Universal Bank

Universal Bank

CABANG PONTIANAK

CABANG PONTIANAK

No. Rek. Giro : 38.12.2391.5

No. Rek. Giro : 38.12.2391.5

No. cek C.001
Tgl.
………………………………………..
Kepada
sejumlah Rp.
…………………………………………………..
Untuk ………………………………………..
Saldo
Setoran
Pengambilan
Saldo

No. Cek C.001
Tgl. .....................

Atas penyerahan ini bayarlah kepada
.................................................................................................... atau pembawa
..........................................................................................................................Uang
..........................................................................................................................
...............................................................................................................rupiah)

Rp.
Tanda tangan (dan stempel perusahaan)

Universal Bank

Universal Bank

CABANG PONTIANAK

CABANG PONTIANAK

No. Rek. Giro : 38.12.2391.5

No. Rek. Giro : 38.12.2391.5

No. cek C.002
Tgl.
………………………………………..
Kepada
sejumlah Rp.
…………………………………………………..
Untuk ………………………………………..
Saldo
Setoran
Pengambilan
Saldo

No. Cek C. 002
Tgl.......................

Atas penyerahan ini bayarlah kepada
.................................................................................................... atau pembawa
..........................................................................................................................Uang
..........................................................................................................................
...............................................................................................................rupiah)

Rp.
Tanda tangan (dan stempel perusahaan)

.............................. Untuk ………………………………………...................................................5 No.................... Untuk ……………………………………….................................................... Kepada sejumlah Rp..5 No......... cek C..............................2391............................rupiah) Rp...............................................Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No............... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada ..... atau pembawa ..........................2391........................................................ ………………………………………........................5 No...........Uang ..................... atau pembawa ....... Rek....................... Kepada sejumlah Rp. Rek................................. Saldo Setoran Pengambilan Saldo No..........5 Atas penyerahan ini bayarlah kepada ..................... Giro : 38..................................12... ……………………………………….............. Tanda tangan (dan stempel perusahaan) ............... Giro : 38............... cek C..............................................2391...........................rupiah) Rp.............................................2391............. Rek......................................................12......................................... Giro : 38.004 Tgl..... …………………………………………………....... Giro : 38.. Rek.......12......12........................................ Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No................... ....................003 Tgl........... …………………………………………………. ..Uang ...

Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada ......12.......... Rek...................... cek C................5 No..5 No. …………………………………………………........................ Giro : 38................................................................. ………………………………………............................2391.............. atau pembawa .............................. ………………………………………………….............................................. Saldo Setoran Pengambilan Saldo No....................................... Rek........................... atau pembawa ...................................... Giro : 38..........................005 Tgl................................................................................. Rek..................................2391.......................... Giro : 38..rupiah) Rp......................................... Tanda tangan (dan stempel perusahaan) . Rek...................... Giro : 38... cek C..... Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No......006 Tgl..... Untuk ………………………………………...............................Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.............. Untuk ………………………………………............ ………………………………………. Kepada sejumlah Rp............12................................12....... ..5 No.......................................Uang .........................12................ ....................rupiah) Rp...........2391............... Kepada sejumlah Rp..........5 Atas penyerahan ini bayarlah kepada ...Uang ......................................................2391.............................

......... Kepada sejumlah Rp....12.................. ………………………………………....... cek C........................................................................................................ Saldo Setoran Pengambilan Saldo No.. Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada .......................... Rek............................2391...Uang ............................ Rek................................ Untuk ………………………………………......................5 No...........................12...............Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No............... ………………………………………...... Giro : 38....................................... Giro : 38............................... ............................................................. .... atau pembawa .... Rek........................2391....... atau pembawa ...............2391................................................. Rek............ Giro : 38........................................5 Atas penyerahan ini bayarlah kepada ........ Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No..................... …………………………………………………........ Tanda tangan (dan stempel perusahaan) ............................................12............2391....... …………………………………………………....... cek C.............................................................................................. Giro : 38.Uang .5 No..................................... Untuk ………………………………………..............12.. Kepada sejumlah Rp.rupiah) Rp........007 Tgl..............rupiah) Rp...............5 No.........................008 Tgl..

................... Untuk ………………………………………......................12...............Uang ...................................009 Tgl...............................rupiah) Rp.............12.....Uang ......... Giro : 38.... Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.............................................................. …………………………………………………... Saldo Setoran Pengambilan Saldo No....................... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada .......................................... Rek................................. cek C....5 No..............................5 No.........................................................................5 No. ....rupiah) Rp........................ …………………………………………………........ Giro : 38............................2391.010 Tgl................ ………………………………………........................5 Atas penyerahan ini bayarlah kepada ........ Giro : 38......... cek C..........2391............... Tanda tangan (dan stempel perusahaan) ............................................................................................2391............. ............Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No......................................................2391......... Rek.... Giro : 38......................12............. atau pembawa ....................... atau pembawa ..... Rek... Kepada sejumlah Rp................ Kepada sejumlah Rp............... Untuk ………………………………………....................................... Rek.....12............................ ……………………………………….............................

