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    KOP SURAT SKPD

    BERITA ACARA SERAH TERIMA LAPANGANNomor : 02.2/BASTL/-------- /------/------/............./201x

    Pada hari ini Rabu tanggal 11 (Sebelas) Bulan Juli Tahun Dua Ribu Dua Belas, kamiyang !rtandatangan dia"ah ini :

    1.Naa PPK ! #!$ala Bidang .................. %ina& ...............#ota .............. S!laku P!'aat P!muat #omitm!n di%ina& .................... #ota ............... T.A. ............. "di&!ut (PIHAK KESATU).

    #. Naa Pe$%e&ia : %ir!ktur ................................, &!laku P!ny!dia *a&a#ontruk&i $adaProgram ...................................................................., #!giatan ............................................ #ota Batam,P!k!r'aan ...................................., di&!ut (PIHAKKEDUA).

    T!lah m!lakukan &!rah t!rima la$angan dari PIHAK KESATUk!$ada PIHAK KEDUA,untuk &!lan'utnya PIHAK KEDUA m!ng!r'akan P!k!r'aan ................................... ,

    #!giatan ......................................... !rda&arkan Surat P!rintah +ulai #!r'aNomor : ............................................. , tanggal ..................................

    %!mikian !rita aara &!rah t!rima la$angan ini diuat untuk dilak&anakan &!agaimanam!&tinya.

    ang +!n!rimaPA# #%A

    Naa Pe'usaaa$

    .........................................*aatan

    ang +!ny!rahkanPA# #SAT

    P*ABAT P+BAT #+T+NBidang ..............................................

    DINAS ...........................................

    .................................................Ni$. ....................................


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