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Bismillahirrohmananirrohiim
Assalamualaikum War, Wab.
Asareng hormat, ngarep rabuepon panjhennengan
e,
Are/tanggal : Jumat / 07 Mei 2004 M
Bakto : 12!0 "#B $Ba%a shalat Jumat&
'asemoan : (ompo Bha%han )aula $Asemmanis&
'artengka : *ol epon * AB+ BA)A, tor * ,#-A#
.a%haja kagumatean panjhennengan, bha%han kaula mator saebu sakalangkong
Jazaakumullohu Khairo Jaza
"assalamualaikum, "ar, "ab
Hj. CHODIDJAH
Kaatora da se molja
Bapa/Ebu/Taretan :
e ____________
Hj. CHODIDJAH
Asemmanis
07 Mei 2004
Kalenggiyan
B.
!e earep namon" rabu epon tor
duaepon panjhennen"an