Příloha č. 5
Doručovací kniha
+-----------------------------------------+ +---------+---------------+------------------+----------+
| | | Datum | Číslo spisu | Jméno příjemce | Podpis |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| +-----------------------------------+ | +---------+---------------+------------------+----------+
| | +-------------------------------+ | | | | | | |
| | | | | | +---------+---------------+------------------+----------+
| | | | | | | | | | |
| | | Doručovací kniha | | | +---------+---------------+------------------+----------+
| | | | | | | | | | |
| | | | | | +---------+---------------+------------------+----------+
| | +-------------------------------+ | | | | | | |
| +-----------------------------------+ | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
| | +---------+---------------+------------------+----------+
| | | | | | |
+-----------------------------------------+ +---------+---------------+------------------+----------+
Na štítku doručovací knihy se uvede rok (případně roky), kdy byla používána, a název orgánu státu nebo organizace.
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