________________________ _______________________
签字:____________ 签字:____________
姓名:____________ 姓名:____________
职务:____________ 职务:____________
_______________________________________________________
见证人:__________ 见证人:____________
签字:____________ 签字:____________
姓名:____________ 姓名:____________
职务:____________ 职务:____________
____年____月____日 ____年____月____日
