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DAFTAR PESERTA JAMKESDA LAMA TIDAK TERMASUK JAMKESMAS BARU DESA/KELURAHAN : BUMIREJO KECAMATAN : KESAMBEN KABUPATEN/KOTA : BLITAR NO NOMER KARTU NAMA L/P TGL LAHIR ALAMAT KET JAMKESMAS JAMKESDA 1 2 3 4 5 6 7 8 1 EDI L 16 – 05 1980 SUKOREJO RT 1 RW 2 2 AZIMA P 18 – 05 -1980 3 NURAINA P 20 – 01 - 2005 4 TIARA P 02 – 10 - 2012 5 MUHAMAD NANANG W. L 15 – 03 -1982 SUKOREJO RT 1 RW 1 6 YENININGSIH P 26 – 09 -1983 7 MARTONO SEPAN L 01 – 07 -1935 SUKOREJO RT 1 RW 2 8 PONIKEM IKUL P 01 – 07 - 1943 9 DJEMIYEM P 08 – 09 - 1957 SUKOREJO RT 1 RW 2 10 CIPTO L 11 - 07 - 1981 11 YULIASIH P 21 – 07 - 1986 SUKOREJO RT 1 RW 2 12 BUDI IRAWAN L 17 – 12 - 1924 SUKOREJO RT 2 RW 2 13 ELIS EKOWATI P 28 – 12 -
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JAMKESMAS bumirejo

