MUHAMMAD IBNU SOIM: Surat Perdamaian

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<b><u><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">SURAT PERDAMAIAN</span></u></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Yang
bertanda tangan dibawah ini:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nama <span style="mso-tab-count: 1;">           </span>: <b>DWI SURYANTO</b></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Umur <span style="mso-tab-count: 1;">           </span>: 33 Tahun </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pekerjaan <span style="mso-tab-count: 1;">     </span>: Wiraswasta</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Alamat
<span style="mso-tab-count: 1;">        </span>: Desa Pasar Sukadana Kecamatan
Sukadana Kabupaten Lampung Timur</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Selanjutnya disebut Selaku Pihak Ke I
(Satu)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nama <span style="mso-tab-count: 1;">           </span>:<b> WARSITO (Orang Tua)</b></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Umur <span style="mso-tab-count: 1;">           </span>: 41 Tahun</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pekerjaan <span style="mso-tab-count: 1;">     </span>: Wiraswasta</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Alamat <span style="mso-tab-count: 1;">        </span>: Provinsi Bengkulu</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nama <span style="mso-tab-count: 1;">           </span>: <b>PUTRA (Anak Kandung)</b></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Umur <span style="mso-tab-count: 1;">           </span>: 4 Tahun</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pekerjaan <span style="mso-tab-count: 1;">     </span>: Turut Orang Tua</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Alamat <span style="mso-tab-count: 1;">        </span>: Provinsi Bengkulu</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Selanjutnya disebut SelakuPihak Ke II
(Dua)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;">            </span>Telah melakukan musyawarah secara
kekeluargaan sehubungan dengan telah terjadinya Musibah kecelakaan Lalu Lintas
yang terjadi pada hari Minggu, tanggal 14 April 2013 pukul <u>+</u> 17.00 WIB
di Perempatan Pringgondani Desa Mataram Marga Kecamatan Sukadana Kabupaten
Lampung Timur, dengan kesepakatan antara Pihak<span style="mso-spacerun: yes;"> 
</span>Ke I dan Ke II adalah sebagai berikut:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I (Satu) dan Pihak Ke II
(Dua) telah sepakat untuk menyelesaikan secara musyawarah kekeluargaan
sehubungan dengan perkara tersebut diatas.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I (Satu) dan Pihak Ke II
(Dua) sama-sama menyadari bahwa kecelakaan tersebut adalah suatu musibah.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I (Satu) berjanji dalam
perkara tersebut diatas, bertanggung jawab kepada Pihak Ke II (Dua) atas efek
dari musibah tersebut.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I (Satu) dan Pihak Ke II
(Dua) bersedia menanggung biaya pengobatan.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">     
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I (Satu) dan Pihak Ke II
(Dua) setelah terjadinya Perdamaian ini akan menjalin hubungan keluarga secara
baik.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;">            </span>Demikian Surat Perdamaian ini
dibuat, dengan sebenarnya dengan akal pikiran yang sehat tanpa paksaan dari
pihak lain. Dan untuk dapat dipergunakan seperlunya kemudina untuk
menguatkannya Pihak Ke I dan Ke II membubuhkan tanda tangan dibawah ini:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-tab-count: 5;">                                                                        </span><span style="mso-tab-count: 2;">                        </span>Pasar Sukadana, 17 April
2013</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke II</span></div>
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<b><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">WARSITO</span></u></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pihak Ke I</span></div>
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<b><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">DWI SURYANTO</span></u></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">SAKSI
  PIHAK KE II (DUA):</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">SAKSI
  PIHAK KE I (SATU):</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">      </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">................................
(..................)<span style="mso-spacerun: yes;">   </span><span style="mso-tab-count: 3;">                            </span>1.
.................................. (...............)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">      </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">................................
(..................)<span style="mso-tab-count: 3;">                               </span>2.
.................................. (...............)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mengetahui,</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kepala Desa Pasar Sukadana</span></div>
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CONTOH SURAT PERDAMAIAN KECELAKAAN BY IBNU SOIM

SURAT PERDAMAIAN Yang bertanda tangan dibawah ini: Nama : DWI SURYANTO Umur : 33 Tahun Pekerjaan ...