U Y BAN NHAN DAN XA HirONG L A M

CONG HOA XA HOI C H U NGHIA V I E T NAM ©oc lap - T y do - Hanh phuc

S6: 0.^ /TBXH-UBND "V/v giai trinh ly do giai quydt ch6 do Mai tang phi cua ong Ta Dang Chanh

than nhan cuaba Nguyen Thi Dai"

Huang Lam, ngay USthdng Zndm 2017

Kinh gui: - UBND buy en Hiep Hoa - Phong Lao dong - T B & X H huyen Hiep Hoa

Can cu Nghi dinh s6 136/2013/ND-CP, ngay 21/10/2013 \k chinh sach trg giup cac doi tugng Bao trg xa hoi; Can cu Thong tu hen tich s6 29/2014/TTLT-B L D T B X H - B T C ngay 24/10/2014, thong tu 06/2016/TTLT- B L D T B X H - B T C ngay 12/5/2016 cua Bg Lao dgng-TB&XH, Bo Tai chinh Huong dan thuc hien mot so dieu ' cua Nghi dinh s6 136/2013/ND-CP ngay 21/10/2013 cua Chinh phu; Can cu QuySt dinh s6 1224/QD- UBNT) ngay 04/8/2016 cua UBND tinh Bdc Giang v6 viec phe duyet cac muc trg cap, trg giup xa hoi doi voi cac doi tugng bao trg xa hoi tren dia ban tinh theo Nghi dinh s6 i36/2013/ND-CP cua Chinh phu.

Thang 7 nam 2016 ba Nguyen Thj Dai thon Phuc Lmh la Doi tugng huong B T X H ngudi khuyet tat nhom 4.9 mdt.

UBND xa Huong Lam da huong dan than nhan gia dinh ba Nguyen Thi Dai Lam ho so de nghi huong MTP:

Dai dien la ong: Ta Dang Chanh sinh nam : 1964 Dia chi thudng tru tai thon Phuc Linh, xa Huong Lam Quan he voi ngudi chet (vg, ehong, con trai, con gai...) L a con trai Da dung ra to chiic mai tang cho ong (ba): Nguyin Thi Dai sinh nam 1934 L a doi tugng : B T X H ngudi khuyet tat Da tir tran ngay 11 thang 07 nam 2016( tuc ngay... .thang nam am l ich) Theo giay chung tu sd 290 ngay 12 thang 7 nam 2016 do UBND xa Huong

Lam cap. Nhung den thang 01 nam 2017 cac con cua ba Nguyen Thi Dai sinh nam 1934

mdi dong y ky vao bien ban hgp gia dinh cho ong Ta dang Chanh la ngudi dai dien gia dinh lam thii tuc ho so nlian mai tang phi cua ba Nguyen Thi Dai.

UBND xa Huong Lam nhan dugc du ho so de nghi ciia ong Ta Dang Chanh da tien hanh xac minh va de nghi huong mai tarig phi cho ong chanh.

Dd nghi UBND huyen, Phdng Lao dong - T B & X H huyen xem xet giai quyet che do cho doi tugng theo quy dinh hien hanh ./.

UY BAN NHAN DAN CQNG HOA XA HOI C H U NGHIA V I E T NAM XA HUONG L A M Doc lap - T y do - Hanh phuc

S6: C^. /TBXH-UBND "V/v de nghi giai quyet che do

Mai tang phi cua doi tugng Bao trg xa hoi"

Huang Lam, ngay OS thdngZ nam 2017

Kinh gui: - UBND huyen Hiep Hoa - Phong Lao dong - T B & X H huyen Hiep Hoa

Can cii Nghi dinh s6 136/2013/ND-CP, ngay 21/10/2013 vd chinh sach trg giup cac doi tugng Bao trg xa hoi; Can cu Thong tu lidn tich so 29/2014/TTLT-B L D T B X H - B T C ngay 24/10/2014, thong tu 06/2016/TTLT- B L D T B X H - B T C ngay 12/5/2016 ciia Bg Lao dgng-TB&XH, Bg Tai chinh Huang dan thuc hien mot so didu cua Nghi dinh s6 136/2013/ND-CP ngay 21/10/2013 ciia Chinh phu; Can cu Quydt dinh s6 1224/QD- UBND ngay 04/8/2016 ciia UBND tinh BSc Giang vd vide phd ' duyet cac miic trg cap, trg giiip xa hoi doi vai cac doi tugng bao trg xa hgi trdn dia ban tinh theo Nghi dinh s6 136/2013/ND-CP ciia Chinh phii.

