Lampiran 3 yang disubkon
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..............................................., .......................... 2012
Penawar,
PT/ CV......................................................
Tanda Tangan, Cap
( Nama Jelas )
Direktur
!"#
"$
$
$ %
"$
"
&
/!
$ %
'
!
%
%
(
$
)
*"
)
+
,
$ -
$"
%
$( $
(
"
"
..............................................., .......................... 2012
Penawar,
PT/ CV......................................................
Tanda Tangan, Cap
( Nama Jelas )
Direktur