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LEGISLAÇÃO ESTADUAL |
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| MATO GROSSO ROTEIROS GERAIS DA FEMA FUNDAÇÃO ESTADUAL DO MEIO AMBIENTE UNIDADE REGIONAL DE TANGARÁ DA SERRA
NOME: ________________________________________________________________________
END:__________________________________________________________________________ BAIRRO:______________________ CIDADE: _________________________________________ FONE: ___________________ __________________ __________________________________ DOC. DE IDENTIFICAÇÃO: ________________________________________________________ LOCAL DA DENÚNCIA: ___________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ NOME DO INFRATOR: ____________________________________________________________ _______________________________________________________________________________ HISTÓRICO: ____________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Data e local: ____________________________________________________________________
ASSINATURA ___________________________________________________________________
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