INSTITUTUL CLINIC FUNDENI

SOS. FUNDENI, NR.258, SECTOR 2, 022328 BUCURESTI

TEL : 021.317.21.94 FAX : 021.318.04.44
EMAIL: SECRETARIAT@ICFUNDENI.RO

Aprobat Comitet Director (data) _______________

APROBAT,
MANAGER
Dr.Carmen Orban
REFERAT DE NECESITATE
Nr............./...........................
Urgenta
Categorie necesitate: Lucrari

Servicii

Produse

Tip necesitate:

Lunar

Ocazional

Anual

Subsemnatul
......................................................................
avand
functia
de
.......................................
in
cadrul
departamentului .............................................................din cadrul Institutului Clinic
Fundeni (denumita in continuare Autoritatea Contractanta), persoana juridica
romana, cu sediul n Sos. Fundeni, nr. 258, Sector 2, Bucuresti, cod fiscal 4204003,
reprezentata prin d-na Carmen Orban, in calitate de Manager, numita n baza
Ordinului Ministrului Sanatatii nr. R465/16.05.2011,
Va rugam sa aprobati achizitionarea urmatoarelor produse necesare, avand in
vedere motivele detaliate in cele ce urmeaza.

_
_
_
_
_
_
_
_
_
_
_
_
_

_
_
_
_
_
_
_
_
_
_
_
_
_

_
_
_
_
_
_
_
_
_
_
_
_
_

Descriere necesitate (inclusiv motivarea urgentei, dupa caz) _ _ _ _ _ _

_______________________________________________
_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _
_______________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

INSTITUTUL CLINIC FUNDENI

SOS. FUNDENI, NR.258, SECTOR 2, 022328 BUCURESTI
TEL : 021.317.21.94 FAX : 021.318.04.44
EMAIL: SECRETARIAT@ICFUNDENI.RO

_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Valoare estimata de catre
initiator : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Intocmit ___________________Avizat (sef sectie / coordonator / responsabil)

__________________
Directia financiar contabila
Prevedere bugetara: DA NU
Aviz initiere procedura achizitie DA
NU

Semnatura /
Avizare

_________________
_________________

Serviciul Achizitii Publice

Contractare
Plan achizitie DA NU
Valoare totala fara TVA __________ lei
Tip procedura / ac.
cadru_________________
Cod CPV _________________________