ÄÎÂÅÐÅÍÍÎÑÒÜ (ÑÏÅÖÈÀËÜÍÀß)
ÎÒ ÈÌÅÍÈ ÞÐÈÄÈ×ÅÑÊÎÃÎ ËÈÖÀ ÍÀ ÇÀÊËÞ×ÅÍÈÅ
ÄÎÃÎÂÎÐÀ
ã. ______________________
__________________________________________________
(÷èñëî, ìåñÿö, ãîä (ïðîïèñüþ))
Íàñòîÿùåé
äîâåðåííîñòüþ
____________________________________________________________
(íàèìåíîâàíèå è
ìåñòîíàõîæäåíèå îðãàíèçàöèè)
â ëèöå ________________________, äåéñòâóþùåãî íà
îñíîâàíèè ______________________________,
(ô.,è.,î., äîëæíîñòü)
(óñòàâà, ïîëîæåíèÿ è ïð.)
óïîëíîìî÷èâàåò
________________________________________________________________________
(ô.,è.,î.)
ïàñïîðò ñåðèè _________________ ¹ __________________, âûäàí “___” ______________ 199 ___ ã.
(êîãäà âûäàí)
______________________________________________________________________________________
(êåì
âûäàí)
çàêëþ÷àòü äîãîâîðû
_____________________________________________________________________
(óêàçàòü
âèä äîãîâîðîâ)
íà óñëîâèÿõ
___________________________________________________________________________
(óêàçàòü óñëîâèÿ äîãîâîðà, ëèáî ôðàçó “ïî åãî
óñìîòðåíèþ”)
è âûïîëíèòü âñå
íåîáõîäèìûå äåéñòâèÿ, ñâÿçàííûå ñ âûïîëíåíèåì íàñòîÿùåãî ïîðó÷åíèÿ.
Íàñòîÿùàÿ
äîâåðåííîñòü âûäàíà ñðîêîì íà
__________________________________________.
(ñ ïðàâîì
ïåðåäîâåðèÿ, áåç ïðàâà ïåðåäîâåðèÿ)
Ïîäïèñü ___________________
Ì.Ï.