DAFTAR ISI PAKET MAKANAN RAMADAN IRW

Nama Penerima Manfaat : ………………………………………………………………………………………

Alamat/Desa : ………………………………………………………………………………………

Laporan Kurang Barang/Rusak :………………………………………………………………………… …………….

Tanda Rangan :………………………………………………………………………… …………….

Isi Paket Makanan Ramadan Keterangan

1. Beras Merek Antara..……………………………………………………..… 25 Kg
2. Minyak Goreng, Sunco, 2 Liter…………………………..…………….. 2 Pcs
3. Tepung Terigu, Segitiga Biru, 1 Kg…………………………………….. 2 Pack
4. Gula, Gula Lokal 1 Kg………………………………………………………… 4 Pack
5. Telur Segar, 30 Butir…………………………………………………………. 1 Tray
6. Margarin, Blueband, 200gr……………………………………………….. 4 Pack
7. Garam Beryodium, Lodan, 500 gr……….…………………………….. 4 pack
8. Kecap Manis, ABC, 275 Lt………………………………………………….. 4 Botol
9. Agar-agar Bubuk, Swallow, 7 gr………………………………………… 4 Sachet
10. Biscuit Unibis Gula, 300 gr……………………………………………… 3 Pack