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Matkahuolto Pakettipalvelut

Valtakirja

VALTAKIRJA PAKETTILHETYKSEN NOUTOON

Valtuutan noutamaan puolestani pakettilhetykset

(valtuutetun nimi)

Matkahuollosta, Siwasta, Valintatalosta tai muusta Matkahuollon Pakettipisteest.

(paikkakunta)

. . 20
(paikka) (aika)

(valtuuttajan allekirjoitus)

(nimen selvennys)

NOUTOPAIKKA TYTT

Luovutuspiv
(pivmr)

Henkilllisyys todistettu Ajokortti Passi Henkilkortti

Henkiltunnuksen loppuosa

Oy Matkahuolto Ab
PL 111
00201 Helsinki
Y-tunnus 0111393-9

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