DINAS PERHUBUNGAN
Jl. Raya Maospati - Magetan KM. 3 Tinap, Sukomoro, Magetan. Kode Pos 63391
Telp. 0351 - 894285 Fax. 0351 - 866815
http:// dishub.magetan.go.id E-mail : dishub@magetan.go.id
Magetan, ${tanggal_naskah}
Kepada
Nomor : ${nomor_naskah} Yth. Sdr. ${jabatan_tujuan}
Sifat : ${sifat}
Lampiran :
Hal : ${hal} di
Tempat
.....................................................................................................
......................................................................................................
Hari : ................................................
Tanggal : ...............................................
Pukul : ................................................
Tempat : ................................................
Acara : ................................................
............................................................................................
...............................................................................................................
${jabatan_pengirim}
${ttd_pengirim}
${nama_pengirim}
${nip_pengirim}