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		<td>&nbsp;</td>
		<td width="50%">
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Berangkat 
		dari : Palangka Raya</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;(Tempat 
		Kedudukan)</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp; : <?php echo tgl_jam_sql($datpil1->awal_tugas); ?></font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Ke : 
		<?php echo $datpil1->tujuan; ?> </font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;<?php echo $datpil1->kuasa; ?> 
		Balai Besar Pengawas Obat dan Makanan </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Di 
		Palangka Raya</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;<?php echo $datpil1->nama; ?></font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;</font></td>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;</font></td>
	</tr>
	<tr>
		<td>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Tiba di&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		: </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
		<td width="397">
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Berangkat 
		Dari&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Ke&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		: </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; :</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
	</tr>
	<tr>
		<td>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Tiba di&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		: </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
		<td width="397">
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Berangkat 
		Dari&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Ke&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		:</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; :</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
	</tr>
	<tr>
		<td>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Tiba di&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		:</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
		<td width="397">
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Berangkat 
		Dari&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; : </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Ke&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		:</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; :</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		</td>
	</tr>
	<tr>
		<td>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Tiba 
		Kembali&nbsp;&nbsp; : Palangka Raya</font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;Pada 
		Tanggal&nbsp; : <?php echo tgl_jam_sql($datpil1->akhir_tugas); ?></font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		Pejabat Pembuat Komitmen</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		Tri Nurhayatiningsih, S.Farm, Apt </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		</font></td>
		<td width="397">&nbsp;<p align="justify" style="margin-top: 0; margin-bottom: 0">
		<font size="2">Telah diperiksa dengan keterangan bahwa perjalanan dinas 
		tersebut di atas benar-benar dilakukan atas perintahnya dan semata-mata 
		untuk kepentingan jabatan dalam waktu yang sesingkat-singkatnya</font></p>
		<p align="justify" style="margin-top: 0; margin-bottom: 0">
		<font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pejabat Pembuat Komitmen</font></p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0">&nbsp;</p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		Tri Nurhayatiningsih, S.Farm, Apt </font></p>
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
		</font></td>
	</tr>
	<tr>
		<td><font size="2">&nbsp;Catatan Lain-lain</font></td>
		<td width="397">&nbsp;</td>
	</tr>
	<tr>
		<td colspan="2">
		<p style="margin-top: 0; margin-bottom: 0"><font size="2">&nbsp;</font><u><font size="2">PERHATIAN 
		:</font></u></p>
		<p style="margin-top: 0; margin-bottom: 0" align="justify">
		<font size="2">Pejabat yang berwenang memberikan SPPD, Pegawai yang 
		melakukan perjalanan dinas, para pejabat yang mensahkan tanggal 
		berangkat/tiba, serta bendaharawan bertanggung jawab berdasarkan 
		peraturan-peraturan Keuangan Negara, apabila negara menderita rugi 
		akibat kesalahan, kelalaian, dan kealpaan</font></td>
	</tr>




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