林业行政处罚询问笔录
（共 页）
询问地点：___________________________________________________________________ 询问时间：______年____月______日_____时_____分开始至_____时_____分止 询问机关：__________________________________________________________________ 询问人：_____________________________________________________________（签名） 记录人：_____________________________________________________________（签名） 被询问人：姓名______________性别_______________年龄________民族______________ 文化程度_______________职业___________工作单位_____________________ 住址_______________________________________________________________ 问：__________________________________________________________________________ 答：__________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ （笔录可附页） （被询问人签名或者盖章）
林业行政处罚询问笔录
（共 页）
询问地点：___________________________________________________________________ 询问时间：______年____月______日_____时_____分开始至_____时_____分止 询问机关：__________________________________________________________________ 询问人：_____________________________________________________________（签名） 记录人：_____________________________________________________________（签名） 被询问人：姓名______________性别_______________年龄________民族______________ 文化程度_______________职业___________工作单位_____________________ 住址_______________________________________________________________ 问：__________________________________________________________________________ 答：__________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ （笔录可附页） （被询问人签名或者盖章）