100907 SHE 18.39 6,960,400 48,722,800 10,440,600 7,457,580 66,620,980Maintenance108 TO EFENDY 100908 & Utility 18.36 7,889,800 55,228,600 11,834,700 6,574,838 73,638,138Maintenance109 ZAENAL ARIFIN 100909 & Utility 18.36 9,001,500 63,010,500 13,502,250 6,858,288 83,371,038Maintenance110 SUYUD 100910 & Utility 18.31 7,626,600 53,386,200 11,439,900 8,716,104 73,542,204Maintenance111 ARIEF RAHMAN 100911 & Utility 18.31 7,438,000 52,066,000 11,157,000 9,208,940 72,431,940Maintenance112 ARIS MUNANDAR 100912

ID Masa Gaji Bulanan ange ISall GealemHuplel i i enggugal KpNO NAMA DEPARTEMEN i ; (dalam Rupiah) (dalam Rupiah) Para TergugatPekerja Kerja (dalam Rupiah)(dalam Rupiah)(a) (b) (c) (a+b+c)Maintenance &114 ARIEF RAHMAN 100911 util 18.31 7,438,000 52,066,000 14,876,000 9,208,940 76,150,940HityMaintenance &112 ARIS MUNANDAR 100912 ine 18.12 9,161,350 64,129,450 18,322,700 9,597,610 92,049,760HtyMaintenance &113 PRIYO SUBEKTI 100913 iii 17.95 9,103,850 54,623,100 18,207,700 7,803,306 80,634,106ilityMaintenance

AFAN RUSWANDI 100907 Rp 6,960,400 18.92 2 Rp 13,920,800108 TO EFENDY 100908 Rp 7,699,000 18.83 2 Rp 15,398,000109 ZAENAL ARIFIN 100909 Rp 8,915,800 18.83 2 Rp 17,831,600110 SUYUD 100910 Rp 7,699,000 18.83 2 Rp 15,398,000111 ARIEF RAHMAN 100911 Rp 6,891,750 18.83 2 Rp 13,783,500112 / ARISMUNANDAR 100912 Rp 8,917,550 18.67 2 Rp 17,835,100113. PRIYO SUBEKTI 100913 Rp 9,103,850 18.42 2 Rp 18,207,700114.

Gaji pokok & PerkalianURUT NAMA i tunjangan tetap Bonus Banus 207109 ZAENAL ARIFIN 100909 Rp 8,915,800 2.5 Rp 22,289,500110 SUYUD 100910 Rp 7,699,000 2.5 Rp 19,247,500111 ARIEF RAHMAN 100911 Rp 6,891,750 2.5 Rp 17,229,375112 ARIS MUNANDAR 100912 Rp 8,917,550 2.5 Rp 22,293,875113 PRIYO SUBEKTI 100913 Rp 9,103,850 2.5 Rp 22,759,625114 IMAM SUNARIJADI 100914 Rp 8,360,600 2.5 Rp 20,901,500115 ABDUL MUIS 100915 Rp 8,298,000 2.5 Rp 20,745,000116 RUSTON EFENDI 100916 Rp 8,309,850 2.5 Rp 20,774,625117 SUCAHYA

ARIEF RAHMAN 100911 Rp 13,899,750 11 Rp 152,897,250 Rp 76,448,625112 ARIS MUNANDAR 100912 Rp 16,003,550 11 Rp 176,039,050 Rp 88,019,525113 PRIYO SUBEKTI 100913 Rp = 16,139,850 11 Rp 177,538,350 Rp 88,769,175114 IMAM SUNARIJADI 100914 Rp 15,368,600 11 Rp 169,054,600 Rp 84,527,300115 ABDUL MUIS 100915 Rp 15,334,000 11 Rp 168,674,000 Rp 84,337,000116 RUSTON EFENDI 100916 Rp = 15,295,850 11 Rp 168,254,350 Rp 84,127,175117 SUCAHYA 100918 Rp 14,419,000 11 Rp 158,609,000 Rp 79,304,500BAMBANG ARIEF118 Rp

TAWADAHEALTHCARE;1 (satu) lembar salinan FAKTUR MEDIKA CAHAYA MANDIRI NO.DOK 007333 tanggal 100912, atas nama PT. PRADITHASEJAHTERA JAYA;1 (satu) lembar salinan FAKTUR PAJAK dengan nomor seri fakturpajak 010.00012.00000553 tanggal 30 September 2012;2 (dua) lembar copy REKENING KORAN PT. MEDIKA CAHAYAMANDIRI dengan No.

Tawada Healthcare kepada PT Praditha Sejahtera Jayatanggal 20 November 2012;37) 1 (satu) lembar fotocopy yang dilegalisir surat penunjukan dariPT Tawada Healthcare kepada PT Praditha Sejahtera Jaya Nomor001/ THCSBY/I/12 tanggal 1 Januari 2012;38) 1 (satu) lembar fotocopy yang dilegalisir surat pesanan barangdari PT Praditha Sejahtera Jaya Nomor 001/PO/PSJADM/BJM/8/2012 tanggal 29 Agustus 2012 kepada PT TawadaHealthcare;39) 1 (satu) lembar salinan faktur Medika Cahaya Mandiri NomorDOK 007333 tanggal 100912

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100907 SHE 18.39 6,960,400 48,722,800 13,920,800 7,457,580 70,101,180108 TO EFENDY 100908 Maintenance & Utility 18.36 7,889,800 55,228,600 15,779,600 6,574,838 77,583,038109 ZAENAL ARIFIN 100909 Maintenance & Utility 18.36 9,001,500 63,010,500 18,003,000 6,858,288 87,871,788110 SUYUD 100910 Maintenance & Utility 18.31 7,626,600 53,386,200 15,253,200 8,716,104 77,355,504111 ARIEF RAHMAN 100911 Maintenance & Utility 18.31 7,438,000 52,066,000 14,876,000 9,208,940 76,150,940112 ARIS MUNANDAR 100912