（此处印制公安机关名称）
现场勘验笔录
勘验时间_____年_____月_____日_____时_____分_____至_____年_____月_____日_____时_____分
勘验地点____________________________________________________________________________
勘验人员姓名、单位、职务（职称）____________________________________________________
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勘验过程及结果_______________________________________________________________________
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现场勘验人员：__________ 记录人：__________
当事人或者见证人（签名 ）： _______________