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Ingssie 1eyapBuesoseBrenjay Isy@sisyes ueBbuelajey seye emyeq Buequiuayy yeBnBuaegheysseuaw (Hej dnBBues yep yepns Isyes ebulyas yeGnBiayuefuap jelaolaq neu deja je6nbBuay Ideja ueye seqesiagtebe je6n6Buey eyaseuaw eyesniaq yepns Isyes emueg Je6n66us4qepedey ulujeq siye YEXJEU UeYWeqWaW Yeulad yepyeBn6ie, uep yeGnbuey uebuep jeBnibueg elejue IseyiunWwoyBpe yeph ny ewejes uep unye 1 Jewyjas ewejas yelun yesidpele, yeja yeBnBiey uep je6nhbuey eiejue Bueleyas emyeg = euesiagUBluBIpey jeduis ueyebbuiuaw (Sued

eHUBINJEJ38q (J) Jnuny EL jesed of (j) Jnuny eped eAuuesejaluad BUesaqPZ6 uNYye JoWoN Buepun Buepun (z) eke 6 jesed yepusyayipBuellebegas ueseje iunuawew PINGS Yela yeBn6ie, ueBbuepfejeosaq ynjun ye6nbbueg UBSe/EuRSEje emMyeg jedepuadiag LUINeHsiafeyy sejyeip inqasiay PMESee ep emyeq BuequiuayyeUId Yejeq enpay ibeq yepesjewPMEqWaLU UeYe eye ueyueyeLsdip dejs iu) jadas e66ue yewnsUBEpeey eligede uep ebnbia, uep jebn66ueq efBue yewns luejeppninae yedep yepy ujeg diye eibeyeq eves yewyes uep yeppemeuwyeuryes Sued

Sued eo UeSUap UBAS AJUep JIDLOS WE BtyuIp S JeBuapioeuples jeu Sued ejyey yejepe jebndie Lep j2nEGue. wigs LelewBueued ues ueyssnesied eAuepe leuebuswwObn=Busg g sees usd 4 Ses UsBusiersy Bayeq SuequlusyBay p 2Sue 1 yeAe Z/ esed Pe.Ieip sueuiedeqes jeuuoj peseAs iypnuswem 23bulues 'yesdiinsip usp esemer years webnSuaq Z ISves Lep Isves emYed CuequIUE(ul PUBISCUSSIE 2ulyde", yeuld e096 s sepensisg u2D uebu juadexseq uedweYIC Usiepe jeEnGis) ver yebnOGueg ny eudcex yajo yes Sue* eqs!

ueSuer ueexyjeq Sued jeyjey ueysejaluew eueo ueBuapyeyeseu WaqlualwW eyesfieg UR/a WIeH sijele,~) emyeq Buequiuayseye ID UBYIBINIP YBIO BEUeLUIEBegas YelepeuoyoWad eled ueUOyoUWad uenfn: Uep pnsyelW emueq Buequiual)VANIAINMNH NVONVSWILYSdlu Uedeyaua, wep ueibeq ipefuew uep jenue, debbuelp eAuiniuejesynjun Bued i eueyied eiece eleg epeday ynlunuaw uejipebueg yeldnynoUl uedejaudg uBIeIN jyeyGulsiadwsw yun emMyeq Buequiuayy uedejaued uoyow uep eBAUUBUOYOUWJed epeddejo ueyeyeAuaw UoYyoWdy ered ueinduuisey

eUIGUIaLU UOYOWsY elwejes eMYyeg WelaoJadyeuied wneq UOyoWed uep UCYyoWsd UeYeylued jeweEles enueg uensnsjades ueBungne rere yeep ueBungny Weg UBYeyILLed UeYNYeaWynjun ueBuejey epe yeo uoyowed uep UoyoWsad BlejuUe emyeg ofaioAynyA Ulg Weyeruep ove, ulq nes eueuseq Bued Isyesisyes uep (yeldny ynindag)OO'OL dy Jeyew uebuap oWOLyIAA CLP) BWeUeq Bues UoyowdadBunpuey yede qeseu yen eBuap yebual emer isuidoly Buerewasuejednqey uelebLal uBiewessy ofay oqen eseq Ip e961 Jequeldes soje66ue eped ueyeuesyeRp Sued

