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<html> <head> <link href="../../java/cetak/css/style.css" rel="stylesheet" type="text/css"/> <style type="text/css" media="print,screen"> @page{ size:legal;} table.renggang tr{ line-height: 0.3cm;} tr.renggang{ line-height: 0.3cm;} table.garis{ border-top:1px #000000 solid;border-left:1px #000000 solid;border-right:1px #000000 solid;border-bottom:1px #000000 solid;} </style> </head> <body> <?php for ($i=0;$i<count($data);$i++){ $value = $data[$i]; ?> <table width="93%" class="renggang"> <tr><td colspan="8" height="8"></td></tr> <tr> <td width="23%">Pemerintah Kabupaten/Kota</td> <td width="1%">:</td> <td width="35%"><?php echo $value->adm_nama_kab;?></td> <td class="font9" width="3%">Ket</td> <td class="font9" width="1%">:</td> <td class="font9" width="14%">Lembar 1 Warna Putih</td> <td class="font9" width="1%">:</td> <td class="font9" width="22%">UPTD/Instansi Pelaksana</td> </tr> <tr> <td width="23%">Provinsi</td> <td>:</td> <td><?php echo $value->adm_nama_prop;?></td> <td colspan="2"></td> <td class="font9">Lembar 2 Warna Merah</td> <td class="font9">:</td> <td class="font9">Untuk Yang Bersangkutan</td> </tr> <tr> <td>Kode Wilayah</td> <td>:</td> <td><?php echo $value->adm_no_prov.str_pad($value->adm_no_kab, 2, '0', STR_PAD_LEFT);?></td> <td colspan="4"></td> </tr> <tr><td colspan="8" height="8"></td></tr> </table> <table width="93%" class="tengah"> <tr> <td class="font17"> <strong style="font-size:16px">SURAT KETERANGAN KEMATIAN</strong> </td> </tr> <tr> <td class="font15">NO : <?php echo $value->adm_akta_no;?></td> </tr> <tr><td height="5"></td></tr> </table> <table width="93%" class="renggang"> <tr> <td width="23%">Nomor Kartu Keluarga</td> <td width="1%">:</td> <td width="76%"><b><?php echo $value->mati_no_kk;?></b></td> </tr> <tr> <td width="23%">Nama Kepala Keluarga</td> <td>:</td> <td width="76%"><?php echo $value->mati_nama_kk;?></td> </tr> <tr><td height="5"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>J E N A Z A H</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->mati_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->mati_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Jenis Kelamin</td> <td>:</td> <td colspan="8"><?php echo $value->mati_jns_kelamin;?></td> </tr> <tr valign="top"> <td>4.</td> <td>Tanggal Lahir / Umur</td> <td>:</td> <td colspan="8"><?php echo $value->mati_tgl_lahir!=NULL?$value->mati_tgl_lahir->format('d-m-Y'):"-"?> / <?php echo $this->siaklib->getKosongToStrip($value->mati_umur)?> Tahun</td> </tr> <tr valign="top"> <td>5.</td> <td>Tempat Lahir</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->mati_tmpt_lahir);?></td> </tr> <?php if($value->mati_lahir_dn ==="Y"){ ?> <tr valign="top"> <td colspan="3"></td> <td colspan="2">Provinsi</td> <td colspan="6">: <?php echo $value->mati_tmpt_lahir_no_prov_desc?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td colspan="2">Kabupeten/Kota</td> <td colspan="6">: <?php echo $value->mati_tmpt_lahir_no_kab_desc?></td> </tr> <?php } ?> <tr valign="top"> <td>6.</td> <td><?php echo $this->siaklib->getLabelAgama118_1($value->mati_agama_code)?></td> <td>:</td> <td colspan="8"><?php echo $value->mati_agama;?></td> </tr> <tr valign="top"> <td>7.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->mati_pekerjaan;?></td> </tr> <tr valign="top"> <td>8.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->mati_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->mati_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->mati_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="24%"><?php echo $value->mati_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="25%"><?php echo $value->mati_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->mati_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->mati_nama_prop;?></td> </tr> <tr valign="top"> <td>9.</td> <td>Kewarganegaraan</td> <td>:</td> <td colspan="8"> <?php echo $value->mati_wrg_ngr_desc; if($value->mati_wrg_ngr === "2"){ echo "   Kebangsaan : ".$value->mati_kebangsaan; } ?> </td> </tr> <tr valign="top"> <td>10.