Feb 21, 2016

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Page 1: JAMKESMAS bumirejo

DAFTAR PESERTA JAMKESDA LAMA TIDAK TERMASUK JAMKESMAS BARU

DESA/KELURAHAN : BUMIREJOKECAMATAN : KESAMBENKABUPATEN/KOTA : BLITAR

NONOMER KARTU

NAMA L/P TGL LAHIR ALAMAT KETJAMKESMAS JAMKESDA

1 2 3 4 5 6 7 8

1  EDI L 16 – 05 1980 SUKOREJO RT 1 RW 2

2 AZIMA P 18 – 05 -1980

3 NURAINA P 20 – 01 - 2005

4 TIARA P 02 – 10 - 2012

5 MUHAMAD NANANG W. L 15 – 03 -1982 SUKOREJO RT 1 RW 1

6 YENININGSIH P 26 – 09 -1983

7 MARTONO SEPAN L 01 – 07 -1935 SUKOREJO RT 1 RW 2

8 PONIKEM IKUL P 01 – 07 - 1943

9 DJEMIYEM P 08 – 09 - 1957 SUKOREJO RT 1 RW 2

10 CIPTO L 11 - 07 - 1981

11 YULIASIH P 21 – 07 - 1986 SUKOREJO RT 1 RW 2

12 BUDI IRAWAN L 17 – 12 - 1924 SUKOREJO RT 2 RW 2

13 ELIS EKOWATI P 28 – 12 - 1980

14 MUHAMMAD AMRI ARYA P. L 25 – 06 - 2000

15 HAFIDZA ALFIN HIDAYAH L 03 – 01 – 2008

16 AL HANIF ADNAN AR L 05 – 07 - 2010

17 KLIYEM P 07 – 11- 1942

18 MURTI P 01 – 07 - 1946

19 MISTIANI P 13 – 07 - 1951 SUKOREJO RT 2 RW 2

Page 2: JAMKESMAS bumirejo

20 ABENG TRIANTO L 01 – 06 - 1991

21 SUPRAYITNO L 06 – 06 - 1956 SUKOREJO RT 3 RW 2

22 SUKINEM P 07- 04 - 1962

23 IMAM NUR KHOLIQ L 30 – 11 - 1993

24 JUREMI L 05 – 07 - 1969 SUKOREJO RT 3 RW 2

25 IDA SUSIANI P 19 – 01 - 1977

26 BAMBANG PRASETYO L 25 – 12 - 1997

27 ERNI WIDYA DWI NINGSIH P 09 – 02 - 2011

28 SUGITO L 19 – 02 – 1980 SUKOREJO RT 3 RW 2

29 NUR HAYATI P 15 – 11 - 1973

30 LAYLATUL FITRIYAH P 12 – 03 - 1994

31 SUPIYEM P 11 – 04 - 1940 SUKOREJO RT 2 RW 1

32 SUTARNO L 04 – 06 - 1972 SUKOREJO RT 2 RW 1

33 SIKEM L 29 - 11 - 1983

34 RIZKY SAHRUL PRATAMA L 09 – 11 - 2003

35 SUYONO L 01 – 07 - 1962 SUKOREJO RT 1 RW 1

36 SUNARMI P 04 – 09 - 1971

37 ARIS SETYAWAN L 18 – 12 - 1987

38 AGUS SETYAWAN L 05 – 08 - 1990

39 JURAM L 18 – 04 - 1968 SUKOREJO RT 1 RW 1

40 SU’IN P 17 – 07 - 1977

41 BENI KRISDIANTO L 02 – 04 - 1993

42 BINTI LUIN SOLIKAH P 06 – 08 - 1998

43 NARA JUI NURJANAH P 16 – 08 - 2002

44 PARTO MINGAN L 12 – 05 - 1949 SUKOREJO RT 1 RW 1

45 SUNARSIH P 08 – 02 - 1952

46 SIGIT NONTARIS L 05 – 01 - 1984

47 HARI HANDOKO L 06 – 06 - 1982 SUKOREJO RT 1 RW 1

Page 3: JAMKESMAS bumirejo

48 ENI SURYATI P 29 – 01 - 1984

49 HARA NAYSILA CH. P 16 – 03 - 2008

50 HAZIQ MUHAMMAD R. L 12 – 03 - 2013

51 VIONA PUTRI OKTAVIA P 26 – 10 - 2011 SUKOREJO RT 1 RW 1

52 JEMARI L 08 – 12 - 1966 SUKOREJO RT 1 RW 1

53 NARMI ENDAH PUJI LESTARI P 25 – 12 - 1977

54 DARUL SITI KOMARIYAH P 12 – 10 - 2000

55 IMAM HADI SANTOSO L 06 – 06 - 2007

56 KHOIRUL BINTI SOLIKAH P 12 – 07 - 2009

57 MOCHAMAD UMAR L 31 – 01 - 1978 SUKOREJO RT 1 RW 1

58 SULISTIANI P 05 – 06 - 1984

59 ILSAFIRA NORMALIA ROZIANI P 19 – 02 - 2007

60 KATIYEM P 02 – 09 -1930 SUKOREJO RT 5 RW 1

61 HARIYANTO L 19 - 01 - 1993 SUKOREJO RT 5 RW 1

62 SUPINI P 17 – 03 - 1986 SUKOREJO RT 5 RW 1

63 DESTA ANAYA PUTRI P 01 – 12 - 2009

64 KARTO KATIMIN L 01 - 07 - 1927 SUKOREJO RT 5 RW 1

65 NGATEMI P 01 – 07 - 1930

66 HARI SANTOSO L 22 – 12 - 1976 SUKOREJO RT 5 RW 1

67 PIANIK P 23 – 06 - 1983

68 EKSAN L 24 – 12 -2009

69 SURATUN P 20 – 06 - 1950 SUKOREJO RT 5 RW 1

70 RUBIANTO L 27 – 02 - 1978

71 JAMI P 14 – 05 - 1942 SUKOREJO RT 5 RW 1

72 MUJI L 05 – 02 - 1945 SUKOREJO RT 5 RW 1

73 GINEM P 12 – 02 - 1958

74 YANI L 12 – 07 - 1980 SUKOREJO RT 4 RW 1

75 SUGIATI P 20 – 04 - 1983

Page 4: JAMKESMAS bumirejo

76 ERRINA DEVINDA F. P 10 – 02 - 2004

77 PARTINI P 19 – 04 - 1943 SUKOREJO RT 4 RW 1

78 MESIRAN L 02 – 02 - 1960 SUKOREJO RT 4 RW 1

79 TUGIYAH P 14 – 05 -1965

80 SUPRIYANTO L 07 – 10 - 1985

81 SUPRIADI L 30 – 04 - 1988

82 TOYIB L 04 – 02 – 1950 SUKOREJO RT 4 RW 2

83 SUKIYEM P 03 – 09 - 1957

84 WIJIATI P 04 – 07 - 1977

85 WIJI P 01 – 07 - 1936 SUKOREJO RT 4 RW 2

86 YAMINI P 28 – 06 - 1960 SUKOREJO RT 4 RW 2

87 MUSTAKIM L 17 – 07 - 1975

88 GIMAN L 17 – 07 - 1975 SUKOREJO RT 4 RW 2

89 MURAH P 01 – 07 - 1935 SUKOREJO RT 4 RW2

90 TUMIJAN L 19 – 12 - 1957 SUKOREJO RT 4 RW 2

91 SAYEM P 05 – 07 -1965 SUKOREJO RT 4 RW 2

92 BOIMAN L 11 – 06 - 1953 SUKOREJO RT 4 RW 2

93 RUBINAH P 27 – 04 - 1956

