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Yang bertanda tangan di bawah ini:
Nama : Rahmat
Tempat/Tgl Lahir : Siddo, 01-03-1987
Alamat : JL. Irigasi, Dusun Siopi, Desa Kampung Baru Sibayu, Kecematan
Balaesang
Dengan ini memberikan kuasa kepada:
Nama : Moh. Sandi
Tempat/Tgl Lahir : Sibayu, 05-10-1997
Alamat : JL. Irigasi, Dusun Siopi, Desa Kampung Baru Sibayu, Kecematan
Balaesang
Untuk mengurus Balik Nama Kendaraan Bermotor:
Nomor Registrasi : DN 5233 VB
Merk : YAMAHA
Type : 45P (BYSON)
Demikian surat kuasa ini dibuat dengan sebenar-benarnya untuk dipergunakan sebagaimana
mestinya.
Toli Toli, 16 April 2016
Penerima Kuasa Pemberi Kuasa
Moh. Sandi Rahmat

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Surat kuasa

  • 1. Yang bertanda tangan di bawah ini: Nama : Rahmat Tempat/Tgl Lahir : Siddo, 01-03-1987 Alamat : JL. Irigasi, Dusun Siopi, Desa Kampung Baru Sibayu, Kecematan Balaesang Dengan ini memberikan kuasa kepada: Nama : Moh. Sandi Tempat/Tgl Lahir : Sibayu, 05-10-1997 Alamat : JL. Irigasi, Dusun Siopi, Desa Kampung Baru Sibayu, Kecematan Balaesang Untuk mengurus Balik Nama Kendaraan Bermotor: Nomor Registrasi : DN 5233 VB Merk : YAMAHA Type : 45P (BYSON) Demikian surat kuasa ini dibuat dengan sebenar-benarnya untuk dipergunakan sebagaimana mestinya. Toli Toli, 16 April 2016 Penerima Kuasa Pemberi Kuasa Moh. Sandi Rahmat