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REQUERIMENTOIlmo Sr. Presidente da AGRODEFESAREGISTROSUSPENS?O TEMPOR?RIA DE REGISTRORENOVA??O DE REGISTROCANCELAMENTO DE REGISTROINCLUS?O DE FINALIDADEALTERA??O DE DADOS CADASTRAISIDENTIFICA??O DO ESTABELECIMENTORaz?o Social:Nome Fantasia:CNPJ: Inscri??o Estadual: Endere?o: Município: CEP:E-mail: Telefone:Resp. Técnico: CRMV-GO:Resp. Técnico: CREA-GO:IDENTIFICA??O DO PROPRIET?RIO/ PRESIDENTE/ PREFEITONome:CPF: E-mail:Endere?o: CEP: Município: UF: Fone: Fax:Vem através deste, requerer a V.Sa.:_______________________________________________FINALIDADE (resumidamente)1.2.3.Nestes Termos,Pede Deferimento.Local e data : _____________________ , _____de _____________________ de _____________________________________________ASSINATURA ................
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