Isteridalam keadaan: Suci, hamilatau haidh Sued 2 Wiwi.4, Alasan thalaq dijatuhkan Galluxuan pilma koti4aNikah mereka terdaftar pada Kantor Urusan Agama di Kla.b4uigpada tanggal 13 1970..0. dengan Akte Nikah No. 372/23/1 970 nnn Surat keterangan ini dibuat untuk dipergunakan oleh yang bersangkutan guna mendapatkan KutipanPendaftaran Talak pada KUA Kecamatan mang BulKutipan Akte/Surat Nikah dari Suami/Isteri disimpan di Kepaniteraan Pengadilan Agama dalammap berkas945/1978 P3 101973BONDOWOSO 18 JANUARI

Wequiayy ZuGyouls uegUuoYyoUed ueyingebuew uep BuUieUey : SOW jNyUSaq 1eBeges UeSsnynd seweueBuap ueXs We eles yWIpeBuew esyWeWwelW eWWeUeLU UBUSyEeq BAUEIIYesiouou Sued wiyeH sialeyy injejeu nAeyas eweby uelipebued eniey: yedeg epedey uoycu seyelp jnqasia uBsejeueseje Ueyeseplege66ue Yeuins BUIQUIAaW LUBep SIUOLUJeYuep unyn dnpiy ynlur uoyouwea,; ueBuep ucyowa, uByieLUepUsLuep HeYysseuswW ynjunr eyesmieg Buuas yepns uoyowe, eBbienjey emyeg 8UOUOLUS, UBBUAap Be IINpDed yephyepns UdYOWWS UepP UCYOWWdY

sniey UeYNfelp BueAIsyes ping yedepusdisgq WiyeH sijeleyy eye UOyOUal Uep UOYOLUeY eBJeUeuejeyBuepied uep Leuisyesiod eAuepe ueseje eped uewesepip iu ueleJeoled AIS WA OL / Ip /L9PO 4OUOR, VESTNweuseyey gt Diep Sy weurepery Bue euewlebeges eAuule) Blues njyes uelensesieq Bulyes uep BulsewBulseweAuuenuyejebued Wep jise euarey uelsyesey nyens jeyelW yeieAs YMUSWALWyeje wuiyeH sifefeyy jnunuatu jngesie isyes enpay UeBUBIaJOy UOYOLUddse6n yeduwia ip Louowsey ewesisq je66un yelelp new yep uoyouWelyeuew Sued

Gemudiey ueyleseplog eyeuBuIMeyJed ByayHuss eleyjed yerepe 1U, ereyiad emyeq BuequiuslIM 2njun ueyeIpasip Bued Jeyep weep yeyeoIp ynjun ueyBunsbugyip uououLld uep Uoyows, UeUIMeyed yedWs ID YEXIN Jepeous, IBMebee epeddy up uoyouua Uep Uoyows, e66ul) yedwende uu eAuyedeyim Sued U2yIN. yeyeoueg lemebodg epedey ul eieyied yeye Jes!

nAeyas eweby uelpebuey BeUedepedey ueyYyeUeuSW nad WIXeH siyaleyy eyew g00Z UNYeL Og JOWONBuepun Buepup:UeBuep enpey ueyeqnied uep 900z une JOWON Buepun Buepun ueBusp "yeqnip yzje BueA euewleBeqes eweby uelipeieg Buejuel6861 us nye Z JOWSN Buepuy Buepun g lesed pnsyeuip euewiebeges uetelsqied ISeySUIWUpe que, BAuuiluefie; ynjun emyeq BuequiuayyUEYINGEYIPyedep z eyBue winjyjed wejep esepe eueUeBegas UoYoLUa depeusal i.fes nyes yejey ueyynyeluaw yrjun uoyowsg UeUOYOUWed eyew seyelp UeyeINIp Yels)Sued

Istri dalam keadaan : Sued, hamilatau haidh .haid, 4. Alasan talak dijatuhkan "it a tuath tu tidal a icooarasedi Nikah mereka terdaftar pada Kantor Urusan Agama i ...s. 1 140 ceseeeeeeeeeeeeeeeeeeeeeeeed t ..d oo.

