| No | Nama | Alamat | Tanggal Cetak |
| 1 | ERNI PURWANTI | RT/RW 3/3 - DUSUN SUMBERAN | 26/02/2021 |
| 2 | SUPRIYONO | RT/RW 2/4 - DUSUN PETAK | 26/02/2021 |
| 3 | AMIRUDIN | RT/RW 3/3 - DUSUN SUMBERAN | 27/01/2021 |
| 4 | DEWI SA'DIYAH | RT/RW 3/3 - DUSUN SUMBERAN | 11/02/2021 |
| 5 | UMIYATIN | RT/RW 6/3 - DUSUN SUMBERAN | 03/02/2021 |
| 6 | SETYOWATI | RT/RW 5/3 - DUSUN SUMBERAN | 27/01/2021 |
| 7 | SISWANTO | RT/RW 5/3 - DUSUN SUMBERAN | 27/01/2021 |
| 8 | LASMITO | RT/RW 3/3 - DUSUN SUMBERAN | 27/01/2021 |
| 9 | NURUL ARIK IRAWAN | RT/RW 2/1 - DUSUN KRAJAN | 27/01/2021 |
| 10 | KARMU | RT/RW 5/1 - DUSUN SEKAR PETAK | 27/01/2021 |
| 11 | SULASIH | RT/RW 1/2 - DUSUN TANJUNG | 27/01/2021 |
| 12 | NUR CHAKIM | RT/RW 3/2 - DUSUN TANJUNG | 27/01/2021 |
| 13 | SUNARTI | RT/RW 1/2 - DUSUN TANJUNG | 27/01/2021 |
| 14 | PARSAM | RT/RW 1/2 - DUSUN TANJUNG | 27/01/2021 |
| 15 | MAEMONAH | RT/RW 1/2 - DUSUN TANJUNG | 27/01/2021 |
| 16 | TRIYONO | RT/RW 1/2 - DUSUN TANJUNG | 27/01/2021 |
| 17 | WARIYANTI | RT/RW 1/2 - DUSUN TANJUNG | 03/02/2021 |
| 18 | KARISMA CINDY NOVITA RANI | RT/RW 5/1 - DUSUN SEKAR PETAK | 02/12/2020 |
| 19 | KASMURI | RT/RW 1/1 - DUSUN BRANGKALI | 25/11/2020 |
| 20 | NASRUN | RT/RW 6/3 - DUSUN SUMBERAN | 16/12/2020 |
| 21 | NADHIROH | RT/RW 6/3 - DUSUN SUMBERAN | 16/12/2020 |
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