Образец обращения


                                                                                           Руководителю следственного 
                                                                                           управления Следственного комитета  
                                                                                           Российской Федерации по Тверской области                   

                                                                                           

                                                                                           генерал-майору юстиции                 

                                                                                           А.А. Кублякову   

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                                                                                           (данные заявителя: Ф.И.О., место регистрации)  

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                                                                                                   (данные паспорта или иного документа,  
                                                                                                              удостоверяющего личность)   

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                                                                           Заявление 
                                                                             

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(место составления)

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(просьба о восстановлении или защите нарушенных прав, свобод и свобод других лиц, сообщение о _____________________________________________________________________________________________
      нарушении законов, недостатков в работе государственных органов, должностных лиц) _____________________________________________________________________________________________
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Заявление составлено собственноручно. 

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                                                                                                                                              (подпись заявителя)