ROMNIA

Judectoria ____________
DOSAR NR. ____________

Domnule Preedinte,

Subsemnatul (a) __________________________________________,

domiciliat n ________________________________________________________
n calitate de _____________________, v rog s-mi aprobai eliberarea unor
copii xerox de pe ____________________________________________________
__________________________________________________________________
__________________________________________________________________,
respectiv de pe filele nr. _______________________________________________
_____________________________________ din dosarul nr. _______________ al
Judectoriei ____________ fiindu-mi necesare la
_____________________________
__________________________________________________________________.

Data: Semntura
Domnului Preedinte al Judectoriei Ptrlagele