Upload
bend-rian
View
315
Download
5
Embed Size (px)
Citation preview
8/18/2019 Berita Acara Pengembalian Karcis
1/1
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