LPJ Program Donasi untuk Aya

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Kepada bapak dan Ibu, donatur dan relawan yang lembut hatinya. Berikut kami sampaikan laporan pertanggung jawaban program donasi untuk aya tahap I hingga 4 maret 2015 pukul 24.00

—–oOo—–

LAPORAN PERTANGGUNGJAWABAN PENGGALANGAN DANA AYA

Periode I : 25 Februari 2015 s.d  4 Maret 2015

No. 601/III/2015/LPJ

 

Nama                           : Zarifa Dayana
No. Rekam Medik    : 267806
Dokter                         : Anang Achmadi, SpAn-KIC

PENERIMAAN :
Penerimaan dari donatur via BCA No. 777.042.9026 160.766.436
Penerimaan dari donatur tunai 2.855.000
TOTAL PENERIMAAN 163.621.436
PENGELUARAN
Deposit Kamar PICU (25/02/2015) 4.200.000
Deposit Operasi No Trx : TRXI502250759 (01/03/2015) 50.000.000
Data Seluler 089619383611 100.000
TOTAL PENGELUARAN 54.300.000
SALDO 109.321.436

 

Bandung, 5 Maret 2015
Yayasan Ummara

ditandatangani oleh

1. Fallenty Setia Ambarwati, Bendahara Program
2. Wowon, Pengawas Yayasan Ummara
3. Iwan Mulyawan, Pendiri Yayasan Ummara

Penyerahan donasi yang terkumpul dari para donatur telah dilakukan pada hari
Minggu, tanggal 8 maret 2015 di RS Santosa Lt 9

aya1

Tim Yayasan Ummara, Keluarga KDZA, Keluarga kang Indra Bayu

aya2

Seluruh donasi Rp 163.621.436 diserahkan Kepada Keluarga Aya

LPJ dalam bentuk PDF lengkap dengan Daftar Donatur dapat Akang/Teteh akses di tautan berikut :
LPJ Program Aya 

Kami dari Yayasan Ummara mengucapkan terima kasih atas kepercayaan Bapak dan ibu para donatur yang menitipkan donasinya melalui kami.

