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tj,tdans-l.Jntlang 'niutnor l4 'i'nhrrn lt)5it 1.n,,rnu l)cn"rbentukan tr]acralr-
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ii '['thi.rn ]ilti+ teiltil6s i:,crirlhnlrqal
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{l ernabnran i"legara Ilcpulilik trnii*ns;ra 'l'ahurr ]{}04 Nonror ll(:.
I"irnrLrahun Lcurharan Nrgara iicpublik Indonr'sra Nouror 44381:

i)urcturan llen':r:rrrrtnh Nrn'tr-rr -ll 'i'ahun lc)t)11 tcnl;rng pr"nrtrinann dan


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lz rr lislha L,likrc clarr Kcr:i1 ilt*rit* Ilncrnh Kahrrpatcn Sulrlns ]'a]run
Jt 15 Nrrnor -l i ).

lttr.]\tr ti'l'1iliHAN
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tetrgil Stirai f{xrputusiLn ini herlakLr scj;rk ilitttapkitn ilurr apabiia terdapar
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St; I{.$'I lK t.'r'I.]B*!^]iJ;A5 I]0]'l I {[ f/I


Nomor .'174.4,' .i'l',';:,.'',"Vill,':()2I

Yai: u btrtarrtlu urrrl,an dihar.i alr irri r"epnlir I)csa (:iurrunNtua Ker:arnittiur Cijatntre Kat"rrrpatrrn

Sull rttg rttt't'rcti, tr!:klrr btlnvn.

Nan:a l.*lili,lpok K[LO]'IP( ]K BL I]l L]A ]'^,t l lt"\\'l"AWl\lt


;\lantal ltel<,rnpok It,p. Cil:erang Filr.rk Ccrenrc RI 01 ii\\r l}8

I)era (irurulrgtrra Kr:carnalan ( itanrlie Kal>npaten Sulrarrg


I.,ettta DF]]\i'N I IK,'\ \ D:I
ROT

,\litntat K,:ttia Kp. {-'ihcrang tt I'{il R\\i (18 l)esa lirrnungtua


Ketatnittlitt (-'i iirrrrbc lriihrrpatcn $trl:ang

hcloutl,ol',.isalta tfrsehtlt,liatas adalah betla; berdonrrsili i1 t'ilur,ah katni 4ari


Ianrat st'srr,ri llc,rrs,an data diaf.as.

I-)sx1iii1n* !,rrrfit Ketrrurgiur Durnrsilr inr rlrhrrat. a$iir van11 Lrerkeprulrnuan riatr>ert

rn*r uertahur clarr dip:r'11rrna[tn selrilg;1ixln,ta n]estiIIva.


PRCIVINSI JAY{A BARAT
: .: PN()VIN.iIJAWABANAT KABUPATEN SUSANG
KAzuP \1EH SIJTIANG
NIK : 3e0536rtl,uI5e00e0
I*IK : 3ts1,30381I]50tUn0:i t{afia, i[LtAStTtRoSfOAF{ :i
Nsroa :nAJ &*t\{Ut{YrDlN ,,, Ient}ail{gl t..ahil : GAFLII , OI 01 ,Sr?
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Kacam.rtJn : CfJAt#il Agama :tSt-AM
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$tarus Fe'*a win.r n: KAWIH P*huriaan : MEI'IGURUSnUMAI{lAl,tGGA 'oi*"i
Pe&erpan : Wlll.AS$rAST, slJHAtic Kewa.rqgne*rraan: tVNl ,o..o/.;st{
|(e.lta r$angqarfl.an : WNI to.0t.*0la Berlalu Hingga : SE[IMtttl ]{.DUp r {}
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,(aciifiatan .:CLAler &$a{rla ' .[Sit.Als ',:]: !'!. ,.'


Agsftrl lstAll Sl*luc Fnrlr.xwiilirnr rlt.[-tJr{ WAliilffli:,' i!'
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KABUPATENSUEANG
HAzuF ATEN SUEAhIG
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rh$a :0t::tlEHNUtlJAN}.lAH, ,, :, ,

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JeEs hotanrin : PtHtMpUAH . Got. tfarah ;'-
Araflla! : ctt il-RANs
RTrTlllJ : 0$ tn)OE
KeIDesa SUHUSrcTUA
: Kgc.nr-natnn
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ilafda ArJB 4U.
qaqla : U{:lll lrV\Jl:AF{: ,: .

lcm$,aN'lui Lr \t I *rl$at :gr tarlr SlttlAt{fi , 0S-{B} Z$Ot.


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n1.1t1.# ,stt..:et. fir.Rw 0$p,L$8
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F*itrlratr: . trEL {JA,ff, |TA.fiN t$1Bt fle{rfi,t*A B B.tr L uftir]: I lI A(, sf, t{EF[,tA SLriSAr&
{a*a195x6U*** !(rnri iii $uB&tG |(eilaruen€gararrn tYHl
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KE&.iPqTE$ SUEANG KABUPATEN SUBAI'TG
!try. : 3eI33tB', *31sff*$'l ],',:,: * ::: H IK : 3el,lL33L0 1,fftst]001,
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TemgxtlTql t..ahir : $U$AN(i, Si-0r,-t{Et
Jenc ketarmn : I AXI LAXI
Alarruit XP, CIT€RAI+C
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t{ocva rg*n*qara*n : S&fi . {}?;!3.g!firS:'r Keqar{aar€gaf aa ir j lgNl
B€rhtt t&E€g : S*'lg*P rmr P Berlaku Hingqa. ; SEIJMLIR HltlUp
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PRIVII. SIJAWA BANAT : : 1,.:;,,rr,p&i;ffiffi:,i}*tffi f


KABUF ATEN STJBANG ' , ,, ,, ,1' XAEUFA+EN.;$,TS+}ffi
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ri.r.,, ,,,: PRCIVINSIJAW.A HAR*T
','r :, :, , " KABLTPA f EN SUBAN{i XNtsUI'ATEN SUBANG
: 3Pt 3IlIE0 l!qn00l, : 3a151,7beCI51t000P

ffi
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l'qmirai,Til LurLir : Si jklAf.ir)rt2. ra.i*r tti rRnEaUTgr, Lahr : PUBItTAKAH IA! ?? 0S,11196
Jenn kehmin : PEFTEMPUAH , f,rol.Oarah :.
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