</td> <td>Anak Ke</td> <td>:</td> <td colspan="8"><?php echo $this->siaklib->getKosongToStrip($value->mati_anak_ke);?> <?=(int)$value->mati_anak_ke > 0?"(".trim(strtoupper($this->siakwordconvert->getIndonesiaConvertNumberToWords($value->mati_anak_ke))).")":""?></td> </tr> <tr valign="top"> <td>11.</td> <td>Tanggal Kematian</td> <td>:</td> <td colspan="8"><?php echo $value->mati_tgl_mati->format('d-m-Y');?></td> </tr> <tr valign="top"> <td>12.</td> <td>Pukul</td> <td>:</td> <td colspan="8"><?php echo $value->mati_wkt_mati;?></td> </tr> <tr valign="top"> <td>13.</td> <td>Sebab Kematian</td> <td>:</td> <td colspan="8"><?php echo $value->mati_sebab;?></td> </tr> <tr valign="top"> <td>14.</td> <td>Tempat Kematian</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->mati_tmpt_mati);?></td> </tr> <tr valign="top"> <td>15.</td> <td>Yang Menerangkan</td> <td>:</td> <td colspan="8"><?php echo $value->mati_yg_mnrgkan;?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>I B U</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->ibu_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->ibu_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Tanggal Lahir / Umur</td> <td>:</td> <td colspan="8"> <?php $vIbuTglLahir = ""; if($value->ibu_tgl_lahir != NULL){ $vIbuTglLahir = $value->ibu_tgl_lahir->format('d-m-Y'); } echo $this->siaklib->getKosongToStrip($vIbuTglLahir)." / ".$this->siaklib->getKosongToStrip($value->ibu_umur). "Tahun"; ?> </td> </tr> <tr valign="top"> <td>4.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->ibu_pekerjaan;?></td> </tr> <tr valign="top"> <td>5.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->ibu_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->ibu_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->ibu_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="23%"><?php echo $value->ibu_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="24%"><?php echo $value->ibu_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->ibu_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->ibu_nama_prop;?></td> </tr> <tr valign="top"> <td>6.</td> <td>Kewarganegaraan</td> <td>:</td> <td colspan="8"><?php echo $value->ibu_wrg_ngr_desc;?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>A Y A H</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->ayah_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->ayah_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Tanggal Lahir / Umur</td> <td>:</td> <td colspan="8"> <?php $vAyahTglLahir = ""; if($value->ayah_tgl_lahir != NULL){ $vAyahTglLahir = $value->ayah_tgl_lahir->format('d-m-Y'); } echo $this->siaklib->getKosongToStrip($vAyahTglLahir)." / ".$this->siaklib->getKosongToStrip($value->ayah_umur). "Tahun"; ?> </td> </tr> <tr valign="top"> <td>4.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->ayah_pekerjaan;?></td> </tr> <tr valign="top"> <td>5.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->ayah_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->ayah_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->ayah_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="23%"><?php echo $value->ayah_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="24%"><?php echo $value->ayah_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->ayah_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->ayah_nama_prop;?></td> </tr> <tr valign="top"> <td>6.</td> <td>Kewarganegaraan</td> <td>:</td> <td colspan="8"><?php echo $value->ayah_wrg_ngr_desc;?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>PELAPOR</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->plpr_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->plpr_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Umur</td> <td>:</td> <td colspan="8"><?php echo $value->plpr_umur.' Tahun';?> </td> </tr> <tr valign="top"> <td>4.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->plpr_pekerjaan;?></td> </tr> <tr valign="top"> <td>5.