NO NAMA DONASI
1 Annisa Puspa Ayu- UTAMA 50,000
2 Maulindawati-Prodimar Surabaya 200,000
3 Satlat Wiyata Guna 1 150,038
4 Satlat Wiyata Guna 1 150,055
5 Nur Aziah-mamah Vema Surabaya 100,000
6 Angga Ara Wirawan-Vallgara 50,000
7 Gema Rizaldi 150,000
8 Sodik Koharudin – Vallgara 1,000,000
9 M. Sbastian Widodo 400,000
10 Iwan Mulyawan – UMMARA 300,000
11 Dwi Hartanto Syole 100,000
12 Rudi 100,000
13 Indah Apriani 200,000
14 Aske Mariska 100,000
15 Febriantino Erwinullah 50,000
16 Yosep Nurdeman 100,000
17 Bismo 200,000
18 Pijar Muhammad Noer-Polban 200,000
19 Eka Candra Novana Paramadina-Vallgara 500,000
20 Noy-Vallgara 100,000
21 Rudi Satria – Makasar 100,000
22 M. Rian -Sumber Sari 50,000
23 Della – Hi Pancoran Jakarta 300,000
24 Abdul Muhaimin 750,000
25 Tegoeh Dwi P 300,000
26 Zulqifli 200,000
27 Irma Herdiyanti 1,300,000
28 Chimayah 100,000
29 Wijasena Sutrisna 1,000,000
30 Allex Aromatica 500,000
31 Gina Puspitasari 120,392
32 Hadi Supomo 200,000
33 Annisa Puspa-Dani Ramdani 100,000
34 Susiana Melanie 50,000
35 Rana Riyatna 100,000
36 Agus Ramadhan 50,000
37 Putut Tri Nugroho 130,000
38 NN 100,000
39 Komunitas HS Muslim Nusantara, Eddi Setiyo & Fas Hendra 1,500,000
40 Dani Ramdani 100,000
41 Rachmat Puguh 100,000
42 Ferry Mukharradi 200,000
43 Resti Panduswari 200,000
44 Endriawan 50,000
45 Panji Roseno 250,000
46 Rohman 20,000
47 Bella 15,000
48 Kurniadi 100,000
49 Ina Nuraini 100,000
50 Rudi Komarudin 69,000
51 Seni K 50,000
52 Andri Indrayadi 50,000
53 Ari Nopriansah 1,000,000
54 Ferry Valentino 50,000
55 Dewi Pertiwi 100,000
56 Bp Mustopa 250,000
57 Sari Muliani 100,000
58 NN 150,000
59 Neifa Isfahan – Isfahani Buchari 1,000,000
60 Eva Yuniasari 113,850
61 Rince Apriliani 50,000
62 NN 100,000
63 NN 100,000
64 Muhammad Reza S 200,000
65 Edward Salim 200,000
66 Teguh Raihaan 50,000
67 Heru Yugo Prasetyo 25,000
68 Muhamad Budi Mulya 50,000
69 Rizqie Syahrizal M 100,000
70 Indra Zaka Permana 1,500,000
71 Aditya Warman Sima 2,000,000
72 Donny Aditya 100,000
73 Fajar Kurniasari 300,000
74 Fitri Fitria 200,000
75 Deni Wahyu 1,000,000
76 Asep D Nugraha-Kuningan 100,000
77 Irwan Suwita 250,000
78 Jamiat Mauluddin 100,000
79 Luluk Novian 500,000
80 RA Kusdamayanti 100,000
81 Hamba Allah 100,000
82 JPP 3,500,000
83 Faizin Ansori 100,000
84 Dedi Misbah 750,000
85 Toumas Batara- Depok 100,000
86 Evi Andriani H 100,000
87 T Eli Kang Tedi-Purwasuka 500,000
88 Hendy & Leny – Belitung 200,000
89 Kholishotul Mu Awa 100,000
90 Taofik Hidayah N 100,000
91 Yopi 200,000
92 Hendra Purnama 100,000
93 Bramudia Firdiansy 200,000
94 Suharno Widodo 200,000
95 Sri Pujiati S 300,000
96 Etin Kuraesin 200,000
97 Yosi Aditya S 100,000
98 Hiers Vallgara 250,000
99 Lukman 50,000
100 Emil 10,165
101 Kusnandar 250,000
102 Ifka Syaifulah- STKS 100,000
103 Sugiharto – Hi Purwakarta 100,000
