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Avsägelse av förtroendeuppdrag
Undertecknad önskar bli entledigad från uppdrag, enligt följande:
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. . . B.o.u~~. . st~. . . . . . . . . . . . . . ..
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Uppdrag: ..
Ev. datum: ........................................................................................................................................... ..
Namn: ...S.i.Y.!1.0..l] ........ S..~~~Y..r/~JSan. ························································································
.-.-
Personnummer: ..........................................................................
Adress: ... f.:.~(J0.:!.fJ.aJco:?....
Postadress: ...7~7.:.0..... 5..~
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Telefonnr: .. 07.:.2. 5.Y..fr.~.Zel. ...........:.
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Datum: .................... ./.....................
20 .......
/. ....... ..
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Underskrift .....
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