Ctre,

Ctre,

SERVICIUL PUBLIC COMUNITAR REGIM PERMISE DE CONDUCERE l NMATRICULARE A VEHICULELORSubsemnatul (Subscrisa) BIRGAU NICULAI C.N.P. (C.U.I.) 1571027270581 cu domiciliul (sediul) n

LINK Excel.Sheet.8 "C:\\Documents and Settings\\Administrator\\Desktop\\ex2.xls" Sheet2!R25C7 \a \t \* MERGEFORMAT PIATRA NEAMT, strada 9 MAI nr. 21, bloc B11, scara A, ap. 18 , jude/sector NEAMT solicit RADIEREA PENTRU MOTIVUL DEZMEMBRARII (auto)vehiculului marca DACIA cu numrul de identificare(serie asiu) 406881.Data

Semntura

(si tampila, n cazul persoanelor juridice)

Dat n faa mea,

Data:

Numele, prenumele, semntura lucrtor SPCRPCIV

DECLARAIE

Subsemnatul

BIRGAU NICULAI C.N.P.(C.U.I) 1571027270581 cu domiciliul in PIATRA NEAMT

LINK Excel.Sheet.8 "C:\\Documents and Settings\\Administrator\\Desktop\\ex2.xls" Sheet2!R13C4 \a \t , strada 9 MAI

LINK Excel.Sheet.8 "C:\\Documents and Settings\\Administrator\\Desktop\\ex2.xls" Sheet2!R15C4 \a \t ,nr. 21

LINK Excel.Sheet.8 "C:\\Documents and Settings\\Administrator\\Desktop\\ex2.xls" Sheet2!R16C4 \a \t , bloc B11, scara A, ap. 18, jude/sector NEAMT

LINK Excel.Sheet.8 "C:\\Documents and Settings\\Administrator\\Desktop\\ex2.xls" Sheet2!R14C4 \a \t , cunoscnd prevederile art. 292 cod penal privind falsul n declaraii, declar pe propria rspundere pierderea/furtul/deteriorarea:

FORMCHECKBOX plcii/plcilor cu numrul de nmatriculare

FORMCHECKBOX certificatul de nmatriculare cu nr.

Data: Semntura_1362810844.unknown

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