Surat Ket Kurang Mampu 1301084405610001 2022-09-30 330

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fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs32 \rtlch \alang1033 \ltrch \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 \ul1 {\rtlch \fcs1 \af5 \afs34 \
ltrch \fcs0 \b1 \fs34 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \ul1 \par }\pard \plain \
s3 \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \keepn1 \hyphpar0 \aspalpha \faroman \
adjustright \lin0 \rin0 \itap0 \outlinelevel2 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
\b1 \fs32 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1033 \ul1 {\rtlch \fcs1 \af5 \afs34 \ltrch \fcs0 \b1 \fs34 \
rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1033 \ul1 SURAT KETERANGAN TIDAK MAMPU}{\rtlch \fcs1
\af5 \afs34 \ltrch \fcs0 \b1 \fs34 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \
loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \ul1 \par }\
pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\rtlch
\fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0
\loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Nomor : S-
11/330/PEM/2022}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain
\qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \
lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \
f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \
s26 \qj \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
\loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1033 Yang bertanda tangan di bawah ini }{\rtlch \fcs1 \af5 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1057 Kepala Desa}{\rtlch \fcs1
\af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch
\f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Surantih Kecamatan
Sutera Kabupaten Pesisir Selatan Provinsi Sumatera Barat menerangkan bahwa :}{\
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par
}\pard \plain \s26 \qj \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \
faroman \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033
{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \
}\pard \plain \s26 \qj \fi-3420 \li4140 \ri180 \lisb0 \lisa0 \widctlpar \hyphpar0 \
aspalpha \faroman \adjustright \lin4140 \rin180 \tql \tx1260 \tql \tx3960 \tql \
tx4140 \itap0 \ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \
ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\listtext \pard \
plain \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \f2 1.\tab }{\rtlch \fcs1
\f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Nama Lengkap}{\rtlch
\loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 :}{\
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab
}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch \alang1033 \ltrch \dbch \
DARNIS}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \
alang1033 \par }\pard \plain \s26 \qj \fi-3420 \li4140 \ri180 \lisb0 \lisa0 \
widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin4140 \rin180 \tql \tx1260 \
tql \tx3960 \tql \tx4140 \itap0 \ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
{\listtext \pard \plain \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \f2 2.\
tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \
No. KTP}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch
alang1033 \tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
ltrch \dbch \af2 \hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1033 :}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1033 \tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1033 1301084405610001}{\rtlch \fcs1 \af5 \afs22 \
ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \fi-
3420 \li4140 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin4140 \rin4 \tql \tx1260 \tql \tx3960 \tql \tx4140 \itap0 \ls1 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 {\listtext \pard \plain \rtlch \
fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 \f2 3.\tab }{\rtlch \fcs1 \af5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Tempat/tanggal lahir}{\
}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033
Surantih}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1057 \ltrch \
alang1057 , }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
langfenp1033 \alang1033 04 Mei 1961}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \fi-3420 \li4140 \ri4 \lisb0
\lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin4140 \rin4 \tql \
tx1260 \tql \tx3960 \tql \tx4140 \itap0 \ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1033 {\listtext \pard \plain \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1033 \f2 4.\tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1033 Jenis Kelamin}{\rtlch \fcs1 \af5 \afs22 \
ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\rtlch \fcs1 \
af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \
loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 :}{\rtlch \fcs1
\f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\rtlch \
af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Perempuan}
}\pard \plain \fi-3420 \li4140 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \
faroman \adjustright \lin4140 \rin4 \tql \tx1260 \tql \tx3960 \tql \tx4140 \itap0 \
ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\listtext \pard \plain \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Kewarganegaraan}{\rtlch \
af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\
hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 WNI}
}\pard \plain \fi-3420 \li4140 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \
faroman \adjustright \lin4140 \rin4 \tql \tx1260 \tql \tx3960 \tql \tx4140 \itap0 \
ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\listtext \pard \plain \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Agama}{\rtlch \fcs1 \
loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\rtlch \
af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 :}{\
\tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \
alang1033 Islam}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
langfenp1033 \alang1033 \par }\pard \plain \fi-3420 \li4140 \ri4 \lisb0 \lisa0 \
widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin4140 \rin4 \tql \tx1260 \
tql \tx3960 \tql \tx4140 \itap0 \ls1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
{\listtext \pard \plain \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \f2 7.\
tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \dbch \
Pekerjaan}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \
alang1033 \tab }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
langfenp1033 \alang1033 :}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
\langfe1033 \langfenp1033 \alang1033 Mengurus Rumah Tangga}{\rtlch \fcs1 \af5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \fi-
3420 \li4140 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin4140 \rin4 \tql \tx1260 \tql \tx3960 \tql \tx4140 \itap0 \ls1 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 {\listtext \pard \plain \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Tempat tinggal}{\rtlch \
af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \tab }{\
Peenyebarangan RT 0 }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1057
langfenp1033 \alang1057 RW }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1033 0}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1057 Dusun Pasar Surantih}{\rtlch \fcs1 \af5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Desa Surantih Kecamatan
Sutera Kabupaten Pesisir Selatan}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \qj \li0 \ri4 \lisb0 \
lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin4 \tql \tx1260
\tql \tx3960 \tql \tx4140 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\
}\pard \plain \qj \li0 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin0 \rin4 \tql \tx709 \tql \tx3960 \tql \tx4140 \itap0 \rtlch \fcs1 \
af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \
\langfe1033 \langfenp1033 \alang1033 Bahwa yang tersebut namanya diatas, sepanjang
pengetahuan dan penelitian kami hingga saat dikeluarkannya surat keterangan ini
memang benar Keluarga yang KURANG MAMPU dan tidak memiliki penghasilan tetap.}{\
}\pard \plain \qj \li0 \ri4 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin0 \rin4 \tql \tx709 \tql \tx3960 \tql \tx4140 \itap0 \rtlch \fcs1 \
af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \qc \li0 \ri4 \lisb0 \
lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin4 \tql \
tx709 \tql \tx3960 \tql \tx4140 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch \alang1033 \ltrch
\dbch \af2 \hich \af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1033 \ul1 DAFTAR TANGGUNGAN KELUARGA}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \li720 \ri4 \lisb0 \lisa0 \
widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin720 \rin4 \tql \tx1260 \tql
\tx3960 \tql \tx4140 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\trowd \
trql \trgaph0 \trleft0 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \trwWidth10190 \trftsWidth3 \trftsWidthB1 \trftsWidthA1 \trpaddl108 \
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \clbrdrl \brdrs \
brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \clwWidth567 \clftsWidth3 \cellx567 \clvertalc \clbrdrl \brdrs \
brdrw10 \cltxlrtb \clwWidth1985 \clftsWidth3 \cellx2552 \clvertalc \clbrdrl \
brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \clwWidth1825 \clftsWidth3 \cellx10190 \pard \plain \s26 \qc \
fi57 \li0 \ri28 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin0 \rin28 \tql \tx2880 \intbl \itap1 \rtlch \fcs1 \af0 \afs24 \ltrch
\fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs16 \rtlch \
langfe1033 \langfenp1033 \alang1033 NO}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \s26 \qc \fi57 \li0 \
ri28 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \
rin28 \tql \tx2880 \intbl \itap1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs16 \rtlch \alang1033 \ltrch \dbch \
NIK}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs16 \rtlch \alang1033 \ltrch \dbch
alang1033 \cell }\pard \plain \s26 \qc \fi57 \li0 \ri28 \lisb0 \lisa0 \widctlpar \
hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin28 \tql \tx2880 \intbl \itap1 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033
\alang1033 NAMA}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs16 \rtlch \alang1033
langfenp1033 \alang1033 \cell }\pard \plain \s26 \qc \fi57 \li0 \ri28 \lisb0 \lisa0
\widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin28 \tql \tx2880 \
intbl \itap1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \
\ltrch \fcs0 \b1 \fs16 \rtlch \alang1057 \ltrch \dbch \af2 \hich \af0 \loch \f5 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1057 L/P}{\rtlch \fcs1 \af5 \
afs22 \ltrch \fcs0 \b1 \fs16 \rtlch \alang1057 \ltrch \dbch \af2 \hich \af0 \loch \
f5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1057 \cell }\pard \plain \
s26 \qc \fi57 \li0 \ri28 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
langfe1033 \langfenp1033 \alang1057 TEMPAT TANGGAL LAHIR}{\rtlch \fcs1 \af5 \
s26 \qc \fi57 \li0 \ri28 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
langfe1033 \langfenp1033 \alang1033 SHDK}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1
\fs16 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \li0 \ri0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\trowd \trql \trgaph0 \
trleft0 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \
brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \cltxlrtb \clwWidth1825 \clftsWidth3 \cellx10190 \row }\trowd \trql \
trgaph0 \trleft0 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrw10 \cltxlrtb \clwWidth710 \clftsWidth3 \cellx5955 \clvertalt \clbrdrl \brdrs \
brdrw10 \cltxlrtb \clwWidth1825 \clftsWidth3 \cellx10190 \pard \plain \s26 \qj \
langfe1033 \langfenp1033 \alang1033 1}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \s26 \qj \fi57 \li0 \
1301086201990001}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs16 \rtlch \alang1033 \
langfenp1033 \alang1033 \cell }\pard \plain \s26 \qj \fi57 \li0 \ri28 \lisb0 \lisa0
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 RINSI SILHAYU}{\rtlch \
