SOLICITO: ___________________________

________________________________________

SEÑOR ALCALDE DE LA MUNICIPALIDAD DISTRITAL DE HUAMBALPA

Yo; _____________________________________________, identificado con DNI N°

_____________________, con domicilio en_____________________________________________, ante
usted me presento respetuosamente y expreso lo siguiente:

_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Por tanto, solicito a usted acceder a mi petición.

Sin otro en particular, me suscribo de usted.

ADJUNTA:
1._____________________________________________________________________________________________
2._____________________________________________________________________________________________
3._____________________________________________________________________________________________
4._____________________________________________________________________________________________

Atentamente:

_____________________________
Nombres:
DNI:
Celular: