Unitatea SC DESIGN SRL

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| DISPOZIIE DE*) PLATA CTRE CASIERIE
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nr. ............... din ..................
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| Numele i prenumele IVAA ELENA-ROXANA
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| Funcia (calitatea) ASOCIAT
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| Suma 1000 lei
O MIE
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(n cifre)
(n litere)
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| Scopul ncasrii plii CREDITARE SOCIETATE
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| PLATI CHIRIE IN LUNA IANUARIE
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Viza de control
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Compartiment
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|Conductorul unitii| financiar-preventiv | financiar-contabil |
| Semntura |_____________________|_____________________|____________________|
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|___________|_____________________|_____________________|____________________|
*) Se va nscrie "NCASARE" sau "PLAT", dup caz
14-4-4
A6
t2

(verso)
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DATE SUPLIMENTARE PRIVIND BENEFICIARUL SUMEI:
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| Se completeaz |
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| numai pentru
| Actul de identitate .............. Seria ..... nr. ...... |
| pli
| Am primit suma de .............................. lei
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(n cifre)
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Data .........................
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Semntura ....................
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|________________|___________________________________________________________|
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CASIER
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| Pltit/ncasat suma de 1000 lei
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(n cifre)
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Data .........................
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Semntura ....................
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