（首页） 共 页
案由：__________________________________________
办案时间：______________________________________
办案机关：_______________ 承办人：_____________
简要案情及调查经过：_____________________________________________________________________________________________
处理情况：_______________________________________________________________________________________________________
执行情况：_______________________________________________________________________________________________________
结案建议：_______________________________________________________________________________________________________
主管领导批示：___________________________________________________________________________________________________
承办人：____签名（盖章）
______年______月______日