94 MIARTI P 26 – 01 - 1987

95 JULAIKAH P 06 – 04 - 1991

96 KUWAT L 06 – 09 - 196197 KATIMUN L 12 -04 - 1952 SUKOREJO RT 4 RW198 PONINTEN P 04 – 05 - 1957

99 SENI P 24 – 06 - 1955

100 KATIRIN L 07 – 08 - 1952 SUMBERBENDO RT 2 RW 1

101 RUMINI P 06 – 12 - 1966

102 SRI WIJAYATI P 28 – 02 - 1988

103 ANTON PURNOMO L 16 – 07 - 1990

Page 5: JAMKESMAS bumirejo

104 AA. CASTANO L 28 – 04 - 2009

105 MARSITI P 21 – 12 - 1942 SUMBERBENDO RT 2 RW 1

106 BEJO K. L 31 – 07 - 1973

107 BOINEM P 15 – 05 -1952 SUMBERBENDO RT 2 RW 1

108 RIYANTO L 16 – 07 -1983

109 KATIRAN L 03 – 04 - 1963 SUMBERBENDO RT 2 RW 1

110 SUS UMAMI P 01 – 09 - 1987

111 PAIMU N L 16 – 04 - 1969 SUMBERBENDO RT 2 RW 1

112 TUNI P 16 – 02 - 1976

113 ADITYA EKO NUGROHO L 31 – 05 - 2007

114 TUKINEM P 29 – 09 - 1955 SUMBERBENDO RT 2 RW 1

115 AGUS CAHYONO L 18 – 08 - 1990

116 RIYANTO L 16 – 07 - 1983

117 SUNARIYATI P 12 – 07 - 1979

118 RINDA BADRIYAH P 17 – 12 - 1976

119 BINTI AFIDATUL SALMA P 28 -08 - 2008

120 SIYEM P 27 – 08 -1946 SUMBERBENDO RT 2 RW 1

121 SOGINEM P 28 - 04 - 1935 SUMBERBENDO RT 2 RW 1

122 KATIYEM P 14 – 08 - 1932 SUMBERBENDO RT 2 RW 1

123 ENDRI A L 08 – 04 - 1980

124 MISTRIANI P 16 – 07 - 1990

125 SUKIMIN L 01 – 12 - 1950 SUMBERBENDO RT 2 RW 1

126 SUMILAH P 14 – 11 - 1966

127 KITIK P 26 – 12 - 1953 SUMBERBENDO RT 2 RW 1

128 WIJI UTAMI P 07 – 08 - 1992

129 RASIMIN L 03 – 11 - 1957 SUMBERBENDO RT 2 RW 1

130 LASIYEM P 20 – 11 - 1960

131 SRIATUN P 14 – 07 - 1970 SUMBERBENDO RT 2 RW 1

Page 6: JAMKESMAS bumirejo

132 ANIK P 04 – 08 - 1987

133 AGUS ARIFIN L 12 – 03 -1993

134 TIA VIOLA SARI P 25 – 06 - 2004

135 MULYANI L 01 – 02 - 1970 SUMBERBENDO RT 2 RW 1

136 SURTINI P 10 – 06 - 1970

137 SALVA MARGARETA P 04 – 03 - 2008

138 NARKESYA PUTRI P 29 – 01 – 2012

139 MULYONO ENGGRAN L 06 -03 -1970 SUMBERBENDO RT 2 RW 1

140 HERNAWATI P 24 – 10 – 1977

141 SUCI E. P 22 – 07 – 1996

142 AGUNG S. L 21 – 03 – 1984 SUMBERBENDO RT 2 RW 1

143 LIA SETIAWATI P 22 – 02 – 1988

144 MESERI L 03 – 03 – 1953 SUMBERBENDO RT 2 RW 1

145 KLIYEM P 30 – 05 – 1956

146 JIRAH P 20 – 05 – 1952 SUMBERBENDO RT 2 RW 1

147 TINAH P 18 – 09 – 1960

148 SUYANI P 30 - 09 - 1089

149 LASIMIN L 10 – 05 -1957 SUMBERBENDO RT 2 RW 1

150 KATINI P 30 - 05 - 1959

151 RIBUT W L 12 - 03 - 1989

152 RENITA W P 13 – 05 -1958

153 MARTONO L 08 – 04 - 1950 SUMBERBENDO RT 2 RW 1

154 SAENAH P 05 – 02 - 1962

155 PURWANTI P 19 – 08 - 1975 SUMBERBENDO RT 3 RW 1

156 DIAN P. P 31 – 03 - 1995

157 DINDA P 15 – 08 -2001

158 TUMIJAN L 02 – 04 -1957 SUMBERBENDO RT 1 RW 1

159 WAGINEM P 01 – 06 - 1971

Page 7: JAMKESMAS bumirejo

160 KASIANTO L 05 – 02 - 1995

161 APRILIANA P 26 – 04 2002

162 ROMI SETIAWAN L 28 – 04 - 2004

163 SULIONO L 02 – 11 - 1979 SUMBERBENDO RT 1 RW 1

164 ROSI RINI P 11 – 07 - 1970

165 JEAN ALENSI L 13 04 - 2002

166 SUBOWO L 10 – 12 - 1959 SUMBERBENDO RT 1RW 1

167 MUJIATI P 11 - 01 - 1960

168 JEMALI L 11 – 10 - 1964 SUMBERBENDO RT 1 RW 1

169 PAINTEN P 04 - 05 - 1972

170 RINI K. P 30 – 09 - 1992

171 SULISTIANA P 07 – 04 - 1953 SUMBERBENDO RT 1 RW 1

172 ANGGI PRADANA L 01 – 11 - 1982

173 SUPINI P 01 – 02 - 1938

174 PAIDI L 05 – 07 - 1963 SUMBERBENDO RT 1 RW 1

175 GINI P 07 – 05 -1954

176 KLIMAN L 06 – 10 -1956 SUMBERBENDO RT 1 RW 1

177 SUKINI P 01 – 12 - 1962

178 SUGIANTO L 09 – 01 - 1986

179 GINARTI P 20 – 05 - 1992

180 GILANG RAMADHANI L 09 – 08 - 2012

181 TUKIMUN L 01 – 02 - 1948 SUMBERBENDO RT 1 RW 1

182 SUTAMI P 12 – 01 -1993

183 KASIANTO L 17 – 04 - 1983

184 PUJIATIM L 22 – 05 - 1976 SUMBERBENDO RT 2 RW 3

185 SRI WANTINI P 03 – 03 - 1984

186 SELIA ANJELINA P 01 – 08 - 2004

187 GINEM P 08 – 09 -1948 SUMBERBENDO RT 2 RW 3

Page 8: JAMKESMAS bumirejo

188 SUTOMO L 10 – 12 - 1951 SUMBERBENDO RT 2 RW 3

189 MUJIATI P 12 - 10 - 1955

190 AGUS RUDIANTO L 12 – 08 - 1987

191 WAHAB L 07 – 02 – 1958 SUMBERBENDO RT 2 RW 3

192 SAMIYEM P 09 – 03 - 1962

193 MIFTAKUL ULUM L 15 – 10 - 1978

194 SUWADI L 01 – 01 - 1964 SUMBERBENDO RT 2 RW 3

195 LASIYEM P 06 – 06 - 1967

196 SULIONO L 08 – 08 - 1983

197 HEFIKA SARI P 15 – 06 - 1995

