RUKUN TETANGGA.docx

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RUKUN TETANGGA ( RT ) 01
DESA SAMBUNGAN
KECAMATAN TANA LIA,KAB, TANA TIDUNG
Almat : Jalan Manunggal RT.01 Desa Sambungan Kecamatan Tana Lia – Kab. Tana Tidung
SURAT KETERANGAN DOMISILI
Nomor : 008/RT.01/DSMB/XII/2020
yang bertanda tangan dibawah ini :
Nama : ISMAIL
Jabatan : Ketua RT.01
Dengan ini menerangkan bahwa :
Nama : Masjid Ar-rahman
Alamat : Jalan Manunggal RT.01 Desa Sambungan
Benar ada dan memiliki bangunan yang sah serta berada diwilayah RT.01 Desa
Sambungan,Kecamatan Tana Lia,Kabupaten Tana Tidung.
Demikian Surat Keterangan ini dibuat dengan sebenarnya untuk dipergunakan sebagai mana mestinya.
Sambungan,11 Desember 2020
Ketua RT.01
Desa Sambungan
I S M A I L

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