH TE'ANA, A" PCL II2 MATHEOS SELAN PCL III
DANIEL N. NGGOEK, SE
TTS
1 Kat0a()na Unab PCL III
2 &at) M. N+a S)/), SP PCL III
3 &o0an)* S. Gla-, SP PCL III
! )"+l)* Sa-noa0 PCL II
# A4-*t)n-* Nab+n PCL III
% K(+*+n*)ana K+5 PCL II
T-ban) P+t(-* PML TTU
1 A4-*t)n-* Na0a/ PCL II
2 6)7to( D.C.P+(+)(a PCL III
3 &-8+nt-* S+(an,SP PCL III
! Alo*)-* Maan PCL III
# E") H)"aat, S.Ko PCL III
% Ma(7+l)na E"on PCL II
9 E"-n"-* 'a- '+(+/ PCL III
: +l)7)ano 'at- Mal) PCL II
; Santana A.E.Soa(+* PCL III1< Ma(t)n-* Ul- PCL MITRA
1 E(5na M.E.'a-/,SP PML
2 S-() Anton)-* PML
'ELU
1 &o0an)* A. '. N44a"a* PCL II
2 A()anto H. N-4(o0o, S.S) PCL III
3 Saaban 'o(o PCL III
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! &-*t)n-* Laba, SE PCL III
# Roan-* M. Roan, SE PCL III
1 I4nat)-* L. K+"an4, S.ST PML
LORES TIMUR
1 &an) So(aa, S.S) PCL III
2 A8+()n-* Ean-+l, S. Ko PCL III
3 Kla(a &o*+=a E"(al)on Pao+, SE PCL III! &o0an)* La"a R+4al+t0a PCL III
# +(")nan"-* El Santo* S, SE PCL III
% L+ool" P)+t+( An)"la PCL III
9 &a/ob-* & D+"o, SE PCL III
: (an*)*/-* Xa8+()-* Soba, S.S) PCL III
; 6al+nt)n-* Non4 S)na PCL III
1< $)0+l-* $+l+ PCL III
11 Ma()a H &-l)n"a Sa)(, SE PCL III
12 R)/a D) A()l)ant) PCL III
13 Ka(ol-* Koon4 P+/a PCL III1 M. '. Natal)a PML
SIKKA
1 M. +(( N44ob+ PCL II
2 Ma()a M. D. L+a, SE PCL III
3 Pa-l)na D. To-*+la/, SE PCL III
! Ma(4a(+t0a L. D. S-(an"a(), SE PCL III
# S)()an-* M+ot, SE PCL III
% Ma>)-* K. '. $an44+, SE PCL III
9 Mat0)l"a M. D++, S.S) PCL III
: &o*+0 M. $+**a, S.S) PCL III
; Ean-+l M. G+(+ N+, S.So* PCL III
1< G)o8an) '. Kol) PCL III
11 &o0an+* Lalo PCL ?
12 P0)l)-* &. Tan"+ PCL ?
13 6)n*+n*)-* E. 'a(a PCL ?
1 '+(na("-* Kabo*-, SE PML III
2 Mo70. Sal+0 S-+t PML III
3 An"an4 Al?M-/0ta( H+"+ PML III
ENDE
1 Ib(a0) Mal)/ PCL II
2 R+)4)-* Jaa PCL II
3 E(+l)n"a T0a Daa PCL II
! E(+l)n"a M+l), A.M" PCL II
# S+l8)n"(a J.Kla/)/, A.M" PCL II
% 6)n*+n*)-* G0a() N4+b- PCL III
1 R-5n-* $a/-, S.IP PMS III
NGADA
1 Ka*)an-* 6. $+(o, SE PCL III
2 Ean-+l .. Dat-( PCL II
3 To+ X. Na0a/ PCL III
! L-t05 Ta-n4 S+/a((ant) PCL III# L-*)ana R. D+ant) PCL II
% A"()an-* Pat) P+a PCL II
9 S)()an-* Na(-n4 PCL II
: Alo)*)-* J+0aat PCL II
; H)+(on)-* J+la0- PCL II
1< I+l"a S() N4a(+ M)t(a ?
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# Jon) I*(a+l Ma(/-* PCL ?
1 No(5ana R. ')ano+,SE PML III
ROTE NDAO
1 Ab"-l Ra-=, S.S) PCL III
2 An"(+a* M)0-n PCL III
3 H+(- E/o P(a*to, S.S) PCL III
! S)()an-* J+0a"-n, SE PCL III# I)n S-()0at)n, S.S) PCL III
% S+lt-* S. Mbab-/ PCL ?
