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Tahuna, ..…………… 20 …….
Pengadu,
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PENGADILAN AGAMA TAHUNA
Jalan Baru Tona No. 11 ( 0432-21309 Fax. 0432-23239
Website : www. pa-tahuna.go.id
Email : pa.tahuna@yahoo.co.id
TANDA BUKTI PENGADUAN
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Tahuna, ..…………… 20 …….
Petugas,
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PENGADILAN AGAMA TAHUNA
Jalan Baru Tona No. 11 ( 0432-21309 Fax. 0432-23239
Website : www. pa-tahuna.go.id
Email : pa.tahuna@yahoo.co.id