20 ......... rok |
........................... (referent) |
....................... (symbol komórki org.) |
................... (oznacz. teczki) |
........................................................................................ (tytuł teczki wg wykazu akt) |
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Lp. |
Sprawa
(krótka treść, wskazanie imienia |
OD KOGO WPŁYNĘŁA |
DATA |
UWAGI (sposób załatwienia) |
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znak pisma |
z dnia |
wszczęcia sprawy |
ostateczne załatwienie |
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