1 I(. Go(an '-(a PML III
MA'AR
1 D+*ta An-4(a0 A, S.S) PCL III
2 > G-4-* .P PCL III
3 &-*- K Pa/+(+n4 PCL II
! I*0a/ Pa/+(+n4 PCL II
# A*t+()-* ' L+"+ PCL II
% D+8)t*on D Nata(a PCL ?9 S+(8a*)-* J+la0- PCL ?
: &-)t+( A Malo PCL ?
1 @a+nal A()5n, S.S) PML III
S'D
1 RANSISKUS X.'ERE,A.MD PCL II
2 INACIO 6IEGAS DE ARAUJO PCL II
3 HERLINA ASO,S.SI PCL III
! MEKO DA6ID PCL III
# AKHMAD SU'KHAN,A.MD PCL II
% 'LASIUS MAI PCL II
7 ARNOLD PAAR KUREMAS MITRA <
1 ADAM A'DULLAH, SE PML <
NAGEKEO
1 Pa-l-* G+*an4 PCL II
2 +()-* Pan") PCL II
1 I(a At)l H-*n), S.ST PML III
MANGGARAI TIMUR
1 S)on Ma-(+ PCL III
2 Ma>) M+**a/0 PCL III
3 J+=() D+/o PCL II
! o(t+ A.E Non PCL III
# +(") E.E Loa)na/ PCL III
% Jo*+0)n N. an44) PCL III
9 G-*ta8 P. Moata PCL III
: 6)7to(a D+t0an PCL III
1 E-n)/+ $)"a P., S.ST PML III
KOTA KUPANG
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LAI TRANSPORT LISTING, PENCACAHAN D
K-n-n4an S+*-a) POK T(a
K-n-n4an L)*t)n4 K-n-n4an Ca7a0 K-n-n4an R+8)*)t L)*t)n4
1 3 11<<<<
1 1< 11<<<<
1 # 11<<<<
1 11<<<<
2 1! 11<<<<
2 19 11<<<<
12 11<<<<
!;
1 # 11<<<<
1 # 11<<<<
1 1; 11<<<<
9 11<<<<
2;
1 1 11<<<<
1 3 11<<<<
1 : 11<<<<
1 3 11<<<<
1 # 11<<<<
# 11<<<<
2<
1 1 11<<<<1 1 11<<<<
1 1 11<<<<
3
1 3 11<<<<
1 1 11<<<<
1 % 11<<<<
1 3 11<<<<
1 ! 11<<<<
1 1 11<<<<
# 11<<<<1:
1 ! 11<<<<
3 % 11<<<<
3 # 11<<<<
1 : 11<<<<
1 1 11<<<<
1 1 11<<<<
1 % 11<<<<
1 1 11<<<<
1 1 11<<<<1 1! 11<<<<
# 11<<<<
# 11<<<<
33
2 ; 11<<<<
1 1 11<<<<
3 2! 11<<<<
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2 ; 11<<<<
2 ; 11<<<<
1<
3;
1 3 11<<<<
1 2 11<<<<
1 1 11<<<<1 % 11<<<<
1 % 11<<<<
1 2 11<<<<
1 3 11<<<<
1 3 11<<<<
1 2 11<<<<
1 # 11<<<<
1 9 11<<<<
1 2 11<<<<
1 # 11<<<<12 11<<<<
!9
2 9 11<<<<
1 % 11<<<<
2 # 11<<<<
1 3 11<<<<
2 % 11<<<<
2 ! 11<<<<
1 # 11<<<<
1 ! 11<<<<
1 2 11<<<<
1 % 11<<<<
2 13 11<<<<
3 9 11<<<<
2 % 11<<<<
; 11<<<<
# 11<<<<
# 11<<<<
9!
