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Kepada : PUKESMAS KELAPA
Alamat :
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SURAT JALAN NO : 260/BG/XII/18
Dengan kendaraan .......................... No. ..................... kami kirim barang-barang tersebut di bawah ini:

Banyaknya Nama Barang
50 nota kosong full folio rkp 3
50 NOTA SEPERENAM
Pangkalpinang, 27 Agustus 2026


TANDA TERIMA,


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Hormat Kami,


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