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Modèle Procuration Retrait Colis

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0% found this document useful (0 votes)
11K views1 page

Modèle Procuration Retrait Colis

Uploaded by

mbape.leila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PROCURATION

Je soussigné(e), M. / Mme/ Mlle¹……………………………………………………………………..……………………

………………………………adresse : …………………………………………………………………………….….……..………

donne mandat à , M. / Mme/ Mlle¹………………………………………………………………….…………………….

adresse : ……………………………………………………………………………………….….……………………………………

Pour recevoir, en mes lieu et place, le colis :

N° de colis ……………….………………………………………………

Fait à le

Signature du mandant
Précédée de la mention manuscrite « bon pour pouvoir »

Signature du mandataire
Précédée de la mention manuscrite « bon pour acceptation »

(1 )Rayer la mention inutile

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