PEMERINTAH KOTA............

KECAMATAN ...............
KELURAHAN .................

BERITA ACARA KESEPAKATAN BERSAMA

Pada hari ini, .............. Tanggal....... Bulan........... Tahun .........

bertempat diKantor....................................., telah diadakan
rapat/musyawarah berkaitan dengan percepatan kegiatan program SPAM
Padat Karya yang berlokasi di .................................................. yang
dihadiri oleh peserta perempuan............,laki-laki........ Hasil Kegiatan Monev
ini dimaksud menghasilkan kesepakatan-kesepakatan sebagai berikut:
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Demikian berita acara kesepakatan bersama ini dibuat untuk dapat
dipergunakan sebagaimana mestinya.

Mengetahui
Lurah/Kepala Desa

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