104 Imam Kusmiran 250,000
105 Mapi Wahlidi 100,000
106 Soni – Uninus 100,000
107 Akhmad Nur Wahid 100,000
108 Asep Setiadin 100,000
109 Astri Fiandani 100,000
110 Dian Hediana 100,000
111 Letiza Dwi Murti 50,000
112 Ferry Febrian 200,000
113 Ida Ayu Putu Udaya 200,000
114 Marlina ST-Ceu Mar 500,000
115 Nanang Ahmad R 100,000
116 Eva Yulianti 50,000
117 Harun Sholeh -Hi Pancoran 300,000
118 HIWA 1 500,000
119 Tomy Batara 100,000
120 Zuni Ansariff 1,000,000
121 Lentraka Bukittinggi-Zulian 100,000
122 Surya Efika – Duri Riau 100,000
123 Budi Muhamad Taftzani – HI UIN 200,000
124 Lyana Margareth 5,000,000
125 Alfian Fajar T 100,000
126 Myrna Veronica Han 500,000
127 Taufik dan RTA 200,000
128 Henry Kurniadi 500,000
129 Amalia Husniati 100,000
130 Retno Widianti 100,000
131 Silvia Rita Rosdia 100,000
132 Sylfi Perwitasari 150,000
133 Angin Salju 1,000,000
134 Lemurian Prapanca 500,000
135 Fadlli Eko- Hi Purwokerto 300,000
136 Rinaldi Ginanjar 200,000
137 Bambang Triogo 250,027
138 HI Ranting Vallgara 1,000,000
139 Kas Sabuk Merah 1,000,000
140 Rakhmat Hanief N 500,000
141 Anis Iwan Setiono 1,000,000
142 Bpk Suharsono 100,000
143 Ridwan 100,000
144 Muhammad Fernando 100,000
145 Ira Mariana Agusti 100,000
146 MA Zhulramadhany 100,000
147 M Berry 100,000
148 TB Sastra JHS 300,000
149 Cahyana Dwihana 100,000
150 Dyah Kartining 500,000
151 Riyesta Dewi P 300,000
152 Adwin Singarimbun-Aske 100,000
153 Molki H 200,000
154 RD Alvan Grandida 500,000
155 NN 300,000
156 Puri Puspaindah 300,000
157 Dede Abdul Rachman 100,000
158 Wini Andriani 50,000
159 Yudhi Raymond Rama 300,000
160 Iman Harmawan B 200,000
161 Erry Affandie 100,000
162 Ery Sugianto 100,000
163 Arief Dharmawan 100,000
164 Gina Fitrian K 100,000
165 Bimar Pradana 100,000
166 Annisa Nurul Fitri 100,000
167 Irpan 50,000
168 Nikmatul Makrif 20,000
169 Yadi Yudi Mulyadi 100,000
170 Hamba Allah 300,000
171 Ellena Rika S.E 200,000
172 Astuti Ananta Indoguardians 100,000
173 Lia Amelia 200,000
174 Madona Rifo Efendi 100,000
175 UP2U Malang 1,570,000
176 Ferry Kuswala 75,000
177 Sujoko 100,000
178 Zarifah Dayana D 200,000
179 Wandi Usfah 100,000
180 Agus Herdiana 10,000
181 Dadang Darsita 100,000
182 Moch Apriliansyah 50,000
183 Wisnu Prihatyo 250,000
184 Serly Oktaviani 100,000
185 Luthfi Syofiudin-Aske Mariska 1,150,000
186 M Adly Yaala- Hanny Suzanna 100,000
187 Narendra Widjajantrasuna 500,000
188 Rifqi Syofyan 1,000,000
189 Ujang Kusnandar 150,000
190 Sdr Kartika Dian 200,000
191 Norman Sendjaya 100,000
192 Yulie Utami Dewi 200,000
193 M Yudha Kuntjoro 250,000
194 Fahmi Desriyanto 300,000
195 Farid Tri Dewanto 500,000
196 Hedy Ardenia Octav 500,000
197 Dzaky Putra 100,000
198 Th Ifala Tony Kurniawan 300,000
199 Bayu Iswara SE 100,000
200 Aam Rachmat M 100,000
201 Dian Palupi 100,000
202 Dian Yustisiani CH 100,000
203 Erlangga Bintang 1,000,000
