Kepada Yth.
1. Banom & Lembaga PRNU Bangsri 2
2. Muslimin Wal Muslimat
Di _Tempat
Nur Salam, S.Pd Nur Ali, S.Pd.I Risyanto Slamet Dumadi S A, A.Md
Potong di sini
Arwah yang dikirim
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Pengirim
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