You are on page 1of 1

PEMERINTAH KOTA ADMINISTRASI JAKARTA TIMUR

SUKU DINAS KESEHATAN MASYARAKA


PUSKESMAS KELURAHAN KAMPUNG MELAYU
JL. KEBON PALA I NO 32 TELP. (021) 8515004

Statement Letter

The one sign this below is :

Name : dr. Mardiyah

Employe ID Number : 197310042006042021 / 165401 / Penata / Gol III C

Position : Kepala Puskesmas Kelurahan Kampung Melayu

Explan That

Name : drg. Diana Caterina Sjofjan

Employe ID Number : 195611261989102001 / Gol IV C

Diana Caterina Sjofjan has worked for 26 (twenty six) years in our Enviromental health
approximately.

With Salary : Rp. 5.330.100,-

Allowance : Rp. 28.787.631,-

Would like to travel to the United State to accompany her daughter as they visit with American
Family members.

Please feel free to contact me if you would like any additional information

Therefor this Statement Letter made

Jakarta, 19 Mei 2016

dr. Mardiyah
NIP. 197310042006042021

You might also like