..... …………………………………………………................Uang ...................12................ Rek...............................011 Tgl................................. Untuk ………………………………………............................ Giro : 38..................................5 No............ Giro : 38. Giro : 38................Uang ............2391............................................................12..................012 Tgl................ cek C..............................................2391... Saldo Setoran Pengambilan Saldo No... .... atau pembawa ....................... atau pembawa ...... Untuk ………………………………………..................rupiah) Rp......... cek C........rupiah) Rp..................................................................... Rek............ Rek..........................................................................2391....5 No.......Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No............ Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No............................................. ……………………………………….................... Kepada sejumlah Rp................. Giro : 38.................. ………………………………………................ Rek..................... Kepada sejumlah Rp...................................................... ...................... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada ........................12........ Tanda tangan (dan stempel perusahaan) .....................2391...........................5 Atas penyerahan ini bayarlah kepada ... ………………………………………………….........12.................5 No................

........................................................ Kepada sejumlah Rp.. Kepada sejumlah Rp..............Uang .................................. Giro : 38............. Rek........................Uang ........ Giro : 38............................................................................ Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada ............ atau pembawa ............................ ……………………………………….......................................... Tanda tangan (dan stempel perusahaan) ........5 No.......... ………………………………………………….....................................................5 Atas penyerahan ini bayarlah kepada ...............................2391................ atau pembawa ........... ……………………………………….........................................................................2391............... cek C.................................12............................ Rek.. Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.................... cek C................014 Tgl.. Saldo Setoran Pengambilan Saldo No............. Rek............12... Rek...2391............................12.............013 Tgl.....2391........................................... Giro : 38.rupiah) Rp...............Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No................................... Giro : 38............... ………………………………………………….5 No..rupiah) Rp.............................................. Untuk ………………………………………...........................................................5 No.. ............12......... ..... Untuk ………………………………………....

................12...................5 Atas penyerahan ini bayarlah kepada ................... Rek........ Saldo Setoran Pengambilan Saldo No............................Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No...............................................................5 No...............................2391...........................................................016 Tgl... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada .......................... Giro : 38. ………………………………………..........2391. Rek.. Rek.............................12. Giro : 38... atau pembawa ....................................... …………………………………………………......................Uang ............................2391......... cek C.................................................................................................................. Kepada sejumlah Rp.........................................Uang ........................ …………………………………………………........................................................rupiah) Rp.. Tanda tangan (dan stempel perusahaan) ...... Untuk ……………………………………….... atau pembawa ........... Kepada sejumlah Rp...................................... ..................................12...rupiah) Rp.... Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.................................... ………………………………………...................... Giro : 38......................... Untuk ………………………………………..5 No.... Giro : 38................................5 No..........2391...015 Tgl........................12........... cek C...... ................. Rek.......

........................................................................2391....................................... .......Uang ...................... Giro : 38.......................... …………………………………………………........... Rek................ …………………………………………………....................................................................................................... Saldo Setoran Pengambilan Saldo No............................................2391......................... Tanda tangan (dan stempel perusahaan) .rupiah) Rp.....................................018 Tgl...............2391... Untuk ………………………………………..................12....................... Kepada sejumlah Rp..............rupiah) Rp............................................. ..................5 No................... Giro : 38..... Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.................... Rek.5 No............................................ ………………………………………............................12.....2391... atau pembawa ..........5 No..12.....Uang ..............Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No................. Kepada sejumlah Rp................... cek C............ Untuk ………………………………………..................017 Tgl........12.............................................5 Atas penyerahan ini bayarlah kepada ....... Giro : 38.... atau pembawa .............................................. cek C.................... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada .... Rek........ Rek................................................ ………………………………………. Giro : 38.

...Uang ................................................. …………………………………………………...........12.............................. Kepada sejumlah Rp............. Saldo Setoran Pengambilan Saldo No..... Saldo Setoran Pengambilan Saldo Atas penyerahan ini bayarlah kepada ............... atau pembawa ...................................................... atau pembawa .......12.................................5 No................................................. Untuk ………………………………………...5 Atas penyerahan ini bayarlah kepada ...... ………………………………………........................rupiah) Rp.........................020 Tgl......................5 No.............. Giro : 38.......... Tanda tangan (dan stempel perusahaan) Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No.............................................12... cek C.... Kepada sejumlah Rp...................................................... ....................... Giro : 38....................... Rek. Untuk ………………………………………..................................................................2391... cek C.2391........................ Giro : 38............ Giro : 38............019 Tgl...12.......5 No............................................................. .... Rek.rupiah) Rp....................... Tanda tangan (dan stempel perusahaan) ................. Rek............................Uang ............................................................... ………………………………………................................2391................... ………………………………………………….......... Rek.....................2391............Universal Bank Universal Bank CABANG PONTIANAK CABANG PONTIANAK No........

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