Catatan : Data harus sesuai SPJ (Sumber : Laporan BOS APBN 2017)
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NIP........................................ NIP........................................
RINCIAN PEROLEHAN BARANG ASET TETAP DARI BELANJA MODAL BOS APBN TAHUN 2017
TOTAL ...............................
Di Setujui,
Kepala Sekolah .............................
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NIP........................................
HARGA/UNIT TOTAL NILAI (Rp) KETERANGAN
AL ..................................................
Tanara, 31 Desember 2017
SDN .......................
Bendahara BOS
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NIP........................................