ÊÀÐÒÎ×ÊÀ ÁËÎÊÈÐÎÂÀÍÍÎÃÎ Ñ×ÅÒÀ
   
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        Ôàìèëèÿ, È.Î. ___________________________________________________
        Ïðè÷èíà áëîêèðîâêè ______________________________________________
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        Äàòà áëîêèðîâêè ñ÷åòà ___________________________________________
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        Ïîäïèñü ðåãèñòðàòîðà ____________________________________________
   
        Äàòà ðàçáëîêèðîâêè ñ÷åòà ________________________________________
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        Ïîäïèñü ðåãèñòðàòîðà ____________________________________________