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ABSENSI RONDA POS KAMLING

RT. 05 RW. 03
DUSUN BRINGIN DESA JIKEN – TULANGAN

Kelompok :4
Hari / Tgl :

No. NAMA IURAN TANDA TANGAN


1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

6. 6.

7. 7.

8. 8.

9. 9.

10. 10.

11. 11.

Uraian: ……………………………..……………………………..
……………………………..……………………………..
……………………………..……………………………..
…………………………….. ……………………………..
Total : …………………………….……………………………..
…………………………….. ……………………………..

Jiken,

( )
ABSENSI RONDA POS KAMLING
RT. 05 RW. 03
DUSUN BRINGIN DESA JIKEN – TULANGAN

Kelompok :5
Hari / Tgl :

No. NAMA IURAN TANDA TANGAN


1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

6. 6.

7. 7.

8. 8.

9. 9.

10. 10.

11. 11.

Uraian: ……………………………..……………………………..
……………………………..……………………………..
……………………………..……………………………..
…………………………….. ……………………………..
Total : …………………………….……………………………..
…………………………….. ……………………………..

Jiken,

( )

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