AUTORIZEZ

efectuarea percheziie la domiciliul

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______________________________________
adresa, numele, prenumele proprietarului

Judector de instrucie
al judectoriei __________________________
______________________________________
numele, prenumele

____ _________________ 20___

L..____________________________
semntura

ORDONAN
de percheziie la domiciliu
_____________

___ _______________ 20____

locul emiterii

data emiterii

Ofierul de urmrire penal ________________________________________________________

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____________________________________________________________________________________.

C O N S T A T:

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innd cont de cele expuse, conducndu-se de prevederile art. 57 alin. (2) pct. 4 CPP, n temeiul
art. 125 CPP, cu respectarea dispoziiilor art. art. 12, 301, 304 din CPP i n conformitate cu art. 255 din
CPP RM,-

D I S P U N E:
1. Efectuarea percheziiei la domiciliul cet. ________________________________________
___________________________________________________________________________
n scopul ___________________________________________________________________
___________________________________________________________________________.
Ofierul de urmrire penal

________________________

_______________

______________

semntura

Not: Ordonana mi-a fost adus la cunotin la ________________ 20___

Copia ordonanei am primit-o
_________________________
semntura

Modul de naintare a plngerilor mpotriva aciunilor ilegale ale organului de urmrire penal
n conformitate cu prevederile art. 298, 299 CPP mi-a fost explicat.
Persoana la care se efectueaz
percheziia
_____________________
________________________
semntura

Ofierul de urmrire penal

________________________

_______________
semntura

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