BKP :
TERBILANG : Rp 1,080,000
(........................................)
KP :
anaan Pertemuan
on Banjar Negara Kec. Wonosobo
,
Yang Menerima
................
Jumlah
Rp 1,080,000
Widayati Fauziyanto Sulastri,S.St Sri Rohani, Amd.Keb
NIP. 19740404 201406 2 002 NIP.19651110198903 1 011 NIP. 19780102 200701 2 008NIP. 198806202017042 001
dr. Devi Putri Amalia dr. Vinda Rhendia Fenti Maili Diana,Amd.Keb
NIP. 19931223 201903 2 002 NRPTT. 19900826.2.010 NIP. 19720504 199210 2 004