NAMA
PERUSAHAAN/TOKO/KEDAI/PRODUK/JASA/USAHA : ...................................................................
................................................................................................................................................
................................................................................................................................................
.................................
ALAMAT : ...............................................................................................................
................................................................................................................................................
......................................................................................................................................
Pemesan Penerima
...................................... .......................................
PEMERINTAH KABUPATEN TANAH DATAR
DINAS KOMUNIKASI DAN INFORMATIKA
Jalan Sultan Alam Bagagarsyah No.1 Pagaruyung Telp./Fax 0752-4415030
PEMERINTAH KABUPATEN TANAH DATAR
DINAS KOMUNIKASI DAN INFORMATIKA
Jalan Sultan Alam Bagagarsyah No.1 Pagaruyung Telp./Fax 0752-4415030