198 MUKAJI L 20 – 01 - 1955 SUMBERBENDO RT 2 RW 3

199 SUPINI P 25 – 03 – 1954

200 HERI KUSWANTO L 07 -09 -1983

201 ISKAK SUBROTO L 21 – 02 - 1960 SUMBERBENDO RT 2RW 3

202 SUPARIYEM NATALIA P 12 01 - 1967

203 VIKTOR OKTA RONALDO L 14 - 10 -1996

204 DARMADJI L 20 – 04 - 1965 SUNBERBENDO RT 2 RW 3

205 HARNING P 08 - 08 - 1970

206 PUTRI HARDIANA P 10 – 11 - 2000

207 PUTRI HARDIANI P 10 – 11 - 2000

208 CINDI FATIKASARI P 18 – 02 - 2002

209 FEBRY SHAPUTRA L 19 - 02 - 2010

210 SUWANDI L 14 – 05 - 1967 SUMBERBENDO RT 3 RW 3

211 ELY KUSMIATI P 01 – 03 - 1970 212 DIKA BUDI PRASTYO L 22 – 06 -1996

213 ILHAM SETIAWAN L 13 – 12 – 2012

214 MARMI P 29 – 09 - 1945 SUMBERBENDO RT 3 RW 3

Page 9: JAMKESMAS bumirejo

215 MUSTOLIB L 03 – 08 - 1975

216 SAPARI L 20 -12 - 1969 SUMBERBENDO RT 4 RW 4

217 TUYEM P 12 – 02 - 1973

218 MAIDETA YURISKA L 02 – 05 - 1996

219 IRMA LUSIANA P 08 – 04 - 2007

220 SAMURI L 17 – 08 - 1957 SUMBERBENDO RT 4 RW 4

221 SUWARNI P 20 - 07 - 1964

222 SOFVAN KRITIONO L 07 – 03 - 1991

223 JEMINAH P 02 – 10 -1935 SUMBERBENDO RT 4 RW 4

224 SUKIRAN L 07 – 11 – 1960 SUMBERBENDO RT 4 RW 4

225 RIANTI P 11 - 02 - 2966

226 IDA LISTIANA P 05 – 01 -1987

227 ARIFIN L 22 – 11 - 1990

228 ETIK P 09 -09 - 1995

229 MISIRAN L 07 – 01 – 1953 SUMBERBENDO RT 4 RW 4

230 KATIYAH P 12 – 09 – 1964

231 MULYADI L 24 – 06 - 1980

232 THOMAS SUMAKTO L 16 – 04 – 1958 SUMBERBENDO RT 2 RW 4 233 SRI MUTAMBARINI P 08 – 08 – 1965

Page 10: JAMKESMAS bumirejo

234 EPY PHANA ARIT PRASOJO L 30 – 07 – 1986

235 AGNES DIANA K. A. P 09 – 09 - 1999

236 SUTINI P 07 – 10 – 1964 SUMBERBENDO RT 2 RW 4

237 WITO L 30 – 04 – 1985

238 PRIONO L 26 – 11 - 1990

239 MIRAN L 10 – 12 – 1954 SUMBERBENDO RT 2 RW 4

240 AYEM P 08 – 03 - 1962

241 SURATNO L 21 – 0 1 – 1969 SUMBERBENDO RT 2 RW 4

242 SUWARNI P 09 – 01 – 1977

243 TUTUT INDARWATI P 20 – 12 – 1994

244 KIKI MEI SETIAWAN L 18 – 05 – 2005

245 REHAN TRI SETIAWAN L 10 – 06 - 2009

246 M. AGUS CAHYONO L 20 – 08 – 1982 SUMBERBENDO RT 4 RW 2

247 KATINI P 01 – 01 – 1983

248 M. FARDAN PUTRA PRATAMA L 15 – 10 - 2009

249 MESDIANTO L 01 – 07 – 1972 SUMBERBENDO RT 4 RW 2

250 SULISTIANI P 21 – 06 – 1979

251 EVITA SETIANI P 19 – 08 – 1998

252 AGUS SETIAWAN L 26 – 08 - 2004

Page 11: JAMKESMAS bumirejo

253 TARMAN L 11 – 12 – 1950 SUMBERBENDO RT 4 RW 2

254 PANIYEM P 01 – 07 - 1955

255 GITO L 01 – 07 – 1944 SUMBERBENDO RT 4 RW 2

256 BOINEM P 01 – 07 - 1955

257 NURKHOLIS L 22 – 06 – 1970 SUMBERBENDO RT 4 RW 2

258 KUNTOWATI P 20 – 06 – 1973

259 MUHAMAD RYAN NUGROHO L 07 – 07 - 2008

260 SULASTRI P 16 – 05 - 1965 SUMBERBENDO RT 3 RW 2

261 SUNARTO L 21 – 01 – 1951 SUMBERBENDO RT 3 RW 3

262 SEMI P 22 – 10 – 1958

263 ARIP EFENDI L 04 – 01 - 1988

264 TUMIRAN / BARUN L 12 – 06 – 1969 SUMBERBENDO RT 3 RW 4

265 PURWATI P 08 – 08 – 1977

266 EBRIANA DINDA AISYAH P 27 – 07 – 1998

267 HERLINA TASYA APRELIAN P 10 – 04 - 2008

268 KATI P 07 – 09 - 1947 SUMBERBENDO RT 3 RW 4

269 RISKI SUWANDI L 21 – 04 – 1976 SUMBERBENDO RT 3 RW 4

270 NANDA BETRA YUPONGKI L 06 – 07 - 2002

271 SIO L 12 – 07 – 1920 SUMBERBENDO RT 3 RW 4

Page 12: JAMKESMAS bumirejo

272 AMI P 15 – 08 - 1929

273 MUSTOFA L 10 – 10 – 1982 SUMBERBENDO RT 1 RW 3

274 LILIK KUSTINI P 27 – 03 - 1984

275 FELIX NOVA SANJAYA L 28 – 11 – 2008

276 MINTEN P 02 – 11 - 1945

277 WASITO L 01 – 04 - 1941 SUMBERBENDO RT 1 RW 3

278 SUTRISNO L 27 – 10 – 1968 SUMBERBENDO RT 1 RW 3

279 TATIK YUSWANTI P 06 – 06 – 1972 SUMBERBENDO RT 1 RW 3

280 AGUS IMAM SAFI’I L 12 – 11 - 1992

281 KATIYEM P 10 – 11 - 1951

282 LULUK ROCHMAWATI P 09 – 02 – 1978 SUMBERBENDO RT 1 RW 3

283 SLAMET RIYADI L 15 – 04 - 1977

284 KARTOMO L 12 – 07 – 1950

285 SIRAS P 08 – 10 – 1949 SUMBERBENDO RT 1 RW 3

286 SINI PARWATI P 30 – 12 – 1978

287 SLAMET L 09 – 12 - 1983

288 SABARI L 04 – 07 – 1968 SUMBERBENDO RT 1 RW 3

289 SRIAMI P 03 – 07 – 1968

290 DIAN NOFITA SARI P 18 – 05 – 1990

291 NINDA MAIFERA P 11 – 0 5 - 1999

292 NYAMIN L 13 – 01 – 1950 SUMBERBENDO RT 1 RW 3

293 SURATENI P 22 – 07 - 1950

294 SUKARDI L 20 – 06 – 1975