2 11<<<<
1 1% 11<<<<
? 1 11<<<<
? # 11<<<<
1 3 11<<<<
1 9 11<<<<
: 11<<<<
32
1 ; 11<<<<
2 11 11<<<<
1 ; 11<<<<
1 % 11<<<<1 ! 11<<<<
1 9 11<<<<
1 # 11<<<<
1 # 11<<<<
1 % 11<<<<
1 ; 11<<<<
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1 1< 11<<<<
1< 11<<<<
19
1 3 11<<<<
1 % 11<<<<
1 9 11<<<<
2 9 11<<<<1 < 11<<<<
2 13 11<<<<
: 11<<<<
23
2 11 11<<<<
2 1: 11<<<<
1 < 11<<<<
2 1% 11<<<<
2 1# 11<<<<
2 < 11<<<<1 < 11<<<<
2 1# 11<<<<
1: 11<<<<
%<
1 2 11<<<<
1 ! 11<<<<
< ! 11<<<<
! ! 11<<<<
< ! 11<<<<
< ! 11<<<<
< ! 11<<<<
% 11<<<<
22
! 2 11<<<<
2 11 11<<<<
3 11<<<<
13
1 1 11<<<<
1 2 11<<<<
? 2 11<<<<
1 1 11<<<<
2 ! 11<<<<
1 3 11<<<<
2 # 11<<<<
? # 11<<<<
# 11<<<<
23
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N REVISIT SURVEI IMK TAHUNAN TAHUN 2
n*o(t +( K-n-n4an N)la)
Ca7a0 R+8)*)t K-n-n4an L)*t)n4 K-n-n4an Ca7a0
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 11<<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< <
11<<<< 11<<<< 22<<<< 1#!<<<<
11<<<< 11<<<< 22<<<< 1:9<<<<
11<<<< 11<<<< < <
::<<<< #3;<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< 2<;<<<<
11<<<< 11<<<< < <
33<<<< 31;<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< ::<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< < <
##<<<< 22<<<<<
11<<<< 11<<<< 11<<<< 11<<<<11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< < 11<<<<
22<<<< 33<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< !!<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< < <%%<<<< 1;:<<<<
11<<<< 11<<<< 11<<<< !!<<<<
11<<<< 11<<<< 33<<<< %%<<<<
11<<<< 11<<<< 33<<<< ##<<<<
11<<<< 11<<<< 11<<<< ::<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< 11<<<<11<<<< 11<<<< 11<<<< 1#!<<<<
11<<<< 11<<<< < <
11<<<< 11<<<< < <
1#!<<<< #19<<<<
11<<<< 11<<<< 22<<<< ;;<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 33<<<< 2%!<<<<
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11<<<< 11<<<< 22<<<< ;;<<<<
11<<<< 11<<<< 22<<<< ;;<<<<
11<<<< < <
::<<<< !2;<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< 11<<<<11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< 99<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< ##<<<<11<<<< 11<<<< < <
1!3<<<< #19<<<<
11<<<< 11<<<< 22<<<< 99<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 22<<<< ##<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 22<<<< %%<<<<
11<<<< 11<<<< 22<<<< !!<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< !!<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 22<<<< 1!3<<<<
11<<<< 11<<<< 33<<<< 99<<<<
11<<<< 11<<<< 22<<<< %%<<<<
11<<<< 11<<<< < <
11<<<< 11<<<< < <
11<<<< 11<<<< < <
231<<<< :1!<<<<
11<<<< 11<<<< 22<<<< <
11<<<< 11<<<< 11<<<< 19%<<<<
11<<<< 11<<<< 11<<<<
11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< 99<<<<
11<<<< 11<<<< < <
##<<<< 3#2<<<<
11<<<< 11<<<< 11<<<< ;;<<<<
11<<<< 11<<<< 22<<<< 121<<<<
11<<<< 11<<<< 11<<<< ;;<<<<
11<<<< 11<<<< 11<<<< %%<<<<11<<<< 11<<<< 11<<<< !!<<<<
11<<<< 11<<<< 11<<<< 99<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< ##<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< ;;<<<<
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11<<<< 11<<<< 11<<<< 11<<<<<
11<<<< 11<<<< < <
;;<<<< #2:<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 11<<<< %%<<<<
11<<<< 11<<<< 11<<<< 99<<<<
11<<<< 11<<<< 22<<<< 99<<<<11<<<< 11<<<< 11<<<< <
11<<<< 11<<<< 22<<<< 1!3<<<<
11<<<< 11<<<< < <
::<<<< 3;%<<<<
11<<<< 11<<<< 22<<<< 121<<<<
11<<<< 11<<<< 22<<<< 1;:<<<<
11<<<< 11<<<< 11<<<< <
11<<<< 11<<<< 22<<<< 19%<<<<
11<<<< 11<<<< 22<<<< 1%#<<<<
11<<<< 11<<<< 22<<<< <11<<<< 11<<<< 11<<<< <
11<<<< 11<<<< 22<<<< 1%#<<<<
11<<<< 11<<<< < <
1#!<<<< :2#<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< !!<<<<
