Kwitansi Rokok.docx
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No. Sudah terima dari
: ……………… : SD Negeri 1 Kalipakis : :
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: Kalipakis, …… ……………… 20 …
Mengetahui, -------------------------------------------------------------------------------------------------------------------------------------------------
: ……………… : SD Negeri 1 Kalipakis : :
Jumlah
: Kalipakis, …… ……………… 20 …
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