没收保证金决定书┌────────────────────────────────────────┐ ││ │(此处印制公安机关名称) │ │没收保证金决定书│ ││ │×公( )行没字[ ]第号│ ││ │保证金交纳人____________________性别__________出生日期__________________________│ ││ │保证金金额______________________________________________________________________│ ││ │没收原因________________________________________________________________________│ ││ │承办人__________________________________________________________________________│ ││ │批准人__________________________________________________________________________│ ││ │填发人__________________________________________________________________________│ ││ │填发日期________________________________________________________________________│ ││ └────────────────────────────────────────┘ 存根 ┌────────────────────────────────────────┐ ││ │(此处印制公安机关名称) │ │没收保证金决定书│ ││ │×公( )行没字[ ]第号│ ││ │因_______________________________________________________________________
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