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听证笔录

法律界 http://www.mylegist.com 2008-10-16 10:49
http://ws.mylegist.com/1706/13022.html

 
 
 
 
 
                            第_____页 共____页
 (此处印制公安机关名称)
 
 听 证 笔 录
 
  案由____________________________________________________________
 
  时间______年____月___日____时____分至_____年____月____日_____时____分
 
  地点________________________举行方式____________________________
 
  听证主持人______________________________________________________
 
  听证员__________________________________________________________
 
  记录员__________________________________________________________
 
  违法嫌疑人______________________________________________________
 
  ________________________________________________________________
 
  法定代表人______________________________________________________
 
  委托代理人______________________________________________________
 
  本案其他利害关系人______________________________________________
 
  ________________________________________________________________
 
  本案其他利害关系人的代理人______________________________________
 
  本案办案人民警察________________________________________________
 
  听证内容记录____________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
                             (可附页)
 
                             第_______页
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  ________________________________________________________________
 
  违法嫌疑人或者代理人(签名):__________________________________
 
  其他利害关系人或者代理人(签名):______________________________
 
  证人(签名):____________________________________________________
 
  听证员(签名):________________________________________________
 
  听证主持人(签名):____________________________________________
 
  记录员(签名):__________            年  月  日

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