ООО "Благоустроенный город"

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                                                                                          Генеральному директору
                                                                                          ООО "Благоустроенный город"
                                                                                          Шкуркову Ю.В.
                                                                                          от___________________
                                                                                          Ф.И.О. (полностью)
                                                                                          ул._____________№ дома_________кв.___
                                                                                          адрес
                                                                                          дом._____________моб._____________
                                                                                          телефон
                                                                ЗАЯВЛЕНИЕ
                                      __________________________________________________________
                                      __________________________________________________________
                                      __________________________________________________________
                                      __________________________________________________________
                                      __________________________________________________________


                                      Число                                                                 Подпись

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