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F_ - 1_:-+-,9,q!E SURAT PERNYATAAN Yang bertanda tangan di bawah ini : Nama padq Jum'at, 17 atas ijin 4. Apabi14 Sebenarnya tanpa'ada _ _'-'- :-.'"_lrr':r'!l' '- Malang, Oktober2014 Yang menyatakan, Materai Rp 6000

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F_ - 1_:-+-,9,q!E

SURAT PERNYATAAN

Yang bertanda tangan di bawah ini :

Nama

padq Jum'at, 17

atas ijin

4. Apabi14

Sebenarnya tanpa'ada

_ _'-'- :-.'"_lrr':r'!l' '-

Malang, Oktober2014Yang menyatakan,

Materai

Rp 6000

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