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Kepada : PUSKESMAS SUNGAI SELAN
Alamat :
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SURAT JALAN NO : 71/BG/XII/20
Dengan kendaraan .......................... No. ..................... kami kirim barang-barang tersebut di bawah ini:

Banyaknya Nama Barang
5 ACRYLIC
Pangkalpinang, 15 Agustus 2026


TANDA TERIMA,


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Hormat Kami,


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