Anda di halaman 1dari 2

0001 0001

100001 100001

WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


PARKIR
Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


PKL Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


R2/R4 Malang Desa Jatimulya Kecamatan Sumedang Jualan: Malang Desa Jatimulya Kecamatan Sumedang
No. Polisi:
Utara Kabupaten Sumedang _______________ Utara Kabupaten Sumedang

_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….

0001 0002
100001 100001
WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


PARKIR
Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


PKL Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


R2/R4 Malang Desa Jatimulya Kecamatan Sumedang Jualan: Malang Desa Jatimulya Kecamatan Sumedang
No. Polisi:
Utara Kabupaten Sumedang _______________ Utara Kabupaten Sumedang

_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….

0001 0003
100001 100001
WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


PARKIR
Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


PKL Untuk Sumbangan :

Kegiatan Karang Taruna “ RW . 04 “ Pasir


R2/R4 Malang Desa Jatimulya Kecamatan Sumedang Jualan: Malang Desa Jatimulya Kecamatan Sumedang
No. Polisi:
Utara Kabupaten Sumedang _______________ Utara Kabupaten Sumedang

_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….
1001 1001 1002 1002

RAFFLE RAFFLE

WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


Name: Name:
_______________ _______________
TICKET TICKET

Donation $5.00

Donation $5.00
Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006

1003 1003 1004 1004

RAFFLE RAFFLE
WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


Name: Name:
_______________ _______________
TICKET TICKET

Donation $5.00
Donation $5.00
Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006

1005 1005 1006 1006

RAFFLE RAFFLE
WINNER NEED NOT BE PRESENT TO WIN

WINNER NEED NOT BE PRESENT TO WIN


Name: Name:
_______________ _______________
TICKET TICKET

Donation $5.00
Donation $5.00

Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006

Anda mungkin juga menyukai