Berita Acara Pengembalian Karcis

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  • 8/18/2019 Berita Acara Pengembalian Karcis

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    PEMERINTAH KOTA BANJARMASINDINAS KESEHATAN

    PUSKESMAS PEMURUS DALAMJL. THAMRIN RT.26 No.01 Komp. Beruntun J!"!

    BANJARMASIN Kode Pos : 70248

    BERITA ACARA PENGAMBALIAN

    KARCIS RETRIBUSI

     Nomor : 045.2 !III PKM"P# 20$4

    P%d% &%r' '(' Se)%s% T%(**%) #+% Be)%s B+)%( A*+s,+s T%-+( #+% R'+ Em/%, Be)%s. Ses+%'de(*%( Perm'(,%%( #%r' Pe(*e)o)% K%r's #'(%s Kese-%,%( Ko,% B%(1%rm%s'( d%)%m -%)

    Pe(*em%)'%( K%r's ,'d% ,er/%%'3 m%% de(*%( '(' %m' me(*em%)'%( %r's ,'d% ,er/%%'

    +(+sed d' /+sesm%s Pem+r+s d%)%m de(*%( r'('%( Se%*%' Ber'+, :$. K%r's T'(d%%( KIA se%(6% $ B+(de)

    2. K%r's Pe)%6%(%( Ko(s+),%s' G'' d%( S%(',%s' se%(6% $ B+(de)

    #em''%( er',% %%r% /e(*em%)'%( %r's '(' d'+%, +(,+ d%/%, d'/er*+(%%( se%*%' m%(%

    mes,'(6%.

    Me(*e,%-+' :Ke/%)% P+sesm%s Pem+r+s #%)%m Pe(*e)o)% K%r's

    dr. &1. No',% Be(dr'%( S%r'3 Amd

     NIP.$97$$24 20050$ 2 0$$ NIP.$9840820 20$00$ $ 009