295 LUSIANA SAFARA P 06 – 04 - 1985

296 ATMO SAMPIR L 29 – 10 - 1940 SUMBERBENDO RT 1 RW 4

297 KIRAH P 30 – 01 - 1945

298 KATIYEM P 02 – 05 - 1942 SUMBERBENDO RT 1 RW 4

299 MISTIN P 23 – 01 – 1969 SUMBERBENDO RT 1 RW 4

Page 13: JAMKESMAS bumirejo

300 EPI WAHYUNI P 03 – 02 - 1993

301 JIKIN L 23 – 10 – 1966 SUMBERBENDO RT 4 RW 3

302 SUKATIN P 10 – 05 – 1971

303 LUSIANA KARTIKA SARI P 06 – 06 - 1993

304 RIADI L 17 – 12 – 1960 SUMBERBENDO RT 4 RW 3

305 PONINTEN P 28 – 03 – 1969

306 DWI YULIANTO L 23 – 0 9 – 1995

307 SILA APRILIANI P 23 – 04 - 2005

308 WAGINI P 10 – 11 – 1958 SUMBERBENDO RT 4 RW 3

309 SULIONO L 12 – 09 – 1978

310 PONIRIN L 05 – 03 – 1982

311 BUDI ANTORO L 02 – 08 -1992

312 SUTRISNO L 03 – 07 – 1968 SUMBERBENDO RT 2 RW 2

313 SUYANTI P 21 – 11 – 1981

314 PUPUT PUSPITASARI P 28 – 11 - 2002

315 MISDIANTO L 19 – 10 – 1966 SUMBERBENDO RT 2 RW 2

316 YULI S. P 29 – 01 – 1990

317 YENI S. P 12 – 12 – 1994

318 CIKO SIFANI L 05 – 09 – 2012

319 SUKARJAN L 09 – 09 - 1952 SUMBERBENDO RT 2 RW 2

320 SUKIMIN L 10 – 02 – 1949 SUMBERBENDO RT 2 RW 2

321 KARI P 25 – 05 – 1950

322 KARLIN L 07 – 05 – 1962

323 SUSIANTO L 07 – 05 – 1984

324 WAGIRAH P 15 – 11 – 1921 SUMBERBENDO RT 2 RW 2

325 TUKIYEM P 04 – 08 – 1948

326 DAYAT L 06 – 03 - 1980

327 PUJI LISTIONO L 05 – 06 – 1975 SUMBERBENDO RT 2 RW 2

Page 14: JAMKESMAS bumirejo

328 MISTIANI P 09 – 05 – 1985

329 MILA WATI P 07 – 08 - 2005 SUMBERBENDO RT 2 RW 2

330 LEGIMIN L 28 – 09 – 1962

331 PRIHATIN P 11 – 04 - 1964 SUMBERBENDO RT 2 RW 2

332 PAIKEM P 11 – 08 – 1953

333 SUKRI L 05 – 07 - 1975

334 SAMIRAH P 05 – 06 – 1965 SUMBERBENDO RT 2 RW 2

335 NARMI P 01 – 10 – 1987

336 PUJIANTO L 21 – 11 – 1998

337 SUINDRO L 20 – 03 - 2004

338 KUSMARI L 02 – 08 – 1973 SUMBERBENDO RT 2 RW 2

339 SUGIATI P 22 – 09 – 1986

340 RIZAL PUTRA L 20 – 03 - 2009

341 MARKINI P 01 – 07 1949 SUMBERBENDO RT 4 RW 2

342 YAHMIN SODIQ L 29 – 12 – 1969 SUMBERBENDO RT 4 RW 2

343 ISMIATU RODIANA P 27 – 11 – 1977

344 MAIDA MANJILATUL RAHMAWATI P 19 – 06 – 2000

345 DESTIA SELLY NABILA P 11 – 12 - 2004

346 JEMANI L 12 – 03 – 1961 SUMBERBENDO RT 4 RW 2

347 PAINTEN P 05 – 06 – 1971

348 DIMAS YANUAR RIQKI L 26 – 03 - 1999

349 AFTIKAH ERWIN S. L 13 – 09 - 2006

350 GITO L 29 – 06 – 1951

351 MESINI P 16 – 09 – 1954

352 SUTRISNO L 24 – 04 - 1981

353 SUYATI P 21 – 09 -1961 SUMBERBENDO RT 4 RW 2

354 MIFTAQUL HUDA L 03 – 04 -1982

Page 15: JAMKESMAS bumirejo

355 SOLEH BUDIANTO L 07 – 05 - 1986

356 SUKINEM P 07 – 04 - 1980 SUMBERBENDO RT 4 RW 2

357 BOIMAN L 16 – 07 - 1951 SUMBERBENDO RT 4 RW 2

358 TUKINAH P 12 – 05 - 1957

359 BIBIT SOLEKAH P 30 – 05 - 1993

360 WAKIDI L 01 – 07 – 1940 SUMBERBENDO RT 4 RW 2

361 SARTI P 01 – 07 – 1956

362 SUSETYO BUDI L 06 – 08 – 1981

363 JASWANTI P 10 – 02 – 1972 SUMBERBENDO RT 4 RW 2

364 SUSWANDI L 31 – 05 – 1958 SUMBERBENDO RT 4 RW 2

365 MUJIATI P 03 – 11 – 1969

366 MUFID WIDIATMOKO L 08 – 12 – 1993

367 RETNO WULANSARI P 04 - 05 - 1995

368 EVI SUSANTI P 17 – 01 - 2000

369 KETRINA ELSA FEBIOLA P 04 – 09 – 2005

370 PAINAH P 01 – 07 - 1942

371 BEJAN L 01 – 07 – 1966 SUMBERBENDO RT 4 RW 2

372 GITRI P 02 – 01 – 1971

373 BUDI SANTOSO L 05 – 05 – 1990

374 BUDIONO L 31 – 07 – 1991 BUMIREJO RT 1 RW 3

375 DWI PURWATI P 29 – 05 – 1992

376 OLIVIA EKA AFRINDA P 04 – 01 - 2013

377 SLAMET RIADI L 06 – 08 – 1960 BUMIREJO RT 3 RW 2

378 MUJIATIN P 06 – 05 - 1963

379 YUDIONO L 10 – 04 – 1990

380 EMIK NUR ALIKAH P 18 – 06 – 1994

381 RAHMAT ANDI ANTORO L 20 – 09 - 2004

382 SULASMI P 18 – 06 – 1948 BUMIREJO RT 3 RW 2

Page 16: JAMKESMAS bumirejo

383 SAMUNTI P 26 – 01 – 1943 BUMIREJO RT 3 RW 2

384 SIDIK BUDIARTO L 15 – 04 – 1970 BUMIREJO RT 3 RW 2

385 WIJI P 16 – 10 – 1976

386 JEFI NANDA PRATAMA P 23 – 01 – 1997

389 PONI P 08 – 08 – 1934 BUMIREJO RT 3 RW 1

390 MARSIDI L 08 – 09 – 1962

391 MARJUKI L 09 – 07 – 1985

392 KADENI L 25 – 11 – 1980 BUMIREJO RT 3 RW 1

393 AGUS SETIA BUDI L 27 – 06 – 1996

394 SUJIANTO L 17 – 08 – 1982 BUMIREJO RT 3 RW 1

395 JUMIATI P 06 – 06 – 1986

396 FINA P 21 – 06 – 2004

397 FANI P 21 – 06 - 2004

