Banca______________________________

Sucursala/Filiala______________________

FOAIE DE VARSAMANT
Nr._____ din _________

Subsemnatul___________________________depun pentru_________________________________in
contul nr.___________________deschis la Banca _________________sucursala/filiala______________.

S.C.____________________S.R.L.
Ce reprezinta
depunerea

Simbol plan casa

Lei
Buc.

Monetar
Cup.

Lei

Adica______________________________________________
____________________________________________ lei.

Total lei

Spatiu rezervat pentru Banca ___________________________________________________

Semnatura casieriei:
__________________________
Data:_____________________

Semnatura contabilitatii:
__________________________