UNITATEA

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ANTIER _______________ PUNCT DE LUCRU
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OBIECTUL___________________________________________________________________________
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PROCES VERBAL DE RECEPIE LA

TERMINAREA LUCRRILOR PARIAL
Nr. _______Data __________
Investitor:
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privind lucrarea:
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ncheiat ntre executant:
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i investitor:
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pentru lucrrile de:
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1. Lucrrile au fost executate n baza autorizaiei nr. ________ eliberat de
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la data _____________cu valabilitate pn la data ____________
2. Comisia de receptive i-a desfurat activitatea n intervalul ____________ ______________ fiind format din:
Nr.
Numele i prenumele
Denumirea unitii
Crt.
aparine:

Calitatea
de care

1.

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2.

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3.

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4.

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5.

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3. Au mai participat la receptive:

Nr.
Crt.

Numele i prenumele

Calitatea

1.

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2.

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3.

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4. Constatrile comisiei:
4.1Din documentaia scris i desenat necesar a fi prezentat, au lipsit sau
sunt incomplete urmtoarele piese:
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4.2Urmtoarele cantiti de lucrri nu au fost executate:
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4.3Urmtoarele lucrri nu respect prevederile proiectului:
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5. n urma constatrilor fcute, comisia propune:
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6. Comisia motiveaz propunerea fcut prin:
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7. Comisia recomand urmtoarele:
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8. Prezentul proces verbal, coninnd ______ file a fost ncheiat astzi ___________
la locul : ____________________________________________ n _______ exemplare.
COMISIA:
PRESEDINTE
Numele i prenumele
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MEMBRI:
Semntura

Specialist
_______________

Semntura
__________________

Specialist

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________________

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________________

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________________

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INVITAI

Semntura

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