À Prefeitura Municipal de São Bonifácio/SC.

Exmo Sr.
Laurino Peters
Prefeito Municipal,

REQUERIMENTO

EU, __________________________________________________________________,
PORTADOR DO CPF:___________________________ RESIDENTE: _____________
_____________________________________, Nº_________ BAIRRO: _____________
___________________, CEP: ____________________, NA CIDADE DE
___________________________________, UF:____, VENHO, REQUERER:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________

PARA TANTO ESTOU ANEXANDO OS SEGUINTES DOCUMENTOS:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

São Bonifácio, _____/_____/_____

_________________________________________________
ASSINATURA DO REQUERENTE