PROVINSIJAWA lrMlrr{

KOTA SURABAYA
35?8175009790001

N,i.X

*T$'Hlll"

,",,'""

llir'uunus puu* retrse

41!d4

N.l.K,3678171203730006
:

H.

ABD.AaS

r8D.m4t!d : suwAYA,1$g1sB ...

cdDfl]:ft*l,hl
RIrRw :

ffr0or

r(odsPF:

KE
:I^NAHAIItNNbNC
K4Ml : K|NJER,I

P.redia

wMs:w^sTr

60129

'I

PROVINSIJAWATIMUR

KOTA SUMBAYA
H.t.x

3578163006tt0260

rgFfgrldr:s0fAc'30$]99

&ft

P{g]!li
ffADHfimsollotrU(A\0N

d.

NPWP :

09.110.i88.{_611,0ci

MA :
^-.\

rAII(DIllli

,iLANIAT: jL

sotlBLjDllll

lCllOtUSUI0 J'\Yr

+1

Rl 0[5 8r'011 lscltlAx

ieiiiiii

o?-01'roo{

SURA!AYI

PROVINSI JAWA TIMUR

KOTA gURABAYA
NJ.K

r3578167006502

: xrRlYl

Pffgla

HJ,

9n sJA{OAH

Gd,o3nr: rd*T*u

s{d6(r.n:e,
,EP^u 8'fi trg3l,t"i,*,."

"^"

PFOVLNSI JAWA T]IIUR

KOTA SURABAYA

4-

".Y.:ll. " r

fi {r! t4ilquf pLll.!1]lLrdlllFlitil!

ir.,=g',1#,--}..
(:wj
\.q{$p?Y._c,,rt-1!l|I_o

s,

copy

lrl

r',

cs'r,

'[-

PROVINS! JAWA TIMUR

KOTA SURABAYA

{.t.K

357804670970003

ffiffi-

r:jl;lj::;i;

j.1.1_',i:,:t,tli.l

r'

i,:i::::1:il

i1l;

:.ii, ..t,,' ,'.:'.'ri,t

,,
[Li

]]

r'i

irll*i
,,':ii
i:.:

.,

,ir.,

',

,...,i:.;

li:::r.

'i:','::r:rrr:l

:,i';:'ii'

':r':i'

,.i,:.i

ri
t:.:'.1..

.t.ri
!.:)'11:,:.

r.366.1t1,J-606,000

\,\:I,\
.{

\/rp n A{Asis

il[)],ftsI[]l tqntDl.

I,A}IA'I': ll.IiiA]ic
lT

ll8llJ t0,ul

cl29

laeoh

002 Ry,00? )i010

ci]ntlrc

sut,{But

-:

-.:t

!!31 JAWA TIMUR

-' -.: -:=={:,=- r;,'ia
SU mgnyl

N.tx

!5fEl061ozg000r

bn s-nE YA r'dr ist3

rtxdllk@dho
r&fi.tc

: 12.5611..i50277 oooj
N.l.K
Nama : SUMARLIK
Tetrpa,qlrLa[r : SURaBAYA 05Frulvi 19tr
J6.G N6eii
PEF!P!r.\ o3oioai Drah
Arhar I s:rJr,,rPlR G6 KEt!Rr,l+r] 1?

;r)iidi:

rrl'.:
,,rl