204 Rahmi 100,000
205 Cecep Wahyudi 300,000
206 Bagyo 300,000
207 Budi Triyatno 300,000
208 Hamba Allah 1,000,000
209 Zulkifar Perdana S 1,234,567
210 Wandi Marta S 250,000
211 Iswahyudi 100,000
212 Bpk Fauzi 300,000
213 Muhammad 246,789
214 Moh Bhakti Bagyo 250,000
215 Aan Aniati 300,000
216 Mira Agustuene 250,000
217 Ilen Sumirasandi 150,000
218 Suryono Putro 300,000
219 Hari Harmawa 100,000
220 Riki Kemalaputra 1,000,000
221 NN-Midi In 100,000
222 Tri Ratnasari 400,000
223 Didin Wahyudi 200,000
224 Mezy Afianti 50,000
225 Mulyadi 100,000
226 Hendri 100,000
227 Dony Wicaksono 1,000,000
228 Arif Budiman 500,000
229 Suteja 50,000
230 A Zainudin Rifani 50,000
231 NN 100,000
232 NN 100,000
233 Wilman Ramdani 500,000
234 Junior Dwi Adhy 100,000
235 Jessi 100,000
236 Johan Endra 200,000
237 Sahat M Silalahi 50,089
238 Jeffrey Ronny 100,000
239 Maman 50,000
240 Tantan Alunantara Andita Cita 200,000
241 Daryanto 100,000
242 NN 10,000
243 Taufik Simamora 500,000
244 Handi 100,000
245 Raditya Tanu H 100,000
246 Solikhatul Fatonah 100,000
247 Teten Supriadi 300,000
248 Toni Angga Gumilar 200,000
249 Dian Sukmana W 100,000
250 Ramadhan Dian R 100,000
251 NN 300,000
252 Ibu Made Dwi 200,000
253 Novita Ulisandy 300,000
254 Fahmi Fauzi 100,000
255 Nurul L 250,000
256 Helmy Said 100,000
257 Raihana Wulan Suci 1,000,000
258 Rahardjo-Kuningan 100,000
259 Muamar 200,000
260 Kas HI Cabang Bandung Raya 1,000,000
261 Edward Luntungan 500,000
262 Wildan Syahid 100,000
263 Bondan Darmawan 200,000
264 Merry Christyanti 200,000
265 Ibnu Fatchurrodji 200,000
266 Anna Lestari 100,000
267 Doni Murdono 2,000,000
268 Cice sayang Aya 1,000,000
269 Himawan Harjanto 100,000
270 Tojaya Batara 200,000
271 Riagguna Eloni 250,000
272 Irfan Zidni 100,000
273 Boby Meyendri 50,000
274 Dendi Mulyadi 100,000
275 Reva Yuliani 50,000
276 Agus Atmaja 100,000
277  Hermawan 50,000
278 HI Ranting Sumbersari 100,000
279 HI Ranting SMAN 22 170,000
280 Siti Muafah 500,000
281 R. Vidya C Koesoemadinata 500,000
282 Siti Rohman 100,000
283 Rachman Rahim 200,000
284 RR Tri Cahyani H 500,000
285 Lintang Srianjari 200,000
286 HI Ranting Sawangan 280,000
287 Tri Wahyu Indro 500,000
288 Wahyu Kuncara 250,000
289 Imas Maesaroh 300,000
290 Argha Aditia 200,000
291 Yanti Nurama 200,000
292 Nora Herawati 120,000
293 NN 250,000
294 Beny Satia Budaya 100,000
295 Novy Rianawaty 1,000,000
296 NN 1,000,000
297 Zaenal Arifin 100,000
298 Shinta 50,000
299 Ramilah 100,000
300 Ikrar-Surabaya 120,000
301 Lelly 100,000
302 Jahra Rosmila D 75,000
303 Roni Rohmawan-Kuningan 1,000,000
304 Enen 100,000
305 Deden Yusuf Firman 200,000
306 Dani Muhamad Ridwan 300,000
307 Maundari M 200,000
308 Bendrad 100,000
309 Agus Triono 100,000
310 Raden Winata 200,000
311 Mulyani 150,000
312 Stevanus Belly A 230,123
313 Wilda MS & Angga SH 50,000
