_________________________________
(íàèìåíîâàíèå îòäåëà)
_________________________________________________
_________________________________
îò
_______________________________
_________________________________
_________________________________
(ô.è.î., çàíèìàåìàÿ äîëæíîñòü)
Óâåäîìëåíèå î ïîëó÷åíèè ïîäàðêà îò
"__" ________ 20__ ã.
Èçâåùàþ î ïîëó÷åíèè
___________________________________________________
(äàòà
ïîëó÷åíèÿ)
ïîäàðêà(îâ) íà
____________________________________________________________
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(íàèìåíîâàíèå ïðîòîêîëüíîãî ìåðîïðèÿòèÿ, ñëóæåáíîé
êîìàíäèðîâêè, äðóãîãî îôèöèàëüíîãî
ìåðîïðèÿòèÿ, ìåñòî
è äàòà ïðîâåäåíèÿ)
Íàèìåíîâàíèå
ïîäàðêà |
Õàðàêòåðèñòèêà
ïîäàðêà, åãî îïèñàíèå |
Êîëè÷åñòâî
ïðåäìåòîâ |
Ñòîèìîñòü
â ðóáëÿõ <*> |
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Èòîãî |
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Ïðèëîæåíèå:
______________________________________________ íà _____ ëèñòàõ.
(íàèìåíîâàíèå
äîêóìåíòà)
Ëèöî, ïðåäñòàâèâøåå
óâåäîìëåíèå _________ _________________________ "__" ____ 20__ ã.
(ïîäïèñü) (ðàñøèôðîâêà ïîäïèñè)
Ëèöî, ïðèíÿâøåå
óâåäîìëåíèå _________ _________________________ "__" ____ 20__ ã.
(ïîäïèñü) (ðàñøèôðîâêà ïîäïèñè)
Ðåãèñòðàöèîííûé íîìåð â æóðíàëå
ðåãèñòðàöèè óâåäîìëåíèé ___________________
"__" _________ 20__ ã.
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<*> Çàïîëíÿåòñÿ ïðè íàëè÷èè
äîêóìåíòîâ, ïîäòâåðæäàþùèõ ñòîèìîñòü ïîäàðêà.