Documente Academic
Documente Profesional
Documente Cultură
____________
SUM
|
|
| COD BARE
|
|
|
INSTITUIE PUBLIC
____________________|
___________
..................................................... CIF |___________|
(se nscrie denumirea complet a instituiei publice)
REPREZENTANT
INSTITUIE PUBLIC (NUME I PRENUME): ................
CI: SERIE: ........ NR.: ........ ELIBERAT DE: ................
___________________________________________________________________________
___
|
INSTITUIE PUBLIC
|
TREZORERIE
|
|_________________________________________________________|
____________________|
|NR.|SIMBOL|COD
|COD
|INDICATOR |EXPLICAII|SUMA |CUPIUR|NR.
|
SUMA |
|RD.|CONT |PROGRAM|ANGAJAMENT|ANGAJAMENT|
|
|
|BUCI|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 1 |
|
|
|
|
|
|500 lei|
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 2 |
|
|
|
|
|
|200 lei|
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 3 |
|
|
|
|
|
|100 lei|
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 4 |
|
|
|
|
|
|50 lei |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 5 |
|
|
|
|
|
|10 lei |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 6 |
|
|
|
|
|
|5 lei |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 7 |
|
|
|
|
|
|1 leu |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 8 |
|
|
|
|
|
|50 bani|
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| 9 |
|
|
|
|
|
|10 bani|
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
|10 |
|
|
|
|
|
|5 bani |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
|11 |
|
|
|
|
|
|1 ban |
|
|
|___|______|_______|__________|__________|__________|_____|_______|______|
_____|
| INSTITUIE PUBLIC
| VERIFICAT
|
| SEMNTURA I TAMPILA
|
SERVICIUL ........ |
| 1.
| SEMNTURA I
|
|
| TAMPILA
|
| 2.
|
|
|_________________________________________________________|
____________________|
| REPREZENTANT INSTITUIE PUBLIC CRUIA I S-A ELIBERAT
| CASIER
|
| SUMA
| SEMNTURA I
|
| NUME I PRENUME .................
| TAMPILA
|
| La data de ..................
|
|
| SEMNTUR
|
|
|_________________________________________________________|
____________________|
MFP COD 14.20.06/TS