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Kepada : PUSKESMAS KELAPA
Alamat :
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SURAT JALAN NO : 230/BG/VII/25
Dengan kendaraan .......................... No. ..................... kami kirim barang-barang tersebut di bawah ini:

Banyaknya Nama Barang
1 COPY WARNA A3 PLUS
1 albatros rolland
Pangkalpinang, 30 Agustus 2026


TANDA TERIMA,


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Hormat Kami,


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