Semnificaia coloanelor din tabelul de mai jos este urmtoarea:

A - Lucrate
B - Concediu
______________________________________________________________________________
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(Unitatea)
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LIST DE INDEMNIZAII PENTRU CONCEDIUL DE ODIHN
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...............
pe luna ............ anul ......
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(secia,
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serviciul etc.)
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|Nr. | NUMELE | Marca |Salariul|Ctig|Ore |
Sume cuvenite pentru
:
|crt.|
I
|(funcia)|de baz |mediu |sau |
:
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|PRENUMELE|sau numr| (pe or|zilnic|zile|
:
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|matricol | sau zi)|
|____|________________________________:
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| | |Ore sau|Indemniz.| Spor | Zile :
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| | | zile |conducere|vechime| conc.:
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|A |B|lucrate|
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|odihn:
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| | |
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|____|_________|_________|________|______|__|_|_______|_________|_______|______:
| 0 |
1
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2
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3
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4 | 5|6|
7
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8
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9
| 10 :
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
|____|_________|_________|________|______|__|_|_______|_________|_______|______:
______________________________________________________________________________
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Alte | Total | Sume deductibile pentru | Baza de |
Impozit
:
:ctiguri|drepturi|
calculul impozitului
|impozitare|
:
: n bani |
|___________________________|
|____________________:
: i n |
|Contrib.|Ajutor| Alte sume |
| Total | din care :
: natur |
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la
|omaj |deductibile|
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contrib. :
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| pensia |
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|pentru asig.:
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| suplim.|
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| sociale de :
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sntate :
:_________|________|________|______|___________|__________|_______|____________:
:
11
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12
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13
| 14 |
15
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16
|
17 |
18
:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
:_________|________|________|______|___________|__________|_______|____________:
______________________________________________________________________________
:Contrib.|Salariul|
ALTE REINERI
| Total |

: pentru |
net |____________________________________________________|
de |
: asig. |
|Indemnizaie|Avans|Chirii|Imputaii|Popriri|Rate|
| plat |
:sociale |
| concediu |
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:
de
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| odihn,
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:sntate|
| lichidri |
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:reinut|
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:
din |
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:venituri|
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:________|________|____________|_____|______|_________|_______|____|___|_______|
:
19
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20
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21
| 22 | 23 |
24
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25 | 26 | 27| 28
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:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
:________|________|____________|_____|______|_________|_______|____|___|_______|
Conductorul unitii,

Conductorul compartimentului
financiar-contabil,

ntocmit,