Buues yebnBiel e: Yelepe ye6nGia,uebuep je6nSGuey Bleue UeleyBuayied uep UBYIswasisd qeqeAuad enyeg UeJeyBusyed uep uBuIslasiadpelts Euas yeSnBe uEBuap ye6n66ueq efbue; YEW OLOg Wenuer Ugingyeles idejo1 ueye unye Bueiny YIqe ewejas siuowey uep UNYN Gaplu LeisyeBnB1e) uebuas yeBnSBusy ebbuey yeni uednpiyey eAuenu eped emyegqeBn66usq ueunseweep 2' yeue uerxBuepas ye6n6iea ueunse LBIER 1% Weue lul wes BuekUNUE 9 NWA el14e"7 pues Ou0 Ulg BAeL AA eoued KaraUNYR g JAW Wee pues uo Wig YeAsuewyey +SBWELIAg Sued

Jequiadcy yeles yesidieq yepns yebnbiey Uep eOnObueg eee eMLegjebnbbueg epedey ueyyadqipyewied yep eAuyser, idey eliay epe Bueweww yebnbis 1 eue uep je6nhbuey e6e uoyowaw jebnbBue eAuycyod eped Buek eveyiog Anpnq weep uesieinipyes Sued euewiebecas UBSEEUesee nejefuep jijepiiep UueyeynusBuawwBnbBued gL0z lunr zz feBBue: uebuepisued weep UByeoeqIp YRS Buer g10zPAW 9 jebGueye eAuue:e646 j2Ins UByeEsepisq emyeq Buequuiuayy.ISELUaq Yep jnqesie) eAedn unWeL UBIELLepuadeyBue, wejep yebnibusy Bredey Jelem

J JOLY BuepunBuepun (1) yeAy 97 Jeseg of SJ6, unyey6 JOWON YEIUVEWEg UEINFEIOd (Z) yeAY zz JESEq UeNUSs3y lenses EAUUBISYeSOyJeBuspip smiey Buek yeEnS.e) uep yeBn6Bbuey ueBuap JeEusyjeyeap Sued EuesoBuelo uexedniew Sues e55ueja uep yeOnBbusg Jed) ype yejepe CursewBuisewI SHES uep Isxeg Egy Boe JESeq pnsyew ueBuap tenses year uep Bay 90JPSeq UeNjUajey JeS6uejew ye.yepy ebBuryes jeoes eyaiow UBBuUeJaey JenquialuUY UBSNNe UeBUIIES uesiedwesuaw ynjun nNAeyes eweby UelIpebuag elayUeLUBYYEAULSWaLU OMYO

yeumieg dnp.y uexsruavau ynjun ie dnBbues yenJepns iebndhus Ingesiay yebrsis 1 Ute iqued uUep ceyis see emysQ +, uregundnew 24e 42 ueSuncny 52, EES yep) Ueors ny ewelse SueieyesSSSuIl vey uce Susinx SEEIO jngesiel Buewnefeqas jewusyje ueFusowIFUSS JBInNG6Us, emebueic yeLuniey Bugine ues eine ueyjebbuueLSed wOorfSuec jy qesie: ueipefe. xelas eOnSpueq epedsysey fuel ref Sis) Jenizioy JEEUED Ueye: yen: j2Bnfibue, UeYqeqesis$.3 UNue sisnoy ue.ng eped pelie) uesSuoyed yeound BAYeEg 'Sa)coth ty4eced Sued

spoz Jaquiesec Z e562e) ered uesl sieoas yidnp LeynieSusw1eSnhal yy 1WqS8c1st teBn6Busg Les yad& see emyeq Buequiusy7eGndle. ep lelecieq yepuay uep eines EAuLeeBr Bb epec dey yeSr busyeAuyoucd eps Sued gLog sequiesec g 2e6Eue eped ues!

Alasan talak dijatuhkan Sued, 6 hariCinnamon pihnit Kotigg ( enesses Nikah mereka terdaftar pada Kantor Euan Agama di .pada tanggal.......... SEAGER dengan AkteSurat keterangan ini dibuat untuk dipergunakan Kutipan Buku Pendaftaran Talak pada :TUAKecamatan Kutipan Akte/Surat Nikah dari Suami/Istri disimpanmap berkas Perkara NOvevessseecsseecceee 893/82 converse tanggal 27 89 6 1982 6 see mneemcsBONDOWOSO 04 OKTOBER 1982KETUATIDDRS.ACHMAD KAMIL

