Главе сельского поселения Анискинское

                                                                      Щёлковского муниципального района

                                                                                   Вершинину О.Ю.

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Заявление

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«_____»________________2013 г.                                                    ___________________

        (дата, месяц полностью)                                                                    (подпись)

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