……………………………………. [K/L/D/I]………………………[satker]

....................................................................... [alamat, tlp/faks]

DOKUMEN KONTRAKNOMOR SURAT PERJANJIAN :

...............................................................Tanggal .... .................. 20.....

PEKERJAAN PENGADAAN JASA KONSULTANSI BADAN USAHA

INSTANSI : ...................................................

NAMA PAKET : ...................................................

NILAI KONTRAK : RP. ............................(..................................... RUPIAH)

JANGKA WAKTUPELAKSANAAN : ........ (......................) HARI KALENDER

SUMBER DANA : ................

THN. ANGGARAN : 20....

PENYEDIA:

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