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9.

BENTUK RANCANGAN SURAT EDARAN

a. Ditandatangani Walikota.

WALIKOTA PEKALONGAN

Tempat, tanggal, bulan dan tahun

Kepada

Yth. ............................................
...........................................

di -
............................

SURAT EDARAN

NOMOR ………………………………….

TENTANG

.................................(JUDUL/HAL SURAT EDARAN)

................................................................................................................
................................................................................................................

................................................................................................................
................................................................................................................

...........................................................................................................
......................................................................................................................

WALIKOTA PEKALONGAN

tanda tangan

(NAMA DENGAN GELAR)

Jalan…...Nomor…....Kota..….Kode Pos.….Telepon…...Faksimile……e-mail…..Website.....

Jl. ….………No……….. Kota ………..Telp…………Fax……... Kode Pos……. Website …… e-mail……….


b. Ditandatangani Wakil Walikota atas nama Walikota

WALIKOTA PEKALONGAN

Tempat, tanggal, bulan dan tahun

Kepada

Yth. ............................................
...........................................

di -
............................

SURAT EDARAN

NOMOR………………………………….

TENTANG

.................................(JUDUL/HAL SURAT EDARAN)

................................................................................................................
................................................................................................................

................................................................................................................
................................................................................................................

...........................................................................................................
......................................................................................................................

WALIKOTA PEKALONGAN
WAKIL WALIKOTA

tanda tangan

(NAMA DENGAN GELAR)

Jalan…...Nomor…....Kota..….Kode Pos.….Telepon…...Faksimile……e-mail…..Website......
c. Ditandatangani Sekretaris Daerah atas nama Walikota.

PEMERINTAH KOTA PEKALONGAN


PERANGKAT DAERAH
Jalan…...Nomor…....Kota..….Kode Pos.….Telepon…...Faksimile……e-mail…..Website.......

Tempat, tanggal, bulan dan tahun

Kepada

Yth. ............................................
...........................................

di -
............................

SURAT EDARAN

NOMOR………………………………….

TENTANG

.................................(JUDUL/HAL SURAT EDARAN)

................................................................................................................
................................................................................................................

................................................................................................................
................................................................................................................

...........................................................................................................
......................................................................................................................

a.n. WALIKOTA PEKALONGAN


Sekretaris Daerah

tanda tangan

NAMA PEJABAT
Pangkat
NIP
TEMBUSAN: (apabila ada)
1. ...............................
2. ...............................
3. dan seterusnya.
(diberi garis bawah sesuai tembusan terakhir)

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