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Dall'art. 47 del Decreto del Presidente della Repubblica 28/12/2000 n. 445, consapevole delle responsabilit civili, penali ed amministrative cui si incorre in caso di false dichiarazioni, negli atti, uso o esibizione di atti falsi contenenti dati non pi rispondenti a verit , il sottoscritto , nato a il C.F. Part.IVA tel nel.

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