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["附件6"]
["2015年度安徽省执业律师（法援）花名册"]
["_________________市（县）律师协会（公章）"]
[]
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["    填表人________                   审核人________ "]
["年  月  日                       年  月  日"]
["注：1.各栏目应逐项填写清楚、准确；"]
["    2.本表以执业机构为单位填写，市（县）律师协会核对无误后加盖公章，装订成册统一报送。"]

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