398 KARIM L 05 – 12 – 1959 BUMIREJO RT 4 RW 1

399 MURYATI P 04 – 02 – 1974

400 ANDRI KURNIAWAN L 07 – 06 – 1989

401 REPIANINGSIH P 04 – 10 – 2000

402 SEMI P 12 – 08 – 1958 BUMIREJO RT 4 RW 2

403 WAGIMUN L 17 – 06 – 1951 BUMIREJO RT 4 RW 2

404 JEMINI P 24 – 05 – 1955

405 SUGITO L 20 – 05 – 1961 BUMIREJO RT 2 RW 3

406 SRIATI P 11 – 11 – 1975

407 VITORIKO L 04 – 01 – 1995

408 DEFIKA NOFITRI P 01 – 11 – 2000

409 VAURISKA MARDELA P 05 – 03 – 2004

410 TUGIYO L 02 – 10 – 1937 BUMIREJO RT 2 RW 3

411 MISRADI L 12 – 07 – 1948

412 SUMIATUN P 21 – 04 – 1958 BUMIREJO RT 2 RW 3

Page 17: JAMKESMAS bumirejo

413 SUPRIADI L 25 – 08 – 1980

414 PARNO L 04 – 08 – 1949 BUMIREJO RT 2 RW 3

415 WAGIRAH P 12 – 07 -1954

416 GIYEM P 05 – 06 - 1935

417 SUMAJI L 10 – 09 – 1966 BUMIREJO RT 1 RW 3

418 NARSIH P 07 – 04 – 1971

419 TIYAS DEWI ASTUTI P 31 – 08 – 1997

420 SEMI P 02 – 01 – 1931

421 SUSANTO L 05 – 03 – 1992

422 KRISTANTI AGUSTINA P 30 – 08 - 1997

423 SUKANDAR L 04 – 01 - 1936 BUMIREJO RT 1 RW 3

424 TOLAH P 01 – 03 – 1944 BUMIREJO RT 1 RW 3

425 SUKARDI L 18 – 06 – 1961 BUMIREJO RT 3 RW 1

426 PIYAH P 09 - 03 – 1961

427 LENI INDRAWATI P 28 – 05 - 1998

428 UUT KUSWANTORO P 01 – 06 – 1976 BUMIREJO RT 5 RW 2

429 MARINEM P 11 – 10 - 1934

430 ZAINUDIN L 10 – 05 – 1962 BUMIREJO RT 4 RW 2

431 JARIYAH P 06 – 07 – 1968

432 SITI HALIMAH P 13 – 03 – 1988

433 ZAINAL ARIFIN L 11 – 12 - 1993

434 RIRIN HANDAYANI P 09 – 04 – 1999

435 M. RAIHAN MAHDINA L 17 – 04 – 2009

436 SUEP L 30 – 08 – 1968 BUMIREJO RT 5 RW 2

437 SONIYEM P 06 – 02 – 1972

438 MUHAMAD TOHIR L 10 – 01 – 1992

439 TEGUH SAPUTRA L 26 – 11 - 1998

440 NURDIANA P 15 – 03 – 2002

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441 NURDIANTI P 15 – 03 – 2002

442 WAGINAH P 02 – 08 - 1934

443 LATIP L 04 – 05 – 1945 BUMIREJO RT 3 RW 1

444 LASEMI P 14 – 05 - 1958

445 SISWANTO L 27 – 07 – 1962 BUMIREJO RT 3 RW 1

446 GILANG PUTRA L 27 – 0 5 – 2005

447 SAMINI P 10 – 09 - 1947

448 HARTO L 12 – 01 – 1940 BUMIREJO RT 4 RW 1

449 MUKIDI L 16 – 08 – 1978 BUMIREJO RT 4 RW 1

450 NUR KHOLIFAH P 26 – 12 – 1981

451 ROHID JAYA SAPUTRA L 05 – 10 – 2002

452 FADRIUS YAHYA L 30 – 11 - 2010

453 SUGITO L 25 – 03 – 1952 BUMIREJO RT 3 RW 2

454 SUYATI P 12 – 04 – 1957

455 SADI L 11 – 02 - 1983 BUMIREJO RT 4 RW 3

456 NURUL WIDIAWATI P 10 – 10 – 1982

457 SHIFA A. MANASIKHA P 02 – 12 – 2012

458 RIADI SETIAWAN L 01 – 01 – 1978 BUMIREJO RT 4 RW 2

459 SUSILO WATI P 05 – 04 - 1981

460 SUPARI L 10 – 04 – 1937 BUMIREJO RT 3 RW 2

461 YUDIONO L 12 – 09 – 1987

462 KASIONO L 08 -08 – 1961 BUMIREJO RT 3 RW 2

463 ITALESTARI P 22 – 02 – 1988

464 KINEM P 10 – 06 – 1928

465 CIPTO L 26 – 05 – 1966 BUMIREJO RT 4 RW 2

466 JARIYAH P 13 – 11 – 1968

467 NYELA WAHYUNI P 15 – 08 - 1991

468 IMAM MAKRUF L 20 – 09 - 1966 BUMIREJO RT 4 RW 2

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469 KUSTIANAH P 17 – 03 - 1973

470 ALIYAH DEWI NAIMASARI P 29 – 12 - 1995

471 YULIANA TRI WAHYUNINGSIH P 04 – 07 - 2002

472 KARNELI L 31 – 07 - 1965 BUMIREJO RT 4 RW 2

473 YANTI P 25 – 08 - 1974

474 ERIC ISMAWAN L 04 – 06 - 1998

475 MARIO YUDA PRATAMA L 10 – 03 - 2007

476 RENDI NUANSA L 10 – 12 - 2008

477 JARWO L 06 – 12 – 1978 BUMIREJO RT 4 RW 1

478 ALIK WAHYUNI P 03 – 08 – 1985

479 YOGA ADI P. L 14 – 10 - 2003

480 TUKIYAR L 07 – 06 – 1965 BUMIREJO RT 4 RW 1

481 YATINEM P 09 – 05 – 1965

482 AHMAD ROMDHONI L 15 – 10 – 1991

483 DWI SUKAMTI P 04 – 12 – 1991 BUMIREJO RT 4 RW 1

484 GINANJAR MAULANA L 11 – 02 – 2012

485 YATIN P 16 – 06 - 1956 BUMIREJO RT 2 RW 1

486 SUTARMI P 27 – 11 - 1961 BUMIREJO RT 2 RW 1

487 RIANTI P 25 – 02 – 1976 BUMIREJO RT 2 RW 4

488 JAENURI L 12 – 01 – 1998

489 NINIK SUSANTI P 29 – 12 – 1999

490 SUHARTO L 03 – 04 – 1962 BUMIREJO RT 2 RW 4

491 MARSINI P 08 – 02 – 1961

492 DWI SETYO BUDI L 24 – 04 – 1991

493 WIJI P 07 – 09 – 1950 BUMIREJO RT 2 RW 4

494 PONISRI P 05 – 02 – 1987

495 SUKARMAN L 09 – 04 – 1973 BUMIREJO RT 2 RW 4

496 SITI MARKAMAH P 19 – 08 – 1975

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497 KIRANA SASKYA PUTERI P 19 – 06 – 2008

