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Semntura achizitorului,

Semntura gestionarului,

Unitatea ........................
Cod fiscal ......................
Nr. ord. registrul com/an .......
Localitatea .....................
Judeul .........................
BORDEROU DE ACHIZIIE
nr. ........... data ..............
(alimentaia public)
____________________________________________________________________________
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|
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|Pre unitar | Valoarea | Pre |Valoarea|
|
|Produsul|Cod|U/M|Cantitate|de achiziie|achiziiei|unitar | alim. |Meniuni|
|
|
|
|
|
|
| alim. |public |
|
|
|
|
|
|
|
|public|
|
|
|________|___|___|_________|____________|__________|_______|________|________|
|________|___|___|_________|____________|__________|_______|________|________|
| TOTAL | x | x |
|
x
|
|
x
|
|
x
|
|________|___|___|_________|____________|__________|_______|________|________|
14-4-13/a
A5