ÄÎ

                                                           ÏÐÅÄÑÅÄÀÒÅËß ÍÀ

                                                           ÀÄÌÈÍÈÑÒÐÀÎÒÈÂÅÍ ÑÚÄ

                                                           ÃÐ.ÐÓÑÅ

 

 

 

Ì Î Ë Á À

 

 

Îò …………………………………………..………………………………………………..

                                               /  èìå, ïðåçèìå, ôàìèëèÿ/

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

                                                           ÅÃÍ …………………..

 

                       

ÃÎÑÏÎÄÈÍ  ÏÐÅÄÑÅÄÀÒÅË,

 

 

            Ìîëÿ äà ìè áúäàò âúðíàòè ñëåäíèòå äîêóìåíòè, ïðèëîæåíè êúì ………………äåëî  ¹ ………/ 20……. ã., ïî îïèñà íà Àäìèíèñòðàòèâåí ñúä - Ðóñå:

 

                        1. …………………………………………………………..

                        2. …………………………………………………………..

                        3. …………………………………………………………..

                        4. …………………………………………………………..

                        5. …………………………………………………………..

 

 

 

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

 

……………20… ãîä.

ãð. Ðóñå