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[null,"KASBON"]
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[null,"tanggal",":"]
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[null,"data pegawai"]
[null,"nama",":"]
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[null,"bagian",":"]
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[null,"mulai kerja",":"]
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[null,"keterangan kasbon"]
[null,"jumlah kasbon ",":"]
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[null,"jumlah",":"]
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[null,"keterangan kasbon",":"]
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[null,"tanda tangan pemohon",null,null,null,null,null,"tanda tangan pimpinan"]
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[null,"(……………………………….….)",null,null,null,null,null,"(………………………………)"]