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Spett.le Comune di Turi}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Settore LL.PP.}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Via XX Settembre, 5}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
70010 TURI}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\nowidctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
PEC: protocollo.comuneturi@pec.rupar.puglia.it}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s86\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f8\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\dbch\af10\rtlch \ltrch\loch\loch\f0\hich\af0
OGGETTO:\tab Manifestazione di interesse a partecipare alla procedura negoziata mediante RdO su MePa, ai sensi dell\u8217\'92art. 36 comma 2 lett. b) del D.Lgs. 50/2016 per l\u8217\'92affidamento del }{\i\b\dbch\af10\rtlch \ltrch\loch\loch\f0\hich\af0
\u8220\'93Servizio di custodia e gestione di alcuni servizi cimiteriali  per un periodo di mesi 12 (dodici)\u8221\'94}
\par \pard\plain \s86\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f8\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\i\b\dbch\af10\rtlch \ltrch\loch\loch\f0\hich\af0
CIG: 7149318BD7.}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Il sottoscritto ___________________________________, nato a _____________________ (_____) il ___________________, CF _______________________________________________________ residente a _______________________ in Via ________________________________ n\u176\'b0 _______, }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
nella mia qualit\u224\'e0 di }{\i\rtlch \ltrch\loch
(rappresentante legale, procuratore)}{\b\rtlch \ltrch\loch
_______________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
(}{\i\rtlch \ltrch\loch
eventualmente)}{\rtlch \ltrch\loch
 giusta procura generale/speciale n\u176\'b0_________________del ________________  a rogito del notaio__________________________________________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
autorizzato a rappresentare legalmente l\u8217\'92Impresa }{\i\rtlch \ltrch\loch
(Denominazione/ Ragione Sociale)}{\rtlch \ltrch\loch
 :}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
________________________________________________________________________________ con sede in _____________________________, Via _________________________ n\u176\'b0 ________, codice fiscale __________________________  partita I.V.A. ______________________________, }
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
MANIFESTA IL PROPRIO INTERESSE}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
1) ad essere invitato a presentare la propria offerta sul MePa di Consip per l\u8217\'92affidamento della fornitura in oggetto.}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
A tal fine dichiara di voler partecipare in qualit\u224\'e0 di }{\i\b\rtlch \ltrch\loch
(Selezionare la fattispecie che interessa):}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls3 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\ltrpar{\b\rtlch \ltrch\loch
Impresa individuale}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls3 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\ltrpar{\b\rtlch \ltrch\loch
Societ\u224\'e0 commerciale}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls3 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\ltrpar{\b\rtlch \ltrch\loch
Societ\u224\'e0 Cooperativa }{\rtlch \ltrch\loch
iscritta all\u8217\'92Albo delle cooperative}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls3 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\ltrpar{\b\rtlch \ltrch\loch
Consorzio stabile}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls3 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\ltrpar{\b\rtlch \ltrch\loch
Riunione Temporanea di Imprese o Consorzio, costituiti o da costituire }{\rtlch \ltrch\loch
(}{\i\rtlch \ltrch\loch
indicare denominazione, ragione sociale e sede legale di ciascun soggetto partecipante al RTI o consorzio, la ditta individuata quale mandataria, le parti del servizio eseguite dalle singole imprese)_________________________________________________________________}{\rtlch \ltrch\loch
e che nessuna delle imprese indicate partecipa in qualsiasi altra forma alla presente gara;}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\keepn\ltrpar{\b\rtlch \ltrch\loch
Consorzio }{\rtlch \ltrch\loch
\u8211\'96 anche stabile \u8211\'96}{\b\rtlch \ltrch\loch
 }{\i\rtlch \ltrch\loch
(indicare denominazione e sede legale delle ditte consorziate per le quali si concorre e di quelle indicate quali esecutrici del servizio)}{\b\rtlch \ltrch\loch
__________________________}{\rtlch \ltrch\loch
 e che nessuna delle imprese indicate partecipa in qualsiasi altra forma alla presente gara;}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\keepn\ltrpar{\b\rtlch \ltrch\loch
Consorzio di Cooperative }{\rtlch \ltrch\loch
iscritte all\u8217\'92Albo delle cooperative}{\i\rtlch \ltrch\loch
;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\keepn\ltrpar{\b\rtlch \ltrch\loch
Riunione Temporanea di cooperative }{\rtlch \ltrch\loch
iscritte all\u8217\'92Albo delle cooperative;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\keepn\ltrpar{\b\rtlch \ltrch\loch
Concorrente che si avvale di impresa ausiliaria}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\sb120\sa0\keepn\ltrpar{\b\rtlch \ltrch\loch
