字[　　]　　號(hào) __________人民檢察院： 　　你院于____年____月____日以

________[　]_____號(hào)補(bǔ)充偵查決定書退回的______________案，已經(jīng)補(bǔ)充偵查完畢。

結(jié)果如下： 　　_________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________ 　　______________________________________________________________________

　　現(xiàn)將該案卷宗____卷____頁(yè)及補(bǔ)充查證材料______頁(yè)附后，請(qǐng)審查。

(公安局印)

　　年　　月　　日

　　本報(bào)告書一式兩份，一份交檢察院，一份附卷。