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FORM LEMBUR FORM LEMBUR

Nama :______________________________________________ Nama :______________________________________________


Hari/Tanggal :______________________________________________ Hari/Tanggal :______________________________________________
Waktu :______________________________________________ Waktu :______________________________________________
Detail Pekerjaan :______________________________________________ Detail Pekerjaan :______________________________________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________

Pemohon, Diketahui, Disetujui, Pemohon, Diketahui, Disetujui,

( ) (Ira D) (Arianto H) ( ) (Ira D) (Arianto H)

FORM LEMBUR FORM LEMBUR

Nama :______________________________________________ Nama :______________________________________________


Hari/Tanggal :______________________________________________ Hari/Tanggal :______________________________________________
Waktu :______________________________________________ Waktu :______________________________________________
Detail Pekerjaan :______________________________________________ Detail Pekerjaan :______________________________________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________

Pemohon, Diketahui, Disetujui, Pemohon, Diketahui, Disetujui,

( ) (Ira D) (Arianto H) ( ) (Ira D) (Arianto H)

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