ࡱ> ;=:@ y jbjb @yl , *J L L L L L L , x x J J xJ J  ɛ9HJ J J [[J COMIT POPULAIRE SAINT-JEAN-BAPTISTE COMIT DE REQURANT-E-S FORMULAIRE DINSCRIPTION NOM / PRNOM: ADRESSE: no civique rue no dapp. VILLE: CODE POSTAL: No DE TL.: 2ime No DE TL.: COURRIEL: VOS DISPONIBILITS (EX.: RENCONTRES, FORMATIONS, MOYENS DE PRESSION, etc.) COCHEZ SVP ( ) LE JOUR ( ) LE SOIR ( ) LA SEMAINE ( ) LA FIN DE SEMAINE PRCISIONS: DESCRIPTION DU MNAGE: Pour TOUS les membres du mnage, adulte(s) et enfant(s) NOM PRNOM DATE DE NAISSANCE REVENU TOTAL DU MNAGE (additionnez TOUS les revenus de TOUS les membres adultes du mnage): ___________________$ ( ) par sem. ( ) par 2 sem. ( ) par mois ( ) par anne TYPE DE LOGEMENT ACTUELLEMENT OCCUPɠ: ( ) chambre ( ) studio ( ) 3 1/2 ( ) 4 1/2 ( ) 5 1/2 autre (prcisez): CONDITIONS ACTUELLES DE LOGEMENT: TYPE DE LOGEMENT DSIR (prcisez le nombre de chambres coucher): ( ) 3 1/2 ( ) 4 1/2 ( ) 5 1/2 ( ) 6 1/2 Autre(s) besoin(s) (prcisez: Ne rien inscrire ici; merci! FORMULAIRE REMPLI LE (date): FORMULAIRE REU PAR (nom): =>X(- = y CJOJQJ6CJOJQJ 5OJQJ>*CJOJQJCJCJ CJOJQJOJQJ5CJ OJQJ CJOJQJ=>WXhit() $a$  p# $a$ `z  p# &  U" & &=>WXhit()-./012 L b c  = \ y 6-./012,$d%d&d'd(dNOPQR  U"#$d%d&d'dNOPQ L b c [' &$d%d&d'dNOPQ,  Y$$d%d&d'dNOPQ#$d%d&d'dNOPQ, f>#$d%d&d'dNOPQ  [[Y,  Y$$d%d&d'dNOPQ' &$d%d&d'dNOPQ#$d%d&d'dNOPQ,$d%d&d'd(dNOPQR = \ y 0 &$d%d&d'd-DM NOPQ,$d%d&d'd-DM NOPQ/ 0/ =!n"n#n$n%S $ ,, ` g(HH(dh com.apple.print.PageFormat.FormattingPrinter com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.FormattingPrinter Xerox_Phaser_3450DN_(XRX0000f0abed4d) com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMHorizontalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMHorizontalRes 300 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:26:17Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMOrientation com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMOrientation 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalRes 300 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:26:17Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.subTicket.paper_info_ticket com.apple.print.PageFormat.PMAdjustedPageRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPageRect 0.0 0.0 3233.3333333333335 2400 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMAdjustedPaperRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPaperRect -33.333333333333336 -75 3266.666666666667 2475 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:05Z com.apple.print.ticket.stateFlag 0 com.apple.print.PaperInfo.PMConstrainedPaper com.apple.print.ticket.creator CUPS_CPL com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMConstrainedPaper com.apple.print.ticket.client CUPS_CPL com.apple.print.ticket.modDate 2004-02-07T22:51:59Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMPaperName com.apple.print.ticket.creator CUPS_CPL com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMPaperName na-letter com.apple.print.ticket.client CUPS_CPL com.apple.print.ticket.modDate 2004-02-07T22:51:59Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMUnadjustedPageRect com.apple.print.ticket.creator CUPS_CPL com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPageRect 0.0 0.0 776 576 com.apple.print.ticket.client CUPS_CPL com.apple.print.ticket.modDate 2004-02-07T22:51:59Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMUnadjustedPaperRect com.apple.print.ticket.creator CUPS_CPL com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPaperRect -8 -18 784 594 com.apple.print.ticket.client CUPS_CPL com.apple.print.ticket.modDate 2004-02-07T22:51:59Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.ppd.PMPaperName com.apple.print.ticket.creator CUPS_CPL com.apple.print.ticket.itemArray com.apple.print.PaperInfo.ppd.PMPaperName Letter com.apple.print.ticket.client CUPS_CPL com.apple.print.ticket.modDate 2004-02-07T22:51:59Z com.apple.print.ticket.stateFlag 1 com.apple.print.PrintSettings.PMPaperAddedToSubmenu com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PrintSettings.PMPaperAddedToSubmenu com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2004-02-07T22:52:00Z com.apple.print.ticket.stateFlag 0 com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PaperInfoTicket com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PageFormatTicket  i4@4NormalCJOJPJQJmH 4@4 Heading 1$@&5CJ:@: Heading 2$$@&a$5CJ x@x Heading 3L$$d%d&d'd@&NOPQ5CJ@ Heading 4W$$d%d&d'd@&  NOPQ6CJ2@2 Heading 5$@&5>*B`B Heading 6$$@&a$5CJOJQJ<A@<Default Paragraph Fonty1 zyy  y  y =>WX[^ditu  "')4FMY`lv-2 bc {<>VXgisu'),2  KLac <=[\x{Compop4Compop eMac:Users:compop:Desktop:form.inscr.requ.docCompop4Compop eMac:Users:compop:Desktop:form.inscr.requ.docCompop4Compop eMac:Users:compop:Desktop:form.inscr.requ.docCompop4Compop eMac:Users:compop:Desktop:form.inscr.requ.doccompop[Compop G4:Documents:1Logement:1Logement quartier:Berthelot:1RequrantEs:form.inscr.requ.doccompop\Compop G4:Documents:1Logement:1Logement quartier:Berthelot: 1RequrantEs:Formulaire.requ.doccompopeCompop G4:Documents:Comit populaire:Logement: Berthelot 2004-2005: 1RequrantEs: Formulaire.requ.doccompopmCompop G4:Users:saintjeanbaptistecomitepo#35188:Documents:Microsoft User Data:AutoRecovery save of FormulaircompopHCompop G4:Users:saintjeanbaptistecomitepo#35188:Desktop: Formulaire.requcompopHCompop G4:Users:saintjeanbaptistecomitepo#35188:Desktop: Formulaire.requ@66<|6)'yP @GYTimes New Roman5Symbol3 Arial? Arial Black3Times h&&!~0dO@!COMIT POPULAIRE ST-JEAN-BAPTISTECompopcompop Oh+'0p  , 8 DPX`h'"COMIT POPULAIRE ST-JEAN-BAPTISTEcrOMICompopPompNormalPcompopP3mpMicrosoft Word 10.0@@q@hoq ՜.+,0 `hpx  '$ "COMIT POPULAIRE ST-JEAN-BAPTISTE Title  "#$%&'()+,-./013456789<Root Entry Fիq>1Table![WordDocument@SummaryInformation(*DocumentSummaryInformation82CompObjX FMicrosoft Word DocumentNB6WWord.Document.8