BADAN AMIL ZAKAT FITRAH MASJID AN-NUR

NO.
TAHUN 1440 H / 2019 M

TELAH TERIMA DARI

Nama Lengkap :................................................................................................................
Alamat : ...............................................................................................................
UANG SEBESAR :Rp.
BERAS SEBANYAK : /Kg Beras
UNTUK PEMBAYARAN :
1. Zakat Fitrah : ......... Orang x @ /Kg Beras = ...................../Kg Beras
: ......... Orang x @Rp. ................. = Rp. ................
2. Fidyah : ......... Hari x Rp. ........................ = Rp. .................
3. Infaq/Sedekah : ................................................................................................
Untuk Nama Berikut Ini :1.........................................................6.....................................................
2.........................................................7.....................................................
3.........................................................8.....................................................
4.........................................................9.....................................................
5.......................................................10.....................................................

Medan, 2019
Penyetor Petugas

(.....................................................) (......................................)

BADAN AMIL ZAKAT FITRAH MASJID AN-NUR

NO.
TAHUN 1440 H / 2019 M

TELAH TERIMA DARI

Nama Lengkap :................................................................................................................
Alamat : ...............................................................................................................
UANG SEBESAR :Rp.
BERAS SEBANYAK : /Kg Beras
UNTUK PEMBAYARAN :
1. Zakat Fitrah : ......... Orang x @ /Kg Beras = ...................../Kg Beras
: ......... Orang x @Rp. ................. = Rp. ................
2. Fidyah : ......... Hari x Rp. ........................ = Rp. .................
3. Infaq/Sedekah : ................................................................................................
Untuk Nama Berikut Ini :1.........................................................6.....................................................
2.........................................................7.....................................................
3.........................................................8.....................................................
4.........................................................9.....................................................
5.......................................................10.....................................................

Medan, 2019
Penyetor Petugas

(.....................................................) (......................................)