Pada hari ini ........................... tanggal ............. Bulan ............................. tahun 2021,
berdasarkan hasil verifikasi penggunaan dana BOS Tahap II ( Juli – Agustus ) Tahun 2021 dengan
melihat dan menghitung bukti pengeluaran yang sah dari Laporan BOS Tahap II ( Juli – Agustus )
Tahun 2021 yang dibuat oleh Lembaga ................................................. Kecamatan
................................. yang bertempat di .................................... dapat disimpulkan hasil
sebagai berikut :
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Verifikator
.................................................
Mengetahui,
Kepala Sekolah Bendahara BOS
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