NOTA - Se semneaza anterior inventariere DECLARATIE DE INVENTAR declar: Subsemnatul _____________ gestionar al ________________________________

1. Toate valorile materiale si banesti aflate in gestiunea subsemnatului se gasesc in incaperile (locurile): _______________________________________________________________________________________________ _______________________________________________________________________________________________ 2. Posed (nu posed) valori materiale si banesti apartinand tertilor: __________________________________ _______________________________ _______________________________________________________________ 3. Am (nu am) cunostinta de existenta unor plusuri/lipsuri in valoare (cantitate) de: ____________________ _______________________________________________________________________________________________ 4. Am (nu am) eliberat valori materiale si banesti fara documente legale._____________________________ Beneficiar _______________ Beneficiar __________________ Beneficiar __________________________________ _______________________________________________________________________________________________ 5. Am (nu am) valori materiale nereceptionate sau care trebuiau expediate, pentru care s-au intocmit documentele aferente, in cantitate de _________________________________________________________________ 6. Am (nu am) documente de primire-eliberare care nu au fost operate la zi sau nu au fost predate la contabilitate: ____________________________________________________________________________________ _______________________________________________________________________________________________ 7. Detin (nu detin) numerar din vanzarea marfurilor aflate in gestiune , de lei: ________________________ _______________________________________________________________________________________________ 8. Ultimele documente de intrare sunt: fel___________________________________ nr._________________ din ______________ fel___________________________________ nr._________________ din ______________ 9. Ultimele documente de iesire sunt: fel___________________________________ nr._________________ din ______________ fel___________________________________ nr._________________ din ______________ 10. Ultimul raport de gestiune (confruntare cu evidenta contabila) a fost incheiat la data de ___________ pentru perioada _______________________________________________________________________________ 11. Alte mentiuni _________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ DATA IN FATA NOASTRA Semnaturi Semnaturi Data ora GESTIONAR