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<html> <head> <title>Cetak Kartu Keluarga</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"></head> <body style="font-family:Verdana;font-size:12px" onLoad="Full" topmargin="40"> <p style="font-size:45px;font-weight:700;text-align:center;margin-bottom:0px;margin-top:0;font-family:Arial, Helvetica, sans-serif">KARTU KELUARGA</p> <p style="font-size:25px;font-weight:bold;text-align:center;;margin-bottom:0px;margin-top:0px;font-family:Arial, Helvetica, sans-serif">No. 6404052709100006</p> <!--<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center"> <tr> <td width="5" align="right"> </td> <td width="95%">--> <table width="100%" style="font-size:12px" border="0" cellpadding="0" cellspacing="0" align="center"> <tr> <td width="4%"> </td> <td width="16%" valign="top">Nama Kepala Keluarga</td> <td width="1%" valign="top">:</td> <td width="45%" style="font-size:12px"><strong>SAHIT MUSTIKO WIBOWO</strong></td> <td width="11%">Kecamatan</td> <td width="1%">:</td> <td width="22%">TANJUNG SELOR</td> </tr> <tr> <td> </td> <td>Alamat</td> <td>:</td> <td>JL RAJAWALI SELIMAU I</td> <td>Kabupaten/Kota</td> <td>:</td> <td>BULUNGAN</td> </tr> <tr> <td> </td> <td>RT/RW</td> <td>:</td> <td>007 / 003</td> <td>Kode Pos</td> <td>:</td> <td>77212</td> </tr> <tr> <td> </td> <td>Desa/Kelurahan</td> <td>:</td> <td>TANJUNG SELOR TIMUR</td> <td>Provinsi</td> <td>:</td> <td>KALIMANTAN UTARA</td> </tr> <tr> <td height="6"></td> </tr> </table> <table width="100%" border="0" bgcolor="#000000" cellpadding="0" cellspacing="0" align="center"> <tr> <td style="border:1px #000000 solid" bgcolor="#000000"> <table width="100%" border="0" cellpadding="1" cellspacing="1"> <tr align="center" bgcolor="#ffffff"> <td width="2%" style="font-family:Arial, Helvetica, sans-serif; font-size:11px"><strong>No</strong></td> <td width="25%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Nama Lengkap</strong></td> <td width="9%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>NIK</strong></td> <td width="6%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Jenis<br />Kelamin</strong></td> <td width="14%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Tempat Lahir</strong></td> <td width="6%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Tanggal<br />Lahir</strong></td> <td width="6%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Agama</strong></td> <td width="15%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Pendidikan</strong></td> <td width="17%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Jenis Pekerjaan</strong></td> </tr> <tr style="font-weight:bold;background-color:#CCCCCC;" align="center"> <td> </td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(1)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(2)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(3)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(4)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(5)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(6)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(7)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(8)</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">1</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">SAHIT MUSTIKO WIBOWO</td> <td align="center" valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0"><strong>6404050812860001</strong></td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">LAKI-LAKI</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">BLORA</td> <td align="center" valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">08-12-1986</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">ISLAM</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">SLTA/SEDERAJAT</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">PELAJAR/MAHASISWA</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">2</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">MASLIANA</td> <td align="center" valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0"><strong>6404055005870003</strong></td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">PEREMPUAN</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">KOTA BARU</td> <td align="center" valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">10-05-1987</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">ISLAM</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">SLTA/SEDERAJAT</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">PELAJAR/MAHASISWA</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">3</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">4</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">5</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">6</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">7</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">8</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">9</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">10</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> </table> </td> </tr> </table> <table> <tr> <td></td> </tr> </table> <table width="100%" border="0" bgcolor="#000000" cellpadding="0" cellspacing="0" align="center"> <tr> <td style="border:1px #000000 solid" bgcolor="#000000"> <table width="100%" border="0" cellpadding="1" cellspacing="1"> <tr align="center" valign="middle" bgcolor="#ffffff"> <td width="2%" rowspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>No.</strong></td> <td width="8%" rowspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Status<br> Perkawinan</strong></td> <td width="11%" rowspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Status Hubungan Dalam Keluarga</strong></td> <td width="8%" rowspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Kewarganegaraan</strong></td> <td colspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Dokumen Imigrasi</strong></td> <td colspan="2" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Nama Orang Tua</strong></td> </tr> <tr align="center" bgcolor="#ffffff"> <td width="10%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>No. Paspor</strong></td> <td width="10%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>No. KITAS/KITAP</strong></td> <td width="25%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Ayah</strong></td> <td width="26%" style="font-family:Arial, Helvetica, sans-serif;font-size:11px"><strong>Ibu</strong></td> </tr> <tr style="font-weight:bold;background-color:#CCCCCC;" align="center"> <td> </td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(9)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(10)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(11)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(12)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(13)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(14)</td> <td style="font-family:Arial, Helvetica, sans-serif;font-size:10px">(15)</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">1</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">KAWIN</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">KEPALA KELUARGA</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">WNI</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">S. SAIBAN</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">WATINI</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">2</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">KAWIN</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">ISTRI</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">WNI</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">ABDULLAH</td> <td valign="top" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">SALAMAH</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">3</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">4</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">5</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">6</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">7</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">8</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">9</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> <tr bgcolor="#ffffff" style="font-size:11px;font-weight:normal" valign="top"> <td valign="top" align="center" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">10</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> <td valign="top"><img src="C:\SiakApp\web/images/spacer.gif" width="1" height="10" border="0">-</td> </tr> </table> </td> </tr> </table> <table width="95%" border="0" align="center"> <tr> <td align="right" style="font-family:Arial, Helvetica, sans-serif;font-size:10px"></td> </tr> </table> <table width="95%" border="0" cellpadding="0" cellspacing="0" style="margin-top:5px;font-size:12px" align="center"> <tr> <td width="4%"> </td> <td width="16%">Dikeluarkan Tanggal </td> <td width="2%">:</td> <td colspan="2"> <table border="1" bordercolor="#000000" cellpadding="0" cellspacing="0" > <tr> <td height="20"><p style="margin-top:-5px;"> 18-01-2016 </p></td> </tr> </table> </td> <td width="1%"> </td> <td width="27%"> </td> <td width="6%"> </td> <td width="26%"> </td> </tr> <tr> <td> </td> <td>LEMBAR</td> <td>:</td> <td width="2%">I.</td> <td width="14%">Kepala Keluarga</td> <td> </td> <td align="center">KEPALA KELUARGA</td> <td> </td> <td align="center" rowspan="3" valign="top">PLT. KEPALA DINAS KEPENDUDUKAN DAN PENCATATAN SIPIL</td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td>II.</td><td>RT</td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td>III.</td> <td>Desa/Kelurahan</td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td>IV.</td> <td>Kecamatan</td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td colspan="11" height="6"></td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td align="center" style="font-size:12px"><u><strong>SAHIT MUSTIKO WIBOWO</strong></u></td> <td> </td> <td align="center" style="font-size:12px"><u><strong>EDY JUMANI, B.Ac</strong></u></td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td align="center" style="font-size:10px">Tanda Tangan/Cap Jempol</td> <td> </td> <td align="center" style="font-size:12px">NIP.195809121991031005</td> </tr> </table> </body> </html>
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