Format surat resmi Indonesia lama

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................. .............................. (2) .........................................(3)

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................. ...............................(5) ......................................................(6)

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..............................................................................................................(9)

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.......................................(11)

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..............................................(13)

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Keterangan :
1. Kepala surat 6. Alamat/tujuan 11. Nama penanda tangan
2. Nomor surat 7. Salam pembuka 12. NIP/NRP/NIK
3. Tanggal 8. Isi surat 13. Tembusan
4. Lampiran 9. Penutup 14. Inisial pengonsep
5. Hal/perihal 10. Jabatan penanda tangan