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BANK AKUNTANSI JAYA

SLIP PENYETORAN

DEPOSIT SLIP
.....…………….…………………………………………………………………………………........
BAJUtama BAJDollar Simpedes Tabungan Haji Pinjaman …………………………

Disetor ke/Depstit to
Tunal/Cok/BG/Cash/Cheque Jumlah / Amount
Nomar rekening/Acc No :………………………………………………………………………
Nama/Name :………………………………………………………………………
Kanca/KCP/BAJ unlt/Branch :………………………………………………………………………
Matn Uang/Currency Rupiah Valas forex............................... Sub Total Suh Total
Kurs/Rate" Kurs/Rate"
Ponyotor/Depositor Biaya/Chergs”
Nama/Name :……………………………………………………………………… Total
Alamat/Address :………………………………………………………………………
………………………………………………………No.Telp………………………………………… Terbilang /Amount in words…………………………………………………………
Sumber Dana / Source Of Fund :……………………………………………………………………… ………………………………………………………………………………………

Keterangan / Remarsk :………………………………………………………………………


…………………………………………………………………………………………………………. Teller TTD Penerima..…………………………………….

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