vondstmeldingsformulier (PDF)
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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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