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->plpr_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->plpr_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->plpr_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="23%"><?php echo $value->plpr_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="24%"><?php echo $value->plpr_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->plpr_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->plpr_nama_prop;?></td> </tr> <tr valign="top"> <td>6.</td> <td>Tanggal Lapor</td> <td>:</td> <td colspan="8"><?php echo $value->plpr_tgl_lapor === NULL?"":$value->plpr_tgl_lapor->format("d-m-Y");?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>SAKSI I</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->saksi1_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->saksi1_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Umur</td> <td>:</td> <td colspan="8"><?php echo $value->saksi1_umur.' Tahun';?> </td> </tr> <tr valign="top"> <td>4.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->saksi1_pekerjaan;?></td> </tr> <tr valign="top"> <td>5.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->saksi1_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->saksi1_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->saksi1_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="23%"><?php echo $value->saksi1_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="24%"><?php echo $value->saksi1_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->saksi1_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->saksi1_nama_prop;?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 renggang garis"> <tr> <td colspan="11"><b>SAKSI II</b></td> </tr> <tr valign="top"> <td width="2%">1.</td> <td width="21%">NIK</td> <td width="1%">:</td> <td colspan="8"><b><?php echo $value->saksi2_nik;?></b></td> </tr> <tr valign="top"> <td>2.</td> <td>Nama Lengkap</td> <td>:</td> <td colspan="8"><?php echo $value->saksi2_nama_lgkp;?></td> </tr> <tr valign="top"> <td>3.</td> <td>Umur</td> <td>:</td> <td colspan="8"><?php echo $value->saksi2_umur.' Tahun';?> </td> </tr> <tr valign="top"> <td>4.</td> <td>Pekerjaan</td> <td>:</td> <td colspan="8"><?php echo $value->saksi2_pekerjaan;?></td> </tr> <tr valign="top"> <td>5.</td> <td>Alamat</td> <td>:</td> <td colspan="8"><?php echo htmlentities($value->saksi2_alamat);?>, <span style="padding-left:3px">RT. <?php echo trim($value->saksi2_no_rt, " ");?></span> <span style="padding:0px 2px 0px">/</span> <span>RW. <?php echo trim($value->saksi2_no_rw, " ");?></span> </td> </tr> <tr valign="top"> <td colspan="3"></td> <td width="1%">a.</td> <td width="13%">Desa/Kelurahan</td> <td width="1%">:</td> <td width="23%"><?php echo $value->saksi2_nama_kel;?></td> <td width="1%">c.</td> <td width="10%">Kabupaten/Kota</td> <td width="1%">:</td> <td width="24%"><?php echo $value->saksi2_nama_kab;?></td> </tr> <tr valign="top"> <td colspan="3"></td> <td>b.</td> <td>Kecamatan</td> <td>:</td> <td><?php echo $value->saksi2_nama_kec;?></td> <td>d.</td> <td>Provinsi</td> <td>:</td> <td><?php echo $value->saksi2_nama_prop;?></td> </tr> <tr><td height="3" colspan="11"></td></tr> </table> <table width="93%" class="font11 tengah atas"> <tr><td height="21" colspan="3" width="93%"></td></tr> <tr> <td colspan="2" width="53%"></td> <td width="40%" align="center"> <span> <?php echo $value->adm_nama_kab;?>, <?php echo date('d').' '.$this->siakwordconvert->getNamaBulanDuaDigit((string)date('m')).' '.date('Y'); ?> </span> </td> </tr> <tr> <td colspan="2" width="53%"></td> <td width="40%" align="center"> <span> KEPALA <?php echo $this->siaklib->siak_trim(str_replace('KEPALA', '', strtoupper($value->capil_jabatan)));?> </span> </td> </tr> <tr> <td height="30" colspan="3" width="93%"></td> </tr> <tr> <td colspan="2" width="53%"></td> <td width="40%" align="center"> <span style="text-decoration: underline;"> <?php echo $value->capil_nama_pejabat;?> </span> </td> </tr> <tr> <td colspan="2" width="53%"></td> <td width="40%" align="center"> <span>NIP. </span> <span> <?php echo $value->capil_nip_pejabat;?> </span> </td> </tr> </table> <?php if($i < count($data)-1){ echo '<div class="halamanbaru"></div>'; } ?> <?php } ?> </body> </html>
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