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ʳöìàíüñüêà Ìicüêà Ðàäà ×ÅÐͲÂÅÖÜÊί ÎÁËÀÑÒ² ʲÖÌÀÍÑÜÊÀ ̲ÑÜÊÀ ÐÀÄÀ ÎÁ'ªÄÍÀÍί ÒÅÐÈÒÎвÀËÜÍί ÃÐÎÌÀÄÈ
Ãîëîâíà > Çâåðíåííÿ Ãðîìàäÿí > Çðàçêè Çâåðíåíü > Çðàçîê Çâåðíåííÿ - Ñêàðãà
Çâåðíåííÿ Ãðîìàäÿí / Çðàçêè Çâåðíåíü

Çðàçîê Çâåðíåííÿ - Ñêàðãà

04-07-2019, 09:34

 Çðàçîê
                                                                 ̳ñüêîìó ãîëîâ³
 
                                                                  __________________________________
                                                                            (ïð³çâèùå,³ì”ÿ, ïî-áàòüêîâ³)
 
                                                                 â³ä _______________________________
                                                                  (ïð³çâèùå, ³ì”ÿ, ïî-áàòüêîâ³)
 
                                                                  Àäðåñà ãðîìàäÿíèíà, ùî çâåðòàºòüñÿ,
                                                                  ¹ òåëåôîíà.
 
 
 
Ñêàðãà
 
 
         Âèêëàäàºòüñÿ ñóòü ñêàðãè òà ïðè ïîòðåá³ àâòîðîì çâåðíåííÿ äîäàþòüñÿ êîﳿ íåîáõ³äíèõ äîêóìåíò³â ñòîñîâíî ñóò³ ñêàðãè.
 
 
 
 
Äàòà íàïèñàííÿ
(ïîäàííÿ)                                                                     Îñîáèñòèé ï³äïèñ àâòîðà
                                                                                     çâåðíåííÿ àáî éîãî
                                                                                     äîâ³ðåíî¿ îñîáè
 
 
 
 

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