| No. | Nama | Paraf |
|---|---|---|
| 1 | SUWARNI | |
| 2 | TRI WAHYUDI | |
| 3 | PARTINAH | |
| 4 | YUHUD WAHYU ADI | |
| 5 | SLAMET | |
| 6 | JUMAHIR | |
| 7 | JUWARI | |
| 8 | RUSDI | |
| 9 | PONIJAN | |
| 10 | SUTRISNO | |
| 11 | MUHADI | |
| 12 | PONIJAN | |
| 13 | SOETIMIN | |
| 14 | SUGIMIN | |
| 15 | SLAMET | |
| 16 | MISDI | |
| 17 | SUWARJO | |
| 18 | EDI PRAYITNO | |
| 19 | UTIK SURISMI | |
| 20 | TUYONO | |
| 21 | SUPARWANTO |