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PEMERINTAH KABUPATEN BLORA

SATUAN KERJA PERANGKAT DAERAH


Jl......... No...... Kota......... Telp............ Fax............. Kode Pos............ e-mail............ Website.......

Blora,

Nomor : Kepada

Sifat : Yth...................................................

Lampiran : ....................................................

Hal : ................................................. di........................................................

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Nama Jabatan

Pimpinan

Perangkat Daerah

NAMA

Pangkat

NIP

Tembusan :

1. ................................................................
2. ................................................................
3. ................................................................

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