Expediente Nº

Motivo:

En horas de Despacho del día de hoy, ______________ ( ) de _____________

del Año ________, comparece por ante este Tribunal el profesional del derecho
__________________________________, Abogado en ejercicio, de este
domicilio e inscrito en el Inpreabogado bajo el Nro. ___________, quien en su
carácter de autos, ante usted muy respetuosamente ocurre y expone:___________
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Es todo, se terminó, se leyó y conforme firman.-
L SECRETARI( ).

EL DILIGENCIANTE.