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人民调解协议书

2016-03-19 admin Comments0

编号:                   
当事人(自然人姓名、性别、年龄、民族、职业、单位或住址,法人及社会组织的名称、地址、法定代表人姓名和职务):
                                                                      
                                                                      
                                                                      
纠纷简要情况:                                                        
                                                                      
                                                                      
                                                                       
经调解,自愿达成如下协议:                                            
                                                                      


                                                                      
                                                                      
履行协议的方式、地点、期限:                                     
                                                                 
                                                                  
                                                                  
   本协议一式        份,当事人、人民调解委员会、所属街道司法所各执一份。
   当事人(签名或盖章)                                              
                                                                      
调解员(签名)                                                     
                   (人民调解委员会盖章)
                                                   年       月     日


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