答辩人：______________________________
    地址：________________________________

    对________________________________________的复议请求，现答辩如下：
    ___________________________________________________________________________________________________________
    ___________________________________________________________________________________________________________
    ___________________________________________________________________________________________________________

    综上所述， ________________________________________________________________________________________________
    ___________________________________________________________________________________________________________
    ___________________________________________________________________________________________________________

    鉴此，_____________________________________________________________________________________________________
    ___________________________________________________________________________________________________________
    ___________________________________________________________________________________________________________

    此致
  ______________________

  （公安机关章）   
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