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Tanda Terima Nama Penyewa Alamat Telp. Jumlah Mobil Jenis Kedaraan Lama Sewa Tanggal di Ambil Tanggal dikembalikan Biaya Sewa Keterangan Lain
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: ....................................... No. KTP/SIM : ................................................. : ................................................................................................................. : ................................................................................................................. : ......................................... Unit No. Pol. : ................................................ : ......................................... : ......................................... Bensin : ......................................... Jam : ....................................................... : ......................................... Jam : ....................................................... : Rp. .................................. Biaya Denda : Rp. ...................................... : .................................................................................................................
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