行政处罚结案报告

案件名称：                                                            

案件来源：                                                            

被处罚人：               法定代表人（负责人）：                     

立案日期：     年     月    日  处罚日期：      年    月     日

处罚决定文书号：                结案日期：     年     月     日

承办人：                           填写人：                            

                                                                             违规事实：                                                             

处罚依据：                                                            

处罚内容：                                                            

执行情况：                                                           

                                                                             执行方式：1.自动履行2.复议结案3.诉讼结案4.强制执行

          5.其  他

归档日期：