Surat Disposisi

LEMBARAN DISPOSISI

Diproses Oleh .......................................		No. Urut Agenda ......................		Tanggal Proses .......................................
Perihal              Tanggal Surat   Asal Surat        Diterima Tanggal	: .................................................................................................................... : .................................................................................................................... : .................................................................................................................... : .................................................................................................................... : .................................................................................................................... : ....................................................................................................................
D I S P O S I S I
Kepada Yth. :			Diteruskan Kepada : 1. 2. 3. Isi :