Jaquievon UelNg sexjEs yefes unweu eles yegyieq re6nbus iLuep je6n66ueq e66ue: sewn: uednpiyey ueyeyujed jeme eped emueg WNyWec leBeqes eAuyoyodeped Suet ueBuesajey UeyEqWeW UEP Bunpuey YEXey YeIEPe jndase, isyes Buek uesejeueseye nee/fuep vepep Buejuse, iyenoay Bary (Lt: yeAyGFL (PSeq UENUSey ep emf eueWeBegas jnfuey Yigs, UEXDNGWIeWW njJad 16%;yep yeBn6Gueq uep seusq deBBueip sniey ye6nS6ueq ueyebn6 ueseje neyesuepwep ejeBes eyew ipey yepy yeBnbie 1 Busley emyegq Buequuay(6e ueyUNYyNUIp yyns Sued

Wens JeBeqes uNnyny yNUN nwapeq e; yeujed yep uep uejncy UnYye Z ewejes jeb6un yedwe yesicisq yepns yeSnbie, uep yeBnbbusy eieyueeAujeqne yefnbbueg ueyjshGuiuaw Ged yeBnbie Lt njel eAugegss inyejeyip edueyeOnhbuey epedey yeley ueyunjefuew eqyeqy ewe UelBiediag ee Buejnd yebnbie,JeeS E402 JeqowO eped eAwiyye ebBuy yeBnBbueyg ibeg yeyeu ueyeqeEuswWEP URINGUEiINqieq ewe Bued npen wejep sejaf Sued ueseje edue: yebnbbusgquexjeBBuiusu Bed yey Euyes yeSnBue, Iu!

ynfuepeqBued ZL 02 JaquiaAON UE;NG yelas yep eXuyepias ueuisijssied eAuepe leuemip YeoeyeAusa Bued yebnBie) ued yeGnbbued eveyue ebhue) yen ueepeay deyBunBuewsejaf eleoas Yeja jncesie, wrony epesepel eMYyeq SuecwiusyQfOSISA)je6nbie) exuipey eduey perp yeBnBBuag ueyein6 uep ipey yep ueyeyeAuip smeyyeBnBiel Bavy (1) Ay GPL ESE Lenjuejey jenses eyew yes Bleoas UBYNYeELIDejeAusa Yyels yeGnBie epedey uenBSueg SEeeY EleUSsWwas WNnyny jminuelW YesBueA ueseje ueyesepieg eyeAusa Hep euew ueipeyyeppey yes Sued

as PeAvaLoz/o w/00zZ0 JOLWION UeSNINEA JEP OL HED LE UBWIPIPL)JOWON uebuap neqneg elweby uelIpPebUuaY UBB laIUEday Jeyepip yeja Bued yebng 1eJaD ueyebnd ueynieduew yejay 9Loz smisniyg. ebbue eAuUeyeOND jeuns Wejep JeonDDUuad emyeq buUeqUIUay)yyw unannoSuepis eynuip isyes cued uep yeinShusg ueBueisjay seSuapusus un:veeort 6 DH Ne Fitri ddisin,,,ui eseyied ueBusp ueyexyeq Sued jeinsjeuns yelejeduicw up:,geDNbsaL,, INqasipBAujniuejes neqneg BOY OOAA UeeWUeDay YepUOOM WING UBYEINBY ZO MAY VO LY eWdead

Ideyepy Sued uelbeg ueyedruaw iu! Guepig ereoy eye weep enue GueAyey enwes eyew iu! uesnind uelein eAujeyOuls ynyun eAujniueeSeAUIIpeIIPEASbueA Uesnind UoyoOWeW eLas ejnwas eAUIIepjIEp UE yUEYeLEdWeW aejePAUYOyOd eped GueA uRINdwIsey UeyedWeAUsW Jebndbued eAUINiUelPuep ING jeleJeE/e UeYNIeDUBW Ibe yep yeonDDUed eMuedseuseg Yepy uNWweu yebnbie!

JOWON bDuepur)bUepUT) ol eWwedY UeUpe1eq Buea 686) UNYeL 7 JOWON GuUEpurduepUT) (Zz) UEP (h)JeAe pg jesea uenqualay UBESEPJEq O1DYYO sya eseDOS UNWeU veoniuedueyebnb wnyyed wejep ynsewa EPH UNd)ysow emyeg DuequIUaJeoNDbUEG depeysoy yeonbo, LOTUSuleq njes yee yejepe ueyYnyeilp Sued EJe weysy wnyn4 jsepdwoy2 snuny (Z) JeAe GLL jesea UENUaay Iensas emyeq puequiuowUBYINGeyIp yedep z ULp BOUL souldBAueuarey yao (1H) wieyst winit souw0NwadIseyid (1) 1 oj. I!

