______公安局
                                              延长侦察羁押期限通知书
                                                    （存 根）
                                    ——————————————————————
                                                    字[    ]     号
                                     案件名称：_________________________________
                                     案件编号：_________________________________
                                     犯罪嫌疑人：______ 性别：______年龄：______
                                     住址：_____________________________________
                                     单位及职业：_______________________________
                                     逮捕时间：_________________________________
                                     重新计算原因：_____________________________
                                     重新计算时间_______________________________
                                     送往单位：_________________________________
                                     批准人：___________________________________
                                     批准时间：_________________________________
                                     办案人：___________________________________
                                     办案单位：_________________________________
                                     填发时间：_________________________________
                                     填发人：___________________________________