UBND xa Huang Lam dd nghi UBND huyen Hiep Hoa, Phong Lao dong -T B & X H huyen ra quydt dinii trg cap mai tang phi cho:

Ong (ba): Ta Dang Chanh sinh nam : 1964 Dia chi thuong tni tai thon Phiic Linh, xa Huang Lam Quan he voi ngudi chdt (vg, chong, con trai, con gai...) L a con trai Da diing ra to chiic mai tang cho ong (ba): Nguydn Thi Dai sinh nam 1934 L a doi tugng : B T X H ngudi khuydt tat Da tu tran ngay 11 thang 07 nam 2016( tiic ngay... .thang nam am lich) Theo giay chung tu sd 290 ngay 12 thang 7 nam 2016 do UBND xa Huang

Lam cap. Ong (ba) Nguyen Thi Dai sinh nam 1934 da hudng trg cap ddn hdt thang 7 nam

2016. Ngoai chd do Bao trg xa hgi ra ong (ba): Nguydn Thi Dai khdng cdn hudng chd

do khac: Doi tirgng Khong Co

Ngudi CO HHC X

Ngudi CO cdng X

Bao hidm xa hgi X

Dd nghi UBND huyen, Phdng Lao dong - T B & X H huyen xem xet giai quydt chd do cho doi tugng theo quy dinh hien hanh ./. Nai nhan: ^ '^^ - Nhu kinh gui; ^i -LuruVP. . r ^ ' 4 " ' L

* X A C NHAN C t ^ U Y B A N N H A N DAN CAP X A

U B N D xa, thi t r in ..lfuhd..ljlPn xac nhan ca quan/tS chuc/gia dinh/ca nhan.. . . '7r^^..^Ii3<?.. .Cw?^---. da t6 chuc mai tang cho nguai chdt theo nhu ke khai thong/tin cua tren la dung. De nghi ca quan c6 tham quyen xem xet hS trg chi phi mai tang theo quy dinh. * , -

/ ' ^ Ngay24^: thangnam 20J^

C H U T I C H ten, dong ddu)

i P H 6 C H U T I C H

*^NG6THIBiNH

20

M l u s 6 6 (Ban hanh kern theo Thong tu lien tich sd 29/2014/TTLT-BLBTBXH-BTC

ngay 24 thang 10 nam 2014)

CONG HOA XA HOI C H U NGHIA V I E T NAM Boc l |p - T y do - Hanh phuc'

T 6 K H A I B E N G H I H O T R O Cf f l P H I M A I T A N G (Ap dung dSi voi dSi tircmg quy dinh tai Khodn 1 Diiu 14 Nghi dinh s6 136/2013/ND-CP)

1. THONG TIN NGUAll C H E T DUOC MAI TANG (New CO)

\.\.Y{GvktQn{Viitchv. inhoa): .\>A.GlL\fmI..TM....'PAJ. Ngay/thang/'nam sinh: ,. .„./.....//^/f( Gidi tinh: . ./f/^.". Dan toe: ... ./<^V ^ ^ 1.2. Ho k h i u thuong tni; 7f>^W .p. JicJ. ./u/^... Z^lt^. XxiH -. -^-Z^- -A^- - • L 3 . Ngay . . / / thang .^.p-....nam . ^ / ^ . . . c h d t ^

1.4. Nguyen nhan chat . N ' T . . . Sm... . C i 2 ^

1.5. T h a i gian mai tang '.

1.6. D i a d i lm mai tang ...^J(PiA--i^---^/r4^--,^<^-----^^ n. T H O N G T I N C O Q U A N , TO C H U C , HO G I A B E GT, C A NTHAN B U N G R A ^ MAI T A N G C H O N G U O I C H E T

2 .1 . Trudng hgp ca quan, 16 chuc dung ra mai tang

2.1.1. Ten CO quan, to churc:

- D i a chi:

2.1.2. K g va ten ngudi dai dien ca quan:

- Chuc vu : . .

2.2. Trudng hgp hg gia dinh, ca nhan dung ra mai tang

2.2.1. Hg va ten (Chii h) hogc nguai dai dien): ...XA-- .T^./l./Udr.. C-l^-M- H-----Ngay/thang/namsinh:.d^. ' / . . . . / . . .47.^. . . . / . /^^fi ^ . .

G i i y C M N D s6:../tt./7T?rg.>-.4^^/. C4p ngay.rT^r^/^^^^ .2.2.2. Hg kh iu thudrp- ^m:.pI^^..J(<hJ^..A^.(^...S^'••t^^•i2^ N a i d: ..pA^A-. <iA/.. . / 5 f « ^ . L^-^--^V- • z ^ ^ - • /k^'^-.-^As^.

2.2.3. Quan he vdi ngudi chSt:.... ̂ U

Toi x in cam doan nhvng Idi khai tren la dung, ndu cc didu gi khai khong dung toi x in chiu trach nhiem hoan toan.

