PEMERINTAH DAERAH PROVINSI SULAWESI UTARA

DINAS PERPUSTAKAAN DAN KEARSIPAN DAERAH

NOTA DINAS
NOMOR: ${nomor_naskah}

Yth. : ${jabatan_tujuan}

Hal : ${hal}

Pembuka nota dinas ................................................................................

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Isi nota dinas
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Penutup nota dinas ...................................................................................
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Manado, ${tanggal_naskah}
${jabatan_pengirim}
${ttd_pengirim}
${nama_pengirim}