314 Yus Nursyamsi 300,000
315 Mohammad Luthfi 55,555
316 Yogi Riswanto SE 500,000
317 Candra Mecca 150,000
318 Siti Fatimah 100,000
319 Aneva 500,000
320 Ali Rasyid 100,000
321 NN 10,000
322 Guritno 100,000
323 Tatang H 150,000
324 NN 1,000,000
325 Yuliayani-STKS 100,000
326 Rustini 2,000,000
327 Damayanti Yitia 100,000
328 Ilham Ilhamsi 50,000
329 Dani Dadam Muhamad 100,000
330 HI Ranting UIN Bandung 1,009,000
331 HI Ranting Vallgara 326,000
332 Rahfie Surah Fatie 100,000
333 Tabungan ade Bintang Banyu Prakoso 50,000
334 Nunik – Fajar 100,000
335 Meritawfiani 100,000
336 Rocmad Soerjanto 500,000
337 Yusep Dedy 200,000
338 Lailatul Fitriyah 50,000
339 Hasna Muthia 100,000
340 Hamba Allah 50,000
341 Hertanto Prasatyo 250,000
342 Fai 300,000
343 UP2U Pulo Asem 1,000,000
344 Toni 300,000
345 Dicky Kurniawan 500,000
346 Ahmad Hidayat 100,000
347 Habibie-Bireun Aceh 250,000
348 Ola Fitriana 100,000
349 Rocmad Soerjanto2 500,000
350 Fitri Syarif 250,000
351 Maresya HI UIN 200,000
352 Hendri Karisma 150,000
353 Lydia Marissa 500,000
354 Pricilla Herasisca 250,000
355 Defitri Fatmasari 500,000
356 Rachmat Hairul 1,500,000
357 Dania Safira 500,000
358 Budiman 500,000
359 Diana Indriany 200,000
360 Mochamad Fajri 75,000
361 Hedy Andriansyah 100,000
362 Irwansyah 500,000
363 Driyan Maheswara 100,000
364 Listianti Kahfi 50,000
365 Rommy Mochamad R 500,000
366 Heti Rosmiati 100,000
367 Vitha Prima Dewi 200,000
368 Ostman 100,000
369 Mohamad Isand 670,000
370 Sodik 100,000
371 Reza Irdania Fitri 100,000
372 Nini Sabarina 500,000
373 Doni Ariandi 255,000
374 Nirmala Windiarti 200,000
375 Iin Churin 500,000
376 Yuke Cinantya 250,000
377 Fajrotul Muniroh 100,000
378 Dela Hindayani 150,000
379 Teguh 300,000
380 Ie Mien Limpung-Batang Jateng 500,000
381 Rini Widiyarti 100,000
382 Suharno Widodo 200,000
383 Lina Marlina 150,000
384 Aditya Nugraha 50,000
385 Adjie Sapta 1,000,000
386 Effy Sofiyani 150,000
387 Imas Siti Nuraeni 250,000
388 Dinar Saputro 100,000
389 Yuliana Saputra 100,000
390 Hartono 100,000
391 Dini Meilasari 100,000
392 Adlizar 150,350
393 Ayu Riska Lestari-Kuningan 100,000
394 Jane Rebecca 300,000
395 Guntur 150,000
396 Hasil Lelang Batu & Cust Kumara Ol Shop 1,500,111
397 NN 100,000
398 Andri & Ava 500,000
399 Irfan Ruhiyat 50,000
400 Mia Ayuning Raras 50,000
401 Ibu Rita Heritsah Maulana 1,000,000
402 Riddar 1,000,002
403 Dadang Eka 100,000
404 Euis Hadidjah 200,000
405 Derry Arliendo 20,000
406 Kang Bob -Sumatera 150,000
407 Sahril Bachtiar 100,000
408 Deden Kurniawan 50,000
409 Eko Ari Priyanto 76,000
410 Hady Candra 150,000
411 Bintang Krisanti 300,000
412 Amiruddin Husin-HI Pancoran 500,000
413 Anti Dwi  P 250,000
414 Syarifah Hatijah 150,000
415 Nurul Ardhilah G 50,000
416 Tantri Wijayanti 200,000
417 Cici Perwita S 200,000
418 M Taufan Alwi 100,000
