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| DAVA KODU: | |
| MAHKEMESİ: | |
| ESAS NO: | |
| DAVACI TARAF: | |
| DAVALI TARAF: |
HARCAMA DÖKÜMÜ
TARİH BELGE NO AÇIKLAMA TUTAR
| Toplam Masraf: | TL |
| MASRAFI YAPAN | |
| Adı Soyadı: | Av. |
| Tarih: | |
| İmza: | |