2015-03-08
374
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(наименование органа, респ., края, обл., города, куда направлено требование)
1.Фамилия __________________________________________________________
2. Имя______________________________________________________________
3.Отчество__________________________________________________________
4. Родился «____»________________ г.
5.Место рождения___________________________________________________
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6. Адрес____________________________________________________________
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7. Чем вызвана проверка______________________________________________
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привлечение к уголовной ответственности, заявление (о чём) и т.п.
8.Какая нужна справка _______________________________________________
(о судимости, месте нахождения, и т.п.)
Начальник__________________________________
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наименование органа, направившего требование
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фамилия
«______»___________________________ г.
Исполнитель_________________________
фамилия
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Адрес отправителя:
Наименование насел. пункта_________________________________________
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город, село,
Наименование органа_______________________________________________
Наименование области______________________________________________
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Справка о результатах проверки
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РАПОРТ
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Ответ на запрос
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Ответ на запрос
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Ответ на запрос
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Ответ на запрос
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Ответ на запрос
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