uellpebuedg enjay yedeg epedey uoyowye6nbbued exew sel2 1p jnqesie uesejeueseye Ueyeseplag emyeg, UBMUBYeLSdIpynjun Ge) upSunw yep, yepns uep yewyesem Yyeppemew YeuIyesBued eBieniey ueyediousu ynjun wns yeBues yepns iui uep wepBueA jyebnfie uebued jeniiuey efienjey ueepesy ueBuep emueg 6Seylaq YepRdeja ueye eb6ue yew eulquiew wejep siuowwey uep Uunyns dnpynjun jebnbie) uebuep yebnbhusy ueyewepual Uep IFeEysseueLU yNUNeyesnieg Bules uepns yebnbie, uep jebnbhuey ebienjay epe emyueg gyndweyip smiey Sued

SulsewBHulsew ueqiiemey ueyueyefuewibe, yep) uep yeyeu epe yepy Be; ueyjnped Buyes yepIseytunWoy Uleluew yepg Yepns yebnbie) uebuaep yebnbGueq eiejueje65uy yedwe yesiciog webnbie; uep jebnhbuey ewejas emueg ye6nS6uey en Sueio euresieg je6Huly Burieyes yeBnBbuadueyBuepes uep jeSrbie en Suejo yeni ip jens, SHueieyasBue Ip euesieq jebbun yedwe uep iGued jyeBnbie; emueq UNYe OL Wep Yyiqe eluwelesje66uy jeduue) yesidisg yeyja yeBnbia) uep yebnb6bueg emueg uesnind uoyoww uep uee6nb eped deja eAUyOyodeped Sued

AunquedBueA yeAiyby yeprey weep ebni URMIUSp emyeq Buequiualy Iyfequedip yedep yepy uep yeoad yepns ebbue yeuins mens iynquey eyqedeemyeg L661 smsndy zz ebbuel O66L/OVA/8E JOWON elssucpU; yIIGndeyBunby Yyeweyyeyy isueprudsun, ueyiesepieg emyeg Buequiusyyjngesis jesed ep pnsyew Ueyeuesyejaw yedep yepn YepnsyebnBbued yedepuecieq Wey sijefey) eyeu seye ip wnyny eye; ueBuspuexBunqnusp wes; wnynH Isejidwoy (1) weAe eg jesed euewlebeges Wweswunyny uBpeuedip Sued seyeqsejeq weep Ip wens epedey uneq uep

Isteridalamkeadaan: Sued, hamil atau haidh4. Alasan talak dijatuhkanow: 01, .7 30tanggal.. 7 .wenees oi P. e. Vt@rl* .ccsessecccceccsseegescceeesensensenscccessweneeeen 30:4.1 ciSuomi: tidal( trot,. javab.jukonttriguna mendapatkanKutipan Akte/Surat Nikah dari Suami/Isteri disimpan di Kepaniteraan Pengadilan Agama dalam map berkasperkaraNo.... ai wen 19/1981 cececcsteeeeeeeneeee tanggaliCfirbitsro. 1: 13 Agnetuse 981 BONDOWOSO 13 AGUSTUS 1981KETUATIDDRS.ACHMAD KAMIL

merasa bersalah dan menyesali perbuatannya serta berjanji tidakakan mengulanginya lagi ;Menimbang, bahwa selanjutnya Majelis Hakim akan mempertimbangkan faktafakta tersebut diatas apakah faktafakta tersebut dapat memenuhi unsurunsur pasalyang didakwakan, mengingat bahwa untuk dapatnya Terdakwa dihukum sesuai denganBqoousw eMyeplel eye UNWeU UeJepUsy UeLjUe InjnyepUeW yNJUN eqooUSWemyepioy ueyefue uejefip eAueqnes uep yedeig neyuey ejoy Yyeie oy nfinusew SueyMey Yyele ep Suejep ueyipnuiey Emyepse Sued

