Documente Academic
Documente Profesional
Documente Cultură
Subsemnaii_________________________________________________________________
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din cadrul Primriei comunei Srata, mputernicii prin Hotrrea Consiliului Local Srata nr.39 din
22.07.2016,
ne-am
deplasat
data
de
______________
la
domiciliul
numitului
______________________________________________________________________________ din
________________________________________________________________________________,
identificat cu _______ seria ______ numrul_____________ eliberat de _________________, la
data de ______________, C.N.P._________________________, avnd calitatea de uitlizator al
sistemului de ap i canalizare din comuna Srata, n vederea verificrii sistemului de ap i
canalizare precum i a respectrii de ctre utilizator a obligaiilor prevzute de lege i a celor asumate
prin contract.
Cu ocazia efecturii controlului, au fost constatate urmtoarele: ________________________
_________________________________________________________________________________
_________________________________________________________________________________
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________________________________________________________________________________,
drept pentru care dispunem luarea urmtoarelor msuri ____________________________________
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________________________________________________________________________________.
Meniuni speciale___________________________________________________________________
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Fa de cele artate, utilizatorul a fcut urmtoarele obieciuni_______________________________
_________________________________________________________________________________
________________________________________________________________________________.
ntocmit astzi __________________, n 2 exemplare originale din care unul a fost nmnat
utilizatorului.
ntocmit
1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
Utilizator
______________________________