Diligencia haciendo constar resultado de una entrega controlada
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IMPRIMIR ACTA DE REQUERIMIENTO DE LA FUERZA ACTUANTE.- - En ___________________, a las ___:___ horas del día ___/___/___, los agentes con T.I.P número _____________ y __________, se personan en _____________________ ____________________________________________, tras ser REQUERIDOS por D/Dña. ____________________________________________________________, DNI _________________, nacido/a en _____________________(______________) el día ___/___/___, hijo/a de ___________________________________, con domicilio en __________________________________________________________ ___________________________________________________________________ y teléfono: ________________, para que de forma inmediata se le preste AUXILIO por: _______________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ___________________________________________________________________ Y para que conste se pone por diligencia que firma la víctima en prueba de conformidad en unión de la Fuerza arriba consignada. GUARDIA CIVIL
