ÄÎ

                                                           ÏÐÅÄÑÅÄÀÒÅËß ÍÀ

                                                           ÀÄÌÈÍÈÑÒÐÀÒÈÂÅÍ ÑÚÄ

                                                           ÃÐ.ÐÓÑÅ

 

 

 

 

 

Ì Î Ë Á À

 

Îò ………………………………………………………..

/  èìå, ïðåçèìå, ôàìèëèÿ/

îò ãð./ñ./ ……………………………, óë…………………………,¹…….

ÅÃÍ …………………..

 

 

 

            Ã-ÆÎ ÏÐÅÄÑÅÄÀÒÅË,

 

            Ìîëÿ äà ìè áúäå èçäàäåí íåçàâåðåí ïðåïèñ îò íåâëÿçëî â ñèëà ðåøåíèå /îïðåäåëåíèå/ ïðèñúäà ïî ……………………………..äåëî ¹ …………../……..20……ã.

ïî îïèñà íà Àäìèíèñòðàòèâåí ñúä - Ðóñå.

 

 

 

 

 

 

                                                                       Ñ óâàæåíèå: …………………………

 

……………20…… ãîä.

ãð. Ðóñå

 

 

 

 

 

 

 

Ïîëó÷èõ èñêàíèÿ íåçàâåðåí ïðåïèñ îò íåâëÿçëî â ñèëà ðåøåíèå / îïðåäåëåíèå/ ïðèñúäà.

 

 

                                                                       Ïîäïèñ: …………………………..