Serah Terima Barang.docx

  • November 2019
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PEMERINTAH KOTA BANDUNG

DINAS KESEHATAN UPT PUSKESMAS SALAM Jl. Salam No.27 Bandung 40114 Telp 022 7234610 Email : [email protected]

BUKTI TANDA TERIMA BARANG Tanggal No

: Nama Barang

Jumlah

Keterangan

Diserahkan oleh :

Diterima oleh :

(………………………….)

(………………………….)

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