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B Lia

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Nama :

Alamat
No. Pinjaman

:
:..................

Jumlah Pinjaman :..................

Besar Setoran
No.

Tgl.
Setor

Pokok

: ..................

Jasa

: ..................

No.

Tgl.
Setor

Pokok

Jasa

Sisa Saldo

Ttd

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Jasa

Sisa Saldo

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Nama :
Alamat

No. Pinjaman

:..................

Jumlah Pinjaman :..................

Besar Setoran
No.
1
2
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Tgl.
Setor

Pokok

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Pokok

Jasa

Sisa Saldo

Ttd

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