498 SURADI L 24 – 04 – 1974 BUMIREJO RT 1 RW 4

499 ISNI P 18 – 03 – 1976

500 CINDRA HANIF FADILA P 14 – 09 – 2009

501 SUROTO L 27 – 09 – 1953 BUMIREJO RT 1 RW 4

502 SARMI P 04 – 02 – 1963

503 DARMAJI L 11 – 09 – 1979

504 KASIMAN L 04 – 02 - 1938 BUMIREJO RT 1 RW 4

505 DEFID VIANO VIANTOKO L 23 – 12 - 1992 BUMIREJO RT 1 RW 4

506 JEMIRIN L 02 – 03 – 1949 BUMIREJO RT 1 RW 4

507 JEMINAH P 05 – 07 – 1968

508 HARTONO L 17 – 09 – 1989

509 HARTONI L 17 – 09 – 1989

510 RIMA ANDAYANI P 07 – 09 – 1984

511 SURITNO L 12 – 07 – 1974 BUMIREJO RT 1 RW 4

512 LISTIANI P 10 – 11 – 1980

513 SITI HIMAYATUL MALIYA P 21 – 10 - 2002

514 PURWANTO L 19 – 10 – 1967 BUMIREJO RT 1 RW 4

515 LISTIARI P 21 – 01 – 1972

516 RAKA PRANGGA ISWANTO L 15 – 07 -1993

517 YENITA DWI PRATIWI P 25 – 07 – 1997

518 EMI TRI LESTARI P 13 – 02 – 2006

519 WAGIYEM P 05 – 04 – 1937 BUMIREJO RT 2 RW 1

520 SEGER L 07 – 05 – 1955

521 NUR YATI P 24 – 11 – 1976

522 RIDMAWAN L 12 – 01 - 1992

523 RIATI P 14 – 09 – 1993

524 KUSNO L 16 – 12 - 1951 BUMIREJO RT 3 RW 2

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525 KAMSRI P 11 – 03 - 1963

526 ANIS UTAMI P 28 – 07 1990

527 LANGGENG PRESETIO L 10 – 05 - 1995

528 AGUNG PUJIANTORO L 08 – 05 - 1983 BUMIREJO RT 1 RW 3

529 WARNI P 10 – 03 - 1986

530 INEZ IKA WARDANI P 29 – 03 - 2006

531 RIYANTO L 05 – 07 - 1950 BUMIREJO RT 2 RW 1

532 TRUBUS P 03 – 04 - 1953

533 HARIANTO L 13 – 02 - 1974 BUMIREJO RT 1 RW 3

534 LILIK P 06 – 04 - 1982

535 TIANINGSIH L 21 – 01 - 1998

536 PRASETYO JUNIOR L 23 – 03 - 2008

537 SUYANTO AGUNG A. L 23 – 03 - 2002 BUMIREJO RT 3 RW 3

538 TRIAMINI P 18 – 03 - 1984

539 ZUMROTU F. P 31 – 10 - 2006

540 SAMINEM P 09 – 03 - 1951

541 TUKIYEM P 10 – 03 - 1922

542 KASTI P 08 – 01 - 1944 BUMIREJO RT 1 RW 3

543 LULUS ADI SASONO L 08 -10 - 1999

544 SUJARWO L 02 – 06 – 1976 BUMIREJO RT 1 RW 3

545 JUWARTI P 07 – 12 - 1982

546 ARI PRASETYO L 14 – 12 - 2003

547 AULIA KRISMAWATI P 30 – 05 - 2010

548 RISKY ANDIS SETIAWAN L 22 – 07 - 2006 BUMIREJO RT 4 RW 2

549 ZENA PUTRA SETIAWAN L 05 – 03 - 2008

550 EUNIKE SILIKA P 26 – 06 - 2011 BANGUNREJO RT 1 RW 1

551 DOFFIE RADITYANTO L 29 – 01 - 2011 BANGUNREJO RT 1RW 1

552 DEVINA NATALIA P 20 – 01 - 2010 BANGUNREJO RT 2 RW 1

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553 SABAR / YAHUDI L 07 – 11 - 1957 BUMIREJO RT 1 RW 1

