8/17/2019 2 VENUE - izin ruang rapat 9,11 .doc

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No : 02/PH/LKMM-PRADAS/OS/VIII/2014Lamp : -

Hal : Permohonan Izin Tempat

KepadaYth De!a" #K $NISS$LAd% &empat

A''alam(ala%!(m )* )+

P(,% S (!(* !ehad%*at Allah S)& a". 'e"a"t%a'a mel%mpah!a" *ahmat da" h%da ah-N a !epada!%ta 'em(a Shola at da" 'alam 'emo.a te* (*ah !epada ,(",(".a" !%ta Na+% M(hammad SA) +e'e*ta

pa*a !el(a*.a 'aha+at da" pe".%!(t" a

Seh(+(".a" de".a" a!a" d%ada!a"" a a a*a Rapat LKMM p*ada'a* a". a!a" d%la!'a"a!a" pada:

Ha*% / &a"..al : 3 11 Septem+e* 2014

)a!t( : P!l 0 00 5 'ele'a%

&empat: 6ed(". A Lt 1

$"t(! %t( !am% +e*ma!'(d memoho" %,%" ata' pe" ele"..a*aa" a a*a te*'e+(t

Dem%!%a" '(*at pe*moho"a" %"% !am% +(at Ata' pe*hat%a" da" !e*,a 'ama" a !am% me".( ap!a"te*%ma !a'%h

)a''alam(ala%!(m )* )+

8/17/2019 2 VENUE - izin ruang rapat 9,11 .doc

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Sema*a".

P*e'%de" Maha'%' a #K $NISS$LA Ket(a LKMM 2014 #K $NISS$LA

Bayu Winoto Narendra Tyas Wicaksana

Ka 7a. Kemaha'%' aa" da" Al(m"%#K $NISS$LA

dr. Hj. Andriana, Sp.THT- !, "si."ed

&em+('a" :

1 Ka 7a. Kemha'%' aa" da" Al(m"%

2 PPSK 8 79M #K $NISS$LA

4 Pe"a"..(". a a+ 6ed A