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(Unitatea)
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ORDIN DE DEPLASARE (DELEGAIE) N STRINTATE
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(transporturi internaionale)
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NR. .................
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Titularii de avans (Numele, prenumele i funcia) ....................... |
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| se deplaseaz n ........................................................... |
| .................................... cu autovehiculul nr. .................. |
| marca ..................... pentru ......................................... |
| .................... conform comenzii nr. ........... emis de ............. |
| .................... locul de ncrcare .................................... |
| locul de descrcare ............................... pleac la .............. |
| anul ....... se napoiaz la terminarea cursei sau marrutei ............... |
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Nr. km parcuri
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Relaia
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Relaia
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Relaia
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| Km. dus-ntors conform |
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marrutei
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| Km. pentru redirijare |
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Total km.
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| Avans n valut se
| Valut | Lei | Valut | Lei | Valut | Lei
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acord pentru
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| 1. Total 2 oferi
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| 2. Diurna de deplasare |
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|________________________|________|_______|_________|_______|_________|________|
| - conform marrutei
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|________________________|________|_______|_________|_______|_________|________|
| - pentru descrcare
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|________________________|________|_______|_________|_______|_________|________|
| - pentru ncrcare
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|________________________|________|_______|_________|_______|_________|________|
| 3. Taxe drum
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|________________________|________|_______|_________|_______|_________|________|
| 4. Combustibil
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| 5. Autorizaii
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|________________________|________|_______|_________|_______|_________|________|
| 6. Alte cheltuieli
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|________________________|________|_______|_________|_______|_________|________|
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Total
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Director,
ef sector
Viza control
Am primit
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exploatare,
financiar
sumele n valuta
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preventiv,
menionat mai sus,
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ofer,
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...................
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paaport nr.
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| Achitat
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| Data ............................
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| Casier ..........................
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14-5-4/a
A5
t2
(verso)
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Viza vmii la ieirea din Romnia
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| DECLARAIE. La napoierea din curs la data de ............................. |
| am adus n ar urmtoarea valut neconsumat.
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Felul valutei
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SUMA
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n cifre
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n litere
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Semnturile titularilor de avans
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Viza vmii la intrarea n Romnia
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