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IURAN ANGGOTA BENTENG - Periode 1 Januari - 31 December 2017

BULAN ...................................
(Rp. 25.000 per Bulan)
Nama : ..........................
Bulan :...........................
Telah diterima iuran anggota sebesar : Rp. 25.000,00
Nama : ..............................................................................................................
Asal Sekolah :..................................................................................................
Telpon: .............................................................................................................

Tanggal...........................
Atas nama
Tanda tangan:

(...........................................................)

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