af0 \loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \cell }\
pard \plain \s26 \qj \fi57 \li0 \ri28 \lisb0 \lisa0 \widctlpar \hyphpar0 \
aspalpha \faroman \adjustright \lin0 \rin28 \tql \tx2880 \intbl \itap1 \rtlch \fcs1
langfe1033 \langfenp1033 \alang1033 P}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \s26 \qj \fi57 \li0 \
SURANTIH, 22-01-1999}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs16 \rtlch \alang1033
langfenp1033 \alang1033 \cell }\pard \plain \s26 \qj \fi57 \li0 \ri28 \lisb0 \lisa0
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 ANAK}{\rtlch \fcs1 \af5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \
li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \
rin0 \intbl \itap1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \
ltrch \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\trowd \trql \
trgaph0 \trleft0 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrw10 \cltxlrtb \clwWidth710 \clftsWidth3 \cellx5955 \clvertalt \clbrdrl \brdrs \
brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth1825 \clftsWidth3 \
cellx10190 \row }\pard \plain \s26 \qj \fi720 \li0 \ri0 \lisb0 \lisa0 \widctlpar \
hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin0 \tql \tx2880 \itap0 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \s26 \qj \
adjustright \lin0 \rin0 \tql \tx2880 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1057 Surat Keterangan ini dibuat untuk keperluan : }{\rtlch \fcs1 \af5 \
f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \ul1 permohonan
Pengurusan BPJS (KIS)}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \s26 \qj \fi720 \li0 \ri0 \
tql \tx2880 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \
s26 \qj \fi720 \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
alang1033 Demikian surat keterangan ini dibuat}{\rtlch \fcs1 \af5 \afs22 \ltrch \
langnp1057 \langfe1033 \langfenp1033 \alang1057 dengan sebenarnya}{\rtlch \fcs1 \
loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 , untuk }{\
dapat }{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \ltrch \
alang1033 dipergunakan sebagaimana mestinya.}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0
\fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \s26 \qj \
alang1033 \par }\trowd \trql \trgaph0 \trrh2260 \trleft-108 \trautofit1 \
trwWidth10188 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl10 \trpaddr10 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrnone \clbrdrr \
brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \clpadt108 \clpadr108 \
clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth4158 \clftsWidth3 \cellx4050 \
clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \
brdrnone \cltxlrtb \clpadt108 \clpadr108 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \
clwWidth900 \clftsWidth3 \cellx4950 \clvertalt \clbrdrl \brdrnone \clbrdrr \
clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth5130 \clftsWidth3 \cellx10080 \pard
\plain \s26 \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
adjustright \lin0 \rin0 \tql \tx2880 \intbl \itap1 \rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \
\intbl \itap1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \
\afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \
loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Diketahui oleh}
{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1033 \ltrch \dbch \
\par }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \
aspalpha \faroman \adjustright \lin0 \rin0 \tql \tx2880 \intbl \itap1 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1033 Camat sutera}{\rtlch \fcs1 \af5 \
s26 \qj \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
langfe1033 \langfenp1033 \alang1033 \cell }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \
f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Surantih, 30
September 2022}{\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1033 \
langfenp1033 \alang1033 \par }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \lisa0 \
widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin0 \tql \tx2880 \intbl
\itap1 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 Wali Nagari Surantih}{\
}\pard \plain \s26 \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \
faroman \adjustright \lin0 \rin0 \tql \tx2880 \intbl \itap1 \rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \fs22 \rtlch \
s26 \qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \
lisa0
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }\pard \plain \s26 \
qc \li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \
lin0 \rin0 \tql \tx1560 \tqc \tx2457 \tql \tx2880 \intbl \itap1 \rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \fs24 \rtlch \alang1033 \ltrch \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1033 {\rtlch \fcs1 \af5 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1033 \ul1 AMSUARDI}{\rtlch \fcs1 \af5 \afs22 \
ltrch \fcs0 \b1 \fs22 \rtlch \alang1033 \ltrch \dbch \af2 \hich \af0 \loch \f5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \ul1 \par }\pard \plain \
langfe1033 \langfenp1033 \alang1033 \cf16 \cell }\pard \plain \li0 \ri0 \lisb0 \
lisa0 \widctlpar \hyphpar0 \aspalpha \faroman \adjustright \lin0 \rin0 \intbl \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 {\trowd \trql \trgaph0 \
trrh2260 \trleft-108 \trautofit1 \trwWidth10188 \trftsWidth3 \trftsWidthB3 \
trftsWidthA3 \trpaddl10 \trpaddr10 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clwWidth4158 \clftsWidth3 \cellx4050 \clvertalt \clbrdrl \brdrnone \clbrdrr \
clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth900 \clftsWidth3 \cellx4950 \
clwWidth5130 \clftsWidth3 \cellx10080 \row }\pard \plain \s26 \qj \fi720 \li0 \
rin0 \tql \tx2880 \itap0 \rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\loch \f5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1033 \par }}

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{\rtf1 \ansi \ansicpg1252 \deff0 \stshfdbch2 \stshfloch0 \stshfhich0 \deflang1033 \

deflangfe1033 {\fonttbl {\f0 \froman \fcharset0 \fprq2 {\*\panose

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