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VERBALE DI SOMMARIE INFORMAZIONI Noi sottoscritti____________________________________________________________________ __________________________ in servizio di pattuglia dalle ore __________ alle ore ___________ della giornata odierna ___________________in ________________________________________. riferiamo che alle ore _______________ del _________________ci siamo portati in via _________ _____________________________________ del comune di ___________________________ ove abbiamo contattato il sig._______________________________________________________ nato a ________________________ il____________________ e residente a __________________ in via_______________________________________ n_______ tel.______________________ stato civile____________________ professione _________________________________________ che, informato sui fatti per i quali si procede e posto all’esame delle domande di seguito riportate, riferisce senza nulla omettere o alterare quanto di sua conoscenza: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _____________________________________
Fatto, letto, confermato e sottoscritto. |
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