PEMERINTAH KABUPATEN MUSI BANYUASIN

SEKRETARIAT DAERAH
Jalan Kol. Wahid Udin Nomor 257 Sekayu 30711
Telepon: (0714) 321013 - 321064 Faksimile: (0714) 322447

Sekayu, ${tanggal_naskah}

Kepada
Nomor : ${nomor_naskah} Yth. XXX
Sifat : ${sifat} di -
Lampira : xxx xxx
n : ${hal}
Hal

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${jabatan_pengirim},
${ttd_pengirim}
${nama_pengirim}
Pangkat xxx
NIP;${nip_pengirim}

Tembusan :
1. xxx
2. xxx
3. xxx

Jalan Kolonel Wahid Udin Nomor 257 Sekayu. Kabupaten Musi Banyuasin
Telepon: (0714) 321013, 321064 Faksimile: (0714) 322447 Kode Pos 30711