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[{"$nulls":4},"Stockholms Pistolskyttekrets",{"$nulls":4},"Förening nr: 01-"]
[{"$nulls":4},"Använd tab-tanget för att hoppa mellan fälten!"]
[]
[{"$nulls":4},"FRAMSTÄLLAN OM FÖRTJÄNSTTECKEN"]
[]
[{"$nulls":5},"Insänds till Kretsens sekreterare senast\n15 november!"]
["Stockholms Pistolskyttekrets"]
["Box 24080"]
["104 50  Stockholm"]
[{"$nulls":4},"Föreningens namn"]
[]
[{"$nulls":4},"E-mailadress"]
[]
[{"$nulls":4},"Antal aktiva:"]
[]
[]
[]
["Ansökan avser:",null,null,"Förtjänstmedalj i SILVER:",null,null,"Förtjänstmedalj i GULD:",null,null,"(Förtj.tecken i silver erhållits år)"]
["Kryssa medaljalternativ!"]
[]
[]
["Föreslagen person:",null,null,"Namn:",{"$nulls":6},"Personnummer:"]
[]
[{"$nulls":3},"Adress:",{"$nulls":6},"Telefon bostad:"]
[]
[{"$nulls":3},"Postadress:",{"$nulls":6},"Telefon arbetet:"]
[]
[{"$nulls":3},"E-mailadress:",{"$nulls":6},"Telefon mobil:"]
[]
[]
["Meritförteckning:",null,null,"Föreningsuppdrag",{"$nulls":3},"Fr.o.m. - t.o.m",null,null,"Kretsen anteckningar"]
["Ytterligare information"]
["kan lämnas på separat"]
["bilaga!"]
{"$rows_empty":10}
[null,"Datum",{"$nulls":4},"       Utfärdares namn (styrelseledamot)",{"$nulls":3},"             Styrelsefunktion"]
[]
["Kretsens beslut:",null,"Med stöd av ovanstående meritförteckning och övrig kännedom, förslår medaljutskottet att "]
["framställan bifalles och att förtjänstmedaljen i silver/guld utdelas vid kretsårsmötet den"]
[]
[null,"Kretssekreterare / ordf. medaljutskottet"]
["Framställan Bifalles / bifalles ej, då:"]
[]
[]
[null,"Kretsordförande"]

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