Ashyolar (hujjatlar)ni olib qo‘yish to‘g‘risida 20___ yil «___» __________ _____________________
(hudud nomi) Ma’muriy huquqbuzarlik to‘g‘risidagi bayonnomaga asosan, fuqaro __________________
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(huquqbuzarlikning qisqacha mazmuni) ________________________________________________________________________________________________
holati yuzasidan _______________________________________________________________
(huquqbuzarlik predmetlari, ashyolari yoki hujjatning nomi) ________________________________________________________________________________________________
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huquqbuzarlik predmeti, ashyolari (hujjatlari) hisoblanganligi sababli O‘zbekiston Respublikasi MJTKning 290-moddasini qo‘llab,
OLIB QO‘YILDI: ____________________________________________________________________________
(joyning manzili, qaerda yoki kimdan) quyidagi predmetlar (ayoshlar, hujjatlar):