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[null,"BERITA ACARA HASIL NEGOSIASI"]
[null,"Nomor: ...................."]
[]
[null,"Pada hari ini ......... tanggal ......... bulan ......... tahun ........., kami selaku Tim Pelaksana Kegiatan (TPK) Desa ......... yang ditetapkan dengan Surat Keputusan Kepala Desa ......... Nomor ......... tanggal ........., telah melaksanakan negosiasi harga untuk:"]
[]
[]
[]
[null,null,"Kegiatan ",null,null,null,null,null,null,null,null,":","............................................."]
[null,null,"Lingkup Pekerjaan",null,null,null,null,null,null,null,null,":","............................................."]
[null,null,"Lokasi",null,null,null,null,null,null,null,null,":","............................................."]
[null,null,"Penawaran harga dari",null,null,null,null,null,null,null,null,":","............................................."]
[null,null,"Alamat",null,null,null,null,null,null,null,null,":","............................................."]
[null,null,"Harga Penawaran",null,null,null,null,null,null,null,null,":","Rp.................."]
[null,null,"Terbilang",null,null,null,null,null,null,null,null,":","............................................."]
[]
[null,"Setelah dilakukan negosiasi, harga penawaran sepakat menjadi sebesar Rp ........."]
[null,"Terbilang : .................................................."]
[null,"Rincian hasil negosiasi terlampir."]
[]
[null,"Selanjutnya untuk proses transaksi akan dituangkan dalam bentuk bukti pembelian antara Kasi/Kaur* ......... sebagai Pelaksana Kegiatan Anggaran (PKA) dengan Pimpinan/Pemilik* Perusahaan/Toko/Pemasok*"]
[]
[]
[]
[null,"Demikian Berita Acara Hasil Negosiasi ini dibuat untuk diketahui dan dipergunakan sebagaimana mestinya."]
[]
[]
[]
[null,"...........[tempat], ...........[tanggal] ...........[bulan] ...........[tahun]"]
[]
[null,"Tim Pelaksana Kegiatan (TPK)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Perusahaan/Toko/Pemasok*"]
[null,"Desa .........",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"..........................."]
[null,"Tahun Anggaran ........."]
[]
[]
[]
[null,1,null,null,null,null,null,null,null,null,null,":"]
[null,null,"Ketua"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Nama jelas, tanda tangan"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Stempel (bila ada)"]
[]
[null,2,null,null,null,null,null,null,null,null,null,":"]
[null,null,"Sekretaris"]
[]
[]
[]
[null,3,null,null,null,null,null,null,null,null,null,":"]
[null,null,"Anggota"]