vondstmeldingsformulier .pdf

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Original filename: vondstmeldingsformulier.pdf
Title: vondstmeldingsformulier
Author: Gebruiker

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1. Aanmelder
Naam:

…………..…

………………………………………………………...

Adres:

…………………………………………………………..…….

Postcode:

……………

Plaats:

…………………………………………….

Telefoon:

………………-……………………………

E-mail:

…………………………………………………………………………..

Datum:

…………/…………/…………

…..…

…….

2. Vondstomstandigheden
X-coördinaat/ Y-coördinaat:

…………………...…………/…………....……..……......

Toponiem:

………………………………………………….………....

Plaats:

………………………………………………………….…

Vondstverwerving:

…………………………………………………………….

Grondgebruik maaiveld:

..……………………………………………………….…..

NAP maaiveld:

………………………………………………………….…

Diepte vondst:

……………………………………………………….……

Omvang vondstverspreiding:

…………………………………………………………….

3. Beschrijving object
Determinatie:

…………………………………………………………………………….

…………………………………………………………………………………………………..
Maten: (l x b x h) …………………………………………………………………………….
Gewicht:

………………………………………………………………………….....

Beschrijving:

………………………………………………………………………….....

…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
Literatuur:
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..

Beschrijving object
Determinatie:

…………………………………………………………………………….

…………………………………………………………………………………………………..
Maten: (l x b x h) …………………………………………………………………………….
Gewicht:

………………………………………………………………………….....

Beschrijving:

………………………………………………………………………….....

…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
Literatuur:
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..

Beschrijving object
Determinatie:

…………………………………………………………………………….

…………………………………………………………………………………………………..
Maten: (l x b x h) …………………………………………………………………………….
Gewicht:

………………………………………………………………………….....

Beschrijving:

………………………………………………………………………….....

…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
Literatuur:
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
Het ingevulde formulier kunt u verzenden aan:
Gemeente Deventer
RS-SI-RE, Archeologie Deventer
t.a.v. Bart Vermeulen
Postbus 5000
7400 GC Deventer
archeologie@deventer.nl


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