[SURAT PESANAN,
lserunn KERIA PEIAGAT PENANDATANGAN/PENGESANAN TANDA
lsukTi PeRIANIAN : UPTD BALAI PENGUIIAN KENDARAAN
‘SURAT PESANAN (SP) JpeRworoR
InomoR DAN TANGGAL SP 8.002/°KBy/DISHUB/03/2023
‘Yang bertanda tangan di bawah in
Nama: Makarius Djatmiko, 50s
Jabatan : Kepala UPTD Balal Pengulan Kendaraan Sermater(Plpinan BLUD)
[ALamat : 3. Aan Kel Mabu'un Kee. Murung Pudak - Kabupaten Tabalong - Kalimantan Selatan
‘Selanjutnya cisebut sebagel Pejabat Penandetangen/engesahan Tanda BuktiPeranyian;
Nama: ApriyantiRahays
Jabatan : Pamilk Toke Wanana
Alamat
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