FAX TRANSMISSION SLIP
(art. 146.0.2.C.C.P. and Rule 3.1)
SENDER
NAME: _____________________________________________________________________________
ADDRESS: _________________________________________________________________________
TELEPHONE: _______________________________________________________________________
FAX: ______________________________________________________________________________
ADDRESSEE
NAME: _____________________________________________________________________________
FAX: ______________________________________________________________________________
Date: _____________________________ and time: ____________________________ of transmission.
Number of pages transmitted, including this slip: ____________________________________________
Nature of document: __________________________________________________________________
N.B. If this fax is sent to you by error, please inform the sender immediately by calling the telephone number indicated above and please return the original of the transmitted document by mail without making a copy.