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| UNITATEA
PROCES-VERBAL
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DE SCOATERE DIN FUNCIUNE
| APROBAT | DATA |
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A MIJLOACELOR FIXE
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_____________________________
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DE DECLASARE A UNOR BUNURI
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MATERIALE
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| I. CONSTATRILE I CONCLUZIILE COMISIEI .................................... |
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| II. MIJLOACELE FIXE SCOASE DIN FUNCIUNE SAU BUNURILE MATERIALE DECLASATE
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| Amortizarea |
|Nr. |Denumirea | Cod | U/M |Cantitatea | Pre unitar | Valoarea |
pn la
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|crt.|
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| scoaterea |
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|din funciune|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
|____|__________|_____|_____|___________|_____________|__________|_____________|
14-2-3/Aa
A4
t2

(verso)
____ __________ ____ ___________ ____ ________ ________ _________ ____________
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
|____|__________|____|___________|____|________|________|_________|____________|
III. ANSAMBLE, SUBANSAMBLE, PIESE, COMPONENTE I MATERIALE REZULTATE
____________________________________________________
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Numr |
Data
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Cod
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Cod
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| document |____________________| predtor |primitor |
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| Ziua | Luna | Anul |
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|__________|______|______|______|__________|_________|
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|__________|______|______|______|__________|_________|
______________________________________________________________________________
| Nr. | Denumirea | Cod | U/M | Cantitatea |
Pre unitar
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Valoarea
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| crt. |
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|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
|______|___________|_____|_____|____________|___________________|______________|
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Delegai la
| Primit n |
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COMISIA
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dezmembrare
| gestiune |
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sau la declasare |
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|___________________________________________|_____________________|____________|
|Nume i|Semntura|Nume i|Semntura|Nume i|Semntura|Nume i|Semntura|
|
|prenume|
|prenume|
|prenume|
|prenume|
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|_______|_________|_______|_________|_______|_________|_______|_________|
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|_______|_________|_______|_________|_______|_________|_______|_________|
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|_______|_________|_______|_________|_______|_________|_______|_________|
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|_______|_________|_______|_________|_______|_________|_______|_________|______|