ROMANIA

JUDETUL BUZAU
COMUNA BOZIORU
website: www.bozioru@infoprimarii.ro

e-mail: primariabozioru@yahoo.com

Tel: 0238/523036 Fax: 0238/523333

Nr._______/________2012

DISPOZITIE BUGETARA din_________________nr._______________

privind__________________________creditelor

Banca platitorul_______________________________________________________________________
platitor_________________________________________cont nr._____________________________________
Banca beneficiarului:__________________________________________________________________
beneficiar_______________________________________cont nr.____________________________________
Suma(in litere)___________________________________Lei__________________________________
Cu drept de utilizare de la data de___________________________________.

Stampila si semnatura
emitentului

Banca platitorul
data inreg., stampila
semnatura

Banca beneficiarul
data inreg. , stampila
semnatura