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COMPLAINT CLARIFICATION

APPEAL

Lord ...............

.......- .....

................................-

...........................-

S / D

Expte Ref. N º............................................-

.. ............................., lawyer, accredited representation in the reference file, before the lord ..... I stand ..............................................., and say:

By not find agreement with what has been resolved by the administrative act ............................................, date bearing the N º.............../..----..., whereby place is not what is intended in the letter of revocation to interpose a timely manner I come to initiate Appeal Appeals are regulated in Articles 47 to 54 of Decree No. 10.204/58. It exposed

Mr. ........................................... ..............................................., petitioned:

a) has been filed Appeal against an administrative act No. ....../.... dated ......................... -

b) elevate the proceedings to the executive of the province to resolve the appeal filed, prior to shipment poder expresar agravios y fundar la impugnación.-

Saludo a Ud. atentamente.-

FIRMA.-