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[接上页] 中国保监会行政处罚法律文书送达回证 ┌─────────────────┐┌──────────────────────┐ ││││ │__________(法律文书名)││__________(法律文书名)送达回证│ │送达回证(存根)│││ │..................................││............................................│ │______[]号││______[]号│ ││││ │送达时间:________________________││____________________________________________│ │││送达时间:年月日│ │送达地点:________________________││____________________________________________│ │__________________________________││送达地点:│ │__________________________________││____________________________________________│ │送达方式:________________________││被送达人:│ │__________________________________││____________________________________________│ │__________________________________││收│ │填发人:__________________________││件│ │年月日││人收件人签名:│ │││____________________________________________│ │││送达方式│ │││(送达人)签名:│ │││____________________________________________│ ││││ │││备│ │││注│ ││││ └─────────────────┘└──────────────────────┘ |