（     ）    字第     号

    兹证明前面的节录本内容与《__________ 》原本中________至________的内容相符法。 

                                                                              中华人民共和国_____省_____市（县）公证处 
                                                                              公证员：________________________（签名） 
                                                                              ______________年__________月__________日