100W epedes euewip Hyun eAuenuewuesuep ueSusou0qieq WZ 662 YG o1djoog eYyeWeA JOOW epedes jesepussuewuesuep emyepPsaL eYNeY EyNey eNWUEq Inqosie ueipefay emyeq Suequiusj;Suejosiew ulppnjewer uequoy isyes Yyalo leaepusyip Sued s0OwW epedesuesuep fesepuey emyepie) Zuek sojow epedes eiejue sejuljnje ueeyejesey pete;yeja) neg ueynqeyqey e1ep nejueYy soy Sujeq yey nfnuew jyedesdnequey euequewuintuf) UEler Ip JedUlsyiEq qiM OE'8O INynd e:jes GOOT Jequeseg gz jesBuE nSSulWwey eped emyeq 14Nnq Sueieq eyes

ueynyejew ynJUN eAulseq jeewed uepJeuequied ueseje epe yep) eAuepeduep uep eXuuejenqied seye ueyqemefSunssueyedipjedep Suek ueynyepyip Buek euepid yepuy yep winyny yefqns jegeqes Sueio denesYelepe jul eieyiod Wwejep edels Sueieq uesuep pnsyewip Sue emyeg Suequius edels Sueieg : TSy INSUTjnNyUEq leSeqes eAuUeYSuequIMedWeWwiyeH sijefew eAujnfuejes ngesie ansunansun depeyio emyeq Suequiusy: Je10q BYyN ule Buei0 UeyYQeqokuoWwW eXuuelejejoy eusiey OZedeis Sueeg = t: NYE leseges yejepeeAuuejenqied snsunansun Sued

BUBPIGHN (T) 1e8Ae OE eseg seSSuejow nyek sewueemyep uesuequIedwewW ninyep yigejie UeYe Wye sijofeW eye seulepisgnsBieo9s uNsNsip winwif) ynjuNUeg UeeMYeP eUaIeyY Yao eEmyeg SuequiuswBUEPIGHNY (Z) 1eAe OVE eseg JeBBueEW =: Wepsqns BUBPIdHN (T) 1eAe OQE eseg sesBuejoW: ABW Ue): nyeA seylepisqng esedes unsnsip Suek ueemyeg jeunsueSuep winwin ynjunued esyer yao eMHeDIP Yeje eMYepse EMUeG BuequjusyeAuepedey UBYeMyepIp Sued jesed unsun enweslynUEWSLU YejsnieYy jngesie EMYepse) UBJeNqued eye UeHeEMYNepID

NieccccseccseccseesteeesesMeeeeeaeseaeeesMenetapkan barangbukti berupa,,.. 2h) Sued IETR ain Micbabe sass Mee coccceeAikewbetlicer mpada TeidabuaDiputuskan hari..... J WYW44. oc cccccccecceeeceeseeseee Tanggal....8... Mui... 2018 oskcucauumemnemsienuestiaOleh aS Aye tas Ashe Ret olay HolDengan di bantu oleh.....

Qabladdukhul atau Ba'daddukhul3. sti dalam keadaan : Sued, ham iatau haidh 3.(.4a xv.T "Met rth, ce ccccc cee e eee e ene4 Alasan talak dijatuhkan )114m.::124; . t or.1441,.......... vernlatronNikah mereka terdaftar pada Kantor Urusan Agama di i1c,rrlovionc )pada tanggal wcnn/29.4.1974 dengan Akte Nikah No PIA:19/r..17'*Surat keterangan ini dibuat untuk dipergunakan oleh yang bersangkutan guna mendapatkanKutipan Buku Pendaftaran Talak pada KUA Kecamatan tordosionirsKutipan Akte/Surat Nikah dari Suami

ST fin Sediatin benindak achage) WallPenganige ales oditiea Serena Tringgernem ik bert) Sued arin :M? (tiga cite sembtian pudub delapan mever persegi) yang divtasnys berdir: 9(sembilan) hangers permanen seni permaren yong terietah chi RarnpungAndir Kiel RV.01 RW.08 Kelershan Ujunyberuny Kecerrmmm UjumptserungFemckeng, purer sewed momar 2711984 stes cornea RB. Ward Suwerdi yong Une Jalen Rave Ujosgherusg. tans henguren ir HA SapeeeMuara!

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Istridalam keadaan : Sued, hamilatau haidh4. Alasan talak dijatuhkanFortomo CIA Chul ....ccssssseseessneseccsssscseIns 51nagutan biNikah mereka terdaftar pada Kantor Urusan Agama di nr;pada tanggal dengan Akte Nikah No. 3ft/3.V1982 ........csssccsssessssseseeeeeSurat keterangan ini dibuat untuk dipergunakan o leh yang bersangkutan gunamendapatkanKutipan Buku Pendaftaran Talak pada KUA Kecamatani qe: 2 44tnelrr.