ABCDEFGHIJKLMNOPQRSTUVWXY
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USULAN RENCANA KEBUTUHAN PENGADAAN BARANG MILIK DAERAH
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(RENCANA PENGADAAN)
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PENGGUNA BARANG ................................. (2)
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TAHUN …....... . (3)
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PEMERINTAH DAERAH
: Kota Mojokerto
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PENGGUNA BARANG: ................................................... (4)
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Hal: ............(1)
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NOUSULAN RKBMDKEBUTUHAN MAKSIMUMDATA DAFTAR BARANG YANG DAPAT DIOPTIMALKANKEBUTUHAN RIIL BMDCARA PEMENUHANKETERANGAN
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PROGRAM/KEGIATAN/OUTPUT
KODE BARANG (7 digit)NAMA BARANGJUMLAHSATUANJUMLAHSATUAN
KODE BARANG
NAMA BARANG
JUMLAH
SATUAN
JUMLAHSATUAN
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12345678910111213 (7-11)141517
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A. Program..............................
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 1. Kegiatan.............................
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 a. Output.............................
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xxxxxxxxxxxxx
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xxxxxxxxxxxxx
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 2. Kegiatan.............................
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 a. Output.............................
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xxxxxxxxxxxxx
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xxxxxxxxxxxxx
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 3. Kegiatan.............................
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 a. Output.............................
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xxxxxxxxxxxxx
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xxxxxxxxxxxxx
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B. Program..............................
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 1. Kegiatan.............................
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 a. Output.............................
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xxxxxxxxxxxxx
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xxxxxxxxxxxxx
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 2. Kegiatan.............................
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 a. Output.............................
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xxxxxxxxxxxxx
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xxxxxxxxxxxxx
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567891011121314151617181920
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Mojokerto, ...................................... (21)
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Pengguna Barang
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........................................................(22)
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......................................................... (23)
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NIP. ........................................ (23)
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