Бланк заявления на имя главы Персирланского сельского поселения Ядринского района Чувашскорй Республики

                                                                    Главе Персирланского сельского поселения

                                                                                                 Ядринского района Чувашской Республики                                                

                                                                             Казанбаеву М.В.                                                     

                                                                                                                                         гр. _______________________________

                                                                                                                                            (ф.и.о.)

                                                                   паспорт серии  ________№____________

                                                                   выдан _____________________________

                                                               «___»__________________________г.

                                                                      проживающего (ей) по адресу:__________

                                                                    __________________________________

                                                                               место работы                        

                                                   _________________________ 

                                                                    __________________________________

                                                                               № тел., дом________________раб.______

Заявление

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«______»______________                                                   Подпись__________