Operatore economico stabilito in altro Stato membro }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
In conformit\u224\'e0 alle disposizioni di cui agli artt. 46 e 47 del D.P.R. 445/2000 e s.m.i., consapevole della responsabilit\u224\'e0 penale cui pu\u242\'f2 andare incontro nel caso di affermazioni mendaci e delle relative sanzioni penali di cui all\u8217\'92art. 76 del medesimo D.P.R. 445/2000 e s.m.i.}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
DICHIARA}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af10\dbch\af10 1.\tab}\ilvl0\ls2 \li1434\ri0\lin1434\rin0\fi-360\qj\widctlpar\tx2562\hyphpar0\faauto\li714\ri0\lin714\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere in possesso dei requisiti richiesti in sede di abilitazione al MePa \u8220\'93}{\b\rtlch \ltrch\loch
Servizi Cimiteriali}{\rtlch \ltrch\loch
\u8221\'94, ed in particolare dichiara:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\rtlch \ltrch\loch
l\u8217\'92inesistenza dei motivi di esclusione di cui all\u8217\'92art. 80 del D.Lgs. 50/2016 e ss.mm.ii. di cui all\u8217\'92art 5.1 dell\u8217\'92avviso di manifestazione di interesse;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li2138\ri0\lin2138\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1418\ri0\lin1418\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere in possesso dei Requisiti di idoneit\u224\'e0 professionale finanziaria di cui all\u8217\'92art 5.2 dell\u8217\'92avviso di manifestazione di interesse ;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li2138\ri0\lin2138\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1418\ri0\lin1418\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere in possesso dei requisiti di capacit\u224\'e0 economica e finanziaria di cui all\u8217\'92art 5.3 dell\u8217\'92avviso di manifestazione di interesse ;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li2138\ri0\lin2138\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1418\ri0\lin1418\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere abilitato al bando \u8220\'93}{\i\rtlch \ltrch\loch
Servizi Cimiteriali}{\rtlch \ltrch\loch
\u8221\'94 sul MePA della Consip;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li2138\ri0\lin2138\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1418\ri0\lin1418\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di non svolgere attivit\u224\'e0 di onoranze funebri e/o in maniera congiunta attivit\u224\'e0 funebre e servizi cimiteriali, giusta quanto disposto dall\u8217\'92art.5 c.2) della L.R. n.34 del 15/12/2010 e ss.mm.ii.; }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls4 \li2138\ri0\lin2138\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1418\ri0\lin1418\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere informato, ai sensi e per gli effetti del D.Lgs. n. 196/2003, che i dati personali raccolti saranno trattati, anche con strumenti informatici, esclusivamente nell\u8217\'92ambito del procedimento per il quale la presente dichiarazione viene resa}
\par \pard\plain \s83\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\tqc\tx360\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
COMUNICA}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
I dati necessari per le eventuali successive comunicazioni relative alla procedura di cui in oggetto:}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Denominazione ___________________________________________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Indirizzo ________________________________________________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Telefono __________________ Cell. ______________________E-mail______________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Referente ______________________________________________Cell: _____________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
e-mail __________________________________________________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
PEC____________________________________________________________________________}
\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af10\rtlch \ltrch\loch

\par \pard\plain \s75\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1025\loch\f0\fs24\lang1040\sl360\slmult1\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Fax n.___________________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx1080\tx4680\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\dbch\af10\rtlch \ltrch\loch
\tab }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5400\tx9000\tx9360\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\dbch\af10\rtlch \ltrch\loch
\tab \tab }{\rtlch \ltrch\loch
IL LEGALE RAPPRESENTANTE}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx5400\tx8640\tx9360\tqr\tx13958\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\dbch\af10\rtlch \ltrch\loch
\tab \tab }{\i\rtlch \ltrch\loch
                               \tab Firma digitale}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5400\tx8640\tx9360\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\rtlch \ltrch
 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af10\langfe1040\dbch\af13\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5400\tx8100\tx8640\tx9000\tx9360\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\rtlch \ltrch\fs20
         }{\i\rtlch \ltrch\loch\fs20
(}{\i\ul\ulc0\rtlch \ltrch\loch\fs20
con allegata copia fotostatica di documento di identit\u224\'e0}{\i\rtlch \ltrch\loch\fs20
)}
\par }