419 Komunitas TERPADU-HI Surabaya 1,150,000
420 NN 150,000
421 Agus Supratman 30,002
422 Hariman Maulana 100,000
423 Gungun Gunawan 50,000
424 Moch Mulyana Adhy 100,000
425 Biki Mohammad 25,000
426 Tantan Hanifah 500,000
427 NN 200,000
428 Zahra Khairunnisa 58,600
429 Yudha Ardhian SH 100,000
430 Yoshi Tiara Novian 50,000
431 Siti Mu’afa 300,000
432 Kusnadi 1,200,000
433 Yayasan UMMARA 1,000,009
434 Diah 100,000
435 Yesi Afrianti 200,000
436 Ratna Livina 150,000
437 Komunitas Latihan HI Sumedang 370,000
438 Irfan -Ranting Majalengka 50,000
439 Aspin Utoyo 500,889
440 Bp. Senja Prana 50,000
441 B Enden Kasriyati-Simpatisan 250,000
442 Mas Pon-Unisba 100,000
443 Han 100,000
444 Satlat Cimahi 200,000
445 Komunitas INTER ICI-Bekasi 650,000
446 Taufik Prihananto 1,000,000
447 HI Ranting SMAN 1 Kuningan 1,145,700
448 Yustin Handayani 50,000
449 Maman Surahman 200,000
450 DR Hengki Junayanti 150,000
451 Denny Ciska Arisandy -Babakan Kuningan 500,000
452 Teedi Johar 50,123
453 Mpet Inge Bunga Vanda S 100,000
454 Inge Bunga Vanda S 250,000
455 Mama Alpo Inge Bunda Vanda S 100,000
456 Ridwan Widyana MM 500,000
457 Mohammad Supria 100,000
458 Lia-Erna Eka Wati 100,000
459 HI Ranting VELODROME Jakarta 7,756,000
460 Sahabat KOMunitas POSitif 1,550,000
461 Mukhammad Thosimpang 250,000
462 Ken Pradipta Prata 100,000
463 Iwan CMS 150,000
464 HI Ranting UNISA KUNINGAN 1,660,000
465 M Sholichin 200,000
466 Intan Melati 200,000
467 Bambang Timur P 100,000
468 Alfisyahrin 100,000
469 Muhamad Jaelani 50,000
470 Intan Delilah 50,000
471 Gita Gartina 100,000
472 Siti Komariah 100,000
473 Ipan Supriyanto 100,000
474 Fachrul Muhdi 200,000
475 Mohammad Jahro 1,000,000
476 Irvan Septiawan 100,000
477 Roros Sri Harisma 1,500,000
478 Ny Isye (Asinan Ny.Isye Jakarta) 500,000
479 Udrianto Galih 500,000
480 Wayan Adhi 500,000
481 Bagus Dwi Cahyo 200,000
482 HI Velodrom Manado 300,000
483 Siri Rachmadinda 500,000
484 Drina N Alea Mirinda Dewi 1,000,000
485 Susi Susanti 500,000
486 Hayyu Rakhmia 3,000,000
487 Awaludin 182,000
488 Elvira 100,000
489 Cinta Inge Bunga Vanda S 50,000
490 Mama Alpo Inge Bunda Vanda S 100,000
491 Mira Yovita Komara 200,000
492 Ati Arismunandar 1,000,000
493 Rina 500,000
494 Dyah Palupi – Purwasuka 200,000
495 UP2U Pondok Indah 500,000
496 Asep Yudi 500,000
497 Aep Saepudin  S 100,000
498 Jauharuddin Luthfi 100,000
499 Dini Sofiani P 200,000
500 Hamba Allah 1,000,000
501 Anton Sugianto 100,000
502 Lanjar Sriyati-Purwokerto 150,000
503 SATLAT CIPENDEUY PURWASUKA-Tri Hartati 200,000
504 Wawan Rembang 100,000
505 Agung Teguh 300,000
506 M Jaenal Septian 116,000
507 Vivin Novita-Surabaya 85,000
508 Hariana Kurnia 100,000
509 Ade Abdullah 30,000
510 Taufik Rohmat 200,000
511 Budi 100000
512 Adam Joko Prasetyo 200,000
Total 163,621,436
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