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Kantor:Jl.Kalibata Utara II No.

17 Jakarta-Selatan
Telp 02179183267, Fax:(021)7987123
Hotline:(021) 33337001,33337002,33337003

PT. SATYA MITRA WASPADA

BERITA ACARA KERUSAKAN

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Divisi : ...............................................................
Jabatan : ...............................................................

Menarangkan Bahwa Pada hari ini :

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Melaporkan kerusakan barang berupa :


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Lokasi : ...............................................................................................................
Saran : ...............................................................................................................
Kronologis Kejadian : ...............................................................................................................
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Jakarta, ......................20........
Pelapor Yang Menerima Laporan

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Prepared by Security Operational & Safety Div./SATYA MITRASECURITY GUARD

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