人民調(diào)解協(xié)議書

2016-03-19 塵埃 評論0

編號：                   
當(dāng)事人（自然人姓名、性別、年齡、民族、職業(yè)、單位或住址，法人及社會組織的名稱、地址、法定代表人姓名和職務(wù)）：
                                                                      
                                                                      
                                                                      
糾紛簡要情況：                                                        
                                                                      
                                                                      
                                                                       
經(jīng)調(diào)解，自愿達(dá)成如下協(xié)議：                                            
                                                                      


                                                                      
                                                                      
履行協(xié)議的方式、地點、期限：                                     
                                                                 
                                                                  
                                                                  
   本協(xié)議一式        份，當(dāng)事人、人民調(diào)解委員會、所屬街道司法所各執(zhí)一份。
   當(dāng)事人（簽名或蓋章）                                              
                                                                      
調(diào)解員（簽名）                                                     
                   （人民調(diào)解委員會蓋章）
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