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Avsägelse av förtroendeuppdrag
Undertecknad önskar bli entledigad från uppdrag, enligt följande:
U ppdrag: ... t:$.?.V,.....
\.b.f.:\B.·····"[······················································································
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Ev. datum: .............................................................................................................................................
Namn: ....~.~~~~-.......(~:.-:-.\~.;;::-.''.5..$.0~(\ ......................................... ..
Personnummer: ...
Adress:.±~.~\.~.S...0.:.~.\\.d..~~.......~Co............
Postadress:. ...
..5.~-:1:...40.\.........\3..~~.;$.. . . . . . . . . . . . . . .
Telefonnr: ......................................................
Datum: ...................../.....................20 .................. .
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Underskrif~.-~-<~.~?.~
.........................................................................~·..... .
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Skickas/lämnas till expeditionen
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