：_____________________________________                                 

    委托人：___________________________________                                 

    地址：_____________________________________                                

    电话：_____________________________________                                  

    联系人：___________________________________                                  

    承办律师：_________________________________                                   

    案号：_____________________________________                                   

    收费额：___________________________________                                   

    承办律师意见 ：

__________________________________________________________________________________________                                                                   

    _________________________________________________________________________________________________________                                                         

    _________________________________________________________________________________________________________                                                       

    _________________________________________________________________________________________________________                                                     

 

 

                                                                                  承办律师意见 （签名）：_______

                                                                              ________年________月________日

                                                                                    批准人意见 （签名）：_________

                                                                              ________年________月________日