Образец бланка удостоверения к нагрудному знаку мвд россии & ;за отличную службу в мвд& ;

Приложение N 3 к Положению о нагрудном знаке МВД России "За отличную службу в МВД"

ОБРАЗЕЦ БЛАНКА УДОСТОВЕРЕНИЯ К НАГРУДНОМУ ЗНАКУ МВД РОССИИ "ЗА ОТЛИЧНУЮ СЛУЖБУ В МВД" (лицевая сторона бланка)
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¦                                     ¦              Рисунок              ¦
¦                                     ¦          (не приводится)          ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦           УДОСТОВЕРЕНИЕ           ¦
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(внутренняя сторона бланка)
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¦                                     ¦    Министерство внутренних дел    ¦
¦                                     ¦        Российской Федерации       ¦
¦                                     ¦                                   ¦
¦              Рисунок                ¦           УДОСТОВЕРЕНИЕ           ¦
¦          (не приводится)            ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦   Приказом _____________________  ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦   от "  " _________ 20  г. N ___  ¦
¦                                     ¦   награжден(а) нагрудным знаком   ¦
¦                                     ¦                                   ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦       (должность, специальное     ¦
¦                                     ¦         (воинское) звание,        ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦    фамилия и подпись вручившего   ¦
¦                                     ¦               знак)               ¦
¦                                     ¦                                   ¦
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(лицевая сторона бланка)
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¦                                     ¦                                   ¦
¦                                     ¦              Рисунок              ¦
¦                                     ¦          (не приводится)          ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦           УДОСТОВЕРЕНИЕ           ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
--------------------------------------+------------------------------------

(внутренняя сторона бланка)
---------------------------------------------------------------------------
¦                                     ¦                                   ¦
¦                                     ¦    Министерство внутренних дел    ¦
¦                                     ¦        Российской Федерации       ¦
¦                                     ¦                                   ¦
¦              Рисунок                ¦           УДОСТОВЕРЕНИЕ           ¦
¦          (не приводится)            ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦                                   ¦
¦                                     ¦   Приказом _____________________  ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦   от "  " _________ 20  г. N ___  ¦
¦                                     ¦   награжден(а) нагрудным знаком   ¦
¦                                     ¦                                   ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦      (должность, специальное      ¦
¦                                     ¦         (воинское) звание,        ¦
¦                                     ¦   ______________________________  ¦
¦                                     ¦    фамилия и подпись вручившего   ¦
¦                                     ¦               знак)               ¦
¦                                     ¦                                   ¦
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Источник - Приказ МВД России от 31.10.2012 № 989