Sejumlah : Rp.
Terbilang : .........................................................
.........................................................
Karawang, . . . . . . . . . . . . 2018
Bendahara,
Rp.
Sejumlah :
Terbilang : .........................................................
.........................................................
Karawang, . . . . . . . . . . . . 2018
Bendahara,
Sejumlah : Rp.
Terbilang : .........................................................
.........................................................
Karawang, . . . . . . . . . . . . 2018
Bendahara,