| Penerima | : | Lilis Wati |
| Alamat | : | Jl. Hasan Bisri, dsn tuwiri desa seduri rt 03 rw 10 kec. Mojosari, Mojokerto |
| Kec. Kota | : | Mojosari, Mojokerto |
| No. Telp | : | 083114403643 |
| Penerima | : | Lilis Wati |
| Alamat | : | Jl. Hasan Bisri, dsn tuwiri desa seduri rt 03 rw 10 kec. Mojosari, Mojokerto |
| Kec. Kota | : | Mojosari, Mojokerto |
| No. Telp | : | 083114403643 |