11<<<< 11<<<< < !!<<<<
11<<<< 11<<<< !!<<<< !!<<<<
11<<<< 11<<<< < !!<<<<
11<<<< 11<<<< < !!<<<<
11<<<< 11<<<< < !!<<<<
11<<<< 11<<<< < <
%%<<<< 2:%<<<<
11<<<< 11<<<< !!<<<< 22<<<<
11<<<< 11<<<< 22<<<< 121<<<<
11<<<< 11<<<< < <
%%<<<< 1!3<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 22<<<<
11<<<< 11<<<< 11<<<< 11<<<<
11<<<< 11<<<< 22<<<< !!<<<<
11<<<< 11<<<< 11<<<< 33<<<<
11<<<< 11<<<< 22<<<< ##<<<<
11<<<< 11<<<< ##<<<<
11<<<< 11<<<< < <
::<<<< 2#3<<<<
7/23/2019 Contoh SPJ IMK Tahunan
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014
K-n-n4an R+8)*)t
<
<
<
<
<
<
132<<<<
132<<<<
<
<
<
99<<<<
99<<<<
<
<
<
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##<<<<
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11<<<<
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##<<<<##<<<<
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<
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11<<<<<
11<<<<<
<
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132<<<<
<
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##<<<<
##<<<<
2<;<<<<
<
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::<<<<
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<
11<<<<<
11<<<<<
<
<
<
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< 13
::<<<<
::<<<<
<
<
<
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<
<<
< #
1;:<<<<
1;:<<<<
<
<
<
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%%<<<<
%%<<<<
<
<
33<<<<
33<<<<
<
<
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##<<<<
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7/23/2019 Contoh SPJ IMK Tahunan
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RINCIAN BELANJA : Transport lokal Listing Survei IMK Tahunan 2!"#R$%RAM : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik
KE%IATAN : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik B#S #r
K$M#$NEN : Survei In(ustri Mikro Ke*il Tahunan +,IMK Tahunan-
TA./N AN%%ARAN : 2!"
0ASAR : SK No1 !2#R%1T.N 2!" Tanggal 2 Januari 2!"
No Na&a %ol Ban'akn'a $3. Transport #er $3.
1 2 3 4 5
! III !2 Rp !!4
2
5
Ju&lah
Rp !!4
SAT/ J/TA TI%A RAT
Setu6u (i7a'ar Lunas pa(a tanggal :
#e6a7at #e&7uat Ko&it&en4 Ben(ahara #engeluar
So)an4 S1Si4 M1Si Norlin*e Nenotek4 S
NI# !89"!2! !82 ! ! NI# !8252; 29
Mengetahui
KB#S Ka71111111111111111111111111111
Na&a
NI#
t)t)/2 "))*) naa /ab
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Keterangan:
1. tulisan ibukota kab, (tanggal bulan tahun), nama, nip, tanda titik-titik agar diisi
2. Untuk SPJ transport lokal listing dilengkapi dengan surat tugas ang disusun oleh masing-mkun"ungan dengan tandatangan kepala desa atau kepala S#S $lok Sensus ang dilisting, "ika blagar tanggalna dibuat pada hari ang berbeda.
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S/RAT B/KTI N$ :
Ko(e #rogra& : ;"1!19
Kegiatan$utput : 28;!
Ko&ponen : "99
Akun : ;2"!!5
vinsi
Ju&lah 0iteri&a Tan(a Tangan
6 7
Rp !4524 ! <<<11
21111111111111111
51111111111111111
Rp !4524
S 0/A #/L/. RIB/ R/#IA.
i7ukota ka74 +tanggal 7ulan tahun-
#e&7uat 0a)tar
Na&a
NI#
Telah (i7a'ar tanggal1111111111111111111111
Ben(ahara Ka711111111111111111111111
Na&a
NI#
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sing kabupaten dilampirkan dengan da!tark sensus ang dilisting petugas lebih dari 1
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RINCIAN BELANJA : Transport lokal #en*a*ahan Survei IMK Tahunan 2!"#R$%RAM : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik
KE%IATAN : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik B#S #ro
K$M#$NEN : Survei In(ustri Mikro Ke*il Tahunan +,IMK Tahunan-
TA./N AN%%ARAN : 2!"
0ASAR : SK No1 !2#R%1T.N 2!" Tanggal 2 Januari 2!"
No Na&a %ol Ban'akn'a $3. Transport #er $3.