NgaytA-thang ..nam 20/.-/^ •

Ngudi khai (Ky, ghi rd ho ten. Niu ca quan, tS chuc thi ky, dong ddu)

19

I

Jit —•̂fc--

CONG HOA XA HOI C H U NGHIA ^ T E T NAM Hoc lap - T y do - Haah pbtic

,nga.yf%4-thdng..{)l ..nam 201^

B I E N B ^ N HOP G I A DINH

Horn nay, vao h6L.S....gid.Xim.ngay..^..thang..^... .nam...l2tf/^ Tai nha rieng cua ong (M):.../..^....<S^^....<N^?^/. sinh nam../j Hien d: Chung toi g6m^ '̂

1. Ong (ba ):J.a....^.mi%kUi....&mh nam.. hien d !)/i<U^...la (1). 2. Ong {h&-):.^^.'0.<^..CJaJs\nk nam./ .^ /^ . . .h ien b-./khl ia . .^x.v. . . i 3. Ong (ba ):..7^..d?^...d<?g^..sinh nmn..l^.A..4.../n\h\\ a..Mt<..^...la .Ccu^ 4. Ong (ba y. J^..70{ky....UoX.....^voli nam./j^..;^....hien a.AXf^...U^..\a . . l ^ . - n

.ejydL sinh nam./^.^.^...hien d.....^/.!^T!7...1a ..d<s.t.«̂ 6. Ong (ba y..7fA..p.<!y>..7-^ttf^...2lr\ibn% thon, t6 dan ^o.../A^,,,^/lc^(^t2/_

L a nhung ngidi irong cung mot hang thua k i thu Cua ^ (hky....l\}.(^.dA2.7A^..AX.(xX. la doi tugng bao trg xa hgi dang

hudng trg cdp (2): /^.t..^. i ^ (bay....Al:XXx£jydyX.:AA"...€>.<̂ \ changay..-//..thang..d.i?..nam..2^4.^ Chung toi thong nhat uy quyen cho ong (ba):..../...^xyp...<2.JLx£i..\

thay mat gia dinh ke khai ho so de nehi hudng Ug cap mai tarig phi ciia 5sg (ba): t<i..±ay.txi...l/Hx....-^7[.i. '

Chiing toi cam doan nhimg ngi dung ke khai tren ia hoan toan diing su that, neu sal chiing toi xin chin trach nhiem trudc phap iuat.

K8t thiic cuoc hop vao h6i.../.a gid cung hgay. Bien ban da dugc doc iai va cac thanh vien tham du hgp thdng nMt ky vao ^ien ban. / X . i V

1.6ng(ba):.^Xq...%bcL...tSuDi. i^^...L 2. Ong ^yj.{l..^.(^. /LAAT.. <d:c^tTO.... Z.6ng{hay..f.d..Sf^:.^4^.Aai^^-- <:..(2£^'?. 4. Ong ypa\..^f?^.x:d^ U'^.. C. ^lSLs?.....)}. 5. Ong (ba): %iy..ik..&<km^. fC..42.<3ri?a .̂...)

X A C N H A N C U A T R U O N G T H O N {Ky, ghi rd ho ten).

X A C N H « 4 Q U A U B N D X A , T H I T R A N ^ < > ^ H. (M4|«. ^ong ddu)

;-x m \\g\ \f>y/fc.̂ i_y-

jM C H U T I C H

'^G6 T H I B I N H

Tinh: Bac Giang

Huyen: Hiep Hoa

X a : Huang L a m

C O N G H O A X A H O I C H U NGHIA V I E T NAM Hoc lap - T u do - Hanh phuc

Huang Lam, ngay 31 thang 10 nam 2016 86:381 / T L K T - B S

T R I C K L U C K H A I TtT ( B A N S A O )

Ho, chu dem, ten: NGUYEN THI DAI

Ngay, thang, nam sinh: 1934

Giai tinh: Nam. Dan toe: K i n h . Qu6c tich: Viet Nam

So dinh danh ca nhan:

Giay to tuy than:

Da chet vao iuc 14 gid 15 phut, ngay 11/7/2016

Nai chit: Phuc Linh - Huong Lam - Hiep Hoa - Bac Giang.

Nguyen nhan chet: Tuoi gia

Da dugc dang ky khai tu tai: UBND xa Huang Lam

So: 290 Ngay 12/7/2016.

Ghichii:

NGI/OI K Y T R I C K L U C (Ky, ghi rd hQ^^hu4?nJ, ten, chuc vu, dong ddu)

Ni lNN '^?&, .

*H0 CHU T I C H T H I BiNH