ÌÎËÁÀ ÇÀ ÂÐÚÙÀÍÅ ÍÀ ÄÎÊÓÌÅÍÒÈ

 

                                                        ÄÎ

                                                        ÀÄÌÈÍÈÑÒÐÀÒÈÂÅÍ ÑÚÄ

                                                        Ð Ó Ñ Å

 

Ì  Π Ë  Á  À

                                  

                                   Îò………………………………………

                                                        ÅÃÍ…………………………………….

                                                        Àäðåñ………………………………….

                                                         êà÷åñòâîòî ñè íà…………………

                                                        ïî àäì. äåëî ¹ ……………………..

 

         ÃÎÑÏÎÄÈÍ /ÃÎÑÏÎÆÎ/ ÑÚÄÈß,

         Ïî ãîðíîòî àäìèíèñòðàòèâíî äåëî ñúì ïðåäñòàâèë /à/ ñëåäíèòå îðèãèíàëè íà äîêóìåíòè :……………………………………………………

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…………………………………………………...………………………………..

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/îïèñâàò ñå òî÷íî âñè÷êè äîêóìåíòè, ÷èåòî âðúùàíå ñå èñêà/

 

         Ìîëÿ ñúùèòå äà ìè áúäàò âúðíàòè, òúé êàòî íóæäàòà îò òÿõ å îòïàäíàëà, ïîðàäè òîâà, ÷å ðåøåíèåòî å âëÿçëî â çàêîííà ñèëà.

 

         Äàòà :……………                          Ïîäïèñ :

         ãð.

 

Ïîïúëâà ñå ïðè ïîëó÷àâàíå íà äîêóìåíòèòå

 

            Äíåñ,…………., ………………………………………………………………………..

                        Äàòà             /èìå, ïðåçèìå, ôàìèëèÿ/                

 

â êà÷åñòâîòî ñè íà ……………………………………………………………………………

ïîëó÷èõ ïî-ãîðå îïèñàíèòå äîêóìåíòè îò àäì.äåëî ¹…...........................................ã.

 

 

            Äåëîâîäèòåë :                                                Ïîëó÷àòåë: