PEMERJNTAHKABUPATEN PIDIE

GAI\IPONG KU\.'IRANG TRllENG CAl\1PLI

K.ECA \1ATAN GLUJ\IPANG0B,cA�R�Oe____

Sl1RA T h.t: r rR,\l\'G.\_'I

Nomnr Ff I J:B 11022

Yang lxrnanda dtba aah nn 1'.eLK-h,• Gampon1a: Kumb,mg Trncne Campi,, Kec.tmatan
Glump.ing Uaro, Kabupaten P1d1c. dcllgdn im mcnenmgkan bah"d

• l\arna · h_'l-lAIZI R

Teinpat!Tsl Lahn Kumb"-"H Tru:;,ng Campti C,6--05-1984

Jems Kdamm LalJ-Jaki
Ag,ima Islam
Alamal G,tlTiflO'lS K1nnbdTIS Trueni; Cumpl1, T..'.�<::unatan Gln<npung
Baro, Kabupatcn 1'1d1e

Bahwe lclenar bahwasanya uauu '"'""but Jiaras Perduduk Gampong K11mhan;: Frueng
Cau,pli. xecamateu Glumpang Baro, Kabuparcn !'1!he, dan selama iru rumJh ianggan)a
tlengaa ISl!!TI)a �farhamah Binli i\l.Dmul telah h1dup lkq,1sah dar- rumah tangganya sudnh
l 1d1ik Harmoms f4gi dalam \1�mhina Rum�h I ar.gga

Dennkrnn Surat ktternn�1m iru dibHal 1mlul... dapat dtpc,gunakan sehagannana mes,mya umuk
h>p<,rh1an /1. lahka:mJh Syar'1y1th S1gl,
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