สําหรับศาลใช

(๑)
ปกหนาสํานวน

คดีหมายเลขดําที่ .................. /๒๕ ...........

คดีหมายเลขแดงที่ ………… /๒๕............

ศาล ………………………………………………………………………
ความ ……………..…………………

.................................................................................................................................. โจทก
ระหวาง
.................................................................................................................................. จําเลย

เรื่อง ........................................................................................................................................................................
ทุนทรัพย................................................................ เอกสารเก็บเลขที่ .................................................................
บันทึก
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