_________________________________________________________________________

| Furnizor ...................
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DISPOZIIE DE LIVRARE
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___________________________________
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| Nr............................... |
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| Data (ziua, luna, anul) ......... |
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|___________________________________|
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| Vei elibera produsele de mai jos ctre ............................... |
| prin delegatul ............................. cu delegaia nr. ......... |
| buletin de identitate seria ...... nr. ....... emis de ................ |
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|_________________________________________________________________________|
|Nr. |
| U/M |
Cantitatea
|
|
|crt. | Denumirea produselor |
|____________________| Preul unitar |
|
|
|
| Dispus | Livrat |
|
|_____|________________________|_____|_________|__________|_______________|
| 0 |
1
| 2 |
3
|
4
|
5
|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
| Semntura
|
Dispus livrarea
|
Gestionar |
Primitor
|
|_______________|_______________________|_______________|_________________|
14-3-5A
A5
t2

(verso)
_________________________________________________________________________
|Nr. |
| U/M |
Cantitatea
|
|
|crt. | Denumirea produselor |
|____________________| Preul unitar |
|
|
|
| Dispus | Livrat |
|
|_____|________________________|_____|_________|__________|_______________|
| 0 |
1
| 2 |
3
|
4
|
5
|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
|_____|________________________|_____|_________|__________|_______________|
| Semntura
|
Dispus livrarea
|
Gestionar |
Primitor
|
|_______________|_______________________|_______________|_________________|