Don/Doña , con Documento Nacional de Identidad nº , domici

Don/Doña __________________________________________, con Documento Nacional
de
Identidad
nº
__________________________,
domicilio
en
la
calle
_________________________________________________
de
la
localidad
de
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,
provincia
de
____________________________ , y nº de teléfono ____________________________
EXPONE:
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Por ello SOLICITA:
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En ___________________________, a ____ de _______________ de 20___.
Fdo.:
SR. ALCALDE-PRESIDENTE DEL EXCMO. AYUNTAMIENTO DE VILLAMAYOR
DE CALATRAVA.
Pza. Constitución,nº1 13595 Villamayor de Cva. (Ciudad Real) Tlf. 926 466 101 Fax 926 443002 E-mail [email protected]