1 2 3 4 5
! III !2 Rp !!4
Ju&lah
Rp !!4
SAT/ J/TA TI%A RAT/
Setu6u (i7a'ar Lunas pa(a tanggal :
#e6a7at #e&7uat Ko&it&en4 Ben(ahara #engeluar
So)an4 S1Si4 M1Si Norlin*e Nenotek4 S
NI# !89"!2! !82 ! ! NI# !8252; 29
MengetahuiKB#S Ka71111111111111111111111111111
Na&a
NI#
Keterangan:
1. tulisan ibukota kab, (tanggal bulan tahun), nama, nip, tanda titik-titik agar diisi
2. Untuk SPJ transport lokal pen%a%ahan dilengkapi dengan surat tugas ang disusun oleh masin
da!tar kun"ungan.
t)t)/2 "))*) naa /ab
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&. Jumlah per ' dibutuhkan sebanak 2-& tandatangan responden, "ika alokasi lebih dari 1 '
misalna*lokasi ada + ', agar diatur tanggal + hari ang berbeda dimana setiap haritanggal
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S/RAT B/KTI N$ :
Ko(e #rogra& : ;"1!19
Kegiatan$utput : 28;!
Ko&ponen : "99
Akun : ;2"!!5
insi
Ju&lah 0iteri&a Tan(a Tangan
6 7
Rp !4524 ! <<<11
Rp !4524
S 0/A #/L/. RIB/ R/#IA.
i7ukota ka74 +tanggal 7ulan tahun-
#e&7uat 0a)tar
Na&a
NI#
Telah (i7a'ar tanggal1111111111111111111111Ben(ahara Ka711111111111111111111111
Na&a
NI#
g-masing kabupaten dilampirkan dengan
7/23/2019 Contoh SPJ IMK Tahunan
http://slidepdf.com/reader/full/contoh-spj-imk-tahunan 20/24
agar dibuat pada tanggalhari g berbeda
engun"ungi 2-& responden
7/23/2019 Contoh SPJ IMK Tahunan
http://slidepdf.com/reader/full/contoh-spj-imk-tahunan 21/24
RINCIAN BELANJA : Transport revisit #en*a*ahan Survei IMK Tahunan 2!"#R$%RAM : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik
KE%IATAN : #rogra& #en'e(iaan (an #ela'anan In)or&asi Statistik B#S #ro
K$M#$NEN : Survei In(ustri Mikro Ke*il Tahunan +,IMK Tahunan-
TA./N AN%%ARAN : 2!"
0ASAR : SK No1 !2#R%1T.N 2!" Tanggal 2 Januari 2!"
No Na&a %ol Ban'akn'a $3. Transport #er $3.
1 2 3 4 5
! III " Rp !!4
Ju&lah
Rp !!4
EM#AT RAT/S EM#AT
Setu6u (i7a'ar Lunas pa(a tanggal :
#e6a7at #e&7uat Ko&it&en4 Ben(ahara #engelua
So)an4 S1Si4 M1Si Norlin*e Nenotek4 S
NI# !89"!2! !82 ! ! NI# !8252; 29
Mengetahui
KB#S Ka71111111111111111111111111111
Na&a
NI#
Keterangan:
1. tulisan ibukota kab, (tanggal bulan tahun), nama, nip, tanda titik-titik agar diisi
2. Untuk SPJ transport lokal pengaasanreisit dilengkapi dengan surat tugas ang disusun ole
t)t)/2 "))*) naa /ab
7/23/2019 Contoh SPJ IMK Tahunan
http://slidepdf.com/reader/full/contoh-spj-imk-tahunan 22/24
&. Jumlah per ' sebanak 2-& responden, "ika alokasi lebih dari 1 ' agar dibuat pada tangga
dengan da!tar kun"ungan dengan tandatangan responden pada setiap blok sensus dimana P# tpen%a%ahan
7/23/2019 Contoh SPJ IMK Tahunan
http://slidepdf.com/reader/full/contoh-spj-imk-tahunan 23/24
S/RAT B/KTI N$ :
Ko(e #rogra& : ;"1!19
Kegiatan$utput : 28;!
Ko&ponen : "99
Akun : ;2"!!5
insi
Ju&lah 0iteri&a Tan(a Tangan
6 7
Rp ""4 ! <<<11
Rp ""4
/L/. RIB/ R/#IA.
i7ukota ka74 +tanggal 7ulan tahun-
#e&7uat 0a)tar
Na&a
NI#
Telah (i7a'ar tanggal1111111111111111111111
Ben(ahara Ka711111111111111111111111
Na&a
NI#
masing-masing kabupaten dilampirkan
7/23/2019 Contoh SPJ IMK Tahunan
http://slidepdf.com/reader/full/contoh-spj-imk-tahunan 24/24
hari g berbeda