554 TUKIYAT P 09 – 07 - 1967

555 WIYONO L 12 – 10 - 1994

556 DIKA FERDINSYAH L 12 – 11 - 2011

557 PARLAN L 07 – 02 - 1976 BUMIREJO RT 1 RW 1

558 NURUL FATMAWATI P 12 – 06 - 1995

559 PUDJIATNO L 06 – 07 - 1964 SUKOREJO RT 2 RW 1

560 LAYSA ADIRA PUJIKANIA P 17 – 04 - 2004

561 ZURETH PRIMA DARMA L 10 – 05 - 2001 BUMIREJO RT 2 RW 2

562 ZUNESH RERY LEXTIACYA L 12 – 12 - 2002

563 VILLA VISTA LEXTIANE P 12 – 05 - 2004

564 FAJAR L 13 – 04 - 2012 BUMIREJO RT 2 RW 1

565 ZAHROTUL JANAH P 24 – 06 - 2009 BUMIREJO RT 3 RW 3

566 DEVAN L 12 – 08 - 2011 SUKOREJO RT 4 RW 1

567 ANGGUN DWI PERTIWI P 03 – 06 - 2012 SUKOREJO RT 1 RW 2

568 DEDI L 09 – 08 - 2012 SUKOREJO RT 1 RW 2

569 CITRA P 30 – 08 -2012 SUKOREJO RT 1 RW 2

570 NOVA ANDRIANTO L 03 – 07 – 2006 BUMIREJO RT 2 RW 3

571 DEBI WEGA A. L 19 – 11 - 2009 BUMIREJO RT 2 RW 3

572 INTAN P 09 – 11 2011 BUMIREJO RT 2 RW 3

573 KATIMUN L 10 – 11 1962 BUMIREJO RT 2 RW 1

574 PUJIATI P 07 – 09 - 1968

575 YUNARSIH P 03 – 02 - 1991

576 WAHYUDIANTO L 02 – 06 - 1993

577 DEDIK HERMAWAN L 21 – 08 - 1995

578 CHANDRA SAPUTRA L 22 – 05 - 2012 SUMBERBENDO RT 2 RW 3

579 FERDIANSYAH L 08 – 08 - 2012 SUMBERBENDO RT 1 RW 3

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580 WINDA MARIA K P 08 – 08 - 2009 SUMBERBENDO RT 4 RW 2

581 HARTONO L 04 – 11 – 1969 BUMIREJO RT 1 RW 1

582 SUPARMI P 14 – 09 – 1960

583 KHOIRUL MAJID L 10 – 1 0 -1996

584 VELLA ARISMANANDA P 27 – 03 – 2005

585 RUKANI P 10 – 05 - 1966 BUMIREJO RT 1 RW 2

586 SUKRISTIANTO L 15 – 04 – 1984

587 TUMIJAN L 12 – 11 – 1969

589 JEMINI P 05 – 04 – 1969

590 YANTO L 03 – 02 – 1987

591 GUDIANTO L 14 – 12 – 1989

592 FERI ELA SARI P 02 – 07 – 1997

593 BAKIR L 11 – 07 – 1954 BUMIREJO RT 2 RW 2

594 PONIJEM P 12 – 04 – 1950

595 KUSNAN L 18 – 08 - 1952 BUMIREJO RT 2 RW 1

596 HARTIAH P 09 – 03 – 1937

597 WARI L 30 – 06 – 1995

598 DONO L 02 – 02 - 1954 SUKOREJO RT 4 RW 2

599 SUNARMI P 12 – 07 – 1967

600 SAMPUN L 16 – 07 – 1962 BUMIREJO RT 2 RW 2

601 NUR AMIN L 01 – 09 – 1068

602 KASENI P 11 – 12 – 1971

603 SUTIKNO L 11 – 06 – 1968 BUMIREJO RT 3 RW 1

604 KRISTINI P 10 – 10 – 1970

605 PANJI PRANOTO L 06 – 01 – 1996

606 KARIADI L 04 – 07 – 1950 BUMIREJO RT 3 RW 1

607 SUTIN P 10 – 01 – 1998

608 TONAH P 26 – 12 – 1942 BUMIREJO RT 2 RW 1

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609 SUWITO L 04 – 05 – 1951 BUMIREJO RT 3 RW 2

610 DASIH P 03 – 04 – 1954

611 SULISTIONO L 05 – 02 – 1985

612 JUWARI L 04 – 05 – 1951 BUMIREJO RT 3 RW 4

613 MESEMI P 15 – 12 – 1951

614 SULIONO L 17 – 05 – 1990

615 IRAWAN L 17 – 12 – 1982

616 SLAMET L 09 – 07 – 1961 SUMBERBENDO RT 1 RW 1

617 SUNARNI P 22 – 06 – 1985

618 PENDIK L 10 – 07 – 1995

619 SUWARTO L 13 – 10 – 1963 SUKOREJO RT 5 RW 1

620 SUTIANI P 07 – 09 – 1961

621 SUTRISNO L 14 – 04 – 1984

622 SUNARNO L 26 – 03 – 1968 SUKOREJO RT 3 RW 1

623 ROMIATIN P 07 – 11 – 1971

624 RIO ARDIANTO L 19 – 12 – 1994

625 RIKI ALDI L 22 – 01 – 1998

626 MIRIN L 11 – 06 – 1947 SUKOREJO RT 4 RW 2

627 SANIKEM P 04 – 09 – 1941

628 KARNI L 09 – 05 – 1963 SUKOREJO RT 1 RW 2

629 DARIATI P 06 – 01 – 1976

630 MONIKA KARNIA P 30 – 11 - 2000

631 MUHAMAD NUR ROIS L 17 – 10 - 1979 BUMIREJO RT 3 RW 2

632 LINDA UMAYAH P 08 – 03 - 1985

633 M. NASRUL MUIZIL KHAQ P 25 – 07 - 2009

634 SUWARNO EDI WIBOWO L 11 – 06 - 1970 BUMIREJO RT 5 RW 2

635 ALRIYANTI DEWI SUKESI P 24 – 11 - 1972

636 ARMANDO EDI WIBOWO L 23 – 06 - 1996

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637 PINKY DEWI SUKESI PUTRI P 05 – 03 - 2006

638 KHODIM L 11 – 03- 1948 BUMIREJO RT 3 RW 3

639 SUMARNI P 04 – 04- 1953

640 SLAMET HARYONO L 28 – 02 - 1982

641 RIZKY DWI ANGGRAINI P 13 – 01- 2001

642 SUWADI L 21 – 04 - 1975 SUKOREJO RT 3 RW 2

643 LILIS SURYANINGRUM P 02 – 06 - 1988

644 KASTUMI P 11 – 11 - 1948

645 SUGIARTO L 20 – 11 - 1979 SUKOREJO RT 1 RW 1

646 ROKHAYATI P 01 – 01 - 1988

647 RAFEL BINTANG PRATAMA L 01 – 01 - 2010

648 CERIL SEFIRA NATASYA P 27 – 08 - 2011

649 JUWATI AGUSTINA P 01 – 08 -1976 BUMIREJO RT 1 RW 1

650 EKA SUSILOWATI P 21 – 04 - 1996

651 SUWANTO L 05 – 07 1953 BUMIREJO RT 1 RW 1

652 MARIANI P 18 – 03 - 1953

653 SUBARI RUDI ASWORO L 04 – 05 - 1972 BUMIREJO RT 1 RW 1

654 NUR AZIZA PUTRI P 21 – 06 - 2011

655 HAKIKI NUR L 05 – 08 - 2012

656